Showing 351 - 360 of 615 annotations contributed by Coulehan, Jack

An X-Ray of Longing

Downie, Glen

Last Updated: Oct-17-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

The first full-length collection of poetry by a Canadian medical social worker who cares for cancer patients and their families. The "longing" of the title expresses the human yearning for love, knowledge, completeness, and healing.

Many of these poems deal with the process of revealing the inner workings of the world (and the inner truth of persons) through photography; see "Darkroom: 1," in which, "I watched you emerge / take on form / and intensity." X-ray photography, of course, takes this one step further, allowing us to see the insides of bodies.

The long last section of the book includes 24 poems that deal explicitly with illness and health care. Among the best of these are "Worker Classification: Material Handler," "Hand to Mouth," "Wishbone," and a sequence of short poems called "Post-Mortem Report."

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The Cherry Orchard

Chekhov, Anton

Last Updated: Aug-29-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Plays

Genre: Play

Summary:

Madame Ranevsky returns to her estate after five years in Paris, where she had fled after the accidental death of her young son. In the interim her brother and adopted daughter have been running the estate, which has gone hopelessly into debt, largely because of Madame Ranevsky's improvident life style. As she and her adolescent daughter Anya arrive, friends and retainers have gathered to greet them. Among these are Trofimov, her dead son's tutor and an ineffectual idealist; and Lopahin, a brilliantly successful businessman whose father had once been a serf on the Ranevsky estate.

The family's beloved cherry orchard, along with the house and the rest of the estate, are about to go on the auction block. Lopahin proposes a solution: break up the cherry orchard into building plots and lease them to city folks to build summer villas. This would generate an annual income of 25,000 rubles and, thus, solve all of Madame Ranevsky's financial problems. She refuses to consider cutting down the orchard. Her brother, Gaev, gravitates ineffectually around the problem, suggesting various harebrained schemes to raise money, but in the end he believes there is no solution: "Someone gets sick, you know, and the doctor suggests one thing after another, that means there's no cure . . . " (p. 346)

The auction occurs, and, lo and behold, Lopahin himself has purchased the estate with the intention of developing the property for summer villas. In the last act, as Madame Ranevsky and her family prepare to vacate the house, workmen hover in the background, ready to begin chopping down the orchard. Madame Ranevsky departs for Paris, and Lopahin leaves to pursue his business in the city. A much alluded-to liaison between Lopahin and Varya, the adopted daughter, dies on the vine, apparently because the businessman has neither the time nor inclination for romance. As the house is closed up, Firs, the senile 87-year-old servant, is inadvertently left behind.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Collection (Short Stories)

Summary:

This is a collection of humorous sketches first published in 1850. They purport to describe the youthful experience (and antics) of an elderly "swamp doctor" named Dr. Madison Tensas. In fact, they are the work of Henry Clay Lewis, a young Jewish-American doctor who, after graduating from the Louisville Medical Institute in 1846, set up practice in MADISON County, Louisiana, along the banks of the TENSAS River.

The Introduction of this edition, written by Edwin T. Arnold, locates Henry Clay Lewis and his work within the context of 19th Century "South and Southwest Humor," and briefly discusses each piece. One of his major points is that the swamp doctor's "odd leaves" contain a dark, almost Gothic strain, thoroughly mixed in with their humorous and prankish sensibility. (Perhaps "lack of sensibility" would be a better phrase to use to describe these sketches.)

The first brief sketch compares characteristics of the "city physician" with the "swamp doctor." After this, we follow the growth and development of "Dr. Tensas" from childhood through medical school and into his practice in the swamp country of Louisiana. Among the more notable sketches are "Getting Acquainted with the Medicine," in which the student's preceptor conceals his bottle of whiskey by labeling it "tincture of arsenic"; "The Curious Widow," in which the student prepares a gristly surprise for his snooping landlady; "Being Examined for My Degree," which demonstrates the comic vagaries of oral examinations; "My First Call in the Swamp," in which the newly minted doctor cures his first patient (more or less); and "How to Cure Fits," which presents a novel and efficient treatment for hysterical disorders.

If you want to find some genuine clinical wisdom in this book, look no further than "My First Call in the Swamp," where the author observes, "if you wish to ruin yourself in the estimation of your female patients, hint that the disease they are laboring under is connected with hysterics" (p. 146).

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Baptism by Rotation

Bulgakov, Mikhail

Last Updated: Aug-22-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A young doctor, recently assigned to a country hospital, is fraught with anxiety, especially over his lack of experience with obstetrical problems. One night the midwives call him; a woman is having a difficult labor. The fetus is presenting in a transverse position. The doctor must reach internally and “turn it around by the foot,” as Anna Nikolaevna, the seasoned midwife, reminds him.

The doctor has never performed this procedure. He buys time by going back to his room to consult the textbook (under the pretext of going for cigarettes). Finally, he can't avoid it any longer. He performs the rotation. It works! Both mother and baby are saved.

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Uncle Vanya

Chekhov, Anton

Last Updated: Aug-20-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Plays

Genre: Play

Summary:

A retired professor has returned to his estate to live with his beautiful young wife, Yelena. The estate originally belonged to his first wife, now deceased; her mother and brother still live there and manage the farm. For many years the brother (Uncle Vanya) has sent the farm’s proceeds to the professor, while receiving only a small salary himself. Sonya, the professor’s daughter, who is about the same age as his new wife, also lives on the estate. The professor is pompous, vain, and irritable. He calls the doctor (Astrov) to treat his gout, only to send him away without seeing him. Astrov is an experienced physician who performs his job conscientiously, but has lost all idealism and spends much of his time drinking.

The presence of Yelena introduces a bit of sexual tension into the household. Astrov and Uncle Vanya both fall in love with Yelena; she spurns them both. Meanwhile, Sonya is in love with Astrov, who fails even to notice her. Finally, when the professor announces he wants to sell the estate, Vanya, whose admiration for the man died with his sister, tries to kill him. But the professor survives and he and Yelena leave the estate.

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Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Autobiography

Summary:

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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Out of the Bag

Heaney, Seamus

Last Updated: Aug-14-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The poet conjures up the image of the doctor who delivered him and his siblings ("All of us came in Doctor Kerlin's bag"), the doctor who arrived at the house in his fur-lined coat and ascended to his mother's bedroom, and later came down and arranged the instruments in his bag (a "plump ark"), which by that point was otherwise empty. In the boy's fantasy, Doctor Kerlin's small eyes were "peepholes into a locked room," in which were strung "the little pendant infant parts / . . . neatly from a line up near the ceiling-- / a toe, a foot and shin, an arm, a cock."

On a visit to the ruined temple of Asclepius, the god of healing, the poet finds himself remembering Doctor Kerlin, and also the incident when, as an altar boy, he fainted during a procession at the healing shrine of Lourdes in 1956. Now many years later, he pulls up some tufts of grass from around the temple and sends them to friends suffering from cancer. He remembers entering the bedroom after Doctor Kerlin left, his mother on the bed asking, "And what do you think / Of the new wee baby the doctor brought for us all / When I was asleep?" [94 lines]

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Pityriasis Rosea

Plumly, Stanley

Last Updated: Aug-09-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

What can the poet discover in the rash of pityriasis rosea? "We say the blood rose, meaning it came to the surface / like a bruise . . . " He plays with several meanings, considering the possibilities of the size and shape of the pityriasis lesions; "the sickle, the scythe in the blood," for example, or "the ash after sex," or "the raw rose on the back of my hand." [28 lines]

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What Waiting Is

Carroll, Robert

Last Updated: Aug-09-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This chapbook consists of two parts. The first part is a sequence of 20 poems that describe the final illness and death of the author's father. He is "a man who won't die," a man who has survived the ravages of several chronic illnesses, but who now faces another surgery, "to have the toe / amputated before gangrene set in." Yet the father is finally "slipping / below the horizon." His son sits in the hospital corridor, imbibing the sights and smells of the present, while moving back and forth in his mind between the past and future.

At last his father dies. Life goes on, connection goes on. The author thinks about his son, "my son is lifting the world / on his back . . . " The second part of the chapbook is a long poem called "Kaddesh for My Father," modeled after Allen Ginsberg's Kaddish and written about a year after his father died.

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Candle, Lamp and Firefly

Gallagher, Tess

Last Updated: Jul-05-2001
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

What I remember most: you did not want / to go. The poet searches her memory for the scene--the dying man "like a cut rose / on the fifth day" turns into himself, drops, and deepens. She visualizes his weak arms embracing her, as she asks: "Is it good / where you are?" The word "daughter" echoes again and again, as she feels her father's body turn cold and pull away. In the end "I carry no proof that we met." Is the memory of this moment simply a dream? Or did this last embrace really happen? [42 lines]

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