Summary:

On the night before Easter, a traveler waits to cross the river to a monastery. Finally, a lay brother named Jerome brings the ferry across. As the ferry moves slowly to the other bank, Jerome reveals his sadness over the death of Nicholas, a fellow monk who wrote beautiful prayers for saints’ days. "Can you tell me, kind master," Jerome asks, "why it is that even in the presence of great happiness a man cannot forget his grief?"

Jerome loved Nicholas who was very quiet, kind and tender, not at all like the other monks, who are loud and harsh. At the monastery the traveler participates in services throughout the night, then returns to the ferry after sunrise on Easter morning. Jerome is still working the ferry. His promised relief has not arrived.

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Matvey Terekhov lives with his cousin Yakov, who runs an inn. Matvey was once extremely religious and ascetic, but now has left asceticism behind. Yakov, on the other hand, is obsessively religious. At one point Matvey initiates an argument with Yakov about a religious issue. Yakov is overcome with anger and Aglaya, Yakov’s wife, hits Matvey over the head with a bottle, and kills him. Husband and wife are sent to prison in Siberia. While Yakov loses his faith after the murder, he regains it in prison.

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Sitting around the dinner table one evening, the Toumeville family receives news that the Marquis de Fumerol, Mrs. Toumeville’s brother, is dying. The Marquis squandered his money and reputation on a series of loose women; as a consequence, he has not seen his sister in years. Nevertheless, the Toumevilles leave immediately for his bedside in fear that the Marquis will die without having reunited with God. The Toumevilles are not so much concerned with the Marquis’ eternal life as with the possibility that the "freethinkers" and socialists will make the Marquis a hero for turning his back on the morality of the aristocracy.

The Marquis receives his nephew kindly, but when the priest enters he flies into a rage. The priest is forced to retreat. While the family is considering another plan of attack, they hear screams from the sick man’s room. A Protestant clergyman had entered and the Marquis grew so angry that he collapsed. His nephew thinks he is dead. His mother and the priest, however, act as though he is still alive. The priest administers extreme unction and Mrs. Toumeville cries out that her brother has squeezed her hand, recognizing her and accepting religion.

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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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Bob Merrick (Rock Hudson) is a reckless playboy who is injured in a speedboat accident. Life-saving equipment is brought to his aid although it is needed for the brilliant but seriously ill Dr. Phillips, who dies. Merrick’s selfish clumsiness leads to yet another accident, in which the doctor’s widow, Helen (Jane Wyman), is blinded.

Overcome with remorse, Merrick studies medicine, visits Helen under a false name and falls in love. He refers her for special eye examinations in Europe. She begins to love him too, but the specialists are unable to help her and when she learns of his deception, she flees. Years later, Merrick is summoned from his busy practice by Helen’s confidante and nurse (Agnes Moorehead); he arrives just in time to perform brain surgery, saving both her eyesight and her life.

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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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This poem captures the last thoughts and sensations of a person on her death bed. Surrounded by mourners who are bracing themselves for her death, the narrator’s focus as she dies is on the most mundane of living creatures: a buzzing fly. The final ebb of consciousness is depicted as a loss of light and sight: "And then the Windows failed--and then / I could not see to see--."

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This short play is set in rural Spain at the turn of this century. The characters, all women, exist in a cloistered household managed by a newly widowed mother of five daughters. Under the shadow of the church and the tyranny bred from a need to protect the reputation of the family, the matron (Bernarda Alba) represses her daughters by enforcing an eight year mourning period. The tensions build rapidly among the imprisoned women, with a demented grandmother playing a role resembling that of a Greek chorus. Eventually, the natural spirits of the daughters circumvent Bernarda, but the result is violence and a suicide.

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Will Farnaby, reporter and underground agent for an oil magnate, is shipwrecked on the island of Pala, where for 120 years an ideal society has flourished. In the mid 19th century, a Scottish doctor successfully treated the enlightened Raja of Pala and settled on the island. These two men then designed a perfect society in which (according to the book jacket's description), "sex lives are unabashed; children are carefully conditioned from infancy and none is at the mercy of one set of parents; jobs are assigned according to physique and temperament," and everyone uses "moksha medicine," a drug that sharpens and deepens powers of consciousness.

The Palinese also practice hypnosis, eugenics, and a form of sexual yoga that leads to virtually perfect sexual experience. While Pala has enormous oil reserves, the people are uninterested in developing them because they are happy with their way of life and do not feel the need to become wealthier or more Westernized. Pala's companion island of Rendang is ruled by a ruthless dictator, Colonel Dipa, who plans to develop its oil resources and industrialize the island, while, at the same time, enriching himself.

After his shipwreck, Farnaby is injured climbing a cliff from the beach. He spends time recuperating, during which he meets a number of Palinese people, including Dr. MacPhail (descended from the original Scottish physician) and Murugan, the young man who will soon become the new Raja of Pala. As he learns more about the society, Farnaby comes to respect it and turns away from his plans to promote oil development on the island.

However, Murugan (who was raised largely in Switzerland by a fanatic mother who runs a fundamentalist Christian movement) frowns upon the sexual freedom, drug use, and general lack of "ambition" among his countrymen. He secretly conspires with Colonel Dipa to sell-out Pala. At the end of the book, the army of Rendang has invaded Pala and declared a joint kingdom of Rendang and Pala with Murugan as king and Colonel Dipa as Prime Minister.

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A mystery, set in the seventeenth century and told by four different eye-witnesses, all men. Two are the views of fictitious characters, two are imputed to be real figures from the past. Beautiful, but poverty-stricken Sarah Blundy is accused of having killed a professor, only remotely connected to her. Each of the observers reasons his way to a position on her guilt or innocence based on their skewed observation of the events, and on their own assumptions about women, religion, and justice. Post-Cromwellian tensions between Catholics, Protestants, and Quakers are explored.

A manuscript by the Italian, Dr. Cola, constitutes the first account. In the thrall of medical science and the great Robert Boyle, Cola is cast as the true "inventor" of transfusion which is "stolen" by the real and vibrant Richard Lower, generally credited by historians with its first use in England. Cola attends Sarah’s ailing mother gratis and transfuses her with modest success.

The other three writers react to his version of the tale which they read in manuscript. The mad Jack Prescott is intent on exonerating his probably inexonerable father for misdeeds in the Civil War, while the uncharitable cryptographer, John Wallis, is intent on divining nothing but evil in the cryptic forms of women, Catholics, and foreigners. Their versions are wondrously convoluted attempts to keep the impossible within the realm of the plausible. Pears puts the truth (such as it is) in the words of the real antiquarian, Anthony Wood, who explains that a fingerpost--like a pathognomonic sign--points to the only solution possible.

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