Summary:

A pediatric intern encounters her first dying child. Her initial response is to care for the child, hold him, and try to comfort him. She is told by her attending physician that this behavior is unprofessional. When she cries in response to her stress and grief, she is told she will never be an effective physician. The narrator then describes how she ultimately came to terms with her impulse to cry at stressful times, and how she interacts with patients in her current practice.

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A mother reflects on her life in the country and on her son who has a seizure disorder. She is nervous about allowing him outside to play because it is hunting season, and because she is worried he may have another seizure and get hurt. She seeks to balance her need to protect her son from harm with his need to grow up as normally as possible.

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The author describes her experience of growing up with hearing loss. In this excerpt, she describes herself as a six year old orphan who is being raised by two aunts. Young Frances tries to hide her hearing loss from her aunts because she is afraid they will recognize that she is inferior or useless and get rid of her. She invents an invisible friend who chooses to hear what he wants to and who doesn't feel ashamed of this disability.

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The thirty-four autobiographical essays were written while Klass was a medical student in the Harvard class of 1986. Many of her short chapters were previously published as columns in magazines, journals and newspapers. The insightful but often funny stories cover a variety of scientific and clinical subjects, lifestyle, eating habits, and relationships with other professionals, including nurses.

Pregnancy and the birth of her son half-way though training makes her experience somewhat unusual. In several other essays, including "Macho" and "Learning the Language," Klass reveals her particular sensitivity to language and the advantages and disadvantages of professional discourse.

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Doctor Marigold, named for the man who delivered him, is a "cheap-jack" who hawks sundries from a traveling cart he inhabits with his wife and his daughter Sophy. The mother beats Sophy, but Marigold, feeling powerless, does nothing to stop her. When the child dies of a fever, her guilt-wracked mother commits suicide.

Doctor Marigold's lonely fortunes reverse when he adopts a deaf and mute girl whose mother is dead and whose stepfather, owner of a traveling circus, beats her. Marigold acquires the child for three pair of braces (suspenders), names her Sophy, invents his own system of sign language to teach her to read and converse with him, and finally sends her to a "deaf-and-dumb establishment" in London to complete her education.

When Sophy falls in love with another student, her father encourages her marriage, while feeling it as a terrible loss. Sophy writes him of her baby's birth and of her fear that the child will be deaf. The story culminates in Sophy's return and Doctor Marigold's realization that his granddaughter can hear.

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The Ramsay family are spending the summer in their holiday house on the Isle of Skye. Mr. Ramsay, a mathematician, and his wife, who runs the home, have eight children, including the beautiful Prue, who is likely to be married soon, and James, the youngest, still fiercely attached to his mother. There are also assorted guests, including Charles Tansley, one of Mr. Ramsay's students; Lily Briscoe, a keenly observant painter; and Mr. Carmichael, an opium-addicted poet.

James wants to be taken by boat to visit the lighthouse and his mother encourages him, but his father, enraging James, says it'll be impossible because of the weather. That night Mrs. Ramsay gives a dinner party where she orchestrates the complex dynamics of the family and their guests into a perfect social unit, which is presented as a kind of work of art.

This is followed by a short interlude, "Time Passes," which marks a shift in scale from the human to a wider view, where encroaching darkness and dissolution threaten the house and the lives connected to it. During this period, Mrs. Ramsay dies, Prue marries and then dies in childbirth, and a War takes place in which Andrew, another son, is killed.

All these events are diminished by the universal context of time and change against which Woolf places them. The final part of the novel returns to the human scale. About ten years later, the surviving characters are back at the house and Mrs. Ramsay, though dead, continues to be the central figure, motivating much of what occurs. Mr. Ramsay now takes the still-angry James to the lighthouse, and Lily Briscoe, inspired by her memory of Mrs. Ramsay, is at last able to complete the painting she began years before.

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A strange Irish girl is "away" ever since she lay beside a drowned man. A teacher marries her, providing stability if not sanity, but the 1840s famines begin and the couple flee Ireland with their child Liam. They establish a homestead in a remote part of Ontario where a baby girl, Eileen, is born.

Not long after, the mother disappears and is not seen again for years until she is brought home dead. The son learns that she had been living by a lake immersed in her fantasies of the long dead lover. Eventually, Liam is left to care for his sister alone; they travel to a small port town where he realizes that Eileen has become an attractive young woman with desires of her own. She too goes "away" following a lover, but returns to Liam and his wife to live out her long and lonely life.

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Subtitled, A Memoir of an Alaskan Childhood, this spare, compelling work recalls young Julia's difficult and unusual life in a splintered family living "at the edge of the world." When Julia was born in 1929 the family had just moved to Seattle and entered an economic crisis--"somehow, my father had been bilked out of their money." (17) The marriage went downhill as poverty and the father's serious illness compounded an underlying conjugal incompatibility.

Julia was only seven years old when she and her older sister Lillian found their father dead--a suicide. "Nothing is said about how my father died, or even, in fact, that he is dead." (8) Not long thereafter Julia's mother, Rose, without any explanation or advance warning, left the girls at the Pacific Hebrew Orphan Asylum; there they remained for two years. Rose went to Nome, Alaska to try to find work. "Meanwhile, I strive to be a model orphan. I do all my chores . . . I'm quiet, do well in school, am extremely polite. And most of the time, I'm afraid." (33)

There follows another stay in a different orphanage. Here "I never hear my name . . . No one ever touches me. And, in my memory of that time, that place, I am always alone." (72) Finally, they join their mother again in a remote mining outpost of Alaska where Rose operates a roadhouse. Moving with the seasons back and forth between the outpost and the city of Nome, Julia's life takes on a semblance of normalcy. The environment is strange but interesting, the men who frequent the roadhouse are rough but friendly--there is a sense of camaraderie.

As Julia reaches puberty she becomes subliminally aware of a relationship between her mother and the owner of the Nome liquor store, Cappy. Cappy is married--his family is back in Seattle. There is never any open display of affection between Cappy and Rose, but he eats his meals with them and is almost a surrogate father to Julia and her sister. Suddenly Rose decides to move the family to Fairbanks. Here there is a "secret scenario" that Julia only pieces together many years later. As the events unfold in Fairbanks, Julia knows only that her mother is "distracted, not there." And that a man "carrying a small black satchel" comes to the house and leaves her mother moaning in bed.

Once more, Rose leaves her now teenaged children behind as she returns to Nome. It is wartime and Lillian and Julia find jobs at the military base in Fairbanks. As suddenly as they came to Fairbanks, they are summoned back to Nome--no questions asked, no explanations given. Cappy's son is missing in action. Once again, Julia cannot understand the silence, the absence of grief displayed--"Isn't anybody sad? Isn't anybody upset?" (181) Rose's relationship with Cappy quietly ends.

As Julia finishes high school she fantasizes about leaving Nome, going to college, becoming a journalist--fantasies inspired by Rosalind Russell's role in the film, His Girl Friday, and by Sinclair Lewis's critique of small town life in the novel, Main Street. "I begin to discern, vaguely, tentatively, that somewhere there exists a world where the accepted language is the one that Sinclair Lewis speaks--a language of ideas and, even, of feelings." (212) Indeed, as the book jacket notes, the author graduated from Stanford and became a magazine editor; she lives in Manhattan.

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Summary:

This first collection of poems includes a series of strong and well-crafted personal narratives. Several deal with the poet's experience in nurse's training. For example, in "Down There" she recalls childhood baths when she would squat and pour a jug of warm water between her legs ("down there") as she washes post-operative women and thinks of the intensely poetic hospital questions, "Can you make wind? / Can you make water?"

In "We Were Gulls" she visualizes the nursing students on Ward Nine and evokes their encounter with a repulsive old man who said, "there isn't a one of you / I wouldn't give a squeeze to / if I could hold you / in my arms / right here in this bed." In "In the Hospital Garden" she recalls the titillating episode of a doctor's wife who gave birth to a "radiation mutation."

But the poet's nursing is not confined to the professional sphere--in "Madame Abundance" she speaks of her son's "string of drool" against her own "milk-dampened blouse of the breast." Poems like "Night Terror," "The Street Where We Lived," and "At the Horse Pavilion" bring the reader into the love and pain of family life. "How long will it last?" the poet asks in one of her poems. In another she answers, "I live alone / I live alone / I live alone / I live alone."

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The narrator of this long, lyrical musing is a psychiatrist who works with autistic children. Though much of the narrative is a reflection on her mid-life relationship with a journalist lover who risks death to report on places in political turmoil, her observations about her patients provide a recurrent motif and reference point.

Several long passages detail the fascination and frustration involved in working with her young patients, what she has learned from them about limits, patience, and the semiotics of autism. She also reflects on how that learning has allowed her to understand "normal" people differently. One of the subtle but strong themes of the story is the question of what "normal" means.

A secondary focus is her close attachment to her two grown sons. This is developed through memories of particular scenes of their childhood that she identifies as bonding moments. Another focus is her relationship with her mother, now dwindling into mental incompetence and squalor in her old age. Thinking about these relationships, with lover, sons, mother and patients, is a way of taking stock of how the strands of her life have brought her to a place of qualified peace in mid-life.

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