Summary:

Nicholas Baran, a one-time student activist, is now in his 40s, teaching at a community college in rural Connecticut after having been denied tenure at an Ivy League school. The tenure denial, despite consistent teaching awards and high performance was clearly politically motivated and instigated by a right-wing professor protecting his turf and the school from a labor-oriented, media-challenging progressive. Nicholas has leukemia, and, upon noticing that he appears to be living in a cancer cluster, begins a private investigation of the large chemical company located just upstream on the river that runs through the town near his neighborhood.

The investigation becomes more intense after he comes upon a local rescue squad retrieving the body of a small boy who has drowned in the river, but whose body reveals effects of considerable acid in the water. Though his wife fears for him and resists his efforts, even to the point of temporarily allying herself (and engaging in a dailliance with) a powerful local real estate broker, Nick finds an ally in his son's teacher, hesitant, but committed to finding out the truth.

Though Nick's disease is progressing rapidly, he and Sandy, the teacher, manage to break into the company's files and retrieve enough damaging evidence to expose deliberate deception of the public as well as documenting the high incidence of cancers in the immediate neighborhood. Before his death Nick manages to supply enough material to the major media to expose the scandal, and leaves a hard-won legacy of truthtelling to his children.

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This unique "miscellany" of prose from journals and essays, poems, stories, music, paintings (reproduced in black and white), drawings, and cartoons illustrates countless ways that medicine and the arts, in tandem, "stretch the imagination, deepen the sympathy . . . enrich the perceptions" and give sheer, unadulterated pleasure. Organized by Robin Downie, renowned Professor Emeritus of Moral Philosophy at Glasgow University, the anthology is grouped in eight categories: "The Way We Are," "Disease and Mental Illness," "Doctors and Psychiatrists," "Nurses and Patients," "Healing," "Last Things," "Research," and "Ethics and Purpose."

Excerpts include the classic lore [Charles Lamb’s essay, "The Convalescent"; Florence Nightingale’s diary, "Notes on Nursing"; W. H. Auden’s poem, Musee des Beaux Arts (see this database); Theodore Roethke’s poem, In a Dark Time (see this database); C. S. Lewis’s journal, A Grief Observed (see this database); Sir Luke Fildes’s painting, The Doctor (see this database)] and refreshingly new nuggets from John Wisdom’s radio talk, "What is There in Horse-Racing" ("For a game of croquet is not merely a matter of getting balls through hoops, anymore than a conversation is a matter of getting noises out of a larynx,"); Robert Pirsig’s treatise, "Zen and the Art of Motorcycle Maintenance"; physician Roy Calne’s tender sketches of his own patients; composer Richard Wagner’s letter, "Biscuits as Therapy"; Janice Galloway’s novel, "The Trick is to Keep Breathing"; and expressions by patients and artists who happen to be patients of their particular illness experiences.

Lest "commentary be intrusive," except as brief introduction to each section, Downie deliberately omitted them, placing illustrations and extracts so as to provide commentary on one another. (Readers cannot help but be stimulated, however, to rearrange and create their own juxtapositions.)

The section on "Healing" considers not only the expected operations, spiritual healing, traditional cures, music and art as therapy, but also "spells, hope, and mothers." Richard Asher’s essay on why medical journals are so dull (British Medical Journal 23 Aug. 1958), or on whether or not baldness is psychological, and the comic strips of Posy Simmonds (the double entendres of "Medical Precautions," the "Minor Operation" burlesque on Shakespeare’s "All the Ward’s a Stage,") remind us yet again that birthing, aging, illness and dying are not pathological events or mere medical processes, and that the arts and humanities are bountiful reservoirs of moral discourse, inspiration, and renewal.

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Summary:

Julia’s sister, Kara, has a recurrence of leukemia, and, because of the horrors of chemotherapy along with a dismal prognosis, decides to forgo treatment. Kara asks Julia, along with two of her closest friends, to participate in a "sweat," an Indian purification ceremony intended to "recenter" one’s spirit prior to death. The idea of her sister dying has caught Julia off guard, despite Kara’s dismal prognosis, her baldness, her gray color in the mirror.

Kara lives life to the fullest, without fear; in sharing her life, Julia had forgotten about the reality of death. Julia is surprised when in only five days the ceremony takes place, and thinks of all the practical reasons this ceremony makes no sense. Against her will, Julia takes her sister to the sweat tent and participates in the ceremony. Even though it might have hastened her sister’s death, Julia comes to realize the importance of the ritual, for as her sister dies, she, herself, feels closer to her than ever before, and is finally able to see how Kara’s life had fit into a larger design.

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Written in 1944 and first staged on January 3, 1945 with Richard Basehart and Anne Burr and Earl Jones as Basuto, The Hasty Heart grew out of the playwright’s experiences in an ambulance unit on the Burma front in World War II. The play was made into a movie in 1949 (with Richard Todd and Ronald Reagan) and was revived on Broadway in 1984.

The Hasty Heart concerns, initially, six characters in a British General Hospital in the rear of the Assam-Burma front: a nurse (Sister Margaret--"Sister" is a British term for a nurse; she is not a religious--and five Allied patients: Kiwi (a New Zealander), Tommy (a Brit), Digger (an Australian), Yank (an American), and Blossom (an indigenous Basuto) who understands and speaks no English, an important fact for later developments in the play.

Patrick introduces us to Sister Margaret and the five original patients who are, for all their good-natured bickering and nationally directed gibes, clearly a cohesive unit characterized by the camaraderie of an in-patient ward with residential patients. For instance, Tommy, who is chronically kidded about his obesity, claims to be proud of it and accuses Digger of being jealous about Sister Margaret’s giving Tommy therapeutic back rubs.

Enter Colonel "Cobwebs," the medical officer. He solicits the group’s help and cooperation in keeping a new patient "contented." It seems the Colonel has just successfully removed a patient’s kidney damaged by shrapnel only to discover that the soldier’s remaining kidney is "defective." The wounded soldier, Lachie, a Scottish Sergeant, will therefore die in only six weeks of uremic poisoning. The Colonel has "decided against telling him" since "[W]orry won’t help him."

The Colonel tells the men and Sister Margaret that "The only help anyone can give him now, [sic] will come from you." When Yank asks, "And he thinks he’s well, sir?" the Colonel replies, "In a sense--he is. But it would be criminal to release him just to collapse up forward. Do what you can to keep him contented--and happy."

With the arrival of Lachie, an incredibly difficult, abrasive and unfriendly Scot with pathological chips on both shoulders, the scene is set for "an archetypal story about friendship under fire." [Mell Gussow as quoted in a 1984 NY Times review in the obituary above, op. cit.] Despite all their earnest attempts at striking up a friendship, the other patients find themselves rebuffed, often quite rudely, by Lachie. Eventually, at the insistent urging of Sister Margaret, they are successful. A birthday gift of a complete Scottish highlander outfit touches Lachie who admits that he’s never had friends and is, to no reader’s deep surprise, a truly lonely man.

Near the end of the play, the Colonel, following orders, tells Lachie his diagnosis and prognosis, and his superiors’ desire for Lachie to return home, despite his wishes to remain with his friends, in order to become a military hero to be honored before his death. Lachie understandably retreats into a shell of resentment, blaming the men for treating him with pity instead of friendship. Eventually things right themselves and the play ends happily.

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An imaginative recreation of profound personal loss, the resulting changes wrought by unexpected responsibility as well as opportunity, all occurring during the progression from late adolescence into young adulthood, this work is centered on the death and its aftermath of the author’s parents 32 days apart, when the author was 21 years old (in 1991). With two siblings embarked on their own careers, it was Dave who took on "parenthood" of their eight-year old brother, "Toph."

The book details first, the mother’s death, then, the life that Eggers and Toph negotiate for themselves and with each other after they move from suburban Chicago to Berkeley, California, and, finally, Dave’s return visit to his hometown, wherein he seeks to exorcise some ghosts. In between these landmarks are reflections on family relationships, including that with a shadowy, alcoholic father; the launch of a satiric magazine, "Might" (a title meant to signify both power and possibility); concern for wounded friends; attempts to lead a "normal" life.

While the bare facts of Eggers’s story are unusual enough, the writing is arrestingly original--performative, conversational, brash, yet self-deprecating, funny, and often moving. It is not inaccurate, and will give a flavor of the writing style, to describe the book’s "themes" in the author’s own words (from the 21-page Acknowledgments), for example: "The Unspoken Magic Of Parental Disappearance"--the admission that this traumatic experience of loss "is accompanied by an undeniable but then of course guilt-inducing sense of mobility, of infinite possibility, having suddenly found oneself in a world with neither floor nor ceiling" (xxv); "The Brotherly Love/Weird Symbiosis Factor"; "The Knowingness About The Book’s Self-Conscious Aspect"--an acknowledgment that self-reference is "simply a device, a defense, to obscure the black, blinding, murderous rage and sorrow at the core of this whole story" (xxvii); "The Telling The World Of Suffering As Means Of Flushing Or At Least Diluting Of Pain Aspect"; "The Putting This All Down As Tool For Stopping Time Given The Overlap With Fear Of Death Aspect."

Dave Eggers is on his way to New York with Toph as the book ends. They currently live in Brooklyn, where Eggers produces a quarterly literary journal (Timothy Mcsweeney’s Quarterly Concern, A Journal Created By Nervous People In Relative Obscurity) and a related Web site.

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This extraordinary graphic work began its life as a Web comic, posted anonymously, tracing in image and word the story of a son, his sisters and their mother who was diagnosed with a brain tumor, metastatic from her lung.  This comic caught on, and news of it was passed by email and link from reader to reader. About a year later, the author, Brian Fies, was presented the Eisner Award for Best Digital Comic. The entire sequence has now been published in a small, wonderful hardback book that will fit into a lab coat pocket.
 
Fies has managed to capture, in word and graphic panels, the thousand emotions and moments that swirl about a family when cancer changes their lives. He shows us the small, personal gestures and thoughts that we look back upon--how he "didn't lose any sleep" (3) when his mom first fell ill; how his mother both denied the severity of her illness and, at the same time, fell into the abyss of medical examination, radiation, chemotherapy; how he and his sisters assumed various roles in their mother's care and, soon, morphed into "superpowers," each defending his or her own territory (41-44).

Most amazing is how Fies exposes, in honest and poignant visuals, the many points of view of illness--his mother's, his siblings', his own, even the physicians'. His portrayal of how the medical system both confuses, abandons and supports his mother is alone worth the price of the book (39-40). We watch his mother, through his "cartoons," as she moves deeper and deeper into the world of illness, and we see the author's own anger in response to this loss.

He lashes out at smokers (pp 55-56), perfectly portrays the ever-smiling doctor (48-49), captures the odd suspension of a transient ischemic attack (TIA) (68-70), and lets us walk the tightrope of treatment alongside his mother (59-61). He also cleverly interweaves the back-story of his mother's youth, marriage and divorce, his childhood, and a vignette of the sickness and death of a favorite uncle, one whose dying prophesy impacted Fies's life (73-77). The moment when his mother truly understands the severity of her prognosis (94) is stunning.

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These poems offer a rich series of impressions of the speaker's present life, surrounded by family, a garden, and pockets of natural life that evoke memory after memory of a childhood lived in relative poverty with a father whose years as a coal miner damaged his lungs and finally killed him. Allusions to his chronic and worsening illness and his death thread through the poems like a long shadow.

Recurrent images of his blood-stained handkerchief, his coal-smeared face and hands, are echoed in images of the death of an uncle, the deaths of animals, and of a mother strained by poverty and taking frugal measures to preserve small things. The final poem in the collection recalls her in old age, barely able to see, but still "stitching it all together."

The title poem, one of the best, pauses over the famous idea that the flutter of a butterfly's wings might be the source of large effects continents away. Together the collection invites us, without sentimentality, to consider how things are connected over time and come together in memory in compositions one couldn't have anticipated.

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The narrator, Jennifer, is a young, eccentric, struggling writer who lives in a small northern California coastal town full of even more eccentric individuals. Her father, Wallace, a kind and generous intellectual, is diagnosed with a brain tumor and has to undergo surgery and postoperative radiation therapy. It is a story of a family dealing with the rage, grief, anxiety and sudden changes in everyone’s lives when a family member has a serious illness. This is a family knit well with love, tenderness, alcohol, and lots of humor (often black and exceedingly funny)--the diagnosis brings the family and small circle of friends even closer together.

The writing shifts easily between the specifics of observed details to general philosophizing about life and death. Despite the horror and uncertainty, Wallace notes: "I still believe that life is supposed to be good, and my life as a cancer patient can be good, lived one day at a time, and at some point it may be determined that I am no longer a cancer patient, and my life will be better for this scare we’re having. We’re all on borrowed time anyway, and it’s good to be reminded."

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This collection of sixteen Chekhov stories brings together in one volume many of Chekhov’s finest tales about doctors. The chronologically-arranged collection includes the famous novella, Ward 6, as well as such shorter classics as An Awkward Business and A Doctor’s Visit. In all sixteen stories, the doctor is a major figure, often at the center of a moral conflict.

Robert Coles , in his thoughtful forward, notes that Chekhov raises the "big questions" about "the meaning and purpose of life and the manner it ought to be conducted (and why)." Himself the editor of William Carlos Williams’s doctor stories, Coles recognizes and honors the comparison between Chekhov’s and Williams’s works and their dual careers as physician-writers. Jack Coulehan, in his introduction and comments, provides interesting biographical information on the great Russian writer as well as insightful interpretations of each story.

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This collection of contemporary poems published by the National Association for Poetry Therapy Foundation is accompanied by an introduction and materials for use in support groups and poetry therapy groups dealing with loss and grief. Organized under the rubric, “Seasons of the Heart,” in sections entitled “Autumn,” “Winter,” and “Spring,” they reflect a range of responses to loss, both sudden and gradual.

Poets include Rainer Maria Rilke, Naomi Shihab Nye, Billy Collins, William Stafford, Denise Levertov, and other well-known and widely anthologized poets as well as some less known, but well worth reading. The poetry is skillfully selected, of consistent literary quality, and the accompanying materials helpful in suggesting ways and reasons to enter into the work of reading and writing poetry in time of loss.

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