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.

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The Voyage of Life series is an allegory of the four stages of man: childhood, youth, manhood, and old age. In each painting, accompanied by a guardian angel, the voyager rides in a boat on the River of Life. The landscape, corresponding to the seasons of the year, plays a major role in telling the story. In childhood, the infant glides from a dark cave into a rich, green landscape. As a youth, the boy takes control of the boat and aims for a shining castle in the sky. The last two pictures reverse the boat's direction. In manhood, the adult relies on prayer and religious faith to sustain him through rough waters and a threatening landscape. Finally, the man becomes old and the angel guides him to heaven across the waters of eternity.

The wild, untamed nature found in America was viewed as its special character; Europe had ancient ruins, but America had the uncharted wilderness. As his friend William Cullen Bryant sermonized in verse, so Cole sermonized in paint. Both men saw nature as God's work and as a refuge from the ugly materialism of cities. Cole clearly intended the Voyage of Life to be a didactic, moralizing series of paintings using the landscape as an allegory for religious faith.

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The narrator, Jeremy, orphaned at age 8, is attempting to write a memoir of his wife's parents, June and Bernard Tremaine. The pair married in England in 1946, idealistic young members of the British Communist Party, but on their honeymoon in France something happens to June that estranges her from her husband and his values forever. After the birth of their daughter, Jeremy's wife, the two live separately. June dies in a nursing home in 1987, after telling Jeremy a great deal about her life and marriage.

In 1989 Jeremy and Bernard travel to Germany together to share in the dismantling of the Berlin Wall. Bernard has taken a lot longer than his wife did to give up on communism. In Berlin, Jeremy hears his father-in-law's very different version of the couple's biography. Jeremy then travels to France to try and unearth the truth about their honeymoon, finding unreliable storytellers, poor memory, and, at the center, June's encounter in the French countryside with a pair of black dogs, owned and trained and then abandoned by the Gestapo. The story, as Jeremy reconstitutes it, is a discovery of evil that, regardless of literal factuality, bears a terrible truth about the human capacity to do harm, both personal and political.

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This poem consists of six "letters" in verse from an aged, chronically ill father to his daughter. In the first he presents in excruciating detail the sorry state of his body, and also Mother, "who falls and forgets her salve / and her tranquilizers, her ankles swell so and her bowels / are so bad . . . " Things are so bad that he has "made my peace because am just plain done for . . . " At the end he mentions the fact that, though the daughter enjoys her bird feeder, he doesn't see the point; "I'd buy / poison and get rid of their diseases and turds."

In the second letter, written after the daughter visited and gave them a bird feeder, he says that Mother likes to sit and watch the birds. In the next one, he talks about how much the birds eat and fight. As the letters progress, they include less and less about the parents' pain and disability, and more and more convey curiosity and, eventually, enthusiasm for bird watching.

By letter #5 the father ticks off the names of numerous species he has observed, and at the end casually mentions, "I pulled my own tooth, it didn't bleed at all." Finally, "It's sure a surprise how well mother is doing, / she forgets her laxative but bowels move fine." He ends by describing his plans for buying birdseed for the next winter. [112 lines]

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The poem begins, "In the beginning it visits / your mother like a polite / but somewhat unobtrusive stranger / whose silence . . . is vaguely disturbing." Later, Alzheimer’s is there all the time. Eventually, it takes over the mind and starts spreading disinformation. In the end communication breaks down. "There is no present . . . " There are only fragments of memories and "her dreamy knuckle clicking / on tables as if in answer to someone’s knocking." [32 lines]

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Dr. Constance Petersen (Ingrid Bergman) is a beautiful, unattached psychiatrist whose business-like facade fails to conceal a natural empathy that draws men. For her, however, love is a mere epi-phenomenon, easy to explain and resist, until she meets Dr. Edwardes (Gregory Peck). The famous expert on the guilt complex has arrived to replace the retiring chief (Leo Carroll). Constance is smitten, and so, it seems, is he.

But soon, she realizes that Edwardes is "not well," that he is terrified of dark lines on white: fork marks on a tablecloth; threads in her robe. Worse, she discovers that Edwardes is not, in fact, Edwardes, but an amnesic physician of initials "J. B." who is convinced that he has murdered his analyst. Constance does the right thing by having him removed from work, but she refuses to believe he is a murderer. Wanting to protect her, he leaves. But she, intent on curing her lover, follows him on a journey to retrace his last movements. The task is to recover both a memory and a missing person.

They go skiing (dark lines on white) at a resort where the real Dr. Edwardes had sojourned with his patient-colleague. On a dangerous slope, J. B. suddenly remembers that Edwardes went over the cliff. The body is found, but it has a bullet in the back.

Now hiding from the police, the couple pose as newlyweds and flee to her old mentor in Rochester. Complete with accent and beard, Dr. Brulov (Michael Chekhov) is a delightful double of the recently deceased Sigmund Freud (1858-1939). It emerges that John Ballantine (Peck) never lost his childhood feelings of guilt over the accidental death of his little brother.

In a gruesome ten-second flashback, the tyke is abruptly impaled on a iron-spike fence. This ancient guilt was reactivated by his doctor’s demise and it was sublimated by the defense mechanism of an assumed identity to keep the dead man alive. An idle slip of the tongue reveals the murderer to be the jealous retiree. The killer threatens Constance and then makes a quick end by dispatching himself instead.

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Gustave Aschenbach, renowned German scholar and historian, reaches a crisis in his previously austere and celibate life. Exhausted from the pressures and the seemingly sterile quality of his aesthetic endeavors, he seeks respite and pleasure. Through a series of misadventures, he eventually arrives in the summer city of Venice, a city he knows and has always longed to visit again.

The reader observes the progressive moral alteration in the rigidly self-controlled man as he succumbs to his long repressed desire to experience the types of passion that art, rather than reason, allows. His transformation extends to the worship of a beautiful young boy--Aschenbach's vision of a doomed Greek god.

As Aschenbach becomes progressively obsessed with his longing, he assumes the role of a lover gone amok. Venice is under siege by a plague, and given the chance to escape--and to warn his object's Polish family of his knowledge about the dangers facing them all--he chooses to take the ultimate risk of death rather than give up his passionate obsession.

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This short story begins with a summary of the tale of Guillermo Blake, who believed that "the five senses obstruct or deform the apprehension of reality." The narrator then relates the tale to his own experience: upon visiting his gerontologist for a check-up, he is informed of a procedure that confers immortality. The "immortals" are reduced to living brains within wooden cubes, their bodies having been replaced by "formica, steel, plastics." The narrator tries not to show his horror, but moves immediately to a different part of the country under an alias.

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This is a description of the last moments of the narrator's ailing grandmother. She is "wrinkled and nearly blind," and protests cantankerously as the ambulance speeds her towards the hospital. However, in a sudden change of character, her last words express how tired she is of looking at the passing trees; her loss of interest in the view parallels her loss of interest in life.

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On a "bright, frozen day" in December, a very old Negro lady named Phoenix Jackson carefully, haltingly walks through the woods and fields on her way to town. She talks to herself and the animals. She pauses to rest. A dog jumps at her and she falls into a ditch. A hunter comes along and helps her get up. Although she is completely worn out, she says, "I bound to go to town, Mister . . . The time come around."

When she reaches town, she goes to the clinic where an attendant thinks, "A charity case, I suppose." But Phoenix has come to get "soothing medicine" for her grandson's throat. He swallowed lye years before and his throat never heals. "We is the only two left in the world . . ." The attendant gives her a nickel. She turns to go, planning to buy her grandson a paper windmill and then make the arduous trip home.

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