Utilizing medical terminology and iconography to work through loss and detachment, McHugh’s startling rhymes and rhythms—along with her sarcastic self-reflection and infectious laughter—serve as antidotes to the sufferings of the world. Being “upgraded to serious” from critical condition is a nod to the healing powers of poetry."Not to Be Dwelled On"Self-interest cropped up even there,the day I hoisted three insteadof the ceremonially called-for twospadefuls of loamonto the coffin of my friend.Why shovel more than anybody else?What did I think I’d prove? More love(mud in her eye)? More will to work?(Her father what, a shirker?) Christ,what wouldn’t anybody giveto get that gesture back?She cannot die again; and Ido nothing but re-live.