Summary:

This is a collection of approximately 45 pathographies-essays, memoirs, biography, autobiography, poems, and reflections on illness experiences -grouped loosely into four categories of related subject matter. These categories are: Illness and Identity: Dynamics of Self and Family; Concealing Illness, Performing Health; Agency and Advocacy; Medicine at the Margins. The majority of the pieces are written by non-health care academics about their experiences with a wide variety of illnesses. A few have been written by or with health care professionals.

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Ann, the primary protagonist, is diagnosed with and operated on for breast cancer. Her family history leads her to suspect that she may have passed the breast cancer gene on to her daughters-this assertion without having been tested. She retreats from society. Her husband leaves her and she raises two daughters, ever plagued with guilt. The two daughters, as technology advances, choose to have themselves tested. One daughter, tests positive for BRCA-2; the second daughter is not tested, but is diagnosed with breast cancer.

The mystery becomes: from which parent did the women inherit the gene? While the younger daughter struggles with her progressive cancer, the older daughter goes in search of the genetic contributor. Since this becomes a search for an answer, the answer remains up to the reader to pursue. The angst created by the unanswered questions makes up the bulk of the intrigue, and may emulate real life struggles with this particular disease.

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This is the tale of two youngsters who are, each in his or her own way, misfits in their environment. Jess is the only son of a farm family in the south, who cannot find his place as a fifth grader in his school. Leslie is the new arrival on the scene, who is also, for very different reasons, not a part of the local culture. The two connect, create their own magical kingdom in which they can reign and feel comfortable. They swing across the creek on a rope into Teribithia, a forested respite from a world that does not seem to work comfortably for either of them. The tale evolves through the development of this friendship, only to end in tragedy when Leslie drowns in the creek one day when Jess is away. The remainder of the story has to do with Jess's grief work, his steps through most of Kubler-Ross' stages, and eventual reconciliation with the loss of his best friend.

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An American-trained Japanese surgeon working in Japan during World War II, pulls a wounded American sailor, presumably an escaped POW, from the surf behind his home. Against the advice of his wife, he hides the sailor, operates on him, and preserves his life temporarily.

Becoming fearful for his family, he reports what he has done to his patient, an official in the Japanese military. The officer says he will arrange to have the American assassinated in order to spare possible retribution against Sadao, the surgeon, and his family. It doesn’t happen, and Sadao is left with determining how to rid himself of this hazard he has brought into his home and healed. He makes a series of decisions that lend themselves to widely varying interpretations in terms of his motivation.

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From a fishing trip the local doctor is summoned to an Indian village to assist a woman in labor. With him are his young son and an older male relative. The physician assesses the situation in the closed, pungent hut and determines that his only option is section--with a pen knife and fishing leader as his instruments, and no anesthesia for the Indian woman. The doctor arrogantly, but only briefly, celebrates his success as a surgeon only to discover that the woman's husband, apparently unable to tolerate his wife's pain and the racism of the white visitors, has silently slit his own throat. The child, who has observed the entire proceedings asks, "Is dying hard, Daddy?"

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This is a play about gullibility, evil, and jealousy. Iago, the embodiment of evil intent, resents not having been promoted. In the opening scene, he announces his intention to avenge the wrong done him by Othello and Cassio. He devises elaborate schemes to turn Othello against Cassio by implicating Cassio in tryst with Desdemona, Othello's bride.

The scapegoating plan works and in a jealous rage Othello smothers his beloved. When he learns he has been duped, Othello kills himself. The author of the tragic deaths, Iago, is ordered by the new general, Cassio, to torture and execution.

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It is Good Friday, or, rather two Good Fridays: one muddy and stormy and demanding an indoor funeral conducted by a black-robe but infused with an attenuated Salish ritual. This is the bad Good Friday. The real Good Friday, the warm and sunny one, escapes the Christian emblems. The tribal mourners' ". . . chanting / bangs the door of any man's first cave." As the narrator leaves the church of the bad Good Friday funeral service, he notes, "Every year / A few less live who know the Salish hymn."

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Summary:

Gathered from four years of volumes of the journal, Annals of Internal Medicine, this collection of short prose essays and poetry written by health care providers (largely physicians) covers almost the entire range of the experience of doctoring, from personal illness and illness in the physician’s family, to all the joys and sorrows inherent in practicing medicine. Seventy-three entries make up the collection, which has been divided into six categories: The Doctor Trains and Lives His Life; She Relates to Family and Friends; He Deals with His Own Illness; She Relates to Her Patients; He Confronts Death; They Find Doctors Good and Bad; and Search for a Mentor. The longest essay is less than six pages in length and most of them are two to three pages.

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A small-town doctor’s son is saved by a black man from a burning house. In gratitude, the doctor takes it upon himself to salvage the life of the badly burned and disfigured hero. Others warn him that he is doing no service to the patient, but the physician cannot let go of one whom he owes such a profound debt. The town begins to fear the newly created "monster." The burned man’s life becomes a nightmare of rejection; the physician and his family are progressively rejected by the community.

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A daughter and her mother play out a psychological drama that is the culmination of a lifetime of poor communication and limited understanding. Laced with humor and a bit of the macabre, the scenes in this short, two-act play work inexorably toward the climax--suicide of the daughter and incomplete resolution of the mother’s confusion.

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