Summary:

The memoir is divided into roughly two halves: before Mike's death and after Mike's death. The narrator is one of the dying man's circle of gay and lesbian friends, and becomes, for unclear reason's, his most involved caregiver. She goes to his apartment on summons at any hour, flies to Memphis when Michael is hospitalized after collapsing, loans him money, and endures relentless psychological abuse as his cognitive powers fade.

In the second half of the book, the writer reflects. Her anger toward Mike's disease, AIDS, and Mike himself does not seem tempered by the passage of time. She is still struggling at the end of the tale, more than two years after Mike's death.

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Slater subtitles her book, A Therapist's Memoir of Madness. Embedded in this definition are two elements: a psychotherapist's composite experiences with a small cadre of patients and the therapist's personal experience with a mental disorder. The author draws the reader into a fascinating series of anecdotes based on therapeutic encounters.

These stories are as much, if not more, about the therapist's deepest responses to her patients than about the patient him or herself. This particular approach adds an element of confession to the work that one does not often find in clinical studies. And, finally, Slater takes the reader backward in time to her own past as a woman with profound emotional pain.

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Doris Grumbach, novelist and critic, experienced the landmark of her seventieth birthday as a traumatic event. She resolved to keep a diary during the months surrounding this time, both to record her "despair" and to seek answers to "what has my life meant?" The result is a relentless reflection on the losses associated with growing old, and on the loss of civility associated with contemporary urban life. Yet there is the liberation which age allows, in setting priorities and discarding the trivial. Ever observant and informed, Grumbach’s commentary on the present and the past is both interesting and moving.

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This autobiographical account of Dr. Lown's five decades of practice and research in cardiovascular medicine is both a history of the field and a history of a man passionately interested in people and healing. The book is divided into six sections: Hearing the Patient: The Art of Diagnosis; Healing the Patient: The Art of Doctoring; Healing the Patient: Science; Incurable Problems; The Rewards of Doctoring; and The Art of Being a Patient.

The first three sections comprise the bulk of the book: Lown chronicles his early medical training and career through stories of memorable patients, anecdotes about key role models (particularly Dr. Samuel A. Levine), and histories of medical mistakes, diagnostic acumen, and his remarkable research innovations. These achievements include the introduction of intravenous lidocaine, cardioversion and defibrillation, and development of the coronary care unit.

The core of the book, however, is about how deeply Lown cares for his patients. He states, “This book is a small recompense to my patients, ultimately my greatest teachers, who helped me to become a doctor.” The book contains many reflections on medical practice, such as this definition of medical wisdom: “It is the capacity to comprehend a clinical problem at its mooring, not in an organ, but in a human being.”

In a thoughtful chapter on death and dying, Lown muses on his emotional and spiritual responses to encounters with death, and bemoans the medical profession's increasing tendency to “put technology between us and our patients, to spare us the grief of failing to confront our own mortality.” In the final chapter, Lown takes an unusual twist, and writes a treatise to patients on how to get the doctor to truly pay attention to them and what are reasonable expectations to have of one's doctor.

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Terry Tempest Williams, a thirty-four year old Mormon woman and naturalist based in Salt Lake City, Utah, considers herself part of "The Clan of One-Breasted Women." Ten women of her family, including Williams, have been treated or have died from breast cancer. Is this just an example of the randomness of nature, or is it related to the fact that Williams and her family were residing in the "virtually uninhabited" plains downwind of the atomic bomb testing grounds from 1951 to 1962?

When her book begins, Williams' mother has just been diagnosed with ovarian cancer, and the book follows the next five years of her life and death. At the same time, the Great Salt Lake is rising to record heights, flooding the Bear River Migratory Bird Refuge and scattering the birds and animals with whom Williams has lived her life. The interplay of the uncontrollable elements of nature and the inevitability of life and death make this book an elegant study of "renewal and spiritual grace," and an excellent and unusual telling of a daughter learning how to grieve for her mother.

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In this reflective memoir, a son in his mid-forties recalls the final years of his mother's life, the mystery of her changed being as she succumbed to Alzheimer's disease, and the long weeks and months he spent as caretaker, confronting the mystery of his own life and the role of memory in it by witnessing at close range the closing down of both life and memory in her. The book is candid about the whole range of feelings--including the most unexpected and unwelcome--associated with the difficult decision to bring an aging and infirm parent into one's household, care for her, reconfigure family life, and consent to the disconcerting inversion of parent-child roles.

Each of its forty short chapters is a lyrical moment. Daniel weaves memories of his mother's life--musing about those parts he can only know second hand--and exquisite portraiture, with ongoing reflection about his purposes in writing; what gifts there may have been in the difficult process of seeing her through a difficult passage into death; and how some of those gifts unfold only in the aftermath. His speculations about the inner life of an Alzheimer's patient add nothing to medical understanding, but model a deeply edifying kind of compassion and will to imagine beyond the failures of mind and body to a silent, inarticulate self that still deserves to be honored.

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Berczeller was a Hungarian doctor who was forced into exile by the Nazi occupation. He traveled to Paris, to Morocco and finally got a medical license in the United States. A Trip Into the Blue is a collection of ten short stories about his experiences originally written for the New Yorker.

In "The Morphinist" he writes about the first time he was left in charge of the small hospital where he first practiced. A corpse was brought in that turned out to be alive. The man had tried to kill himself with morphine and Berczeller spent all night keeping the man awake and preventing him from trying to suicide again.

"Paternity" recounts an experience Berczeller had while setting up a practice in his rural hometown. His patients wanted more from him than simply medical expertise; he had to become a moral judge and counselor. In "Sodom and Gomorrah" he recounts how he almost became a film star instead of a doctor.

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