Summary:

A short poem in which the speaker enters the X-ray room, braces herself against the cold, lies "suspended in icy silence." She looks at herself from a distance, feeling free, "Even though I'm not, now / Or ever . . . . " She feels the "metal teeth of death bite" but they reject her "One more time" and she returns to the everyday reality of being a sick person lying in a cold X-ray room.

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This splendid poem describes the writer's image of his own death in a very matter-of-fact and conversational style. If he's lucky, he tells us, he'll die in the hospital, surrounded by machines and loved ones. His friends will be there to give him support; he'll be able to tell them how much he loves them. If he's unlucky, however, "as I deserve," he'll just drop dead and not have a chance to say farewell properly. But, whatever happens, he just wants to say "I was happy when I was here . . . . "

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In The Mysteries Within, Sherwin Nuland takes the reader on a guided tour of selected organs inside the human body. Beginning with the stomach, he progresses along to visit the liver, spleen, heart, uterus, and ovaries. At each point he addresses various historical and contemporary beliefs, as promised in the book's subtitle, "A Surgeon Reflects on Medical Myths." Nuland brings to this endeavor the patented mixture of personal story, elucidation of medical history, and plain old good writing that characterizes all of his books.

For example, he devotes the first three chapters to the stomach. The first consists mostly of a brilliant clinical tale in which a six-week-old baby is found to have a wax bezoar in his stomach. The second and third provide a cogent survey of beliefs about the stomach's function, beginning with Greek humoral theory, continuing through van Helmont and the iatrochemists, and ending with Ivan Petrovich Pavlov and his seminal monograph, The Work of the Digestive Glands.

Van Helmont and his mentor, Paracelsus, appear again and again in later chapters as the earliest champions of the idea that the body runs by means of chemical processes (iatrochemistry). However, as Nuland points out, Paracelsus has left us two different legacies. One is his devotion to chemistry and experimentation, which eventually led to modern biological science. The other is his devotion to alchemy and mysticism, which makes him as well a forerunner of contemporary irrational systems of healing.

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The story begins in London as Lilia, the young widow of Charles Herriton departs for an extended tour of Italy, taking with her a companion (Caroline Abbott), who is supposed to keep her our of trouble. Lilia leaves her 8-year-old daughter Irma home with the Herritons. The Herritons are a snobbish upper middle class family ruled by an iron-willed matriarch, who has never approved of her daughter-in-law's unassuming and spontaneous nature.

The trouble begins when word arrives from the small town of Monteriano that Lilia has gotten engaged to an Italian man. Mrs. Herriton sends her son Philip to buy off the "wretched Italian" and bring Lilia home. But he arrives too late. The 32-year-old Lilia has already married Gino Carella, who is the unemployed son of a dentist and a decade younger than she is. Gino is charming and seems guileless, although he has no intention of adopting an English attitude toward marriage. Indeed, he has married Lilia for her money and expects her to become a proper Italian wife.

Later, Lilia dies in childbirth, but the baby survives. At first the Herritons intend to sever contact and not acknowledge the child. However, nudged by Miss Abbott, the unsuccessful chaperone, they decide to "save" the child from becoming an Italian. Once again, Philip goes to Italy to buy off Gino and bring the boy to England. Once again, he fails.

But this time, his aggressive sister Harriet intervenes; when all else fails, she steals the baby. Unfortunately, a mishap occurs, and the baby dies. Meanwhile, Philip has fallen in love with Miss Abbott who, in turn, has fallen for the recently remarried Gino. In the end it looks like Phillip and Miss Abbott will become "just good friends."

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Collegiate Assessor Kovalyov wakes up one morning and discovers that his nose is missing. At the same time in another part of St. Petersburg, Kovalyov's barber finds the nose in his breakfast roll. However, the barber, desiring to disassociate himself from the strange incident, proceeds to toss the nose into the Neva River. A little later, Kovalyov happens to see his nose riding in an elegant carriage and wearing the uniform of a State Councillor (a higher rank than Collegiate Assessor). He demands that the nose give itself up, but is rudely rebuffed.

At first neither the police nor the newspaper offer any help, but later a police officer, who happened to observe the barber throwing an object into the river, returns the lost nose to Kovalyov. However, a new problem arises. How will he re-attach the nose to his face? For this he consults a doctor, who recommends letting nature take its course, "it's best to stay as you are, otherwise you'll only make it worse." Poor nose-less Kovalyov! He becomes the laughing stock of St. Petersburg, until one morning he wakes up and finds his nose re-attached firmly to his face.

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The story takes place in the winter at Einfried, a sanatorium directed by Dr. Leander, a physician "whom science has cooled and hardened and filled with silent, forbearing pessimism." A young married woman (Frau Kloterjahn) arrives as a patient. Her husband denies the seriousness of her illness by calling it merely "a problem of the trachea." In reality, Frau Kloterjahn, who had recently given birth to a healthy son, is dying of consumption.

A not-so-sick novelist (Detlev Spinell) also lives in the sanatorium, and he quickly develops a romantic obsession with the new patient. One day most of the residents go for a sleigh ride, but Spinell and Frau Kloterjahn remain indoors. He cajoles her to play the piano for him, which has been forbidden. Picking up a score from "Tristan und Isolde," Frau Kloterjahn plays beautifully until exhausted. When her death becomes imminent, Herr Kloterjahn returns to her bedside. At this point Spinell writes Kloterjahn an excoriating letter, saying (in essence) that the man is an insensitive slob who doesn't understand his own wife.

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This book presents the "War of Attempted Secession" through the eyes of America's great poet. It consists of letters, dispatches, articles, and prose selections from Specimen Days (1882), Whitman's quasi-autobiography. In addition, all of Whitman's Civil War poems are included, some interspersed through the text and others collected in an Appendix.

The editor has arranged this material into 14 thematic chapters, beginning with "an introductory section in which Whitman discusses the general character of the Civil War" and including chapters containing material on his visits to the front, life in Washington during the War, letters to his mother, his admiration for Lincoln, and other topics.

Of particular interest is "The Great Army of the Wounded," a chapter composed of dispatches to the New York Times and Brooklyn Eagle, in which Whitman describes the military hospitals surrounding Washington and his own work as a volunteer nurse, scribe, and friendly visitor. In "Dear Love of Comrades," he presents a number of "specimen" cases of sick or wounded soldiers. "O My Soldiers, My Veterans" consists of letters written to soldiers, or for soldiers to their families. Another chapter, "Ethiopia Saluting the Colors," presents Whitman's positive assessment of black regiments serving in the Union Army.

Many of the war poems appear in topically appropriate chapters; among the most effective of these are "A Twilight Song," "Over the Carnage Rose Prophetic a Voice," "Pensive on Her Dead Gazing," "Dirge for Two Veterans," "Ethiopia Saluting the Colors," "O Captain! My Captain," and The Wound Dresser (see annotation in this database).

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I am a sick man . . . I am a spiteful man. So opens the first part of "Notes from Underground," in which the narrator describes his character and psychological states. He is a low ranking public official, 40 years old, who lives alone in a small room. When he received a small inheritance, he immediately quit his job and now spends his time ruminating about who he is and what his life means.

This narrator does not simply accept the laws of nature. He dislikes "the fact that two and two makes four." He realizes that he cannot break down the wall of nature "by battering my head against it," but nonetheless "I am not going to resign myself to it simply because it is a stone wall and I am not strong enough." (p. 12) He is proud of never having begun or finished anything. (p. 17) In fact, "what man needs is simply independent choice, whatever that independence may cost and wherever it may lead." (p. 23)

The narrator is "underground" because he has chosen not to participate, not to accomplish, not to interact, not even to justify his non-participation in "ordinary" life. Yet, he is bored, and so he chooses to occupy himself by writing these notes.

The second part is less rumination and more narrative, as the protagonist describes some seminal events in his life. When he was a young clerk, he was a loner with no friends. One day he decided to visit Simonov, an old school acquaintance, who happened at the time to be planning a dinner with some friends to honor another friend, Zverkov, who had done well in the military. The protagonist awkwardly invited himself to this dinner, despite having no money to pay for it, and later, after being thoroughly obnoxious and insulting his hosts, he followed them to a brothel, where he encountered a whore named Liza and conned her into thinking that he cared for her.

When she appeared at his apartment a few days later, he angrily told her that the "fine sentiments" were all false: "I was laughing at you!" When Liza then ran away, the narrator became agitated and tried to follow, but quickly dropped the idea. "Would I not begin to hate her, perhaps even tomorrow, just because I had kissed her feet today? Would I give her happiness? Had I not recognized that day, for the hundredth time, what I was worth?" (p. 113) At this point he breaks off, saying that he chooses not to write any further notes form underground.

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The narrator stands working at her ironing board, responding mentally to a request someone (a teacher? a social worker?) makes of her regarding her daughter Emily, "I wish you could manage the time to come in and talk with me . . . She's a youngster who needs help." The woman's thoughts go back to Emily's birth during the Depression when she was only 19, and her thoughts range forward, haltingly, in piecemeal fashion, through her daughter's difficult childhood.

Due to the wages of loss, poverty and dislocation, a wall has grown up between mother and daughter--she has always wanted to love the sickly, awkward, stiff, and isolated girl, but has not been able to penetrate the wall. And then, she recalls, out of nowhere Emily won first prize in her school amateur show. The girl is a natural performer, a wonderful comedienne, who now is in demand throughout the city and state.

Suddenly, Emily appears on the scene. "Aren't you ever going to finish the ironing, mother?" She says that she wants to sleep in the morning, even though this will make her late for mid-term exams. Near the end of the story the narrator imagines telling her interlocutor, "Why were you so concerned? She will find her way." But then she implores, "Only help her to know--help make it so there is cause for her to know--that she is more than this dress on the ironing board, helpless before the iron."

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This is an anthology of poems written by physicians from ancient times through the early part of the 20th century. It includes a great variety of work: poems by well-known physician-writers like Oliver Goldsmith, John Keats, Oliver Wendell Holmes, Sir Arthur Conan Doyle, and William Carlos Williams; poems by distinguished physicians who are not usually remembered as creative writers, such as Edward Jenner, Erasmus Darwin, S. (Silas) Weir Mitchell, and Sir Charles Sherrington; and others by currently little-known physicians.

In the Preface, the editor admits that the genre of "medical poetry" may not have very high standards. For example, she quotes one author as saying that it is generally "poetry in quotation marks and much of it is feeble stuff." However, poetic expression that arises from clinical experience has dignity and value insofar as it reflects "the spirit of helpfulness which gives to the medical profession its value to humanity." The last quotation is attributed by the editor to William Osler, although she cites no reference. Interestingly, the medical professor as reflected in this anthology is entirely male; of 110 poets represented, not one is a woman.

In an "Afterthought" the physician-poet Merrill Moore comments further on the theme of mixing medicine and poetry, presenting the literary equivalent of some insipid "pearls"; for example, "The way he writes is possibly a little different" and "the physician-poet does not quite reach the peaks of spiritual elation and emotional release . . . that a Byron or a Shelley achieves." Profound, huh?

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