Summary:

Sidney Winawer is a New York physician specializing in gastrointestinal cancers. When his wife, Andrea, is diagnosed with stomach cancer, he is made to see his own work from a new perspective, that of the patient and her family. The experience gives him new insights into aspects of health care he had not considered before, such as the alienating effects of some hospital routines on patient and family, the patient's need to find hope from any source, regardless of its intellectual provenance, and, encouragingly, the life-enhancing effects on his family as they join Andrea in her determined struggle to prolong and enrich whatever time remains for her.

For the first time, Winawer explores alternative and complementary approaches to cancer treatment, including meditation, antioxidant therapies, hyperthermia, and other attempts to stimulate the immune system. At first resistant, he comes to recognize the need for the terminally ill and their families to have access to as many resources as possible, and eventually it becomes his "mission" to emphasize the need for practitioners of conventional medicine to learn as much as possible about integrative medicine.

An interesting subplot is the story of Dr. Casper Schmidt, Andrea's psychiatrist, whose remarkable knowledge of new treatments for terminal illness is explained when he dies of AIDS. As another physician led by personal experience of disease to explore beyond the boundaries of conventional therapies, Schmidt forms an illuminating counterpoint to Winawer himself.

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B.D. and Ryan are completing their tour of duty in Vietnam. They are bonded to each other--"some kind of cultish remnant"--because they are the only men from the original unit who have not returned home. Unexpectedly, a new lieutenant takes command. He views the unit as undisciplined; he lacks patience and a sense of humor.

Ryan's reaction is sarcastic mimicry, which the lieutenant overhears. When challenged, Ryan responds with a scurrilous comment. This initiates a menacing, deadly interaction between them. B.D. watches this interaction helplessly. He tries to persuade Ryan: "All you have to do . . . is keep quiet." (22) But Ryan can't help himself; his mission is to make the lieutenant aware of "what an asshole he is." (21)

B.D. feels increasingly desperate, fantasizing that he will blow the lieutenant up with a grenade. When he tries to enlist help from the former unit head the latter suggests that B.D. put himself in the line of fire in place of Ryan. B.D. realizes that officers stick together, and, even worse, he feels "weak, corrupt, and afraid." (30) Soon thereafter, Ryan is killed during a routine mission.

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In 1996, George Delury was sentenced to four months in jail for assisting in the suicide of his wife, Myrna Lebov. In this book, Delury tells the story of his marriage, his wife's struggle with multiple sclerosis, her decision to end her life, his own role in helping her achieve this, and the subsequent legal and media ramifications that culminated in his indictment.

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Dr. Tom More, from Love in the Ruins (see this database), now middle-aged, returns to Feliciana after spending two years in prison for selling prescriptions of Dalmane and Desoxyn at a truckstop. On his return to his psychiatric practice, More observes that two of his former patients are acting strangely. In his own words: "In each there has occurred a sloughing away of the old terrors, worries, rages, a shedding of guilt like last year's snakeskin, and in its place is a mild fond vacancy, a species of unfocused animal good spirits." (21)

More observes that his wife Ellen and his children have also undergone some mysterious personality change. More, the scientist-physician, with the help of his cousin Dr. Lucy Lipscomb, launches a search for the cause of these and other observations. More and Lucy discover that John Van Dorn, head of the computer division of the nearby Grand Mer nuclear power plant and Dr. Bob Comeaux, director of the Quality-of-Life Division of the Federal Complex overseeing euthanasia programs, are involved in social engineering, releasing Heavy Sodium into the water supply to "improve" the social welfare.

Throughout the novel, Dr. Tom More returns several times to evaluate and talk with Father Rinaldo Smith, a parish priest who has exiled himself to a firetower overlooking the vast pine forest of Feliciana. More has been asked by Comeaux, who sits on the probationary board overseeing More's return to practice, to declare Father Smith crazy, so that Comeaux can take over Father Smith's hospice and put it to better use. The conversations between More and Father Smith contain the philosophic and moral themes that support the plot and action of the novel.

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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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The author narrates this account of the death of her husband, Miecu, a Polish physician, from cancer of the esophagus. The couple meet in 1954, marry in 1962, and in 1966 Miecu is found to have "heart trouble" and some "gastric problems." A gastrectomy is performed, but the cancer has metastasized and, after more surgery, his wife takes him home, and cares for him until he dies.

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Without is Donald Hall's thirteenth book of poems. It was written in memory of his wife, the poet, Jane Kenyon, who died of leukemia in their New Hampshire home at the age of 47. Interspersed among the poems in the first half of this book is a major poem, "Her Long Illness." Following that poem is the title poem.

Without is followed by a series of poems, titled as letters ("Midsummer Letter," "Letter After a Year," etc.) that chronicle Hall's grief and his attempt to go on living--without his wife. The final poem in the collection, "Weeds and Peonies," places speaker and reader in Kenyon's garden a year after her death and ends as we see her "peonies lean their vast heads westward / as if they might topple. Some topple."

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Follows the last few months in the life of Wendal Bailey, an African-American bisexual male in his early 30's. Examined in this drama are Wendal's two worlds; one which revolves around his lovers, the other based in the home of his extended family - his mother, father, "aunt", brother and 12-year-old son. After nearly dying of AIDS, Wendal comes home to regain his strength and find comfort, but a festive evening celebrating his return turns into a disaster. Shortly after this debacle, the only support and love he finds as he lies in his death- bed comes from an unexpected source - his previously stern, disapproving and homophobic father.

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This beautifully crafted short novel chronicles a twenty year period, from the early 1970's to the early 1990's, in the life of a law professor, Max Strong, and the interesting highbrow characters who influence his life. Most notable among those characters are a college friend, now a world renowned architect, Charlie Swan, and Charlie's lover, Toby. The final sections of this novel offer a remarkable account of Toby's death from AIDS and Charlie's reaction to his death.

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The apparent "subject" of Reynolds Price's novel, The Promise of Rest, is HIV/AIDS, yet it is also a novel of family, marriage, father-son relationships, and friendship between men--in addition to one of caring, suffering, and the unspeakable pain of parents watching their child die. The novel opens with Wade Mayfield, a thirty-two year-old gay, white architect infected with AIDS reluctantly returning from New York City to his family home in North Carolina to live out his final months. Almost blind, unable to manage even with daily visits from caregivers, he allows his father Hutch to come to New York to close the apartment that he shared with his African-American lover, Wyatt, who infected Wade and committed suicide ten weeks prior to Wade's leaving.

Once home, the story becomes a long conversation between Wade and Hutch. Interspersed in that most loving, painful, sometimes joyful, intense conversation on the way to Wade's death is emotional haggling between Hutch and Ann, Wade's mother and Hutch's ex-wife, who feels denied a role in the care of her only child; the continuing conversation between Hutch and Straw, his best and oldest friend with whom he had a physically intimate relationship years before and with whom he is still strongly connected; the dailiness of students (Hutch is a literature professor); finding help with the caregiving; and trying to understand the story of Wade's life before he returned home that has potentially great bearing on the Mayfield family even after Wade's death. The novel closes with Wade's death and the days thereafter, a death that fulfilled Wade's "undaunted determination to die as himself."

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