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Saying the World [Paperback]

Peter Pereira (Author)
5.0 out of 5 stars  See all reviews (6 customer reviews)

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Book Description

October 1, 2003

Peter Pereira is at the forefront of a national movement of medical practitioners who utilize literature as a part of their training. Saying the World arises from his practice as a family physician serving the urban poor, as well as his experience as a childless gay man.

Selected from over one thousand entries in the Hayden Carruth Award, judges Gregory Orr and Sam Hamill cited Pereira’s work as "full of stunning poems" and noted that Pereira "has the magic touch that William Carlos Williams had—the ability to be doctor and poet simultaneously, and to make it all so simply, deeply, and translucently human that the poems seem inevitable."

from "First Crash Cesarean"

Hold it like a wand, you say
as I guide the blade across shaved skin,
into layers of yellow fat and fascia
stained crimson. With gloved fingers
we tug at the wound’s gaping edges
until we’ve exposed the bulging uterus,
round and smooth as a giant D’Anjou pear.
Only minutes ago, I wrote the words fetal distress
and panting she signed consent to open her belly.
Now I imagine her baby is like Houdini
jacketed inside a treasure chest five fathoms
down, mouth gagged, lungs bursting, time running
out . . .

Peter Pereira is a family physician in Seattle and currently provides primary care to an urban poor population, including refugees, immigrants, and the elderly. He is the winner of a "Discovery"/The Nation Award, and his poems have appeared in numerous literary magazines, including JAMA, Poetry, The Virginia Quarterly Review, and in the anthology To Come to Light: Perspectives on Chronic Illness in Modern Literature.


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Editorial Reviews

From Booklist

A physician as well as a poet, Pereira believes doctors in training should learn to appreciate and write poetry. His poems argue that those who do sharpen their attentiveness to patients and help themselves as well as any readers to better realize and be humbled by the persistence of suffering and its endurance and the responsibility for healing that the well bear toward the suffering. "What Is Lost," already used in many teaching situations, reports a clinical scene--the doctor conversing, via an interpreter, with a Khmer refugee about how to relieve her troubled sleep--with marvelous economy and, thanks to giddying focal shifts from scarred survivor to an entire brutalized nation, maximal power. That poem is one, not necessarily the best, in the book's first section, consisting of what might be called clinical poems. The second section's poems of identity and family, and the third's, concerned with Pereira's ordinary life as a gay man, reveal particulars that motivate this doctor's compassion and others that threaten to dilute it. Ray Olson
Copyright © American Library Association. All rights reserved

Product Details

  • Paperback: 96 pages
  • Publisher: Copper Canyon Press; 1 edition (October 1, 2003)
  • Language: English
  • ISBN-10: 1556591977
  • ISBN-13: 978-1556591976
  • Product Dimensions: 9.1 x 6 x 0.3 inches
  • Shipping Weight: 5.1 ounces (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (6 customer reviews)
  • Amazon Best Sellers Rank: #2,195,358 in Books (See Top 100 in Books)

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Customer Reviews

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Average Customer Review
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6 of 6 people found the following review helpful:
5.0 out of 5 stars I feel wiser for having read it., January 22, 2004
By 
Kathleen Flenniken (Seattle, WA United States) - See all my reviews
(REAL NAME)   
This review is from: Saying the World (Paperback)
Peter Pereira's first collection, "Saying the World," is utterly lovely, deeply moving. His poems have been called "complex" and I'd agree. But Pereira has managed something amazing--he suggests the deep complexities of a life and yet again and again pinpoints moments of clarity, purity.

We witness so much through these poems: the life of a doctor, the death of a young sister, the difficulties of romantic love. Grief cozies up to forgiveness which cozies up to play. Each is miraculous because we are in the presence of a voice that we trust, that is wise. I'm thinking particularly of the poem, "The Wages of Mercy," but also "Litany," "Senseless Beauty," and "Coming Home Late." Maybe it's acceptance that drives this book and which makes me wish for it in my own life.

I love the arrangement of it. The medical poems in the first section thrust the reader immediately into life and death. These are moments Lived (capital L), and they set a powerful backdrop for the personal poems that come later--they raise the stakes on everything. Some of my favorite poems are the ones that bring in family--"The Boy who Played with Dolls," "Suite for a Sister," and "In August, My Sister" which is a haunting love poem and meditation on being childless. I love the light touch I see too, in poems like "Shadow and Spirit," the magic in "Loft Bedroom."

Most of all, and best of all, "Saying the World" is bigger than the sum of its parts. I feel wiser for having read it. That is a rare gift in any book.

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4 of 4 people found the following review helpful:
5.0 out of 5 stars Multi-faceted gems, February 18, 2004
By 
Joe Melcher (St. Cloud, MN, USA) - See all my reviews
This review is from: Saying the World (Paperback)
Pereira's poems are gems of observation, of reflection; they're resonance of the world in words. Every poem in this collection satisfies. They layer astute and acute observations--about people, relationships, and nature--often ending with with a twist or a point of summation that can almost take your breath away...in wonder, in peace, and sometimes, in shock. Pereira's poems reflect and explore a wide range of topics, from medical procedures and mysteries of healing and illness, immigrants' struggles, his family, gardening and cooking, and even something as seemingly prosaic as his household's car being stolen--which turns into an ode to a "love-lost" misguided teenage girl.
I highly recommend this volume. Pereira's poems are both very accessible and intriguing. They also offer complexities and subtleties that invite re-reading for more enjoyment and deeper understanding.
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4 of 4 people found the following review helpful:
5.0 out of 5 stars From Eclectica Review, Gilbert Wesley Purdy, February 4, 2004
By A Customer
This review is from: Saying the World (Paperback)
Peter Pereira, the author of Saying the World, is a doctor. In an age where most drama is experienced vicariously through the television and movies, or through pre-packaged, safety-tested "experience products" such as theme parks and two-week package tours, the hospital is one of the few remaining places where the drama is real. Each of us shares in it for brief periods. The doctor lives it as a life.

Saying the World is presented in three sections. The first is dedicated to Pereira's experiences as a doctor and clinician. He has the good sense not to try to compete with high drama television shows such as E.R. As he reflects, in the poem "Nosophilia," which is given as an epigraph to the volume:

For one it's insomnia, tremor, migraine.
Another has hangnails, hives, boils.
Airsick. Seasick. Incontinent. Fat.
Such misery loves company: a listening ear.

The drama of the poems is as quiet as-generally, as inconsequential as-the drama of most real experience.

Even Pereira's own internship is as drab and exhausting as it is fascinating. One moment bleary, lectured on "the minutiae of Fluid Management," the next he is wide-eyed, marveling at having completed his first Cesarean section. The next he is delivering a postmortem baby, tending a junkie, giving a check-up to an open-heart patient.

It is all real, grueling, repetitive. At times it all becomes too much, and one is paid "The Wages of Mercy":

I wonder for a moment what all
the commotion is about,
nurses frantically starting IVs
and drawing blood and
placing EKG electrodes;
it's only death-

Perhaps it is not just emotional exhaustion. Perhaps it is wisdom, at last. After the endless round of systoles and diastoles, Percocets and morphine drips, hydrocephalic babies and congestive heart failures, perhaps it is both.

In the best poems from Saying the World, the doctor is listening to the obsessive, rambling soliloquies of the survivors who have lost loved ones. These are devastating poems. In "Litany," a Cambodian father who came to the United States to escape the terror of the Pol Pot regime loses his teenage son to a drive-by shooting. Between the description of a son being lost to the streets, of a father hoarse with chanting prayers to help his soul to be reborn, the poem has a refrain-an unusual thing for a contemporary poem-as the father repeats "If only I'd...":

If only I'd given him the five dollars
If only I'd asked him to stay, make his grandmother another cup of tea

The two go to the pagoda to pray the boy on his way. "I join him," Pereira recalls:

...singing the phowa,
and dwell for a moment in that radiant doorway
where birth becomes death
and death becomes birth:
one hand washing the other.

Such moments stay with him. His spare, unadorned style makes sure that they stay with us.

for full review go to http://www.eclectica.org/v8n1/purdy_pereira.html

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