Summary:

The title of this collection of poems recalls the formulaic statement by which a physician introduces a patient's medical problem or chief complaint. For example, "The patient presents with a history of fever, abdominal cramps and diarrhea for the last 24 hours." Or, "The patient presents with a long history of hypertension and diabetes." In this case, though, Dr. White's patients' presentations are poems, rather than chunks of sanitized medical jargon; and, while the patient remains a key character in most of these works, they also present the doctor's story.

Domestic violence, child abuse, and sexual abuse figure prominently in these poems. In "365" (p. 1) a five year old girl presents with "a foul smelling vaginal discharge"; she was a victim of rape. Baby "John Brown" (p. 9) has 47 fractured bones and was "dipped in boiling water" for soiling himself. In "Ironing" (p. 18) a first grade girl has the impression of an iron burned into her thigh. And the two-year-old girl in "Peek" (p. 49) is admitted to the Intensive Care Unit (ICU) with cigarette burns and a liver fracture.

Dr. White also writes of babies left behind by their mothers ("Autumn Angels," p. 3), homeless mothers and children ("Numbers," p. 42), and complex multigenerational family pathology ("Riddle," p. 50). All in all, these stories carry the reader very close to "Looking at the Gates of Hell" (p. 32).

Yet, a still, small voice of calm, maybe even of salvation, can appear in the most unlikely places. In "Belly" (p. 4) the physician lays her face against a baby's belly and "the warm brown skin calms my forehead. / All stiffness melts." In "Maplewood & Greene" (p. 36) she revels in seeing "three little girls on roller skates." And in the Whitmanesque poem called "Oh" (p. 45), she gloriously affirms, "Oh to laughter, oh to sorrow / Oh to a better day, oh tomorrow."

View full annotation

Summary:

The time is 1963; the place, Port Elizabeth, South Africa. In their lower middle-class home, Piet Bezuidenhout and his wife Gladys are waiting for friends to arrive for dinner. Piet is an Afrikaner man who hasn't achieved much in life, but has found sustenance and meaning in liberal politics. His wife is a South African of English descent, who, we later learn, has recently returned home from being hospitalized for a nervous breakdown. Visible on the stage (or at least to the protagonists) is Piet's collection of indigenous aloe plants. He is attempting to classify a new aloe that he has just found, but which doesn't appear to fit into any of the listed species.

Their awaited guests are Steve Daniels and his family. Steve, a colored man whom Piet met in his political work, was recently released from jail, where he had served time for "subversive" activities. We learn that Steve has obtained a one-way exit permit; the following week he plans to sail with his family to England. When Steve finally arrives two hours late (and a little worse the wear from drinking), it turns out that his wife and children stayed home. In fact, everyone in the movement, including Steve's wife, believes that Piet (the white man) is an informer.

As the two old friends begin to talk, the conversation becomes painful; they circle cautiously around important personal questions. Was Piet really the informer? What happened to Gladys that caused her nervous breakdown? And, finally, why has Steve decided to give up the political struggle and go into exile?

View full annotation

Summary:

Sapphira was a fashionable young woman in Winchester when she married Henry Colbert, a man beneath her station, and moved to a rugged backwoods village, where they have lived for more than 30 years. Twenty of Sapphira's slaves came with them. This caused somewhat of a sensation among the poor, non-slave owning population of the region, where even to this day the Colberts are admired but not well-liked. Henry successfully took over the village grinding mill, while Sapphira assumed the role of local granddame. They had three daughters, all of whom married and moved away. However, Rachel's husband died, and she returned to Back Creek with her two young children.

Sapphira and Rachel are lay nurses who often visit and comfort the sick. Sapphira appears to do this work out of a sense of noblesse oblige, but Rachel feels empathy for the sick and less fortunate. She sets herself above nobody. Rachel is also an abolitionist at heart (as, to some extent, is her father), but Sapphira is firmly convinced that slavery is not only necessary, but also moral. Henry, a rather ineffectual male presence in this story, has responded to Sapphira's haughty regime by gradually withdrawing. In fact, he has largely abandoned the Big House to live at the mill, which he justifies by claiming the lack of a reliable foreman.

Sapphira suffers from severe dropsy. Her swelling is so bad she can no longer walk. She is jealous of a young slave named Nancy, with whom she believes Henry is having an affair. Much of the novel describes Sapphira's attempts to get rid of Nancy, first by selling the girl in Winchester, and later (when Henry refuses to sell) by importing her ne'r-do-well nephew to rape and destroy Nancy. This doesn't work either, primarily because Rachel takes Nancy under her wing and arranges her escape to Canada via the Underground Railroad.

View full annotation

Summary:

When shooting a music video in Cuba, director Carlos Macovich chooses a young Havana jintera to dance opposite the model Fabiola Quiroz. Several years later, he returns to find out what happened to the pretty, feisty girl they picked off the street to dance in their video. The documentary explores Yuliet's and Fabiola's relationships with the families, their fathers, and each other.

View full annotation

Summary:

Dr. Robert Weiss passes through the town of Sankt Vero in the Tirol and rents a room from the Lukasser family. During the night, the Lukasser's son, Niki, develops acute appendicitis; the visiting doctor operates right there on the kitchen table, saving the boy's life. Years later, when war rages in Europe, the Jewish doctor returns to Sankt Vero and knocks on the Lukasser's door. He tells of soldiers forcing men, women, and children into railroad cars, and how he himself--he who had saved Niki years before--needs asylum.

To hide Dr. Weiss, Mr. Lukasser boards him up in a small room in the back of the hayloft, a space one meter wide and three meters high. For two years, the doctor exists in this box. Niki and his friend, a blind girl named Sigi, bring Dr. Weiss food once a day and, for ten minutes or so, they stay and talk. Sustained by Niki and Sigi's lives--the stories of their discoveries of sexuality, cruelty, and love--the doctor survives.

Although Sigi is blind, she has the insight to recognize and try to alleviate the doctor's growing depression by encouraging him to tell his own stories. It is through these stories and through the doctor's observation of Sigi and Niki's blossoming adolescence and struggles with morality that we experience both the doctor's confinement and the powerful conflicts and transformations that rage behind the doors of Sankt Vero.

View full annotation

Summary:

In Especially Then David Moolten discovers his poetry in the ordinary, often painful, texture of childhood, adolescence, love, and marriage. Each memory becomes a small story-like poem that looks simple and straightforward at first, until suddenly the poem reveals its hidden truth.  A sense of existential loss pervades these poems, as in “One morning as a man’s wife offers to fill / His empty bowl he feels suddenly desolate / For how plain he has become…” (“Cornflakes,” p. 31)  But Moolten’s melancholy is sweet, rather than bitter; energized, rather than depleted; and cumulatively powerful, as “The tractor / Of memory drags on, churning its femurs, / Its numbers and dates.” (“Verdun,” p. 64)

Especially Then is ripe with traumatic events: A father’s abandonment, “During that proud, petulant year my father left / And I became a punk, nothing could touch me.” (“Achilles,” p. 17). A brother’s death: “in the shallow dark of years since / I buried my brother…” (“Pulled Over on I-95,” p. 23) Divorce, “despite the years between you / And a hard divorce, the unshrived recriminations…” (“Seen and So Believed,” p. 51) And a wife’s death, “As if his wife had always gone / By the name of death he thinks of her / Whenever he sees or hears the word.” (“In Name Only,” p. 49)

These ordinary tragedies play out against a panorama of tragedy, as evidenced in “Photograph of a Liberated Prisoner, Dachau (1945)” and “The War Criminal Gives His Testimony.” Most often, though, the world’s suffering has little impact on the way we live our lives, “Someone at the next table sighs / Over Guatemala, the tragedy / Of having read an article or watched / A TV special…” (“Who You Are,” p. 53) We go on as we always do.

View full annotation

Summary:

Toward the end of the Spanish Civil War, Manuel’s biological father, Jorge de Son Major, dies, finally recognizing him in his will. His social father, Jose Taronji, had been killed only two years before. Manuel, newly rich but philosophically impoverished, seeks a secular spiritual father in "Jeza", an imprisoned rebel leader, and Jose’s comrade. When Jeza is killed, Manuel informs his wife, Marta, and together they plan a final revolt. They use Jorge de Son Major’s boat, Antinea, to deliver rebel documents, then make one final, "crazy," fatal stand, to honor and mourn Jeza, to remember and create themselves.

View full annotation

Summary:

The poet describes a loving scene "entwined with you / on the long sofa . . . . " She playfully clips hairs from her husband’s nose as they listen to Wagner’s Tristan und Isolde. Later the same year, he kills himself, "you were dead / by your own hand . . . / I have never understood."

View full annotation

Summary:

One morning in the shower Joyce Wadler, "a journalist, forty-four, Jewish, never married," discovers a lump in her left breast. In this brief, bright, and very readable account, Wadler describes what happened next, taking us through medical examination, diagnosis, and successful lumpectomy and chemotherapy.

But this is much more than a simple patient’s story. For one thing, Wadler is an intrepid researcher, and we learn a good deal about breast cancer and the often agonizing therapeutic choices its victims face. For another, she does not separate her medical adventure from the rest of her life, which includes a day job as a writer for People magazine, a book project, a semi-functional relationship, and a Jewish mother.

Finally, Wadler uses her ironic-sardonic sense of humor to great advantage--remarking, for instance, that through her post-diagnosis impulse to live in the present and not worry about her lover’s monogamy, cancer had made her "the dream girl of every uncommitted man in Manhattan"!

View full annotation

Summary:

This troubling narrative opens with, "They say you see your whole life pass in review the instant before you die. How would they know? If you die after the instant replay, you aren’t around to tell anyone anything" (120). The narrator, a newborn girl on her way down the garbage chute from the 10th floor of an apartment building, reflects on what might have been had she lived long enough to have experienced life.

The structure of the piece moves the reader from floors ten, nine, into the game of chance played with dice, to "The Floor of Facts." At this juncture, the newspaper account of the newborn dead in the trash is iterated in its cold truths. The narrator laments, "As grateful as I am to have my story made public you should be able to understand why I feel cheated, why the newspaper account is not enough, why I want my voice to be part of the record" (123). The narrator shifts gears and begins to explore what her life might have been had she lived beyond these few hours.

She enters a "Floor of Opinions," where her own beliefs must be voiced and for which there must be room on the "Floor of Facts." She speculates, based on the experiences of her socioeconomic--and possibly racial--situation, whether her death will serve any purpose. On the "Floor Of Wishes" she imagines things she would have likely loved, such as Christmas. From this point, the narrative, in quick and painful anecdotes, draws the reality of the powerlessness, the limitations of love, and the brutality suffered by those in the clutches of urban poverty. Then the narrator enters the garbage compactor at the bottom of the chute, inviting us all to join her "where the heart stops."

View full annotation