Summary:

The narrative of Pilgrim and his psychiatrist, Carl G. Jung, begins with Pilgrim's most recent unsuccessful attempt to kill himself. The surrealistic nature of the tale begins with this mysterious inability of the title character to exit life--a life self-proclaimed to have covered multiple incarnations over millennia each of which he has memory. His friend and his servants take him to Zurich to the renowned psychiatrist's clinic for institutionalization and therapy. Enter Dr. Jung, whose personal and professional life assumes a dominant role in the narrative.

As the story progresses, the reader learns from Pilgrim's journals the interstices of his seemingly endless voyage. While Pilgrim's tale--real or imagined--is progressively revealed, the immediate lives of the Jungs are explored in increasing depth. Layer upon layer of development of plot, past and present, is peeled away until Pilgrim escapes his prison and Jung's emotional chaos is exposed.

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This book interweaves an American love story with the development and repercussions of x-ray technology and atomic energy. It is an intriguing and beautifully written story. The setting is the southeastern United States, where the male protagonist, Fos, meets and marries Opal. Fos is a returning World War I veteran when the story begins; the story ends some years after the atomic bomb is dropped in World War II.

Fos is stationed in France during World War I. His assignment is to produce chemical flares. He shares a trench bunker with "Flash," the regiment photographer. After the war is over, Fos and Flash open up a photography shop in Flash's hometown of Knoxville, Tennessee. Fos is fascinated by natural phenomena such as phosphorescence, radiation, and the application of scientific discoveries for practical use. Flash is a good businessman and has a way with the ladies.

After Fos marries Opal, the three are in business together--Opal has accounting experience and handles the shop's "books." On the side, Fos and Opal have a traveling show that features an "x-ray box" where people can view the skeleton of their own feet. Opal is part of the show, on exhibit to demonstrate how this works as Fos x-rays her feet. A baby comes into their lives--they name him Lightfoot. The novel takes these characters and a few other connected figures through the 1920s into the Depression of the 1930s and formation of the Tennessee Valley Authority, to the work on the atomic bomb at Oak Ridge National Laboratory. Fos is recruited by the government to work at Oak Ridge--to take photographs. To say any more about the plot would spoil the pleasure of reading this absorbing book.

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The story begins soon after the narrator has moved his elderly mother into Cherry Orchard, an "independent living" facility near his home in Providence, Rhode Island. Because of progressive dementia, she was no longer able to maintain her own home in New Jersey, or her relationship with Warren, her boyfriend of 20 years, with whom she spent part of each year in Florida. Thus, the narrator and his sister arranged for her move to an apartment in the exclusive Cherry Orchard, where her symptoms of Alzheimer's disease had to be hidden in order to ensure her eligibility.

The mother and son have never been close, especially after the boy's father died during his early adolescence. She was a pleasant, but distant parent, more interested in her own social and cultural affairs than in taking care of her children. The narrator is 34 years old now, married, with his own son. He has little emotional attachment to this woman who is slowing losing her mind, yet now he feels duty-bound to visit her at least weekly at Cherry Orchard.

The mother has almost entirely lost her short-term memory, yet at first blush seems surprisingly intact because of her ability to cover-up with social skills. She writes notes to herself. The texture of her life unravels. She begins to wander. Other residents complain. Occasionally a glimmer of insight appears, but quickly dies. Fighting his inclinations every step of the way, the narrator provides ever increasing physical and emotional support, while at the same time gaining a deeper understanding of how his mother was (and is). In the end nothing is changed--the mother spirals slowly downward. But in another sense everything has changed. The narrator concludes, "I had taken her in so that I could understand why I had agreed to take her. I would do it again."

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Summary:

Boyle drives out to the cottage to visit Joady, who is dying of cancer. Dinny and Joady are two elderly brothers who live together. "In all his years Joady had never slept away from the cottage," until recently when he went to the hospital and had an operation. Boyle and Dinny speak about how, a week earlier, they had been stopped by police in a helicopter as they were driving to the hospital to visit Joady--this was the day after an IRA bombing in which five people lost their lives. When they reached the hospital, they spoke to the surgeon who told them that Joady was terminal. By this time (back at the cottage), Joady knows that he is dying. However, he follows his normal routine, apparently unchanged, while Dinny is sullen, distracted, and complaining.

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The narrator, a schoolteacher substituting in a "stagnant, godforsaken little place" in the west of Ireland, meets an old woman that everyone in town calls "The Creature." She decides to visit The Creature and listens to her story, eventually becoming a regular weekly visitor at her hut.

The Creature is a widow who has two children: a daughter who lives in Canada and a married son who lives a few miles away on a farm The Creature used to own. Her husband had been killed, a victim of The Troubles two years after they were married. Thus, she had to raise the children alone.

Originally her farm was relatively prosperous, but the animals had all developed hoof-and-mouth disease and died. Nonetheless, she managed to keep body and soul together and to send the children away to school. Her son returned from the city after marrying a woman who despised The Creature. He and his wife had moved into the farm, but the young couple argued every night about money and the mother's presence, so The Creature signed the farm over to her son and moved away. That was 17 years ago; he had never visited her since.

The narrator goes to the farm, meets the son (by this time a passive and depressed middle aged man), and arranges for him to visit his mother. He does this, but the visit goes poorly. The narrator finally realizes that she has actually removed the last little glimmer of hope the old woman had; before seeing her son again, she could always hope that someday the two would be reunited, but after he visits, she realizes that he doesn't care about her and will probably never come back.

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Birth Sounds includes 45 short tales of labor and delivery, ranging through a wide swath of the human comedy, but always maintaining focus on the very first scene. In most of these stories, it isn't the delivery that provides the drama, but rather the people. Take the first story, for example. In "Faceless" a Vietnamese husband cautions the obstetrician-narrator, "In our country no man will examine a woman in such an intimate way." The obstetrician never sees the patient's face, which she has covered with a towel. After the delivery, he examines her and speaks carefully, not sure that she understands English. However, from beneath the towel, she thanks him in a perfect American Southern accent. A neat surprise!

In "The Little Devil" (p. 6) a 38-year-old member of a satanic cult announces that she intends to kill the baby if it is a boy. She has been directed to do so by her satanic mentor. When, amid a panoply of lit candles and inverted crucifixes she delivers a boy, the resident contacts the sheriff's office, where the mother's intentions are already known. Sure enough, the SWAT team storms the delivery room and takes the baby.

In "Red Bag" (p. 31) the narrator is serving as a medical expert in a murder trial. The defendant had arrived at the hospital hemorrhaging after delivering a baby at home, evidently into the toilet bowl. The baby had died of head injury. The obstetrician-narrator turns out to be more supportive of the woman and less compliant than the prosecutor had expected; but afterward the doctor receives his financial reward--a check from the state for a full $7.00!

In "Resilience" (p. 259) a woman with a near-term pregnancy asks the obstetrician to examine her breast, which has suddenly developed a red lump. He takes one look and immediately experiences a flashback to another young woman he cared for who had developed breast cancer during pregnancy and died of metastatic disease about a year later. Sure enough, the current patient also has cancer. But in this case the patient delivers, receives treatment, and recovers, apparently cured of her cancer.

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The House of God is a chronicle of Roy Basch's internship year at a prestigious Boston teaching hospital, also known as The House of God but clearly modeled after the Harvard-affiliated Beth Israel Hospital. Cycling through various medical disciplines, Roy and his peers learn medicine from the eccentric, irreverent, yet oddly compassionate Fat Man, whose 13 Laws of the House of God cynically summarize the harrowing and often demeaning hospital practices and rituals reflected in both the doctor-patient relationship and in the residency experience itself.

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Katherine, heading for her senior year in high school, finds herself strongly attracted to Michael, a friend's friend, after a party. As their relationship unfolds, the issue of sex comes up early on, more as an emotional and health issue than as a moral one. Both of them are aware that physical intimacy is both common and complicating. Michael has been sexually active, Katherine hasn't. Their relationship progresses slowly; they are accompanied on various meetings by her friend, Erica, a grounded, practical, wit who has known Katherine all her life, and Michael's friend, Artie, who, with Erica's help, explores and acknowledges some uncertainty about his own sexual orientation.

When they do, by mutual consent, have sex on a ski weekend with Michael's sister, they are sure it seals a love that will be "forever." However, separated for the summer by work that takes them to two different states, Katherine finds herself aware of the limitations of the relationship and ultimately attracted to a tennis instructor, older, more experienced, and interesting in new ways. She takes responsibility for breaking the news to Michael when he comes on a surprise visit and, the summer over, recognizes the loss as a stage in movement toward more complex, probably more satisfying relationships in the future.

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Old Chuan and his wife, the proprietors of a small tea shop, save their money to buy a folk medicine cure for their son, Young Chuan, who is dying of tuberculosis. The story opens with Old Chuan leaving their shop and going to the home of the person selling the cure, a "roll of steamed bread, from which crimson drops were dripping to the ground." The crimson drops, we soon learn, are blood from a young man recently executed, apparently for revolutionary activities.

The cure does not work and the mother of Young Chuan meets the mother of the executed revolutionary in the cemetery. Here they both behold a mysterious wreath on the revolutionary's grave, a wreath that Lu Hsun, in his introduction to this collection (which he entitled A Call to Arms), describes as one of his "innuendoes" to "those fighters who are galloping on in loneliness, so that they do not lose heart." (p. 5)

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Summary:

Before and after an appendectomy (done for what seem possibly questionable indications) an adolescent boy just feeling the surges of pubescence receives the appropriate attentions of a nurse. During a follow-up visit, for no clear medical reason that I can fathom, he also experiences the exhilarating good luck, for him, of a sperm test, performed by the physician's "young, good-looking nurse."

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