Summary:

In "About Love," two friends who were caught in a storm while out walking have sought shelter in a third friend's country home. They stayed the night and at lunch the next day their host, Alehin, tells them a story about his lost love. It seems that when he was young, he worked closely with Luganovitch, the vice-president of the circuit court, and became close friends with Luganovitch and his beautiful wife Anna Alexyevna.

Over the years, Alehin and Anna spent a great deal of time together; he fell passionately in love with her and felt confident that she reciprocated his feelings. Yet, they never acted on their passion. At last, after many years, when Anna was setting out on the train to join her husband, who had been transferred to a distant province, Alehin took her into his arms and proclaimed his love. They collapsed in tears. But alas, the train left: "I kissed her for the last time, pressed her hand, and parted forever."

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In 28 autobiographical stories, the narrator writes of his patient encounters (and self encounters) as a medical student, resident, and finally Emergency Room attending physician. "The Unknown Assailant" opens the collection, a tale of a criminal and his victim who are both brought into the doctor-narrator's emergency room. The young doctor chooses "the young one" (p. 1), not knowing he is the assailant, and works frantically to save his life. This criminal allegedly killed two men a year before, but his current victim lives and the doctor learns the story of the attack from this victim's point of view. The assailant, who slowly recovers, has "an aura about him" (p. 5) and the doctor is strangely drawn to him, thankful that this man means him no harm. Perhaps aware of the irony of healing a man who, in another environment, might kill him, the doctor helps the assailant get better.

This underlying theme--that nothing is black and white in medicine or life--shapes every story. "Prelude," is the revealing, three-page tale of a medical student's life outside the hospital juxtaposed with his first encounter with death in the anatomy lab.

Every story deals with significant issues: the physician's inner emptiness when a patient dies ("Through the Dark, Softly"), how a greater power might suddenly intervene ("Faith"), how narrow the margin is between a successful and a missed diagnosis ("Sugar"), how both patients and residents survive because of, or in spite of, their medical attendings ("A Difference of Opinion"), and how things that seem final or sinister--like death and leeches--become instruments of hope and cure ("The Dead Lake"). [Sugar and The Dead Lake have been annotated in this database.)

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The narrator is both sympathetic observer and harsh judge, evoking the conflicting emotions, and human and ethical considerations surrounding the abortion of a fetus. The choice and juxtaposition of words is powerful and shocking: "more monster than murdered . . . autumn in our terrible breath."

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The story does concern an abortion, but, more so, the failure of the protagonist’s husband to participate in essential discussions relating to their marriage. Imani, a well-educated black woman, and her husband, Clarence, have a two-year old child and a seemingly good life. The marriage, however, is on uneasy ground because Clarence’s focus has shifted from family to job. Busy as a key advisor to the mayor, he has not thought about this, but Imani, now pregnant, has had time to reach this disturbing conclusion. She decides that unless Clarence will fight to save this child, she will abort the pregnancy. When he fulfills her expectations, quickly acquiescing to her termination plans, Imani recognizes that the partnership is over.

For Imani, abortion is no small matter nor is it new. While still in college, she had undergone a brutal experience with severe hemorrhaging. This time it is an "assembly line" event with no complications, but, again, she is alone. Clarence, oblivious to her smoldering rage about his complacency, subordinates her needs to those associated with his job.

The abortion concretizes the distance between them: "She had known the moment she left the marriage, the exact second. But apparently that moment had left no perceptable mark." Twice Imani had been scarred by abortion, and Clarence, oblivious to these marks, remained in uncomprehending disbelief as the marriage deteriorated and, then, dissolved.

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Amusing, and lovingly told in the first person, the poem describes the comically embarrassing physicality of giving birth and considers the profound implications of this life event: the sex act from which conception originates, the anguish of losing a child; the fearful joy of welcoming a new life into the world. During labor, the mother is also aware that the doctors expect her to perform, "the audience grows restive," but in the end they are of no consequence as it is "just me, quite barefoot / greeting my barefoot child."

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A woman with breast cancer describes dealing with doctors and medical procedures, from facing "embarrassing questions" to the finality of the mastectomy itself. She copes passively with the procedures by escaping into a fantasy world; but when it is time for the doctors to remove her breast, she assumes an active role and "[gives] it to them."

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A 30 year-old woman describes with chilling power her three suicide attempts. She compares herself to a cat with nine lives and to a concentration camp victim; yet "dying / is an art . . . / I do it exceptionally well." The doctors/men that save her are the enemy, and she warns them to "beware."

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This is a graphic, highly-imaged portrayal of rape involving two twelve-year-old girls.

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Summary:

This poem describes the first period of a girl who has been waiting what seems "like a lifetime" for her period to start, only to find herself emotionally disconnected to her mother at this important rite of passage.

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Summary:

This is the story of Vicky, a metaphorical figure, who was both outsider and larger-than-life, and who was first on her junior high school softball team to start her period. She does so in the midst of a game, with boys and girls looking on, bases loaded, Vicky herself at bat. When she lifts her left leg during a swing, a large patch, a "sea of red" is visible in her crotch. Made aware of what has happened by the urgent cries of some of her girlfriends, Vicky looks down, shrugs, and continues her run around the bases: a home run. Vicky, big as an earthquake, comes to symbolize womanhood for these girls, moving them to some slightly higher plateau of understanding about being women, and being together.

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