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Campo's book is part memoir, part polemic. Chiefly, it recounts his struggles to forge a single identiy as doctor, poet, Latino, and gay man. He articulates with considerable and painful clarity the many ways in which these separate identities have been in conflict. They seem finally to come together in his role as a physician to AIDS patients. But even in that there is conflict, both with the devastating nature of the disease and the efforts of managed health care to diminish his best efforts to fulfill his calling as a doctor.
As memoir, his book retraces the steps of his life journey into his profession (at the time of the book's writing he is still a young doctor, in his early 30s). We meet his Cuban-American parents, learn of his middle class suburban background, and hear of his struggles of sexual identity, which produce in him intense shame, anger and fear. We follow him to Amherst, where he meets and falls in love with a fellow med student who becomes his life partner, and from there to residency in UCSF hospital in San Francisco. He describes his bout with suspected cancer, discovered after a skiing accident. And he tells of a patient, Gary, dying of AIDS, who teaches him much about being both a doctor and a poet.
As polemic, his book argues against homophobia (even as he overcomes it in himself) and its contribution to the continuing health crisis for gay men. He argues that the catch phrase "safe sex" diminishes the fragile self-esteem and challenges the identities of gay men. He argues that modern medicine, with its reliance on technology and pharmaceuticals and insistence on professional objectivity, robs young doctors of the compassion, empathy, and desire that drew them into the profession in the first place -- and thus makes them less effective in the delivery of health care. And he argues for the legitimacy of poetry as both a practice and a guiding metaphor for the role of physician. He notes that poetry and healing are both arts; one informs and supports the other.
I recommend this book to anyone with an interest in the practice of modern medicine, the training and self-education of physicians, and journeys of self-discovery. It is especially affirming in its embrace of same-sex affection, love, and passion. As companion volumes, I recommend two other books: Richard Rodriguez' memoir "Hunger of Memory" and Abraham Verghese's account of his experience as an AIDS doctor, "My Own Country."
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Campo writes powerfully about AIDS and our relationship to the plague in a way one seldom reads: with practical guidelines, not moralistic platitudes and empty slogans. His essay "Imagining Unmanaging Health Care" is worth the price of the book.
An excellent volume of essays, full of warmth, compassion, and most of all, humanity. Campo has truly become the "warrior-physician" he aspired to be--let's hope managed care doesn't drive him from the profession.
This book is a wonderful, wonderful read.
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