The poems in this collection can be divided into two categories. The first, recalling Beat Poetry but composed to a careful meter, weave issues of LGBT identity and explicit depictions of sex in post-AIDS America with an almost religious concern for finding in these experiences spirituality and invincibility. I felt that the author's voice was drowned in the echo of the poets preceeding him. It seems impossible not to compare these poems to Ginsberg's, and while technically strong, they lack both the surprising word-choice and manic fervor that gave Ginsberg's poetry its frequently prophetic feel.
I found the second category of poems far more compelling. Campo is a practicing physician, and this experience is brought to the forefront as he reminisces about injured or dying patients that he has attended to. While I don't know if the strongest section of the collection, Ten Patients, and Another, is strictly autobiographical, it is completely convincing. These are written in a less elegant style, but I found that this adds to the grave authorial tone accompanying this segment and lends the descriptions confidence and power as we spectate over the sickbeds of these forsaken people.