Recently, a journalist in analysis had a dream that stimulated the writing of a poem, the two psychic products occurring no more than a few hours apart. Since the analysand had copious free associations to both products, believing both to be culled from the same unconscious raw material, an interesting study of an act of aesthetic creation almost in statu nascendi became possible. A concept called poem work is entertained in this paper and is compared and contrasted with the classical psychoanalytic concept of dream work, allowing some unanswerable questions to be posed and discussed in regard to the formal constitutive elements of poetry.