In poems that speak using the grammar and logics of sickness, Purcell offers a dizzying collision of word and image that is the language of pain alongside the banality of living on. Beginning by reading his own life and body closely and slowly zooming out to read illness in the world, Purcell comes to ask: how might a sick, queer body forgive itself for a natural reaction to living in a sick world and go on toward hope? In Swollening, Purcell coughs up his own poetics of illness, his own aesthetics of pain, to form a tender collection that lands straight in the gut.