Summary:

This extraordinary book is ostensibly "about" a doctor caring for persons with HIV/AIDS. That it is, but it is also a book containing multiple texts. It is a doctor's personal journey toward understanding the multiple meanings of HIV/AIDS for those who have it and those who care for them. It is the story of a physician, an Indian, born in Ethiopia to Christian expatriate teachers, in America since 1980, now in Johnson City, Tennessee, still trying to determine the meaning of "home."

It is, at the same time, a glorious pastoral account of practicing medicine in Tennessee--here making a house call to Vicki and Clyde, whose trailer is perched on the side of a mountain, now traveling through the Cumberland Gap to a cinder-block house to see Gordon, another native son who has come home to die. On still another level it is the story of a man trying to understand what it is like to be gay; a man trying to integrate his passion for his work with his life at home; a man trying to explain to his wife (and sadly, even some of his peers) his commitment to caring for persons infected with the virus.

The portraits Verghese draws of his patients are extraordinary: local boys now men, now sick, returning to Johnson City to be cared for by family; a woman infected by her husband who also infected her sister; a highly-respected couple from a nearby city seeking privacy, even from their grown children. Finally, part of what makes Verghese such a fine writer is that he is able to do so without romanticizing his relationships with his patients, and without self-congratulatory accolades for the kind of care he provides.

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Sister Outsider is a collection of essays focusing on race/racism, gender/sexism, sexual identity, and social class as these are enacted in a white-supremist, heterosexist, capitalist patriarchy (i.e. the United States). As a Black woman, lesbian, feminist, mother, poet, essayist, and political activist, Lorde's essays in this collection include her often quoted "The Master's Tools Will Never Dismantle the Master's House," an essay that radically challenges how white people "learn about" racism, or how men "learn about" women: "Women of today are still being called upon to stretch across the gap of male ignorance and to educate men as to our existence and our needs. This is an old and primary tool of all oppressors to keep the oppressed occupied with the master's concerns . . . ."

Her essay "Poetry is Not a Luxury" suggests that poetry is "illumination," and is a way to wed ideas and feeling, a way "we help give name to the nameless so it can be thought. The farthest horizons of our hopes and fears are cobbled by our poems, carved from the rock experiences of our daily lives." Other titles include "Sexism: An American Disease in Blackface," "Man Child: A Black Lesbian Feminist's Response" (on being the lesbian mother of a son), and "The Uses of Anger: Women Respond to Racism."

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This is the wonderfully strange story of Mikage Sakurai, a young woman who has just lost her grandmother, her last living relative, and serendipitously finds a new "family" when Yuichi Tanabe and his mother Eriko invite her to live with them. The story weaves around Mikage's growing sense of safety and attachment to this unusual family; Yuichi's own coming of age issues as a young man; and Eriko's unconventional life as a nightclub owner . . . and the fact that she was formerly Yuichi's father.

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To find out how humans live and survive in minimum-wage America--particularly women who were at the time about to be pushed into the labor market because of "welfare reform"--writer Barbara Ehrenreich moved three times, from Florida to Maine to Minnesota, and worked as a waitress, a hotel maid, a house cleaner, a nursing home aide, and a Wal-Mart employee.

The "rules" of her project (1) prohibited her from falling back on skills available to her because of her education (a PhD in biology) or previous work (an essayist with 11 books); (2) required that she take the highest-paying job offered to her and do her best to keep it; and (3) dictated that she take the cheapest accommodations she could find. The idea was to spend a month in each setting and to see if she could find a job and make enough money to pay a second month's rent. The book, then, tells her story of trying to make ends meet, what "millions of Americans do . . . every day, and with a lot less fanfare and dithering."

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Subtitled Women Novelists of Color and the Politics of Medicine, this book draws on novels by eleven women to illustrate how physical and emotional states of health and illness are linked directly to social justice. The book is divided into two parts. The first five chapters deal with individual characters, their illnesses, and sometimes their healing: Toni Cade Bambara's The Salt Eaters, Paule Marshall's Praisesong for the Widow, Gloria Naylor's The Women of Brewster Place: A Novel in Seven Stories, Leslie Marmon Silko's Ceremony, Toni Morrison's Beloved and The Bluest Eye, Louise Erdrich's Tracks, and Sapphire's Push are among the works Stanford uses to examine women who have become ill because of broken ties to their histories and communities, because of racial hatred, or because of domestic and sexual violence (see this database for annotations).

The second part of the book finds novels examining medicine itself. Stanford uses Ana Castillo's So Far from God, Gloria Naylor's Mama Day (annotated in this database), Leslie Marmon Silko's Almanac of the Dead: A Novel (annotated in this database), and Octavia Butler's Parable of the Sower and Parable of the Talents again to raise connections between patients and social conditions but also to ask questions about bioethics and uncertainty, medicine and epistemology, and how medicine might resist dehumanizing trends through the "myriad possibilities of communitas" (218).

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As editor Judy Schaefer writes in her introduction, this collection provides "the rare opportunity to read both the poem and the poet's commentary." It is somewhat like a good poetry reading, where we get to hear about the events, thoughts, feelings and contexts that have stimulated the poem. Often the writer's commentaries have a richness of their own, complementing the poetry but not necessary to it. Also the commentaries describe some of the writing process the nurse poets go through in creating the poem. The fourteen nurse poets in this volume have all published their work in journals and anthologies, but this is the first collection to include commentaries along with the poems.

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This novel is a coming of age narrative, written from the perspective of Bone, the out-of-wedlock (hence, bastard) young daughter of one of the fiercely proud, dirt-poor Boatwrights of Greenville County, South Carolina. The story moves from Bone's very young recollections of life with her waitress mother Anne and her numerous aunts, uncles, and cousins; through her mother's brief marriage and quick widowhood; to her volatile, painful marriage to Daddy Glenn, whose jealousy of Bone, combined with his own destructive evilness, leads the story to a heinous climax of sexual abuse.

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This short novel is the story of one man’s death, starting with his interment at the cemetery, where his daughter and older brother offer reminiscences over the coffin; and then dwelling on aspects of his life within which the seeds of death germinated and grew. The man himself is unnamed—Everyman—and his death is no different than any other. At the same time, this death is different because the dead person’s narrative voice remains behind to tell the story.

As a young boy in his father’s jewelry store, he fiddles around in a drawer of old broken watches that his father has accepted as trade-ins. The boy is a dreamer, an artist. But he goes into the advertising business to earn a living, rather than pursuing his first love, painting. He marries and divorces three times, becomes alienated from his sons by the first marriage, and winds up spending his relatively affluent, but bleak, retirement years in a New Jersey condo, maintaining at least some contact with his daughter Nancy. Meanwhile, his brother Howie becomes a fantastically successful international businessman still married to his wife of 45 years and close to his loving family.

Everyman’s brushes with death begin when he is still a child admitted to the hospital for a hernia repair and his roommate dies during the night. As a relatively young man, he experiences a close call when he collapses and is found to have a burst appendix and peritonitis. Later, he attends his father’s Orthodox Jewish funeral, where the mourners actively bury the coffin. In 1989 he experiences a massive heart attack, followed by coronary bypass surgery. In 1998 he is admitted for renal artery angioplasty. The next year he requires left carotid artery surgery. The next, placement of coronary artery stents. The next, insertion of a permanent defibrillator. Finally, he learns that the right carotid artery has now become obstructed. During the subsequent surgery, he dies: “He was no more, freed from being, entering into nowhere without even knowing it. Just as he’d feared from the start.” (p. 182)

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Richard Selzer’s memoir is subtitled “A Doctor Comes of Age.” The book is structured around childhood memories, interspersed with stories from more recent times. Selzer’s father, a general practitioner in Troy, New York, serves as the focal point for most of his early memories--a commanding figure of warmth and goodness in his son’s life: “If I have failed to describe father… it is because none of his features did him justice. I should have had to mention wings in order to do that.” (p. 152)

While his father brought science into Selzer’s life, his mother represented the world of art. She was an amateur singer with a “small pure soprano voice” (p. 15), as well as being the doctor’s wife. After the doctor’s death from a massive heart attack when Selzer was 12 years old, his mother had numerous suitors, at least some of whom she eventually married. When he went to college, she began a life-long practice of writing her younger son (Selzer has an older brother William) weekly letters, including such advice as “Rise and flee the reeling faun,” “You do not take enough chances” and “You must learn to be absurd.” (p.227)

Toward the end of Down from Troy, Selzer writes of his parents, “Of all the satisfactions of my life, the greatest is that I have at last fulfilled each of their ambitions.” (p. 251) This is in reference to his having practiced both surgery and writing. He goes on to enumerate the many unexpected similarities between the two professions. The book ends with a narrative that brings together narrative and medicine, the story of a retired surgeon who reaches out to help a young man dying of AIDS.

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Dr. Aloysius Lana, a "Black Doctor" of Spanish ancestry, settled in a Lancashire town and courted Miss Frances Morton, a young woman of the local gentry. After he unexpectedly broke off their engagement, he was found dead, and Frances's brother was arrested. At the trial, Dr. Lana himself appeared: the corpse was instead his dissipated twin brother Ernest, dead of a heart attack. Ernest's secret arrival had forced Aloysius to dissolve his engagement, not wishing scandal; Ernest's death allowed Aloysius to create a new identity abroad, his future shattered. But, hearing that the death had been misdiagnosed as murder, Aloysius explained the situation, and he and the Mortons were reunited.

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