Summary:

In 1898 in rural New South Wales, a brother and two sisters are found bludgeoned to death under very peculiar circumstances. The crime creates a sensation throughout Australia, but the mystery is never solved. Nearly 60 years later, one of the last surviving members of the family (12 brothers and sisters) tells the story and, in the process of doing so, reveals the truth of what really happened to his siblings on that tragic day.

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The writer describes her experience as a cancer patient, thrust into "the Land of the Sick" by the diagnosis and treatment of lung cancer four years earlier. Although she is not ill, the fear of mortality embedded in a diagnosis of cancer is a dragon that haunts her existence.

To cope with the dragon she relies on talismen: her doctors, personal will, and her garden peas, an emblem of everyday life and its constant renewal. The talismen create the semblance of control over her situation. She observes that "doctors and patients are accomplices in staging a kind of drama" and that the patient and her continued well-being become talismen for the doctor too.

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An American physician's life is irrevocably bisected by World War I. Before volunteering for medical duty in the war, Dr. William Lloyd's existence was structured, safe, and even obedient. After his experience supervising a hospital in France, his life becomes uninhibited, tumultuous, and eventually dangerous.

After the war ends and he returns home, Dr. Lloyd soon divorces his wife and leaves his family. He returns to Europe with the sole purpose of being reunited with Jeanne Prie, a bewitching and extraordinary nurse he worked with in France. She is also a dedicated microbiologist and possesses some of the characteristics of Joan of Arc. Dr. Lloyd has become infatuated with her. Ironically, he dies a victim of scientific research after inoculating himself with an experimental serum that he hoped might be a successful vaccine.

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The story opens on the day that Ridgeon, a prominent research doctor, is knighted. His friends gather to congratulate him. The friends include Sir Patrick, a distinguished old physician; Walpole, an aggressive surgeon; Sir Ralph Bloomfield Bonington, a charismatic society doctor; and Blenkinsop, a threadbare but honest government doctor. Each one has his favorite theory of illness and method of cure. These are incompatible--one man's cure is another man's poison. Nonetheless, they all get along.

A young woman (Mrs. Dubechat) desperately seeks help for her husband from Ridgeon, who has evidently found a way to cure consumption by "stimulating the phagocytes." Ridgeon initially refuses, but changes his mind for two reasons--Dubechat is a fine artist and Ridgeon is smitten with his wife.

When the doctors meet Dubechat, however, they find that he is a dishonest scoundrel. Ridgeon eventually decides to treat Blenkinsop (who also has consumption) and refer the artist to Bloomfield Bonington, this insuring that he will die. In the end Ridgeon justifies his behavior as a plan to let Dubechat die before his wife find out what an amoral cad he actually was. This, in fact, happens and Dubechat's artistic reputation soars.

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This is a collection of medically related stories and poetry, most of which were previously published in medical journals like JAMA (Journal of the American Medical Association), Annals of Internal Medicine, and the American Journal of Medicine. "Country Doctors of Humble Pie," "Boss Cow," and "Discipline" are humorous tales about small town medical practice. "Second Opinions," "Net Worth," and "Making Friends" are stories of patients and their idiosyncrasies.

"Hafiz Ali Goes Home" concerns a dying man who wishes to return to his home village to die, rather than dying in the sterile confines of the hospital. The story details the misadventures of Hafiz Ali's two sons as they attempt to carry out his last request.

Many of the poems deal with clinical diagnoses ("Zoster" and "Lupus Erythematosis") or the history of medicine ("Towne of Guy's" and "The Turning"). "Doing Post-Mortems" is a thoughtful poem about the war (or relationship?) between the sexes in medicine.

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Erin Bennett, a high school senior, faces the possibility of missing out on the senior play because of the violent headaches that have afflicted her since her sister's death a year before in a car accident. No physical cause has been found for the headaches, and her parents have insisted that she see a psychotherapist. Erin goes, resentfully at first, and after a few weeks begins to accept the possibility that her continuing pain may have something to do with the stress of unresolved grief which is exacerbated by various trigger events.

She is cast in West Side Story opposite David, to whom she takes an instant dislike, though she has the haunting feeling she has seen him before. Attracted to her, he pursues her despite fairly direct rejection, until Erin figures out where she's seen him: she took her sister's place once in clown costume and makeup at a party where he was also a clown.

David, whose little sister is hearing impaired, helps bring Erin to a place of acknowledging the ways in which she is hanging on both to her grief and to unresolved anger at her sister's boyfriend. She also blames herself for the accident, since she asked her sister to take the car on an errand in her place.

At a final counseling session, the therapist helps Erin and her parents understand how, in focusing attention on Erin's headaches instead of their own unattended grief, they have become "stuck" in a loop of stress and alienation. Going through a trunk of her sister's things, Erin finds a way ritually to say good-bye and joins David at a party with a renewed willingness to choose life and a hope that she can free herself from both blame and pain.

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Jacob Hansen is sheriff, undertaker, and pastor in the little Wisconsin town of friendship. A Civil War veteran like many of the men in his town, he has seen many faces of death and knows how to balance compassion, prayer, and practicality in the presence of grief. When he recognizes a diphtheria epidemic as one after another the people of Friendship fall ill and die, he has to shoulder responsibility for protecting public health.

This means imposing and enforcing quarantine, extending even to the encampment of religious revivalists at the edge of town who mostly keep their distance and their own ways. Jacob's equanimity falters when his wife and baby daughter succumb; he keeps them alive in his mind and unburied for days, unable to acknowledge his own loss, though he helps others through theirs.

Finally he forces a passing railroad engineer to transport the survivors across the quarantine border into a neighboring town for safety, but the train is sabotaged, wrecked, and the fugitives killed. Jacob survives almost alone to return to what is now a ghost town and cope with the grim fate of survival.

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Amidst the desolate pampas of Argentina, two nameless fugitives serendipitously meet and fall deeply in love. The woman, an orphan, is running from her tragic past and sheltered life. The man, a gaucho, is fleeing from the seven vengeful brothers of a man he killed during a fight.

Although both are emotionally wounded and isolated, they become joined by the simple act of cleaning and dressing the deep laceration of the gaucho’s arm. When they discover the ecstasy and contentment of love, their passion is abruptly and violently challenged by the gaucho’s injured arm which becomes infected with tetanus.

The woman faithfully cares for her suffering lover who silently endures the fever, severe muscle spasms, and wasting of tetanus before succumbing to the painful death of lockjaw. Ironically his face is paralyzed with a twisted smile due to the persistent muscle contractions.

The brothers of the man whom the gaucho had killed arrive too late to exact their revenge so they set fire to the couple’s farmhouse and burn it to the ground. The woman places a handful of her lover’s burning ashes in her mouth thus preserving his remains and uniting his spirit with hers forever.

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Leandra lives alone in the backwoods of North Carolina where she makes a small but sufficient living repairing antique dolls for a dealer who sells them to collectors. The broken and ragged dolls occupy an old "mourner's bench" in her one-room cabin. For ten years she has lived in relative contentment, though she carries the pain of a trip to Boston when her sister bore a defective child who died.

The sister committed suicide soon thereafter. During that visit, as Leandra's sister withdrew into late-pregnancy depression and hostility, Leandra and Wim took comfort in one another's presence and finally fell in love. But after the suicide, Leandra returns to North Carolina with no intention of ever seeing Wim again.

Now, ten years later, he shows up on her doorstep, wanting to spend the final months of his life with her; he has inoperable brain cancer. He knows what course it is likely to take. He wants only to see her, but she insists that if he is to reenter her life, she wants to see him through all of it, even the worst parts.

They weather and cherish the days with gentle humor, frankness, careful sharing of memory, and the deepest love either has ever experienced. Leandra's neighbor, a friend from childhood, helps Wim build an extension onto Leandra's little cabin, one of several ways he finds to "provide for her" as he wishes he could have earlier.

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The story begins when Pearl comes home from school one day and learns from her mother that her grandfather has died. The following pages take us first through Pearl's feelings, how friends and family help her, her questions about the ritual of sitting shiva at her grandmother's house, her ways of remembering her grandfather. Her father helps her plant a garden, something she had shared with her grandfather, and when her grandmother sees the garden in the spring, she tells Pearl that her grandpa is still alive through her.

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