This interesting and meaningful book of poems is difficult to describe and to classify. The author has had three kidney transplants and so is knowledgeable about chronic illness and its impact. Though he does write about dialysis and transplantation, he also writes about many other kinds of illness, including the chronic fatigue syndrome, dementia, autism, cancer, and mental illness.

"Three Doctors" describes the gathering of physicians each morning to check on their narrator/patient, regardless of who overhears their conversation. The "Non-verbal Autistic Man" traces the daily, lockstep gait of a human being who speaks only one phrase and who walks the same path over and over. Not all of the poems concern the failure of the body. There are also descriptive poems about the Midwest and about various well known personages. The constant reinvention of the individual, even in the face of difficulty and death, is a common theme of this collection.