Summary:

Magda Danvers, the brilliant English professor and scholar of Blake, is dying of cancer, "the Great Uncouth . . . my final teacher." The novel tracks the course of her illness and her husband, Francis's (who is a former Roman Catholic seminarian) untiring care of her until the end. In addition, the deteriorating marriage of Alice (who has just suffered a miscarriage) and the novelist Hugo Henry is examined alongside of Magda's and Francis's as Alice befriends Magda and Francis throughout the final course of Magda's illness.

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This brief poem describes a revelatory conversation the speaker has with her dying brother "The last time we had dinner together in a restaurant . . . ." Her brother takes her hands into his, and asks if she really understands that he will die soon. The speaker assures him that she does, hinting at an inner acceptance the brother questions. He then turns the tables on her (and on the reader) by suggesting that what she really needs to accept is that she herself will die someday--and that until she understands this, she cannot really comprehend the reality of his dying.

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Narrated by Jake Baker, a 73-year-old who'd been sent to a nursing home by his niece, this novel recounts the adventures of Jake and Lucas Kraft after they leave a nursing home to become cowboys. Lucas is a writer whose pessimistic view of life is the opposite of Jake's. Never able to tell the truth about himself, Lucas has lost both fame and love but not his lust for life.

The two men hitchhike west (with a series of crazy drivers) and eventually find jobs on a Texas ranch. Jake falls in love with Betty, perhaps the foulest-mouthed cook ever invented; Lucas finds Sally Crandall, his ex-wife, a movie star, and the love of his life, who's performing in a cowboy-and-Indians movie not far from the ranch. Jake and Lucas actually do become cowboys (in the movie).

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Ann Blake is a lonely, divorced, childless English teacher whose ninth grade class includes Karen, a girl who is dying of cancer ( probably lymphoma). As an adjunct to the medical treatment and prayer/faith healing that the child receives, Ann hopes that she might instill in Karen a purpose to live for, through her creative writing

The Infinite Dark refers to a story the students read during that school year, and the teacher ponders on what this phrase really means. She has assumed it means death, but, as Karen regains her health and moves on to another grade and forgets about Ann Blake, Ann realizes that for herself the infinite dark means being unconnected from others, being alone, not making an impact that is permanent--a sort of death in life. As the teacher tries to facilitate healing in the student she ironically realizes that she herself has known little about living her own life.

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This essay is told from the perspective of an ophthalmologist who was consulted about a patient who had blurry vision. She is told by his internist that he has cancer but the family does not want him to know it. She plays along with the deception and does not inform the patient that his vision problems are from brain metastases. By serendipity she later learns that the patient knows his diagnosis but is playing along with the deception so as not to hurt his family. She is relieved to finally talk with him openly about his disease and his prognosis.

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A physician recounts the experience of caring for a small child with an incurable disease. The father brings in a bright stuffed dinosaur for the child and despite all expectations, the child opens one eye and reaches for the toy, then lapses back into a coma. The family and physicians cry together. A week later the child dies. The narrator uses this example to argue that it is the intensity of a physician's experiences and the privilege of being a part of them, rather than whether or not the experience is happy, that gives medicine its meaning and satisfaction.

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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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The wife of a man dying of cancer takes him to Yosemite for one last visit before his death. During this trip she thinks about how her life has been changed, both by marriage and by her husband's illness. Yosemite represented a tradition for them where they vacationed with their children each year. As the narrator reflects on how her life will change after her husband's death, and on the needs she has suppressed over the years, Yosemite begins to represent a new kind of tradition for her which will give her nurturance in the future.

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During the course of a plague, Prince Prospero calls together his friends to come to his castle for fun and frolic until the danger of pestilence has passed. A masquerade is planned, and in typical "Poesque" fashion the great halls are described in imagery that foreshadows a horror to follow. The night of the ball comes, the guests arrive in their costumes and the festivities begin.

The gaiety is interrupted by the arrival of a guest, dressed in the garments of the grave besprinkled with the scarlet blood associated with the plague of "red death." The intruder stalks the halls until confronted by the host in (of course) the black hall. Without explanation, the host falls dead at the masquer's feet and the revelers, setting upon the intruder, find that the costume is "untenanted by any tangible form." Whereupon, the guests began to die in their tracks as they acknowledge the presence of the Red Death.

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Summary:

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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