Summary:

Anne Lamott, a writer, recovered alcoholic, former addict and impassioned Republican-hater, finds herself pregnant in her mid-thirties, and decides to have the baby. This journal is a chronicle of her son Sam’s first year. She is fiercely self-deprecatory and funny and unafraid to talk about the dark side of parenting an infant: the fear, exhaustion, anger, emotional swings; that 4 a.m. inability to cope with the crying neediness of the baby.

She is a single parent barely able to pay the bills, but she has a tremendous support network of family, friends, and the people of her church--all of whom clearly love Sam and love her. And then, when Sam is 7 months old, crawling "like a Komodo dragon," the author’s best friend Pammy is diagnosed with metastatic breast cancer. The author, who discovers the depth and resonance of love because of the gift of Sam, must now learn loss. She questions her faith, which she cannot justify on a cerebral level, but still hopes that God loves and guides her the way a parent loves and guides a child.

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Aurelio Escovar is introduced as a poor dentist without a degree. He is busy polishing false teeth early one morning when the mayor arrives to see him. At first he refuses to see this would-be patient, until the mayor, who has been suffering severe toothache for five days and is desperate, threatens to shoot him. Eventually the dentist lets him in, examines him, and then removes the infected wisdom tooth, without anesthesia.

We realize that the dentist has deliberately made the mayor suffer all this time, and he gives the reason as he pulls out the tooth, saying "Now you’ll pay for our twenty dead men." When the mayor has recovered and wiped his tears, he leaves, telling the dentist to send the bill. When Escovar asks whether to send the bill "To you or the town?," the mayor replies, "It’s the same damn thing."

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In 1996, at the age of 31, David Biro is preparing for his specialty examinations in dermatology and is set to share a practice with his father. But he develops a visual disturbance. After repeated testing, he is found to have the rare blood disorder of paroxysmal nocturnal hemoglobinuria. The diagnosis was problematic, but the treatment choices are overwhelming. His youngest sister is a suitable donor, and he opts for a bone marrow transplant. He realizes that his decision was influenced not only by the diagnosis, but also by his personality and his reaction to the physicians.

Advance preparations are hectic and sometimes comic, especially his deposits at a local sperm bank. The pain of the transplant and the six weeks imprisonment in a small hospital room are told in graphic detail. The athletically inclined doctor suffers many complications: exquisitely painful ulcers of the scrotum, mouth, and esophagus; inflammation of the liver; unexplained fever; drug-induced delirium; weakness and weight loss.

His parents, sisters and friends leap into action to provide round-the-clock presence, but his independent wife, Daniella, resents the invasion. While David’s body is wracked with drugs and radiation, his family and his marriage are subjected to destructive forces too. Yet all--body, family, and marriage--emerge intact, though changed, by their experience.

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Summary:

Editor Chip Spann created this anthology as part of his Ph.D. dissertation in creative writing. The poems were selected because Spann hopes they "can be a comfort to the sick and a rabble-rouser for those who work at getting well" (5). The book’s 234 poems have been organized into seven sections, each section named with a phrase from one of the poems contained therein. Each section is prefaced by an introduction that focuses on Spann’s own journey from a difficult childhood and unanchored young adulthood to his current life in which he is able to combine a love of reading and writing poetry with his background of working with patients in a variety of settings -- he leads a writing group of patients, caregivers, and health professionals at Sutter Medical Center in Sacramento, California.

The seven sections concern: the body; illness and life’s journey as quest; "feelings that are screaming to get out"; looking inward at dark truths; reflecting on "early wounds"; finding creative inspiration from unexpected and small things; and "perspectives on death and aging." I counted approximately 80 poets who are represented in this anthology; those with the greatest representation (number of poems) are Raymond Carver, Lucille Clifton, Emily Dickinson, Grace Paley, Muriel Rukeyser, Mowlana Jalaluddin Rumi, May Sarton, William Stafford, and May Swenson.

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Summary:

The author selected 48 works of art, famous and obscure, which are presented in chronological order as full-page color plates. On the facing page of each piece is a brief essay which includes information such as artist, date and current location of the work. The essays, as well as the introduction by the author, are insightful, well-written, and demonstrate the author’s vast knowledge as a medical historian. Selections include the "Oath of Hippocrates", Studies of the Fetus by da Vinci, The Anatomy Lesson of Nicolaes Tulp by Rembrandt, The Dwarf Sebastian de Morra by Velazquez, "Muscle-Man from Vesalius" by van Calcar, and First Operation Under Ether by Hinckley (see art annotation in this database).

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Anne (Sarah Polley) is 23 years old, is married with two small daughters, lives in a trailer in her mother’s yard, and works as a nightshift cleaner. She is diagnosed with advanced ovarian cancer and told she has no more than three months to live. She decides to tell no one that she is dying and makes a list of things to do in the time she has left.

She records birthday messages for her daughters, looks for a new wife for her husband (Scott Speedman), explores her troubled relationship with her mother (Deborah Harry), and has an affair with a man she meets in a laundromat (Mark Ruffalo). The last stages of her illness and her death are not shown; the focus is on how she chooses to live a life that has a new shape, both curtailed and illuminated by the knowledge of how soon it will end.

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In their introduction to this anthology, the editors write that their goal is "to illustrate and to illuminate the many ways in which medicine and culture combine to shape our values and traditions." Using selections from important literary, philosophical, religious, and medical texts, as well as illustrations, they explore, from a historical perspective, the interactions between medicine and culture. The book is arranged in nine major topical areas: the human form divine, the body secularized, anatomy and destiny, psyche and soma, characteristics of healers, the contaminated and the pure, medical research, the social role of hospitals, and the cultural construction of pain, suffering, and death.

Within each section, a cluster of well-chosen (and often provocative) texts and drawings illuminate the topic. Specifically, literary selections include poems by W. D. Snodgrass ("An Envoi, Post-TURP"), William Wordsworth ("Goody Blake and Harry Gill: A True Story"), and Philip Larkin ("Aubade"); and prose or prose excerpts by Robert Burton ("The Anatomy of Melancholy"), Zora Neale Hurston (My Most Humiliating Jim Crow Experience), Sara Lawrence Lightfoot ("Balm in Gilead: Journey of a Healer"), William Styron (Darkness Visible: A Memoir of Madness), George Orwell ("How the Poor Die"), Ernest Hemingway (Indian Camp), and Paul Monette (Borrowed Time: An AIDS Memoir). (The full texts of the pieces by Hurston, Styron, Hemingway, and Monette have been annotated in this database.)

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Summary:

Ten months after being burned over 68% of his body, Dax Cowart was interviewed on videotape at the University of Texas Medical Branch in Galveston by Dr. Robert B. White. Blind, disfigured and helpless, Dax had consistently asserted his right to refuse medical treatment, including further corrective surgery on his hands (useless, unsightly stumps) as well as the daily, excruciatingly painful baths in the Hubbard tank.

At the time of his admission to UTMB, he had become adamant that he be allowed to leave the hospital and return home to die--a certain outcome since only daily tankings would prevent overwhelming infection. Dr. White had been called in as a psychiatric consultant, and much of the twenty-nine minute documentary is a conversation between patient and psychiatrist.

Calm and coherent, Dax states his wishes clearly and presents his case compellingly. He does not "want to go through the pain"; he does not "want to go on as a blind and a crippled person"; and he does not understand or accept any physician’s "right to keep alive a patient who wants to die."

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Summary:

Helen McNulty (Laura Dern) is a reporter. She and her photographer boyfriend, Jan, are on assignment in an unnamed Central American country when they witness militia shooting at protesters. They are both arrested/abducted.

The story picks up a year later. Helen is back in the United States, working on a story about Dr. Anna Lenke (Vanessa Redgrave), a psychiatrist who runs a clinic for survivors of torture. Dr. Lenke herself was raped and tortured at Auschwitz. Helen interviews her, and goes to stay at the clinic to work on her story. Anna recognizes at once that Helen, too, has been tortured.

Helen gradually comes to acknowledge what happened to her. The process culminates in her narrating, and our seeing in flashback, her torture and the murder of her boyfriend. Helen’s recovery is intertwined with and complicated by the story of Tomas Ramirez (Raul Julia), who also identifies himself as a survivor of torture and is at the clinic not only for therapy but because he is in hiding. Helen and Thomas become friends, then lovers, and he is instrumental in her recovery.

As a journalist, though, Helen delves into Thomas’s background and learns that he was not a victim but a perpetrator of torture. Helen turns him over to the authorities and he is arrested. Dr. Lenke’s last words about Tomas, that only once he has confessed can he again be human, rings hollowly: he has already confessed, to her and the other torture survivors at the clinic, and no court of law can present a harsher judge.

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Summary:

This anthology frames a rich selection of fiction and nonfiction with astute and helpful introductions to issues in nineteenth-century medicine and the larger culture in which it participated. The fiction is comprised of Mikhail Bulgakov’s The Steel Windpipe in its entirety; Sir Arthur Conan Doyle’s story, "The Doctors of Hoyland" from Round the Red Lamp; and selections from George Eliot’s Middlemarch, Gustave Flaubert’s Madame Bovary, Sarah Orne Jewett’s A Country Doctor, Sinclair Lewis’s Arrowsmith, Thomas Mann’s Buddenbrooks, W. Somserset Maugham’s Of Human Bondage, George Moore’s Esther Waters, Robert Louis Stevenson’s Strange Case of Dr. Jekyll and Mr. Hyde, Eugène Sue’s Les Mystères de Paris, and Anthony Trollope’s Doctor Thorne [the full-length versions of many of the above have been annotated in this database]. The nonfiction consists of two versions of the Hippocratic Oath, two American Medical Association statements of ethics, and selections from Daniel W. Cathell’s The Physician Himself (1905).

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