Summary:

This is a collection of 14 contemporary patients' accounts of dealing with their illness or injury. (The patients, four men and ten women, including the editors, are all writers.) Among them the stories cover numerous medical conditions: erythroblastosis, environmental illness, obsessive-compulsive disorder, hip dysplasia, osteoarthritis, hip replacement, H.I.V., Crohn's disease, broken leg, ruptured cervical disc, myelitis, rheumatoid arthritis, paroxysmal nocturnal hemoglobinuria, lupus, alcoholism, multiple sclerosis, diabetic retinopathy, breast cancer, severe facial scarring, and depression. The collection is unified by a focus on selfhood--the recovery, discovery, or reconstruction of the psyche that the editors propose is the deepest form of healing.

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This is a collection of 22 contemporary first-person accounts by survivors of a wide range of life’s woes--some medical, some social, and most of them at least partly emotional. The challenges the writers have faced are too numerous to represent individually in keywords, but they include incest, colonialism, disfigurement, adultery and divorce, obsessive-compulsive disorder, bone marrow transplant, and the death of family members.

All of the authors are writers, a handful of them well-known, and virtually all the works collected here have been published before. They are unified, to use the editor’s words, by the idea that "lifewriting is a passage through grief to knowledge" (she might have added "and to healing").

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The unnamed narrator, a physician, notices a surgeon in a "seedy cafe on the edge of town." (73) He learns from the waiter that the shabby man with the "aristocratic demeanor" is "a doctor: Surgeon once" (73). The surgeon hears the narrator call for medical papers and makes his acquaintance. One night soon thereafter the narrator notices that the surgeon, sitting and drinking alone, drains the green syrup of his absinthe "so slowly and pleasurably" (74) that he must be, in fact is, an alcoholic.

The latter approaches the narrator and begins elaborating a complicated theory of time and how it is an internalized, organically controlled, locus in the brain, no different "from an ordinary brain cell" (77). As such, he, the surgeon, proposes to cut it out, imagining, grandiloquently, vast seas of gratitude washing up on his shore as he frees humanity of the "silent madness of mortality" (78). The surgeon ends with a toast to absinthe, "a drug to be taken orally, and which is useful against time, temporarily. . . . We won’t be needing it much longer, since the surgical method’s both radical and excellent. Cheers, my dear colleague!" (78-79)

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Miracle McCloy received her name because, as she's been told many times, she was pulled from the body of her mother shortly after her mother was run over and killed by a bus. Raised largely by her grandmother with her depressed and dysfunctional father nearby, she has learned a great deal about séances, contacting the dead, reading auras, and paying attention to energy fields. But she doesn't know much about how to locate her own confused feelings about her parents, her identity, and her relationships with "normal" kids at school who see her has some kind of freak.

She perpetuates this image by casting "spells" to help fellow students connect with boyfriends. But after her father disappears, and her grandfather's house is destroyed in a tornado, she lapses into mental illness and burns herself badly trying to "melt" as she believes her father did by dancing among flaming candles. She is taken to an institution where an astute therapist and an aunt who realizes how much Miracle needed her combine their efforts to help her recover a sense of who she is--a dancer, a strongly intuitive, intelligent girl with an interesting history and a promising life to live, liberated from the obsessions of a superstitious grandmother and mentally ill father.

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Fifteen selections--short stories, essays, and memoir--make up this collection. Two stories are notable: The Whistlers' Room and Atrium: October 2001 (see annotations). The title story is a translation and retelling of an obscure German tale published 75 years ago. Set in a military hospital in Germany during World War I, four soldiers share a common wound--throat injuries and laryngeal damage necessitating a tracheostomy for each man. This remarkable quartet of patients forges a fellowship of the maimed.

"Atrium: October 2001" describes the random meeting between a physician and a terminally ill teenager in the hospital atrium. The subject of death dominates their discussion. "Parable" chronicles an elderly doctor's efforts to comfort a dying man, and in the process, ease both their suffering.

Excerpts from Selzer's diary reveal much about the character of the author as well as the characters in his life. He also reminisces about growing up in Troy, New York. Approximately one-quarter of the book is devoted to Selzer's musings on works of art (sculpture and painting). Lighter fare includes a discussion of life behind the podium, a description of his home, and a new ending for A Tale of Two Cities by Charles Dickens.

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The narrator, a schoolteacher substituting in a "stagnant, godforsaken little place" in the west of Ireland, meets an old woman that everyone in town calls "The Creature." She decides to visit The Creature and listens to her story, eventually becoming a regular weekly visitor at her hut.

The Creature is a widow who has two children: a daughter who lives in Canada and a married son who lives a few miles away on a farm The Creature used to own. Her husband had been killed, a victim of The Troubles two years after they were married. Thus, she had to raise the children alone.

Originally her farm was relatively prosperous, but the animals had all developed hoof-and-mouth disease and died. Nonetheless, she managed to keep body and soul together and to send the children away to school. Her son returned from the city after marrying a woman who despised The Creature. He and his wife had moved into the farm, but the young couple argued every night about money and the mother's presence, so The Creature signed the farm over to her son and moved away. That was 17 years ago; he had never visited her since.

The narrator goes to the farm, meets the son (by this time a passive and depressed middle aged man), and arranges for him to visit his mother. He does this, but the visit goes poorly. The narrator finally realizes that she has actually removed the last little glimmer of hope the old woman had; before seeing her son again, she could always hope that someday the two would be reunited, but after he visits, she realizes that he doesn't care about her and will probably never come back.

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There are two parts to this six-page story. In the first part, an illiterate peasant woman hires a local man to write a letter to her daughter, who had married and moved to Petersburg four years earlier. The peasant woman had heard nothing from her daughter since then. She pours all her love into a few words of Christmas greeting, although the scribe adds a bunch of meaningless nonsense to fatten the letter up.

In the second part, the letter has arrived at the hydropathic medical establishment where the son-in-law works as a porter. He brings the letter to his wife, who is in their apartment caring for their three small children. Upon reading the letter, she bursts into tears and cries out, "Queen of Heaven, Holy Mother and Defender, take us away from here!"

Her husband recalls that several times she had given him letters to send to her parents, but he never bothered to do it. In the end the wife stops crying, obviously "very much frightened of him--oh, how frightened of him!"

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David tells the apparently fairly simple story of two young friends feeling their youth, their growing friendship, and their love for the mountainous outdoors of rural Canada. The narrator, unnamed until nearly the end of the poem, falls under the charismatic spell of David, the leader and more experienced climber of the two.

After introducing us to David, the narrator describes a particular climb they had been anticipating for months. During the ascent, the narrator slips. David saves him and then slips and falls himself, landing many feet below on a jagged rock that has broken both his fall and his back, leaving him paralyzed. David asks his friend to push him over the cliff citing paralysis as no way for someone like himself to live, i.e., in a wheelchair. The narrator acquiesces.

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Three stories are intertwined in this complex novel; in the end, they become one. In a series of flashbacks, the elderly Iris Chase Griffen writes of her long life. At the outset, newspaper clippings present three tragic deaths from 1945 to 1975: sister, husband, and daughter.

Iris's pretty, younger sister, Laura, died at age 25 when she drove her car off a bridge. Two years later, Iris published Laura's novel, Blind Assassin, to critical acclaim, projecting the author to posthumous fame. Only weeks later, Iris was widowed when her husband drowned. Then many years later, Iris's daughter, Aimée, breaks her neck and dies from the ravages of drug and alcohol abuse. Iris also loses care of her only grandchild, four-year old Sabrina. Iris looks back on the circumstances before and after these deaths.

Growing up in small-town Ontario without a mother, Iris was expected to look after Laura. But the younger girl's guileless intensity inspired exasperation and jealousy, as well as affection. In the 1930s, the sisters managed to hide a young radical, Alex Thomas, in the family attic before he escaped to Spain; they both fell in love. But at age nineteen, Iris is forced to enter a joyless marriage to wealthy Richard Griffen out of obedience to her father who hoped that the union would save his factory. It did not.

Laura is bossed by the politically ambitious Richard and his domineering sister, Winifred. Defiance and maternity allow Iris to carve out her own space within the confines of the social situation. But she is increasingly estranged from the romantic, inscrutable Laura who is eventually sent to an "asylum" where she has an abortion. Upon her release, the sisters reconnect, only to hurt each other with painful revelations (unrevealed here to avoid spoiling the effect for readers; some will have guessed them in advance).

The other two of the three stories stem from Laura's acclaimed novel "Blind Assassin," parts of which are interspersed. On one level, it relates the passionate affair of a refined woman (very like the author) and a political fugitive (very like Alex) who meet in his sordid hiding places. On another level, it is an Ali Baba-esque fairy tale, invented by the lovers, about a cruel society in which child-labor, ritualistic rape, and human sacrifice are routine. The killers are children who have been blinded by their enforced work knotting beautiful rugs.

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As James Morris, the author was the dashing journalist who covered the first successful ascent of Everest in 1953 for The Times of London; a member of the elite and quintessentially male 9th Queen's Royal Lancers ("famous for their glitter and clublike exclusivity"--p. 27); the husband who married Elizabeth, fathering several sons. But, as the writer says in the first sentence of the book, "I was three or perhaps four years old when I realized that I had been born into the wrong body, and should really be a girl. I remember the moment well [James was sitting beneath his mother's piano], and it is the earliest memory of my life."

Realizing he was a member of a tangled (a favorite word of the author) group of transsexuals, James felt himself trapped in a conundrum of gender (he felt and considered himself female) versus sex (he was genotypically and phenotypically male). "To me gender is not physical at all, but is altogether insubstantial; it is soul, perhaps, it is talent it is the essentialness of oneself" (25). (Morris goes on to quote C. S. Lewis's Perelandra.)

After some fruitless interactions with the medical profession, Morris travels to Casablanca in the summer of 1972 to undergo sex-changing surgery and becomes Jan Morris. Unlike many if not most transsexuals, post-operatively Morris fared quite well emotionally and has, to date, been quite happy with the change (see below). Jan Morris's writing is as humorous and eloquent as James Morris's was. She describes (magazines like Rolling Stone and publishers like Random House and thousands of readers have never cared what gender or sex was holding the pen) how life changed in clubs, restaurants, and in taxi-cabs, where Jan met the first man to kiss her, post-surgery, "in a carnal way" (151). (Morris records that "all I did was blush.")

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