Summary:

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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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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Gaudeamus Igitur was read by Stone as a graduation address for the class of 1982 at Emory University School of Medicine. The poem begins with "For this is the day of joy," and ends with, "Therefore, let us rejoice." Between these two lines, Stone (both poet and physician) piles image after image, detail on detail, paradox on paradox: "there may be no answer," he writes, "For you will not be Solomon / but you will be asked the question nevertheless." He writes about the sorrows ("For whole days will move in the direction of rain") and difficulties ("For the trivia will trap you and the important escape you") of medicine, as well as about the joys of medicine ("For there will be elevators of elation").

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A physician is called to visit a sick baby in an apartment in the poorer part of town. When he arrives, the baby is being cared for by a "lank haired girl of about fifteen," the child’s sister. The parents are out. The doctor is intrigued by the young girl’s forthrightness, the "complete lack of the rotten smell of a liar." He notices that she has a rash on her legs. She asks for some medicine to help her acne.

The doctor returns later when the mother is home. She speaks little English. Evidently the child had been in the hospital, but they had brought her home because she was getting worse with hospital-acquired diarrhea. The doctor examines the baby, discovering that she has a congenital heart defect, which is probably responsible for her failure to thrive. The doctor gives advice about feeding and prescribes some cream for the fifteen year old’s acne.

Later, the doctor’s wife and his colleagues comment on the baby’s family: they’re no good, they’re crooks, he’ll never get paid. In the end he does go back to the apartment. The baby looks a little better and the girl’s face is a little clearer.

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Arabella is a young lady who has lived for a long while at her father’s secluded country home. She spends her time reading romances (in 18th century Britain, "romance" meant fictional works posing as historical accounts of tragic heroines, leibestods, and undying affection--usually French in origin).

She has come to believe the romances to be true and models her behavior after the rigid rules of womanhood contained in them. Moreover, she interprets others’ action or outside events according to romantic expectations.

When Arabella finally goes into society, all are struck with her wisdom and beauty, but are baffled by her behavior and constant references to various romantic characters. She scorns her persistent suitor, Mr. Glanville, since he does not, at first, pursue her according to the rules of romance. He neither pines away, nor allows her to send him to the far ends of the earth to think of her without hope, forever. He soon learns to humor her caprices.

Arabella goes through many adventures all of which depend on her obsession. When she falls ill after diving into a river to save her honor, a doctor is called in to treat her. Learning of her obsession, he resolves to cure her. Using cold logic, he dissolves Arabella’s misconceptions.

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The subtitle of this photographic essay is "The Story of a Country Doctor." Berger and Mohr give the reader an imaginative portrait of Dr. John Sassall, an English general practitioner who lives and practices in a remote rural community. The book begins with several stories of Sassall’s work with patients, gradually introducing the man himself and revealing his thoughts about his profession, his life, and the nature of healing.

Berger explores what people in the community think about this unusual doctor who has given up his chance to "get ahead" in the world in order to remain with them. They are sure he is a "good doctor," but what does that mean? How does one judge "goodness" in a physician? Berger comments in an impressionistic way on the nature of Sassall’s relationships with patients--a complex mixture of authority, fraternity, and intimacy.

The latter part of the essay expands its focus to the community as a whole and the nature of contemporary medicine. Throughout the book, Jean Mohr’s photographs serve as indispensable features of the story.

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This poem by physician-poet Mukand transforms what might be unobserved and ordinary into the visible and extraordinary. A frail old woman with a disease of "no cure," probably cancer, is in the waiting room at a hospital or clinic. The narrator, whom we suspect is the second character, as well, a medical student, spins with delicacy a thoughtfully real and imaginative description of the waiting patient.

Readers see her "blue gauze scarf," "her gnarled, polished walking stick," and her pained body, but are provided with, additionally, an imaginary account of the effects of the disease on the woman as she struggles with pain through her final months. When the student enters the waiting room, the woman extends her "brittle" hand, then pulls from her black bag a sealed envelope. When instructed to open it, the student finds a fifty-dollar bill "to help with school." Caught by surprise, he smiles, but leaves the bill in her palm: "It lies in her palm like a / handful of earth picked up, raised / to the sky / as an offering to the spring wind."

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Summary:

A junior doctor goes to visit the daughter of a wealthy factory owner. (The professor was too busy to go.) The daughter had been ill for a long time and had just suffered "heart palpitations" the previous night. At first the doctor finds nothing wrong with her heart, and says that her "nerves must have been playing pranks" on her.

The patient’s family presses the doctor to stay for the night. During the evening, he reflects on the oppression of the dreary factory town and relates the sense of loneliness and confinement ("like a prison") to his patient’s condition. Later, in conversing with the young woman, he actually listens to her empathically, rather than just focusing on her symptoms or the function of her heart. He is then able to respond empathically to the young woman’s plight.

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Kirilov is the district doctor. His six-year old son has just this moment died of diphtheria. He stands watching his wife caress the body as the doorbell rings. It is a wealthy stranger (Abogin) who begs the Doctor to come treat his wife who is in great pain. Kirilov says that he cannot possibly leave his wife at this time. Abogin insists, however, claiming that the doctor must know how terrible it is to witness the illness of a loved one and that his home is close-by. Kirilov relents.

But when they arrive at Abogin’s house, his wife is not home. She has pretended to be ill so that her husband would leave the house allowing her to run away with her lover. Abogin is crushed and begins to complain to Kirilov. Kirilov is fiercely angry that he has been dragged from his son’s death-bed to hear Abogin’s love troubles. They scream at one another, and the doctor returns home, with a firm and undying conviction that all those with money deserve his hatred.

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This five-part poem sketches five vignettes of the poet’s life. First, he sits in the doctor’s waiting room. Second, the doctor says " ’this lump is probably nothing, but . . . ’ " Third, the poet has a biopsy. Fourth, the pathology report, which is positive, " ’But be glad / These things are treatable today . . . Why, fifteen years ago --’ " Finally, the poet is outside on the street, observing "through my / Invisible new veil / Of finity . . . / November’s world."

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