Narrative Medicine Book Club: Passing, Week 3

Derek: A quandry, a dilemma, a Catch-22 — Irene seems to be caught in a swirl where standing up for her race could lead to the downfall of Clare and their mysterious bond.

Carmen: And yet she does protect Clare – She demonstrates a fierce loyalty to a principle to protect or ‘side’ with one’s race and it forces her to choose a person (of her own race), of whom she clearly disapproves and struggles with her resentment over it. Clare cares nothing for the race, “she only belongs to it.” That’s got to hurt…or at least make her angry.

For Week 4 next week, May 2nd-9th, we’re reading Part 2 Chapters 3 and 4!

If you don’t already have your copy, books can be purchased from the publisher, direct from your local indie bookstore, or through or If you want to join in the book club discussion, you can respond here or on social media using #NMBookClub.

Live Virtual Group Session: 12pm EDT April 30th 2021

Participants from NJ, NY, TX, KY, PA, ME, MI, and Turkey joined our session to discuss the poem “Chilly in our Gowns” by Maryfrances Wagner, posted below.

Discussion of the text immediately went to the contrast between the first lines and the latter portion of the poem, which evoked not just an intimacy that is then mourned, but also seems to evoke a nostalgia for the past, for time, with the comparing of tomato yields and even the retro-Americana quality to the meal of a burger and a malt.

Time was also noted as weighted in the phrase “no longer,” which not only articulated change and temporality, but a possible shift in identity from doctor and ferryman to “sinking” as something else under the overwhelm of scheduling. Of course mortality was noted as present in the allusion of the ferryman as well, and one participant noticed the coldness of the language, beyond just the chill from the gowns, where the narrator “scuttles” from the room in an alien fashion, and the “laying on of hands” is replaced by others “doing his touching.” Mirroring the physical distance, the doctor is also distracted, mysteriously, by a quick “brown” study that pulls his attention to the window in this new environment.

And yet, another participant noted that the tone of the narrator seems to be sympathetic to the doctor, attempting to see from his viewpoint of “sinking” and being “behind,” even if it does leave the narrator to navigate the “murky waters of fear” more alone. Many participants noted that this points to the systemic issues in medicine, not just with overburdened doctors, but with teams of care fractured from each other and the patient for the sake of efficiency and profit: the “nurse takes my blood pressure” and “the technicians do his touching” and the “receptionist assures me the nurse will call.” These observations illuminated not just what was powerful in the poem, but what is powerful about using poetry, literature, or art as a lens to inspect the complexity of healthcare experiences.

In the shadow of today’s text, we invited everyone to respond to the prompt: “Write about a laying on of hands.” They brought us to a familiar, uneasy place: “I sit in fear, fear of the unknowns…How am I going to continue through this tunnel of uncertainty?” 

One writer/reader’s use of alliterative repetition (“poke, press, prod”) caught our attention as relatable patients who “feel dull” and may be “left alone to clean up the mess.” We noticed how a lack of eye contact left the author unable to read the doctor’s thoughts. Certainly there was looking happening, but was there seeing? Knowing? 

This theme of being-without-connecting carried through to the third writer who explored the dichotomy between that which is comforting yet pushing boundaries. We appreciated how each writer’s exploration of the tension between agency and attention redefined for us what “touch” means as the laying on of hands could be both active and passive.

Participants are warmly encouraged to share what you wrote below (“Leave a Reply”), to keep the conversation going here, bearing in mind that the blog of course is a public space where confidentiality is not assured.

Also, we would love to learn more about your experience of these sessions, so if you’re able, please take the time to fill out a follow-up survey of one to two quick questions!

Please join us for our next session Monday May 3rd at 6pm EDT, with more times listed on our Live Virtual Group Sessions page.

Chilly in our Gowns

My doctor used to clip articles from our town paper.
My fencing victory and engagement photo grinned
when he opened my chart. We compared tomato
yields, recommended books. He listened
to  my lungs, my heart, examined my throat,
but always the laying on of hands, the patted
shoulder before a shot, the outstretched
arm rescuing me from the hypoglycemic faint
to offer a hamburger and a malt. I could name
states he’d toured with his daughters, night classes
he took on the Middle East. Now,
his nurse takes my blood pressure and asks
if I think  it will rain. She writes symptoms
on my chart. My doctor no longer sits,
one arm resting on his knee, to ask
if I’m still taking calcium, drinking water.
He looks out the window, a  quick brown study
he doesn’t share. He is behind, his waiting room
sinking under sore throats, a broken toe,
a stitchable biking accident. He writes
prescriptions, orders tests, has technicians
do his touching. He rushes off to others,
waiting chilly in their gowns. I scuttle out one door 
as he closes another, his muffled voice
an instant replay. The receptionist assures me
the nurse will call, my doctor  no longer
my ferryman across fear’s murky water.

Maryfrances Wagner
From Red Silk
The Mid-America Press 1999