Summary:

This first collection of poems includes a series of strong and well-crafted personal narratives. Several deal with the poet's experience in nurse's training. For example, in "Down There" she recalls childhood baths when she would squat and pour a jug of warm water between her legs ("down there") as she washes post-operative women and thinks of the intensely poetic hospital questions, "Can you make wind? / Can you make water?"

In "We Were Gulls" she visualizes the nursing students on Ward Nine and evokes their encounter with a repulsive old man who said, "there isn't a one of you / I wouldn't give a squeeze to / if I could hold you / in my arms / right here in this bed." In "In the Hospital Garden" she recalls the titillating episode of a doctor's wife who gave birth to a "radiation mutation."

But the poet's nursing is not confined to the professional sphere--in "Madame Abundance" she speaks of her son's "string of drool" against her own "milk-dampened blouse of the breast." Poems like "Night Terror," "The Street Where We Lived," and "At the Horse Pavilion" bring the reader into the love and pain of family life. "How long will it last?" the poet asks in one of her poems. In another she answers, "I live alone / I live alone / I live alone / I live alone."

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In 1877, Richard Maurice Bucke (1837-1902) (Colm Feore) becomes the superintendent of the asylum in London Ontario, where physical restraints are used. His lovely but tense wife (Wendel Meldrum) is grudgingly deferential to his professional needs. They are parents of a happy little girl. Bucke travels to a Philadelphia conference to read a paper on his liberal ideas about care of the mentally ill, but he senses the intolerance of the audience and storms out.

An odd "free thinker" in the audience--who turns out to be the great American poet Walt Whitman (Rip Torn)--admired the paper. Whitman invites the doctor to meet his mentally disturbed brother kept at home rather than in an asylum. Smitten with Whitman and his philosophy, Bucke brings him to Canada.

At first, his wife and the town are suspicious of the famous stranger, but they gradually change their minds. The asylum replaces its coercive methods of care with exercise, music, and talk. The film closes with a lively summer cricket match between the asylum (patients and workers) and the town.

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Dr Bernard Rieux (William Hurt) says good-bye to his ailing wife at the Oran airport in South America. Their only child is dead. She has gone to the distant capital for tests and he plans to join her in a few days. But a mysterious epidemic of rats and what turns out to be bubonic plague breaks out. The city is sealed by draconian authorities who separate family members and drag people from their homes. Rieux decides to stay; months pass and his wife will die before he can see her again.

He befriends two stranded French journalists, Martine (Sandrine Bonnaire) and Tanto (Jean-Marc Harr), who volunteer as aides. They visit Joseph Grand (Robert Duvall) who keeps the cemetery statistics and writes an interminable novel. Tanto and Grand contract the disease but manage to survive under Rieux's care.

Constantly palpating her body in fear, Martine is desperate to flee, even as she strives to evoke passion from the emotionally numb Rieux. She is robbed and incarcerated by Cottard (Raul Julia) an unscrupulous profiteer. As the epidemic wanes, the journalists, the doctor, and Grand are reunited, but in that same instant Cottard shoots Tanto dead. Rieux and Martine are left sobbing in each others arms.

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Breast cancer is a constant presence in this collection of poems by Hilda Raz. Part 1 begins with the poet's uncertainty and fear as she sits with her daughter in the oncologist's office. "I'm still me, same me no / matter what he says. Biopsy report shocks me," she writes in "Weathering/boundaries/what is good." After going under the knife, she further reports, "In the past year / I have given up four of the five organs / the body holds to call itself woman." ("For Barbara, Who Brings a Green Stone in the Shape of a Triangle").

Later, in "Breast/fever" she speaks of her new breast, "two months old, gel used in bicycle saddles . . .

/ stays cold under my skin / when the old breast is warm." Several of the poems evoke her daughter Sarah, both as a child and as a capable young woman who responds to her mother's cancer--"she knows whom to call, / where to go, or she'll find out, I'm not to worry . . . . " ("Sarah's Response")

The poet's illness is a route to self-discovery. Hilda Raz reconstitutes herself with insight, pragmatism, and humor. As she writes in "Nuts," "Nuts to beauty. / Bikini, music, then the childbed . . .

/ Nuts to the mirror." At the end of the book, "The fingers of rain are tapping again. / I send out my heart's drum." ("Recovery")

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This poem is in the form of a villanelle, a French verse form derived from an Italian folk song of the late 15th-early 17th Centuries. Originally reserved for pastoral subjects, modern poets from W. H. Auden ("Time Will Say Nothing") to Dylan Thomas (Do Not Go Gentle into That Good Night) have employed it for more somber subjects.

The strict definition of a villanelle adheres to the following pattern: five tercets followed by a quatrain with the rhyming scheme of a1ba2 aba1 aba2 aba1 aba2 aba1a2. Williams's "Villanelle," like Thomas's "Do Not Go Gentle into That Good Night," obeys this convention while relating a bereaved, haunted mother's lament over her dead daughter.

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Blind dolls' dressmaker Bertha Plummer is the center of a significant subplot to this story of marriage and deception. Bertha and her toymaker father, Caleb, live in squalor in a "little cracked nutshell" house and work for hardhearted Tackleton. Caleb has convinced Bertha that their cottage and their employer are both charming. She falls in love with Tackleton and is traumatized by his engagement to another.

Caleb's confession of his well-meaning deceit compounds her suffering. Bertha's literal blindness parallels the figurative blindness in the main plot, in which Dot Peerybingle's innocent secrets make her husband John suspect she loves another. The story ends in reconciliation and happiness all around; Bertha plays the harp while the others dance.

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Trudi Montag is a Zwerg, a dwarf. Born to a mentally disturbed woman who dies when Trudi is a small child, the girl reaches adulthood under the loving care of her father, a pay-librarian in a small German town. (A pay-librarian is one who runs a library as a business and charges the patrons to borrow books.) Trudi is angry, deeply resentful of her "differentness," and she uses her unique status in a variety of ways, both helpful and vengeful toward others.

For example, Trudi tells stories, some of which enchant and comfort frightened children during the war, others of which harm the lives and personal security of the townsfolk whom the story teller doesn't like. World War II comes and goes in Burgdorf; Trudi finds and loses romantic love; her father dies; and she begins, at the end of the tale, to reflect on the ways in which she has contributed to her own suffering and that of others.

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Lainey's husband, Jay, has been in a coma for weeks, now extending into months. She takes care of their daughters, visits him daily, finds what solace is possible with her resilient, tough-minded, and compassionate neighbor, Alice, and continues to believe he will wake up when the medical staff have largely given up hope.

As she sits with him, trying to adjust and foster her hopes, bringing familiar smells, textures, and sounds from home in the hope of triggering response, she imagines his state of mind. Interludes that work a little like prose poems suggest something of the liminal state he may inhabit. Lainey meets a fellow visitor at the nursing home whose wife dies after having been comatose for 6 months.

Lainey's life is kept from complete inward focus by Alice's efforts to keep her going out, and by Alice's own problems which include a straying husband who finally reveals that he's been struggling with homosexuality and has fallen in love with another man. Jay finally awakens and life returns to something like normal, but with an abiding awareness of the mystery of consciousness and memory, and a heightened sense of the preciousness of consciousness, choice, and the ordinariness of daily life.

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This is a collection of stories and sketches by a practicing neurologist. Most of the material is clinical and autobiographical. In "Mrs. Bachman" a new patient enters the doctor's office, carrying a thick stack of medical records. It all started in 1946 and no doctor has ever found the explanation of her condition. Meanwhile, the doctor is wearing contact lenses for the first time. His eyes begin to tear. Mrs. Bachman thinks that he is crying over her misfortune. She consoles him, "I want you to know that you are the kindest, most sympathetic man I have ever met."

In "Intensive Care" an elderly woman is agitated after a seizure. The staff try unsuccessfully to calm her. Finally, her husband approaches and kisses her. She settles peacefully and they hold hands.

The doctor in "Continuing Medical Education" finally discovers metastatic breast cancer as the cause of a psychotherapist's neck pain, long after he and other physicians had told her again and again that the "driving mechanism" of her chronic pain was "unresolved anger and frustration." In a longer essay, "The Narrow Bridge," the author reflects on the meaning of healing, "Healing helps us find a place in this world for ourselves and for each other."

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This study explores the history of physician-patient relationships, especially as it relates to the ascendancy of science in medicine. The book begins by describing traditional physician-patient relationships in the 18th century. The focus, however, is on the "modern" doctor (beginning in the 1880's) and the "postmodern" doctor (beginning in the 1950's).

The author describes the transition from modern to postmodern doctor and a corresponding transition from modern to postmodern patient. A "sympathetic alliance" between physician and patient was essentially a development of the modern period (1880's - 1950's).

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