Summary:

Two hospice nurses describe their work with dying patients, especially with the special forms of communication typical of dying patients. The authors define "Nearing Death Awareness" as patients' knowledge and expression about their own dying. What doctors and family members may assume is the patient "losing it" or "hallucinating" actually is often a kind of symbolic communication dying patients typically use, either to describe their dying experiences or to request something they need for a peaceful death (such as seeing a loved one). By dismissing the patient as "confused," caregivers miss the opportunity to help the patient and may also alienate and frustrate both patient and family. By being aware of what is going on, caregivers can be more responsive and comforting to the patient and the family.

View full annotation

Summary:

View full annotation

Summary:

The tag line for the documentary short film, Mother Superior, is: "This is your mom. This is your mom on drugs." Methamphetamine addiction has slowly and silently encroached into American suburbia, becoming the drug of choice for women who are struggling to balance the demands of family and career and to meet the expectations of a culture that prizes upbeat, thin, and sexy soccer moms. When the two filmmakers, Alex Mack and Diana Montero, learned that the tidy neighborhoods and wholesome lifestyles of their own hometown, Salt Lake City, ranks third in the United States for meth use among women and that thirty-seven percent of individuals in drug treatment programs are mothers addicted to meth, they set out to make an educational documentary. The twenty-two minute film combines animation, dramatization, information from public health officials and health care professionals, and personal testimony from women in recovery.

View full annotation

Summary:

Chris Eigemann plays Jake Singer, a well-liked middle-aged English professor to a group of privileged students at a posh high school for precocious young white men with floppy hair styles and ironic disdain, located somewhere in New York City. Having just discovered that his ex-girlfriend is engaged, Singer begins a psychoanalytic treatment with an Argentinian analyst, played with relatively understated gusto by Ian Holm. Singer meets Allegra Marshall (Famke Janssen), a woman whose deceased husband was a benefactor of the school; she is now the single (and rich) mother of two adopted children.

They fall in love, complicated slightly by Singer's father, a curmudgeonly heart surgeon, and a rather strange plot contrivance involving Marshall's failure to tell the adoption agency that her husband had died even though the biological mother had insisted that the child go to a family with a mother and a father. In one other plotline, left satisfyingly unresolved, Singer has clearly been the mentor to a young African American student, who self-sabotages at this otherwise all-white, all-privileged academy.

View full annotation

Summary:

In 1999, eighteen years after Project HOPE began publishing the journal "Health Affairs," the founding editor, John Iglehart, began a new column: Narrative Matters. This book contains 46 of the 80 essays published to date, and an inspiring foreword by Abraham Verghese. The essays are contained in eight chapters-- "Writing to Change Things: Essays on the Policy Narrative," "Dollars and Sense: Hard Financial Realities," "Bearing Witness: Patient's Stories," "The Maddening System: Frustrations and Solutions," "Trouble in the Ranks: Professional Problems," "Drug Resistance: Battling Undue Influences," "Disparity Dilemmas: Stories on Race and Ethnicity," and "Values and Choice: Stories of Practical Ethics." Familiar voices include those of Fitzhugh Mullan (one of the editors), Abigail Zuger, Howard Brody, Richard Lamm, John Lantos, Danielle Ofri, and Carol Levine. The essays in the first section strike an important cautionary tone, reminding readers that the plural of anecdote too often is taken for policy and that the repetition of anecdote should not be seen as evidence.

View full annotation

Summary:

In a future society in which biological reproduction is restricted and humanoid robots ("Mechas") are routinely manufactured to supplement the economic and social needs of humans ("Orgas"), Dr. Hobby (William Hurt) creates a prototype child Mecha, David (Haley Joel Osment), who has "neuronal feedback," the ability to love, and "an inner world of metaphor, self-motivated reasoning," imagination, and dreams. David is given to Henry and Monica, a couple whose biological child Martin is incurably ill and cryopreserved, awaiting a future cure.

More specifically, David is created out of Hobby's own loss and given to aid Monica's mourning for Martin, whom she has been unable to "let go" of as dead. It is thus Monica (Frances O'Connor) who must make the decision to perform the "imprint protocol" that will make David love her. After she stops resisting the desire to love a child (of any kind) again and implements the protocol, Martin is unexpectedly cured and comes home.

The ensuing turmoil sends David, accompanied by a robot Teddy bear, out into a nightmare world of adult Mechas, comprised of both Rouge City, where functioning Mechas like Gigolo Joe (Jude Law) do their sex worker jobs and also the fugitive realm where unregistered, discarded Mechas try to find the spare parts they need to rebuild themselves and elude trappers who take them to reactionary "Flesh Fairs" where they are publicly destroyed as an expression of rage against artificial technologies.

Joe and David, both set up and betrayed by humans jealous of their superiority at performing human functions, join together on a quest to make David "real" and return him to Monica. The quest takes them to a partly submerged Manhattan and sends David and Teddy two thousand years into the future to resolve the dystopic narrative.

View full annotation

Summary:

Three childhood friends, now adult neighbors who have drifted apart, are brought together through the brutal murder of Jimmy's 19-year-old daughter. Sean Penn plays the grieving father; Kevin Bacon plays Sean, the plainclothes cop on the case; and Tim Robbins is Dave, a man deeply troubled following his childhood abduction and sexual abuse by two strange men. It's an important part of this film that the action takes place in a tough white working-class neighborhood north of Boston in a culture that seems to have no place for emotional problems like Dave's.

This leaves Dave alone with his agonies, feeling alienated from himself and living a kind of Jekyll-and-Hyde existence driven by a love-hate relationship with pederasty. One night he kills a child abuser, and then tells contradictory stories to explain the bloodstains he returns home with. Through a tragic misunderstanding, these things are connected with the death of Jimmy's daughter, and Jimmy turns violent and takes justice into his own hands. Shortly after, Sean finds the true killers, who confess.

View full annotation

Summary:

Annie, eleven, has been sent to spend the summer with her grandmother after she and her mother get the news that her father is missing in action at the end of World War II. Annie herself has just recovered from a month-long stay in the hospital, following surgery for a burst appendix. While there, she developed a habit of entering dream encounters with President Truman, who appears in dreams and fantasies to reassure her about her father, and about the other uncertainties she faces.

While at her grandmother's home in Walla Walla, Washington, a small farm town, a young African-American woman, a war widow, comes looking for work and is taken into the grandmother's house as an accountant. She and Annie become fast friends, much to the disapproval of her uncle, her father's younger brother, who has returned from the war wounded and bitter, having alone survived a battle in which all the other members of his platoon died. He and a few other troublemakers make escalating attempts to get the African-American woman to leave, including threats and a burning cross in the yard. But the grandmother, Annie, and Miss Gloria, who has seen worse racism in Georgia, hold out.

Eventually the brother comes to his senses and reports his fellow culprits to the police. Annie's father is found in a hospital in France, recovering from serious wounds as well as temporary amnesia. He and her mother arrive in Walla Walla after Annie has made a prize-winning speech in her new school about the losses and costs of war to individuals who return, going beyond the count of those dead. The father is nearly blind, but otherwise fairly well recovered, and he is accompanied by a young African-American aide who brings a ray of hope for companionship to Miss Gloria.

View full annotation

Summary:

In this compelling memoir, Grace, a writer, artist and teacher, unexpectedly finds herself attracted to a carpenter, Howard Staab, whom she meets when looking at a new home. Shortly after their relationship begins, Staab is told in a routine physical examination that he has severe mitral valve regurgitation and will require surgery. Staab, an active, otherwise healthy fifty-three year-old man, has no health insurance. The cardiac surgery will cost over $200,000. Thus Staab and Grace embark on a quest to find an affordable, but excellent surgeon and hospital. Grace details her efforts to find the best care possible, including correspondence with her son, Bryan, a Stanford medical student with interests in international health. These inquiries lead to the possibility of surgery in India.

After a useful, explanatory preface the book begins when Staab and Grace land in New Delhi and enter the Escorts Heart Institute. Staab undergoes a series of tests confirming the need for surgery, which is subsequently performed by Dr. Naresh Trehan. Through Grace's eyes, we also meet nurses, aides, other physicians, administrators and friends. The narrative follows the hospitalization, including dramatic complications and eventual recovery, and also backtracks to better detail the search for care and the predicament of un- and underinsured Americans. Grace also describes the post-hospital phase, including venturing out beyond hospital and hotel walls.

The book, highlighting the fact that Grace and Staab face more than one cultural challenge in this journey, contains both a medical terms glossary and a short list of Hindi terms. Ultimately, Grace concludes she would consider returning to Escorts or a similar hospital should she or a loved-one require surgery, even without the insurance issue. She states: "India, the land of contradictions. Organized chaos. A third-world country with first-world state-of-the-art medical care available for a fraction of the cost of the same procedures here in the U.S." (p. 259)

View full annotation

Summary:

Sophie, who has lived with her aunt in Haiti for the 12 years since her birth is being sent to live with her mother in New York. She leaves her aunt and grandmother amid a riot at the airport, and arrives in New York to meet her mother and her mother's long-term lover. Her mother has frequent nightmares, related, as it turns out, to the rape that eventuated in the birth of Sophie. Sophie's mother insists that the only road out of poverty is to study hard; she wants Sophie to become a doctor, and jealously oversees her work and protects her virginity, frequently testing her to make sure she has not been sexually active.

Eventually Sophie elopes with a kind musician, Joseph, but finds herself unable to enjoy sex. She returns to Haiti with their baby while he is on tour, and finds refuge among the women who raised her, though they themselves suffer various effects of poverty, alcohol, and violence. Sophie's mother flies to Haiti to be reconciled with her and takes her back to New York where the two women and their partners briefly share peace and kindness. But when Sophie's mother finds she is pregnant, she begins to have the nightmares about rape again, and kills herself. Sophie and the mother's lover fly to Haiti for the burial. Sophie runs away from the gravesite into the fields where her mother was raped, and attacks the cane stalks in fury, frustration, and a final cathartic gesture of self-liberation from a painful past.

View full annotation