Review by Ro Bennett live on bookshfow 25th April 2013
This is a huge, chunky book - 560 pages, with small
print which just about put me off reading it. However it was so good I
persevered, although it took me ages and I read other lighter books in between
because it’s such a meaty tome.
The
author, Abraham Verghese is
a surgeon, currently a professor at the Stanford University School
of Medicine. He wrote Cutting for Stone
over a seven year period, a little bit every day.
The
story revolves around Marion and Shiva Stone, twin boys born in 1954 in Addis
Ababa, capital city of Ethiopia. Their mother — a beautiful nun, Sister Mary
Joseph Praise — dies of complications which arose during her hidden pregnancy
followed by an obstructed labour. Dr Thomas Stone, despite being a surgeon and
the father of the twins is unable to save her life. Traumatised by the
situation he disappears and the twins are raised by Hema and Ghosh, a lovely
and caring couple, recruited from India to be doctors at the missionary
hospital.
The
growth and development of the twins unfolds in the Addis Ababa of
the 1960s,'70s and '80s, a time of political instability and turmoil, when
Mengistu, the Stalinist revolutionary deposed Emperor Haile Selassie and the
Empire collapsed. This is the background, to a saga of love, loyalty, betrayal,
family and political upheaval, taking the reader through complex,
interwoven themes from India to Yemen to New York but mainly set in Addis
Ababa. Ethiopia is vibrantly described
and the reader is immersed in its culture and history, its poverty, struggles
and inequality and the dedication of a small group of people intent on helping,
healing and caring for the sick, vulnerable and impoverished.The
book has many detailed accounts of
various operations and medical procedures which I found very illuminating,
interesting and fascinating.
Toward the end of the novel the mystery of Thomas
Stone is revealed and we finally learn what made him the man he is, with all his
strengths and deficits.
This is a
well researched and informative book which also draws on personal
experience. Emperor Haile Selassie
recruited teachers from the Kerala area of India after he visited there and saw
children going to school. Like Hema and Ghosh in the story, Verghese’s parents,
went to Ethiopia, met after arriving, and married. Their son Abraham Verghese
was born in Ethiopia, and considered it his country, although he had to leave it
during the revolution.
The title, Cutting for Stone is interesting. The
author wanted the title to be deep and mysterious. It explains the
surname of the narrator of the book, Marion Stone, along with his twin brother,
Shiva, and their father, the almost entirely absent surgeon, Thomas
Stone. I looked up the meaning and
found that the deeper significance stems from Ancient Greece and
the Hippocratic Oath which states "I
will not cut for stone, even for patients in whom the disease is manifest: I
will leave this operation to be performed by practitioners, specialists in this
art”. This clarified that surgeons and doctors were not to
share duties. A doctor was required to leave the "cutting" to the trained
surgeons and take that promise as part of his oath.
In
the olden days when people suffered from bladder, gallbladder or kidney stones
that caused extreme pain and ultimately death, unqualified charlatans would
travel around cutting the stones out. This would bring immediate relief but also
usually death from botched procedures and infections. Even today new doctors
still promise to not perform these operations.
The
practice of "cutting for stone" was also employed at one time to root out mental
illness with cranial trephination- that is drilling a hole in the skull. This
aspect is also linked to the story as Marion and Shiva were born conjoined at
the skull, yet separated at birth and Shiva has elements of Asperger’s
syndrome.
Then there were two instances in the book where the
phrase cutting for stone was used. In the beginning, it seems that it is
an Ethiopian term for surgery and then later in the book, women needing fistula
surgery carried placards reading "cutting for Stone" to indicate that
they were patients to be operated on by Shiva Stone. So even the title is
involved and clever.
This was an intelligent, gripping, well-written
story. It is riveting and memorable, I was loathe to finish it and
wholeheartedly recommend it.
Finally - Verghese tells his medical students,
“If you aren’t reading novels, the imagination part of your brain will atrophy”
- and he should know!
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