Showing 121 - 130 of 224 annotations contributed by McEntyre, Marilyn
This lively volume of medical history chronicles the forms of suffering, illness, injury, and treatment endured by the members of the Lewis and Clark expedition of 1805. Beginning with three chapters of political and medical history to set the context, the story follows the adventures of the extraordinarily fortunate "Corps of Discovery" among whom Lewis was the most trained in the medicine of the time (having studied in preparation for the trip under Dr. Benjamin Rush of Philadelphia), and he only an amateur. Even professional medicine of the time was approximate and largely ineffectual, limited mostly to purgatives, opiates and laudanum for pain relief, bleeding, and topical applications of various compounds or herbal substances.
The story chronicles the main events of the trip based on the extensive journals of Lewis and Clark as well as other historical account, maintaining focus in each chapter on the medical incidents including gastrointestinal distress from parasites and contaminated water; effects of overexposure like hypothermia and exhaustion; infections from wounds and scratches; syphilis; dislocations; muscular spasms; mosquitoes and other insect bites; snakebites and other animal attacks.
Along the way Peck pauses to explain the rather rudimentary medical theories upon which treatments were based, the effects of particular known treatments, and what Lewis and others likely knew, guessed at, or didn’t understand about lead, mercury, opium, and certain herbal substances they used. He speculates about the contexts of their medical decisions and offers occasional contemporary analogies to help readers imagine the circumstances and tradeoffs the explorers faced.
Jordan, an 18-year-old athlete, finds his joints weak and begins to stumble unaccountably. The local doctor who has known him all his life sends him to the Mayo clinic where a diagnosis of Lou Gherig’s disease is confirmed. His mother, three brothers, sister, and brother-in-law (an Episcopalian priest) accommodate to his illness, with its promise of early death, in various ways.
The family is supportive, though the youngest brother goes through weeks of denial that look like rejection before he allows himself to feel the emotional impact. Jordan’s adored girlfriend can’t rise to the challenge of loving a boy with no future, and distances herself, but leaves it up to him to acknowledge and effect a separation that leaves her free to pursue other relationships, and him to burrow deeper into the loving family that sustains him in his final months. He takes one last trip to the Colorado mountains with his younger brother where they meet an old mountaineer who senses immediately what might be happening and becomes for Jordan the type and figure of the wise old man.
Here as in other stories of this kind, time seems to conflate for the young person facing death; maturity comes in sudden leaps, and a certain calm descends before the end. One of Jordan’s final acts is to serve as godfather at the baptism of his sister’s baby, his namesake. The act and the letter he writes the child gives him a sense of leaving behind a legacy that matters.
This volume nicely supplements the few other anthologies of literature on medical themes currently available in that it covers a wider historical span. Selections from the Bible, Giovanni Boccaccio, William Shakespeare, Rabelais, as well as 18th-century writers including Pepys, Daniel Defoe, Malthus, Schiller, and Goldsmith provide an array of historical touchstones that offer windows onto medical and literary history and points of comparison for the larger selection of works from the 19th and 20th centuries.
The selections are mostly short--averaging around 10-12 pages. Each is introduced with lively, often witty, comments by Gordon, whose popular Doctor in the House series was adapted for stage and screen in England, and whose associations with the medical world include an editorial position on the British Medical Journal as well as a wife and two children who are physicians. Many of the selections focus on the figure of the physician viewed variously from the viewpoints of patients, other physicians, and him or herself.
Selections from novels by three Victorian women doctors as well as selections from several physicians’ diaries provide unusual additions to a useful collection of excerpts from well-known literature including works by Scott, John Keats, Jane Austen,George (Marian Evans) Eliot, George Bernard Shaw, Hardy, Aldous Huxley, Sir Arthur Conan Doyle, Sinclair Lewis, F. (Francis) Scott Fitzgerald, Waugh, Orwell, and more recent and popular fiction, up through Erich Segal.
Kay, a 7th grader, lives with her mother, grandmother, and great-grandmother. She is particularly attached to her grandmother, who is diagnosed with breast cancer. Kay’s subsequent waves of response to Grandma Margie’s illness include denial, fear, withdrawal from friends, discovery of a new friend whose mother, it turns out, died of cancer, and discovery of new kinds of intimacy with her mother and great-grandmother. During the illness her grandmother teaches her to knit--one last gift before she dies. After her grandmother’s death, she finds herself a little more grown up, recognizing in herself some of her grandmother’s features and habits, and reclaiming her own life on new terms.
Invincible Summer introduces illness and death into what might otherwise be a standard teen love story. Here, first love is also a last look at life, and the rites of passage into romance, sexuality, and intimacy are intensified and thrust into profound paradox by approaching death. Robin and Rick meet in the hospital where she has come for a battery of tests, and he for chemotherapy. Both have acute lymphocytic leukemia. He’s been sick for two years. She’s just finding out about her own condition.
Robin lives with her father, who can hardly bear to be around her illness, and her grandmother, who, since her mother died years ago in a car accident, is the primary caretaker. The father’s love has to be understood and accepted in light of his emotional limitations. The book thoughtfully explores how sickness rearranges family systems as well as treating familiar young adult themes of separation from friends, wanting sex, embarrassment about physical appearance, uncertainty of remission, and how to talk about the future.
After Rick’s death, at which Robin is present, Robin recalls a game her mother used to play, called "The Worst Thing." "What’s there to be afraid of? What’s the worst thing that could happen?" The aim of the game is to look at the worst case until it seems manageable, because for every worst thing, there is some way through to remedy or acceptance. The game, reproduced as internal dialogue, drives to ultimate questions, ending with something like Pascal’s wager--a version of intellectual comfort that will do in the absence of positive faith in the promise of afterlife.
Summary:Nicholas Baran, a one-time student activist, is now in his 40s, teaching at a community college in rural Connecticut after having been denied tenure at an Ivy League school. The tenure denial, despite consistent teaching awards and high performance was clearly politically motivated and instigated by a right-wing professor protecting his turf and the school from a labor-oriented, media-challenging progressive. Nicholas has leukemia, and, upon noticing that he appears to be living in a cancer cluster, begins a private investigation of the large chemical company located just upstream on the river that runs through the town near his neighborhood.
Summary:These poems offer a rich series of impressions of the speaker's present life, surrounded by family, a garden, and pockets of natural life that evoke memory after memory of a childhood lived in relative poverty with a father whose years as a coal miner damaged his lungs and finally killed him. Allusions to his chronic and worsening illness and his death thread through the poems like a long shadow.
This collection of contemporary poems published by the National Association for Poetry Therapy Foundation is accompanied by an introduction and materials for use in support groups and poetry therapy groups dealing with loss and grief. Organized under the rubric, “Seasons of the Heart,” in sections entitled “Autumn,” “Winter,” and “Spring,” they reflect a range of responses to loss, both sudden and gradual.
Poets include Rainer Maria Rilke, Naomi Shihab Nye, Billy Collins, William Stafford, Denise Levertov, and other well-known and widely anthologized poets as well as some less known, but well worth reading. The poetry is skillfully selected, of consistent literary quality, and the accompanying materials helpful in suggesting ways and reasons to enter into the work of reading and writing poetry in time of loss.
Helen and Chris are seventeen, living in Sheffield, England, and preparing for their exams in English and music. Both look forward to university and to careers they love. They also love each other. When Helen finds she’s pregnant, she keeps it a secret for awhile.
She and Chris visit with Chris’s tough but sympathetic aunt, who had an abortion years ago. When Helen’s mother finds out, she urges Helen to have an abortion, makes an appointment, signs her in at the hospital, but Helen leaves. Her mother forbids Chris to see her unless he plans to marry her.
Helen begins a series of letters to her unborn baby, chronicling the lonely and also strangely exciting months of pregnancy, decision-making, altered relationship with family and with Chris. (Among other things, she learns that her mother was born out of wedlock, at a time when illegitimacy was a serious social stigma, which accounts in part for her harshness toward Helen now.) Helen addresses her letters to "Dear Nobody," since so many around her who urge abortion want to convince her that what’s in her body isn’t a person.
Chris goes on a hiking trip to France, passes his A-level exams, meets a new girl who is interested in him, and prepares for university, all the time missing Helen. The day she has the baby, he breaks the barrier of silence and bikes to the hospital to meet his daughter. With no clear decisions for the future, the two open a new door at least to friendship and commitment to care for the child.
Summary:Fifteen-year-old Frankilee's sense of justice leads her to conspire with her mother to kidnap Angelica Musseldorf from a home where there is every evidence she has been consistently beaten and abused. With reluctant cooperation from her father, they take the girl in, confront the parents, and install her in Frankilee's room for an indefinite stay. Angelica, who asks to be called Angel, is not only scarred, but needy--indeed, over time, demanding. As her parents shower her new roommate with attention, clothing, lessons, Frankilee struggles with her deepening resentments. She confides them to Wanita, the family cook, an African American whose long service to the family has given her a place of special affection.