Summary:

This is a collection of short stories by a young physician, Stewart Massad, who completed a residency in obstetrics and gynecology and a fellowship in gynecologic cancer. The stories are all written in the first person, all physicians. The subjects include the physical/emotional demands of residency ("Fatigue"), especially as they strain a marriage; the motivations of a doctor who runs an abortion clinic ("Healers"); and a young doctor facing his own fatal illness and his experience as a patient ("Casualties"). While the stories do portray the difficulties (and often angst) of training, they do so without the despair/cynicism often found in other accounts of the same experience.

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The story is told from the perspective of an obstetrician's wife. She encourages her husband as he finishes school and gets his first job. Then she becomes pregnant. She tells of the changes in her body and in her perspective. Her husband is busy treating other women, while she goes to childbirth classes alone. He arrives just at the end of the birth. She wants him to be with her more often, but understands his need to be with his patients.

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The male narrator works in an abortion clinic. On a daily basis he faces taunts from protesters and the bloody fragments of fetuses. His only consolations are his loving dog and a female lover. He says that he sticks with the job because he loves women and can't turn them down when they ask for his help. One day, he comes home from work to find that a protester has killed his dog. His lover comes and comforts him.

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An intern is on duty in a cancer ward. He especially deals with leukemia. He tells one of his patients that he understands how she feels as she cries, facing death. She turns on him, telling him that he can't possibly understand. A short time later, the intern grows weak and ill. He is diagnosed as having leukemia. He spends months in the hospital, feeling helpless as his old classmates treat him. He makes them promise to let him die peacefully when his time comes. He dies when an intern accidentally pierces his spleen while trying to tap his lung.

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Old Doc Rivers is an old-time doctor who believes in prompt decisions and quick action. Although he is recognized as an alcoholic and drug abuser, the people in the community still hold him in high esteem and often turn to him for help when all else has failed. His story is told from the perspective of several people in his home town after his death.

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The doctor-narrator is working in a hospital during the Great Depression. The pediatric ward cares for many children left there by families unable to feed or care for them. The doctor sometimes thinks the children should just be allowed to die. One particular child captures his interest. She has a high fever and he cannot figure out why. Her condition becomes progressively worse and she dies. It turns out that she had meningitis. Perhaps he could have saved her if he had made the correct diagnosis. Yet, he doesn't feel guilty.

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The initial chapter in this novel, Of Mist, and Grass, and Sand (annotated separately), sets the stage for the quest of the young healer/heroine, "Snake," to find a replacement for the snake she had carelessly allowed to come to harm, in the course of caring for a seriously ill child. The remainder of this coming-of-age novel chronicles Snake's journey during her "proving year" (aka/residency training).

Over the course of this year, Snake continues to minister to the sick and encounters, among others, a patient who demands assistance in suicide, a patient who refuses treatment for a gangrenous leg, and a young girl who has been sexually abused (whom Snake eventually adopts and begins to apprentice). There are, as well, myriad lessons in humility, rigidity of thought, and ethnocentrism.

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Summary:

Four men sit drinking in a British tavern. There is a sick man in the house and a famous London doctor has been summoned to treat him. When one of the men, Fettes, hears the doctor’s name, Wolfe Macfarlane, he wakes suddenly from his drunken stupor and rushes to see the doctor’s face. He recognizes and threatens the doctor, who flees. Doctor Macfarlane and his accoster, Fettes, had studied medicine together under a famous--but unorthodox--anatomist.

They were in charge of obtaining bodies for dissection. Fettes regularly received and paid for corpses late at night from the men who robbed graves for them. One night, the body of a woman he knew was brought to his door; he was certain that she had been murdered but he said nothing. One day he met Macfarlane at a tavern. He was being strangely heckled by a man named Gray. The next night, Macfarlane showed up with Gray’s body and demanded payment for it. He had evidently murdered the man. Fettes was shaken but acquiesced. Soon the body was dissected, so the evidence of murder was gone.

Later, Fettes and Macfarlane were sent to a country church yard to exhume a recently buried woman. They sat their package between them as they traveled back. Suddenly, they perceived a change in the body. Unnerved, they got out a light and uncovered the face of the corpse. It was Gray.

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Mr. Utterson is a London lawyer who is a friend of Dr. Jekyll. Jekyll gave up his regular practice to experiment with non-traditional medicine. Utterson is concerned because Jekyll has written a will that leaves all his money to his new partner Mr. Hyde. Utterson has heard bad things of Hyde and disliked him at first sight. The lawyer thinks his friend is being blackmailed.

One day, the lawyer is asked to identify the body of a murdered man, Sir Danvers Carew, one of Utterson’s clients. Hyde is suspected of the murder, but he has disappeared. Jekyll swears that he has not seen Hyde and has broken with him forever. The case remains unsolved and Jekyll becomes more sociable than he had been.

Suddenly, though, he locks himself into his laboratory, yelling to the servants through the door, directing them to gather chemicals for him. The servants recognize a change in his voice and think that their master has been murdered; another man has taken his place in the lab. They call Utterson who breaks down the door. On the floor lies Hyde, who has killed himself with poison. Sadly, Utterson assumes Hyde returned and killed Jekyll, but the doctor’s body is nowhere to be found.

He does find, however, a letter in which Jekyll explains his relationship to Hyde. Jekyll had sometimes indulged in debauches which, if discovered, could have ruined his reputation and of which he is ashamed. Pondering this split in his personality, he decides to find a way to separate his two beings. Jekyll creates a potion that releases his evil side, Mr. Hyde. Hyde is shorter and smaller than Jekyll, having not had as much exercise.

For a while Jekyll enjoys his two bodies; he can do whatever he likes without fear of discovery. His pleasure is stunted when Hyde kills Carew in a nonsensical fit, and he resolves never to take the potion again. Hyde is now strong, however, and emerges whether Jekyll will have him or not. Indeed, Jekyll must use the potion to be rid of him if only for a moment. Jekyll knows that it is only by killing his body that Hyde’s body, too, will die.

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Summary:

The book is a collection of 17 short stories, all of which center on physicians. "His First Operation" is about a student’s first view of surgery. He promptly faints. "A False Start" is about a doctor trying to establish a practice. He only succeeds by giving up the opportunity to treat the richest man in town, as he is the patient of another doctor. He and the doctor he thus honors become partners.

"The Doctors of Hoyland" deals with the issue of female doctors. Dr. Ripley has an established practice in Hoyland and when a famous doctor moves into the neighborhood he is secure enough to go visit him and offer him welcome. "He" turns out to be a woman, Dr. Smith.

Dr. Ripley is outraged; he thinks female doctors are a biological impossibility. Any woman who becomes a doctor must be unwomanly, otherwise how could she stand the sight of blood or inflict necessary pain? The woman doctor is courteous, but shows him the flaws in his thinking. The two are only reconciled when she is forced to treat his broken leg. He discovers how graceful, womanly, and skilled she is and asks for her hand, but she turns him down.

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