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East of the Mountains

Posted by admin | Posted in Colorectal Surgery | Posted on 18-08-2010

5

  • Columbia Basin
  • Washington
  • Snow Falling on Ceders
  • Novel

Product Description
It is mid-October, 1997, harvest time in the Columbia Basin of central Washington state, a rich apple- and pear-growing region. Ben Givens, recently widowed, is a retired heart surgeon, once admired for his steadiness of hand, his precision, his endurance. He has terminal colon cancer. While Ben does not readily accept defeat, he is determined to avoid suffering rather than engage it. And so, accompanied by his two hunting dogs, he sets out through the mythic American West-sage deserts, yawning canyons, dusty ranches, vast orchards-on his last hunt. The main issues for Ben as a doctor had been tactical and so it would be with his death. But he hadn’t considered the persuasiveness of memory-the promise he made to his wife Rachel, the love of his life, during World War II. Or life’s mystery. On his journey he meets a young couple who are “forever,” a drifter offering left-handed advice that might lessen the pain, a veterinarian with a touch only a heart surgeon would recognize, a rancher bent on destruction, a migrant worker who tests Ben’s ability to understand. And just when he thinks there is no turning back, nothing to lose that wasn’t lost, his power of intervention is called upon and his very identity tested. Full of humanity, passion, and moral honesty, East of the Mountains is a bold and beautiful novel of personal discovery.Amazon.com Review
David Guterson’s first novel, Snow Falling on Cedars, was a true ensemble piece, in which even a high-stakes murder trial seemed like a judgment passed on the community at large. In his eloquent second novel, however, the author swings dramatically in the opposite direction. East of the Mountains is the tale of a solitary, 73-year-old Seattle widower. A retired heart surgeon, Ben Givens is an old hand at turning isolation to his advantage, both professionally and personally: “When everything human was erased from existence except that narrow antiseptic window through which another’s heart could be manipulated–few were as adroit as Dr. Givens.”

Now, however, Ben has been dealt a problem entirely beyond his powers of manipulation: a diagnosis of terminal cancer. With just a few months to live, he sets out across the Cascades for a hunting trip, planning to take his own life once he reaches the high desert. A car crash en route puts an initial crimp in this suicide mission. But the ailing surgeon presses onward–and begins a simultaneous journey into the past. Between present-tense episodes, which demonstrate Ben’s cranky commitment to his own extinction, we learn about his boyhood in Washington’s apple country, his traumatic war experience in the Italian Alps, and the beginning of his vocation.

Guterson narrates the apple-scented idyll of Ben’s childhood in a typically low-key manner–and orchards, of course, are seldom the stuff of melodrama. Still, many of his ambling sentences offer miniature lessons in patience and perception: “They rode back all day to the Columbia, traversed it on the Colockum Ferry, and at dusk came into their orchard tired, on empty stomachs, their hats tipped back, to walk the horses between the rows of trees in a silent kind of processional, and Aidan ran his hands over limbs as he passed them with his horse behind him, the limbs trembling in the wake of his passing, and on, then, to the barn.” The wartime episodes, however, are less satisfactory. Clearly Guterson has done his research down to the last stray bullet, but there’s a second-hand feeling to the material, which seems less a token of Ben’s detachment than the author’s.

There is, alas, an additional problem. Begin a story with a planned suicide, and there are exactly two possible outcomes. It would be unfair to reveal Ben’s fate. But as the forces of life and death yank him one way, then another, Guterson tends to stack the deck–particularly during a bus ride toward the end of the novel, when Ben’s fellow passengers appear to have wandered in from a Frank Capra film. Yet East of the Mountains remains a beautifully imagined work, in which the landscape reflects both Ben’s desperation and his intermittent delight. And Guterson knows from the start what his protagonist learns in painful increments: that “a neat, uncomplicated end” doesn’t exist on either side of the mountains. –James Marcus

East of the Mountains

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Comments (5)

When in the first five pages there were three references to slaughtering birds for fun, I knew I was in trouble with this book. When I was told by page three the main character was going to die in the end, I had to ask myself why I should read a book to get depressed. I have never read a more negative opening to a book in my life. Maybe the ending was good, but if I have to wade through the mysery of animals being continually shot plus a man’s suicide to get there, forget it. The primary function of a novel is to entertain and this one does the opposite. Yes, I want to learn something, too, but if I have to be sickened while doing it, it’s not worth it.
Rating: 1 / 5

There are a lot of novels like this around these days: healthy, harmless, well-meaning novels by old people who don’t really have the gift, didn’t burn hot enough to become writers while they were young but manage to squeeze out one novel in their old age. You know the novels I mean: Cold Mountain. Shipping News. Snow Falling on Cedars. Often they’re set in the Pacific Northwest, where all the nice white people fled when the rest of the US got too piebald and bloody. These novels often do very well, because they appeal to a big demographic bulge: boomers past their prime, eager to find their bland, diminishing lives gilded with meaning and solemnity they don’t really possess.

East of the Mountains is that kind of novel. It’s a follow-up effort by David Guterson, who wrote Snow Falling on Cedars. It has the same humorless solemnity of Cedars–or at least it attempts to continue that tone. In fact, East of the Mountains is very funny, albeit unintentionally so. The plot is a classic: an old man, a tall proud successful Seattle heart surgeon who’s got terminal colon cancer, decides to kill himself in a fake hunting accident. But on his way from Seattle to that final Happy Hunting Ground in eastern Washington, he crashes his car, meets a series of people–oh yes, people both good and bad, young and old, rich and poor, stupid and stupid–and then he helps deliver a baby, and it’s a big moment for him because it like shows how life goes on, you know? And naturally he realizes that life is too precious to be surrendered so easily. We leave him, at the end of the novel, no longer thinking of suicide, instead committed to enduring nine months of agonizing pain that will end in certain death.

Now that’s funny. But Guterson, who possesses that perfect earnestness one often finds in provincial literary folk, doesn’t seem to have any sense of the sheer Ed Wood comedy of the trite and silly plot he’s employing. Like most American workshop writers, he’s read far too much Hemingway and learned to confuse flat, pompous monotony with toughmindedness. He writes in Hemingway’s terse, hard style; but Hemingway could do that because he was, at least in his early career, a very strange mind whose telegraphic syntax seemed to be holding terror and chaos barely in check. When middle-of-the-road disciples like Guterson try to attain this tone, they always end up reproducing the comic earnestness of the late Hemingway–the tone of works like The Old Man and the Sea, bombastic self-praise that would’ve made Whitman himself blush. In fact, East of the Mountains is very like Old Man and the Sea in its plot, as well as its style. In both novels, an aged hero confronts his waning powers and finds triumph in overcoming them, etc.

Guterson’s failed attempt at Hemingway-like hardness shows up in the first paragraph of East of the Mountains:

“On the night he had appointed his last among the living, Dr. Ben Givens did not dream, for his sleep was restless and visited by phantoms who guarded the portals to the world of dreams by speaking relentlessly of this world. They spoke of his wife–now dead–and of his daughter, of silent canyons where he had hunted birds, of august peaks he had once ascended, of apples newly plucked from trees, and of vineyards in the foothills of the Appenines. They spoke of rows of campanino apples near Monte della Torraccia; they spoke of cherry trees on river slopes and of pear blossoms in May sunlight. Now on the roof tiles and against his windows a vast Seattle rain fell ceaselessly, as if to remind him that memories are illusions; the din of its beating against the world was in perfect harmony with his insomnia. Dr. Givens shrugged off his past to devote himself to the rain’s steady cadence, but no dreams, no deliverance, came to him. Instead he only adjusted his legs–his bladder felt distressingly full–and lay tormented by the fact that he was dying–dying of colon cancer.”

They spoke of Spokane… huh? Oh, sorry–musta dozed off there for a moment. Where were we? Right, right: we were looking at the first paragraph of this potboiler. Whoo-boy, now there’s a first paragraph for you! Remember those novels that Snoopy used to try to write? “It was a dark and stormy night… “

Somebody must’ve told poor Guterson that you have to grab the reader by the colon in your very first sentence. In that first clause, we learn that our hero is about to die. By the end of the first paragraph we learn that our hero is a doctor, a widower, with one daughter, and that he has hunted birds (all middlebrow heroes must participate in some form of blood sport, if only that they can renounce it at the moment of epiphany), that he climbs mountains and lives in Seattle, that he’s been to Italy… in short, he’s just the hippest dying elderly doctor who ever topped off for a pound of Kenyan Blend at the Starbuck’s across from U Dub.

If only Guterson had any deftness, he might have passed all this expository background on to the reader a bit more slowly and smoothly. Instead he writes like a first-year English major, signposting like crazy, providing every single detail of the entire plot in the very beginning, no matter how this warps his sentences. Look at the last sentence of his paragraph; Guterson stops in the middle of the final sentence to update us on the state of his doctor-hero’s bladder, then goes on to tell us the good doctor’s dying… and then, just to be specific, adds, “–dying of colon cancer.” It reminds me of one of Thurber’s anecdotes about his college writing course, in which one farmboy-student, acting on his instructor’s advice to grab the reader at the very start, began his next story with the sentence, “‘Hell!’ said the Duchess.”

It’s bad, but somehow it doesn’t upset me the way other bad writing does. There’s something almost endearing about this dreadfully earnest novel–it has the off-kilter tenderness of a truly bad primitive painting. You just know, after that first paragraph, that the good doctor is going to have a series of Scrooge-like epiphanic encounters which will teach him that he oughtn’t to blow his head off with his heirloom shotgun. The characters he meets are pretty standard: a lovey-dovey young couple; a Hispanic farmworker who needs medical attention; a mean rancher; a lonely trucker… did I leave anybody out? Oh yeah: the Ghost of Christmas Past. No, wait–that’s another epiphany entirely. My mistake. But to tell you the truth, I wouldn’t've been at all surprised if Dr. Givens had run into Bob Cratchit or Ebenezer Scrooge out there on the sagebrush desert. The good doctor couldn’t hardly stir without some cardboard character popping up to teach some moral lesson. In the Naked Gun version of this novel–and the novel is damn close to being a parody of itself already–in the Leslie Nielsen version, the doctor would flee back to Seattle and prepare to endure his long agony out of sheer frustration at not being able to find a quiet spot out there in the sagebrush to swallow that shotgun. He’d head back to the big city just for the sheer peace and quiet.

In the end, it was Cobain–the only real literary talent in all of King County–who put the barrel in his mouth and punctuated himself. Only the good die young. The bad–and Guterson is a comically bad writer–go on and on, squeezing foolish moral tales out of their obstructed bowels long after the cancer should have silenced them.
Rating: 1 / 5

I picked up East of the Mountain, David Guterson’s new novel, in anticipation of the fine writing style and clear, compassionate point of view that I so loved in his first novel, Snow Falling on Cedars. Disappointingly, I discovered that while the novel is beautifully written, I found the point of view neither clearly thought out nor compassionate. I wonder if Mr. Guterson has any personal experience with cancer. It is a novel flawed by outdated theories about cancer and suicide. The main character , Dr. Ben Givens, of the western “medical establishment”, believes there is no hope for his condition. He considers suicide and then in the end rejects it although he faces nine horrendous months of pain before death. He is locked into a “western” medical reality. In this reality there are no options available to him, he is advised in the end of the book to go home to die and have his daughter take care of his final days. . What is missing, is that today , cancer patients have a lot of choices for effective alternative care taking advantage of both western and eastern medicine. From acupuncture to chinese herbs there are many ways for cancer patients to free themselves of pain, relieve the debilitating aspects of chemotherapy, and often effect cures or long-term remissions. Patients that are told by western doctors “you have x months to go…” are living years and decades longer after rejecting this reality and opting for other forms of treatment.

These ideas are no longer on the fringe of the medical community. The popularity of clinics like Dr. Andrew Weil’s and the institution of alternative care resources in some of our largest cancer centers, point to a wave of frustration sweeping across this country with the “traditional” point of view.

Finally, if the patient exhausts all other methods for maintaining quality of life, and is not improving, then suicide should be considered. And why not? Being able to “survive” 9 months of agony is not a strength. Making hard choices about quality of life is. It doesn’t benefit anyone for the cancer patient to spend the final days of his/her life so high on pain killers that pain is all that is left for him/her to comprehend.

So while, I still love David Guterson’s writing for its style and craft. I find that his view point in this novel is not only flawed, but potentially harmful. People may read this book who could have been helped by alternative care and would never have known there were other options available besides suicide, when all was said and done.
Rating: 1 / 5

The premise of this novel seemed interesting and the author garnered a slew of accolades for Snow Falling on Cedars (though I haven’t read that work). Based on the above I thought I’d give this a try. Unfortunately I found it a poor effort. The writing is uninspiring and the plot unimaginative. If Cedars was as good as the ratings indicate, Guterson either rushed this, or resurrected something he’d written before he developed his talent and had wisely stored away on a closet shelf, forgotten. With his Cedars’ success, he pulled it out to foist on an unsuspecting public. Either that, or he and his publisher mimiced his East of the Mountains’ character, Ben Givens, and were smoking dupe. I made it through 200 pages and skimmed the rest. Take my advice and skip the whole thing.
Rating: 1 / 5

If this book were a news headline, I imagine it would be “Doctor Turned Pothead.” It was most unbelievable to me that Ben Givens would smoke dope, hitchhike, & go to such extremes to kill himself. If he’s going do suicide, why worry about whether his body will be discovered in a week or two weeks? This seemed contrived to launch us on the journey east of the mountains. I didn’t relate to his internal struggle. Guterson’s injects a string of characters that have little significance to Ben; so why should we care? Even at the end, he meets Bea who knew him as a boy and drives him home; so? At one point, I thought this would be a feel-good book where the doctor learns that even though he’s struggling with cancer, he can still live each day and give to those around him. That point seemed to have eluded Ben. Instead, he returns home too sick to die at his own hand. The most interesting character was Rex the dog who is wild chasing the wolves and then struggles with his injuries. Perhaps if the story were told through the dog’s point of view, it would have been more original. I enjoyed the ending more than the beginning. Overall, it didn’t grab me. I thought the author had to write a book rather than had something to say. Taxi!
Rating: 2 / 5

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