Summary:

In the early 1950's, Milan, Georgia is a racially divided town where secrets are plentiful and the meaning of justice is muddled. J. T. Malone, a 40-year-old pharmacist who failed his second year of medical school, is diagnosed with leukemia and told he has only 12-15 months to live. In some ways, Malone's last year of life parallels the declining fortunes of the town's leading citizen, Judge Fox Clane, an overweight and elderly former Congressman who suffers from diabetes and a previous stroke. Judge Clane's wife died of breast cancer, his only son committed suicide, and his daughter-in-law died during childbirth. He raises his grandson, John Jester Clane, and aspires to restore the grandeur of the South in conjunction with redeeming his personal hoard of Confederate currency.

Judge Clane hires Sherman Pew, a "colored boy" and orphan, as his personal assistant, but Sherman eventually resigns from the position when he can no longer tolerate the Judge or his prejudice. Sherman moves into a house located in a white neighborhood. A group of townspeople including the Judge plots to get rid of him. A local man bombs the building and Sherman dies. Shortly after his death, the United States Supreme Court announces its decision supporting school integration.

The Judge is infuriated and goes on the radio station to express his opinion, but he has not prepared a speech. Instead, he begins babbling Lincoln's Gettysburg Address. The radio station cuts him off. Malone has been listening to the Judge on the radio, but his wife turns it off. Integration no longer matters to Malone. Near the end of his life, Malone finds solace in the renewed love for his wife, Martha. He finally appreciates the order and simplicity of life. The pharmacist dies peacefully in his own bed.

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The site of the multiple stories interwoven in this novel is a teaching hospital in San Francisco. One of the featured characters is a young single mother who comes in with a swollen arm and finds herself in more medical trouble than she anticipated. She suffers a mild stroke after debatable treatment. Two doctors attend her, but differ markedly in their ideas of how to treat her and their human responses to her. One ends up having a brief affair with her that changes his life.

In addition to these there are stories of a comatose young man and the family that refuses to believe he will not awaken (he does); a volunteer coordinator who observes the politics of hospital life from a privileged margin, and sundry staff people who represent alternative points of view. The single mother recovers, but only after a stay in the hospital has convinced her she may not yet be too old to go to medical school to find a life not in marrying a doctor, but in being one.

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Subtitled "New and Selected Medical Poems," this volume includes poems on illness and healing from Downie's three previous collections, along with several new poems. A longer piece called "Learning Curve Journal" serves as a framework for the book.

Beginning with the desperate voice he hears on his first night as a "suicide line" volunteer, the poet reveals the shape of his own medical learning curve, moving poem by poem from "Orientation" through the realm of "Patient Teaching" and "Teaching Rounds" to "Pronouncing Death." Among the many strong poems in this collection are "Diagnosis: Heart Failure," "Louise," "Sudden Infant Death," "Wishbone," "Living with Cancer," and "Ron and Don."

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Elisabeth Kubler-Ross was born in Switzerland in 1926. She was part of a package deal--a triplet (and a two-pounder at that). That she survived the birth (as did her two sisters, another two pounder and a more robust six pounder) is something of a miracle. As she explains, her early childhood was filled with other more memorable experiences around death as well, including a long battle with pneumonia and deathbed scenes of neighbors in her small town.

In the aftermath of World War II, she was a volunteer in IVSP, International Voluntary Service for Peace. She spent time in Poland and then Germany, aiding survivors of the concentration camps, as well as the defeated Germans, to rebuild their lives. She returned to Switzerland and went to medical school, eventually marrying an American student studying there.

After practicing as a small town family doctor, she came to the U.S. in the 1950s. Her plans to serve a residency in pediatrics were changed to psychiatry (because they didn’t want someone who was pregnant). In Denver, after residency, she was asked to lecture to medical students. She chose a topic that was out of the ordinary, but something she felt at home with--death and dying.

In 1965, in Chicago, she continued her work in this area. At the urging of some theology students she began a weekly seminar with dying patients, health professions students, (and eventually ) their more skeptical teachers. This experience led to the publication, in 1969, of her book, On Death and Dying. It is in this book that the "stages" of dying are discussed. The remainder of The Wheel of Life deals with more controversial aspects of Kubler-Ross’s life.

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Joan Didion has written a very personal, powerful, and clear-eyed account of her husband's sudden and unexpected death as it occurred during the time their unconscious, hospitalized daughter was suffering from septic shock and pneumonia.

Quintana, the couple's 24-year-old adopted child, has been the object of their mutual care and worry. That John Gregory Dunne, husband and father, writer and sometime collaborator, should collapse from a massive, fatal coronary on the night before New Year's Eve at the small dinner table in their New York City apartment just after their visit with Quintana can be regarded as an unspeakable event, beyond ordinary understanding and expression. "Life changes fast . . . in the instant. You sit down to dinner and life as you know it ends" (3).

As overwhelming as these two separate catastrophes are, the account provided by Didion evokes extraordinary descriptions of the emotional and physical disorientations experienced by this very lucid, but simultaneously stunned and confused wife, mother, writer dealing with the shock of change. Her writing conveys universal grief and loss; she spins a sticky filament around the reader who cannot separate him or herself from the yearlong story of difficult, ongoing adjustment.

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This collection of 20 poems is inspired by the human body. In anatomical detail these poems depict the body's beauty of structure, its rhythm of movement, its versatility of metaphor. This is not surprising, perhaps, for the work of a poet who is also a physical therapist.

In "What I Know" (p. 11) the poet helps his patient across a hospital lobby into the "breezy, sun-dotted day." She struggles with her walker, as the poet visualizes her impairment in himself, in a spiritual sense "unable to move or feel my right side." And the world's more global impairment, where each day violence is visited upon the "brave peacemakers and blessedly meek." "Tongue" (pp. 16-17) builds upon the earthy glossals, glottals and trills made by the muscles of speech to celebrate the expressive beauty of song, while remembering that the tongue is "flesh . . . first and last."

Kelly sticks closely to flesh in "Surface Anatomy" (pp. 21-22), in which he draws word-portraits of bones, including the greater trochanter of the femur, vertebral spinous processes, and patella, and in "Voluptuosity" (pp. 27-28), where he thanks God for the body's curves: "The body's curving comes / to the hand like the dry fields / rise to rain. . . "

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This anthology of "healing poems" is designed, according to the editors, "to find readers who might not usually read poetry." They say it should also be read "by those sitting in waiting rooms in surgeries and outpatients' clinics." These are definitely large tasks to expect this small collection of poems to accomplish, but in a different world (for example, a world in which people believed in the power of poetry to heal), this particular anthology would have a good shot at becoming a standard waiting room fixture.

The therapeutic intervention is well thought out. The editors have arranged the book into eight sections, each containing poems that exemplify a different theme, or situation, or style of treatment. The sections include: Admissions, Poems to Make You Feel Better, What It Feels Like, For Those We Love, The Language of Pain, Healing Rhythms, Body Parts, and Talking to the Dead. There is considerable overlap among these categories, because good poems speak several languages and can't be pinned down to a single feature. However, the classification does serve a heuristic purpose. It is another way to hook the reader, by choosing a topic he or she likes; once inside the covers, the reader may explore at will without regard to categories.

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In four lengthy chapters, the biographies of Haydn, Mozart, Beethoven, and Schubert are carefully presented. Special attention is given to health, both physical and psychological, throughout life and at its end. Autopsy information is included. In particular, the author emphasizes the impact of illness on the composers' relationships with family members and doctors, and on their musical composition.

Evidence is derived from a wealth of primary sources, often with long citations from letters, poetry, musical scores, prescriptions, diaries, the remarkable "chat books" of Beethoven. Neumayr also takes on the host of other medical biographers who have preceded him in trying to retrospectively 'diagnose' these immortal dead.

Late eighteenth- and early nineteenth-century Vienna emerges as a remarkable city of musical innovation and clinical medicine. The composers' encounters with each other link these biographies. Similarly, many patrons, be they aristocrats or physicians, appear in more than one chapter, such as the Esterhazy family and Dr Anton Mesmer.

The disease concepts of the era, prevalent infections, and preferred therapies are treated with respect. Rigid public health rules in Vienna concerning burial practices meant that ceremonies could not take place in cemeteries and may explain why some unusual information is available and why other seemingly simple facts are lost.

Biographical information about the treating physicians is also given, together with a bibliography of secondary sources, and an index of specific works of music cited.

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Morgan Spurlock decides to test the effects of fast food by eating nothing but food from McDonald's, three meals a day, for thirty days. Three physicians and a dietician are involved from the outset and track his rapidly increasing weight and declining health. Along the way he visits McDonald's outlets around the US, interviewing workers and fast food enthusiasts, and considers the implications of a recent lawsuit brought against McDonald's by customers who blame the company for their obesity.

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Dr. Andrey Yefimych Ragin has for many years been the superintendent of a town hospital. A solitary man who pursued a medical career to please his father, he feels superior to the people who live in the provincial town, none of whom engage in intellectual or aesthetic pursuits. Initially, Ragin was conscientious about his duties at the hospital, but after a while he withdrew his interest and energy. Now he sees only a minimal number of patients and leaves the rest to his assistant, Sergey Sergeyich.

Ragin has developed the philosophy that, since "dying is the normal and legitimate end of us all," there is no point in trying to cure patients or alleviate suffering. The endeavor is futile. While Ragin accurately observes deficiencies in the hospital and in the surrounding society, he does nothing to try to remedy them. Instead, he withdraws to his apartment and spends his time reading.

At one point, Ragin accidentally finds himself in Ward 6, where the lunatics are kept. One of them, Ivan Dmitrich Gromov is a well-educated paranoid man who engages Ragin in conversation. Ragin is so taken with this stimulating interchange that he begins to visit Ward 6 daily to debate with Gromov. Since the doctors never visit Ward 6, this is considered very peculiar behavior. Based on this new evidence of incompetence, the town council decides to fire Ragin from his position.

Ragin then goes on an extended tour with his one friend, Mikhail Averyanych, the postmaster. But when he returns, he behaves more strangely than ever. Finally, the new superintendent, Dr. Khobotov, tricks Ragin into visiting Ward 6, whereupon they incarcerate him as a lunatic. Shortly thereafter, Ragin has a stroke and dies.

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