Summary:

Set in 1894 and based on a history of the logging projects among the California sequoias, this is a story of Francie, whose sister died in an accident six years earlier. She chafes under her parents' excessive protectiveness since Carrie's death. She loves the woods, and longs to do something to keep the loggers from cutting down the ancient sequoias, especially the oldest and largest, a tree over 2500 years old. Through a little sleuthing based on her sister's diary, she finds out that the property on which the ancient tree sits actually belongs to an old hermit, not to the logging company.

In an effort to get the company to stop before cutting the oldest tree, she rides the dangerous log flume into town to alert the one journalist she knows will support her cause. They arrive in time to save that tree and some of the others, and, perhaps as importantly to Francie, her mother and father begin to see her not only in terms of their loss of Carrie, but as a young woman independently interesting, daring, and very much alive.

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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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This is a collection of humane and humorous stories by psychiatrist Ronald Pies. Many of them portray snippets of Jewish-American family life; others feature Pies's alter egos, young psychiatrists named Applebaum; or Ackerman, or Alterman; still others introduce a number of wonderful geriatric characters the reader is unlikely to forget.

In the title story, an elderly man lies in the hospital and remembers how he inserted snippets of pornography into his business partner's tefillin nearly 40 years earlier, just to spite his holier-than-thou partner, who had evicted his Playboy magazines from the premises. "Mandelbaum's Passion" is the story of an elderly professor whose daughter wants to put him into a nursing home. He, on the other hand, focuses his energy on anticipating the twice-weekly visits of Luz, his 26-year-old Hispanic visiting nurse.

Dr. Otto Hertzmann in "Show Us Where God Is" is a retired analytic psychiatrist who lives with his sister. When a young admirer comes to visit, the sister introduces him to Davie, Hertzmann's severely retarded son who, when asked to "show us where God is," grins widely and points to the ceiling. Max Dershman, found dead in his room "stinking of cheap cigars and surrounded by Playboy centerfolds," is another such character. He falls head over heels in love with Riva Greenberg, the nursing home social worker, and leaves her a love letter when he dies ("A Medical Diptych"). In "Sophie Fein Goldberg Stein" the title character insists on always being addressed by her full name--at least, that is, until the nursing home psychiatrist is willing to sit down and listen to the full story of her life.

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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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Birth Sounds includes 45 short tales of labor and delivery, ranging through a wide swath of the human comedy, but always maintaining focus on the very first scene. In most of these stories, it isn't the delivery that provides the drama, but rather the people. Take the first story, for example. In "Faceless" a Vietnamese husband cautions the obstetrician-narrator, "In our country no man will examine a woman in such an intimate way." The obstetrician never sees the patient's face, which she has covered with a towel. After the delivery, he examines her and speaks carefully, not sure that she understands English. However, from beneath the towel, she thanks him in a perfect American Southern accent. A neat surprise!

In "The Little Devil" (p. 6) a 38-year-old member of a satanic cult announces that she intends to kill the baby if it is a boy. She has been directed to do so by her satanic mentor. When, amid a panoply of lit candles and inverted crucifixes she delivers a boy, the resident contacts the sheriff's office, where the mother's intentions are already known. Sure enough, the SWAT team storms the delivery room and takes the baby.

In "Red Bag" (p. 31) the narrator is serving as a medical expert in a murder trial. The defendant had arrived at the hospital hemorrhaging after delivering a baby at home, evidently into the toilet bowl. The baby had died of head injury. The obstetrician-narrator turns out to be more supportive of the woman and less compliant than the prosecutor had expected; but afterward the doctor receives his financial reward--a check from the state for a full $7.00!

In "Resilience" (p. 259) a woman with a near-term pregnancy asks the obstetrician to examine her breast, which has suddenly developed a red lump. He takes one look and immediately experiences a flashback to another young woman he cared for who had developed breast cancer during pregnancy and died of metastatic disease about a year later. Sure enough, the current patient also has cancer. But in this case the patient delivers, receives treatment, and recovers, apparently cured of her cancer.

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Katherine, heading for her senior year in high school, finds herself strongly attracted to Michael, a friend's friend, after a party. As their relationship unfolds, the issue of sex comes up early on, more as an emotional and health issue than as a moral one. Both of them are aware that physical intimacy is both common and complicating. Michael has been sexually active, Katherine hasn't. Their relationship progresses slowly; they are accompanied on various meetings by her friend, Erica, a grounded, practical, wit who has known Katherine all her life, and Michael's friend, Artie, who, with Erica's help, explores and acknowledges some uncertainty about his own sexual orientation.

When they do, by mutual consent, have sex on a ski weekend with Michael's sister, they are sure it seals a love that will be "forever." However, separated for the summer by work that takes them to two different states, Katherine finds herself aware of the limitations of the relationship and ultimately attracted to a tennis instructor, older, more experienced, and interesting in new ways. She takes responsibility for breaking the news to Michael when he comes on a surprise visit and, the summer over, recognizes the loss as a stage in movement toward more complex, probably more satisfying relationships in the future.

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In "Breakdown" the narrator watches the bikers ahead of him glide effortlessly up the long hill. Halfway up, he downshifts, cranks hard, and eventually--stops. "Then dismount / and walk. At the crest / the road stretches flat, narrows out of sight. No bikes, no cars, no sound." (p. 18) This lonely moment embodies two aspects of Ted McMahon's poetry.

First, he acknowledges his (our) limited ability to live up to expectation, achieve the sought-after goal, or understand what is really happening in life. As in "Amniocentesis" (p. 15), we may convince ourselves that we are "prepared to embrace a life of sacrifice," but when finally confronted with the reality (e.g. a Down's syndrome baby), we lose our bearings and grow silent. What seems a sure ticket to happiness--for example, the "snug white Levis" woman who shares her heart with you at a "Writers' Conference" (p. 33)--turns out to be a false alarm: "I stood alone, / controlled, on twilight grass, observed / a fly, quivering in a web."

However, McMahon touches these moments of imperfection, not with explanations or suggestions for improvement, but with profound compassion. In "Satchitananda" (p. 49) he discovers the attributes of the Hindu God (being, awareness, and bliss) residing in the most ordinary daily activities. He stops his truck on a windy plain and reflects: "I'll settle to have sparked / a single flash of joy, to have erased / a single line of sorrow." (p. 48)

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Before and after an appendectomy (done for what seem possibly questionable indications) an adolescent boy just feeling the surges of pubescence receives the appropriate attentions of a nurse. During a follow-up visit, for no clear medical reason that I can fathom, he also experiences the exhilarating good luck, for him, of a sperm test, performed by the physician's "young, good-looking nurse."

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Leo comes back to sell off the run-down family farm on the Italian coast of Tuscany, hoping for enough to finance his return to Chicago. He is plagued by memories. A tour bus is lured into Santo Fico--by ruse or by accident--and once the British visitors are safely ensconced in the hotel restaurant, Leo and his old friend Topo launch into the lucrative scam that they invented as boys: storytelling to "sell" a viewing of treasures inside the local church.

The "miracle" is the stump of an ancient fig tree that once sheltered St Francis; and the "mystery" a luminous fresco by an anonymous artist, possibly Giotto. Leo is encouraged by his dramatic success. But in the night, an earthquake severely damages the church. Yielding to temptation, Leo "saves" the fresco by stealing it in large chunks and hiding it under his bed. Surely now he will have enough money to escape.

The old priest is grievously saddened and goes on a hunger strike to expiate his own sins, on which he blames the desecration. The priest is cared for by his niece, Marta. Embittered by her late husband's infidelity and early death, she frets over her two daughters: one dutiful but blind; the other healthy but headstrong. Marta already resents Leo for some transgression in their past; rightly guessing his crime, she demands that he "make a miracle" for the priest.

Topo and Leo invent several, ambitious but preposterous scenarios, each of which flops spectacularly. The priest good-naturedly overlooks (or fails to see) their transparent ploys; yet he manages to perceive miracles everywhere else in the everyday atmosphere of his beloved village. Of course, Leo returns the fresco, of course he stays, and of course he finds love with Marta after all.

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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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