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To Hell with Dying

Walker, Alice

Last Updated: Jan-16-1998
Annotated by:
Terry, James

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Mr. Sweet is a neighbor of the narrator, who is initially a little girl summoned with the rest of her siblings whenever Mr. Sweet is threatening to die. The narrator describes how she and her brothers loved Mr. Sweet, despite the fact that he was an indifferent cotton farmer, a frequent drunk, and an inveterate smoker. Somehow the faults of the old man, including his falling-down bouts of drunkenness and his slovenly personal appearance, are not impediments to the devotion he inspires or the affection for him on the part of the narrator and her brothers.

Each time the children are summoned, Mr. Sweet is reputed to be at death's door. "To hell with dying," the narrator's father would say. "These children want Mr. Sweet!" Then the youngsters would leap on the man in bed and begin their miraculous revival. By turns tickling and kissing Mr. Sweet, the neighbor kids manage to revive him time after time. The narrator comes to have faith in her unfailing ability to bring him back to life, and several times the children succeed when the local doctor had given up hope.

Nearly two decades pass, and the narrator is in graduate school when another summons comes. She flies back to the rural South and hastens to the bedside of the old man, now over ninety. But this time, after a brief return to consciousness, Mr. Sweet dies.

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Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

The author is a fourth year medical student dealing simultaneously with the rigors of medical training and the difficulties of living with diabetes. She has discovered that when she tries to interact with patients she over-identifies with them. When she reads about diabetes in medical textbooks, which present a rigid equation for balancing diet, exercise, and insulin need, she tries to adopt this approach to her personal diabetes management, convincing herself that emotions, fatigue, stress and other factors have no effect on her diabetes control. When this biomedical approach fails, she feels deep shame and frustration.

Only over time does she develop the confidence to realize that it is not shameful to admit one's personal needs even in medical training, that disease is a part of all humans and is not an enemy, that she need not be defined solely by her disease (or her profession), and that blurred boundaries between doctors and patients are not as dangerous as she was first led to believe.

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Consoling Mrs. Byrne

Moore, Breanndan

Last Updated: Jan-16-1998
Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

A surgical intern has participated in 86 year old Mrs. Byrnes's abdominal surgery, where extensive metastases from ovarian cancer are found. The surgeons take biopsies, confirm the diagnosis, and close her abdomen, knowing that her case is not treatable. Later that day, it falls to the intern to inform Mrs. Byrne of what they found.

The author describes how he avoided the task, finding other chores to do, appealing to the attending physician to not make him talk to the patient. The attending insists, and the author finally finds the nerve to talk with his patient. Much to his surprise, she has already suspected that she has cancer, tells him not to be upset, and assures him he did his best. The author discovered that learning to be a doctor meant being open to learning from his patients.

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Communion

Weinberg, Richard

Last Updated: Jan-16-1998
Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

The physician author is puzzled about what he can do to help a young woman who comes to him for treatment of her chronic abdominal pain. She has had every test, seen every specialist, and has no clear diagnosis. Only on the third visit, which she has initiated, does he discover that she was sexually assaulted at age 14. He is the only person she has told.

He immediately feels out of his element, and asks her to see a psychiatrist. She refuses, and insists he handle her care. He sets up open-ended visits to allow her time to talk, and looks for help in the medical literature and from a psychiatrist colleague.

Over time, as they explore her feelings and experiences, his patient gains self esteem and transforms herself into a confident, beautiful woman, planning on travel, school, and career. After her last visit with him, he realizes, "I had been chosen to receive a gift of trust, and of all the gifts I had ever received, none seemed as precious."

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Theo's Story

Kovalchik, Michael

Last Updated: Jan-16-1998
Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

A nephrologist is named in a lawsuit after serving as a consulting physician in a diabetes case. The diabetic patient had had a serious infection and later his leg was amputated; he apparently felt the doctors neglected the seriousness of his condition. When the dialysis unit treating this patient requests to transfer his care to the author, whose unit is in the patient's home town, the author is uncertain what to do.

The author is angry about the law suit, and his colleagues counsel him to refuse to take this patient. But after realizing that the lawsuit was merely a reflection of the patient's suffering, and that he needs the same compassion and care as any other human being, the author agrees to accept the patient. The author discovers that his patient is a meek, gentle man; over time, he helps him come to terms with his illness, his disability, and his approaching death. Eventually the patient drops his malpractice suit.

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California Blue

Klass, David

Last Updated: Jan-16-1998
Annotated by:
McEntyre, Marilyn

Primary Category: Literature / Fiction

Genre: Novel for Young Adults

Summary:

John Rodgers is in his last year in high school in a small northern California town where the majority of the townspeople work in the lumber industry. As the youngest son of a father who was a champion athlete, John has always felt pressured by him to excel in his sport of choice, distance running. His father also wants him to put aside his interest in biology--ecologists are the enemy since they threaten his livelihood by protesting clearcutting of redwoods. John can do neither.

In the middle of his senior year he learns that his father has leukemia and is losing ground rapidly. Never having had a comfortable relationship with him, the illness complicates their relationship which soon becomes even more complicated by John's discovery of a rare species of butterfly in the company woods. Knowing it will alienate him not only from his father but from the whole town, he reports the discovery and takes the consequences; his friends beat him up and he runs away. With the help of a sympathetic biology teacher he returns home to find his way to a "separate peace" with his father and a new, complex understanding of the trade-offs between loyalty and responsibility.

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Harvesting the Dew

Schaefer, Judy

Last Updated: Jan-16-1998
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

In the introduction to Harvesting the Dew, Judy Schaefer poses the question, "Are nurses mere observers?" She goes on to reply, "in my view the nurse has a vantage point of not only observer but inflicter." This book is a collection of 60 poems arranged in three sections ("Day Shift," "Evening Shift," and "Night Shift") that correspond with three different nursing milieus and moods.

The book also includes an explanatory essay, "A Literary Nurse Bearing Witness to Pain," which concludes "literary nurses then are no longer anticipatory handmaidens but are a profession of men and women with their own highly valued language and structure for observation . . . Literary nurses will further define the caring that is crucial to the nursing profession."

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Annotated by:
Terry, James

Primary Category: Literature / Poetry

Genre: Poem

Summary:

It is the voice of the woman in bed that makes this poem, and she is a tough character as she reveals herself, physically and otherwise. "I won’t work / and I’ve got no cash. / What are you going to do/about it?" she demands in the first few lines. She implies that she is a loose woman and perhaps even comes on to the physician: "Lift the covers / if you want me . . . ." and later, "Corsets / can go to the devil-- / and drawers along with them-- / What do I care!"

The woman shifts subjects rapidly, between poverty and sexuality, hinting that she might be pregnant again, writing off her two sons. At the end, she delivers a proud challenge to the physician who has come to see her in the abandoned house: "Try to help me / if you want trouble / or leave me alone-- / that ends trouble. // The county physician / is a damned fool / and you / can go to hell! // You could have closed the door / when you came in; / do it when you go out. / I’m tired."

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When Nietzsche Wept

Yalom, Irvin

Last Updated: Jan-16-1998
Annotated by:
Martinez, Richard

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The story begins in 1882, when Friedrich Nietzsche's beautiful and mysterious former lover convinces the famous Viennese physician and mentor to Sigmund Freud, Joseph Breuer, to cure Nietzsche of his "despair" so that the world will not be deprived of the "most important philosopher of the next 100 years." Breuer is known throughout Europe for his use of hypnosis and the "talking treatment" that have been successful in the treatment of hysteria.

Since Nietzsche is skeptical of what Breuer can do for him, Breuer offers the challenge that they might help each other. Through subterfuge, Breuer convinces Nietzsche to remain for 1 month in the Lauzon Clinic. Their bargain: Breuer agrees to treat Nietzsche for his chronic migraine headaches, if Nietzsche, the great philosopher, will listen to and cure Breuer of his own despair. What follows is a brilliant tour de force in which the two men engage in daily discussion, bantering, and intrigue, much like a chess game, jockeying for position, as both men are transformed in unpredictable and astonishing ways.

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A Very Easy Death

Beauvoir, Simone de

Last Updated: Dec-18-1997
Annotated by:
Willms, Janice

Primary Category: Literature / Nonfiction

Genre: Autobiography

Summary:

A retrospective and reflective review of the last weeks in the life of the author's aging mother. Threaded throughout the chronicle of the progressive downhill course of the patient dying of cancer are flashbacks to the earlier relationships among the author, her sister, and their mother. The course of the illness enables the reader to view many of the common problems that inform the doctor-patient, nurse-patient, and parent-child relationship. The narrator, who is an accomplished writer, creates vivid and timely images of the hospital as experienced by the lay person.

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