Showing 1 - 10 of 2969 Literature annotations

Sawbones Memorial

Ross, Sinclair

Last Updated: May-31-2023
Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Fiction — Secondary Category: Literature /

Genre: Novel

Summary:

Dr Hunter’s 75th birthday in April 1948 falls forty years to the day after he started practice in the little prairie town of Upward. He is retiring, moving away to the big city of Saskatoon, and the citizens have gathered to say fare-well. They celebrate in the patient lounge of the new hospital soon to open bearing the name of this long-time servant of all Upward’s needs--physical, mental, social. The doctor has donated his late wife’s piano and the board is already planning to sell it for much-needed cash. It tinkles softly, unwelcome songs are awkwardly sung, coffee and sandwiches served, while the crowd of locals chatters away sotto (and not so sotto) voce, with each other and the doc. 

Over the course of the evening, forty years of memories unfold: births, couplings, deaths, desires, hostilities, random acts of kindness and of spite. Folks sidle up to the doc to express thanks for his support and wisdom. The pharmacist wishes he had prescribed more pills. The journalists want him to spill secrets for a feature article in the local rag. The minister engages him in a debate over the existence of God and the meaning of life—both of which the medic denies. Gossips watch, whispering to each other about the doctor’s imagined survival and his dead wife whose alleged frigidity justified his supposed numerous infidelities. 

Shopkeeper Sarah’s revisits her embarrassed memories of adolescent attraction, that ripened into adult affection and pleasure that the doctor has long treated her son Dunc with almost fatherly care, taking him and the big but isolated Ukrainian boy, Nick, on house calls. Home from overseas with an English war-bride and now running the store, Dunc presides over the evening, trying to smooth conflicting undercurrents. The gossips speak sweetly to the newcomer bride and behind her back predict the marriage will fail.

It emerges that the incoming young medic will be Nick, once mercilessly bullied as a “hunky kid” by a few shiftless bigots still languishing in Upward. They are convinced that he is returning to extract his revenge. The old doctor defends Nick in his final words and urges his patients to help the young successor. He knows that they can briefly come together in a crisis, but he scolds them for their chronic lack of charity to strangers and to each other.

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Your Hearts, Your Scars

Talve-Goodman, Adina

Last Updated: May-25-2023
Annotated by:
Field, Steven

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

This slim volume of essays written by a young woman who had a heart transplant packs a wallop, albeit an understated one.  The author, who had a congenital cardiac anomaly that required several surgeries—the first at one day old, another five days later, two more at the ages of two and four years—ultimately developed severe congestive heart failure at sixteen and underwent cardiac transplantation at the age of nineteen (none of this, by the way, is a spoiler; the introduction, written by her sister, lays this out in detail).   Eleven years later she developed lymphoma, a side effect of the immunocompromise induced by her anti-rejection medications, and passed away at the age of 32.  This book was published posthumously, the essays collated and edited by her sister and her friend and colleague at the literary magazine One Story. 

The essays—there are seven of them—deal with life experiences, mostly in the form of encounters with other people, mostly post-transplant.  “I Must Have Been that Man,” which won the Bellevue Literary Review’s Non-Fiction Prize,  begins with a post-party liaison but centers on the author’s meeting with a man in an upended wheelchair out on the street on a rainy night; “Men Who Love Dying Women and Fishing” speculates about what might attract a man to a woman with a terminal illness; “Your Heart, Your Scars, Zombies” offers a novel take on the idea of a zombie occupying a liminal space between the living and the dead and analogizes that to the situation of the post-transplant patient; “Thank God for the Nights That Go Right” speaks to the serendipity—or Higher Power?—that seems to guide our experiences.   They range over the timeline; one recounts a pre-transplant trip with other ill children to San Diego, others come from later in the author’s life.  There is no linear temporal progression to the essays; rather, one gets the impression that they are simply being remembered spontaneously.  Nonetheless, a clear personal narrative emerges.

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The Pull of the Stars

Donoghue, Emma

Last Updated: May-02-2023
Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

It is Dublin in late autumn 1918, the waning days of World War I, and nurse-midwife Julia Power is suddenly thrust into the task of managing a small ward of heavily pregnant women who have contracted the deadly influenza. Having survived influenza herself, she does not fear infection, but she worries about her lack of experience. She also worries about her shell-shocked brother with whom she shares a home. 

Two people appear to help: the intelligent but uneducated young volunteer Bridie Sweeney raised in an institution; and the legendary woman doctor Kathleen Lynn –who quietly reveals her competence and skill, even as authorities are lurking to arrest her.  

Over the course of just a few days, they encounter recalcitrant mothers, complicated deliveries, battered wives, stillbirths, and deaths. Influenza adds special dangers to the natural event, but some patients survive their ordeal. 

Although Bridie was to help for just one day, she learns quickly and returns. Julia is impressed by her diligence and drawn ever closer to her kindness and earthy wisdom. They pass a night together sharing confidences, and Julia begins to understand the physical and emotional mistreatment that Bridie suffered in the care of nuns. Their embrace awakens in Julia a yearning she had never imagined. But only hours later Bridie falls ill and succumbs rapidly to the deadly infection.

When an unwed mother suddenly dies after giving birth to a deformed child, Julia is horrified that the baby must be placed in an institution. Instead, she takes the baby home to an uncertain future but sparing the child the same horrors that Bridie once suffered. 

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George and Rue

Clarke, George Elliott

Last Updated: Apr-06-2023
Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

George and Rufus (Rue) are born one year apart into grinding poverty of a Nova Scotia community, to a violently abusive father and a frightened well-intentioned mother. They have mixed heritage, part Black, part Mi’kmaq. Battered and hungry, they struggle with learning and abandon school after several attempts at grade three. 

George is stolid, strives to be good, serves briefly (and badly) in the military, and is happiest doing heavy physical work for farms, gardens, and woodlots. But he can never hold a job for long. He marries Blondola and they start a family in Fredericton, New Brunswick. 

Rue is more dashing, calculating, and slippery. He has a self-taught talent for piano and cultivates an odd form of jazz. He falls in love twice and loses both times--first to an accidental death and next to his own imprisonment. Arrested for theft, he serves two years in prison and, upon his release, barges into George’s marginal existence, contributing nothing and menacing the precarious but loving home. 

When Blondola goes into hospital for the birth of her daughter, the doctor refuses to let her leave until his bill is paid. George needs money desperately. Rue convinces him to use a hammer to stun a white man – any white man—and take his money. Together they settle on targeting a taxi driver, but the man who responds to the call is George’s friend. He cannot go through with it, but Rue clobbers the driver, cajoles George into robbing the dying man and dealing with the evidence.

The brutal murder and shockingly clumsy aftermath of their barely disguised deeds results in their arrest. During the police interrogation, George tries to explain his innocence and blames his brother. They are tried within the racially intolerant British-inherited court system that wrongly flatters itself to have avoided American excesses of racism. They are executed on the gallows, hanging side-by-side. 

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All Our Names

Mengestu, Dinaw

Last Updated: Mar-30-2023
Annotated by:
Trachtman, Howard

Primary Category: Literature / Fiction

Genre: Novel

Summary:

All Our Names is a novel built around two overlapping but non-parallel narratives. In one, Isaac, a young man, has recently arrived in the United States from Uganda where he had moved from his rural village to study literature at a university in Kampala. After a few complicated years in Kampala, he appears unannounced in the small town of Laurel in the Midwest with not much more than the shirt on his back. The explanation for his sudden arrival will emerge over time. Helen, a young social worker, is assigned to his case, and despite their cultural dissonance, they fall deeply in love. Their physical and social disparities serve as strong attractive forces, like the opposite poles of a magnet.  There are obstacles to their relationship -- their own inherent human weaknesses, the ingrained racism of the Laurel community, and the mystery surrounding the Isaac’s past. They are both smart but lonely people who are uncertain about how open they can be about their relationship, whether they can be seen holding hands while walking the streets or even sharing a cup of coffee in a café.

The second narrative details Isaac’s friendship formed in Africa with a fellow student at the university and their gradual but inevitable involvement in the armed rebellion against the corrupt regime governing their country. There is miscommunication and violence in both narratives. They end with separation of the partners – the social worker and the immigrant and the two African men, one who stays in Africa and meets his tragic end there and the other who comes to America

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Our Missing Hearts

Ng, Celeste

Last Updated: Mar-21-2023
Annotated by:
Trachtman, Howard

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Celeste Ng’s Our Missing Hearts is set in the not-too-distant future, in the wake of the Crisis that has ineradicably altered American society. After several years of steadily worsening economic downturn and hardship, there is slowly escalating social unrest. Random political violence erupts across the country. A protester is killed and public opinion is inflamed. In the press and social media, China is blamed for the turmoil. This unleashes a wave of discrimination and persecution of Asian Americans. Emergency laws are passed to restore order and to penalize Asian Americans and their sympathizers for purported anti-American behavior. A punitive program is implemented to remove children from parents who are viewed as enemies, real or potential, to the state.

The story centers on a precocious 12-year-old boy, Bird Gardner.  His mother, Margaret Miu, of Chinese ancestry, is a  little known poet who wrote a slim volume of poems several years before the  social fabric began to fray. Without her knowledge, one of the poems, “Our Missing Hearts”, has been adopted as a literary slogan by an underground anti-government resistance movement She is targeted by anti-Asian extremists and harassed by law enforcement. Rather than have her son “replaced,” the government euphemism for removing children from families deemed disloyal and putting them into foster care, she makes the wrenching decision to abandon him and the husband she loves dearly and goes into hiding for three lonely years. She is haunted by the pain of all the removed children and devises an act of protest. It is modeled on  the public works created by current Chinese artists using gunpowder and other unusual materials. Her goal is to increase awareness and hopefully termination of the “replacement” program. Her hope is to trigger mass protest and the return of the removed children to their grieving families. The narrative moves inexorably to an unbearably sad ending.

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Plague Years: A Doctor's Journey through the AIDS Crisis

Slotten, Ross

Last Updated: Mar-13-2023
Annotated by:
Teagarden, J. Russell

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

Dr. Ross Slotten chose family medicine to serve patients from cradle to grave. But, as he was entering practice, the AIDS virus was entering the community where his practice was situated, and he found himself serving patients much closer to the grave than the cradle. 

In June 1981, a few weeks before I began my internship in family practice at [St. Joseph Hospital in Chicago], the Center for Disease Control in Atlanta had published the first report of a strange lethal infection among a cohort of gay men in Los Angeles. I had no clue then that the disease would soon kill friends, former lovers, colleagues, and patients; devastate tens of millions of people and their families worldwide; and consume my entire professional life and more than half my chronological one. (p.14)

From both the circumstance of time and place he found himself in, and the sense of necessity and compassion that claimed him, Slotten’s professional trajectory unexpectedly shifted away from traditional family medicine towards specializing in AIDS. His interest in AIDS, however, extended to personal considerations, because as a gay man, he was part of the population at risk, and harbored the same anxieties and fears he saw in his patients and throughout his social circles. His patients were principally gay men because of his geographic location in an established gay community and the resulting referral patterns. The book chronicles both his experiences as a physician at Ground Zero taking care of gay men with AIDS, and his experiences as a gay man at risk for AIDS. For Slotten, these experiences were not independent of one another, which makes for rich insights on the complexities of both. 

Slotten spent a lot of time at St. Joseph Hospital because his patients required intense medical support and specialized services. He tells how he and his practice partner pushed for establishing a specialized AIDS unit in the hospital. They bumped up against the usual bureaucratic obstacles, plus a few more concerning issues specific to AIDS patients, but they ultimately prevailed. Slotten “was to spend the next fifteen years there, often heartbroken, occasionally inspired” (p. 109). In contrast, Slotten recounts how some specialists he called for help with particular patients would not avail themselves to AIDS patients. Those occurrences stuck with him: “I couldn’t forgive those other physicians for abandoning me and my patients in the hours of our greatest need” (p. 108). 

A blending of wanderlust, intellectual curiosity, and an urge to understand “the AIDS epidemic as a public health problem, not just a medical condition” (p. 154), motivated Slotten’s pursuit of formal postgraduate education in public health. He supplemented this education with a trip to Namibia, and reports the observations he made there, among them how “an epidemic like AIDS would be unstoppable” (p. 165), given the factors he saw at work then.

With whatever little time he had left for volunteer and advocacy work, Slotten stayed local. He talks about the volunteer-run health clinics where he worked, and the housing facility he helped set up for homeless people with AIDS. He left protesting at the Food and Drug Administration, the National Institutes of Health, and the annual International AIDS Conference to others while he focused on his patients, his studies, his volunteer work, and his own safety.

The decade of the 2020s is approaching when Slotten writes about the preceding three-and-a-half decades. As he finishes the book he is still caring for people with HIV, but the horrible complications of AIDS are now infrequent since the availability of effective medications. His practice had been reliably stable and predictable for some time, a circumstance he could only dream of when he first started. Alas, that dream had ended by the time the book was released on July 15, 2020, when Covid was surging.

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The Last Strawberry

Swan, Rita

Last Updated: Mar-12-2023
Annotated by:
Galbo, MA, MILS, Sebastian

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

In her memoir, The Last Strawberry, Rita Swan describes the illness and death of her sixteen-month-old son, Matthew. As practicing Christian Scientists, Swan and her husband observe their son’s sudden symptoms and unusual behavior but do not visit a pediatrician. Instead, they hire Christian Science “practitioners” whose goal is to effect a cure through prayer. These prayers, however, fail, and Matthew’s condition quickly deteriorates. After days of unsuccessful faith-based treatment, Swan decides, in desperation, to bring her son to a hospital, where he is diagnosed with advanced spinal meningitis. Swan recalls, “We brought our Christian Science books to our comatose child in the intensive care unit. We read, whispered, prayed, and cried over him for hours every day, whether our Church believed it was right or not” (37). Matthew eventually died in the hospital in July 1977.

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The Doctor

Icke, Robert

Last Updated: Feb-28-2023
Annotated by:
Glass, Guy

Primary Category: Literature / Plays

Genre: Play

Summary:

The Doctor is a new play that was “very freely adapted” from a work by 19th-century Viennese doctor/playwright Arthur Schnitzler.  The author, Robert Icke, is an English playwright and director who is especially known for his reworkings of classics.  

The doctor to whom the title refers is Ruth Wolff, the renowned and rather formidable director of a private medical institute.  We learn that we are in the present day, and Dr Wolff is Jewish.  At the play’s outset, the organization is attempting to secure funding for a new building, and a new head of pharmacology is about to be chosen.  One of Dr. Wolff’s patients, a 14-year-old girl, is in sepsis following a self-induced abortion.  Her health rapidly declines.  When it becomes clear the patient is not going to make it, her parents send a Catholic priest to the hospital.  Dr. Wolff prevents the priest from entering the room to administer the last rites.  

Dr. Wolff’s actions set off a chain of events.  Her confrontation with the priest goes viral on social media, resulting in a public relations nightmare for the hospital.  In her characteristically uncompromising way, when asked to smooth things over, the doctor responds: “I think the lack of my having done something makes that really quite difficult” (p.31).  She is labelled anti-Catholic and her car is painted with a swastika.  Her choice for head of pharmacology, also Jewish, is deliberately rejected by the board in favor of a Catholic.  The funding for the institute’s new building is suddenly in doubt as a formal inquiry is opened by the Minister for Health. Disgraced, Dr. Wolff is forced to resign.    

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Grief

Barrett Browning, Elizabeth

Last Updated: Jan-24-2023
Annotated by:
Ratzan, Richard M.

Primary Category: Literature / Poetry

Genre: Poem

Summary:

Published in 1844, "Grief" is one of several sonnets Elizabeth Barrett Browning (EBB), the oldest of twelve children, wrote following the death of her 33 year old beloved brother and immediately younger sibling, Edward (nicknamed "Bro"), by drowning in 1840. (Another brother, Samuel, had also died, 5 months earlier at age 28, in Cinnamon Hill, the family's estate in Jamaica, from a fever.) The other sonnets reflecting the numbing grief EBB felt (as expressed in her letters) after Bro's death are "Tears" and "Substitution". All were published in her 1844 Poems.

"Grief" is a Petrarchan sonnet describing the distinction between the poet's "hopeless grief" and the grief of men "incredulous of despair". She further instructs "deep-hearted man" to adopt the poet's form of grief, to "express/Grief for thy Dead in silence like to death". This "silence like to death" reflects EBB's movement to speechlessness and silence following Bro's death. (ref = Billone)



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