Summary:

Jack Coulehan’s fourth poetry collection brings together new and previously published poems in a well-organized and handsome volume. As a reader who has long followed this author’s career, I found some of my favorite poems here (Irene, "Lima Beans," "For Oysters Only," "Six Prescriptions," "Sir William Osler Remembers His Call on Walt Whitman," "Cholera," and Medicine Stone) as well as compelling newer work: "The Shoe," "Work Rounds: On Lines by Tomas Transtromer," "Definitions," and "Decatur in Winter."

The collection is divided into three sections: the first presents poems about "doctoring" and, a Coulehan trademark, poems from a patient’s point of view; the second is a remarkable assembly of Coulehan’s poetic commentaries on Chekhov’s life and writing; the third features poems about a variety of personal relationships.

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This is a harrowing story, told in the first person, of an obsession with food and body image. "One day I will be thin enough", says Josie, the 25 year old anorectic woman who has been hospitalized for life-threatening self-starvation. "Just the bones, . . . the pure, clear shape of me." "One day I will be pure consciousness." The narration spins out in painful detail the pattern of compulsive behavior which pervades Josie’s existence. Her pitifully barren emotional life is revealed as well.

How did it all begin? Flashbacks of significant events invade Josie’s attempts to stop thinking. A shy, awkward adolescent, overly sensitive to casual comments about excess flesh, decides to diet. Josie stumbles non-communicatively through a teen-age sexual initiation to a later affair with her married professor, retreating ever further from her bewildered family.

But why do events take such an extreme turn? The mystery of anorexia nervosa remains. In the hospital, a nurse who has seen everything seems to strike some responsive cord, and Josie begins eating to gain weight. At the end of the novel she’ll soon be released , under supervision, but the outcome is in doubt. "Can I learn to be so present? Can I learn to be so full?" ". . . if I were a body, what would I be?"

 

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This posthumously published short (132 pp) collection is by a former New York Times book reviewer and essayist who was diagnosed with metastatic prostate cancer in 1989 and who died the following year. Broyard responded to his illness by writing about the experience. The book is comprised of six parts:

Part 1: Intoxicated by My Illness

Part 2: Toward a Literature of Illness

Part 3: The Patient Examines the Doctor

Part 4: A Style for Death: Journal Notes, May-September,1990

Part 5: The Literature of Death

Part 6: What the Cystoscope Said

Parts 1, 2 and 5 appeared in slightly different form in the New York Times between 1981 and 1990.

Parts 2 and 3 are in part from a talk Mr. Broyard gave at the Univ. of Chicago Medical School in April 1990. Part 6 is a short story written by Broyard in 1954 about his father’s death.

Mr. Broyard had long been fascinated with death and dying, before his prostatic cancer, publishing "What the Cystoscope Said" in 1954, some 35 years before his own diagnosis. It is as though he had been preparing for what he knew would be his finest work. Always an engaging essayist and reviewer, Mr. Broyard here offers what he did best--a discursive (in the best sense) soliloquy on disease, suffering, the majesty of the educated, reflective person with illness--all amplified with widely ranging withdrawals from the broad literary bank account one would expect of a professional reader and reviewer: one reads about personal fate vis-à-vis D. H. Lawrence’s Women in Love; one reads, as one can read nowhere else, about illness, dying and sexuality and its relevance to Hemingway’s The Sun Also Rises.

Part 1, Intoxicated By My Illness, is a personal statement about the effect of this illness on Broyard’s attitude and is rich with his own and others’ literary sense of how he should and did react to it. Part 2, written later than Part 5, deals with literature and illness as opposed to the emphasis on death in Part 5. Within Part 2 are references to Susan Sontag, Norman Cousins and Siegel, among other students of this subject. It is interesting to compare the more powerful and personal and moving appeal of the later writings on illness (Part 2) to the more abstract, critical ruminations on death (Part 5) at a time when, in fact, Part 5 was a literary exercise. Part 2 is written with the pen of the heart.

Part 3 is a wonderful account of Broyard’s first meeting with his personal physician. While Broyard analyzes this man, he reflects on what he would like in his ideal doctor. Part 4 is a brief (7 pages) collection of short diary entries reminiscent of Dag Hammarskjöld’s Markings. Part 5 includes essays on death and dying in literature and what these books, e.g., Robert Kastenbaum’s Between Life and Death and David Hendin’s Death as a Fact of Life and Ernest Becker’s Denial of Death, have to offer us.

Part 6 is a short story about his father’s death, the son’s sexual escapades and the relationship between the two. Clearly sex, death and their nexus have long been on Broyard’s mind. This is a welcome reflection and is of interest more as it compares to Broyard’s later writings on the subject, especially in Part 2, than for its intrinsic worth as a short story.

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Based on actual events, this is the story of a stranger who disrupts life in Sparta, a small and depressed town in upstate New York. Dean Lily, the "illusionist" of the title, in his early twenties, does magic tricks with playing cards, makes the young women of the town fall in love with him, and is really Lily Dean--a woman. Chrissie Peck, the story’s survivor, who leaves town for college at the end of the novel, befriends Dean and watches as he seduces the single mother Terry Kluge, and then abandons her for the more conventionally attractive Melanie Saluggio.

To each woman, Dean is the perfect man--gentle, funny, caring--and, in Terry’s case, the source of profound sexual pleasure. But Dean is arrested after stealing from Terry, and a newspaper report reveals that he has the body of a woman, that what he calls his "deformities" are in fact breasts.

The abused and sociopathic Brian Perez, who has always loved Melanie, accosts them and forces Dean to expose his body to her. After Melanie has left, appalled, Brian rapes Dean, who is persuaded in hospital to tell the police. Dean returns to Terry, who realizes that her love for Dean exceeds both his gender and his betrayal of her, but Brian tracks them down and murders Dean, Terry, and Terry’s small son.

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A surgical resident named Thor Bitterbaum happens to be in attendance when the fatally wounded President John Kennedy arrives at Parkland Hospital in Dallas. He immediately remembers the work of a scientist who had performed some successful cloning experiments. In the twinkling of an eye, he locates a liquid nitrogen container and freezes a sample of the President’s tissue. He then locates G. K. Kellogg, a multimillionaire who is willing to foot the bill to clone President Kennedy. Kellogg’s plan is to reproduce the major events of Kennedy’s life so that his "son" has essentially the same experience as JFK and grows up to be elected President of the United States.

Not surprisingly, some things go wrong with the plan, but, in general, the whole bizarre scheme works out as G. K. and "Uncle" Thor intend it to. Joshua Francis Kellogg, the cloned child, eventually learns his origin, rebels against his "father’s" plan, blows his cover by writing a book about his experience, but ultimately becomes a successful politician just as G. K. had envisioned.

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This work is an adaptation and abridgment of a classic work of Chekhov scholarship by Vladimir Kataev published in Russia in 1979 and presented here in English for the first time. Professor Kataev is concerned primarily with Chekhov’s perspective and methodology, the manner in which Chekhov looks at the world and, hence, the kinds of stories he tells and the methods by which he tells them.

The characteristic Chekhovian perspective first appears in recognizable form in stories that Chekhov wrote in his breakthrough years of the mid-1880s, yet it continued to develop and deepen throughout his writing career. Thus, If Only We Could Know is arranged chronologically. In each chapter the author discusses one or more stories or plays, using them as grist for his topical mill, beginning with "Kashanka" (1887) and ending with The Bishop (1902) and The Cherry Orchard(1903).

According to Kataev, the key to understanding Chekhov is to understand his epistemology or philosophy of knowledge. Basically, in Chekhov’s world the characters do not have access to a privileged perspective or to ultimate truth. "The relative, conditional nature of ideas and opinions, and of stereotyped ways of thinking and behaving; the refusal to regard an individual solution as absolute; and the baselessness of various claims to possession of ’real truth’: these are constants in Chekhov’s world." (p. 164) Thus, the characters communicate poorly and often end up inadvertently causing pain, or sabotaging their own life projects.

Nonetheless, Chekhov’s vision is not pessimistic. Chapter 16, "Chekhov’s General Conclusions," summarizes Kataev’s analysis of the author’s overall approach. Chekhov’s conclusions "may be negative {no one knows the real truth), or affirmative (seeking the truth is an inalienable part of human nature), or they may take the form of indicating the criteria and conditions necessary for establishing real truth." (p. 168) Thus, Kataev expresses here, as well as in his analyses of individual works, the dialectical (my term--JC) relationship between the facts of Chekhov’s stories (i.e. failed beliefs, failed communication, missed opportunities) and his compassion for human nature that searches endlessly for love and meaning in life.

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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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Louis Trevelyn, a wealthy and respected Englishman, marries the poor, but spirited, Emily. They live happily together for about a year, and have a son. Emily begins to accept regular visits from Colonel Osborne, an old friend of her father’s, who claims to visit Emily only as a family friend. However, his age sits lightly on him and he has a reputation for breaking happy homes.

Louis, in a jealous rage, instructs his wife to refuse all further visits from Osborne. Emily believes that he is accusing her of infidelity and is extraordinarily angry. She insists that Osborne is simply a friend. Neither partner will apologize. Eventually, Louis can no longer live with his wife. He sells the house, sends Emily and Louis, Jr. to live in the country and sets himself up in a squalid boarding house.

Emily does not wish to be separated from her husband and grows less prideful. She will gladly obey Louis’ command to no longer see Osborne, but she will not apologize for having seen him, as she believes it would be tantamount to confessing adultery. Louis, meanwhile, grows increasingly obsessed with her "disobedience" and hires a private detective to keep an eye on his wife. The detective finds that Osborne insisted on a visit to Emily--  visit that was public and lasted ten minutes, but that nevertheless leads Louis to steal his son and flee to Italy.

Louis’s obsession makes him mentally and physically ill. When Emily and her family track him down in Europe, he is deathly thin and seems mad, convinced that his wife, his friends, and even the private detective are against him. This wretched marriage is contrasted to several other relationships that develop in the course of the novel. These are based on mutual respect and love rather than self-pride and so flourish. These happy couples also physically and mentally change, but for the better.

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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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