Summary:

Mrs. Turpin and her husband enter their doctor's waiting room and immediately Mrs. Turpin begins to assess the other patients present: a pleasant, well-dressed lady; a "white trash" woman and her mother and son; a fat adolescent with acne. She and the pleasant woman strike up a conversation about the importance of refinement and good disposition. They discuss, for example, how you have to be nice to "niggers" to get them to do any work. The "white trash" woman counterpoints with comments that indicate her ignorance and poor breeding.

Suddenly, the fat adolescent throws her book at Mrs. Turpin and tries to strangle her. The girl is subdued by the nurse and her mother and the doctor sends her by ambulance to the hospital, but before being taken away, she whispers to Mrs. Turpin, "Go back to hell where you belong, you old wart hog." At home, Mrs. Turpin confronts God. Was this experience a message from Him? She demands of God, "Who do you think you are?" As the sun sets, a "visionary light" comes over her and she has a vision in which the "niggers" and "white trash" march on the bridge to heaven ahead of good, respectable people like her.

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These three short plays (approximately 30 minutes each) were commissioned for use in readers' theatre (see Commentary). Each addresses a specific patient/provider concern at the end of life. "Journey Into that Good Night" by Berry Barta is the story of a dying adolescent coming to terms with her mortality. Her physician demonstrates gratifying sensitivity in his understanding of her emotional struggle and the girl's mother progresses perceptibly in her own grief process in the course of the dialogues.

Marjorie Ellen Spence offers "Stars at the Break of Day," set in a nursing home where a middle aged man dying of cancer is confined. The reader meets a spectrum of elderly residents whose antics provide the humor necessary to keep the piece from becoming maudlin. There is discussion about assisted suicide as well as a view into one mode of accepting pain and impending, albeit untimely, death.

The third play, "Time to Go," by C. E. McClelland, is a fantasy which combines comic whimsy with a penetrating and profound sense of reality. The central issue is that of "letting go" of a son who has long lived in a persistent vegetative state following an accident. The victim's story is articulated in conversations between him and visiting "Friends" from another realm. Without introducing theology or politics, the conversations direct the reader to focus on the parents' reluctance to make a decision to discontinue life support.

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Condemned to death, Socrates, strong, calm and at peace, discusses the immortality of the soul. Surrounded by Crito, his grieving friends and students, he is teaching, philosophizing, and in fact, thanking the God of Health, Asclepius, for the hemlock brew which will insure a peaceful death. His last words are "a cock for Asclepius!"

The wife of Socrates can be seen grieving alone outside the chamber, dismissed for her weakness. Plato (not present when Socrates died) is depicted as an old man seated at the end of the bed. The pompous "medical celebrity"--as Tolstoy might describe him, were he one of Ivan Ilyich's five consults (The Death of Ivan Ilyich, see this database)--is pontificating on his rounds about the pharmacological details of the medication.

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Humphry Clinker is an epistolary novel, a collection of letters, that charts the adventures of a family group traveling through Britain. The head of the family is Matthew Bramble, a gouty old man, who is constantly writing his doctor with his complaints and visiting areas supposed to be good for his condition. He is accompanied by his niece, Lydia, who is in love with a poor man, Wilson. Her brother, an Oxford student, also comes along, as does Bramble's unwed sister, Tabitha. Tabitha's maid, Winifred Jenkins, accompanies her.

The group travels to Bath, London, Edinburgh, and the Scottish Highlands. Along the way, they meet Humphry Clinker, a dull-headed creature who becomes devoted to Matthew Bramble, even saving his life. He turns out to be Bramble's illegitimate son. Lydia's lover is discovered to be the son of a wealthy man who is Bramble's friend; they are finally happily married.

Tabitha marries Lismahago, an eccentric captain. Winifred Jenkins joins the festivities by marrying Clinker. Relieved of the feminine presence and bother in his life, Bramble recovers his health, writing to his doctor that from now on he will go hunting rather than write letters.

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In this poem a patient speaks to "Dr. Green," commenting on how much she likes him compared to her earlier doctor, "Dr. Gold," who wore a long face and would never smile. "Dr. Gold has track shoes on" but to Dr. Green she says: "You never seem / to be in a hurry even // though you're so busy . . . . " The patient would like "a little rest / before the next treatment, at least till / I'm stronger."

In the companion poem, "Dr. Gold & Dr. Green, II" (also found in One Word), the physician responds to his patient, Eleanor, who presumably wrote the first poem. He realizes that he himself is actually Dr. Green and Dr. Gold. Even though he tries to spend time with his patients, he now realizes that sometimes he must have appeared hurried and distant: "You tried / to say that each of us has two sides. / I wish I understood this before you died."

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De Quincey was a well-known 19th century English journalist and essayist. He was orphaned at a young age and sent away to school, where he was successful but bored and soon ran away. He then spent several years living as a vagrant in Wales, then London. In London, he was reunited with an old family friend who supported him financially and sent him to study at Oxford.

At age 28, De Quincey began to use opium (mixed with alcohol in the form of laudanum) regularly to treat his severe stomach pains. Though his intake was moderate at first, he soon became addicted. At first he rationalized the use of the drug. Later, he experienced opium-induced stupors in which he could not distinguish dream from reality nor note the passage of time.

He also developed memory loss and long periods of depression. He resolved to wean himself from the drug and did so, although in the final version (1856) of this memoir he admits to having slipped back into addiction a number of times.

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In "Delivery," an African-American woman deals with the issues of personal identity for herself and her soon-to-be-born child. This child is alternatively a scheming enemy, a gentle baby, and an awesome stranger. Similarly, the staff around the speaker are variously accomplices in a persecutory treatment, or helpmates in a difficult but joyful experience. The male doctors tend not to listen to the speaker, who herself has trouble knowing to what part of her own feelings she should listen. By the end, the narrator gives birth to a male son, whom she wants to protect, but who feels like a stranger.

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In this very short piece, the author plunges the reader immediately into a scene from the American Civil War. A lieutenant, never named, is wounded in the right arm while resting with his troops during an active battle. The next segment of the vignette, almost surreal in its presentation, is comprised of the lieutenant's perceptions of the war going on around him as he walks to the rear in search of the field hospital. At the hospital, the wounded man has a brief, terse, and most unpleasant encounter with the surgeon, who is rude and lies to him. The lieutenant's fear and despair is captured by single lines of tightly controlled metaphor and stark description.

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The patient lies in the hospital after having a stroke. The "word" is the patient's best friend, but suddenly it's become what "you can't say." "You lie flat / in the white yards of the clinic" unable to find the word. Like a dog, it "drags its chain over the emptied / bowl, barks," but the patient is unable to call it or command it. The stroke victim must simply wait and listen.

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Written for young adults by a volunteer in a children's cancer ward, the novel features an adolescent twin girl whose bone cancer separates her definitively from the active life she knew, and from the twin with whom she has lived her whole life in deep empathy. In the hospital she goes through a predictable period of adjustment when restlessness, loneliness, rage, and homesickness dominate. Eventually, though these feelings do not disappear, they are modified by the discovery of new forms of companionship that arise among those who share her confinement, fear, and recognition that the terms of her life have irrevocably changed. The camaraderie she experiences in the hospital teaches her both a new kind of friendship and new ways of understanding family relationship. The ending may disappoint some readers; several patients arrange a sexual encounter for a friend down the hall so she won't die without having been through that passage.

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