Cutting+for+Stone+by+Abraham+Verghese

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=Book Summary= Sister Mary Joseph Praise, a devout young nun, leaves the south Indian state of Kerala in 1947 for a missionary post in Yemen. During the arduous sea voyage, she saves the life of an English doctor bound for Ethiopia, Thomas Stone, who becomes a key player in her destiny when they meet up again at Missing Hospital in Addis Ababa. Seven years later, Sister Praise dies birthing twin boys: Shiva and Marion, the latter narrating his own and his brothers long, dramatic, biblical story set against the backdrop of political turmoil in Ethiopia, the life of the hospital compound in which they grow up and the love story of their adopted parents, both doctors at Missing. The boys become doctors as well and Vergheses weaving of the practice of medicine into the narrative is fascinating even as the story bobs and weaves with the power and coincidences of the best 19th-century novel. //(Feb.)// //-- Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.//

=About the Author= ABRAHAM VERGHESE is senior associate chair and professor for the Theory and Practice of Medicine, Stanford University School of Medicine. He sees patients, teaches students and writes. From 1990 to 1991, Abraham Verghese attended the Iowa Writers' Workshop at The University of Iowa, where he obtained a Master of Fine Arts degree. His first book, MY OWN COUNTRY, about AIDS in rural Tennessee, was a finalist for the National Book Critics Circle Award for 1994 and was made into a movie directed by Mira Nair and starring Naveen Andrews, Marisa Tomei, Glenne Headley and others. His second book, THE TENNIS PARTNER, was a New York Times notable book and a national bestseller. CUTTING FOR STONE is his most recent book and his first novel. It is an epic love story, medical story and family saga. It appeared in hardback in 2009, and is in its 9th printing and is being translated into 16 languages. Verghese has an honorary Doctor of Science degree from Swarthmore College and has published extensively in the medical literature, and his writing has appeared in The New Yorker, Sports Illustrated, The Atlantic Monthly, Esquire, Granta, The New York Times Magazine, The Wall Street Journal, and elsewhere. His writing, both non-fiction and fiction, has to do with his view of medicine as a passionate and romantic pursuit; he sees the bedside ritual of examining the patient as a critical, cost saving, time-honored and necessary, (but greatly threatened) skill that cements the patient-physician relationship. He coined the term the 'iPatient' to describe the phenomenon of the virtual patient in the computer becoming the object of attention to the detriment of the real patient in the bed.

=Possible Discussion Questions=

1. Abraham Verghese has said that his ambition in writing //Cutting for Stone// was to “tell a great story, an old-fashioned, truth-telling story.” In what ways is //Cutting for Stone// an old-fashioned story-and what does it share with the great novels of the nineteenth century? What essential human truths does it convey? 2. What does //Cutting for Stone// reveal about the emotional lives of doctors? Contrast the attitudes of Hema, Ghosh, Marion, Shiva, and Thomas Stone toward their work. What draws each of them to the practice of medicine? How are they affected, emotionally and otherwise, by the work they do? 3. Marion observes that in Ethiopia, patients assume that //all// illnesses are fatal and that death is expected, but in America, news of having a fatal illness “always seemed to come as a surprise, as if we took it for granted that we were immortal” (p. 396). What other important differences does //Cutting for Stone// reveal about the way illness is viewed and treated in Ethiopia and in the United States? To what extent are these differences reflected in the split between poor hospitals, like the one in the Bronx where Marion works, and rich hospitals like the one in Boston where his father works? 4. In the novel, Thomas Stone asks, “What treatment in an emergency is administered by ear?” The correct answer is “Words of comfort.” How does this moment encapsulate the book's surprising take on medicine? Have your experiences with doctors and hospitals held this to be true? Why or why not? What does //Cutting for Stone// tell us about the roles of compassion, faith, and hope in medicine? 5. There are a number of dramatic scenes on operating tables in //Cutting for Stone:// the twins' births, Thomas Stone amputating his own finger, Ghosh untwisting Colonel Mebratu's volvulus, the liver transplant, etc. How does Verghese use medical detail to create tension and surprise? What do his depictions of dramatic surgeries share with film and television hospital dramas-and yet how are they different? 6. Marion suffers a series of painful betrayals-by his father, by Shiva, and by Genet. To what degree is he able, by the end of the novel, to forgive them? 7. To what extent does the story of Thomas Stone's childhood soften Marion's judgment of him? How does Thomas's suffering as a child, the illness of his parents, and his own illness help to explain why he abandons Shiva and Marion at their birth? How should Thomas finally be judged? 8. In what important ways does Marion come to resemble his father, although he grows up without him? How does Marion grow and change over the course of the novel? 9. A passionate, unique love affair sets //Cutting for Stone// in motion, and yet this romance remains a mystery-even to the key players-until the very conclusion of the novel. How does the relationship between Sister Mary Joseph Praise and Thomas Stone affect the lives of Shiva and Marion, Hema and Ghosh, Matron and everyone else at Missing? What do you think Verghese is trying to say about the nature of love and loss? 10. What do Hema, Matron, Rosina, Sister Mary Joseph Praise, Genet, and Tsige-as well as the many women who come to Missing seeking medical treatment-reveal about what life is like for women in Ethiopia? 11. Addis Ababa is at once a cosmopolitan city thrumming with life and the center of a dictatorship rife with conflict. How do the influences of Ethiopia's various rulers-England, Italy, Emperor Selassie-reveal themselves in day-to-day life? How does growing up there affect Marion's and Shiva's worldviews? 12. As Ghosh nears death, Marion comments that the man who raised him had no worries or regrets, that “there was no restitution he needed to make, no moment he failed to seize” (p. 346). What is the key to Ghosh's contentment? What makes him such a good father, doctor, and teacher? What wisdom does he impart to Marion? 13. Although it's also a play on the surname of the characters, the title //Cutting for Stone// comes from a line in the Hippocratic Oath: “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.” Verghese has said that this line comes from ancient times, when bladder stones were epidemic and painful: “There were itinerant stone cutters-lithologists-who could cut into either the bladder or the perineum and get the stone out, but because they cleaned the knife by wiping their blood-stiffened surgical aprons, patients usually died of infection the next day.” How does this line resonate for the doctors in the novel? 14. Almost all of the characters in //Cutting for Stone// are living in some sort of exile, self-imposed or forced, from their home country-Hema and Ghosh from India, Marion from Ethiopia, Thomas from India and then Ethiopia. Verghese is of Indian descent but was born and raised in Ethiopia, went to medical school in India, and has lived and worked in the United States for many years. What do you think this novel says about exile and the immigrant experience? How does exile change these characters, and what do they find themselves missing the most about home? (//Questions issued by publisher//.)