Showing posts with label writing. Show all posts
Showing posts with label writing. Show all posts

Friday, September 21, 2012

Before I Die...

Since late June, something a little unusual has been up on the wall of a local bar called Alibi in San Diego.

Photo by Holly Yang, Sept. 21, 2012 ~7:45 am

It something called the Before I Die project, and it is the second time this dynamic public bucketlist it has come to San Diego. The installations last for varying periods of time, and people walking by write on them with chalk. After it is full, the board is wiped clean and it starts over again. Funny, ambitious, heartbreaking, profound, crass, inspirational and huh? are all words to describe what I have read on the board. It isn't far from my work, so I'll check it out and add photos periodically. This is a global project started by Candy Chang in New Orleans after the loss of a loved one, but the work has traveled far and wide. There are now Before I Die walls in multiple countries and many in the U.S. If there isn't one near you, you can purchase a starter kit on their website, or just make one yourself. It has gotten a lot of press in San Diego and nationally (Atlantic, Salon, NBC News, and even Oprah). Candy is a TED Senior Fellow and has received numerous awards, and a "Before I Die" book is in the works. You can follow along on Twitter too (@BeforeIdiewall). Just thought I'd share one of the coolest crowdsourcing/community art projects I've seen.


Friday, September 21, 2012 by Holly Yang, MD · 1

Monday, March 14, 2011

Stanley Kunitz

Two time United States Poet Laureate, Stanley Kunitz, died in 2006 at the age of 100. He left behind him a long an productive career. He published his last poetry collection just a year before he died.

Stanley Kunitz father committed suicide 6 weeks before he was born. This is often reflected in his poetry.

THE PORTRAIT
My mother never forgave my father for killing himself, especially at such an awkward time and in a public park, that spring when I was waiting to be born. She locked his name in her deepest cabinet and would not let him out, though I could hear him thumping. When I came down from the attic with the pastel portrait in my hand of a long-lipped stranger with a brave moustache and deep brown level eyes, she ripped it into shreds without a single word and slapped me hard. In my sixty-fourth year I can feel my cheek still burning.
Below is Kunitz reading Touch Me, the last poem from his last published collection. Kunitz was known for his gardening. In his last collection, he reflects on life by reflecting on his garden. He once said:
"It's the way things are, death and life inextricably bound to each other. One of my feelings about working the land is that I am celebrating a ritual of death and resurrection. Every spring I feel that. I am never closer to the miraculous than when I am grubbing in the soil." 
The first line of the poem is apparently the same first line of a poem he wrote when he was younger.



Touch Me

Summer is late, my heart.
Words plucked out of the air
some forty years ago
when I was wild with love
and torn almost in two
scatter like leaves this night
of whistling wind and rain.
It is my heart that's late,
it is my song that's flown.
Outdoors all afternoon
under a gunmetal sky
staking my garden down,
I kneeled to the crickets trilling
underfoot as if about
to burst from their crusty shells;
and like a child again
marveled to hear so clear
and brave a music pour
from such a small machine.
What makes the engine go?
Desire, desire, desire.
The longing for the dance
stirs in the buried life.
One season only,
and it's done.
So let the battered old willow
thrash against the windowpanes
and the house timbers creak.
Darling, do you remember
the man you married? Touch me,
remind me who I am.

Thanks to Catherine Ellsworth for sending me a link to this poet

Monday, March 14, 2011 by Amber Wollesen, MD · 1

Monday, March 7, 2011

Children's Books on Grief: Grandma I'll Miss You

This is the final selection on this mini series on children's books that deal with grief.  I'm sure we'll review more books in the future, however these were the 5 books my local rural library had on hand.  It ended up being a nice eclectic mix and hopefully illustrates the variety out there.

Grandma I'll Miss You is written by Kathyrn Slattery and illustrated by Renee Graef.  The book was published by Chariot Books in 1993 and is listed for ages 4-8.

The main character in this book is Katy, who is dealing with some very mixed emotions. She is aware her grandmother is dying and she is also anticipating the birth of a new sibling.  This book uniquely brings in the idea of birth being similar death.


The beginning of the book is very story like, spending most time on Grandma's life. I suppose you could say this is the life review portion, as Grandma shares memories from her life.  As in the last two books reviewed, one of the big questions Katy has is "What will happen to Grandma when she dies? and Is there really such a place as heaven?" Unlike the other books these are just thoughts Katy has and aren't directly addressed.

What is refreshing is that Katy actually asks her grandma, "are you afraid about dying?" This leads to a creative illustration linking death and birth together. The grandma admits her slight fear, but then tries to put herself into the unborn babies shoes, as the baby too has no concept of what it will soon experience.

The next pages are very Christian based in concepts about heaven, and about getting a new body there. Katy and her Grandma wrap up the conversation and then the very next morning the Grandma dies. I did appreciate the statement on the book's last page, "Death, in its way, was as natural a part of life as birth", something we in palliative care definitely understand.

The illustrations in this book are simple and realistic. There isn't any thing that stands out in color scheme or medium used.

In terms of recommendation, this book probably has the most narrow audience of the one's we've reviewed. If it is line with a family's personal beliefs, then it would be a good conversation book, though it seems geared to older than the quoted 4-8 yr. old.  I did enjoy the normalization of death as similar to birth, and think there could be some other concepts related to that link to help grieving kids.

To sum up these last 5 book reviews, it seems that a common theme for children's books are the "What happens after?" questions.  3 books had different answers, and if that is the question your child is asking, it would be important to find a book with the answer you want to share!  The other type of book seems to be about grief itself - normalizing feelings and emotions one goes through in the process.

I hope to keep reading and familiarizing myself with what's out there so that when families ask me what to do, I'll be able to delve into the issue of concern, and make some more informed recommendations!

Monday, March 7, 2011 by Amy Clarkson · 3

Monday, February 14, 2011

Children's Books on Grief: Where is Grandpa?

This next book in our series may be chosen by some simply for the beautiful illustrations.  This is one reason I wanted to spend time reviewing some books on childhood grief.  Although great lists exist out there, we don't often get to see inside the book itself.  Having a toddler myself, I am aware that it is often the illustrations that spark her interest in reading.

Somewhat like our last review on Maria Shriver's book What's Heaven?, author T.A. Barron describes this book as autobiographical. The personal nature of the story definitely adds to the sincerity of the story.

Where is Grandpa? is written by T.A. Barron and illustrated by Christ K. Soentpiet. The book was published by Philomel Books in 2001 and has the age group listed as 4-8.

The voice is first person, and the plot follows a young boy on the day of his Grandpa's death. Much of the story is told in memories, as each family member shares about a  favorite time with Grandpa.  However, when it is the boy's turn he is speechless. After being prompted by his mother about a story he thinks, "Even if I did, I didn't feel like telling it."

Although the family tries to think of suggestions, I appreciate that the boy is allowed to remain silent. The boy then works up the courage for the big question, "Where is grandpa now?"

The final pages attempt to answer this question.  Although the word heaven is used, the father quickly adds, "heaven means different things to different people. And it's hard to explain."  Ultimately it is described as "any place where people who love each other have shared some time together."  This allows the boy to get out of his sad funk and begin to think of the places he shared a memory with his grandpa. In fact the last illustration of the book shows the boy actually smiling.

As mentioned, the illustrations are exquisite. Done with a very realistic feel, there are a lot of nature scenes with special attention on the lighting. Most of the story takes place at dusk, and the illustrator actually moves us subtly  through a sunset to darkness during the book.

This is another book I would recommend. It is lighter than some of the other books reviewed, not tackling as many concepts or questions.  However, I appreciate the simplicity and hope offered in the story.  Like the Shriver book, because this is based on a personal story, we encounter this family's personal beliefs/opinions and one should be comfortable in the concepts presented.


One more to book to go... stay tuned.

Monday, February 14, 2011 by Amy Clarkson · 0

Monday, February 7, 2011

Why We Write

Recently I read an essay in the Canadian Medical Association Journal that focused on an interesting topic arts topic. The article entitle "Why we write (and how we can do it better)" discusses why clinicians decide to write and publish their experiences, focusing around five common errors that the author, Allen Peterkin, MD (founding editor of Ars Medica) sees as he reviews submissions.

"I've been forced to reflect on why doctors write, how and when we do it and whether there are mistakes we make as we go along. It occurs to me that this new wave of composition is not always honest, helpful or even benign. As educators, policy-makers and clinicians, we should reflect on what writing and sharing stories means to us, how we approach the task and then contemplate what the risks are to our integrity as physicians"

He starts off with some more basic writing-for-publication type issues. One mistake he sees is too much cutting to the chase, writing more of a case report than a story. He find that doctors "favour tidy endings, epiphanies and accounts of patients who exhibit courage and triumph over adversity." He feels stories about our failures are much more honest and interesting. He also sees that often doctors forget who they are writing for. The story may be more for the author and not for the reader.

As an example of the fourth error, he gives a story told by novelist Margaret Laurence. While at a dinner party, a neurosurgeon told her that he planned to write novels after he quit surgery. She replied "What a coincidence- when I stop writing, I plan to take up brain surgery." He finds that the clinician (specifically physician) writer often lacks humility and patience for the writing process.

The most serious error that he sees is that the clinician feels that the stories heard and experienced in the clinical setting belong to him/her. This error is the ethical and professional issues surrounding publishing a patient's story without permission.

This article really focuses on the patient centered narrative writing we do to be published. I think there is a lot of writing that we do just for ourselves. I don't keep a journal but every once in awhile I do sit down and write out a story. It's always for myself, most often trying to get out some emotion that I didn't feel I could have expressed at the time. It's no great work of literature and often gets erased a few days later. But I think that was Peterkin's point. Not to discourage writing but to point out that there should be a difference in the kind of writing we do in patient charts, for case studies, for ourselves and that which we do and submit for public consumption. For anyone interested in this type of writing, it definitely gives you something to think about.

Thanks to Thomas Quinn who sent me this article.

Works Cited: Why we write (and how we can do it better) Peterkin CMAJ.2010; 182: 1650-1652

Monday, February 7, 2011 by Amber Wollesen, MD · 4

Monday, January 31, 2011

Children's Books on Grief: What's Heaven?

This next book in our series of children's books that deal with grief has a famous author, which will often add to the appeal in buying a book. Perhaps from the media's input, I had also already heard of this book before actually getting it from the library.

The author, Maria Shriver, points out on the back that this book came from actual discussions with her 6 year old, at the time of the daughter's great-grandmother's death. I think knowing that perspective helps in the review as well, since the previous books Tear Soup and When Someone Dies was written by a hospice worker and grief counselor, respectively.

What's Heaven? is written by Maria Shriver and illustrated by Sandra Speidel. Published by Golden Books in 1999, the age listed for reading 4-8.

Although the title would imply a book all about Heaven there are definitely other topics covered.  The plot line follows Kate who comes home to find her mother sad and news that her great-grandmother has "died and gone to Heaven".  This prompts not questions about death or what "died" means but questions about what Heaven is.  The concepts specifically in question are:  Where Heaven is?,  Are animals there? and How do you get there?  I think these are questions I myself would like to know!

There is also discussion about what a funeral is and thanks to cousin Bobby, questions about the actual casket. Here's an example of a conversation Kate has with her mom: "Bobby told me we are going to a funeral where we are going to bury Great-grandma in a box. Why are we going to do that? Will it hurt Great-grandma? How will she breathe in the box? What if she wants to get out?"

As is typical of little ones, there are many more questions than answers in the book.  As parents have learned, it's more about the concept we are sharing than the specifics of each question.  This book is similar, the general message is one of hope; that after death there is a distant, safe place where all the best parts of someone goes... that it's okay to be sad and it won't last forever and that by remembering our loved ones they remain alive in us.

The illustrations are done in pastels, with a more vibrant feel than some of the grief books I've seen.  The pastel's also allow for a dream like or memory like quality, as sharp details are left out.  There are a lot of words on each page, and no paragraphs, perhaps emulating the way children can move from one topic to another in stream-less fashion.  Each page does have one phrase that is doubled in font size, I suppose then if just browsing the book you could pick up on the highlights.

If you have a child with some of these specific questions, it would be a great book! What's challenging in these types of personal stories, is that your family may not agree with all of the concepts presented.  For instance if you don't want to teach your child, "when your life is finished here on earth, God sends angels down to take you up to Heaven to be with him" Then you'd have to either skip the page or do some other teaching on what your family concept is.

In comparison with the other books reviewed thus far, this book is by far the most specific in terms of one family's beliefs and/or opinions.  And rightly so, as the author makes no presumption of being an expert, but simply using her own experience to share with others...

Stay tuned, we have a few more to review!

Monday, January 31, 2011 by Amy Clarkson · 2

Monday, January 17, 2011

Children's Books on Grief: When Someone Dies

As mentioned in the first in this series on children's literature dealing with grief, there is an abundance of material out there to recommend to families with children dealing with grief.  In fact, it's often overwhelming with so many choices.  Hopefully this random sample from my local library will, if nothing else, illustrate the wide variety of books out there.

Often until you actually see inside the book yourself, it's hard to know which book is the right one. In fact, if you went on just book lists, the book I'm reviewing today is by far on more lists than any other books I'm reviewing, making me assume it is very popular. Yet without reading it, as you may see, I wouldn't have discovered it's unique style, different than Tear Soup, or even The Goodbye Boat reviewed in an earlier post.

When Someone Dies is written by Sharon Greenlee and illustrated by Bill Drath. Published in 1992 by Peachtree publishers it is written for a reader aged 8-12.

The book is considered plot-less, with each page making more of a conversational statement in second person. This approach seems to lend itself to a normalizing of the emotions and issues surrounding grief.  The statements center around feeling sad and mad, but also about concepts of dreaming of your loved one, and worrying if other people around you will die too.  For example, here are some of the statements:

 "If the person who died was very important to you, you get to worrying that all the other important people might leave too.  I've never heard of it happening that way, but it's hard not to think about it"

"When people die, they can't come to your house anymore. You wonder what they'd look like now, and you do all you can to make a picture of them in your mind."

Towards the second half the author begins to task the reader to actually do some things such as finding someone to cry with and writing a letter to the person who died.

Besides normalizing grief with the second person speech, I noticed that the word "dies" is used 10 times out of  a total of 15 pages of statements.  I can't help but think even using the word is a way to normalize the experience. No metaphors in this book, death is definitely the main character.

The illustrations use a washed out almost dull tone, adding to the mellow nature of the book. One thing I found interesting is that all of the scenes are out doors in nature and the people all Caucasian, which doesn't do much to normalize to a wide audience.

I think for certain children, this type of writing style is what is needed. Due to this books popularity on many of the lists out there, it's definitely good to be familiar with it!

 Stay tuned again for more books coming up...

Monday, January 17, 2011 by Amy Clarkson · 2

Sunday, January 9, 2011

AAHPM's 2011 Bookclub: Cutting for Stone


I am excited for the upcoming meeting in Vancouver, BC.  It's a city I have long dreamed of visiting, and a meeting I enjoy returning each year.  Last year, the Spirituality and Humanities SIG tried something new: a bookclub.  It was a huge success, with a tough but good read.  This year, a very different book was chosen - Abraham Verghese's first novel, Cutting for Stone.


Some reviews:

"I will not cut for stone," runs the text of the Hippocratic oath, "even for patients in whom the disease is manifest; I will leave this operation to be performed by practitioners, specialists in this art."

Washtington Post: Healing the Past - A review by W. Ralph Eubanks
Verghese's narrative moves over decades and generations from India to Ethiopia to an inner-city hospital in New York, describing the cultural and spiritual pull of these places.

The surprising, stunning denouement both arises from and reenacts the major themes of Cutting for Stone: love and betrayal, forgiveness and self-sacrifice, and the inextricable union of life and death.


From Abraham Verghese's own site: his reading group guide.

If anyone is interested in helping to lead the discussions (it was a lot of fun last year) - please contact Emily Muse, from AAHPM.  The online social discussion group is through Goodreads.  

To purchase the book:

An Indie store near you


Borders





In Europe
at CD WOW




Sunday, January 9, 2011 by Unknown · 2