Summary:

The young and beautiful Beatrice Cenci (1577-1599) is kept with her stepmother, Lucretia, in appalling isolation and darkness in a forbidding castle by her cruel father, Francesco, whose enormous debts and misdeeds make him unable as well as unwilling to support his offspring. He wants to keep Beatrice from marrying to avoid paying a dowry.

He suffers from a horrifying skin disease, possibly syphilis, that covers his lower body in itchy painful sores. He requires Beatrice to rub him nightly with a rough towel, and he is careless to the point of exhibitionism about his sexual and eliminatory functions.

Beatrice decides that he must be killed if her lot is to improve. She begins an affair with Olimpio the married seneschal of the castle—giving herself to obtain his allegiance; soon she is pregnant. She appeals to her brother in Rome for help. He sends poison, but Beatrice cannot use it, because Cenci has her sample all his food and drink.

Angry and impatient with her situation and fearing her father’s wrath when he discovers the affair with an underling, she insists that Olimpio kill Francesco immediately. With the help of the peasant, Marzio, Olimpio smashes the sleeping man’s skull with a hammer and together they stuff his body through a hole in the balcony to make the crime look like an accident.

Suspicions about the death are raised almost within the moment of its discovery because of the wounds on the body, blood in the bedchamber, and the apparent lack of grief in the family. Time passes. Beatrice and Lucretia go back to the family mansion in Rome. Olimpio leaves his own wife to be with Beatrice, and he blackmails the Cenci family into treating him as an equal. Her brother, Giacomo, barely tolerates him.

Beatrice gives birth and the child is handed to the nuns for care. Eventually charges are laid and confessions are extracted by torture on the wheel. Marzio dies in prison of his wounds. Olimpio roams freely but is himself murdered for a ransom.

The lawyer for the defense argued that the father’s sexual abuse of Beatrice was a mitigating circumstance, but he failed to convince the court. Beatrice is beheaded along with her stepmother, while her brother is tortured, drawn and quartered. Because the killig of a parent is the most odious of crimes, the executions are staged as a public spectacle in front of Hadrian’s tomb. Beatrice’s corpse is escorted by a vast crowd to its final resting place near the altar of San Pietro Montorio by Rome’s Gianicolo garden.

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The novel is set in Washington, DC in April, 1865. At fourteen, Emily is sole caretaker of her mother who is dying of tuberculosis. Her neighbor, Annie Surratt, is her best friend, though their mothers have been estranged for some time. Both families have deep roots in the South. Annie’s brother, Johnny, an object of Emily’s romantic fantasies, has recently left on a secret mission. The war is nearly over. Emily’s uncle Valentine, a physician, wants to take custody of her after her mother dies, but because her mother has also felt estranged from him, Emily resists. Still, after her mother’s death, she does go to live with her uncle, and learns that he (with his two assistants, one of whom is a woman who is 1/8 African American) has a lively practice among the poor and the African Americans who have flooded the streets of Washington since the emancipation.

Valentine is called to Lincoln’s bedside the night of his assassination, and participates in efforts to track down John Wilkes Booth and his accomplices, one of whom appears to have been Johnny Surratt, who has escaped to Canada. In the course of her time there Emily discovers that her uncle and his assistant are involved in elaborate, marginally legal, schemes to obtain bodies for study at the medical college. Emily, at first horrified by this discovery, comes to recognize the good that comes of anatomical studies and to sympathize with her uncle’s efforts to bring about legislation making the acquisition of bodies for medical research easier. Annie’s mother is hanged as an accomplice in the Booth conspiracy, Annie leaves town, and Emily comes to understand a great deal more about the harsh terms on which life must be lived in times of national crisis and ideological warfare. The story ends with her growing interest in medicine as a possible career path.

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Except for her canary and cat, Martha (Sheila Florance) lives alone in an apartment containing fragments and memorabilia of the past which speak to a rich and complex life comprised of various relationships and wartime horrors. Many of the fragments are further referenced in flashback scenes. Three current relationships--with her caretaker, her son, and her dependent and declining neighbor, Billy (Norman Kaye)--are central to this moment in time and provide an illuminating portrayal of Martha’s struggle for independence and undiminished zest for life. While her kind caretaker, Anna (Gosia Dobrowolska), respects the old woman’s fierce need for autonomy, her son, concerned about her frailty and safety, is intent on relocation to a nursing home where she can be supervised. Martha, on the other hand, provides gentle and kind care for Billy, who has been abandoned by his family; during the night, when he is unable to find the bathroom, Martha provides gentle and unobtrusive assistance. Martha’s strength comes from character and spirit, remarkable traits which leave an indelible impression about our tendencies to conventionalize aging.

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Toward the end of the Spanish Civil War, Manuel’s biological father, Jorge de Son Major, dies, finally recognizing him in his will. His social father, Jose Taronji, had been killed only two years before. Manuel, newly rich but philosophically impoverished, seeks a secular spiritual father in "Jeza", an imprisoned rebel leader, and Jose’s comrade. When Jeza is killed, Manuel informs his wife, Marta, and together they plan a final revolt. They use Jorge de Son Major’s boat, Antinea, to deliver rebel documents, then make one final, "crazy," fatal stand, to honor and mourn Jeza, to remember and create themselves.

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Gerald has just married into a close knit Kentucky family. So when the kin receive word that Ory, one of his wife’s brothers, was shot by his girlfriend, Gerald gets the job of driving to Nebraska to pick him up. When he arrives in Wahoo, the Indian doctor at the hospital tells him that Ory had a "blood clot" and died.

The sheriff takes Gerald to the jail to meet Ory’s girlfriend, who shot him in an argument about a wig. Later, he decides to take Ory back to Kentucky. Two days later he arrives home with the corpse covered with dirt in the back of his pickup. "The stench was bad and getting worse." (p. 31)

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This lively volume of medical history chronicles the forms of suffering, illness, injury, and treatment endured by the members of the Lewis and Clark expedition of 1805. Beginning with three chapters of political and medical history to set the context, the story follows the adventures of the extraordinarily fortunate "Corps of Discovery" among whom Lewis was the most trained in the medicine of the time (having studied in preparation for the trip under Dr. Benjamin Rush of Philadelphia), and he only an amateur. Even professional medicine of the time was approximate and largely ineffectual, limited mostly to purgatives, opiates and laudanum for pain relief, bleeding, and topical applications of various compounds or herbal substances.

The story chronicles the main events of the trip based on the extensive journals of Lewis and Clark as well as other historical account, maintaining focus in each chapter on the medical incidents including gastrointestinal distress from parasites and contaminated water; effects of overexposure like hypothermia and exhaustion; infections from wounds and scratches; syphilis; dislocations; muscular spasms; mosquitoes and other insect bites; snakebites and other animal attacks.

Along the way Peck pauses to explain the rather rudimentary medical theories upon which treatments were based, the effects of particular known treatments, and what Lewis and others likely knew, guessed at, or didn’t understand about lead, mercury, opium, and certain herbal substances they used. He speculates about the contexts of their medical decisions and offers occasional contemporary analogies to help readers imagine the circumstances and tradeoffs the explorers faced.

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This tale is subtitled, "A Provincial’s Story." The narrator is Misail Poloznev, who lives in a provincial town with his father, an uninspired architect, and his sister, Cleopatra. Misail has no interest in the standard, clerical-type employment of gentlemen, but wishes to earn his living by manual labor. This is outrageous! It is totally immoral for a gentleman to cross the line and act like a common workman. When Misail goes to work for Radish the painter and contractor, his father first has the local governor warn the young man that he had better shape up or the genteel community will make him an outcast; when Misail persists, his father disowns him.

Misail’s friend, Dr. Blagovo, is a physician who articulates the beliefs of many of Russian intellectuals: "In this land of ours cultural life hasn’t even begun. There’s that same savagery that existed five hundred years ago." Through Dr. Blagovo, Misail meets Masha Dolzhikov, the engineer’s daughter. By falling in love with the idea of working the land and helping the peasants, she falls in love with and marries Misail, who embodies her ideal. They move to the country and try to farm, but the peasants cheat them. Masha tries to start a school for peasant children, but the peasants sabotage her plan. Finally, she gives up and moves to Petersburg, eventually asking Misail for a divorce.

Meanwhile, Cleopatra has fallen in love with Dr. Blagovo, who gets her pregnant and leaves. The outcast brother and sister then live together, until Cleopatra dies of tuberculosis after having the baby. Years later, Misail continues his principled career as a workman and cares for his orphaned niece.

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A lieutenant named Alexander Grigoryvitch Sokolsky arrives at the home of Susanna Moiseyevna Rothstein, a Jewess and owner of a vodka distillery. Sokolsky has come to collect the 2300 rubles that Rothstein owes his married cousin. In fact, his cousin doesn’t actually need the money, but Sokolsky is helping his cousin get his debts paid so that he can then borrow the 5000 rubles that he needs to marry his fiancée.

Susanna, a luscious, free-spirited young woman, receives the lieutenant and offers him supper. She entices the IOUs from him, but then refuses to pay up. The next morning Sokolsky returns to his cousin’s house without the money, but presumably sexually satisfied. Kryukov, the cousin, rants and raves. What an outrage! He determines to visit the Jewess himself and demand payment. He does so and, likewise, only returns the next morning, penniless.

After a week, Sokolsky borrows the money from his cousin and leaves. After another week, Kryukov gets an uncontrollable itch to visit the Jewess again. When he arrives at her mansion, there are many men around, including Sokolsky, who evidently has hung around Susanna’s house for a week, having completely forgotten about his fiancée. Krykov’s final words are: "How can I judge him since I’m here myself?"

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A doctor is riding through the desolate steppe at twilight and loses his way. He comes to a hut along the new railroad where two men, an engineer and his young assistant, are spending the night. After they all have a few drinks, the engineer marvels over the beauty of lights in the distance, while the young man says the lights remind him "of something long dead, that lived thousands of years ago." (p. 607) He sees no point in human love or accomplishment because, after all, we all have the same fate--death. This encourages the old engineer to tell a tale of his youth.

Once, when visiting his hometown on business, he had come across a childhood friend, a woman who was unhappily married. He looked forward to having a brief affair with her, but she considered him her savior. She desperately wanted him to take her away. The engineer agreed, but then callously abandoned her.

Later, he realized that "I had committed a crime as bad as murder." (p. 635) He went back and "besought Kisotchka’s forgiveness like a naughty boy and wept with her . . . " (p. 639) At the end of "Lights," the doctor rides off at sunrise toward home. All around him nature seems to be saying, "Yes, there’s no understanding anything in the world!"

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Ten months after being burned over 68% of his body, Dax Cowart was interviewed on videotape at the University of Texas Medical Branch in Galveston by Dr. Robert B. White. Blind, disfigured and helpless, Dax had consistently asserted his right to refuse medical treatment, including further corrective surgery on his hands (useless, unsightly stumps) as well as the daily, excruciatingly painful baths in the Hubbard tank.

At the time of his admission to UTMB, he had become adamant that he be allowed to leave the hospital and return home to die--a certain outcome since only daily tankings would prevent overwhelming infection. Dr. White had been called in as a psychiatric consultant, and much of the twenty-nine minute documentary is a conversation between patient and psychiatrist.

Calm and coherent, Dax states his wishes clearly and presents his case compellingly. He does not "want to go through the pain"; he does not "want to go on as a blind and a crippled person"; and he does not understand or accept any physician’s "right to keep alive a patient who wants to die."

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