An adolescent boy enters a hospital for crippled children. His initiation into institutional life is painful. At first he wants nothing more than isolation and protection from patients he regards as "freaks." But as alliances form and the subtleties of ward life become clearer, he learns new methods of self-identification that have more to do with the peculiar structures of this confined world than with the world outside. Home becomes an increasingly remote reference point and the camaraderie of suffering in exile the dominant source of affirmation.
The story is a coming of age tale intensified by burdens beyond what adolescence is normally required to bear. A boy becomes not only a man, but in some sense an old man before his time, and returns to youth "outside" both scarred and gifted with what suffering has taught him, and with a new sense of who are his "brothers and sisters."
In this lyrical tale, Ultima, an old curandera or healer, comes to live with the family of a young New Mexican boy who learns from her about the healing powers of the natural environment and the human spirit. Antonio's family respects her wisdom and legendary power, though some in the community believe she is a witch. Antonio finds himself drawn to her and under her tutelage develops an awareness of the primal energies of earth and sky that affect human lives and fate.
He goes with her to gather herbs and to visit the sick and comes to understand a connection between healing powers and knowledge of nature. Though he never receives a rational explanation of how Ultima foresees events, cures illnesses, blesses or curses, or why and when she chooses not to intervene, he learns that the knowledge healing requires is threefold: knowledge of the patient, the healing substance, and one's own limitations. He learns that healing requires making oneself vulnerable to sickness and to the spiritual as well as physical needs of the sick.
