Showing 381 - 390 of 516 annotations tagged with the keyword "Disability"

The Case of Dr. Sachs

Winckler, Martin

Last Updated: Nov-27-2002
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

At the heart of this novel is a simple love story. Dr. Bruno Sachs, a slight, stooped, and somewhat unkempt general practitioner in a French village is dedicated to his work and loved by his patients. Sachs is a solitary, self-effacing man who takes his Hippocratic duties seriously and is especially sensitive to the needs of his patients.

In addition to his private practice, Sachs works part-time at an abortion clinic, where he performs an abortion on a distraught young woman named Pauline Kasser. Soon the doctor and his patient fall in love. She moves in with him and becomes pregnant. An editor by profession, Pauline also encourages and assists Dr. Sachs in completing the book he is writing.

The story has many additional layers and dimensions. The reader views Sachs through the eyes of multiple narrators--his patients, colleagues, friends and acquaintances, all of whom write in the first person and present Bruno Sachs as "you" or "he." Thus, the reader gradually builds up a "connection" (empathy) with Sachs by synthesizing multiple glimpses of his behavior and facets of his character. At the same time, Sachs is trying to find his own voice, his own connection, by becoming a writer. At first he jots down random thoughts, then he keeps a notebook, and eventually he produces a complete manuscript.

The book has innovative structural elements that introduce other layers of meaning. For example, the 112 short chapters are organized into seven sections, corresponding with the components of a complete clinical case history: presentation (as in "chief complaint"), history, clinical examination, further investigations, diagnosis, treatment, and prognosis. Similarly, the narratives delve progressively into Sachs' "illness" and follow the "patient" through his course of "treatment."

Another structural element is the cycle of fertility and gestation. The story takes place from September through June, precisely 40 weeks, a pregnancy of nine months, during which Sachs is re-born.

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The Paralytic

Greuze, Jean-Baptiste

Last Updated: Nov-11-2002
Annotated by:
Aull, Felice

Primary Category: Visual Arts / Painting/Drawing

Genre: Oil on canvas

Summary:

The setting is a room in a home. Stretched out--half lying, half sitting--an elderly man ("the paralytic") gazes passively at a plate of food that is being held out to him by a gentleman who stands, bending toward him. In contrast to the paralytic, who wears a brown house coat, the standing men is properly dressed, but has a cloth draped over his left arm and holds a utensil in his right hand. The paralytic's arms, slightly bent, extend limply over his body; one foot rests on a stool and his lower limbs are covered with a blanket.

Hovering around the invalid with all eyes turned in his direction are several women, children, and a dog. The only figure who is not looking at the patient is a boy who kneels at his side, with an arm placed gently on the man's leg. In his stretched out position, the paralyzed man occupies a large space at the center of the picture and dominates it. The viewer's attention is further drawn to this central figure by the lighting--the background is dark while the cushion against which the man rests is light and glistens, and the man's face is bathed in light. Hence the viewer participates with the family in focusing attention on the invalid.

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Philoctetes

Sophocles

Last Updated: Nov-11-2002
Annotated by:
Holmes, Martha Stoddard

Primary Category: Literature / Plays

Genre: Play

Summary:

En route to the way to the Trojan War, warrior Philoctetes, wielder of the bow of Heracles, is bitten by a poisonous snake at the shrine of the goddess Chryse. The infected wound becomes so painful that Philoctetes’s screams of agony repel the Greek commanders, who order Odysseus to leave him on the island of Lemnos. Ten years later (the time of the play’s opening scene), Odysseus returns to Lemnos with Neoptolemus, son of the now-dead Achilles, to retrieve Philoctetes’s bow. It has been prophesied that only with this bow can Troy be conquered.

Promising him glory and honor, Odysseus convinces Neoptolemus to win Philoctetes’s trust and take the bow. Philoctetes, delighted to see any human and especially another Greek, shares his story with Neoptolemus, begs him to take him back to Greece, and entrusts him with the bow when he is overcome by a spasm of pain.

Deeply moved by witnessing Philoctetes’s misery firsthand, Neoptolemus confesses the truth to him, but tries to persuade Philoctetes to accompany him to Troy. When Odysseus appears, Neoptolemus returns the bow, declaring that only with Philoctetes himself wielding it will the prophesy be fulfilled. He asks forgiveness, and invites Philoctetes to come back with him to be healed and then on to Troy to contribute to the battle. The only thing that ends Philoctetes’s refusal is the sudden appearance of Heracles, who announces that Philoctetes and Neoptolemus must join together to take Troy.

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The Lesson

Hearle, Kevin

Last Updated: Nov-11-2002
Annotated by:
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The speaker had a childhood disability--"my strange, unruly hands"--that made tying his shoes a task to be dreaded, symbolizing failure. He addresses a caregiver who patiently ("for three years, for an hour each day") had taught him to tie his shoes. She reassured the child, "The doctors don't know / everything. You will be normal // someday. Normal."

The caregiver has also experienced bodily difficulties--from curvature of the spine caused by childhood spinal [tubercular] meningitis. She tells the child about her out of body experience ("You told me you'd died once") when she had seen herself on "the table," the "frantic" doctors calling her back "to the particular / boundaries of the flesh." She allowed them to bring her back.

Now, the adult speaker, no longer disabled, ties his shoes "by instinct," "my mind giving itself // up to the common world / of things" but when he focuses on the task, he slows down and remembers his caregiver; he becomes aware of his body, he becomes aware.

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In Memorium

Hearle, Kevin

Last Updated: Nov-11-2002
Annotated by:
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poem

Summary:

This poem is in memory of poet, John Logan (1923-1987), who, it is surmised, killed himself by jumping off a building. The speaker of the poem imagines what might have been troubling Logan, who had been disabled by strokes.

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The Dark Ship

MacLeod, Anne

Last Updated: Nov-11-2002
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Late in 1918, the "Iolaire," a Royal Navy yacht carrying several hundred soldiers home to the Scottish islands of Lewis and Harris, sank in a storm off Stornoway Harbor. Over 240 were drowned, a crushing blow to an island community that had already lost 800 men in the Great War. The "Iolaire" tragedy served as the stimulus for this fictional account of friendship and love in the Hebrides islands during the War of 1914-1918.

At the book's center are three characters who form an emotional and spiritual triangle: Iain, a young poet who survives the European battlefields only to die by drowning in the "Iolaire" on his way home; the beautiful and vivacious Mairi, pregnant with Iain's child, but in reality in love with Callum; and Callum, a small town newspaperman whose disability keeps him out of the army, and who falls head-over-heels in love with Mairi.

Mairi leaves the island and travels to England to have her baby, planting the seeds of a future that we learn about in stages as The Dark Ship moves back and forth in time from 1916 to 1939 to 1996, and the fates of the characters are gradually revealed. In particular, we learn that after his death Iain Murray became world renowned as a soldier poet. Iain, whose friends never knew that he was a writer, left at his death a manuscript of poems, which his friend Callum Morrison arranged to have published in 1919. On the basis of that book, in MacLeod's fictional world Murray has come to rival such great first world war poets as Siegfried Sassoon and Wilfred Owen. (Murray's famous collection, called "A Private View," is appended to the novel.)

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The Breast Cancer Wars

Lerner, Barron

Last Updated: Aug-28-2002
Annotated by:
Holmes, Martha Stoddard

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

Written by a medical historian who is also a physician, The Breast Cancer Wars narrates how breast cancer diagnostic methods and treatments have developed from the early twentieth century. More significantly, the book describes the debates and controversies that permeated this evolution and the ways in which not only clinicians and researchers, but, increasingly, women patients/activists shaped how we view, diagnose, and treat breast cancer today.

Individual chapters explore the influential (and ultimately contested) radical mastectomy procedure of William Halsted, the development of the "war" against breast cancer as a full-blown campaign developed and conducted within the public media and consciousness of the United States as well as within medical practice and research, the intertwined development of feminism and breast cancer activism, the "fall" of the radical mastectomy, and the continuing controversies surrounding mammography and genetic testing as modes of early detection and risk assessment. Lerner draws on a range of primary sources including texts from the archives of the American Cancer Society, the papers of doctors and patients, and advertisements from popular and professional magazines throughout the century.

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Miniature Man

Brown, Carrie

Last Updated: Aug-20-2002
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

In a mountainous village in Spain, a man in the prime of his life has labored fifteen years constructing a museum of miniatures that no one has yet seen. Just before completing his project, the artist Gregorio has an accident and both his hands are terribly crushed by a piece of marble. There is little hope that he will ever regain complete use of his hands.

Gregorio is treated by the town's elderly physician, Dr. Xavia. The doctor narrates the story and also dreams about the contents of the mysterious museum. One day Dr. Xavia finds that the door to the museum is unlocked and has been open all along for anyone wanting to enter it. The doctor discovers that the three story building housing the museum contains a complete and perfect recreation of the village that he finds both familiar and strange.

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Annotated by:
Woodcock, John

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

This film was inspired by the true story of mathematician John Forbes Nash, Jr., who was one of three Nobelists celebrated in 1994 for their work in game theory. The film is driven by the agonizing conflict between Nash’s mathematical brilliance and the paranoid schizophrenia which almost destroys both his career and his marriage to Alicia Larde (Jennifer Connelly). The film shows Nash (Russell Crowe) as obsessed and, in schizophrenic episodes, delusional and occasionally violent. He undergoes 1950s insulin shots and later is on and off pills that seem to take away his brilliance along with his schizophrenia.

Late in the film he is off medication and says, in effect, that he has decided not to be deluded by delusions. The film ends with a triumphant series of scenes around the Nobel Prize, including the tribute of his colleagues at Princeton’s Institute for Advanced Study and Nash’s emotional Nobel acceptance speech at Stockholm expressing his gratitude to his wife for standing by him.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Carlos and Geronimo make their living as beggars, traveling from one tourist stop to the next throughout northern Italy and the Austrian Alps. When Geronimo was a boy, his older brother Carlos accidentally hit him with a pea from a peashooter, causing him to lose his sight. The conscience-stricken Carlos vowed to devote his life to caring for his brother, and so for twenty years they have traveled together; Geronimo sings and plays the guitar, while Carlos handles the visual arrangements.

One day a tourist sows a seed of dissension. He drops one franc into Carlos's hat, then maliciously warns Geronimo to be careful because Carlos might cheat him out of the 20-franc coin he has just donated. Unexpectedly, this seed of suspicion thrives, with Geronimo becoming convinced of his brother's deception and greed. The heartbroken Carlos decides to go out and steal a 20-franc coin so that he can produce the money and satisfy his brother. He does so, and even though the theft is subsequently discovered, the story ends happily, since Geronimo now realizes how much Carlos loves him.

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