Summary:

The story opens on the day that Ridgeon, a prominent research doctor, is knighted. His friends gather to congratulate him. The friends include Sir Patrick, a distinguished old physician; Walpole, an aggressive surgeon; Sir Ralph Bloomfield Bonington, a charismatic society doctor; and Blenkinsop, a threadbare but honest government doctor. Each one has his favorite theory of illness and method of cure. These are incompatible--one man's cure is another man's poison. Nonetheless, they all get along.

A young woman (Mrs. Dubechat) desperately seeks help for her husband from Ridgeon, who has evidently found a way to cure consumption by "stimulating the phagocytes." Ridgeon initially refuses, but changes his mind for two reasons--Dubechat is a fine artist and Ridgeon is smitten with his wife.

When the doctors meet Dubechat, however, they find that he is a dishonest scoundrel. Ridgeon eventually decides to treat Blenkinsop (who also has consumption) and refer the artist to Bloomfield Bonington, this insuring that he will die. In the end Ridgeon justifies his behavior as a plan to let Dubechat die before his wife find out what an amoral cad he actually was. This, in fact, happens and Dubechat's artistic reputation soars.

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This is a collection of medically related stories and poetry, most of which were previously published in medical journals like JAMA (Journal of the American Medical Association), Annals of Internal Medicine, and the American Journal of Medicine. "Country Doctors of Humble Pie," "Boss Cow," and "Discipline" are humorous tales about small town medical practice. "Second Opinions," "Net Worth," and "Making Friends" are stories of patients and their idiosyncrasies.

"Hafiz Ali Goes Home" concerns a dying man who wishes to return to his home village to die, rather than dying in the sterile confines of the hospital. The story details the misadventures of Hafiz Ali's two sons as they attempt to carry out his last request.

Many of the poems deal with clinical diagnoses ("Zoster" and "Lupus Erythematosis") or the history of medicine ("Towne of Guy's" and "The Turning"). "Doing Post-Mortems" is a thoughtful poem about the war (or relationship?) between the sexes in medicine.

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This story is subtitled, "An Artist's Story." The narrator is a landscape artist living on the estate of his friend Belokurov. Nearby is the home of the Volchaninovs, a mother and two daughters. The older daughter, Lydia, is a teacher and social activist. The younger daughter, Zhenya (Missie), is warm and lovable. The narrator insists that Lydia's political and social views are wrong.

"In my opinion," he says, "medical centers, schools, village libraries and dispensaries, under present conditions, merely serve the cause of enslavement. The people are entangled in a great chain, and you are not cutting through the chain, but merely adding new links to it." (p. 223). Lydia replies, "It's true we are not saving humanity, and perhaps we make a great many mistakes; but we do all we can, and--we're right." (p. 224)

The narrator falls in love with Zhenya, who responds to him, but he makes the mistake of telling Lydia, who despises him. The next day Lydia has sent her mother and sister away. The narrator never sees them again, although he still has a faint hope: "I begin to feel that she, too, remembers me, that she is waiting for me and that we shall meet one day . . . ." (p. 231)

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The poet expresses pity for all the poor, poor animals--for dogs, for mice, for earthworms, even for the "protozoons / that sway their cilia / so desperately." On the other hand, "patients / with progressive amyotrophic lateral sclerosis can just / fuck off." They should go live in the world of Hieronymus Bosch. [21 lines]

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This is a collection of partly fictional, partly autobiographical stories about a young Russian doctor sent to practice at a rural hospital immediately after graduating from medical school. Muryovo hospital serves the peasantry in a remote region lacking decent roads and amenities like electricity. The doctor works day and night, aided by a feldsher and two midwives. Sometimes he sees over 100 patients a day in his clinic while attending to another 40 in the hospital.

The stories reveal in a clear, engaging style the doctor's anxiety as daily he encounters new problems (his first amputation, his first breech presentation, his first dental extraction) and-- for the most part--overcomes them. They also reveal a constant tension between the peasants' ignorance and the doctor's instructions. Full of blizzards and isolation, the stories are also warm and companionable, with vignettes of friendship, gratitude, and nobility.

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This poem begins: "Move him into the sun." It has snowed overnight, but now it grows warmer. The sun has always awakened him before, but will it now? "Think how it wakes the seeds." It even gave life to "the clays of a cold star." Surely, there must be more warmth, more life, and more meaning than this. "O what made fatuous sunbeams toil / To break earth's sleep at all?" [14 lines]

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Once in a while someone fights for breath. The crowd around him continues with its business, not realizing that inside the man there might be something drastic going on. There might be a sea monster growing, or a raven named Nevermore, or "a huge muteness of fairy tales," or "the wood-block baby that gobbles up everything." Medical tests show that the lung is vanishing and becoming "an abandoned room" in a queer world where "only surgeons / write poems." [34 lines]

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This poem is a detailed description of a hospital, focusing on the patients waiting in the outpatient department. The detail proliferates about these "humans, caught / On ground curiously neutral, homes and names / Suddenly in abeyance." These people drink tea and read paperbacks as they wait "to confess that something has gone wrong."

Outside the hospital the world is different, almost unreal. Occasionally, a nurse comes and beckons a patient to come in. "Some will be out by lunch, or four; / Others, not knowing it, have come to join / The unseen congregations whose white rows / Lie set apart above . . . " [64 lines]

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The 18 poems in this chapbook (26 pages) focus on caring relationships, especially between nurse and patient. In "Standing There" the poet admits that "our history isn't an album of healers." There is little to be triumphant about in the world of nursing and medicine: "Our story is how we did not break / and run--no matter how close / the lightning gouged." In "Blue Lace Socks" she evokes a nurse beside the bed of a dying child, "listening for the whisper of her blood pressure."

"Butterfly," a poem about caring for young men with AIDS, is characterized by honesty and sensitivity: "They cough as I enter their room, / and something in me stiffens." Yet, the nurse is able to close the gap between herself and the patients and demonstrate her care: "they are migrating back to the cocoon, / the place where brown masks / protect the unbeautiful." Some of the other poems deal just as sensitively with the explosive topics of childhood sexual abuse ("Taste of Tin") and rape ("This Red Oozing"). Blue Lace Socks", Butterfly, and This Red Oozing have been annotated in this database.

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A nurse works at the bed of a child who is an accident victim: "She is not yet dead." Even though they are about to transport the child by helicopter, there is no question that she will die. The poet brings the reader into the immediacy of the moment in which she is listening to "the whisper of her blood pressure" and the "Thump. Thump. Thump. Thump." of the helicopter's blades. There is no way, though, to reach the child: " . . . I want to put / my arms around her, / tell her we are all terribly sorry for this . . . . "

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