Summary:

In this collection, twenty-two medical students and young physicians across the United States eloquently recount the process of medical education for those who do not believe they fit standard measures of student demographics. The editors, Takakuwa, an emergency medicine resident physician; Rubashkin, a medical student; and Herzig, who holds a doctorate in health psychology, group the essays into three sections: Life and Family Histories, Shifting Identities, and Confronted.

Each section is prefaced by an essay explicating the essay selection process, the history of medical school admissions policies and requirements, the basic progression of medical education and the reasons for this collection, such as "putting a human face" (p. xx) on the changing characteristics of admitted medical students: "With their diversity and through their self-reflections, we hope that these students will bring new gifts and insights to the practice of medicine and that they might one day play an important role in transforming American medical education into a fairer and more responsive system." (p. 141)

Additionally, a foreword by former Surgeon General Joycelyn Elders outlines her experience as a black woman entering medical school in 1956, including eating in the segregated cafeteria. The book concludes with recommendations for further reading and improvements to the medical education process as well as with brief biographies of the contributors and editors.

The range of essays is impressive: diversity itself is given a new meaning by the variety of narrative voices in this volume. Contributors include people from impoverished backgrounds, both immigrant (Vietnamese, Mexican) and not. One student, marginalized by his academic difficulties, began a homeless existence during his first clinical year. Others were made to feel different because of being African or Native American.

In two essays, mothers defy labels placed on them (pregnant black teen; lesbian) and describe the trials and triumphs of their situations. Students write of being subjected to ridicule, ignorance and prejudice due to their gender, interest in complementary medicine, political and advocacy views, or religious beliefs. Due to pressures to conform, even students from what might be considered more mainstream in American culture (e.g., growing up in a small town, or being Christian) can experience the effects of being "different" when in medical school.

A number of essays communicate the difficulties of illness, disability and bodily differences. Issues include recovered alcoholism (rather tellingly, this is the only essay that is anonymous), obsessive compulsive disorder, sickle cell anemia, Tourette Disorder, attention deficit hyperactivity disorder, chronic pain, and obesity. The authors balance their narratives of hardship with insights into how their struggles improve their opportunities for empathy, perspective and fulfillment as physicians.

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Paul Edgecombe (Tom Hanks) is in charge of death row in a 1935 Louisiana penitentiary. The cell block is nicknamed "The Green Mile?due to its green linoleum floor--the path that an inmate must walk from his cell to the room with the electric chair. Paul, a decent, moral man, treats each prisoner with respect. His life changes, however, with the admission of John Coffey (Michael Clarke Duncan), a huge African-American man convicted of the rape and murder of two young sisters. Despite his powerful build, Coffey is gentle--and possesses a miraculous, mysterious power to heal.

Coffey heals Paul's bladder infection, resurrects a dead mouse, Mr. Jingles, that is the treasure of another inmate, "Del,?and cures the warden's wife of her inoperable brain cancer. Each healing requires direct contact between Coffey and the "patient,?and is accompanied by much electric and mystical effects. Coffey takes the infection, brokenness, disease into his body and is able to expel it, though it exhausts him.

Coffey's powers extend to visions and he directly feels the pain of others. He transmits his visions of the death of the two girls to Paul--who realizes that Coffey is innocent (indeed he had been trying to "heal?the children when he was apprehended) and that another inmate on the green mile is guilty of the crime. Paul, counseled by his supportive wife (Bonnie Hunt), asks Coffey what to do. Coffey, exhausted from suffering the knowledge of the evil of the world and cognizant of his lowly position as a poor black man, asks to have the execution proceed. His only request is to watch a "flicker show.?Paul arranges for him to see a Fred Astaire movie.

The executions are graphically depicted. One is particularly gruesome because of the evilness of the whiny, rookie guard, Percy, who deliberately causes a prisoner (Del) to suffer in the extreme. After giving the orders for Coffey's execution and watching him die, Paul quits his job.

The story is framed by Paul as an old man in a nursing home. Paul "tells?his story to another elderly "inmate?as an explanation for why he was overcome when watching the Fred Astaire movie in the common room. Paul reveals that he is far older than thought possible--as is Mr. Jingles who is still alive six decades later. Paul and the mouse were "infected with life?when touched by Coffey.

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A seven-part poem reflecting facets of indigence, homelessness, and helplessness. "How many old men last winter / Hungry and frightened by namelessness prowled / The Mississippi shore . . . ? " This poem enters into the lives of the nameless persons who live in the same place, but not the same world as the "Walker Art Center crowd." The speaker cries out that he "could not bear / To allow my poor brother my body to die . . . . " Even here, in the midst of his desperation, the speaker finds a glimmer of possibility: "I want to be lifted up / By some great white bird . . . . "

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This is a prose poem told in the voice of a homeless person who is battling with grief and loneliness ("the houseguest who eats everything and refuses to leave") and hoping for good weather. The speaker of the poem, while dealing with the heaviness of grief and loneliness, also makes "a song for bad weather so we can stand together under our leaking roof, and make a terrible music with our wise and ragged bones."

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A Native American who has been destroyed by his participation in the Vietnam war and alcoholism tells the speaker of the poem about his healing. "Whirling Soldier" had seen the apparition of his cousin Ralph in "the gook rattling the bush" nearby and had believed that "each shot [he fired] rigged his spine to hell." The difficulty of reconciling willful killing with the Native American belief in the connectedness of all life drives Whirling Soldier to alcohol and heroin.

The poem tells of his descent into hell and his final drunken episode, after which "a spirit who had never been a stranger but a relative he’d never met" speaks and blesses him. At the end of the poem, the Northern Lights appear, "shimmering relatives returned from the war, dancing in the skies all around us."

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With some 70 characters and a wide array of events spanning 500 years and several continents, the plot of this novel is less a linear plot than an elaborate web of events. Peopled with addicts, alcoholics, corrupt judges and politicians, unscrupulous and greedy land speculators, and a host of other unsavory characters, the novel also tells the story of resistance to Euro-American oppression and a growing effort of indigenous people and their allies to retake the land and ultimately to become agents of its healing. Woven throughout the novel are folk stories of the past, pronouncements on the present and predictions of a dire future for the offspring of the European conquerors.

Spatially, Tucson, Arizona functions as a focal point, with much of the action radiating away from, or towards, the city. Arizona is about to go belly-up from the effects of a declining economy and devastating drought and growing civil unrest in Mexico. As the prophecies have foretold, the narrator reminds readers, the inexorable movement of the people is North, and while it may take 500 or 5000 years, the indigenous and their allies will reclaim the diseased and corrupted land (and presumably become instruments of its healing).

Into this milieu Silko inserts a host of characters who work as part of the resistance. Among them are twin sisters Lecha (a demerol-addicted psychic who helps police locate the bodies of murder victims and has a lucrative profession as a talk show guest) and Zeta (who has made a fortune running drugs and guns across the North and South American borders with the help of Lecha’s son and his sometime lover Paulie); twin brothers, Tacho (a chauffeur for the wealthy Menardo who also functions as a spy for the indigenous resistance movement), and El Feo (who heads that movement in the far South of Mexico). Both brothers commune with spirit macaws for advice.

There is an "army of the Homeless" who plan to retake "stolen" goods and land from the wealthy. The Barefoot Hopi organizes incarcerated prisoners for an uprising against the U.S. Government. Many of these and other characters converge at novel’s end at the International Holistic Healer’s Convention where "German root doctors" and "Celtic leech handlers" join with "new-age spiritualists" and the Green Vengeance eco-warriors.

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Set in the 1920s, Tracks is the chronicle of the Anishinabe community in North Dakota and the struggle for land and the continuance of their tradition and beliefs that undergird the heterogeneity of their tribal society in the face of shifting U.S. policies. Told in the counterpointing voices of Nanapush, a tribal elder, and Pauline Puyat, a mixed-blood member of the community, the novel describes the intertwining lives of Fleur Pillager, Nanapush, Pauline, and their families; the horrible losses from epidemics, as well as the powerful love circulating among the community, and their resistance to cultural and political domination.

While these issues occupy much of the story, Pauline’s decline into an excessive and destructive religious asceticism is also a central part of the plot. Pauline’s internalized racism (she "would not speak our language" [p.14]) takes its shape in her hatred of her own body and her fascination with death ("I handled the dead until the cold feel of their skin was a comfort, until I no longer bothered to bathe once I left the cabin but touched others with the same hands, passed death on" [p. 6]). She ends up in a convent inventing new ways to torture herself as she listens to Jesus tell her she is not really Indian.

In contradistinction to Pauline are Nanapush and Fleur, who resist dominance and claim their identities in magnificent ways. In one scene, Nanapush refuses to allow a doctor to treat his granddaughter’s severely frostbitten foot with amputation, knowing that "saving [her] the doctor’s way would kill [her]." Nanapush nurses her himself, saving the foot and telling her stories as a way to walk her through the pain of healing.

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The narrative voice (probably female) links the ancestral past of a Chickasaw heritage with the present and future, "remembering" a long, forced march to Oklahoma under military surveillance. The women sewed tear dresses "because settler cotton was torn" but the miserable circumstances generated tears "so they were called / by this other name, / for our weeping." She sees herself as the reason for their survival, and at the same time, her ancestors ". . . walk inside me." The poem is cleverly constructed to give a strong sense of the continuity of generations and of the impact of a people’s history on individual lives.

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Cosima Nolinas (Codi) trained as a physician, but decided during her residency to give up medicine. As the novel opens, she is returning to her hometown, Grace, Arizona, to teach high school biology and care for her physician father, Doc Homero, who is suffering from Alzheimer's disease. Her younger sister, Hallie, has just left for Nicaragua to help with agricultural development. Codi's journey back to where she grew up reinforces a sense of aimlessness which she attributes to the death of her mother when she was three years old, to the miscarriage of an unwanted pregnancy when she was fifteen, and to her father's remoteness. She intends her stay to be temporary.

But gradually she is drawn into the community. She restarts a relationship with Loyd [sic] Peregrina, the Native-American father--though she never told him--of the child she lost in high school. She joins the town's struggle against a mining company that has polluted the town's water supply and now plans to dam the river. As her father's condition deteriorates, she learns more about the history of his connection with the town and, by examining the results of a life-long study he has done on a genetic anomaly affecting children born to second-generation inhabitants of Grace, she learns that her own hereditary background is far more deeply rooted in the town than she had known.

Codi's narrative is interspersed with her father's confused but illuminating memories of her childhood, and with the letters she receives from Hallie, who has always been the motivated and determined sister. When Hallie is kidnapped and then murdered by the contras, Codi's first response is to run away once more, but in laying her sister to rest and telling Loyd about their lost child, she realizes that she has found her home and--in her fierce and practical education of the new generation of Grace adolescents--her purpose.

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This story is set in the 1950s. Gloria St. Clair's great grandmother, Great Mam, is a displaced Cherokee--one of the Bird Clan's "Beloved Women" who "keep track of things"--who moved from her tribal home in Tennessee to Kentucky with the white man whose children she bore. Gloria's father, a coal miner, decides that the family should take Great Mam back to Tennessee for a last visit before she dies.

The journey is a disaster, revealing that remnants of Cherokee life have been reduced to poverty and tawdry tourism. Gloria realizes, though, that Great Mam's heritage has survived, not in the place she came from, but in what she has passed on to her great granddaughter: Great Mam has given Gloria the nickname "Waterbug" after the creature that, according to Native American myth, retrieved the earth from the bottom of the sea, and in remembering this and all the other stories Great Mam told her, Gloria becomes the next one whose task is to retrieve the past, to "keep track of things."

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