Summary:

Oswald and Oliver Deuce (Brian and Eric Deacon) are brothers, separated conjoined twins, who are both zoologists. Their wives are both killed in a car crash. The driver of the car, Alba Bewick (Andréa Férreol), collides with a swan escaped from the zoo where the brothers work. As a result of the accident, one of Alba's legs is amputated.

The grieving brothers become obsessed with decomposition as evolution's logical complement, and begin exploring, by means of time-lapse photography, the process of decay of life forms of increasing complexity (while they watch, obsessively, the David Attenborough TV series, "Life on Earth"). As their experiments require more animals, they become involved in a shady scheme for procuring animal corpses from the zoo, a process involving a prostitute / teller of erotic tales who is sexually obsessed with black-and-white animals.

Alba, now with one leg, becomes obsessed with symmetry. She takes both Oswald and Oliver as lovers, becomes pregnant, and bears twins. She is persuaded by a Vermeer-obsessed aesthete veterinary surgeon to let him amputate her second leg. She decides to commit suicide and plans to have the twins film what happens to her body after death. When her family prevents them from taking her, Oswald and Oliver instead set up their time-lapse photography equipment and kill themselves, choosing to decompose together.

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Toward the end of the Spanish Civil War, Manuel’s biological father, Jorge de Son Major, dies, finally recognizing him in his will. His social father, Jose Taronji, had been killed only two years before. Manuel, newly rich but philosophically impoverished, seeks a secular spiritual father in "Jeza", an imprisoned rebel leader, and Jose’s comrade. When Jeza is killed, Manuel informs his wife, Marta, and together they plan a final revolt. They use Jorge de Son Major’s boat, Antinea, to deliver rebel documents, then make one final, "crazy," fatal stand, to honor and mourn Jeza, to remember and create themselves.

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Woolf wonders why illness "has not taken its place with love and battle and jealousy among the prime themes of literature." After all, illness is a consuming personal experience that brings about great "spiritual change." Why do we write only about the mind and ideas? Why not the body?

Woolf takes us through the experience of lying in bed ill; the world looks different, feels different, is different. "It is only the recumbent who know what, after all, Nature is at no pains to conceal--that she in the end will conquer." Toward the end of this short essay, Woolf discusses how illness changes our reading habits. We turn to poetry, instead of prose.

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The old sit "on the porch in rockers / Letting the faded light / Of afternoon carry them off." The narrator visualizes them mulling over the past as they rock back and forth. Although the old people cover "ground / They did not know was there," they learn nothing new in this. They receive no redemptive message, not even "a reason / To make it seem worthwhile." In fact, evening comes and soon it will be time for them to go to their solitary beds and fall into the "sheepless / Pastures of a long sleep."

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The poet stands before an ancient Lycian tomb, upon which is carved the sorrowful face of a woman: "One woman garbed in sorrow’s every mood." He reflects on the constancy of loss in human life. He asks the woman to weep for him, also, because [I] "Share thy stilled sadness, which must ever be / Too changeless, and unending like my own . . . . "

Though the Lycian woman’s grief is old, the poet’s is young. He has lost a child: "With that too human wail in pain expressed, / The parent cry above the empty nest." He is skeptical about dreams of a better life. He rejects "The first confusing, mad bewilderment, / Life’s unbelief in death . . . . " Death is real and final. He concludes with full understanding that "life is but a tender instrument / Whereon the master hand of grief doth fall."

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In 1996, at the age of 31, David Biro is preparing for his specialty examinations in dermatology and is set to share a practice with his father. But he develops a visual disturbance. After repeated testing, he is found to have the rare blood disorder of paroxysmal nocturnal hemoglobinuria. The diagnosis was problematic, but the treatment choices are overwhelming. His youngest sister is a suitable donor, and he opts for a bone marrow transplant. He realizes that his decision was influenced not only by the diagnosis, but also by his personality and his reaction to the physicians.

Advance preparations are hectic and sometimes comic, especially his deposits at a local sperm bank. The pain of the transplant and the six weeks imprisonment in a small hospital room are told in graphic detail. The athletically inclined doctor suffers many complications: exquisitely painful ulcers of the scrotum, mouth, and esophagus; inflammation of the liver; unexplained fever; drug-induced delirium; weakness and weight loss.

His parents, sisters and friends leap into action to provide round-the-clock presence, but his independent wife, Daniella, resents the invasion. While David’s body is wracked with drugs and radiation, his family and his marriage are subjected to destructive forces too. Yet all--body, family, and marriage--emerge intact, though changed, by their experience.

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In the heart of New York City the narrator comes across a tall, Senegalese man "speaking to a piece of chalk." The man is "neatly dressed / in the remnants of two blue suits . . . " and regal in his bearing. The man’s language is French, and he speaks "so slowly and precisely" that the narrator, no longer young, is reminded of his high school French class. He is also reminded of writing his name on the blackboard after returning to school, following his father’s death. The man knows "the whole history of chalk"; he knows "what creatures had given / their spines to become the dust time / pressed into these perfect cones . . . " The narrator knows that they are both elderly men "sharing the final poem of chalk . . . " [58 lines]

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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.

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Miss Rosie is homeless, a street person surrounded by her foul-smelling possessions. She is not a stranger to the narrator, who has thought long and hard about her present circumstances and how she might have been long ago before she became a familiar sight in the neighborhood. Now reduced to rags, this "wet brown bag of a woman," says the narrator, once was "the best looking gal in Georgia." The narrator "stand[s] up" for her through her "destruction."

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The author selected 48 works of art, famous and obscure, which are presented in chronological order as full-page color plates. On the facing page of each piece is a brief essay which includes information such as artist, date and current location of the work. The essays, as well as the introduction by the author, are insightful, well-written, and demonstrate the author’s vast knowledge as a medical historian. Selections include the "Oath of Hippocrates", Studies of the Fetus by da Vinci, The Anatomy Lesson of Nicolaes Tulp by Rembrandt, The Dwarf Sebastian de Morra by Velazquez, "Muscle-Man from Vesalius" by van Calcar, and First Operation Under Ether by Hinckley (see art annotation in this database).

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