|Genre||Memoir (135 pp.)|
|Keywords||Aging, Art of Medicine, Cancer, Death and Dying, Disability, Doctor-Patient Relationship, Empathy, Grief, Hospitalization, Human Worth, Illness Narrative/Pathography, Individuality, Medical Ethics, Ordinary Life, Patient Experience, Professionalism, Sexuality, Suffering|
This posthumously published short (132 pp) collection is by a former New York Times book reviewer and essayist who was diagnosed with metastatic prostate cancer in 1989 and who died the following year. Broyard responded to his illness by writing about the experience. The book is comprised of six parts:
Part 1: Intoxicated by My Illness
Part 2: Toward a Literature of Illness
Part 3: The Patient Examines the Doctor
Part 4: A Style for Death: Journal Notes, May-September,1990
Part 5: The Literature of Death
Part 6: What the Cystoscope Said
Parts 1, 2 and 5 appeared in slightly different form in the New York Times between 1981 and 1990.
Parts 2 and 3 are in part from a talk Mr. Broyard gave at the Univ. of Chicago Medical School in April 1990. Part 6 is a short story written by Broyard in 1954 about his father’s death.
Mr. Broyard had long been fascinated with death and dying, before his prostatic cancer, publishing "What the Cystoscope Said" in 1954, some 35 years before his own diagnosis. It is as though he had been preparing for what he knew would be his finest work. Always an engaging essayist and reviewer, Mr. Broyard here offers what he did best--a discursive (in the best sense) soliloquy on disease, suffering, the majesty of the educated, reflective person with illness--all amplified with widely ranging withdrawals from the broad literary bank account one would expect of a professional reader and reviewer: one reads about personal fate vis-à-vis D. H. Lawrence’s Women in Love; one reads, as one can read nowhere else, about illness, dying and sexuality and its relevance to Hemingway’s The Sun Also Rises.
Part 1, Intoxicated By My Illness, is a personal statement about the effect of this illness on Broyard’s attitude and is rich with his own and others’ literary sense of how he should and did react to it. Part 2, written later than Part 5, deals with literature and illness as opposed to the emphasis on death in Part 5. Within Part 2 are references to Susan Sontag, Norman Cousins and Siegel, among other students of this subject. It is interesting to compare the more powerful and personal and moving appeal of the later writings on illness (Part 2) to the more abstract, critical ruminations on death (Part 5) at a time when, in fact, Part 5 was a literary exercise. Part 2 is written with the pen of the heart.
Part 3 is a wonderful account of Broyard’s first meeting with his personal physician. While Broyard analyzes this man, he reflects on what he would like in his ideal doctor. Part 4 is a brief (7 pages) collection of short diary entries reminiscent of Dag Hammarskjöld’s Markings. Part 5 includes essays on death and dying in literature and what these books, e.g., Robert Kastenbaum’s Between Life and Death and David Hendin’s Death as a Fact of Life and Ernest Becker’s Denial of Death, have to offer us.
Part 6 is a short story about his father’s death, the son’s sexual escapades and the relationship between the two. Clearly sex, death and their nexus have long been on Broyard’s mind. This is a welcome reflection and is of interest more as it compares to Broyard’s later writings on the subject, especially in Part 2, than for its intrinsic worth as a short story.
This book is a treasure trove of unique material. The author expresses his encyclopedic acquaintance with fine literature as well as the more traditional literature and medicine works in an unusually light and clear style. There are countless sentences that one wishes to include in any course on literature and medicine: "I’m not interested in the irony of my position. Cancer cures you of irony. Perhaps my irony was all in my prostate." (Part 1) "Poetry, for example, might be defined as language writing itself out of a difficult situation." (Part 2); "The mechanics of diagnosis are mostly done, in my ignorant opinion, by technicians. The technicians bring in the raw material. The doctor puts them into a poem of diagnosis." (Part 3).
Broyard was intensely interested in his style of illness and spent much time trying to get at it and explicate it in "Intoxicated by My Illness." He succeeded admirably in doing so, for his style in writing was the same as his style in illness --an irrepressible affirmation of the recuperability of meaning from personal experience when armed with education, bravery and optimism.
|Place Published||New York|
|Miscellaneous||Doctor, Talk to Me, an essay first published in the New York Times and a part of this book, appears in the 1995 edition of On Doctoring (eds. R. Reynolds & J. Stone; Simon & Schuster, New York).|
|Annotated by||Ratzan, Richard M.|
|Date of Entry||06/30/94|