Summary:

Paula Henning (Franka Potente) is a brilliant medical student from Munich, who comes second in the Robert Koch competition winning a place at the prestigious Heidelberg medical school. Medicine is a family tradition, but Paula has little respect for her father's boring suburban practice. Instead, she takes inspiration from her dying grandfather, an academic doctor, who celebrates her decision.

En route to Heidelberg she meets the stunningly beautiful and highly sexed Gretchen (who stood first in the competition) and David, a 22 year-old lad with cardiomyopathy and multiple piercings. Gretchen is interested in partying; Paula is serious, studies all the time, and ignores fellow student Caspar (Sebastian Blumberg) who strives for her attention. When David appears on the dissecting table with no obvious cause of death and "rubbery blood," Paula begins investigating. She determines his death is due to Promidal--a drug developed by The Anti-Hippocratic Society (or "AAA!").

This clandestine group engages in unethical anatomical research on living subjects to "better" the human race. Her classmates scorn her conspiracy theory, but she is drawn deeper into the mystery when Gretchen disappears only to reappear as a perfectly dissected, plasticized cadaver. Paula nearly succumbs to the same fate with her lover, Caspar (who turns out to be an incognito history student writing his thesis on the AAA! ). The ending is happy, although Paula must reckon with the discovery that her venerated grandfather was a member of the "AAA!".

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This is a massive study of Paris and of Notre Dame set in the fifteenth century, but written from the viewpoint of the nineteenth century. Hugo gives us not only the magnificence and the horrid secrets of the great cathedral, but the boisterous city over which it stood. Quasimodo, the legendary hunchbacked bellringer of the great church, is the title character.

But the reader is also treated to a small group of individuals, including a high-ranking priest, a beautiful dancing street entertainer, a soldier of fortune, an itinerant poet, and a grieving mother whose lives are intricately woven together in the often painful plot line. The author, obviously deeply entrenched in the history of his city, gives his readers a dense, sometimes chaotic, trip through medieval Paris in all of its allure and its sordidness as his carefully crafted characters come together and gradually destroy one another and/or themselves.

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This novel purports to be the story of Ned Kelly, the most famous of all Australian outlaws, as told in his own words. We learn that after Ned’s capture in the shoot-out at Glenrowan on June 28th, 1880, "thirteen parcels of stained and dog-eared papers, every one of them in Ned Kelly’s distinctive hand" (p. 4), were discovered among his things. These parcels turned out to be a memoir, addressed to the infant daughter whom he was never to see because his wife fled to San Francisco.

Ned was the son of poor Irish immigrants who farmed a "selection" (i.e. homestead) in the northern part of the colony of Victoria. After his father died, in order to help support her children, Ned’s mother took up with a series of dubious men, including an outlaw named Harry Power, who became the boy’s manipulative mentor. The memoir presents Ned as a goodhearted, loyal, and basically honest young man who came to blows with the law partly as a result of his bad companions, and partly through the intrinsic malice of the police.

Along with his brothers and two friends, he reluctantly becomes a bank robber, commits a few incidental murders, and ends up as a popular hero whose final capture has become part of Australian legend. The memoir shows us that the 26-year-old Ned could have escaped to America with his wife, but chose to remain in Victoria because he hoped somehow to free his mother, who was serving a jail sentence in Melbourne. The memoir also describes the origin of the famous iron armor that Ned was wearing when he was captured.

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Many years later, a plastic surgeon is still haunted by memories of the war atrocities he committed as an infantryman in the Vietnam War. He returns to Vietnam searching for atonement. He spends two weeks there as a medical volunteer, repairing the cleft lips and palates of 30 children. He meets the director of the hospital, Dr. Lieh Viet Dinh, who once was a member of the North Vietnamese Army.

During the war, Dr. Dinh was tortured and both his thumbs were cut off. He asks the plastic surgeon to perform a toe transplant to replace one of his missing thumbs. Despite the initial optimism of both men, the operation ultimately fails as the digit becomes gangrenous and then dead. Once again, Vietnam has proven to be a dangerous place seeping hardship and disappointment. Only now the surgeon is capable of accepting the land and its risks as he makes peace with the country and himself.

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Nan Shin was an American woman living as a Zen Buddhist nun in France. She is diagnosed with advanced uterine cancer, undergoes surgery and chemotherapy and, by the end of the book, it appears, is dying. Her account does not, however, take the conventional form of the illness narrative; in fact its form might be called anti-narrative, for its focus is not on the story of Shin's illness and dying, but rather on the "every day living" that is at the center of her Zen beliefs.

The book consists of several strands that recur in alternating sections. One strand describes, in minute detail, the course of a single day's devotions and activities in the life of a Zen nun. Another traces the author's travels in the United States with her sensei, an astonishing man whose perspective on American culture is both detached and hilariously insightful.

A third tells of the author's frequent horseback rides through the French countryside, with beautifully focused and precise descriptions of the natural surroundings. Finally, there is the illness, presented matter-of-factly but conveying powerfully the author's (not always wholly successful) efforts to put into practice, in such trying circumstances, all she has learnt as a practitioner of Zen.

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As the narrator, an "outcast among outcasts," begins to recount his story, he cautions the reader that "William Wilson" is not his real name; he doesn't want the page to "be sullied with my real appellation." The miserable man tells of his childhood and his life at school, where he encountered another boy who looked exactly like himself and had the same name and birthday.

All the children at school recognized the narrator's preeminence among them, except for this strange double. While the first William Wilson was aggressive, witty, and imperious, the double presented himself as quiet, gentle and wise--but unthreatened. In the end their feelings towards each other "partook very much of positive hatred."

Many years later, as the narrator was busily engaged in cheating at a game of cards, the second William Wilson suddenly appeared out of nowhere and revealed Wilson's scam to everyone present. Subsequently, time after time, just as Wilson was about to achieve some nefarious end, this anti-Wilson unerringly stepped in and destroyed Wilson's chances.

The last straw occurred in Rome during Carnival; just as Wilson was about to seduce a married woman, his double arrived to squelch the affair. Wilson flew into a rage and killed his nemesis, only to discover he had stabbed a mirror--but the dying image in the mirror whispered, " . . . How utterly thou hast murdered thyself."

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Art Myers is not only an art photographer but also a physician who specializes in preventive medicine and public health. Having experienced breast cancer in members of his own family, including his wife, he began to see the disease in a new light and undertook this photographic project to show that for a woman, the loss of part or all of her breast need not be a threat to her being.

In addition to the artistic nude photographs of thirteen different women from a variety of backgrounds there are meaningful personal vignettes and beautiful poetry by Maria Marrocchino. Some of the photographs show women with significant others. The women present their bodies and themselves with humor, sadness, vulnerability and honesty.

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The author, an internist and medical educator with a long-term interest in literature (she recently was awarded a Ph.D. in English literature), describes the literary exercise she uses to develop empathy in students taking her required course in medical interviewing. Charon has her students choose a difficult medical encounter from their own recent training and then write, using the first person, the story of that patient’s life in the day before the difficulty--including being treated by the medical student who is doing the writing. Because much of the story must be imagined, the writer’s intuition is automatically brought into play.

Because it is told from the patient’s point of view, the medical student is forced to see the patient whole and without reference to medical terms. Charon argues that this exercise of the imagination yields a combination of objectivity and empathy that forms the basis for good medical care. She also finds that the exercise helps medical students see themselves as their patients see them--and thus to understand, for instance, the effect on their patients of their youth and nervousness.

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Crossing Over presents "extended, richly detailed, multiperspectival case narratives" of 20 dying patients served by the Hospice of Lancaster County in Pennsylvania and the Palliative Care Service of Royal Victoria Hospital in Montreal. These complex narratives (each written by a single author) reveal the patient’s story from many points of view, including those of family members and professional caregivers.

The authors explain how this project differs from recent books of clinical narratives by Timothy Quill (A Midwife Through the Dying Process, 1996), Ira Byock (Dying Well: The Prospect of Growth at the End of Life, 1997), and Michael Kearney (Mortally Wounded. Stories of Soul Pain, Death and Healing, 1996 [see entry in this database]). Barnard et al. point out that Quill, Byock, and Kearney are "passionate advocates for their own styles of care . . . Yet these very characteristics--advocacy and close personal involvement--limit their books in important respects." (p. 5) Basically, these authors select cases that illustrate the efficacy of their models and present the patients’ stories from their own point of view.

Crossing Over draws on a standard qualitative methodology that includes tape-recorded interviews of patients, families, and health care professionals; chart reviews; and participant observation. After the introduction, the narratives occupy 374 pages of text (almost 19 pages per patient). Part II of the book, entitled "Working with the Narratives," includes a short chapter on research methods and 29 pages of "Authors’ Comments and Questions for Discussion." The latter is designed to be used as a teaching guide.

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In the late 20th century, Britannula, an island near New Zealand, has achieved its independence from Great Britain. Settled by a group of young men some 30 years before the action of this novel, Britannula has developed into a prosperous land governed by a President and a single-house legislative body, the Assembly. They have adopted a great social experiment called the "Fixed Period," by which the society and its citizens will avoid the suffering, decrepitude, and expense of old age. At age 67 each person will be "deposited" into a lovely, carefree "college" (Necropolis) where he or she will spend one delightful year before being euthanized.

The story takes place just as the time approaches for Gabriel Crasweller, a wealthy landowner and good friend of President Neverbend, to be deposited. Crasweller is the first citizen to have lived out his Fixed Period, and the President, whose brainchild the Fixed Period is, experiences a conflict between his love for Crasweller--who inexplicably does not want to die--and his determination to carry out the law. Mounting resistance to the Fixed Period among the older citizens (including his wife) also surprises Neverbend, although the Assembly, composed mostly of young people, reaffirms the law. Just as Crasweller is led off to Necropolis, a British gunship arrives in port to relieve Neverbend of his duties as President and re-establish direct control of Britannula.

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