Summary:

A series of fifty-one poems recounting the death from colon cancer of one member of "a community of four people, two women and two men--potter, woodworker, poet, musician." These poems (actually one long narrative poem) convey the full range of emotions of someone who never before had been deeply involved in the process of dying.

View full annotation

Summary:

This is another Molière fabliau on the practice of medicine in his 17th Century culture. Sganarelle, the woodcutter turned doctor in spite of himself, is the object of a joke orchestrated by his wife Martine. She determines to punish him for his bad behavior toward her by setting him up as a learned, albeit somewhat eccentric, physician.

Falling for her bait, the stewards of the rich landowner, Geronte, implore Sganarelle to come to the rescue of their master’s daughter, who has become unable to speak. The woodcutter-turned-doctor begins to play the game, and through a series of happenstances and ruses, solves the enigma of the girl’s disability, comes upon a solution, and, in the process, determines that perhaps doctoring is more salutary than cutting faggots.

View full annotation

Summary:

Outside, on a stony street, the narrator watches as the hospital he’s about to enter materializes out of Edinburgh’s cold morning mists. The hospital is described as a place "gray, quiet, old / Where Life and Death like friendly chafferers meet." Like contemporary hospitals, it has a "draughty gloom" and loud spaces.

The narrator, who is the entering patient, follows into the hospital a small, "strange" child with her arm in a splint. She precedes him gravely; he limps behind. The narrator feels his spirits fail as he recognizes the "tragic meanness" of the place, a place with "corridors and stairs of stone and iron / Cold, naked, clean--half-workhouse and half-jail."

View full annotation

Summary:

In this domestic epic, a man and woman converse on the porch of their farmhouse. The man is just coming home in the evening; his wife meets him at the door to warn him that Silas, the old ne’r-do-well hired hand, had returned that day. She found him "huddled against the barn door, fast asleep, / A miserable sight, and frightening, too--"

Silas looked terribly ill, yet he didn’t ask for help. Instead, he told her he would cut the upper pasture, and he kept inquiring about the college boy he worked with on the farm a few years back. He and the boy argued all the time; now the old man wants to "make things right."

The husband shakes his head. No, he will not take Silas back. The old man walked away one too many times. You can’t depend on him to stay and finish the job when someone comes around offering him a little "pocket money" to go elsewhere. Indeed, Silas’s brother is the president of a bank; why doesn’t he go to his brother for help? At last the husband quiets down and goes in to see the old man, who is presumably asleep beside the stove. A few moments later, he returns to the porch. To his wife’s query, "’Dead,’ was all he answered." [175 lines]

View full annotation

Summary:

Schatz, a 9-year-old American boy who lived in France, develops a fever of 102 degrees. A doctor diagnoses the flu and prescribes some medication. Over the next day or so, the boy’s father is surprised at how depressed and fatalistic his son is. At one point the boy asks, "About how long will it be fore I die?" The father is flabbergasted and assures the boy that he isn’t seriously ill. However, it turns out that Schatz had heard his school friends say that you couldn’t survive a fever of 44 degrees. Obviously, he was bound to die from 102. His relieved father explains to Schatz the misunderstanding--the French use Centigrade while Americans use Fahrenheit. The boy relaxes. He is not going to die.

View full annotation

Summary:

Helen and Chris are seventeen, living in Sheffield, England, and preparing for their exams in English and music. Both look forward to university and to careers they love. They also love each other. When Helen finds she’s pregnant, she keeps it a secret for awhile.

She and Chris visit with Chris’s tough but sympathetic aunt, who had an abortion years ago. When Helen’s mother finds out, she urges Helen to have an abortion, makes an appointment, signs her in at the hospital, but Helen leaves. Her mother forbids Chris to see her unless he plans to marry her.

Helen begins a series of letters to her unborn baby, chronicling the lonely and also strangely exciting months of pregnancy, decision-making, altered relationship with family and with Chris. (Among other things, she learns that her mother was born out of wedlock, at a time when illegitimacy was a serious social stigma, which accounts in part for her harshness toward Helen now.) Helen addresses her letters to "Dear Nobody," since so many around her who urge abortion want to convince her that what’s in her body isn’t a person.

Chris goes on a hiking trip to France, passes his A-level exams, meets a new girl who is interested in him, and prepares for university, all the time missing Helen. The day she has the baby, he breaks the barrier of silence and bikes to the hospital to meet his daughter. With no clear decisions for the future, the two open a new door at least to friendship and commitment to care for the child.

View full annotation

Summary:

This film traces the shared career and dissolution of Beverly and Elliot Mantle, male identical twins (both played, thanks to seamless special effects, by Jeremy Irons) who are gynecologists, running a successful fertility clinic in Toronto in the 1980’s. They share both work and personal lives; Elliot, the dominant twin, lectures at the hospital, accepts awards, plays the smooth professional--and seduces women. Beverly, the quiet one, sees patients, does research--and sometimes has affairs with women his brother passes on to him.

They usually draw the line at patients, not because of ethics, but because "it’s not safe." Their dealings with women have to be carefully compartmentalized, for the ambiguous intimacy of the gynecological doctor-patient relationship is difficult and dangerous for the twins, who form a psychologically unstable and deeply interdependent relationship on their own, likening themselves to the original Siamese twins, Eng and Chang, whose names they eventually take on, too.

Their symbiotic system is disrupted when a television actress, Claire Niveau (Genevieve Bujold), consults them about her infertility. She has a trifurcate uterus--the twins call her a "mutation"--and will never have children. Elliot, fascinated, seduces her, and then gives her to Beverly, who falls in love, with disastrous consequences. When Claire discovers that they’ve deceived her and temporarily leaves, Beverly becomes addicted to the amphetamines and sleeping pills that Claire habitually abuses.

The drugs impair his work, he begins to hurt patients, is hospitalized, and after a calamitous breakdown in the operating room (where Beverly attempts to use the monstrously beautiful surgical instruments he designed himself

"for operating on mutant women") both brothers keep their hospital privileges only on condition that they don’t use them. Elliot tries to rehabilitate Beverly, but realizes that the need to do so comes from their absolute interdependence--they might as well be physically joined. So Elliot begins taking drugs as well, and when Claire returns and Beverly goes back to her, Elliot breaks down completely.

The rest of the film traces Beverly’s failed attempt to become a separate individual. The instruments he invented are now, he says, "for separating Siamese twins," and, in a terrifying surgery scene, the drugged Beverly "operates" on his conscious though equally drugged brother, apparently disemboweling him. Next morning, Beverly leaves the apartment where his dead brother lies and calls the woman he loves, but he cannot talk to her. He goes back, his bid for independent identity a failure, and the film ends on a shot of the two, dead, in an embrace echoing the Renaissance anatomical illustrations of in utero twins which illuminate the film’s opening credits.

View full annotation

Summary:

This remarkable book takes the reader into a Dutch nursing home where many of the 300 patients are terminally ill. The main protagonist is Anton, a competent, tough, and compassionate physician who tries to discover some meaning in the suffering of his patients, while at the same time disavowing any such meaning. Anton’s colleagues include Jaarsma, a somewhat detached and bureaucratic older physician, and Van Gooyer, a young physician who still believes that science has all the answers.

The first-person narrative consists of short, punchy segments (almost like an endless series of discrete physician-patient interactions) detailing the stories of Anton’s patients and his reactions to them. Many of these persons request assisted suicide or euthanasia. Anton reveals what he feels about these requests, how he goes about judging their validity, and the manner in which he actually carries out assisted deaths. A strong spiritual theme permeates the book; while Anton denies the relevance of God and religion, he seems constantly to be searching for a spirituality that "makes sense" of contemporary life.

View full annotation

Summary:

The film is an adaptation of an award-winning play by Ariel Dorfman, a Chilean writer forced into exile in 1973. Through revelatory events affecting the three characters, audiences learn about atrocities committed by the Fascist government that had, until recently, ruled the unnamed country where the story is set.

Paulina Escobar (Sigourney Weaver) had been a political prisoner during the oppressive period who was tortured by her captors. After gaining her trust by treating her kindly and playing a tape of Schubert’s Death and the Maiden, Dr. Miranda, a physician (Ben Kingsley) cruelly participated in the abusive treatment of his powerless victim. Gerardo Escobar (Stuart Wilson), then her boyfriend, now her husband, had been editor of the underground newspaper and target of the absolutist regime. In spite of torture, she did not disclose his whereabouts and, in effect, saved his life.

Currently, Paulina lives with Gerardo in a desolate coastal setting. At the film’s onset, viewers note Paulina’s agitation concerning a news bulletin about the presidential appointment of a human rights commission charged with investigating abuses by the previous regime. According to the report, her lawyer husband has been appointed committee chair. The remainder of the film concerns victim, physician, and husband of that oppressive period who through strange circumstances are brought together during the night.

Reminiscent of a Lear-like heath, past terrors are howled out against a raging storm. On his way home Gerardo’s tire became flat and he was picked up and brought home by Miranda, a good Samaritan. When Paulina, who had been blindfolded during her captivity, recognizes his voice and pet phrases, she steals his car and pushes it over the cliff into the sea. Totally perplexed by the Paulina’s actions, the men pace about in the living room where the doctor delivers derisive diatribes about women in general and wives in particular. Gerardo, to a lesser extent, expresses condemnation and embarrassment for his wife’s inexplicable behavior.

When she returns, both men have had too much to drink; she finds a gun in their house, tapes the groggy physician to a chair, pistol whips him as he resists and shouts, stuffs her panties into his mouth, and begins a heated exchange with her incredulous and very angry husband. He wants evidence for her seemingly preposterous charge. She can "smell" him she screams; she found a tape of the Schubert String Quartet in D Minor in his car; and he quotes Nietzsche just as he did when she was strapped to a table. Under much strain, her husband agrees to a taped trial in which he will represent the accused and force a confession.

View full annotation

Summary:

Tolstoy’s short novel is more than a classic portrayal of dying and suffering. While those issues are central in most discussions of this work, an equally important and overlapping theme concerns choices made in life. Ivan, the protagonist, followed a well-traveled road, adhering to "comme il faut" (as is expected) or doing what one was supposed to do in career matters, selection of clothes, choosing a wife, raising children.

There is little to admire about this generally successful but thoughtless and selfish man. Ivan’s inability to invest meaningfully in family, social, or professional relationships leads to frightening consequences when he becomes gravely ill, probably with pancreatic cancer. Five different physicians with attitudes that range from arrogant to dishonest offer little assistance or compassion.

His family soon loses patience with his suffering and tends to blame him for the onset of illness. Only Gerasim, a peasant hired to assist him in his most basic needs, provides the kind of care and understanding required by the dying and increasingly isolated or deserted sufferer. The first chapter is masterful in its presentation of responses to death by friends and family members and prepares readers for the consequences of shallowness in an unlived life.

View full annotation