Summary:

People can’t say goodbye / any more. They say last hellos. In this poem the narrator says his last hellos to his father, who is dying from a brain tumor. Cecil (the father) seems wise and cantankerous, reflective yet humorous.

His son asks, "Sorry, Dad, but like / have you forgiven your enemies?" Cecil replies that he must have because he doesn’t think about them anymore. Later, near the end in the hospital, he tells his son, "You’re bustin to talk / but I’m too busy dyin." The son concludes, "Snobs mind us off religion / nowadays, if they can. / Fuck them. I wish you God." [76 lines]

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While riding his bicycle, Paul Rayment, a 60-year-old Australian photographer, is struck by a car. He winds up in the hospital, has a leg amputated, and returns to his quarters to contemplate his future and deal with a series of nurses sent by the hospital social worker. Paul is divorced and has no living family.

His future looks bleak, and none of the nurses is satisfactory until the appearance of Marijana, a middle-aged Croatian woman with a young daughter, a teenage son, and a husband. The narrator gradually falls in love with Marijana, but by degrees his lust sublimates into an intense devotion to helping her son Drago survive his motorcycle phase and achieve his educational and professional objectives.

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A chance meeting with her former and most compassionate fertility doctor brought Wendy Wasserstein (at age 48, and after 8 years of effort) back to his fertility clinic. Two weeks later she got the news that she was pregnant, and six months after that, just as she was getting ready to tell her friends "that the twenty pounds I had gained were not the result of bad habits and anxiety," she developed preeclampsia and was hospitalized.

What follows in this ’Annals of Motherhood’ memoir is an account of her hospitalization; her subsequent delivery 16 days later of 1lb., 12oz. daughter, Lucy Jane (Lucy’s waving hand sonogram picture reminded Wasserstein of "Lucy in the Sky With Diamonds"); and her separation from Lucy, who spent two months in the neonatal intensive care unit.

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The Civil War antique, 104 year old "General" Sash, is the central figure. For him, "living has got to be such a habit . . . that he couldn't conceive of any other condition." This tale opens with a carefully crafted description of the absolute mutual inability of the principles--Sash and his 62 year old granddaughter, Sally Poker--to operate on the same wave length. Sally dotes on the fabricated fame of her ancient grandfather, and Sash, whose memory is essentially gone except for his recall of "beautiful guls" and his love of being on stage, lives for the moment while scarcely grasping it.

The story evolves around the later-in-life acquisition of a BS degree by Sally, and her need to have her "famous" grandfather behind her at the ceremony in his full Hollywood military attire. The anticipated day, a hot, muggy day in the south, arrives. The principles, with the addition of a 10 year old relative as wheelchair jockey, take their places for the ceremony. The final pages of the story enter--literally and figurative--into the head of the "General" as he perceives his personal "black procession."

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A scathing parodic dictionary, wherein how words are normatively and conventionally defined is replaced by what they often actually do mean. One of the many classic examples is Bierce's definition of "Bigot" as 'One who is obstinately and zealously attached to an opinion that you do not entertain.'

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Professor Sandra Bertman founded the Medical Humanities Program at the University of Massachusetts Medical Center and holds certificates in grief counseling and death education. This handbook outlines how she uses the visual and literary arts to "improve our professional abilities to deal with death and dying." Her premise is that the arts provide a valuable vehicle for exploring and making bearable the prospect and fact of death.

Bertman illustrates her presentation technique (Chapter 2) of juxtaposing dual images around six central themes, here abbreviated: the chosen death; death and afterlife; existential aloneness; loss of control, unmentionable feelings, grief; the land of the sick vs. the land of the well; the moment of death. The book offers dozens of paintings, sketches, and photographs (reproduced in black and white), as well as many literary excerpts. Classic works are represented (David's painting, The Death of Socrates; Michelangelo's sculpture, "Pieta"; Tolstoy's novel, The Death of Ivan Ilyich) but there are many unusual representations as well--greeting card messages, epitaphs, cartoons.

In addition, some groups with whom she works (for example, medical students studying Gross Anatomy) have submitted their own drawings and commentary. These are shown in Chapter 3, along with written responses to a follow-up Death Attitude Questionnaire. Responses are from junior and senior high school students; college students; medical students; graduate nurses; hospice volunteers.

Chapter 4 gives suggestions for how to use images and texts and for how to approach discussions of loss and grief. The course syllabus for "Dissection, Dying, and Death," taught with Gross Anatomy, is appended, and there is an extensive bibliography.

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In 17th Century Dutch depictions of "scenes from everyday life," the so-called genre paintings, the single most popular medical representation is the "Doctor's Visit." Among the most comical and complex are those of Jan Steen, who painted at least 18 works with this theme. Typically the patient is a young female, often suffering from a variety of illnesses related to love, either "love sickness," erotic melancholy, or pregnancy. [See relevant paintings by Steen at the Web Gallery of Art: "The Doctor and His Patient," "Doctor's Visit," and "Love Sickness," at http://www.wga.hu/frames-e.html?/welcome.html. Select "S" from Artist Index, scroll down for Steen, select "Page 1".)

In this painting, the doctor looks with concern at his patient, a young girl, dressed in silk and leaning on a table, as he takes her pulse. Behind her stands a smirking young man who holds a holds a herring in one hand and two small onions in the other. At her feet is an opened letter, alongside a bowl with a piece of burnt ribbon, and a heating box filled with coals, known as a brazier. Behind the physician, a woman playing a harpsichord smiles at the young girl. Behind her, a maidservant beckons a tall, dark, and handsome young man in a red cloak to enter the room.

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Gilbert Adair has a flair for French settings in the latter half of the twentieth century (The Holy Innocents, Key of the Tower) and this novella is no exception. Gideon, the narrator, has moved to Paris in the early 1980's in order to teach English at the Berlitz school. Although he detests 'dreary' London and has only a distant relationship with his parents ["The only thing we had in common was our kinship. Did we even have that?" (2)], the reason he gives for his move is obliquely described in a lengthy discussion of his unhappy, unfulfilling, often humiliating sex life.

Once in Paris and at work, he befriends a group of fellow teachers at the school. After languid hours gossiping in the staff room and teaching their students, they make variably energetic attempts to live interestingly bohemian and erotic Parisian lives, before and during the first intimations of AIDS. The narrator then describes how AIDS affects his friends and his own life.

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This novella is narrated by Daniel Pecan Cambridge, a man who previously worked in numerical codes at a large computer company before essentially becoming a recluse in his own apartment due to his increasingly debilitating rituals, routines, and anxieties. His more incapacitating obsessions and compulsions include the maintenance of 1125 wattage of lights shining in his apartment at any one time and the inability to cross over curbs. This latter obsession requires of him that he crosses the street at "dugout" car driveways and that even regular trips to the Rite-Aid drugstore for medications and groceries result in "figure-8" routes.

He is clearly socially inept, with helpless fantasies about his pharmacist, Zandy, and the real-estate agent, Elizabeth, who is trying to lease the apartments across the street. Nevertheless, his upstairs neighbors, Phillipa and Brian, become his friends almost against his will, and his weekly visits with a training "shrink," Clarrisa, turn into a less professional and more personal relationship. It is this latter relationship with Clarissa and her son Teddy that develops into a moving portrait of friendship and longing.

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The physician-narrator celebrates his 24th birthday in the company of two midwives and a feldsher (physician’s assistant). They toil in a remote area of Russia where conditions are harsh. The doctor tells the group about a peasant woman who requested a refill of belladonna (an atropine-like drug) that was prescribed for stomach pain the day before. Although the instructions were to take five drops as needed, the bottle was completely empty already. Since the woman had no signs of belladonna poisoning, the feldsher concludes she shared it or maybe even sold it to other villagers.

The group shares other stories about patient mistakes and misguided beliefs. That same night a man comes to the doctor’s house. He is a miller suffering from recurrent fevers. The physician diagnoses malaria and remarks how sensible and literate the patient is. Powdered quinine is prescribed to be taken once a day before the onset of fever. Soon the doctor receives word the miller is dying. The patient has defied the instructions and taken all 10 doses of quinine at one time to expedite his recovery. His stomach is pumped, and he survives the overdose.

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