Summary:

When "death came in out of the cold / And laid a glove on me . . . ." the poet worked feverishly, sang angry songs, "paroled / Myself with garlands of last words." He acted as if he were the hinge of the world. The dramatics were soon over, however, when he "fell into the ocean’s arms . . . . " Later, he "crept back into life as into much / Too large a pair of trousers."

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The story is based on the life of Hanaoka Seishu, Japanese physician, who lived from 1760-1835. The author, using Hanaoka’s personal papers, has created a fictional representation of the jealous hatred that grows between his mother and his wife living in their feudal Japanese household. The physician is involved in trying to develop an anesthetic which would enable surgeons to remove diseased breasts. The beautiful, widowed mother of the young surgeon begins to compete with his wife for the "privilege" of being his first human subject to take the toxic substances. The remainder of the story revolves around the complex relationship among the family members, with predictably unhappy outcomes, and the results of the experiment.

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The surgeon Jack McKee (William Hurt) carries on an outwardly successful practice while treating his patients with aggressive sarcasm and general disrespect. "There is a danger in becoming too involved with your patients," he warns his residents, reminding them of the surgeon’s credo: "Get in, fix it, get out." Then McKee himself is diagnosed with cancer of the vocal chords, and the doctor discovers patienthood. The process is enormously uncomfortable for him, as he experiences a sharp decline in autonomy and everything that goes with it, and he begins to develop some empathy for those he has always scorned.

Particularly inspiring are several encounters with a coldly professional specialist and a platonic friendship with a young cancer patient named June (Elizabeth Perkins) who is dying because her doctors failed to diagnose her brain tumor. By the end of the film, Dr. McKee is both recovered and converted, and in the last scene is requiring his residents to spend 72 hours as hospital patients as part of their medical training.

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This remarkable book takes the reader into a Dutch nursing home where many of the 300 patients are terminally ill. The main protagonist is Anton, a competent, tough, and compassionate physician who tries to discover some meaning in the suffering of his patients, while at the same time disavowing any such meaning. Anton’s colleagues include Jaarsma, a somewhat detached and bureaucratic older physician, and Van Gooyer, a young physician who still believes that science has all the answers.

The first-person narrative consists of short, punchy segments (almost like an endless series of discrete physician-patient interactions) detailing the stories of Anton’s patients and his reactions to them. Many of these persons request assisted suicide or euthanasia. Anton reveals what he feels about these requests, how he goes about judging their validity, and the manner in which he actually carries out assisted deaths. A strong spiritual theme permeates the book; while Anton denies the relevance of God and religion, he seems constantly to be searching for a spirituality that "makes sense" of contemporary life.

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Subtitled, "Essays from a Cancer Limbo Time," this collection of essays constitutes a memoir of living while dying. It was written during the time following the author’s acute treatment for Stage IV lung cancer, when she felt well enough to write--a period of approximately one year during which she was still taking oral anticancer medication. Based on journal entries and memory, Cumming reflects on what it is like to be in a state of "recovery" while at the same time, and variably, anticipating death. "I knew that my kind of cancer was not curable, and yet, for a spell, it seemed to have vanished" (xvi). How does one go about living in the face of "a very good partial response" to treatment?

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Max, who has lost his wife after a long life and career together as circus acrobats, reluctantly retires to an assisted living home. There he finds unexpected friendship first in his neighbor, Lettie, a widow who has a gift for uncomplicated kindness, and Alison, a thirteen-year-old he meets when he gives juggling and stunt lessons at the local junior high. The unhealed ache of his wife's slow death from cancer makes Max skittish about opening his heart to either of them, though Lettie offers him patient companionship and Alison, full of adolescent restlessness, unfocused intelligence, and need, desperately wants something of the grandfatherly good humor and wit she finds in Max.

Alison's mother is pregnant with a long-delayed second child and the distance she feels from her parents drive her to lengthy novel-writing and to rather pushy efforts to make Max her special friend. For him, she learns to juggle. She cuts class to visit him, and to go out for sodas with Lettie. Alienated from peers she finds silly, the old people touch a place in her that needs love. After a heart attack, Max comes home with newly raised defenses, and retreats from the budding friendship with both women.

But when Alison runs away to a circus he refused to attend with her, and then to Penn Station, Max goes with her parents and finds her on a hunch. Found, she clings to him like a small child, and he finds himself full of a long-resisted love. On the way home, however, he succumbs to a heart attack. In the final chapter, Lettie helps Alison begin the long, difficult process of accepting mortality, grief, and the possibility of eventual healing from a loss of a kind she finds herself still unable fully to articulate to anyone she believes will understand.

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((Note: This film has a surprise ending that will be discussed below.) Tenoch (Diego Luna) and Julio (Gael Garcia Bernal) are friends, two sex-obsessed 17-year-olds boys who flirt with the beautiful and somewhat older (and married) Luisa (Maribel Verdú), at a wedding and invite her to drive with them to an imaginary beach. She pays little attention, but after discovering that her husband has cheated on her again, she decides to flee her crumbling and childless marriage and calls the boys to see if the invitation is still good. The boys quickly make real plans and all three take off to a remote destination.

There is a lot of driving, and the three talk a lot about sex, and then have it. When things threaten to blow apart because of jealousy between the immature boys, Luisa steps in aggressively to take control of the road trip to make it continue to work for her. After she imposes her rules, there are some fine moments of peace at the beach, with Luisa enjoying the natural beauty of the waterfront and also a more mature relationship with the boys. She even attempts a tender if unhappy telephone farewell with her unfaithful husband.

At the beach, Luisa becomes close to a local fisherman, his wife, and their young child, and when the boys have to get back, Luisa announces she is staying at the beach with the fisherman's family. A month later the boys hear that she has died from cancer. A voice-over tells us that the boys will eventually split up with their girlfriends and never see each other again. Luisa's achievement is what remains.

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A man dying of pancreatic cancer has reached the point where the pain is no longer controlled by morphine. In the hospital he begs for death. The surgeon tells his wife, "To give him any more would kill him." "Then do it," she says.

He returns with three syringes of morphine and finally injects them, but the man will not die. How easy it would be to suffocate him! But the surgeon rejects this thought and leaves the room, having failed to provide euthanasia.

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The poet C. K. Williams enters the room where his father has just died and exclaims to the corpse, "What a war we had!" (p. 1) Soon thereafter, his mother comes into the room and quietly lies down beside her dead husband, their bodies close but not touching. Thus begins Williams's memoir about his parents' deaths and his grieving. In the process of working through his grief, the poet finally comes to "see" his parents and to understand the nature of his feelings toward them and their feelings toward each other.

"You used to be such a nice man," he remembers his mother once telling his father. Indeed, when Williams was a child (and the family poor), his father was engaged and attentive. But as he evolved into a very successful businessman, he emotionally withdrew from the family. Throughout Williams's adult life, he and his father were alienated, their interactions consisting of verbal warfare, made much worse by the young man's choice of profession (writing poetry). It was only after the father had his first "stroke" (indicating brain metastases) that he was able to declare a truce. At one point he said, bemusedly, to his son, "We were kids together, you and I" (p. 37). However, during this truce, Williams's father, unable to bear his suffering, repeatedly pleaded with his son to help him end his life, an act that Williams was unable to perform.

Williams remembers whispering "I love you," when he first viewed his mother's corpse. Yet during life he saw her as a "completely and unquestioningly self-centered" woman (p. 58) whose life was filled with constant anxiety that she wouldn't get enough out of life, or that she'd lose what she had. She was a careless mother and a fretful and vain person. Yet there was more than that. Williams connects with his mother as a suffering person during her final illness: "Someday I'll thank her for how much of herself she risked to have divided herself when she was so young, so unprepared, so vulnerable, into the double creature she and I were...and the linked beings we always would be." (p. 166)

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A woman with breast cancer describes dealing with doctors and medical procedures, from facing "embarrassing questions" to the finality of the mastectomy itself. She copes passively with the procedures by escaping into a fantasy world; but when it is time for the doctors to remove her breast, she assumes an active role and "[gives] it to them."

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