Showing 91 - 100 of 142 annotations contributed by Miksanek, Tony
The narrator is an inexperienced and overworked doctor in a remote region of Russia. Although accustomed to seeing as many as a hundred or more patients in a day, a blizzard brings him unexpected relief. Only two patients show up in the clinic. He welcomes the prospect of a leisurely day but soon receives a summons for help from a physician in a nearby district.
A bride-to-be has fallen out of a sleigh and is unconscious. The narrator travels more than 2 hours to lend his help, but she is already dying. He later realizes the young woman had a fracture at the base of the skull. Ignoring advice to stay the night, the doctor insists on returning home. Four hours after departing in a sleigh, the doctor and driver are lost and trapped in the snow. With great effort, the two men free the sleigh and horses from the drifts.
As their journey resumes, wolves chase the sleigh until the doctor fires his pistol. Finally, he sees the lights of his hospital in the distance. Once safe in his house, the doctor picks up a manual containing information about skull fractures but decides instead to go to sleep.
It is a sad world when Pelayo discovers an old man with large, weathered wings stuck in the mud. It has been raining for three days. The beach is a mixture of rotting crabs and sludge. Stench is everywhere. Worst of all, Pelayo's baby is ill with a fever.
Because the strange visitor possesses wings and speaks an unknown dialect, no one knows for certain who or what he is. He seems awfully decrepit to be a supernatural being. A neighbor thinks he's an angel who has come for the baby. Pelayo and his wife, Elisenda, suspect he is a sailor or castaway. The parish priest, Father Gonzaga, believes the old man is not an angel but rather an imposter.
After examining the man with wings, the doctor decides it is impossible such a creature is even alive. The old man is locked in a chicken coop and treated like a freak. People pay five cents to view him, and before long, Pelayo and Elisenda make enough money to build a mansion. Their newborn child regains his health.
When the boy is older, both he and the old man with wings contract chicken pox. The old man is mistreated and burned with a branding iron. All he eats is eggplant mush. The town is visited by many carnival attractions including a woman transformed into a spider because she defied her parents. People eventually lose interest in the old man. One winter he has a fever and is delirious. He not only survives but grows new wings. His clumsy attempts at flight eventually improve and one day he disappears into the horizon.
I like sound. This declaration by the peculiar protagonist, Klausner, speaks volumes about his character. He builds a device intended to transform inaudible high frequency tones into sounds that can be discerned by the human ear. His invention is a three-foot long black box resembling a small coffin that contains a complex electronic mechanism.
Klausner takes his machine outdoors to test it. At first, all he hears through the earphones connected to the contraption is a humming noise, but soon he perceives a shriek each time his neighbor cuts the stem of a rose in her garden. He decides to experiment further. Klausner strikes a large beech tree with an axe and immediately hears an unsettling noise similar to a scream. He apologizes to the tree.
Klausner telephones his personal physician and implores him to come immediately. When Dr. Scott arrives, Klausner asks him to don the earphones. The inventor smacks the tree once more with the axe. Only this time, a large branch comes crashing down smashing the sound machine to pieces and barely missing Klausner. He asks Dr. Scott what he heard, but the physician is not sure. Klausner insists that the gash in the tree trunk be sutured, but the doctor explains he cannot suture through wood. Still holding his axe, Klausner commands the physician to paint the cut with iodine and check on the tree tomorrow.
Fifteen selections--short stories, essays, and memoir--make up this collection. Two stories are notable: The Whistlers' Room and Atrium: October 2001 (see annotations). The title story is a translation and retelling of an obscure German tale published 75 years ago. Set in a military hospital in Germany during World War I, four soldiers share a common wound--throat injuries and laryngeal damage necessitating a tracheostomy for each man. This remarkable quartet of patients forges a fellowship of the maimed.
"Atrium: October 2001" describes the random meeting between a physician and a terminally ill teenager in the hospital atrium. The subject of death dominates their discussion. "Parable" chronicles an elderly doctor's efforts to comfort a dying man, and in the process, ease both their suffering.
Excerpts from Selzer's diary reveal much about the character of the author as well as the characters in his life. He also reminisces about growing up in Troy, New York. Approximately one-quarter of the book is devoted to Selzer's musings on works of art (sculpture and painting). Lighter fare includes a discussion of life behind the podium, a description of his home, and a new ending for A Tale of Two Cities by Charles Dickens.
The unnamed narrator of the story is a "dreadfully nervous" character who disputes the allegation that he might be crazy. He contends that his disposition arises from a heightening of the senses: "Above all was the sense of hearing acute" (74). The narrator provides care for a wealthy elderly man. For some inexplicable reason, the narrator becomes obsessed with the diseased eye of the old man. The narrator likens it to a vulture’s eye and is so haunted by the Evil Eye that he decides to murder the old man.
He meticulously plans the murder. After one week of preparation, the narrator charges into the old man’s bedroom after midnight and kills him using the heavy bed the victim had been sleeping in to either crush or suffocate him. Even after the murder, the victim’s heart continues beating for many minutes. The narrator carefully dismembers the body in a tub. He conceals all the pieces under the floor boards.
At four o’clock in the morning, three policemen arrive. A neighbor heard a scream and notified the police. They are here to investigate. The narrator maintains his composure and even entertains the police. After all, he has committed the perfect crime. Suddenly, he hears a repetitive noise like the ticking of a watch. At first soft, the sound grows louder and louder. No one else hears it. What is the cause of the noise--paranoia, his conscience, auditory hallucinations, a supernatural clue, or (most likely) the sound of his own pounding heart? The narrator can no longer tolerate the thumping and confesses to the murder: "I admit the deed!--tear up the planks!--here, here!--it is the beating of his hideous heart!" (78)
The narrator is still grieving over the recent death of her father, D.M. He suffered from emphysema and died from a sarcoma of the intestine that metastasized to other organs. While visiting Sweden, the narrator explores the Royal Library. There she discovers the celebrated Encyclopedia of the Dead--a massive collection of thousands of volumes chronicling in detail the lives of ordinary people who have died.
She finds the biography of her father and takes notes while reading it throughout the night. Fifty years of his life in Belgrade are summarized in only 5 or 6 pages yet amazingly nothing seems to be left out. No detail is too small--the first day he ever smoked a cigarette, an episode of food poisoning, a love letter.
The text is illustrated with a picture of her father and an odd flower. Late in life, he began painting floral patterns like the one depicted in the book. According to the Encyclopedia, his interest in painting paralleled the onset and progression of his cancer. In fact, the narrator learns that the flower in the book closely resembles the appearance of the sarcoma that claimed his life.
The practice of medicine in equatorial Africa is both a challenge and an escape for Dr. Koestler. The physician from New Zealand works at a Global Aid mission in Zaire. He has toiled there a long time but is still a loner. His best friend appears to be a pet baboon named George Babbitt. The monkey drinks whiskey and smokes cigarettes. It is a clever creature with a mean streak and is generally despised by everyone except Koestler.
Two young American doctors arrive at the mission to assist Koestler. While the three physicians and the bush pilot drink whiskey and smoke marijuana, Koestler instructs the new doctors on some of the laws of jungle medicine: Use only disposable needles and then destroy them. Never transfuse a patient unless they require at least 3 units of blood (since all blood will likely be contaminated by Hepatitis B or HIV). Safe sex means no sex. Speed matters. Avoid getting involved because feelings will inevitably obstruct your work.
Although a leopard is roaming outside the confines of the mission, Koestler ventures into the darkness of the jungle to search for George Babbitt who has run off with a bottle of whiskey. In a locale teeming with life, the physician remains essentially alone--by choice.
Four soldiers with a similar wound--laryngeal damage after being shot in the throat--share a room in a German military hospital during World War I. Each of them has a tracheostomy tube, and they can only speak by covering the opening of the tube with a finger. Because every breath or laugh generates the sound of a little whistle, these men are dubbed "whistlers" and their hospital room is named after them. The injured soldiers are Pointner, Kollin, Benjamin, and an 18-year-old English prisoner of war, Harry Flint. They undergo a series of painful surgeries (without anesthesia) to dilate the narrowed and scarred air passage.
The surgeon, Dr. Quint, is a compassionate man with incredible physical strength. He holds the "whistlers" in high regard. They in turn venerate the devoted surgeon. Pointner and Kollin die. Surgery on Benjamin and Harry is successful and their tracheostomy tubes are removed. They can now breathe normally and soon discover their new voices.
While eating lunch in the hospital atrium, the retired doctor who narrates this story notices a boy in a wheelchair looking at him. The elderly physician and the youngster begin a conversation. The fourteen-year-old boy is terminally ill with cancer. The doctor quickly determines that the lad only has time left for honesty. The boy lies, however, about his name. He calls himself Thomas Fogarty but his real name is Tony. "What will you do on your last day on earth?" the moribund boy asks the narrator.
The doctor shares with Tony his own fantasy about dying. He envisions a former student who is now a great surgeon transporting him to an ancient forest. There he becomes part of the woods and keenly aware of the mystery of life. Soon his mind breaks with his body. Death is just "a painless transition."
Tony dies the next morning. He had dictated an unfinished letter to the doctor, and Tony's nurse delivers it to him. As a retired physician, the narrator has performed a valuable service by helping prepare the boy for death. As a writer, the narrator still hopes to save him. He has immortalized Tony by converting him into an enduring story.
A young art student falls off a ladder and literally lands into the arms of a middle-aged doctor. Daisy Whimple is a poor, homeless woman with multiple body piercings. She has volunteered to decorate the Gynae Ward of the hospital where she had once been a patient undergoing surgery for a complicated abortion.
Dr. Damian Becket is an obstetrician and gynecologist. He is a lapsed Catholic who is separated from his wife. Becket is interested in modern art and attracted to an art historian, Martha Sharpin. The hospital has a collection of medical antiquities in need of cataloging. Some of the pieces are treasures but others are horrible relics. Martha is in charge of organizing the collection, and Daisy is paid to assist her.
Because she has nowhere to live, Becket invites Daisy to stay at his apartment. They make love every night for one week until she leaves. While attending an art exhibit, Becket and Martha spot a sculpture of the goddess Kali. The figure is comprised of artifacts "borrowed" from the hospital's collection including prosthetic arms, antiquated instruments, and body parts. It is designed by Daisy.
The sculpture is not the only unexpected thing created by Daisy. She is pregnant by Becket. Daisy requests an abortion but he insists that she have the baby. The pregnancy is almost miraculous given the damage done to Daisy's fallopian tubes from her previous abortion. It turns out to be a difficult delivery and Becket must perform it since he is the most qualified obstetrician at the hospital. The baby is a healthy girl. The newborn child radically changes the lives of Daisy, Becket, and Martha, yet the three of them have no clue what to do next.