Sparked by Words

Posts tagged ‘Ethiopia’

C Is for Cutting for Stone


Cutting for Stone, written by Abraham Verghese, enthralled me from the first page with this paragraph:

After eight months spent in the obscurity of our mother’s womb, my brother, Shiva, and I came into this world in the late afternoon of the twentieth of September in the year of grace, 1954. We took our first breaths at an elevation of eight thousand feet in the thin air of Addis Ababa, capital city of Ethiopia. The miracle of our birth took place in Missing Hospital’s Operating Theater 3, the very room where our mother, Sister Mary Joseph Praise, spent most of her working hours, and in which she had been most fulfilled.

A dedicated Indian nurse who is also a nun gives birth to conjoined twin boys in Addis Ababa. It wasn’t really meant to be Missing Hospital – it was Mission Hospital, but Ethiopian tongues couldn’t pronounce it correctly, and it was transcribed as it was spoken, so Missing it became. Their mother dies during their difficult labor, the infants are surgically separated only minutes after birth, their father flees in distress of  the mother’s death. The lives of the boys began with a chance meeting of surgeon and nurse aboard a doomed ship traveling from India to Ethiopia, a clerical error, a sin, a miracle, or all three, depending upon point of view.

The story is told from the point of view of Marion, the more serious and focused twin. at odds with each other, as Shiva’s rebellious impulses antagonize their relationship. The boys grow up under the tutelage and care of two other Indian physicians who have immigrated to Ethiopia. Marion and Shiva are often at odds with each other, as Shiva’s rebellious impulses antagonize their relationship. Fascinated by medicine, each pursues a different track, Marion’s the more traditional medical school route, Shiva’s an organic, intuitive learning curve. As children they played with Genet, daughter of a hospital servant, forming a threesome of inquisitive youngsters. As teenagers, they both fall in love with her, accelerating brotherly jealousy. Eventually Marion, betrayed by his own brother, flees to America, where he learns the true measure of the Hippocratic Oath.

Against the backdrop of rebellion of Haile Selassi’s long rule over Ethiopia, where allegiances confound the pursuit of conflicting ideals, the boys wonder about the mysterious life of their mother and the abandonment by their father. Eventually Marion, betrayed by his own brother and the girl they loved, flees to America, where he learns the true measure of the Hippocratic Oath. He faces a live changing decision that may destroy him with either outcome and forces him to turn to the two people he has come to despise – his father and his brother.

This is a long book, written by a man who was born in Ethiopia, and is now a physician and a writer in the U.S. It impressed me on many levels. Verghese’s lyrical writing and medical expertise authenticate the experiences in the story. The title of the book comes from part of the Oath, that one must not cut for stones, meaning gall bladders stones, as such surgery often led to the agonizing death of the patient. It is a lesson Marion must learn under difficult circumstances.

My own father was a physician. He always regretted that he didn’t become a surgeon, but I’ve often met people who tell me what a wonderful family doctor he was. I sensed a bit of the dilemmas my father may have met in his professional life in this book.

Two of my favorite quotes from the book illuminate some of its complexity and foreshadow future events. In the first, Matron, who helped raise the twins talks to Marion about doing his best:

“No, Marion,” she said, her gaze soft, reaching for me, her gnarled hands rough on my cheeks. “No, not Bach’s ‘Gloria’. Yours! Your ‘Gloria’ lives within you. The greatest sin is not finding it, ignoring what God made possible in you.”

In the second quote, Marion is tested by his father, a revered surgeon:

“Tell us please, what treatment in an emergency is administered by ear?”….I met his gaze and I did not blink. “Words of comfort,” I said to my father.

The words in this book made me wonder and gasp on every page. Each night was a contest to see how late I could stay up to read it.


Other books that were serious contenders for C:

Cannery Row by John Steinbeck

Catch 22 by Joseph Heller

The Catcher in the Rye by J.D. Salinger

Charlie and the Chocolate Factory by Roald Dahl

Charlotte’s Web by E.B. White

Chocolat by Joanne Harris

The Cider House Rules by John Irving

The Clan of the Cave Bear by Jean Auel

A Clockwork Orange by Anthony Burgess

The Color Purple by Alice Walker

In the Company of the Courtesan by Sarah Dunant

A Confederacy of Dunces by John Kennedy Toole


 I look forward to learning about your favorite C fiction books.



Book cover image courtesy Google images and Vintage Books



What a Great Place This Is!


The first words, the first sentence – we writers must get them perfect. It’s the only chance we have with most readers – irritate or confuse them and our story becomes trash. Films have it much easier. An audience held captive, engaged by so many sensory activities at once – compelling music, clever camera angles, images of all kinds, words and names, snappy or threatening dialogue, and all of that in only a few seconds. In the first minute folks know whether or not they’ll stick around for the next two hours, and it’s likely most do. A creation of the labor of hundreds, even thousands of people, films also have the advantage of social interaction. People go to the movies or sit in their homes with their best friends and eager strangers to experience a film as a group, sharing the wit, mystery, danger, silliness, fear, humor, and delight on the screen.

Writers cannot be filmmakers. We don’t make movies with all the multi-dimensional aspects of film. A book must contain every aspect of action, character development, dialogue, and setting with none of the multi-dimensional layering of film. But there’s the problem – if we write too much, we risk boring our readers. The more words and descriptions we put in, filling pages with every possible angle, response, and internal thought of our characters, the more we detract from the action and deflate the power of the story.

Enter one of the most persuasive characters of a story: location. It’s the prime real estate of a book, literally the waterfront property, mountain cabin, or desert hideaway. Lock step with time frame, location confirms the action of a story.

Consider the hidden encampment of Charles Frazier’s Cold Mountain of North Carolina where Confederate deserter Inman heads home to meet his sweetheart, Ada. The primitive, rugged terrain of Cold Mountain echoes the crude circumstances that Ada and Inman are reduced to living over the course of the book. The more they retreat from civilization, the closer they move toward each other, the more the foreboding character of the mountain informs the plot. Based on the life of Frazier’s uncle, the story could not take place anywhere but Cold Mountain – ominous, dreary, and promising all at once.

Abraham Verghese’s Cutting for Stone follows the birth, childhood, and eventual medical practice of one brother of a set of twins born in Ethiopia. The country’s twentieth century history of rule by Haile Selassi and the rebellions that attempted to depose him are intertwined with the complex story of the brothers and their divergent life paths. Verghese presents the conflicting world of Ethiopia, a country with a huge Indian population that often supplants the needs and rights of the indigenous people. The despair of Ethiopia provides an echoing backdrop for the conflict between the brothers whose contentious relationship is clinched by their mutual attraction to a young woman.

Frazier and Verghese know their territories well, each having lived and explored where their stories take place. The descriptions of Cold Mountain and Ethiopia are authentic, established with both epic sweep and details that invoke intimacy. Inman sees Cold Mountain as the place that will heal and save him, give his soul respite from the savagery of the war, and grant a future with Ada. Every American kid learns about the Civil War, but Frazier’s retelling turns dry facts into anguish. In Ethiopia, where access to medical help is determined by one’s wealth or constrained by tribal superstitions, a patient assumes he will die of his illness. It’s an idea that is anathema to us in the United States where we expect advanced medical skills to save us from everything. These two stories could only happen on these particular soils.

Creating an authentic sense of place draws from memory and utilizes research. For my own books I’ve been fortunate to be able to recall numerous details of places I’ve visited or lived. I’ve also had the serendipitous experience of meeting people who have personal knowledge of the locations that are crucial to my story, and often know firsthand about some of the events that I write about. Interviews with them as well as photographs, maps, and newspaper articles broaden my grasp of these places. Google Earth even verified for me that an existing hill in Orange County could indeed provide the empty plot for a home to exist in The Tree House Mother. All the streets named in the book can be found on maps except for the tiny street where the tree house was propped in a pepper tree. That one street is a fabrication, a fiction of my imagination. You can drive up to the top of Skyline Drive to find the overgrown lot where the Youngs’ family home once stood. You can tramp the wild chaparral where Andie sat on the side of the access road and watched a parade of cars. The location contributes as much excitement as the plot.

Perhaps the most important part of writing about a particular place is to be enchanted with its terrain and smells, intrigued with its streaming water or exotic flora, curious about its hidden paths. If “X” marks the exact spot on a map, if the GPS can find it, if readers can imagine standing on our plots of virtual real estate, that’s just one more compelling reason to read our stories.


Public domain image courtesy Library of Congress