Summary:

Having remarried after a long and partly happy life with a woman who bore him three sons, novelist Campbell Armstrong lives in rural Ireland with his second wife. He learns that his first wife, who works in Phoenix, has advanced lung cancer and, with his second wife’s blessing, goes to spend time with her and their grown sons. In the course of that trip, he reflects on their life together, their romance, his alcoholism and its effect on their family, their move to the U.S., their losses, and the remarkably enduring affection between them and, surprisingly, between the first wife and the second.

Completely surprising all of them, a daughter his first wife gave up for adoption, who has searched for years for her birth mother, shows up in the months before Eileen’s death and makes the trip to Phoenix to meet her birth mother. Her appearance turns out to be a gift to the whole family. She assuages decades of sorrow and longing in both her and her mother’s hearts. She herself has cancer, not as advanced as her mothers. Both she and her mother work in health care professions. Much psychological and spiritual healing is accomplished between them in the short time they have before Eileen’s death several months later.

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The novel is set in Washington, DC in April, 1865. At fourteen, Emily is sole caretaker of her mother who is dying of tuberculosis. Her neighbor, Annie Surratt, is her best friend, though their mothers have been estranged for some time. Both families have deep roots in the South. Annie’s brother, Johnny, an object of Emily’s romantic fantasies, has recently left on a secret mission. The war is nearly over. Emily’s uncle Valentine, a physician, wants to take custody of her after her mother dies, but because her mother has also felt estranged from him, Emily resists. Still, after her mother’s death, she does go to live with her uncle, and learns that he (with his two assistants, one of whom is a woman who is 1/8 African American) has a lively practice among the poor and the African Americans who have flooded the streets of Washington since the emancipation.

Valentine is called to Lincoln’s bedside the night of his assassination, and participates in efforts to track down John Wilkes Booth and his accomplices, one of whom appears to have been Johnny Surratt, who has escaped to Canada. In the course of her time there Emily discovers that her uncle and his assistant are involved in elaborate, marginally legal, schemes to obtain bodies for study at the medical college. Emily, at first horrified by this discovery, comes to recognize the good that comes of anatomical studies and to sympathize with her uncle’s efforts to bring about legislation making the acquisition of bodies for medical research easier. Annie’s mother is hanged as an accomplice in the Booth conspiracy, Annie leaves town, and Emily comes to understand a great deal more about the harsh terms on which life must be lived in times of national crisis and ideological warfare. The story ends with her growing interest in medicine as a possible career path.

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At seven months, Remy, daughter and second child of Heather and Lon Davis, is hospitalized with a seizure that, after several days of agonizing uncertainty, is traced to a brain tumor. This narrative of her diagnosis and treatment, told by her mother and very much from her mother’s perspective, is not only a chronicle of a medical event, but, perhaps more centrally, of a spiritual awakening in the mother’s life. From a person uncertain about and largely indifferent to prayer, faith, and spirituality, Ms. Davis becomes, over the course of her daughter’s treatment, convinced of the presence of God, the power of prayer, and the availability of grace in precisely those circumstances that threaten life and lifestyle and bring individuals face to face with their deepest fears and deepest needs.

A series of “coincidences” makes her more and more aware of how little she controls in the grueling process, and how much of comfort, relief, and unexpected aid comes as unsolicited gift from un expected places. The child recovers, unlike several others the mother encounters during her weeks of witnessing hospital life. The mother emerges profoundly different for the experience, and clearer in her purposes as a writer and, eventually, a teacher.

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This novel is narrated by Katie Carr, who very much wants to be a good person.  She is a physician and a mother of two, and lives with her petulant husband, David.  David is the author of a column in the local newspaper called "Angriest Man in Holloway".  As their marriage falls apart, David undergoes a conversion at the hands of GoodNews, a young guru, and ceases to be sarcastic and angry, embarking instead on an effort to improve the world with acts of kindness.  Katie is forced to consider what it means to be a good person and how that affects whether to salvage her marriage, how to raise her children and how to be the type of physician she always considered herself to be.

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Twain paints a picture of an all female family of four: Margaret Lester, widow; her 16 year old daughter, Helen; and Margaret’s extremely proper twin maiden aunts, Hannah and Hester Gray, aged 67. It is a household in which "a lie had no place. In it a lie was unthinkable. In it speech was restricted to absolute truth, iron-bound truth, implacable and uncompromising truth, let the resulting consequences be what they might." With this background, Twain sets up a perfect scenario of hide-bound morality only to turn it on its head, an iconoclastic trick for which he is deservedly well known.

The doctor caring for the mother and daughter, suffering from typhoid, cuts the aunts’ pietistic morality about lying to shreds, demonstrates the shallow logic and inconsistency of it and predicts they will lie in a greater fashion than they can imagine. True to form, Twain has the aunts go to great lengths to falsify the condition of the critically ill daughter to the mother to prevent the truth from worsening her condition. The title derives from the final lines of the story when an angel of the Lord comes to their house and delivers the judgment for all their lies, a judgment the reader is asked to guess: Was it Heaven? Or Hell?

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This work, originally entitled "Three Women," is a semi-autobiographical story of Willa Cather, her mother and grandmother, four younger children--all boys--the father, and a servant girl, who all lived together in a small midwestern town. The roles of the three women are beautifully described: the gentle grandmother who cared for and taught the children, her daughter, a displaced "southern belle" who was spoiled in many ways but wise and loving with her children, and her granddaughter, a teenager set upon her own needs and ambitions but dutiful toward her family.

Another part of the story is the relationship of this family to a well educated neighbor couple who "kept a tender watch over the comings and goings of the household." It was in their home that the granddaughter found a library she could use and encouragement for her studies. Eventually it was this couple who made it possible for her to attend college.

The gradual, unnoticed deterioration of the grandmother ended with her death. The response of the family to this event is well described. Also the empathic relationship between the grandmother and the servant girl is very poignant. Even the death of a family cat adds to the depth of the story in a metaphorical way.

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The speaker of this poem undergoes surgery for some kind of abdominal cancer--the important detail being that her mother had recently gone through the same experience and died several months later. A number of images convey the strangeness and alienation of serious illness. The mother’s cancer is an "embryo of evil" that curiously grew inside her like her own daughter (the speaker). The hospital room is the place "where the snoring mouth gapes / and is not dear."

And at her mother’s bedside the speaker finds that she must "lie / as all who love have lied." Her body hair shaved for her own operation, the speaker finds important values have been stripped away: "All that was special, all that was rare / is common here. /. . . Fact: the body is dumb, the body is meat." Coming out from under anesthesia, the speaker calls for her mother.

Later she realizes that, unlike her mother, she will probably survive. The last lines are comic in a self-deflating way, as the speaker gives herself get-back-to-life marching orders partly in the voice of her mother, concluding: "and run along, Anne, run along now / my stomach laced up like a football / for the game." (About 120 lines, in 6- and 9-line stanzas)

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A daughter and her mother play out a psychological drama that is the culmination of a lifetime of poor communication and limited understanding. Laced with humor and a bit of the macabre, the scenes in this short, two-act play work inexorably toward the climax--suicide of the daughter and incomplete resolution of the mother’s confusion.

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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"!

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In March, 1981, in Vermont, Charlotte Bedford goes into labor. She has decided to give birth at home with the help of a midwife, Sybil Danforth, but complications develop. Charlotte has a seizure, her heart stops, and she does not respond to CPR. The fetus is still alive, so Sybil delivers him successfully by Cesarean section, with a kitchen knife. But the bleeding when Sybil makes the incision convinces her assistant that the patient’s heart was still beating. She reports this to the police and Sybil is put on trial for involuntary manslaughter.

The story of the trial is told by Sybil’s daughter, Connie, fourteen years old at the time and now an obstetrician-gynecologist. The acquittal comes at a price: the midwife finds herself no longer capable of delivering babies, and both she and her daughter are given a new insight into the uncertainty which underlies so many of medical decisions. At the end of the novel we are left uncertain whether or not Charlotte was still alive when her baby was delivered.

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