Showing 1 - 10 of 360 annotations tagged with the keyword "Abandonment"

Annotated by:
Teagarden, J. Russell

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

The Strand Magazine is a source for “unpublished works by literary masters.” The October-February (2017-2018) issue includes a Raymond Chandler short story that has never before been published. Chandler wrote crime fiction for the most part, and the stories usually involved the fictional detective Phillip Marlowe. This story, however, written between 1956 and 1958, centered on how American health care fails people who need it when they can’t pay for it or look like they can’t pay for it. 

In this story, a man who has been hit by a truck is brought into the emergency department at “General Hospital.” He arrives just before shift change and so the admitting clerk is already annoyed. The clerk checks the patient’s pockets for the required $50 deposit and finds nothing, so she could now send the patient to the county hospital, and that would be that. But, before she initiates the transfer, she asks a passing private attending physician to look at the patient. He sees that the patient is dirty, smells of alcohol, and would cost a lot to work up. Mindful of an admonition from a major donor that the “hospital is not run for charity,” the physician surmises the patient is “just drunk,” and agrees the patient should be moved to the county hospital. So off the patient goes.  

The next day, the same admitting clerk at General Hospital gets a call from the county hospital. She’s informed that the patient they transferred had a head injury requiring surgery, and that the patient had $4,000 in a money belt inside his undershirt. The patient couldn’t be saved, however, because of the delay involved in the transfer to the county hospital. It’s all right—he only died.



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Every Note Played

Genova, Lisa

Last Updated: Apr-10-2018

Primary Category: Literature / Fiction

Genre: Novel

Summary:

This is a dramatic and moving story about a concert pianist who, at 45 years of age, suddenly and inexplicably, has ALS, and also equally about his ex-wife Karina, who takes on his care throughout his slow, inevitable, and lethal decline. As many readers know, ALS (Amyotrophic Lateral Sclerosis). or “Lou Gherig’s disease,” hardens the motor nerves so that, progressively, there is no more control of muscles throughout the body. Not many readers know, however, the difficult path such patients and their families must pursue. This sensitive and detailed novel takes readers powerfully into the world of ALS, a disease for which there is today no cure.                                                                                      

Obsessed with his musical career and international travel, Richard has paid little attention to Karina and their daughter, Grace, and he has had affairs with other women. Karina has deceived him about her inability to bear more children. Because of their move from New York City to Boston, Karina, also a gifted pianist, has lost a possible career in jazz and now gives piano lessons to unpromising students. 

The first several chapters alternate between Richard and Karina. Although divorced from him, she brings him, now an ALS patient, back into the home they once shared. Various nurses, doctors, and other specialists try to explain the difficult future that includes certain loss of body functions, but Richard and Karina are slow to comprehend these. Despite their denial, they are forced to come to terms with Richard’s progressive decline and, finally, death.     
          
Richard loses the ability to use his hands, then his arms. He needs a special machine to breathe at night. Soon he has paid caregivers for parts of the day; these include a cheery and admirable man named Bill. No longer able to eat, Richard has a feeding tube. Later he needs a hospital bed. Also a Head Mouse to work his computer. Also an elaborate wheelchair. With unresolved issues in the past, Richard and Karina are emotionally apart—even with feelings of hate and rage—even while she cares for him.  

Karina’s walking partner Elise, a teacher, helps her stay sane. Karina travels to New Orleans with Elise and her class and finds her interest in jazz reawakened. No longer able to breathe even with assistance, should Richard go on to mechanical ventilation that will require 24-hour care at enormous expense? A choice is made. Richard dies, with various resolutions before and after his death.  

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Sing, Unburied, Sing

Ward, Jesmyn

Last Updated: Feb-12-2018
Annotated by:
McClelland, Spencer

Primary Category: Literature / Fiction

Genre: Novel

Summary:

A family epic set in rural Mississippi and spanning several generations. Often described as a road novel by reviewers, the story centers on Jojo, a 13-year-old boy struggling to protect his younger sister Kayla from the disarray of his parents' influence: one Black, one White; one in prison; both addicted to meth. These forces contend with Jojo's stoic yet caring grandfather, his mystical-spiritual grandmother, his bigoted grandparents on the other side, and the strange passenger they collect while on the road.  

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Close But Not Touching

Sands, Jean

Last Updated: Jan-30-2018
Annotated by:
Davis, Cortney

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

Jean Sands' second full-length poetry collection, "Close But Not Touching," was published a few months after her death in October, 2016.  Sands had been working on this volume for more than a year, a process slowed by debilitating illness.  This collection, like her first book, "Gandy Dancing," is autobiographical, raw, plainly written, and powerful.  Both books deal with sexual abuse, marital abuse, dysfunctional family dynamics, divorce, poverty, and a woman's struggle to survive.  And in Sands' case, to write about that survival.

The 47 poems in "Close But Not Touching" are divided into four sections.  The first examines Sands' childhood.  Her mother, born in Hungary, as a child terrified of German soldiers, is failing. In  the book's opening poem, "When Mother Stopped Remembering," Sands introduces her themes of human rights, sexual and physical abuses, and the need to speak out against them. The poem closes with Sands'  mother forgetting words, growing silent, and giving up books.
"In Germany, they emptied the shelves, /  burned the books, the men, the women, the children." (pp 4-5).  Sands' response to the loss of words, of power, is her poetry.

In "Becoming Helen" (pp 7-9), Sands pays tribute to an older woman writer who became a mentor. "Forty years later the keyboard clicks under my fingers, / unseen hands hover above mine." The specter of sexual abuse is raised in "The Peach Farmer's Daughter" (p 15).  Abused by her father, even after his death the daughter can't forget "his liquor breath, his fingers inside." In other poems in this section, Sands addresses aggression ("Pigs" p 16), loss of innocence ("Plum" p 17), humiliation ("The Music Lesson" p 18), and desire ("Danbury Fair" p 19).

The second section takes a loving and yet brutally forthright look at Sands'  four sons and how her marriages and divorces affected them.  She doesn't spare herself--her poor choices--or the sons' fathers.  Especially strong poems include "Night Sounds," "Suicide," "Swimmer," "The Policeman Is Your Friend," and "Father Poem" (pp 26-30).

The poems in section three chronicle the author's divorce from her abusive second husband, specifically, but also her hard-to-shake feelings of entrapment and helplessness in the face first of childhood sexual abuse and then of marital physical abuse.  In "Car Ride" she writes "I can't do this anymore, // I can't do this, // I can't" (pp 38-39).  Forced from her home by police pounding at her door in the dark, she writes "You set me up / ex-husband with greed on your mind. / Money hungry at anybody's expense but your own" (p 40).  Divorce leads to poverty for the author.  "Divorce Settlement," "Working in a Discount Store after the Divorce,"  and "Saving the Universe" will ring true for many who must struggle for subsistence from day to day (pp 46-48).

Section Four brings this collection full circle, offering hope and resolution.  The author has met another man, a good man.  In poems such as "Rain" (p 60) and "As Evening Comes" (p 64) there is a softening, a willingness to open to this new life and new love.  In perhaps the most moving poem in the collection, "At the Vet's Office" (p 65-66), Sands looks back at her marriages ("The first one was a hitter-- / open palms, threatening fists . . . The second one, worse.  A handsome man / with no past.  I should have known / his clamming up was covering up") and compares her past with her present: "I am overwhelmed with gratitude / for the sweet man who will pick up the cat / and pay the bill without a word" (p 66).   This "sweet man" was married to Sands for more than 25 years, became her writing partner, a father to her four sons, and served as her caretaker through many years of her  illness.

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So Much For That

Shriver, Lionel

Last Updated: Jan-18-2018
Annotated by:
Teagarden, J. Russell

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The book opens with Shep Knacker packing his bags for his long-dreamed of “Afterlife”—his word for retirement—in Pemba, an island off the coast of Tanzania. He plans to take his wife, Glynis, and his high school aged son, Zach. This plan is not unexpected because Shep and Glynis have made many “research” trips during their 26-year marriage to find the right place (though never to Pemba). But, there were always reasons not to act on their research. An intervention was needed. Glynis is not home while he is packing because she is at some “appointment.” When she gets home, Shep informs her of his plans for the three of them to leave for Pemba, and he further informs Glynis that he’s going whether she comes or not. In response, she informs him that she has cancer—a bad one (mesothelioma); he unpacks, so much for that.

What unfurls from there is more complicated than just the challenges Glynis’s disease produces, though these are monumental challenges. Other people, too, are in need of Shep’s attention. His father’s decrepitude is advancing, his sister is on the brink of homelessness, and his teenage son is detaching from him and life in general. Shep eventually loses his job as an employee at the handyman company he once owned (“Knack of All Trades”) then sold to fund his Afterlife. There’s more. 

Shep's best friend, Jackson, who also worked with him at Knack of All Trades has two girls, and one of them has familial dysautonomia. This progressive genetic disease of the nervous system produces a constellation of medical problems that are bizarre, intense, and serious, before it ultimately produces a tragic end. The trauma and tragedy this disease inflicts in this story (and in life) encompass the entire family, in spite of the heroic efforts of Jackson’s wife, Carol. 
 
The many plot lines in this novel at times proceed independently of one another, and at other times intersect. They concern serious illness experiences and the effects they have on families and also how the American health care system can place burdens on those who need it. Nevertheless, the two families, beaten down by illness, fatigued from encounters with doctors and hospitals, and exasperated from fights with insurance companies, rally enough to make it to Pemba. The trip becomes financially affordable as the result of some narrative gimmickry involving a financial settlement of $800,000 from the company that put asbestos in equipment Glynis had used years before. They would spend the rest of their lives there, longer for some than for others.   

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Letters from Limbo

Beaumont, Jeanne Marie

Last Updated: Jan-02-2018
Annotated by:
Clark, Mark

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

This collection of poems is a memoir in verse: it is a lyric and epistolary exploration of what it is to live in the limbo of an emotional and psychological ambiguity whose genesis lies in maternal loss, mourning, depression, and despair.  The poems are arranged in three sections:  “Crossing,” “Asylum Song,” and “Holding.” 

The “Crossing section generally conveys to readers the nature of life in this limbo, even as it discloses some of the familial anguish that has brought about a repressive silence in the poet’s mother, as well as a depression that wreaked its havoc on the poet’s growing up.  The family mysteries and the suffering of the poet prompt her to research the death of her maternal grandmother, and we learn many details of that loss in the poems of the “Asylum Song” section. 

A Czech immigrant, the woman had, in the old country, lost her parents and sister, and she’d apparently abandoned—for reasons unknown—her illegitimate child.  She’d married an older man and moved to the States.  After giving birth to another child, she suffered a postpartum depression, for which she was placed in an asylum, and was heavily and inappropriately medicated.  She died within three weeks, at age 34.  Her daughter, the poet’s mother, grew up in her absence and, in turn, lost her own child—the poet’s sister—in infancy, prior to Baptism. 

According to widely held beliefs of Catholics at the time, the infant would thus be relegated to Limbo for eternity: she would be barred from union with God, this is to say, though kept free from any punishment or any suffering, other than the longing for a bliss she could never attain.  Such a belief would clearly exacerbate the feelings of failure and guilt that a mother might feel in losing her infant.  The poet’s mother’s depression resulted, unsurprisingly, in a bewildering absence of maternal care in the poet’s life: she is stuck in her own “asylum” or Limbo—a state of emotional confinement where she maintains some vision of “beatific” maternal love, but feels it forever beyond her reach to experience.  The poems of the final section, “Holding,” convey the struggle and surprising joy of inhabiting this Limbo.

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Mandatory Evacuation Zone

Aull, Felice

Last Updated: Jan-02-2018
Annotated by:
Davis, Cortney

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

In "Mandatory Evacuation Zone," Felice Aull has gathered 63 beautifully crafted poems in which she examines the intricacies of language and loss, of grief and healing.  Each of the book's five sections considers these themes in slightly different ways, always in language that is understated, vivid, and exact.  In Section I, we read poems that focus on the author's complicated family history and her early loss of homeland.  In "Tracings" (page 15), an unknown relative (thanks to online genealogy searches) reaches the narrator and wants to meet her.  She, however, only wishes to learn ". . . how my parents / and my infant self / made our tortuous way out . . . . " Brought in infancy from Germany to America, the author suffers the loss of both native homeland and native language ("Notes from an Alpine Vacation" page 16).  She searches photos of her mother and ponders museum note cards illustrated by Holocaust survivors ("Museum Notecards" page 18), imagining what she can't quite know and yet can't quite forget.  

Section II finds the narrator as a young woman in American, awakening to sexuality ("Gay Blades," "Camp Counselors Make Out,"  "On the Staircase" pages 29-31), becoming a wife and mother, and then a grandmother.  A grandchild's birth is both joyful and yet another "slipping toward / the edge of separation" ("Daughter in her Eighth Month" page 37). 

In Section III, the author turns her gaze to observations of the world around her, around us, aware of how many come to loss and death.  "Be prepare to mourn," she tells us in "Disaster in October" (page 49), and in the moving poem, "I Saw the Smoke," re-visions September 11th in words stripped of sentimentality and therefore made more powerful. 

Sections IV and V confront bodily loss through aging and illness, noting how, in so many ways, we try both to capture and to let go: "You snap photo upon photo / hoping to grasp and preserve / what cannot be grasped" (Capturing Alaska" page 66).  We learn of the most personal losses in poems of biopsies, surgeries, and chemotherapy.  When facing the unknown, every event might seem to hold a prediction.  In "Stunning Blows," a doorman stuns a mouse, claims that it's dead.  But the narrator, aware of the wages of time, writes, "But I still see it, like death, / moving toward me" (page 81).  At the book's end, we return to language, how it too can leave us ("Forget That" page 90).  Yet in the collection's final, gentle poems, the poet is "able, finally / to walk past the park's redbud tree / without weeping" ("Immunity" page 96).

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The Beautician

Gunn, Thom

Last Updated: Nov-06-2017
Annotated by:
Ratzan, Richard M.

Primary Category: Literature / Poetry

Genre: Poetry

Summary:

"Beautician" is a short poem about a beautician visiting a dead friend in the morgue, her sorrow at seeing her friend dead and not looking her best, even dead, and the beautician's attempts to rectify the situation. It is fifteen lines long, in three stanzas of five lines each, in iambic pentameter with a rhyming pattern of abbab. The rhyming is best described as approximate, e.g., "skill" with "beautiful" with "all".

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Summary:

This engaging memoir describes Pearson's medical training at the University of Texas Medical Branch (UTMB) on Galveston Island from 2009 to 2016. During these years her personal values become clear, and she finds fault in her training, in medicine as practiced in Texas, and even in her own errors in treating patients.

Having left a graduate writing program, Pearson took a "postbac," a year of pre-med courses in Portland, Oregon. She interviewed at medical schools "all over the country" and writes satirically about them; she concludes "nothing out of Texas felt quite right," having lived there and done her undergraduate work at University of Texas at Austin. She's a Spanish speaker with a working-class background. When her classmates provide the annual “white-trash”-themed party, she wonders, “do I go as myself?” (p. 21).

Pearson's education continues on three tracks: the formal UTMB courses in medicine, a simultaneous Ph.D. program at the Institute for the Medical Humanities at the University of Texas, and her volunteer work at the St. Vincent's Student Run Free Clinic. The Ph.D. program is off-stage, not mentioned, but the St. Vincent's Clinic becomes pivotal to her development as a doctor and a moral person.

As for medical school, she finds the relentless "truths of biochemistry and anatomy" so reductive that the suffering of people and surrounding politics seem "not to matter at all" (p. 70). Among the politics are: the lack of safety nets for poor people, the use of uninsured (including prisoners) for students to practice on, failures to extend Medicare, pollution (notably from the oil industry), losses of charitable care, and income disparities that include crushing poverty for many. Something of a rebel, she writes that medical school "felt like junior high" (p. 44). She does enjoy the "clinical encounters" with real patients.

St. Vincent's, by contrast, was “a relief.” Her pages sparkle with her conversation with clinic patients, some homeless, all poor, and all suffering. She reports--confesses, she even says--her errors that had consequences for patients. She writes that errors are an unavoidable part of medical education, but that it's wrong that they should routinely happen to the poorest members of society.  

Chapter 8 discusses depression, which she felt after the second year. She writes about high rates of suicide among medical students and doctors; indeed a close friend killed himself during the "post-doc" year. Because some states require doctors to report psychiatric care, some doctors avoid such care. This consequence “drives a suicide-prone population away from the help we may need" (p.92).

The last two years are the rotations through specialties: surgery, dermatology, trauma, rural medicine, neurology, internal medicine, and so on. These are clearly and insightfully described. In one case (internal medicine), she allows the reader to see the irony of a doctor providing hair removal by laser, diet foods, and Botox treatment for wrinkles, “a pure luxury transaction” (p. 183).

Pearson describes the storms, hurricanes, and floods that hit Galveston Island, also the pollution from the oil industry that causes a “cancer belt” along the Louisiana and Mississippi coasts (p. 104).
At last she finishes her program, understanding that her identity is simultaneously a person, a physician, and a writer (p. 248). 

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The Story of Beautiful Girl

Simon, Rachel

Last Updated: Aug-07-2017
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

On a stormy night in 1968 a retired, widowed schoolteacher in rural Pennsylvania opens her door to find a young couple, she white, he African American, wrapped in blankets, drenched, and silent.  Letting them in changes her life.  They have escaped together from a nearby mental institution most locals simply call "The School."  The young woman has recently given birth.  When Martha lets them in, her life changes forever.   Supervisors from "the School" show up at the door, the young man escapes, and the young woman, memorably beautiful, is taken back into custody.  The only words she is able to speak out of what we learn has been a years-long silence are "Hide her."  Thus she leaves her newborn baby to be raised by a stranger.  The remaining chapters span more than forty years in the stories of these people, linked by fate and love and the brutalities of an unreformed system that incarcerated, neglected, and not infrequently abused people who were often misdiagnosed.  Homan, the young man who loved Lynnie, the beautiful girl from the institution, was deaf, not retarded.  Lynnie was simply "slow," but a gifted artist who recorded many of the events of her life in drawings she shared only with the one attendant who valued and loved her.  Though her pregnancy resulted from being raped by a staff member, the deaf man longs to protect her and care for the baby.  Years separate them; Homan eventually learns signing; Lynnie's sister befriends her and an exposé results in the closure of the institution.  Over those years Lynnie and Homan witness much cultural change in treatment of people like them who were once systematically excluded.  They find social identities that once would have been entirely unavailable to them.  And eventually, after literal and figurative journeys of discovery, they rediscover each other.   

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