Summary:

One April morning in the 1940's in Oran, Algeria, Dr. Rieux, preoccupied with his ill wife's imminent departure to a sanatorium, discovers a dead rat. This unusual event marks the beginning of an epidemic of bubonic plague that will besiege the city until the following February. Over the long ten months Rieux, his acquaintances, friends, colleagues and fellow citizens labor, each in his own way, with the individual and social transformations caused by the all-consuming illness. Separation, isolation, and penury become the common lot of distinct characters whose actions, thoughts and feelings constitute a dynamic tableau of man imprisoned.

View full annotation

Summary:

The Heavenly Ladder is physician-poet Jack Coulehan's most recent chapbook, bringing together 48 poems, many of which have been published individually in various medical journals and literary magazines. The collection is divided into four sections.

Poems in the first section, "Medicine Stone," are written in the voice of patients or in the voice of the physician who treats them. The second section, "So Many Remedies," consists of five poems inspired by physician-author Chekhov. The poems of "The Illuminated Text" section reflect a wide-ranging interest in people who lived in distant times or in distant places. The final section, "Don't Be Afraid, Gringo," stays, for the most part, closer to home and includes a number of poems addressed to, or about, family members.

View full annotation

Summary:

In this collection Richard Selzer brings together 25 stories from his previous books, along with two new stories, Avalanche (see this database) and "Angel, Tuning a Lute." The unifying theme is the world of medicine and healing, which Selzer explores with a keen eye and compassionate heart. These stories are firmly grounded in the foibles, suffering, and exultation of the human body.

In the Introduction Selzer sketches the path by which he became a surgeon-writer and he indicates the origin of some of the stories. Particularly interesting are the stories that do homage to literary and historical figures; for example, "Poe's Light-house," which grew out of a fragment Edgar Allan Poe wrote in his last delirium, and "The Black Swan," a re-writing of a Thomas Mann novella (Mann's The Black Swan is annotated in this database).

Likewise, the story of how "Avalanche" was written is an interesting tale in itself. Selzer's description of pruning the story from his journal reminds me of Michelangelo's comment that the sculpture already exists in the block of marble. The sculptor merely removes the unnecessary stone. The Doctor Stories contains many of Selzer's tales that have become part of the Literature and Medicine canon; these include, for example, "Tube Feeding," "Sarcophagus," Imelda, Mercy, Brute, and Four Appointments with the Discus Thrower. (See this database for annotations of the latter four.)

View full annotation

Summary:

The story begins with the doctor-narrator unobtrusively observing an older man lying in a hospital bed. The patient is blind and has amputations of both legs. (We are given no medical details that cannot be observed in the room.) The narrator tends to the man's amputation wounds and answers a few simple questions. The man requests a pair of shoes.

Back in the corridor, a nurse tells the doctor that the patient refuses his food, throwing his china plate against the wall of his room. The narrator hears the man and a nurse argue briefly about food and then, by himself, watches as the patient carefully and powerfully throws another dish against the wall. The next day the doctor discovers that the patient has died.

View full annotation

Summary:

This is one of several histories or collections of documents concerning the ill-fated Donner Party westward trip of 1846-47. The wagon train of inexperienced and irregularly prepared families and individuals were California-bound from Illinois. Their misfortunes seem to have begun when they chose to follow the directions of a man who suggested a "short-cut."

Following upon a dreadful passage through the Wahsatch [sic] Mountains and then across the salt flats west of the Great Salt Lake, the group attempted the Sierra Nevada mountains too late in the fall to precede the snow and the cold. For the months of November through March, the party ( now cast asunder and without leadership) made various attempts at wintering over versus futile assaults on the pass.

From the diaries and other records surrounding this misadventure, the historian puts together a summation of the horrors of the cold, starvation, and growing hopelessness of being trapped and ill-prepared for a winter in the wilderness. Based on some of the diary entries, a sense of the extent of desperation that resulted in cannibalism is made available to the reader of today.

View full annotation

Summary:

The poem begins, "I'm mighty glad to see you, Mrs. Curtis." The speaker is a woman who is dying of leukemia and Mrs. Curtis is the lady who comes around periodically with the book-cart, offering patients something to read. While the other patients are celebrating the holiday with family or friends, the speaker, who has no visitors, feels conspicuous and lonely. Thus, she is grateful for Mrs. Curtis' regular visit, especially since the book-cart lady appears willing to sit down and listen.

The patient's father is afraid to visit, since he knows "that I will predecease him / which is hard enough." Chemotherapy hasn't helped. The leukemia makes her so fatigued that she doesn't even feel like reading. So instead, she sits by the window and looks at the trees. Since the leaves have fallen, the trees look like "magnificent enlargements / Of the vascular system of the human brain."

The patient has given names to these "discarnate minds." For example, "there, near the path, / Is the great brain of Beethoven, and Kepler / Haunts the wide spaces of that mountain ash." These trees remind her of "The Transparent Man," a toy one of her friends had when they were girls. "It was made of plastic, with different colored organs, / And the circulatory system all mapped out / In rivers of red and blue." At the time she and her friend giggled, but now she remembers the intricacy with amazement, and stares at the riddle of the trees.

The dying patient decides not to take one of the books, but thanks Mrs. Curtis again for coming. [120 lines]

View full annotation

Summary:

The narrator, Latimer, begins the story with a vision of his death, which he attributes to a heart attack. He explains that, always sensitive after a childhood eye affliction and his mother's death, the further shock of a "severe illness" while at school in Geneva enabled him to see the future, and to hear others' thoughts--an experience which he describes as oppressive. He is fascinated by his brother's fiancée, Bertha, the only human whose thoughts are hidden from him, and whom he marries after his brother dies in a fall.

The marriage falters after Latimer eventually discerns Bertha's cold and manipulative nature through a temporary increase in his telepathy. When Latimer's childhood friend, the scientist Charles Meunier, performs an experimental transfusion between himself and Bertha's just-dead maid, the maid briefly revives and accuses Bertha of plotting to poison Latimer. Bertha moves out, and Latimer dies as foretold.

View full annotation

Summary:

In the "free love" context of the nineteen-sixties, Harriet and David Lovatt are throwbacks to a more conservative, traditional, and family-oriented decade. Their life dream is to have a big house in the country filled with children, and it seems that they will succeed. After bearing four young children, however, Harriet is feeling the strain of years of childbearing, sleeplessness, money trouble, and her parents' and in-laws' disapproval of her fecundity.

Her fifth pregnancy is not only unplanned, but also unusually painful and disruptive. Harriet's doctor prescribes sedatives but finds nothing abnormal in her situation. When Ben is born, Harriet jokes that he is like "a troll or a goblin," but no one responds well to this unusually hairy and physically vigorous baby, who in turn does not respond to anything but his own desires and fears.

As he grows older, family pets and other children seem to be in physical danger. Health care professionals do not confirm the couple's conviction that Ben is not normal, but neither do they obstruct the decision to send Ben to a private institution, a removal that leaves the family temporarily happy until Harriet visits Ben and recognizes the institution for what it is, a place where all manner of "different" children are sent to live heavily medicated, physically restrained, and foreshortened lives away from families who do not want them.

Harriet brings Ben home, where he grows up amid what remains of the Lovatts' domestic fantasy, and finds community in a gang of thuggish older boys whom Harriet suspects are involved in various criminal acts. As the story closes, Ben has left home and Harriet imagines him in another country, "searching the faces in the crowd for another of his own kind" (133).

View full annotation

Summary:

Salvadorian writer and activist Claribel Alegria has composed a sequence of poems, 47 sparse love letters to her late husband Darwin "Bud" Flakoll who died in 1995. Neither sentimental nor confessional, the poems draw on the struggles of Circe, Prometheus, and Orpheus as well as themes of unfinished rites, sadness, and symbolic immortality. The translator's preface is a reminiscence of her time with the couple then living in self-imposed exile, in addition to a critical introduction to the poetry.

View full annotation

Summary:

A man suffers from a disease that "came / from love, or some / such place" (AIDS?). He has come home to his father's house to die. He grows thin, his sores will not heal, family and friends grow distant. While in the kitchen family members discuss how much the illness affects them, the sick man himself is already in hell, "which is / the living room . . . . "

View full annotation