Summary:

This little novel is the retrospective tale of a childhood event told by the protagonist 40 years later. Family relationships and bonds in conflict with professional and community obligations vie with the shadow of racism and sexual abuse in the doctor/patient relationship for the core tensions in the book. The setting is a small rural community where the pioneer family about which the tale evolves controls the law and the medicine. The boy narrator relates his view of the breakdown of family as its secret--a physician uncle who is suspected of sexually abusing his native-American women patients--becomes a force that demands action from the doctor’s brother who serves as the sheriff.

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This strange little tale, set in western Europe, revolves around the shifting relationships among an Irish doctor, a would-be Austrian baron, a circus performer, and the American woman, Robin, who is to become the nemesis of them all. The plot is unfolded in a long series of conversations, many convoluted by their stream-of-consciousness style, rather than in observed action.

The physician (it is never clearly stated that he is a fully trained physician but the point is probably moot, since he assumes the role), the most consistently present and verbal character, is a study in contradictions. He is essentially never portrayed in a classic physician role, but much is made of his profession. This may be explained by the fact that it is his profession that justifies his central position--he knows and is in the confidence of all other characters. The reader follows, by means of the long and complex dialogues, Robin’s systematic destruction of a chain of male and female lovers in what appears to be an obsessive desire for self-destruction.

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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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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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Anne (Sarah Polley) is 23 years old, is married with two small daughters, lives in a trailer in her mother’s yard, and works as a nightshift cleaner. She is diagnosed with advanced ovarian cancer and told she has no more than three months to live. She decides to tell no one that she is dying and makes a list of things to do in the time she has left.

She records birthday messages for her daughters, looks for a new wife for her husband (Scott Speedman), explores her troubled relationship with her mother (Deborah Harry), and has an affair with a man she meets in a laundromat (Mark Ruffalo). The last stages of her illness and her death are not shown; the focus is on how she chooses to live a life that has a new shape, both curtailed and illuminated by the knowledge of how soon it will end.

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Jordan, an 18-year-old athlete, finds his joints weak and begins to stumble unaccountably. The local doctor who has known him all his life sends him to the Mayo clinic where a diagnosis of Lou Gherig’s disease is confirmed. His mother, three brothers, sister, and brother-in-law (an Episcopalian priest) accommodate to his illness, with its promise of early death, in various ways.

The family is supportive, though the youngest brother goes through weeks of denial that look like rejection before he allows himself to feel the emotional impact. Jordan’s adored girlfriend can’t rise to the challenge of loving a boy with no future, and distances herself, but leaves it up to him to acknowledge and effect a separation that leaves her free to pursue other relationships, and him to burrow deeper into the loving family that sustains him in his final months. He takes one last trip to the Colorado mountains with his younger brother where they meet an old mountaineer who senses immediately what might be happening and becomes for Jordan the type and figure of the wise old man.

Here as in other stories of this kind, time seems to conflate for the young person facing death; maturity comes in sudden leaps, and a certain calm descends before the end. One of Jordan’s final acts is to serve as godfather at the baptism of his sister’s baby, his namesake. The act and the letter he writes the child gives him a sense of leaving behind a legacy that matters.

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In the videotape, She's Finally Free . . ., Joe Cruzan and Christy Cruzan White, Nancy Cruzan's father and sister, tell the story of their eight-year struggle for the right to let Nancy die, after a January 11, 1983 car wreck left her in a persistent vegetative state. The Cruzans see their story as a means of enlightening health care professionals and the community at large about the concerns and frustrations experienced by the families of critically ill patients. After a brief pictorial overview of Nancy Cruzan's life, the remainder of the video presents a chronological series of vignettes/stories told by Christy and Joe Cruzan.

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Summary:

Helen McNulty (Laura Dern) is a reporter. She and her photographer boyfriend, Jan, are on assignment in an unnamed Central American country when they witness militia shooting at protesters. They are both arrested/abducted.

The story picks up a year later. Helen is back in the United States, working on a story about Dr. Anna Lenke (Vanessa Redgrave), a psychiatrist who runs a clinic for survivors of torture. Dr. Lenke herself was raped and tortured at Auschwitz. Helen interviews her, and goes to stay at the clinic to work on her story. Anna recognizes at once that Helen, too, has been tortured.

Helen gradually comes to acknowledge what happened to her. The process culminates in her narrating, and our seeing in flashback, her torture and the murder of her boyfriend. Helen’s recovery is intertwined with and complicated by the story of Tomas Ramirez (Raul Julia), who also identifies himself as a survivor of torture and is at the clinic not only for therapy but because he is in hiding. Helen and Thomas become friends, then lovers, and he is instrumental in her recovery.

As a journalist, though, Helen delves into Thomas’s background and learns that he was not a victim but a perpetrator of torture. Helen turns him over to the authorities and he is arrested. Dr. Lenke’s last words about Tomas, that only once he has confessed can he again be human, rings hollowly: he has already confessed, to her and the other torture survivors at the clinic, and no court of law can present a harsher judge.

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Summary:

Life on the Line relates the experience of 228 writers who express in their work the deep connection between healing and words. Walker and Roffman have organized their anthology into eight topical chapters: Abuse, Death and Dying, Illness, Relationships, Memory, Rituals and Remedies, White Flags From Silent Camps, and a chapter of poems about the nuclear accident at Chernobyl. This hefty volume contains a very broad selection of contemporary poems, stories, and essays by both well-known and relatively unknown writers on the experience of illness and healing.

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In "Life Support," a mother must make a difficult decision: whether or not to consent to heart surgery without anesthesia for her critically ill newborn who is on a ventilator. Her instincts and reason contradict each other, and she isn’t sure which to believe. She wants to let the child die naturally in her arms, but this will not be allowed in this particular institution. She feels distant from her husband and from the doctors, and believes that her sudden transformation into the guardian of this child presumes far more knowledge and ability than she possesses.

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