Summary:

Joseph takes a lengthy journey on a strange train to visit his father who resides in the Sanatorium. On the way, he meets a fellow with a swollen face who wears a tattered railwayman's uniform. That man eventually vanishes from the train. When Joseph arrives at his destination, he is informed, "Here everybody is asleep all the time" (115). The Sanatorium's physician, Dr. Gotard, provides a confusing explanation about the condition of Joseph's father. From the perspective of the natural world, Joseph's father is already dead. As a patient in the Sanatorium, however, time is manipulated for him. The past is reactivated allowing for the remote chance of recovery (or at least existence in a type of limbo).

During his stay, Joseph sleeps with his father since no other bed is available at the Sanatorium even though he suspects they may be the only two guests there. He discovers that his father--pale, emaciated, and nicely dressed in a black suit--has two different lives. In the Sanatorium, the man is moribund. Outside the facility, he is vibrant and runs a small cloth shop in a peculiar nearby town. Joseph finds himself "mortally tired" [p 125] and often overpowered by sleep.

A ferocious watchdog guards the Sanatorium, but up close Joseph notices that it is not a canine but rather a man (or perhaps a dog in human guise) so he unchains the creature. Feeling an urgent need to escape his situation, Joseph races to the railroad station where he boards a departing train. He is convinced he will never see the place again. Joseph makes the train his home. Nonstop travel becomes his future. Joseph now has a swollen cheek that is bandaged. He is attired in a worn out railwayman's outfit. When he is not wandering on the train or dozing, Joseph sings and people lob money into his hat.

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Set sometime in the near future, Cast of Shadows has as its protagonist Davis Moore, a successful private practice physician specializing in cloning human babies for infertile couples. Early in the book, Anna Kat, his high school senior daughter, is murdered and raped. (For a while a likely suspect is Mickey the Gerund, a right wing extremist member of the Hands of God with a fascinating grammatical moniker never explained, who shoots cloning physicians, including Dr. Moore, in the abdomen, a short time before his daughter, Anna Kat, is brutally killed. However, Mickey is only a shadow of a suspect and quickly becomes supplanted by another much more likely villain. Mickey goes on to kill, by various methods, dozens of cloning physicians and staff by book's end.)

After a year of unsuccessful detective work, the local police return Anna Kat's belongings, including a plastic vial with the suspected murderer-rapist's semen. In an act never fully explored by Dr. Moore or the author, an otherwise rational and ethical physician surreptitiously uses the suspect's semen to fertilize a married woman patient.

The offspring, a clone of the suspected killer-rapist, is Justin, who becomes a formidable presence in the book. He is very intelligent--at his psychologist's advice, his parents provide him at an early age with advanced reading materials like Plato (hence one of the allusions to shadows, i.e., Plato's cave, in the book's title and referenced directly on page 118 and indirectly on page 208) and other philosophers. By the time he is a senior in high school, Justin has become a dominant player in the affairs of Dr. Moore; Sally Barwick, a private investigator-turned journalist; and the suspected killer-rapist--his origin of the species as it were.

This book has a number of subplots all of which radiate from the initial cloning and the various members of the extended family and professional staff involved in it, some knowingly, most not. There are narrative threads involving the suspected murderer rapist-now-prominent attorney, Sam Coyne; the triangle of Dr. Moore and Jackie, his alcoholic wife, and Joan, his attractive pediatrician associate; Mickey the Gerund's various murderous and obsessional religious activities and reflections; Justin's life in school and involvement with Sally Barwick's investigation of a serial killer called The Wicker Man; and, most especially, the development of Shadow World, a computer game and a virtual replica of the real world--the world as Justin, Sally, Sam Coyne, and Dr. Davis Moore know it.

Since this is a thriller, it would be inappropriate to divulge more of the plot, which is intricate, often a little far-fetched but always engaging, highly readable and more labyrinthine than most medical thrillers.

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Summary:

At thirteen, Clair's mother has died, her father has withdrawn, and she suddenly stops speaking. Uncertain what to do with or for her, her father, a pastor, opts for complete change and follows his own dream, leaving an upscale suburban parish for a remote one among the rural poor in the northern Michigan woods. Furious, Clair strikes a deal with him that if she doesn't like it in six months, they'll return.

In the course of that time, while her father builds new kinds of relationships and trust among the local people, Clair discovers and becomes friends with a girl her age who lives mostly alone in a makeshift shelter, avoiding the attentions of her laissez-faire chain-smoking grandmother and, more importantly, her violent father who is temporarily in prison and therefore unable to hurt her.

From this girl, Dorrie, Clair learns a great deal about survival, both physical and psychological, and ultimately, surprised by an emergency into the necessity, learns to speak again. As the six months draw to a close, she finds her sisterly bond with Dorrie, whom her father has invited to live with them, and a growing appreciation of the natural setting and local people have made her not only willing, but eager to stay and make a new life where she is.

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Summary:

Vitamin sales are so low that Patti is presently her own best customer. She peddles multivitamins door-to-door along with co-workers Sheila and Donna. All three women are despondent. The man who lives with Patti is the narrator of the story. He has a menial job at the hospital. Patti accuses him of not caring about anything. The narrator frequents the Off-Broadway, a club where he can drink and listen to music. He is physically attracted to Donna and takes her there on a date.

Two drunken men, Benny and Nelson, invite themselves to join the couple in their booth at the club. Nelson is an intimidating figure who has just returned from Vietnam. He is vulgar and propositions Donna. Nelson carries a "keepsake"--a human ear attached to a keychain. He removed the ear from a Vietnamese man.

After leaving the club, Donna admits she could've used the few hundred dollars that Nelson offered her in return for sexual favors. She plans on quitting her job and moving. When the narrator returns home, Patti is having a nightmare. While he searches for some aspirin, objects keep falling out of the medicine cabinet but the narrator realizes that he doesn't really care.

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Professor Sandra Bertman founded the Medical Humanities Program at the University of Massachusetts Medical Center and holds certificates in grief counseling and death education. This handbook outlines how she uses the visual and literary arts to "improve our professional abilities to deal with death and dying." Her premise is that the arts provide a valuable vehicle for exploring and making bearable the prospect and fact of death.

Bertman illustrates her presentation technique (Chapter 2) of juxtaposing dual images around six central themes, here abbreviated: the chosen death; death and afterlife; existential aloneness; loss of control, unmentionable feelings, grief; the land of the sick vs. the land of the well; the moment of death. The book offers dozens of paintings, sketches, and photographs (reproduced in black and white), as well as many literary excerpts. Classic works are represented (David's painting, The Death of Socrates; Michelangelo's sculpture, "Pieta"; Tolstoy's novel, The Death of Ivan Ilyich) but there are many unusual representations as well--greeting card messages, epitaphs, cartoons.

In addition, some groups with whom she works (for example, medical students studying Gross Anatomy) have submitted their own drawings and commentary. These are shown in Chapter 3, along with written responses to a follow-up Death Attitude Questionnaire. Responses are from junior and senior high school students; college students; medical students; graduate nurses; hospice volunteers.

Chapter 4 gives suggestions for how to use images and texts and for how to approach discussions of loss and grief. The course syllabus for "Dissection, Dying, and Death," taught with Gross Anatomy, is appended, and there is an extensive bibliography.

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Summary:

This biography, first published in French in 1971, was written by a Soviet émigré living in Paris. She begins her introduction with a quotation from Chekhov, "Happiness and the joy of life do not lie in money, nor in love, but in truth" (1). She follows this statement with an observation of her own, "Chekhov makes no prognoses, never raises his voice, does not explain, insist, and above all, does not instruct. . .

He is the least Russian of the great Russian writers." To a large extent, her short biography is devoted to presenting a particular vision of Chekhov that might be called "compassionate objectivity." Although her subject may not have insisted or instructed his readers, Ms. Laffitte does. In fact, there is a hagiographic quality about this book that leads the reader to conclude that if Chekhov had been a believer, by now he would have been canonized as Blessed Anton of Moscow.

Ms. Laffitte proceeds in multiple short chapters. While they are generally in chronological sequence, each one also takes up an issue or theme in Chekhov’s life. She makes copious and skillful use of her subject’s letters and notebooks. She also devotes considerable attention to Chekhov’s medical career, unlike V. S. Pritchett, whose short biography entitled, Chekhov. A Spirit Set Free (1988, see annotation in this database) portrays medicine as more of a hobby than a serious enterprise for Chekhov.

Ms. Laffitte also has a habit of tying up loose ends without presenting much evidence for her point of view, or acknowledging that uncertainty exists. For example, when dealing with what she calls Chekhov’s "moral depression" of the mid-1890s, she concludes, "By a logical exertion of willpower, Chekhov was gradually to emerge from this moral depression" (168). It seems here that she considers depression--assuming this is the correct term to use in the first place--a weakness or failure of will, rather than a clinical disorder.

Nonetheless, this short literary biography (not out-of-print) provides much easier reading than most of the major Chekhov biographies that have appeared since it was published.

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Summary:

Gilbert Adair has a flair for French settings in the latter half of the twentieth century (The Holy Innocents, Key of the Tower) and this novella is no exception. Gideon, the narrator, has moved to Paris in the early 1980's in order to teach English at the Berlitz school. Although he detests 'dreary' London and has only a distant relationship with his parents ["The only thing we had in common was our kinship. Did we even have that?" (2)], the reason he gives for his move is obliquely described in a lengthy discussion of his unhappy, unfulfilling, often humiliating sex life.

Once in Paris and at work, he befriends a group of fellow teachers at the school. After languid hours gossiping in the staff room and teaching their students, they make variably energetic attempts to live interestingly bohemian and erotic Parisian lives, before and during the first intimations of AIDS. The narrator then describes how AIDS affects his friends and his own life.

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In four lengthy chapters, the biographies of Haydn, Mozart, Beethoven, and Schubert are carefully presented. Special attention is given to health, both physical and psychological, throughout life and at its end. Autopsy information is included. In particular, the author emphasizes the impact of illness on the composers' relationships with family members and doctors, and on their musical composition.

Evidence is derived from a wealth of primary sources, often with long citations from letters, poetry, musical scores, prescriptions, diaries, the remarkable "chat books" of Beethoven. Neumayr also takes on the host of other medical biographers who have preceded him in trying to retrospectively 'diagnose' these immortal dead.

Late eighteenth- and early nineteenth-century Vienna emerges as a remarkable city of musical innovation and clinical medicine. The composers' encounters with each other link these biographies. Similarly, many patrons, be they aristocrats or physicians, appear in more than one chapter, such as the Esterhazy family and Dr Anton Mesmer.

The disease concepts of the era, prevalent infections, and preferred therapies are treated with respect. Rigid public health rules in Vienna concerning burial practices meant that ceremonies could not take place in cemeteries and may explain why some unusual information is available and why other seemingly simple facts are lost.

Biographical information about the treating physicians is also given, together with a bibliography of secondary sources, and an index of specific works of music cited.

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Summary:

Returning to the scene of Cannery Row (see this database), made so famous in the eponymous novel, Steinbeck finds a few of his familiar old characters (notably Doc and Mack) and some new ones inhabiting a world that appears to have changed little during the intervening years, despite the closing of the canneries and a World War. Mack and the boys, still up to their usual self-sabotaging shenanigans, collude with Fauna, the proprietor of the local brothel, to bring together Suzy, a new prostitute recently arrived to Cannery Row, and an increasingly lonely and frustrated Doc.

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Summary:

Twelve-year-old Lily Star has lost her father and moved from a cabin in the woods on the river where she grew up fishing with her father, and where she knew the natural creatures as neighbors, to an apartment in the nearby city where she and her mother continue to run the family hardware store. While she still loves the river, she finds it hard to "forgive" it because it drowned her father in a boating accident. She also resents the fact that an important stretch of land along the river is being fenced off by the man to whom the cabin was sold--T.R.--a recluse in a wheelchair. Through a series of unpleasant encounters, Lily gets to know him and learns that he had been a pilot and was disabled in an accident.

The bond the two discover over time has to do with somewhat parallel paths of healing: he needs to "forgive" the sky as she does the river. She persuades him eventually to go boating with her. Even a fall in the water doesn't discourage him from taking on new life and hope by accepting Lily's invitations to get to know the river, the land, and the neighbors. Lily's hopes that he might remain and marry her mother are disappointed when he decides to return to work with planes, though he can no longer pilot them, but the friendship that strengthened them both in their struggles with grief and loss makes it a parting full of promise.

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