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Book Summary InformationAuthor: Aleksandr Solzhenitsyn Translator: Nicholas Bethell Translator: David F. Burg Edition: Paperback Audio: English (Unknown); English (Original Language); English (Published) Published: 1991-11-01 ISBN: 0374511993 Number of pages: 560 Publisher: Farrar, Straus and Giroux
Book Reviews of Cancer WardBook Review: Thinking about health care Summary: 5 Stars
The forward explains how the writer was treated in Tashkent for cancer while serving a sentence of forced labor exile. Post World War II Tashkent was cosmopolitan. The story takes place in February and March 1955 in a city like Tashkent. By then Stalin had died, Beria had been executed, and Malenkov had fallen from office.
The number of the cancer ward is thirteen. An official is to be treated for a tumor at the hospital. He resents the squalor of his surroundings. He consents, nonetheless, to undergo treatments. Dr. Dontsova has three residents. They call her Mama.
The bureaucracy insists that Dontsova dismiss indeterminate cases, cases where there is no improvement. Dontsova is troubled herself by stomach pains. Guilt she feels, though, is triggered by the existence of radiation sickness since she is an oncologist and radiologist. She cleans and shops and cooks for her family consisting of her husband and son.
One evening the male patients have an argument about moral perfectionism. It is claimed that Gorky, Stalin, and Lenin all thought that Tolstoy's doctrine was dangerous. Continuing their discussion, the male cancer patients are happy to think of traditional peasant remedies. Illness levels. The functionary and the exile are similarly situated.
Sickness provides respite from work and citizenly duties. Centers for treatment draw a cosmopolitan mix of people. Many people had lives interrupted in war service. Fairly detailed descriptions of the soviet medical system are given. Shortages of cleaning rags and other dysfunctions are common. Attempts to rationalize procedures and safeguard limited resources slow progress and create inefficiencies.
Oleg Filimonovich Kostoglotov, one of the points through which consciousness flows in the novel, resides in Ush-Terek, a virgin lands territory, and is a topographer but works as a land surveyor. The Ministry of Internal Affairs required that he live there. He was administratively exiled.
Pavel Nikolayevich Rusanov, the official being treated, strives to be optimistic as Gorky couseled. He looks forward to the visits of his wife, Kapitolina Matveyena. At first a geologist, Vadim, thought that Oleg Kostoglotov was a rude loud-mouth. (Vadim was collected, proud, and polite.) He saw that Rusanov was a standard sort of bureaucrat. Later Vadim discovered that Oleg was not arrogant. In fact, he was even generous.
Oleg discovered that after the world of the camps, exile could not be cruel. He was thirty-four and now too old too obtain a university education. He felt he could be content in exile if only he had his health. Oleg's good friends in Ush-Terek were a pediatrician and his wife. Oleg admired the chief surgeon at the facility. He had worked in the camps. Oleg picked up this piece of biography through the surgeon's choice of words. Oleg accused Rusanov of not being patriotic, of not having a love for country, but rather of wanting a fat pension.
Someone cites a writing of Lenin that an official should be paid a wage equal to the amount paid to a good worker. An older man tells Oleg that with his history he is fortunate since he has had to lie less. The man, a scientist, had been forced to follow the faulty teachings of Lysenko.
Dontsova had dealt with the ailments of other for thirty years. Now she has been diagnosed. She is to take sick leave and proceed to the Moscow Institute She makes her final rounds. Rusanov is released. He believes that he is cured. Oleg is discharged to recover from the treatment and to return to Ush-Terek. This is a masterpiece.
Summary of Cancer WardCancer Ward examines the relationship of a group of people in the cancer ward of a provincial Soviet hospital in 1955, two years after Stalin's death. We see them under normal circumstances, and also reexamined at the eleventh hour of illness. Together they represent a remarkable cross-section of contemporary Russian characters and attitudes. The experiences of the central character, Oleg Kostoglotov, closely reflect the author's own: Solzhenitsyn himself became a patient in a cancer ward in the mid-1950s, on his release from a labor camp, and later recovered. Translated by Nicholas Bethell and David Burg.
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