Summary:

Editor Chip Spann created this anthology as part of his Ph.D. dissertation in creative writing. The poems were selected because Spann hopes they "can be a comfort to the sick and a rabble-rouser for those who work at getting well" (5). The book’s 234 poems have been organized into seven sections, each section named with a phrase from one of the poems contained therein. Each section is prefaced by an introduction that focuses on Spann’s own journey from a difficult childhood and unanchored young adulthood to his current life in which he is able to combine a love of reading and writing poetry with his background of working with patients in a variety of settings -- he leads a writing group of patients, caregivers, and health professionals at Sutter Medical Center in Sacramento, California.

The seven sections concern: the body; illness and life’s journey as quest; "feelings that are screaming to get out"; looking inward at dark truths; reflecting on "early wounds"; finding creative inspiration from unexpected and small things; and "perspectives on death and aging." I counted approximately 80 poets who are represented in this anthology; those with the greatest representation (number of poems) are Raymond Carver, Lucille Clifton, Emily Dickinson, Grace Paley, Muriel Rukeyser, Mowlana Jalaluddin Rumi, May Sarton, William Stafford, and May Swenson.

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The author selected 48 works of art, famous and obscure, which are presented in chronological order as full-page color plates. On the facing page of each piece is a brief essay which includes information such as artist, date and current location of the work. The essays, as well as the introduction by the author, are insightful, well-written, and demonstrate the author’s vast knowledge as a medical historian. Selections include the "Oath of Hippocrates", Studies of the Fetus by da Vinci, The Anatomy Lesson of Nicolaes Tulp by Rembrandt, The Dwarf Sebastian de Morra by Velazquez, "Muscle-Man from Vesalius" by van Calcar, and First Operation Under Ether by Hinckley (see art annotation in this database).

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Summary:

Swenson’s poems about the body and death express the essential mystery of human experience and of observing the cycles of the natural world. In "Question" she wonders in metaphor about what will become of the Self after death, "when Body my good / bright dog is dead." In "Death, Great Smoothener" Swenson notices the odd roles that the personified death seems to play. In "Feel Me" the poet ponders the curious last words of her dying father, suspecting a considerable indictment of the living by the dying. In "Death Invited" she details the gruesome ending of a bullfight, with death personified by the bull, dragged from the ring only to be replaced by another: "Here comes trotting, snorting death / let loose again."

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This is a story about Bea, a single woman professor who has just had a caeserian section for an 11 pound boy, and her hospital roommate, Corinne. Bea describes her own discomfort with Corinne’s race, while admiring Corinne’s pride and nurturance toward her newborn son. As the story progresses, Corinne is betrayed by the medical world in a multitude of ways: misdiagnosis, racist treatment, denial of medical treatment, and incompetent care, resulting in Corinne’s sepsis and her son’s eventual death.

At the end of the story, after Corinne and Bea are discharged from the hospital, Bea tries to visit Corinne and deliver the pictures of her child that Corinne hadn’t been able to afford. But at the last minute, Bea turns away. Although she wants to help, she feels wholly inadequate, and believes she will only cause Corinne pain. Ironically, Bea remembers her last night in the hospital, how she covered her ears as Corinne’s baby whimpered, and as her own breasts surged with milk for the crying child. Even though her instincts and body tell her what to do for Corinne, she is not able to listen.

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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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The speaker is a boy away at school when the news comes that his four year old brother has been killed in an accident. Arriving home, "I met my father crying . . . " The boy is "embarrassed / By old men standing up to shake my hand / And tell me they were ’sorry for my trouble.’" The next morning the boy goes upstairs to see his brother lying "in the four foot box as in his cot." [22 lines]

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An Australian man has recently been diagnosed as having a fatal disease. He decides to take a quixotic trip to Europe, an open-ended adventure to unplanned destinations. This novel takes the form of 20 long and extraordinarily articulate letters written from Venice to an anonymous correspondent in Melbourne.

The letters work on three levels. First, they describe the writer’s travels from Locarno to Vicenza to Padua, stages of his journey prior to arriving in Venice. In fact, the book is divided into groups of letters, each of them dealing with one of the three cities and followed by a set of notes that illuminate some of the writer’s literary and historical allusions.

Second, the letters describe the writer’s current activities in Venice and especially his reflections on human nature and mortality. Finally, he refers back to events that occurred in Melbourne immediately preceding his journey. The most important of these events are the consultations with his doctor and, to a lesser extent, the reaction of Peter, his lover, to the lethal diagnosis.

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The nurse in this O. Henry Prize-winning story is Mary McDonald. She’s been a nurse for over 40 years and understands fully that the new pain she feels is a signal of her cancer’s spread, and for her, the beginning of the end. The remainder of this story is a retrospective of her life as a nurse and most significantly her role in forming a union, thirty years previously, at the local hospital.

Deftly placed between her reminiscences are scenes of her children’s visits to their dying mother, and perhaps as a final legacy to her nursing colleagues, Mary’s attempt to convince Eunice, her caretaker at the nursing home, to unionize the facility.

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The New Medicine and the Old Ethics, in Albert Jonsen’s own words, is a "secular aggadah." Jonsen explains that one Talmud reviewer defined aggadah as "a magical rabbinic mode of thought in which myth, theology, poetry and superstition robustly mingle" (4). The book begins with a personal essay entitled "Watching the Doctor." Jonsen establishes his premise that the moral history of Western medicine is best understood as a paradox between altruism and self-interest, a paradox alive and well entering the 21st Century.

He then takes the reader on his "secular aggadah," blending history, myths, and stories that trace important moral developments in the practice of Western medicine. In "Askelepios as Intensivist," we learn of the early Greek values of competence in shaping medical practice. Through the influence of the Church in the medieval period, Western medicine incorporates the value of compassion through the Biblical Good Samaritan, struggles with problems of justice in the care of the poor, and further elaborates the meaning of benefit.

In "The Nobility of Medicine," Jonsen describes the contribution of Sir William Osler and other knighted medical men of the 19th Century who established the ethics of noblesse oblige in the medical profession. He traces this noble tradition to the medieval Knights Hopitallers of Saint John of Jerusalem, a group of religious who provided hostels for pilgrims to the Holy Land and cared for the sick. With essays on John Locke and Jeremy Bentham, Jonsen brings us to the 20th Century and the play of individual rights and utilitarian values in the moral life of Western medicine.

In the final essays, Jonsen describes the mingling of these traditions as a means to establish a moral frame for Western medicine in our current times where technology and science have achieved and threatened so much. Ethics, he argues, "is disciplined reflection on ambiguity" (130). In the last essay, "Humanities Are the Hormones," Jonsen brings his "secular aggadah" full circle.

He argues that the paradox of altruism and self-interest that runs through the moral history of Western medicine must continually be vitalized and examined through the Humanities. The Humanities are "the chemical messengers that course through the complicated institution of medicine and enable it to respond to the constantly changing scientific, technological, social, and economic environment" (147).

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Summary:

Leonard Shelby (Guy Pearce) is trying to avenge the rape and murder of his wife. She was, as far as he can recall, killed by the same intruder who injured Leonard’s head, leaving him with "anterograde amnesia": he remembers everything up until the injury but no longer has short term memory. "I can’t make new memories. Everything fades."

Leonard’s single purpose now is to find and kill the person responsible for his wife’s death and his own disability. He remembers this purpose, and the steps in his progress towards it, by keeping annotated Polaroid photographs and tattooing important facts onto his body. At the end of the story--which is the beginning of the film--Leonard kills a man he believes to be the murderer, but who is probably not.

The story is narrated in reverse chronology, beginning with Leonard shooting the suspected killer, in short segments corresponding more or less to the length of Leonard’s ability to remember. These scenes are interspersed with parts of a longer scene that follows regular chronology, shot in black and white, in which Leonard sits in his motel room, talking on the telephone and telling the story of Sammy Jankis, a man he seems to remember from his earlier life as an insurance investigator.

Sammy suffered from anterograde amnesia after a car crash and Leonard dismissed his condition as psychological rather than physical, resulting in the refusal of Sammy’s insurance claim (the company doesn’t cover mental illness). Sammy’s diabetic wife, thinking that if the condition is mental it must also be voluntary, tries to get him to "snap out of it" by testing him in various ways: finally she tricks him into administering her insulin shot over and over until she dies. Sammy ends up institutionalized.

As we piece the story together, we realize that Leonard’s method for keeping track of his revenge plot is inadequate. Because the bits of information that substitute for memory can be manipulated, others are able to use him as an unwitting assassin. We also deduce that the story of Sammy Jankis may in fact be the story of Leonard Shelby, and that perhaps Leonard’s own wife was killed not by a murderer but by Leonard himself, the revenge motivation possibly planted by Teddy (possibly a cop) in order to make of Leonard a very efficient killer.

The story ends (where it begins) with Teddy’s plot turned against him by Natalie (Carrie-Anne Moss), a mysterious woman who has revenge motives of her own. Leonard takes Teddy (Joe Pantoliano) for the killer and shoots him. Our chilling realization is that Leonard will soon forget he has achieved his objective and again begin looking for someone to kill.

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