Showing 1931 - 1940 of 3444 annotations

Careful

Carver, Raymond

Last Updated: Aug-02-2005
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Lloyd moves out of the house after a serious discussion with his wife, Inez. He rents a small place for himself and tries to limit his consumption of alcohol. Unfortunately, Lloyd continues to drink three or four bottles of champagne a day. About two weeks later, Inez pays him a visit. She needs to speak to him about money and other things.

That same morning, Lloyd wakes up and realizes his right ear is plugged with wax. He experiences difficulty hearing and trouble with balance. To no avail, Inez attempts to remove the ear wax with a nail file wrapped with tissue. She next instills warm baby oil in Lloyd's ear, and after awhile his hearing returns.

While Inez is still there, she comes across an open bottle of champagne that Lloyd has hidden in the bathroom. Inez decides she will return some time to have a talk with him. After she leaves, Lloyd sits on the sofa and watches television. Although it is the middle of the afternoon, he is wearing pajamas and drinking champagne straight from the bottle.

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Annotated by:
Duffin, Jacalyn

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

In 1950 London, lower middle-class (but upper middle- aged) Vera Drake (Imelda Staunton) devotes herself to family and "helping" others. With empathic cheeriness, she visits shut-ins, provides tea for the bedridden, feeds lonely men, and "brings on their bleeding" for girls in trouble. She also tends her cantankerous, ailing mother, who has never revealed the identity of Vera’s father.

The men in Vera’s life are bruised and confused by end of the war. Exuding affection, she cooks, irons, sews, and listens to their litanies of loss and derring-do. Her son, Sid, is an extroverted clothing salesman and her dowdy daughter, Ethel (Alex Kelly), is a pathologically shy factory-worker; neither seems adequate for the task of living alone. But Vera and her husband, Stan (Phil Davis), are happy in each other, their offspring, and their modest existence.

Only the friend, Nellie, knows of the help for young girls. She extracts a secret two-guinea fee for advising the girl, but Vera receives not a penny. Over the years, the two women have solved problems for mothers with too many children, mothers with no man, and mothers who were raped. They also safely abort insouciant party girls who are blas?about men, sex, and consequences.

But a young girl falls seriously ill following an abortion and is sent to hospital. Under pressure from police, the girl’s mother divulges Vera’s name. The police barge in to arrest her just as the Drake family celebrates Ethel’s engagement to one of the lonely men, Reg (Eddie Marsan).

The criminal charges come as a complete surprise to the family. Sid seethes with anger and disbelief, but Stan’s implicit faith in his wife brings him and the others to support her through the long trial. The judge hands her a stiff thirty-month sentence intended "as a deterrent." But in prison, Vera meets two other abortionists who tell her that she is lucky: both are serving much longer, second sentences, because their "girls" had died.

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Sorry I Worried You

Fincke, Gary

Last Updated: Jul-11-2005
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

When Ben Nowak reached the age of fifty, his primary care physician for the past fifteen years, Dr. Ellen Parrish, began performing annual digital rectal examinations on him. Ben is still embarrassed by the female physician checking his prostate gland. He finds the younger Dr. Parrish attractive and available. She divorced her husband because the man was abusive.

Dr. Parrish's office receptionist happens to be the wife of Ben's friend, Jerry, who works at a landfill and brings home cases of expired beer. Once, Jerry found a dead newborn baby in the landfill. Dr. Parrish informs Ben that his prostate has gotten larger. The tests she orders come back "inconclusive" so additional tests are done. Ben concedes that he might have prostate cancer, but rationalizes that things could be "a hundred times worse" (29).

When his second set of test results are normal, Ben grasps that it is likely a temporary reprieve; he is only fine "until the next time" (34). He drives to the site of an illegal dump. The trunk of his car contains ten cases of expired beer (courtesy of Jerry). At the dump, he proceeds to drink one bottle of beer from each case and smashes the other twenty-three.

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Visits to St. Elizabeths

Bishop, Elizabeth

Last Updated: Jun-13-2005
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Poem

Summary:

This is the house of Bedlam. So begins the strong poem by Elizabeth Bishop, the woman who wrote of that wretched old man who lived in the house of Bedlam. "This is the man / that lies in the house of Bedlam." So go the two lines of the following stanza of the 1950 poem about the cranky old man who was kept for his crimes in the house of Bedlam. "This is the time / of the tragic man" begins the three lines of the following stanza of the nursery rhyme poem by the consummate poet who wrote of "the Jew in a newspaper hat / that dances joyfully down the ward" and the brilliantly cruel and crazy man who lived in the house of Bedlam.

"This is the soldier home from the war. These are the years and the walls and the door." So starts the 12th and last stanza of the metrical rhyming repetitive poem by one of the finest American poets about Ezra Pound, an American poet, who found himself at the end of the war "walking the plank of a coffin board" and because of his treason becoming the man--the tragic, talkative, wretched and tedious man--who lived in the house of Bedlam. [79 lines]

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Annotated by:
Aull, Felice

Primary Category: Literature / Nonfiction

Genre: Handbook

Summary:

Professor Sandra Bertman founded the Medical Humanities Program at the University of Massachusetts Medical Center and holds certificates in grief counseling and death education. This handbook outlines how she uses the visual and literary arts to "improve our professional abilities to deal with death and dying." Her premise is that the arts provide a valuable vehicle for exploring and making bearable the prospect and fact of death.

Bertman illustrates her presentation technique (Chapter 2) of juxtaposing dual images around six central themes, here abbreviated: the chosen death; death and afterlife; existential aloneness; loss of control, unmentionable feelings, grief; the land of the sick vs. the land of the well; the moment of death. The book offers dozens of paintings, sketches, and photographs (reproduced in black and white), as well as many literary excerpts. Classic works are represented (David's painting, The Death of Socrates; Michelangelo's sculpture, "Pieta"; Tolstoy's novel, The Death of Ivan Ilyich) but there are many unusual representations as well--greeting card messages, epitaphs, cartoons.

In addition, some groups with whom she works (for example, medical students studying Gross Anatomy) have submitted their own drawings and commentary. These are shown in Chapter 3, along with written responses to a follow-up Death Attitude Questionnaire. Responses are from junior and senior high school students; college students; medical students; graduate nurses; hospice volunteers.

Chapter 4 gives suggestions for how to use images and texts and for how to approach discussions of loss and grief. The course syllabus for "Dissection, Dying, and Death," taught with Gross Anatomy, is appended, and there is an extensive bibliography.

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Summary:

This is the meticulously researched and beautifully constructed catalogue for a 1999 exhibition at the Duke University Museum of Art. Over one hundred items originally produced to serve the science of medicine were culled from the history of medicine collections in four North Carolina institutions: Duke, East Carolina University, University of North Carolina at Chapel Hill, and Wake Forest.

Covering a wide range of time periods, media, and nationalities, the exhibit was coordinated by Suzanne Porter, librarian and curator of the History of Medicine Collections at Duke University Library, and Julie Hansen, an art historian. Martin Kemp, Professor of Art at the University of Oxford, supplies a foreword to the catalogue.

The rich and unusual yield of materials is grouped thematically rather than chronologically in five sections: "Art and Anatomy," "The Surgical Arts," "The Doctor's Practice," "Obstetrics and Gynecology," and "Non-Western Medicine." All images and objects are accompanied by historical information, biographical detail, thoughtful analysis, and precise description.

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Summary:

Moller is a sociologist who takes us into the world of the urban poor; he focuses on half a dozen individuals, giving intimate and moving portraits of them. An opening character is called Cowboy (a pseudonym); he lives under a bridge with his dog Cowgirl and dies a slow death of lung cancer. In an Epilogue (pp. 163-184) Moller calls him "an urban Thoreau." This respect for the dying poor pervades the book.

Besides descriptions of the characters, there is much dialogue, including extended quotations, but also some 100 small photographs, usually close-ups, inserted into the text. One photo shows a man in his coffin. Clearly Moller gets close to his characters, and so does the reader.

Moller argues that the dominant society--to its shame--neither supplies adequate care for this sector of society nor even recognition that such people exist. He calls the dying poor "an invisible world." It's a disturbing world, with the pain and neglect, but also an inspiring one, because of the caregivers such as social workers and nurses and the heroism and dignity of the patients presented.

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Giving Blood

Updike, John

Last Updated: May-09-2005
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

When a cousin is scheduled for major surgery, Richard and Joan Maple volunteer to donate blood. They have been married for nine years. During their drive to the hospital, the Maples argue about Richard's behavior at a party. The intern who performs the phlebotomy is clumsy and rough. He needs three attempts to successfully insert the needle into Richard's vein.

Richard and Joan occupy beds at right angles during the procedure and their blood is taken simultaneously. While watching the blood flow from his wife's arm, Richard experiences deep tenderness for her. An elderly man arrives and chats with the intern. Because Richard has never donated blood before, the three others in the room (Joan, the doctor, and the old man) all expect him to faint, but Richard never does.

The Maples have lunch afterwards. When the check arrives, Richard discovers he has only one dollar in his wallet. He and Joan must both pay. That's how marriage usually works.

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Annotated by:
Woodcock, John

Primary Category: Literature / Nonfiction

Genre: Collection (Case Studies)

Summary:

This is a collection of two dozen case studies, written for non-medical readers, of patients with right-brain disorders. The chapters are divided into four groups: "Losses," dealing with loss of memory, cognition, and proprioceptive sense; "Excesses," with tics and other cases of overabundance; "Transports," with seizures and various "dreamy states," and "The World of the Simple," concerning mental retardation. In every case, Sacks focuses on the interior or existential world of the patient as the foundation of diagnosis and treatment. Sacks argues that this approach is appropriate for the right hemisphere, which compared to the left is less dedicated to specific skills and more dedicated to a "neurology of identity."

Sacks openly proposes these studies as a corrective to the field of neurology, which has tended to focus on the left hemisphere and therefore, he argues, has wound up treating patients solely in terms of specific deficits, often to their detriment. In "the higher reaches of neurology," and in psychology, Sacks argues, disease and identity must be studied together, and thus he recommends that neurologists "restore the human subject at the centre" of the case study. Sacks warmly recommends music, story-telling, and prayer as therapies that work by ignoring physiological defects and speaking to the patient's spirit or soul.

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Wild Honey

Chekhov, Anton; Frayn, Michael

Last Updated: May-09-2005
Annotated by:
Coulehan, Jack

Primary Category: Literature / Plays

Genre: Play

Summary:

According to the Soviet version, in 1921 Russian scholars discovered the manuscript of a "lost" play by Chekhov among his papers in a safety deposit box in a bank in Moscow. In reality, the play wasn’t lost at all. During the turmoil of the Revolution in 1918, Maria Chekhov, Anton’s sister, had placed in the safety deposit box papers and manuscripts that she considered particularly valuable.

Subsequently, she was unable to travel to Moscow from her home in Yalta until 1921, because of the continuing Civil War in southern Russia. By the time she did return to Moscow, the Communists had "liberated" her brother’s safety deposit box and made their amazing discovery. The title page of the manuscript was missing, so scholars named the play "Platonov" after its major protagonist.

"Platonov" is a huge wreck of a play with numerous characters and subplots that would require about six hours to perform. It is obviously Chekhov’s earliest known play. The majority belief is that it was written between 1880 and 1882, during his first or second year of medical school. Most critics stress its many dramatic faults. However, as Michael Frayn points out in his introduction to "Wild Honey," the play is more remarkable for its strengths than its weaknesses, especially considering that a 21 or 22-year-old medical student wrote it. By carefully pruning the underbrush, Frayn has created a clearly Chekhovian comedy that takes perhaps two and a half hours to perform.

The story takes place in a provincial country estate (so what else is new?), where the widowed landowner returns for the summer after spending the winter months in Moscow. All the local friends and hangers-on gather to greet her, including among others two elderly suitors, the district doctor, and Platonov (the schoolteacher) and his wife. The widow wants to have an affair with Platonov--in fact, three women, one of them married, vie for Platonov’s attention; while Platonov, for the most part, tries to remain faithful to his wife.

The first scene of the second act is a classic comedy of errors. It takes place at night in the forest, just outside Platonov’s house where his wife is sleeping. Anna Petrovna, the landowner, appears out of the darkness and wants to spirit Platonov off to the summerhouse to make hay. But various other characters, some of them drunk and some sober, keep interrupting this rendezvous. One of them is Sofya, married to Platonov’s best friend, who wants to run away with him. The comings and goings in this scene are hilarious--reminiscent of one of Shakespeare’s comedies in which each character misinterprets what every other character says or does.

The play ends, though, on a dark note, or at least a sobering note. Platonov’s wife has left him due to these misunderstandings, and each of the three other women is closing in for the (metaphorical) kill. He decides to run away, and the play ends as he is running down the tracks distractedly, not paying any attention to the train that overtakes him from behind and kills him. This is not a tragic death; it’s funny, but also very sad. Platonov is, after all, a good man, even though weakness and indecision led to his downfall and meaningless death.

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