Summary:

The story begins in New York as a young immigrant Scandinavian woman gives birth to a daughter: "She entered, as Venus from the sea, dripping. The air enclosed her, she felt it all over her, touching, waking her." The time is at the turn of the 20th century, the baby's name is Flossie, and she is the second child of Joe and Gurlie Stecher. Joe is a printer, who takes great pride in his craftsmanship. He had once been a union activist, but became disillusioned with union corruption and now works as a shop foreman. Gurlie's driving ambition is for she and her husband to strike it rich and make their mark in this new land, where the streets are paved in gold (for some people).

Flossie turns out to be a sickly baby. At first, she won't nurse at all and almost dies of malnutrition and infection. Later, she remains so scrawny that a doctor claims the only way to save her life is to take her to live in the country. Thus, Gurlie and her two children travel to upstate New York for the summer, where they board with an aged Norwegian couple. While there, the baby begins to thrive, and so does Gurlie, who had spent her early childhood on a farm in Scandinavia.

Soon after Flossie's birth, the printers' union calls a strike. Joe successfully holds the line and keeps the shop running, but his grateful employers are not grateful enough even to give him a raise. Toward the end of the book, he negotiates with another businessman to obtain the wherewithal to start his own printing company.

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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 epigram for this collection of sonnets is a quotation from Alfred Cosby's The Forgotten Pandemic: The Influenza of 1918: "Nothing else--no infection, no war, no famine--has ever killed so many in as short a period." Speaking in many different voices, Ellen Voigt evokes the great epidemic through the eyes and experience of various Americans--a soldier, his fiancée, orphaned children, a doctor, and a host of grieving family.

The infection is quick and ruthless. "Within the hour the awful cough began, / gurgling between coughs, and the fever spiked . . . / Before a new day rinsed the windowpane, / he had swooned. Was blue." (p. 22) Doctors were out on the road working day and night to no avail: "it didn't matter which turn the old horse took: / illness flourished everywhere . . . " (p. 38) Soon, coffins were scarce: "With no more coffins left, why not one wagon / plying all the shuttered neighborhoods, / calling for the dead, as they once did . . . " (p. 53) At last, the influenza receded: " . . . at the window, / every afternoon, toward the horizon, / a little more light before the darkness fell." (p. 55)

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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.)

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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.

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Under the aegis of the Association of American Medical Colleges and its journal, Academic Medicine, the editor of the Medicine and the Arts column has collected 100 selections for publication in this volume. Each selection is made up of a piece of literature or art relevant to the medical humanities, followed by a commentary that elucidates or elaborates upon the contribution of the primary piece to the practice of medicine.

Given the wide-ranging nature of the art and literature in this collection, essentially every keyword listed in this database could come into play; those denoted above identify broad categories under which fall the works discussed. The artists represented vary from poets of the classical period, to ancient and modern painters, to writers who study the human condition in their fiction or essays. The scope is enormous; the adventure daunting.

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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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Molly Lane, restaurant critic and photographer, has died of a progressive neurological disease. She is survived by George, her husband, as well as by several past lovers, including Clive Linley, a famous composer, his old friend Vernon Halliday, editor of a London newspaper, and Julian Garmony, the British foreign secretary, rumored to be headed for Downing Street. After Molly's funeral, both Clive and Vernon experience odd neurological symptoms and make a mutual pact to help each other commit suicide in order to end suffering. The symptoms appear in both cases to have been psychosomatic, but the pact remains.

George has found career-destroying photographs of Julian Garmony (in drag) among Molly's things, and he gives them to Vernon for the newspaper. Vernon and Clive quarrel over the ethics of a decision each has made: Vernon's decision to publish the pictures, and over Clive's decision not to intervene when, while working on a crucial melody for his symphony during a walk in the country, he sees a woman being attacked by a man who turns out to be a serial rapist. When Vernon is fired and Clive's symphony is a failure, each blames the other and the suicide pact becomes a means of mutual revenge.

A subtext has been a running storyline in Vernon's paper about rumored abuse of the Netherlands's liberal euthanasia laws; the novel ends in Amsterdam, each man involuntarily euthanized by a physician paid by his friend. (Meantime, Garmony's career is in ruins. George has successfully destroyed all three of his wife's lovers.)

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A 63 year old biologist, blind since childhood, collects snails and shells in Africa. His self-imposed isolation is shattered after he is credited with saving the lives of an American woman and a native eight year old girl who are both suffering from malaria. The venom of a cone shell provides the cure. Strangers flock to the scientist’s abode hoping to find their own miraculous remedy, but instead a few discover tragedy or even death.

The biologist’s own adult son dies from a cone shell bite while visiting his father. In the end, the shell collector is also bitten by a cone and experiences both paralysis and clarity in his near-death condition. He survives with the aid of the young girl whom he had earlier cured of malaria.

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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.

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