Hey there.
I liked this a lot. The images were great, and all the ands didn't even register to me as wrong. You are allowed to keep the "ands" you mentioned because they work. Next time, don't mention the ands and see who picks up on them. I don't think many would.
You do tend to be a bit wordy, and that sometimes throws off the rhythm of your poem. For example, in the first line, "of beer" makes the line two syllables too long, and it can be fixed easily. All you have to do is leave out "of beer." It's understood (when mentioned after cigarettes) that the bottles contained some kind of alcohol, if not beer.
I was hurt, a five year old sweating in a large, blue bed,
Here, too, it feels a bit too long. You also have an opportunity for a stronger image here. "large" and "blue" have one obvious object in common: the ocean. If you say "sweating in an ocean bed" you have an image of something a little more sinister, as well. If you want to go that way. You could also find something else that is large and blue that is less sinister (the sky, perhaps), and use that to create a mood as well. This line also sets others up to be confusing. I think you should say instead "as a five year old sweating in an ocean bed." Later lines (ones about cigarettes and alcohol) seem too close on the timeline to the five year old (if you take that suggestion, you'll need to revise the following line so you haven't got a sentence fragment). If you start it like this, it feels even more like it was in the past than it sounds now. And you need more definition in that area.
They bought me a stuffed bunny, kept round with
You need to define "they." It's probably your parents, but I don't know, and that's the thing. The first time I read this line, I read it as kept round (as in around, just shortened). I think you should say "made" instead of "kept" to improve clarity.
The other issue with this piece is that it's not clear on the timeline when some events happen. To me, it seems as if the five year old is smoking cigarettes, but if I ignore that and say the speaker is older, I have no idea when the narrator gets the puppy. Just make the times at which these things happen clearer. That is the main confusion.
My favorite lines are these:
Three lingering trails
of pluming cancer streaking the skies, three dull glows
shrunk to a sullen dribble of ashes in a grimy glass,
The thing you have to work on most is clarity. I really enjoyed reading this, and I hope that this review was helpful. Happy poeting!
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