Summary:

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."

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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.

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This three-part collection of poems offers powerful images and vignettes from the life of a family practitioner living and working among the urban poor. The first section is the most explicitly medical in theme, including poems that pay painful tribute to a mother after stillbirth, a hydrocephalic child, an addict covered with boils, a young man murdered at eighteen, an old man with a failing heart.

The second section weaves images from the writer's personal story together with those from his life as physician, and the third focuses primarily on life lived as a gay man among the sick and dying, patients to be treated and friends to be mourned while life remains to be claimed and savored.

Despite the pain and grief attested to in many of the poems, a lively voice of clarity, compassion, and consent to the goodness of life even on hard terms gives the collection a defining note of celebration. Pereira's lines about a bereaved Cambodian seamstress suggest something true about his own work: ". . . she joins the circle / of other Khmer women to sew. / Punctuating the fabric / with yellow thread, finding her remnants / into a piece that will hold." ("What is Lost")

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This story of love and marriage under the shadow of AIDS travels a couple's unlikely journey from meeting to courtship to disclosure of the male partner's AIDS, through a subsequent breakup, then a decision to marry, and four years of almost inexplicably happy marriage dogged from the beginning by the specter of death.

Over this time the couple has a chance to explore their respective understandings of the life of the spirit and for Hyung Goo to entertain and reject a number of avenues of comfort before joining his wife, a Presbyterian theologian and seminary professor, in her faith. Much of their short life together is lived in the context of intersecting circles of medical people and church community, in both of which they are active participants whose challenging marriage becomes a mirror and a lamp to their cohort.

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This collection by a physician-poet covers a wide spectrum in topic and tone. The poems in the first of the four sections speak in voices of those waiting surgical outcomes, those whose loved ones are about to undergo invasive and dangerous procedures, those who are coming to terms (partly clinical terms) with death. The poems in the second section focus more explicitly on Jewish experience, and on experiences of suffering that take place in the wider context of biblical tradition and recent history.

The third section features lighter-hearted poems, many rhymed, that make playful reference to moments in domestic life and relationship which, while not free of suffering and anxiety, are also the stuff of laughter. The fourth focuses on love--erotic, romantic, familial--and death, which includes the ordinary losses that living through time entails. Elegiac, wistful, musing, and poignant, they end the collection in a complex, sustained key that holds an elegant tension between sorrow and hope.

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North American midwife, Kate Banner, has been living and working in Nicaragua for 14 years and after losing a patient following a difficult birth (the terrified young woman gives birth in the bottom of a swamped wooden boat), Kate decides to return home. She first stops in Guatemala to see old friends and instead meets (and eventually falls in love with) a priest from New Orleans and his household, including a mute street child, Marta, and a Mayan woman who becomes a political activist in search of her husband.

Staying longer in Guatemala than she had planned, Kate's life becomes deeply intertwined with theirs. She ends up making a home with a wide assortment of people in "Hummingbird House," a place where mothers and children come for medical help ["children with emphysema who since birth have breathed in woodsmoke from the indoor cooking fires. . . . We deliver babies. Los milagros. We scold the mothers about too much sugar, too much soda pop. . . . We see with quite clear eyes the war beneath the wars. If you pass this story along, make sure you get it straight. . . Do not walk away in sorrow. Do not be consoled" (326).]

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This beautifully written novel describes the death of Absalom Goodman of brain cancer and takes us into the lives and hearts of his family. The novel is written largely from the perspective of this dying husband of Gwen and father of Sonny and Rainey. In a semi-conscious state, Absalom alternates between memories of the past, psychic connections with his family members, sometimes delirious ruminations and what at times appear to be out of body experiences.

Throughout, one is immersed in a gripping drama of this working class black family and their efforts to overcome terminal illness, racism, poverty, inner city turmoil and the effects of the drug culture. One is caught up in anticipatory grief, identifying with the pain and unresolved questions of Gwen, Sonny and Rainey. The reader is moved by the love, the spirituality, the ultimate defeat of the streets and the continued hopes for the future.

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Rosita Arvigo is a Chicago-trained doctor of naprapathy (an alternative therapy that involves soft tissue manipulation, diet, and other non-drug modalities) who moved with her husband (also a naprapath) to Belize to open a medical clinic. Shortly after her arrival she met Elijio Panti, given a variety of names by his patients: el viejito, the old man, numero uno, or el mero, the authentic one.

One of the last traditional healers of Mayan medicine, Panti uses observation, experience, and divination with his sastun to diagnose his patients' illnesses; and herbs, manipulation, and prayers to treat them. Arvigo studied with Panti for five years, learning to identify and use countless plants in the rainforest that surrounds her home and, eventually, discovering the object that becomes her own sastun.

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Miracles describes the speaker's Catholic school training and how he moved from an unquestioning faith in the possibility of miracles to disbelief, and the mixed feelings of relief, guilt, and a sense of exile that accompanied this shift.

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The title announces the event described in the poem: the lynching of a black man, already burned to a char by an angry mob. Opening lines emphasize ascendency of spirit, from the "swinging char" to the father in heaven in whose bosom the hanged man will dwell. The spiritual tone is replaced, however, by an account of the cruelties inflicted on this tortured man and the behavior of sorrowless women and children dancing around the "dreadful thing in fiendish glee."

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