Summary:

Salvadorian writer and activist Claribel Alegria has composed a sequence of poems, 47 sparse love letters to her late husband Darwin "Bud" Flakoll who died in 1995. Neither sentimental nor confessional, the poems draw on the struggles of Circe, Prometheus, and Orpheus as well as themes of unfinished rites, sadness, and symbolic immortality. The translator's preface is a reminiscence of her time with the couple then living in self-imposed exile, in addition to a critical introduction to the poetry.

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On a "bright, frozen day" in December, a very old Negro lady named Phoenix Jackson carefully, haltingly walks through the woods and fields on her way to town. She talks to herself and the animals. She pauses to rest. A dog jumps at her and she falls into a ditch. A hunter comes along and helps her get up. Although she is completely worn out, she says, "I bound to go to town, Mister . . . The time come around."

When she reaches town, she goes to the clinic where an attendant thinks, "A charity case, I suppose." But Phoenix has come to get "soothing medicine" for her grandson's throat. He swallowed lye years before and his throat never heals. "We is the only two left in the world . . ." The attendant gives her a nickel. She turns to go, planning to buy her grandson a paper windmill and then make the arduous trip home.

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This splendid poem describes the writer's image of his own death in a very matter-of-fact and conversational style. If he's lucky, he tells us, he'll die in the hospital, surrounded by machines and loved ones. His friends will be there to give him support; he'll be able to tell them how much he loves them. If he's unlucky, however, "as I deserve," he'll just drop dead and not have a chance to say farewell properly. But, whatever happens, he just wants to say "I was happy when I was here . . . . "

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The short story considers the final afternoon in the lives of Jeff and Jennie Patton, a frail elderly couple, who have spent their lives as poor sharecroppers, barely able to make ends meet for themselves and their children. While neither is seriously ill, the severities of farming and aging have guided them toward a mutual pact. Today they will put on their finest clothes and then, drive down the dirt road past their neighbors toward a cliff--and death.

The simple story is gripping as readers discover what this couple is about. While they have been defeated by their tight-fisted landlord and by age, their spirits are indomitable. With charm and pathos, the couple fulfills the pledge they made to one another when no other alternative seemed appropriate.

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The narrator, Frank, an aging man with cataracts, heart murmur, and diabetes, reflects on the life he now lives with Francine, his wife. They have been together 46 years and time, he muses, "has made torments of our small differences and tolerance of our passions." They know little of one another’s daily lives; he doesn’t even know what conditions her array of pills on the breakfast table are meant to treat. Frank has taken to reading poetry.

Francine claims she has been hearing an intruder outside the window at night. She finds poems on the window sill. She is mystified and a little frightened. At her request Frank stays up all night one night to watch for the romantic intruder. Midway through that night he takes her for a walk in the frozen street. When they return to bed, aching from their respective debilities, he turns to her for the first time in recent memory, holds her, and kisses her as he used to, clinging to her fingers, "bone and tendon, fragile things," knowing he will die soon, and that life can still surprise him.

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An American man and "a girl" sit drinking beer in a bar by a train station in northern Spain making self-consciously ironic, brittle small talk. The woman comments that the hills look like white elephants (hence the story's title). Eventually, the two discuss an operation, which the man earnestly reassures her is "awfully simple . . . not really an operation at all . . . all perfectly natural" (726).

The woman is unconvinced, questioning "what will we do afterward," but says she will have the operation because "I don't care about me" (727). A few moments later, however, she avers that they "could" have everything and go anywhere, suddenly as earnest as he had been earlier. When the man agrees that they "can" do these things, however, the woman now says no, they can't, her change in verb tense suggesting that the possible lives they once could have pursued (and produced) are even now, before any firm decision has been spoken, irrevocably out of reach. When the man says that he will go along with whatever she wants, the woman asks him to "please please please please please please please stop talking" or she will scream. The train arrives during this impasse, and once the bags are loaded, the woman, smiling brightly, insists she feels fine.

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Philip Carey, the central character of this early 20th century Bildungsroman, is both an orphan and afflicted with a club foot. He is sent at age nine, after the death of his mother, to live with a childless uncle--a deeply religious Vicar--and his submissive aunt. They have no idea how to be parents, so send Philip away to a boys' boarding school where the child begins to learn what it means to be less than physically "perfect." The remainder of Philip's development is cast in this light.

He roams about looking for himself and his place--to Germany to learn languages, to London to learn a trade, to Paris to study art, and finally, as a last resort, a default decision to follow in the steps of his father the physician. A major part of Philip's maturation is based in making decisions about women and about sensual love. The most painful portions of his story are those that evolve around his stumbling and frequently failed attempts to find security in his personal relationships.

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Fridolin, a doctor, and his wife, Albertine, have been married for a few years and are the parents of a much adored little girl. In a moment of unusual frankness, they decide to confess all their temptations and adventures to one another. Albertine admits that she deeply desired a blond Dane encountered in the previous summer. Fridolin professes to welcome this news and tells of similar attractions. They promise to confide the sexual adventures of their waking and dreaming states.

But Fridolin is not at ease. The idea that his wife desired another-even in a dream-inspires a jealous energy that sends him in search of adventures that will reassure him of his own desirability and hurt if not repudiate Albertine. On the pretext of a house call, he wanders, masked and unmasked, through the decadent private clubs and cafés of night-time Vienna. He toys with the dismal daughter of a patient, an "unspoiled" prostitute, and a sophisticated matron--none of whom he actually claims, all of whom remind him of his wife, one of whom dies, he believes, in protecting him.

Uncertain if his adventure was reality or dream, he returns with tenderness to Albertine, although he has repeatedly vowed to leave her. He tells his entire story; she listens with better grace than he would have done. Then he asks what they should do. She replies that they should be grateful to have "emerged safely from these adventures" . . . "neither the reality of a single night nor even of a person's entire life can be equated with the full truth about his innermost being." "And no dream," he responds "is altogether a dream." (p. 98-9). They begin another day.

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The Physician in Literature is an anthology edited and introduced by Norman Cousins that aims to illustrate the multiple ways in which doctors are portrayed in world literature. Literary selections are organized into 12 categories including Research and Serendipity, The Role of the Physician, Gods and Demons, Quacks and Clowns, Clinical Descriptions in Literature, Doctors and Students, The Practice, Women and Healing, Madness, Dying, The Patient, and An Enduring Tradition.

Some of the notable authors represented in this collection include Leo Tolstoy, Herman Melville, Albert Camus, William Shakespeare, Charles Dickens, George Bernard Shaw, Anton P. Chekhov, Orwell, Fyodor Mikhailovich Dostoevski, Ernest Hemingway, Thomas Mann, Gustave Flaubert, and Sir Arthur Conan Doyle. A healthy dose of William Carlos Williams makes for some of the most enjoyable reading ("The Use of Force" and excerpts from his Autobiography).

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This book contains 17 short stories, all set in an in-patient hospice, all exploring the reactions of patients and their caregivers--both family members and professionals--to the last stages of terminal illness. A woman struggles to find the strength to write last letters to her loved ones, nurses are surprised when a seemingly unconscious patient suddenly joins in their conversation; the hospice chaplain becomes a patient; and so on. In the title story, a dying woman's daughter finally manages to answer honestly when her mother asks when death will come: "Soon."

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