Ru Freeman's latest book is "Sleeping Alone." (Courtesy Hasadri Freeman/Greywolf Press)īorn in Sri Lanka, Freeman is the author of two previous novels, “On Sal Mal Lane” (2013) and “A Disobedient Girl” (2009), that have been translated into multiple languages. The eleven individual stories tell of many kinds of heartache, more than it would seem a slim volume could hold. Freeman is not afraid to linger in disquiet. The settings in “Sleeping Alone” range from small towns to large cities, but geography is less a determining factor than politics or class there is a tale of complicated, unrequited love between an Irish woman and Sri Lankan man (“The Irish Girl”), and a young basketball player burdened by family responsibilities, trying to navigate his high school’s racial and economic cliques (“Kobe Loves Me”). Sameera may be convinced that others will not understand her, but she also considers entire groups of people “dispensable.” Though each story in this collection is an independent narrative, the inability to truly see others, and the consequences that ensue are a recurring theme. Links to PubMed are also available for Selected References.Partway through the title story of Ru Freeman’s “ Sleeping Alone,” the main character Sameera thinks: “You won’t understand you who are not me.” And still, she continues to reflect on the destructive political act she is planning, as if detailing her actions will explain and validate them. Get a printable copy (PDF file) of the complete article (3.8M), or click on a page image below to browse page by page. Full textįull text is available as a scanned copy of the original print version. In addition, a checklist guide for the performance of the vulvar examination is included. In order to facilitate the thorough examination of the premenarchal girl's vulva, the four premenarchal stages of development and the physical changes encountered at each stage are described. Despite the importance of the vulvar examination, it is omitted in a large percentage of cases, reflecting deficits in undergraduate and postgraduate medical training.
Vulvar problems (eg, hymenal lacerations, vulvovestibulitis, or labial adhesions) account for a significant percentage of pediatric outpatient diagnoses, yet related symptoms may not be volunteered by patient or parent, underlining the necessity for physical examination in order to have a complete data base. The premenarchal child's vulva should be assessed at each physician visit, even in the absence of symptoms.
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