Summary:

The novel opens with a man known only as Pilgrim hanging himself in London in 1912. Despite being pronounced dead by two physicians, he somehow lives. Pilgrim has attempted suicide many times before but is seemingly unable to die. He claims to have endured life for thousands of years but has tired of living and only longs for death. He has crossed paths with many historical figures including Leonardo da Vinci, Saint Teresa, Oscar Wilde, and Auguste Rodin.

After his most recent suicide attempt, he is admitted to a psychiatric facility in Zurich as a patient of the famous Swiss psychiatrist, Carl Jung. Pilgrim eventually escapes from the institution and masterminds the successful theft of the Mona Lisa from the Louvre. Next, he sets the cathedral at Chartres on fire. The novel ends with Pilgrim driving a car into a river on the eve of World War I. His body is never found.

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The Exact Location of the Soul is a collection of 26 essays along with an introduction titled "The Making of a Doctor/Writer." Most of these essays are reprinted from Selzer's earlier books (especially Mortal Lessons and Letters to a Young Doctor). Six pieces are new and include a commentary on the problem of AIDS in Haiti ("A Mask on the Face of Death"), musings on organ donation ("Brain Death: A Hesitation"), a conversation between a mother and son ("Of Nazareth and New Haven"), and the suicide of a college student ("Phantom Vision").

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Living in early 20th century Greenwich Village are two young women artists, Sue and Johnsy (familiar for Joanna). They met in May, six months previously, and decided to share a studio apartment. Stalking their artist colony in November is "Mr. Pneumonia." The story begins as Johnsy, near death from pneumonia, lies in bed waiting for the last leaf of an ivy vine on the brick wall she spies through her window to fall.

"I’m tired of thinking," says Johnsy. "I want to turn loose my hold on everything, and go sailing down, down, just like one of those poor, tired leaves"(16). However, an unexpected hero arrives to save Johnsy. It’s not the brusque doctor who gives her only one in ten chances to survive, raising them to one in five if Sue can get her to hope for something important like a man, not her true desire to "paint the Bay of Naples some day" (14).

Mr. Behrman, an old man who lives in the apartment below Sue and Johnsy, who enjoys drinking, works sometimes as an artist’s model, and as yet has made no progress over the past 40 years on painting his own masterpiece, becomes in typical O. Henry fashion the hero. The evidence of his heroics are found the day before he dies from pneumonia: outside Johnsy’s window are a ladder, a lantern still lighted "some scattered brushes, and a palette with green and yellow colors mixed on it . . . it’s Behrman’s masterpiece--he painted it [a leaf] there the night that the last leaf fell"(19), Sue informs Johnsy.

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At the age of 42, Barbara Rosenblum learns, after several misdiagnoses, that she has advanced breast cancer. This book, co-written by Rosenblum, a sociologist, and her lesbian partner, Sandra Butler, a feminist writer and activist, is a record of their lives together from the diagnosis until Rosenblum's death three years later. Early on, Rosenblum decides that her dying will be exemplary and self-conscious, and she and Butler use their writing as a way to create an illuminating examination of their lives over those three years.

The book's title is accurate; the writing takes the form of alternating meditations by two women, on the effects of cancer on their relationship, their work, their families, and their social, political, and spiritual beliefs. Especially significant are the differences between their voices, and the differences between the experience of the person who is dying and that of the person who is going to have to survive and grieve. The writers bravely explore the conflicts between them as well as their profound bonds.

After a mastectomy and eighteen months of chemotherapy, Rosenblum has a very brief respite, followed by liver and lung metastases, and prolonged further chemotherapy. A few months after ending treatment, she dies at home.

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The narrator is visiting a sick loved one in University Hospital, Boston and reflects on the many patients who have stayed in this hospital, most especially the young men from the battlefields of the American Civil War.

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Zimmer's poem begins with policy guidelines for landlords whose elderly tenants may be calling the switchboard more than three times per month for health emergencies. According to the guidelines, such patterns suggest that the resident, no longer capable of independent living, can be moved to a health care center.

In response to the policy passage, an advisory poem is constructed by the narrator for his own father who, we can assume, values his independence. In essence the son advises silence about medical events such as a fall: "tell no one." If an ambulance should arrive, don't get in.

The strong warnings reflect contemporary health care systems in which the prevailing practices correspond to Dante's Inferno, particularly the tenth circle. At that level, everyone faces one direction and people are "piled like cordwood inside the cranium of Satan." Cries for help are unheard and unanswered.

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Mary Oliver's six stanzas are a meditation on the processes of life and death. The narrator observes the death of a snake by a truck that "could not swerve." The occurrence of sudden death is, after all, "how it happens" and the snake now lies "looped and useless as an old bicycle tire." For most observers of this familiar sight, that would be the end. The narrator, however, stops his car and carries the cool and gleaming snake to the bushes where it is as "beautiful and quiet as a dead brother."

Upon continuing his drive, the experience generates reflection about death: its suddenness, its weight, and its certainty. At the same time the narrator notes that dying and death of others ignites a brighter fire, one of good fortune: "not me!"

The final stanza describes the innate drive and tenacity of life forces. Because life, rather than death, is at the center of each cell, unimpeded by death, the snake and all other forms of life move forward tenaciously, unimpeded by the threat of death.

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In his first chapbook of poems, Richard Berlin, a psychiatrist, writes about his current work with patients ("What a Psychiatrist Remembers," "Rough Air," "Berlin Wall," "Jumpology"), about his experiences on medical wards and as a student ("Anatomy Lab," "Sleight of Hand," "Alzheimer's Unit," "Obstetrics Ward, County Hospital"), about love and family and how medicine sometimes infiltrates even these sanctuaries ("How JFK Killed My Father," "Tools," "Our Medical Marriage") and, most effectively, about the complexities inherent in the role of physician and healer ("What to Call Me," "After Watching Chicago Hope," "Code Blue," "What I Love"). In other poems, he observes the human condition through the veil of medicine ("Hospital Food," "PTSD").

The lure of these poems is Berlin's facility with metaphor; he has a talent for spinning a particular image or observation into revelation. He is also willing to allow puzzlement, doubt, and fear into his poems, effectively conveying both the virtuosity of the teacher and the wonder of the student. Reading this collection, I felt as if the poet was a presence both within the poems and outside of them, like the psychiatrist who must enter the mind of the patient and, at the same time, step back and become a safe guide. It is this double vision that sets his poetry apart.

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Water is a metaphor for the life cycle as the poet chronicles the role played by water in his life, in all our lives--"the sac of water we live in." The poet evokes the sound of water as he moves through life stages: swaying trees register the sound of the water from which we emerge at birth, "the sound of sighing" denotes the sound made as he washes his dying father’s feet, whispering rain "outlives us."

The poem is replete with images of water that conjure up family relationships over time. In the ocean of his childhood, his athletic brother cannot swim while his crippled sister swims like a "glimmering fish." Water is a visible symptom of the congestive heart failure suffered by his father--"swollen, heavy . . . bloated"-- whose "respirator mask makes him look like a diver."

As the poet tends to his father, testing the wash water "with my wrist" like a parent, there is a powerful recollection of the father’s earlier ordeal as a political prisoner. Finally, there is water that liberated the family, bringing them from Indonesia to America, juxtaposed against the water that is now drowning the father.

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This brief autobiography, written when Schweitzer was mid-50's, summarizes his life and thought up to 1931. He presents illustrative factoids and incidents from his childhood and student years, then briskly covers his development as a minister, philosopher, biblical scholar, musician, and musicologist, all before he reaches Chapter 9 (p. 102), which is entitled, "I Resolve to Become a Jungle Doctor." He greatly enjoyed his life as a scholar, yet was plagued by "the thought that I must not accept this happiness as a matter of course, but must give something in return for it." (p. 103)

He was particularly struck by the fact that so many people in the world were "denied that happiness by their material circumstances or their health." At around this time (1904), Schweitzer came across a publication of the Paris Missionary Society, which described the needs of their Congo mission. This article changed his life. In 1905, at the age of 30, he enrolled in medical school at the University of Strasburg. (Thus, Schweitzer became a forerunner of today's nontraditional applicants who leave other promising careers to enter medicine.)

Schweitzer and his wife began their work at Lambaréné in Gabon, West Africa, in 1913. As a result of the Great War in late 1917, they were sent back to France and detained as enemy aliens until mid-1918. They returned to Lambaréné and rebuilt the hospital in 1924. Between then and 1931 when Out of My Life and Thought was written, Schweitzer devoted most of his time (as he would for the rest of his life) to doctoring at his hospital in Gabon.

This memoir also includes brief intellectual asides describing many of Schweitzer's famous works, such as The Quest of the Historical Jesus (1906), J. S. Bach (1908), On the Edge of the Primeval Forest (1920), Philosophy of Civilization (1923), and The Mysticism of Paul the Apostle (1930).

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