Cutting for Stone Discussion Question #1

321 views
Skip to first unread message

Jed Miller

unread,
Jul 8, 2014, 3:20:49 PM7/8/14
to dhs-ap-lite...@googlegroups.com
Okay, guys. Below is our first discussion question for Cutting for Stone. My expectation is that you will have read the first three parts of the book before entering into our discussion. I also want you responding to what other people have written about the topic. That is why on the last assignment I wanted you to read the previous 5-10 posts before you wrote yours. You should directly address what other people have said in a positive fashion. I want you to look for what you agree with first before you begin disagreeing with others' interpretations of the text. That does not mean that you will all just say the same thing, but you should validate the thoughts of others before you present your own.

Due Date: July 27 12:00 am
Length Requirement: 300 words

Discussion Question:

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?
Message has been deleted
Message has been deleted

Sophia O'Neal

unread,
Jul 17, 2014, 9:29:08 PM7/17/14
to dhs-ap-lite...@googlegroups.com

Abraham Verghese frequently utilizes surgical language within his novel, Cutting for Stone. Verghese’s medical jargon is not lost entirely on the readers, however, because the complexity and mystery creates vivid imagery for the reader to discover. Common knowledge allows readers to know the severity of certain surgeries, so particular operations, such as Thomas Stone’s self performed finger amputation, are not misconceived to be more serious than the injury is.

The chaos and suspense of Sister Mary Joseph Praise’s death is created by the elaborate and panicked terms that fill the air as Dr. Stone and Hema try to save her life. Obviously, not having a medical degree, these words still leave readers with a glimmer of hope; the hope that despite its certainty, Sister will live. This same feeling is experienced in film and television hospital dramas. That hunch in the back of the viewer’s mind that this person will live, even when death seems imminent. The pandemonium that lives, breathes, and thrives in the hospital room is often so grievous that viewers refuse to believe the death grip it holds.

Several times I found myself resorting to dictionaries to make sense of the commotion taking place in Missing Hospital’s Operating Theatre 3. In the case of Ghosh untwisting General Mebratu’s volvulus, I kept my computer by my side, ready to translate vernacular I did not understand. The difference between medical based literature and entertainment is greatly based on imagery. Entertainment gives leeway for laziness in imagination. 300 cc’s of an intravenous fluid can be witnessed in its proper use in a film; whereas literature forces readers to use imagination and create mental images of surgical scenes.

Verghese’s striking use of medical terminology throughout Cutting for Stone leaves readers on the edge of their seats, comparable to film and television hospital dramas. Although artistry is more apparent and available in film, through words or actions, everyone is awaiting the final outcome: life or death.

carissa garrity

unread,
Jul 18, 2014, 7:42:57 PM7/18/14
to dhs-ap-lite...@googlegroups.com

Throughout the novel, Verghese talks of multiple surgeries. During each surgery, I was asking myself, “What would happen next?”  I found that each surgery that Verghese described had one thing in common: the possibility of death. Like Sophia stated “Obviously, not having a medical degree…” we don’t always understand the terminology that the author uses but because of Hema and Dr.Stone frantically trying to save Sister Mary during the twins’ birth, it created tension and panic through the reader. “The chaos and suspense… try to save her life.” (Sophia)

Like Sophia has stated, just like in hospital TV dramas we get the feeling that this person will live even when the facts seem to prove likewise. However, I don’t think that the reason why the readers and viewers refuse to accept the person’s death is because of the “grievous feeling in the room.” Instead I think it is because of the medical terminology that you hear from the doctors yelling back and forth. Like Sophia stated earlier “these words still leave readers with a glimmer of hope.” But how? By not understanding the terminology the doctors are yelling back and forth provides you with hope because it forces the reader to trust the doctors of their knowledge that they can provide a better chance of that person surviving.

Like Sophia has stated, hospital TV dramas give the imagery of the scene to you already whereas when you read literature you are forced to create your own imagery. However, I have also noticed that in most hospital TV dramas that most of the patients that are operated on are random patients that aren’t already characters in the show. In Cutting for Stone I noticed that the patients that were operated on, were characters that we already had background on. For example, on the TV show Grey’s Anatomy, I found that most of the patients that were operated on were random and rather explained the emotional connection the doctor and the patient had after the patient had already gone through surgery rather than giving background of the patient.

The uplifting use of medical terminology throughout Cutting for Stone and hospital TV dramas keeps the audience hopeful and on their feet on the outcome of the surgery despite who is the patient. Even if the audience hopes that the patient will survive, despite the facts proving they won’t, we still rebel against the suspense almost certain that they will survive so there is a good ending.

Nikki Torres

unread,
Jul 19, 2014, 10:50:34 PM7/19/14
to dhs-ap-lite...@googlegroups.com

Although Verghese uses medical terms and adjectives to describe and explain each medical catastrophe, I believe the real tension and suspense flourishes in our confusion and inability to relate. We are given foreign words and from there we must elaborate. Each scene collecting clues from the doctors behavior and what ever definition we can find on Dictionary.com. This ignorance has both challenged and degbelieve that Verghese intended on the readers to not fully understanding his medical detail so that we would continue to have hope. Even though Sister Mary Joseph Praise was said to be lying “lifeless on the table… lips drained of all color” (99) the appearance of Hema gave way to a possibility of life. As Hema begins to operate she talks of “placenta previa” and a pressure of “sixty by palpation” (103). Just as Sophia said all her discoveries and medical terms just lead me to believe she knew what she was doing and that Sister was going to be saved. Even though I have been through these confusing operation situations over and over again I have not learned to be realistic with the matters at hand. The confusion has just led to more hope and surprises, which have kept me on my toes throughout the book.

            This confusion theme is again represented in shows and other hospital dramas such as Grey’s Anatomy. Like Carissa suggested the medical terms and tools used in operations keeps us unaware of the realty. I do not have a PhD or have a medical back round, therefore I am ignorant to the practicality of the patients condition. I am left to assume and predict the severity.

            Although the Cutting For Stone drama is much different because the Missing Hospital is not located in Seattle during the 20th century. I think what makes Cutting For Stone such an interesting hospital drama is the location and time period. Each operation is not challenged by the doctor’s ability but the lack of supplies, and the location. Being in a country such as Ethiopia raises its own set of barriers with the mixture of cultural beliefs, languages, and the poverty. In each and every surgery there was a foreign element, from the lack of blood supply, to the rarity of disease to even the cultural boundaries. For example in Genets deal with Rosina, Hema had to strive to save Genet with a case that she had only experienced on one other occasion. She was struck with both inexperience and emotional stress that complicated the surgery.

             

Natalya Royuela

unread,
Jul 20, 2014, 2:08:10 PM7/20/14
to dhs-ap-lite...@googlegroups.com

In chapter 7 of Cutting for Stone, Verghese cleverly titles the chapter “Fetor Terribillus” meaning terrible smell. This leads readers to believe something dreadful will most likely occur or at the very least this term will have significant meaning and ultimately drive the direction in which the story will go on. Verghese’s astute use of medical literacy gives these strenuous medical procedures much more drama and it gave me personally, more incentive to decipher what each of these terms meant on a deeper level.

Upon entering the operating room Hema recalls the amount of blood on the floor and seeing the medical instruments lying all around and even on top of the patient. Seeing that Missings top surgeon, Thomas Stone looking rather defeated and worn down and appearing to not have any sense on what should be done next only made the situation much worse. This is very contrary when comparing to seeing surgeons on a reality television program who are always sure to appear as competent leaders and knowing of what should be done in a crisis. As Hema carefully takes over what Stone has started she finds herself in utter disbelief at the damage he has caused and is astounded to find that the probationers have done nothing to try and save Sister Mary Joseph Praise. At this point Hema has put all fear aside as to what may happen to Sister Praise and gets to work on trying to save her. This scene is so very different from a reality hospital drama because of the immense severity of the situation and how there was an apparent shortage of surgeons available in Missing. With so much pressure on Stone to perform well and save those who come to his aide, he finds that he is unsure of what he should do when discovering that his one true love Sister Praise is pregnant. This is a heavy burden for Stone to bear because even though it is not mentioned to the reader at that point in time, his love is bearing his children. 

Natalya Royuela

unread,
Jul 20, 2014, 2:24:05 PM7/20/14
to dhs-ap-lite...@googlegroups.com
Abraham Verghese has left an impact within his novel, Cutting for Stone. As Sophia stated previously, "Verghese's medical jargon is not lost entirely on the readers...... because the complexity and mystery creates vivid imagery for the reader to discover." This leaves us readers to reflect and ask ourselves 'What's going to happen next?' like Carissa expressed frequently throughout the novel. It is hard to understand why such medical calamities occur in such a manner and why it happens to 'the good guy' in this case, Sister Mary Joseph Praise, but I think the author chooses such characters to make one sit back and think about the rather positive impact that this character left behind and how in their absence, they will never be forgotten. 


On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:

mollie myers

unread,
Jul 22, 2014, 12:23:16 AM7/22/14
to dhs-ap-lite...@googlegroups.com
     Almost from the very beginning of my readings, I saw  strong similarities between Cutting for Stone and television dramas. Especially those considered soap operas. There are multiple story lines converging together, dramatic cliff hangers, and quick changes in personality. The fact that events occur in a hospital with life or death situations makes it all the more dramatic. Another reason why I am more inclined to relate this story to that of a soap opera is that, as Carissa pointed out, we know the patients. In shows like House or Grey's Anatomy, patients come and go. Some leave breathing; others aren't so lucky. In a soap opera- weather a hospital drama like General Hospital or a series like Days of Our Lives where characters are dramatically injured and wind up in a hospital- there is often a strong emotional connection between viewer and patient. We now know their backstories and loved ones. We know who will be heart broken if they are lost and that we will have to experience the mourning process along side them. In other words, We care much more about Mr. Main Character than the new guy with a funny name and odd disease.
     I believe this was very intentional on Verghese's behalf. He wanted us to know Sister Mary and those she was loved by. It's this personal knowledge of the character that gives us that, "glimmer of hope" that Sophia mentioned. The confusion in midst of foreign medical terms certainly adds to our hope, but I think it's mainly our thought that, 'Sister is so important to Missing and especially to Stone, Verghese just can't kill her off". So when her death ensues, it has a greater effect on the reader and can also play a greater role throughout the story. 
     However, there are also differences between Cutting for Stone and a soap opera besides the choice of media. As a book, I see dramatic events as more natural. Thoughts and dialogue have the ability  to be separate and which allows Verghese to avoid overly dramatic monologues that don't often occur in real life. It also allows you to take your time acclimating to a situation instead of overloading the senses all at once, allowing you to really analyze what is happening. We are able to view the character and events as more realistic and relatable. This is often the reason why I prefer reading to watching a story. 

Joshua Thompson

unread,
Jul 22, 2014, 12:59:38 AM7/22/14
to dhs-ap-lite...@googlegroups.com

Cutting For Stone, written by Abraham Verghese, is definitely a medical based drama novel in which the characters constantly have to overcome new challenges. Just as Nikki said, these challenges can be because of lack of supplies or (unlike Nikki) due to lack of experience. The author does a great job of using these challenges through medical emergencies to create tension and surprise in the time of the event and even some excitement because you don’t really know what’s going to happen next. The way the author prevents you from knowing is by heavily using complicated medical terms that the average reader wouldn't understand. This forces the reader to assume what is going on, or (just as Nikki and Sophia said) hope for the best outcome.

A perfect example is at the end of the book when Marion is diagnosed with acute Hepatitis B. When Marion is in the ICU and Hema first arrives from Africa, Thomas Stone updates her on the situation with hefty medical terms such as “Hepatic coma… fulminant Hepatitis… intracranial pressure monitor” (609). Although the reader is completely unknowing of what these terms mean, the only thing they can do is assume the worst and hope for the best.

                These events are similar with those on film and television hospital dramas in that they all involve very technical medical terms that leave the audience completely unknowing of the actual situation at hand. As said before, the only thing the audience can do is hope for the best and read the reactions of the characters based on the news that is given.

                Although the novel is very similar with film and television hospital dramas, just as Nikki stated, the fact that Cutting For Stone is a book, gives it some limitations in scenery as opposed to something you can actually see on television. When someone is watching a television drama, even without hearing the news, the audience can see that the news is bad from the reaction of the person receiving the news. This doesn't happen in books because the reader has to imagine the scene and use previous knowledge to assess what is going on in the book. If the reader doesn't pay close attention to the reactions of the characters, some details will be missed and they could possible miss a major part of the story.

katie mackenzie

unread,
Jul 22, 2014, 1:54:39 AM7/22/14
to dhs-ap-lite...@googlegroups.com

In Cutting For Stone Abraham Verghese creates tension and drama in Operating Theatre 3 by using medical language to make the situation of life or death seem more intense. Just as Nikki and others said, our knowledge of medical issues does not stretch as far as the difficult situations occurring in this novel. Therefore we do not know of the severity of the case, and either life or death seems possible. Every time I gave up hope, such as when Sister Mary Joseph was in labor, Verghese somehow finds a way to always bring back the hope like having Hema arrive just in time to deliver the babies. This theme reappears when just as Missing was about to close because of Thomas Stone’s disappearance, Ghosh stepped up and successfully untwisted the colonel’s Mebratu’s volvulus creating optimism among the hospital.

This life or death suspense is also apparent in TV dramas such as Scrubs. Just as Josh and Carissa said the audience is unknowing of the outcome and will hope for the best as dramas often have a happy ending but sometimes shock the viewer with an unfortunate twist. In scrubs a situation very similar to Sister Mary Josephs happens when a brother of the main character becomes sick and has no hope. Then with a miracle he becomes less ill, just as there is newfound hope when Hema arrives. Unfortunately in both Scrubs and Cutting For Stone the writer needs to keep the tension and neither characters survives despite the revival of hope.

Just as Carissa was saying a major difference in TV dramas and Cutting for stone is that the characters affected in TV dramas are often random patients chosen to be unmemorable. Once the new episode airs the next week the viewer has forgotten all about the poor patients who passed away in the latest episode. In Cutting For Stone the death of Sister Mary Joseph and the unordinary birth of the twins greatly affects the plot of the story.  

Abraham Verghese creates tension by using medical language and the suspense of life or death similar to TV dramas, but also relates the scenes in the operating room to the plot line. 

Megan Campbell

unread,
Jul 24, 2014, 3:57:11 PM7/24/14
to dhs-ap-lite...@googlegroups.com

Abraham Verghese uses medical detail paired with figurative language to create tension and surprise in the many dramatic surgery scenes.  The long surgery scenes need medical detail to create an accurate picture of what is happening.  However, if medical detail alone was used, it could sound as dry and boring as a textbook.  What truly brings the tension to the surgery scenes is the mixture of medical terms and figurative language paired together.  A reader may have no clue what a colon is, but when it is swollen to “Hindenburg proportions” and Ghosh is being as careful with it as a “sapper defusing a bomb” any one can tell the patient is in danger and the procedure takes extreme skill.  In this scene and all the others, it is the careful placement of figurative language that allows even readers with little medical knowledge to experience the tension of the situation. 

As both Katie and Carissa said, one of the great differences between Cutting for Stone and a medical drama is the patients.  In Cutting for Stone, each patient is carefully developed, so that by the end of the operation, the reader is attached to them.  However, in medical dramas, patients come and go without leaving a great difference on the story .  In both Cutting for Stone, and a TV series, the greatest amount of tension is when a main character or a well known character is under the knife.

  As Josh said, reading the book can in some ways limit the imagination.  While watching a medical drama, all the scenery, emotions, and everything else is right in front of your eyes.  With a book, multiple readings can create a picture, but it is slower, and sometimes can still not create the same picture that is given on a TV screen.

Many people have stated outright or implied that the author placed the large amount of medical terms to leave the reader unaware of the situation.  This creates tension in the book because little is known about the outcome, and the reader naturally hopes that everything will be all right.  I disagree with this idea.  Abraham Verghese is a professor at Stanford’s medical school.  He would be used to explaining surgeries clearly in the same medical terms he uses in his novel.  If he had truly wanted to leave the reader unaware of what was happening, he could easily created new words that would leave any reader clueless as to the seriousness of the situation. 

 

 

Jillian Raycraft

unread,
Jul 24, 2014, 6:47:50 PM7/24/14
to dhs-ap-lite...@googlegroups.com

Before even beginning chapter one of Cutting for Stone, the reader is given the knowledge that the author, Abraham Verghese, is highly developed in the field of medicine, implementing his expertise throughout the novel. In reading my fellow classmates’ responses, such as Miss Torres’, in particular, she carries an outlook behind Verghese’s attempts to create tension and surprise, which I would have to agree with. In reading, I believe that the author uses such detail about medicine with the intension of his medical jargon to have a somewhat familiar yet unfamiliar meaning with it, establishing this tension for the readers.  Meaning that the terms or at least part of them used, may ring a bell to some of the readers but the entire meaning may still be unknown, leaving the reader with “confusion and the inability to relate” (Nikki). In a reader’s confusion, they have the tendency to grasp on to any idea they do understand and from that point on they use their imaginations to create their own depiction of the rest of the situation and its potential outcome. By the reader having to make assumptions about these medical situations, it opens up the possibilities beyond what the reader already knows and allows them to apply their knowledge from what they’ve just read, to create a situation of “what if.”

 In another stance, these medical operations that are in Cutting for Stone, take a relation and a separation to what we can view everyday on TV and film. In dramas and medical series, we are given straight forward what is going on because the show depicts what is happening, how we should feel, and the ending result of the patient. We can relate a TV drama medical show to a portion of Cutting for Stone because of the possible hope and desire a viewer and a reader can have for a better outcome.  

Brittany Cordell

unread,
Jul 24, 2014, 6:49:03 PM7/24/14
to dhs-ap-lite...@googlegroups.com

Given the fact that Abraham Verghese is a professor in the school of medicine at Stanford University, it only makes sense that his book would center around the world of medicine while his fictional story of Marion and Shiva Stone unfolds. Throughout the story, we as readers are on the edge of our seats, left to imagine and create images of the situations that are happening as we read along with the either complex or somewhat relatable medical terminology that Verghese uses.

Like Nikki mentions, there is a tension within and suspension that we carry as readers because of our inability to relate to the unknown and complex language carried that we must elaborate on what we don’t know. It is because we don’t know all of the terms that Verghese uses, that we are left to speculate and hope for the best in the next upcoming lines or paragraphs within Cutting for Stone.

The dramatic surgeries within the walls of Missing and of those that take place on film and television share the concept of having the reader/viewer feel as if they are in the operating room during the procedure. In film/television it is easier to create this illusion for the viewer because of the actual 3-D imagery whereas in literature, the reader has to do a little more work in creating the environment in their heads to feel as if it is happening right before them. With this similarity comes a difference.  In Cutting for Stone, Verghese gives the reader the opportunity to get attached to the characters that end up on the operating table, revealing background and almost establishing a virtual relationship with them. In contrast, in television and film, the surgeries taking place are most often of “flat” characters that the viewers do not necessarily get attached to or get to know on a very intimate level. 

Sebastian Retana

unread,
Jul 24, 2014, 7:34:18 PM7/24/14
to dhs-ap-lite...@googlegroups.com

In Abraham Verghese’s book Cutting for Stone, Verghese inscribes many compelled surgeries in his book. He also inputs medical language throughout the novel, especially during the sweat breaking surgeries. Though we can’t fully understand medical terminology without a dictionary as Nikki said, to enlighten or to fully understand the medical situation. These extraneous words seem to be anonymous in our vocabularies, but if we were good readers then we would use a dictionary to find out what these medical terms mean so that we could piece them together to comprehend on what is really going on and what needs to be done during a medical situation.

            As Sophia and Carissa said about hospital TV dramas, this novel has the standards similar to a hospital TV drama. Tension and surprise occurs in both the novel and many TV dramas, for instance TV dramas there could be a patient that is suffering from a new kind of disease or a rare disease that most of the hospital staff don’t have experience on the curing the patient, same as it happened with Ghosh trying to untwist General Mebratu’s volvulus with Ghosh having no experience in the gastrointestinal area or when Sister Mary Joseph Praise was giving birth to Marion and Shiva, nobody could have helped her but Thomas Stone who was the only one with experience in gynecology, until Hema arrived but it was too late.

            What Carissa said that “in hospital TV dramas we get the feeling that this person will live even when the facts seem to prove likewise. However, I don’t think that the reason why the readers and viewers refuse to accept the person’s death is because of the “grievous feeling in the room.” All the times when we watch or read about a medical catastrophe we see the patient between life or death, but the viewers and readers don’t want the patient to die due to their conscience and sometimes compassion.


On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:
Message has been deleted

simran dhillon

unread,
Jul 25, 2014, 12:10:38 PM7/25/14
to dhs-ap-lite...@googlegroups.com

Verghese employs a number of dramatic scenes which occur at the operating table, each scene as exciting as the next. However, it is Verghese’s use of highly advanced medicinal diction within his novel, Cutting for Stone, which causes readers to be filled with suspense, as they become unaware of what is happening. Thus the outcomes leave the readers shocked.


It was during these intense scenes, where lives were at risk, when I felt most confused. Verghese’s dialect was highly professional, it appeared as if it were almost impossible to translate such words as “bilirubin, creatine, cerebral edema, and mannitol” (609) without an outside source, or as Sophia stated, someone with a “medical degree.” It was this confusion which gave me more tension than anything else in the novel however, confusion is not all I received. My lack of knowledge gave me a sliver of hope because I believed that those who had familiarized themselves with such terms would have a better understanding of the situation and could possibly heal the damage that had already been done.


This hope first came to me when Sister was in the delivery room and complications arose. It was from my past experiences with House, a popular television hospital drama, which led me to believe that all was going to be well, and Sister would successfully make it through the delivery. However, when Sister passed away, I was dumbfounded, I did not know how to react to such an event. This shock was entirely the fault of House which taught me that in the end, Dr. House would somehow find a way to treat the patient and make everything okay. Due to this, I was led to believe that Dr. Stone would produce the similar results, only he did not. Thus, both television hospital dramas and this book share similarities because they both share highly suspenseful scenes where the outcome will be life or death. However in Cutting for Stone, these scenes do not end well unlike House, where they find a miraculous cure, and the patient survives.




Noah Crouch

unread,
Jul 25, 2014, 2:54:25 PM7/25/14
to dhs-ap-lite...@googlegroups.com
  In Verghese’s novel, Cutting For Stone, he uses various amounts of dramatic scenes, but it is his vivid diction and the style in which he explains these surgeries that leave the reader speechless and wanting more and leaving us on the edge of our seats. However, the tiny details given to us during the surgeries in The Missing Hospital, like the fact "Hema didn't put new gloves on due to circumstances"(105) shows us the extreme measures they were going through during the birth of Marion and Shiva.
  
 Like Simran stated, “During these surgeries is when I was most confused.” because he explains the coarseness and the extremities people go through in surgery with big bold words is if everybody reading is highly intellect and knows medical terms. Like Sophia also stated, “ Like someone with a medical degree.” Not knowing the medical terms Verghese was saying kinda drew me in more because I wanted to figure out what they meant or if I could use some since of knowledge I have to figure it out. 
 
 Like Nikki stated, “ the location of this drama is what makes it more interesting,” and I think she is right. If Cutting For Stone was located in the US to me I wouldn’t have been as enthralled as I was in this novel. What separates this drama from TV dramas is the fact that no matter the difficulties faced in the previous episode they always tend to put it away or forget it. Whereas, in Cutting For Stone, they go back years later and people still remember details and what happened and can recollect what happened that date and to whom it happened. 

 Audiences don’t know the outcomes of any medical operation, sometimes happen even in our own lives and just like many students have said it happens in TV dramas. We as readers and people want a specific outcome to happen and in some TV dramas we get that. However, in Cutting For Stone, we don’t get that and to me that’s what makes this novel from Verghese worth picking up and constantly reading.

On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:

Sarah Payne

unread,
Jul 25, 2014, 5:17:04 PM7/25/14
to dhs-ap-lite...@googlegroups.com
In Abraham Verghese's Cutting for Stone, countless dramatic scenes imperative to the plot are told through a tough layer of medical language. As many have already stated (Sophia being the first), the diction used by Verghese gives way to imagery that enhances the suspense of the novel. I agree that the medical terms accurately paint a picture of the intense operations and cause the reader to feel a sense of hopeful suspense, but I think the medical diction also transports us into the minds of Stone, Ghosh, and Marion as they navigate operations of much higher consequence.

Patient versus loved one is a theme throughout the novel that is seen time and time again. Thomas Stone struggled the most with this predicament, especially when Sister Mary Joseph Praise needed his help. He had such a difficult time separating the love he had for her from the operation that he failed to act quickly enough. Just as the Staff Probationer lacked the sense to distinguish the mortally ill from the commonplace, Thomas Stone had difficulty separating what was best for Sister and what was best for all the lives at risk.

The diction and terms used in these scenes are objective and almost frank, revealing exactly what is happening without ambiguity or uncertainty. I feel as if this helps the reader see the operation from the surgeon's point of view. Thomas Stone tried desperately to see Sister objectively, see her organs just as any other patient's instead of as her own. Likewise, Ghosh succeeded in helping General Mebratu only once he saw him as another patient. Thomas Stone's greatest triumph at the end of the novel finally proved his ability to operate on the ones he loved by acting as if they were just another case. I feel that the switch between Verghase's regular mode of writing into the scenes of detailed medical jargon helps the reader feel as the surgeons must when they have to operate on the ones they care so deeply for. 


On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:

jeffrey sagan

unread,
Jul 25, 2014, 9:06:07 PM7/25/14
to dhs-ap-lite...@googlegroups.com
            Abraham Verghese is a knowledgeable and skilled writer. It is clear to the reader that Abraham researched the medical profession throughly a well as the area in which the medical drama takes place. Also as many have said ( Sophia O'neil, Nicki Torres, etc.) the medical language used gives the reader a feeling of being in the dark on the situation which then builds not only suspense but our connection to the person being operated on. 

             Like many have stated the use of medicinal terms enhances the suspense. This is apparent in both the book as well as many medical shows. In the show Bones for example even though all there patients are long since dead the medical terms used to describe the bones, there condition, and what the marks on the bones tell about the murder gives the viewer a higher feeling of suspense and makes it more difficult to connect the pieces of the puzzle being set out. Only when all the clues are uncovered can the viewer figure out who, where, and how. This adds to the suspense. This relates to the book as in all the surgeries Verghese doesn't dumb down the diagnosis as well as the terms used to explain the procedure.

             As Nicki Torres stated in her analysis the setting also makes for a rise in tension. The prognosis for a little boy in Addis Ababa is grim if he has anything ranging from a cut thats infected to a heavy cough. However at the same time period a boy in america can get a clean hospital and good care for a wide range of things that could happen to him. It also means he can go to a hospital for free because of medicare but the boy in Africa might not be taken for monitery reasons or that he probably won't be able to make the journey. As you can see the location adds a sense of urgency and tension as the doctors not only have bad or outdated equipment but also the hygiene of the area they work in.

             As i have stated the medical language adds to the story making the reader connected and fearful for a person that they never knew until they were on the table. Also the location heightens the chance that the person will not survive which we, as empathetic humans, hope will not happen. All of these attributes add to the story wether it is a tv medical drama or Abraham Verghese's Cutting For Stone.   

 

Kyle Katzenmeyer

unread,
Jul 25, 2014, 9:16:34 PM7/25/14
to dhs-ap-lite...@googlegroups.com

            Throughout the novel, “Cutting for Stone”, Verghese uses advanced, educated medical language to bring drama to the surgeries performed in the novel. However most diction used in these surgeries are unknown to readers without much medical history. The use of challenging surgical terms adds a suspenseful feeling of dread or hope depending on the surgery that is taking place. As Nikki said in her discussion, “suspense flourishes in our confusion and inability to relate.” While reading these scenes, the reader’s mind fills in the unknown gaps with feelings. This little known dialect the author uses is well utilized to capture the focus and feeling of all people to this book. On page 115 while Hema is about to separate the boys she prays, “..let there be no brain meninges or ventricle or cerebral artery or cerebrospinal fluid or whatnot.” Without knowing what any of these medical terms mean, the reader can assume an occurrence of any one of these medical conditions would be fatal. This quote is a perfect example of how the author keeps the reader involved with his medical diction. As the book carries on, the medical word choice used throughout the book keeps the reader active and always hoping for a good outcome at the end of a surgery. The theme of the book is presented in the title “Cutting for Stone.” Until the climax of the novel the reader is unsure what this truly means. I believe the unknown meaning of this title contributes to the overall mystery of the book and the enlightening quote by the author “I shall not cut for stone.”  I have taken this quote for myself to mean, I shall not do harm and only leave the ‘cutting’ to specialized persons thereby in my life knowing my limits to do no harm.

            Television series that include medical procedures have a lot in common with “Cutting for Stone.” The TV Series “House”, starring Hugh Laurie, has many overdramatized scenes that may not happen in real life and have some parallel situations as “Cutting for Stone”. For example in the book the narrator describes Matron’s thoughts. “The sun suddenly shown down in Operating Theater 3. Matron felt that it had been the Suns intent to find the unborn.” This quote on page 113 shows the dramatization of the medical procedures occurring in this book while Hema was performing a Cesarean Section and couldn’t locate the twins. The viewer can connect this experience with medical television shows by observing the way the victim almost always goes into cardiac arrest and the dramatic lights and blood work that is used. As Sophia said, there should be a warning in the front of the book saying “Dictionary Required” because without the visible drama seen in television shows Verghese must do it with his word choice. Among the close similarities there are also profound differences seen between novel and screen. As Sophia mentioned the screen is much easier just to be lazy and watch. The true beauty of this book lies in the readers own imagination as Ethiopia goes through its ups and downs as a country as well as the trials and tribulations of Marion Stone who throughout the book struggles to fight through the constant challenges that consume his life. 


Dramatic scenes on operating table.docx

Sammy Erickson

unread,
Jul 25, 2014, 10:39:28 PM7/25/14
to dhs-ap-lite...@googlegroups.com
In Cutting for Stone Abraham Verghese uses medical language that helps create a scene for the reader to understand what's happening in the operating rooms throughout the book. His language creates tension and surprise to the unknowing reader because as Sophia stated earlier we do not have a "medical degree.” Therefore some of the medical jargon gets lost on the reader causing confusion. The confusion furthers the tension as other have mentioned. However, Verghese's skill of using known words and emotions allow the reader to follow the scene and realize the danger in each operation.
By describing the doctors technique or lack or technique he creates suspense for the reader. He made me eager to read quicker but at the same time in more depth to see what came of all that probing and cutting of the patient. He created surprise by how he went from one tone to another like during the twins birth he made it seem like Shiva was going to have serious problems or die because of his father’s awkward and hopeless jabs at crushing his skull, but then Hema came and saved both of the boys. They went from mere death to salvation in a chapter.
Like Carissa, I too saw how each operation had a risk to it, yet I didn't completely wrap my head around that death could be the ultimate outcome. I always had some glimmer of hope for the patients while reading because the doctors usually always had hope for their patient or were quick to think of another way to help them.
When Marion and Shiva were being born they were under the care of a stunned team of nurses and Thomas Stone. They were so unsure of what to do because of Sister Mary Joseph praise’s pregnancy. You wouldn't find this type of scene in medical drama film nor TV show. The dramas, unlike this book, always seem to show the doctor being able to act knowingly in a crisis while still maintaining leadership in the operating room.
Agreeing with both Sophia and Carissa, I too believe that both novel and TV drama keep the reader/viewer of the edge of their seat hopeful of a good outcome yet still having doubt in their mind. Also, this makes the reader want to read more and more to find out what comes next just like how the viewer must keep up with every episode to find out what is to happen next. Though the visual aspect of the TV dramas help the viewer better grasp the entirety of the scene, my opinion similar to Mollie’s, is that the book scenes come more natural and are more believable than the cheesy TV medical drama lines.

Jed Miller

unread,
Jul 25, 2014, 11:59:18 PM7/25/14
to dhs-ap-lite...@googlegroups.com
Let's look at a line Kyle pulled from the text because I think it is great illustration of how Verghese uses the medical diction to great affect. Kyle wrote, "On page 115, while Hema is about to separate the boys she prays, “..let there be no brain meninges or ventricle or cerebral artery or cerebrospinal fluid or whatnot.”' And what I love about this line is not the use of medical jargon but the "whatnot". It captures Hema's personality and her acceptance of the unknown and the way she probably speaks to herself. There is something authentic about that whatnot that taps you into Hema's humanity. To me, it's a brilliant piece of diction, for like Sarah stated in her response, I believe Verghese is using the limits of surgery to reveal the limits of our own sense of humanity. A doctor works with precision and expertise and the tools available but he or she also works with a personality and fears and loves and a history. All of these things matter and Verghese lets them (medical and personal experience) live together in the operating room. I think the tension and drama come from the human veracity involved. You believe it is really happening and you believe that what happens really matters. And in the end, the meninges and the whatnot both contribute to making it feel real.

Gabriella Choe

unread,
Jul 26, 2014, 12:56:14 AM7/26/14
to dhs-ap-lite...@googlegroups.com

Abraham Verghese’s use of medical detail throughout surgical scenes in Cutting for Stone, creates tension and surprise for the readers by heightening the sense of chaos and the unknown. In the twins’ birth, readers are strained with worry, concerned that Hema will not be able to save Sister Mary Joseph Praise and her children from the harm Dr. Stone had previously cast onto them; in addition to Sister’s life compromising birthing complications. The use of medical vocabulary such as “uterine rupture...placenta previa” in the operating room raises the tension felt by the readers because these terms enhance the sum of the unknown, therefore introducing more chaos to an already amplified situation (103). The growing unknown magnified by medical details is the perfect equation to conceive tension as well as surprise. Readers with this knowledge of medical terms can read the operating scene and conclude the situation is one of a dire magnitude; however, readers who are not familiar with such medical details are susceptible to be mislead and surprised. Unable to completely comprehend the medical details allows readers a false sense of hope. Readers can assume that even though the birth scene is wretched, Hema’s impressive knowledge of the situation, seen throughout the usage of medical vernacular, will be enough to save Sister. As Sophia had mentioned earlier, “Obviously, not having a medical degree, these words still leave readers with a glimmer of hope; the hope that despite its certainty, Sister will live.” Yet as the birth scene reaches an end, much like Sister Mary Joseph Praise’s life, readers are stunned and surprised.

Verghese’s depictions of dramatic surgeries are similar to those of film and television, in that each form of entertainment can evoke the same sense of tension and surprise because all three are able to utilize medical details that add to the chaos and mystery of their work. Those watching a medical drama feel the same heightened feelings as readers of Cutting for Stone. The emotions are created by the same unknown medical terms, the difference being the manner of creation, replacing the paper operating room with a physical one. While the emotions felt may be similar, the extent of these feelings differ greatly. With text, the reader cannot ignore the medical details, as the words are all they have to work with for a surgical scene. To fully understand the seriousness of the situation the reader must go to another source. This extra step taken by the reader can leave a more intense sense of tension as the reader is aware of what is actually happening, whereas television and film  medical details can often become background to the shiny tools, flattering surgical lights, and shots of “real life surgery”.

Mirelle Sandoval

unread,
Jul 26, 2014, 1:08:26 AM7/26/14
to dhs-ap-lite...@googlegroups.com

Even with its many stories and layers, Cutting for Stone by Abraham Verghese remains clear and concise. Verghese paints a vivid picture of these settings, the practice of medicine and the characters' inner conflicts. As many have stated, Verghese gives us a sense of hopefulness by using medical detail to create tension and surprise. As Carissa mentioned, not understanding the medical terminology made us feel optimistic about the situations because we, in our minds, had faith on the doctor’s medical knowledge. In addition, our lack of medical terminology prevents us from fully understanding the outcomes of the procedures which at the end can cause unexpected results. Also by using medical detail, Verghese makes us feel empathy for the characters’ confusion and conflicts. The exhaustive gore of the medical procedures generates confusion which furthers tension. Furthermore, many television hospital programs or movies have some similarities and differences with Cutting for Stone. In television shows such as House or Emily Owens, M.D, the characters are so transparent and complex that we end up feeling empathy towards them. So when it comes to a procedure or a dramatic surgery, we feel as if we were in the show itself going through all the emotions and situations the characters are going through. Similarly in Cutting for Stone, the characters are so well described that we feel a deep and personal connection that we think we are in the book itself. A difference between the book and the television shows is that in Cutting for Stone, the author gave importance and significance to every character. In contrast, the characters in T.V. shows that play a minor role are more superficial. Television dramas are vague and superficial unlike the book which is more realistic and natural. As Mollie mentioned in her response, in a book she sees dramatic events as more natural.



On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:

Maddy Larson

unread,
Jul 26, 2014, 3:03:48 PM7/26/14
to dhs-ap-lite...@googlegroups.com
Operating Theater 3 always ran smoothly until the day their surgical work was put to the test on one of their own. Without Thomas Stone and Sister's teamwork the operating room went from calm and trusting to chaotic. In "Cutting For Stone" there were three surgical instances that stood out to me and had me anxious to read ahead. All three of these instances revolved around the struggle of one of Missing Hospitals doctors. Surgery is often thought of as a serious matter, but at missing hospital there seemed to be a pattern of when it became a crisis. I noticed that all of the surgical crises were caused when a member of the surgical team, or the team as a whole, was faced with an internal conflict. Some of these conflicts were; Thomas Stone operation on himself and trying to deal with the pain meanwhile concentrating on his procedure, Hema and Stone trying to work together to save Sister Mary Joesph Praise, and Ghosh having to perform an emergency surgical procedure, he had never done before, on Mebratu.
Although these surgical dramas can produce an element of surprise and tension, I think they may also cause confusion; Therefore, I completely agree with Nikki when she says that the " confusion and inability to relate" is what really adds to the tension in the book. I believe it was wise for Verghese to write his book from the perspective of Marion. Because Marion did not know what the doctors were thinking when they were working on a difficult case in the operating room, we have nobody's emotions to sympathize with and relate to which, like Nikki said, "keeps us on our toes". This is what seems to set apart "Cutting For Stone" from medical shows on Television. In many TV medical shoes there are usually visual cues and explanations which give us a sense of what is going on in the patient. We can then draw from our experience and predict what the doctors are going to do to fix the problem or save the patient. However, in "Cutting For Stone," Abraham Verghese often keeps us guessing, keeping the book unpredictable thereby building suspense and tension

Alejandro Rosales

unread,
Jul 26, 2014, 5:20:52 PM7/26/14
to dhs-ap-lite...@googlegroups.com

Abraham Verghese applied medical terms and the characters’ emotions to create the dramatic scenes of surgery in the novel, Cutting For Stone. One example of a dramatic scene is in chapter 7 titled “Fetor Terribillis” which means strong, foul smell. This thought similar to what Natalya said, gives the reader an idea that something terrible is going to occur and that it will add onto the story later on.  The definition of “Fetor Terribillis” and the description of Sister Mary Joseph Praise lying “lifeless on the table, blood on the floor… skin porcelain white and her lips drained of all color” creates tension and disbelief that Sister Mary Joseph Praise can’t be the woman dying on the table. Like Sofia said, when in a trauma hospital, death seems to be imminent, but people refuse to believe in it because they have faith that their loved ones will recover. This thought forms suspense because no one can predict what will happen; it’s a situation of life or death.

The theme of life or death is also seen when Marion is diagnosed with Hepatitis B, his “kidneys were failing; liver wasn’t producing any clotting factors”. Verghese surprised the readers by using the main character, Marion, as the person who caught a very grave virus to catch our attention and have us at the edge of our seats. And just as Josh said, a reader is confused with the surgical terms “fulminant hepatitis… intracranial pressure monitor” and suddenly thinks death as the only outcome, without really pondering the possibilities.

This thought relates to television hospital dramas because the patient is in a life or death situation, and the one hope of surviving are the only people who can help the patient, which are the surgeons and doctors. The difference between Verghese’s literature and the hospital drama is like what Carissa stated; we have background of the characters in the book; physically and mentally, but in the hospital drama we only have a physical appearance of the character, we really don’t know if he/she has had experience in surgery. In Verghese’s literature we can imagine how the surgeon and patient emotionally are, with the interactions they have had before and after the operation, unlike hospital drama. The similarity that both Cutting For Stone and hospital dramas have is the suspense that leads to the theme, life or death. 

Monica Bushéy

unread,
Jul 26, 2014, 5:36:08 PM7/26/14
to dhs-ap-lite...@googlegroups.com
     During the many surgeries in Cutting for Stone, many different surgical and medical terms are used. As Sophia mentioned, "Verghese's medical jargon is not lost entirely on the readers" but helps give some kind of understanding as to what is happening. I, for one, have to use my imagination constantly for I rather enjoy not knowing exactly what a hemostat looks like or what makes up an acriflavine solution, but that I suppose is why it is essential for a good reader to have a good imagination. Unlike in TV dramas and movies about hospitals and doctors where everything is shown in plain view, in reading this story you are required to place a body part with a name, imagine the intimate parts of where a muscle and bone connect, where they are separated. In a beautiful way that could never be put on film, Verghese etches out the human body for the reader and describes in detail how each operation is carried out. I especially love how, near the third part of the book, Verghese adds another characteristic to Ghosh and Hema, their ability to dance smoothly and seemingly effortlessly. It added to my mental imagery as I pictured the operations happening like a dance, Ghosh reciting The Diagnosis of the Acute Abdomen in Rhyme while delicately and precisely operating on Colonel Mebratu's volvulus. 
     But akin to all those shows and films wrapped around tales of a hospital, Verghese delivers the same heart-stopping and breath-holding suspense that makes your fingers turn the pages far too quickly. Both Carissa and Sophia touched on the mentality of such uneducated people in the matters of operation - that we so desperately wish "this person will live, even when death seems imminent" (Sophia). Most commonly we are granted that relief of a patient surviving, despite the towering odds. 
     I compare this book the most to a show that I've been watching for quite some time, HouseThroughout the episodes, the main characters use medical terms that I usually have no understanding of and quite frankly do not hear sometimes. This is one reason why I enjoy reading Cutting for Stone as the terms are written down if I should have the urge to research them. But on House I almost always expect the patients in each episode to survive, mainly because that is the normal outcome. That is perhaps the one downfall to shows that have more than three seasons - they must please the people to continue filming. However, I've been noticing an almost masochistic trend to books nowadays where the main characters either die or lose their loved ones, and such stories are greatly admired. Verghese seems to stick to this pattern and that was why the death of Sister was unforeseen yet foreseen. The "created tension and panic" during the Sister's death scene was made all the more realistic by the outcome, that life is such a fragile thing that not even the best of surgeons can sometimes piece back together (Carissa).
     One could say that by reading this book, one's understanding of the medical world is broadened, and I do believe that to be true. For dissimilar to media that turns the main focus of patients in a hospital seeking help to their doctors who are having love affairs or arguments, Verghese gives you the best of both, not cutting out the in-depth descriptions of an emergency C-section to describe the personal feelings of Hema. He weaves both strands together, making an extensive web that doesn't exhaust the reader as they try to navigate to the ending. But his realism is ultimate, showing the blatant truths in everyday life, that small miracles happen, though sometimes we focus on the loss instead of the gain.

Samuel Cornish

unread,
Jul 26, 2014, 6:11:33 PM7/26/14
to dhs-ap-lite...@googlegroups.com

Verghese exercises his expert diction of medical vocabulary to insinuate the prolonging drama and suspense that last throughout the surgeries occurring in Missing Hospital. As Sophia first mentioned, the diction selected by the author provides extensive imagery to us readers, which then creates suspenseful inference thanks to how much we can picture in our minds and previous knowledge before reading. Also, it allows the reader to see the operations through the eyes or the surgeon team, so one can be fully immersed in the actions taken place during each operation.It’s almost as if one is actually standing in the room watching the operation happen right before their own eyes. I believe this can closely be paralleled with the use of camerawork in television and film hospital drama. The extreme imagery provided by Verghese combined with our own imaginations can easily rival any scene provided in a television or film drama. Every extra grueling detail we the audience receives, the greater the suspense we build for ourselves.


However, I must agree with Maddy and Nikki that while Verghese is very successful in creating tension in the novel, there is an element of confusion that sets it apart from TV and film drama. Since we view actions and visual cues taking place instead of reading them and leaving it to our imagination, TV drama eliminates the confusion that Verghese sets up  in Cutting for Stone. Like what Maddy stated, he keeps the narration to Marion’s point of view, which cuts us off from the emotions of the surgery team. This is what separates Cutting for Stone from TV and film drama. It’s easier for us the audience to predict what will happen next in a TV drama whereas Verghese keeps us on our toes and continually build suspense as we read.


Jessica Irvine

unread,
Jul 26, 2014, 8:27:41 PM7/26/14
to dhs-ap-lite...@googlegroups.com

Throughout the novel Cutting for Stone, Abraham Verghese frequently uses medical terms and surgical language to describe the multiple surgeries. The reader is open to Verghese being very experienced in the field of medicine.  With reading my classmates responds, I agree with Nikki Torres belief that “the real tension and suspense flourishes in our confusion and inability to relate”. We are given medical terminology that we have to look up the definitions for in order to have a better understanding of what is happening. During each scene we have to collect clues from the doctors and how they act. Verghese wanted readers to not fully understand the medical detail to create the tension for readers. We are left with the hope that the person will survive by the end of the surgery.

                During the twin’s birth, I felt the most tension and surprise while reading this scene. With Sister Mary Joseph Praise trying to survive it left me with the suspense of her living or dying. The communication of Hema and Dr. Stone while they were trying to save Sister’s life created panic to the readers. With the doctors having hope we trust their judgment and agree with them. Also, by not having a medical education we are left with the hope that she will live through the birth. The confusion has led me to be waiting for the next surprise that should happen.  

                The dramatic surgeries can relate and can be different from television hospital dramas. The difference I noticed was the amount of imagination a reader is allowed to use by reading this book. Like Sophia stated “Entertainment gives leeway for laziness in imagination”. In television shows we are given straight forward what is happening and how we should feel unlike when reading Cutting for Stone. During television and reading we have a hope that the patient will survive whether or not there are fats proving that we hope for the better outcome of the patient. We are always waiting to see if they will survive.

Valerie Quiroz

unread,
Jul 26, 2014, 8:55:55 PM7/26/14
to dhs-ap-lite...@googlegroups.com

Varghese’s uses his advanced knowledge of the world of medicine through procedures and diction found in his novel Cutting for Stone, leaving the average reader that does not know a great deal of medical terminology suspenseful at the unknowing of what is to come. In the beginning of the Stone brothers’ lives we are left hopeful and anxious of Sister Mary Joseph Praise’s fate as she lies on the operating table.  As Sophia stated above “Common knowledge allows readers to know the severity of certain surgeries,” however, I may add on that the reader does not know the full complexity at hand due to lack of experience and lack of knowing the statistical rate of survival. This leaves the reader with hope and anxiety of the possible outcomes, because of course, there is still a variety of possibilities including not knowing the capability of the doctor at hand especially when just recently introduced or the doctor is disoriented such as Doctor Stone was in the case of Marion and Shiva’s birth.  

In operating theater 3 Varghese presents the readers with a variety of complex surgeries, including C-section birth, amputation, and vasectomy, leaving his readers on the edge of their seat. With advanced knowledge and medical terms, Varghese is able to pull the reader into the operating room similar as to how a show on television such as Untold stories of the ER draws you in and leaves you bewildered. Gabriella presents the idea “that each form of entertainment can evoke the same sense of tension and surprise because both are able to utilize medical details that add to the chaos and mystery of their work.” I agree with this and consider the chaotic anxiousness that reader or viewer feel in response to the events unfolding in front of them, to be the reason that movies and television shows on medical complications are able to survive. That is where the line from screen to pages is drawn, when it comes to the miraculous recoveries that take place in movies or televisionCutting for Stone brings true reality. It is said “everyone wants a happy ending” and TV accommodates for this to keep their viewers happy, but Verghese, through the results of certain surgeries in his novel does not sugar coat life.

Patrick Scholl

unread,
Jul 26, 2014, 9:39:39 PM7/26/14
to dhs-ap-lite...@googlegroups.com

Verghese very effectively utilizes medical terminology and detail to help provide a sense of urgency within the reader- the risks are assessed candidly, during the liver transplant as well as dealing with Sister Mary Joseph Praise’s labor. Stone knew that the twins’ birth would kill Mary, and Hema’s sense of smell told her that the mother was about to die as soon as she entered Operating Theater 3. The detail during the liver transplant is prefaced with one of danger- partial liver transplant on a live donor had never been done before, and all involved- Stone, Shiva, Deepak, and Hema, all knew that this was dangerous. As Sophia described, the medical terminology and description offers intense imagery. It puts the reader “in the room”, but as a passive observer- During the birth of the twins, the reader can feel the anger and terror that Hema is experiencing, staring down a botched attempt at birthing conjoined twins, with almost no competent help. During the liver transplant, the reader knows that the procedure is being executed with the utmost skill and preparation, and yet, due to the untested nature of the procedure, cannot help but feel something will go wrong.

As Kyle mentioned along with many others, Cutting for Stone has a strong similarity to House, most of all in the onset of the novel- the Genius surgeon, injured and bitter about his past, with terrible people skills, performing bold treatments to cure ailments and avoiding his feelings for one of his coworkers. But Cutting for Stone loses all sense of similarity there; unlike House, the book does not center around singular cases, but around the life of an individual as he grows, describing his life and hardships, and following him as he leaves his life to flee from a corrupted government- things you would just not see in House.


Sarah Mayorga

unread,
Jul 26, 2014, 10:15:43 PM7/26/14
to dhs-ap-lite...@googlegroups.com
In Abraham Verghese's Cutting for Stone, details pertaining to the medical field are crucial to allow us as readers to tap into the characters minds and emotions all while imagining the crisises at hand in the novel. With the use of words and concepts and procedures we are unfamiliar to as Nikki mentioned, we as readers create an image in our head of what is happening and there tends to be some confusion. There is a bit of false hope as we make inaccurate connections to what is happening in reality and what we want to happen. For example, when Hema is delivering the twins, a sense of hope is present when she mentions all that she is doing to successfully deliver these babies. "She put clamps across the stalk where it emerged from each infant's scalp... She cut the umbilical cord and easily pulled out the first infant, a male" (116).
As Sophia also mentioned, not having a medical degree could lead us to believe everything is going to be okay as we picture what is taking place in Operating Theater 3 but in reality, death is a mere second away and we start to wonder what could happen next. Our imaginations want us to believe that Sister Mary Joseph Praise will live and that Thomas Stone will be alright even if he cuts off his own finger and I believe that is where Verghese's depictions of the drama unfolding in the Missing Hospital relates to film and television hospital dramas.
An image is presented on the television and we as the viewers are on the edge of our seats waiting to see what will happen next and the same thing happens to us while reading Cutting for Stone. We have no knowledge on what is at stake or what the possible consequences are of these procedures other than the obvious which is death and that is why we have a little hope as we want the outcome to be anything but death. The difference between television and film hospital dramas and Cutting for Stone is that the images are not presented to us like they are on a television screen meaning that we are even more clueless as to what is really unfolding in the operating room making ourselves even more susceptible to being let down as we have such high hopes of what we want the outcome of the characters to be.

Stefany Pineda

unread,
Jul 26, 2014, 11:05:01 PM7/26/14
to dhs-ap-lite...@googlegroups.com

Cutting for Stone utilizes medical terminology in a way that both engages and surprises the readers.  As Megan Campbell mentioned, it is not only the complicated words that intrigues us, but the emotion surrounding the scene, to an extent Verghese  is able to add a sensual touch to the medical terms such as “The Englishmen coming up behind her seized her where he could, in the region of her coccyx and left rib cage”(17).  If you visualize this scene you can see the intimacy between the nun and Doctor Stone, as we continue with the story we notice that the technical terms serve several purposes, for instance as mentioned by both Raycraft  and Torres, the terminology in most cases is confusing for the audience, which makes our emotions more intense during a surgery , because we have no knowledge of the real risk hidden behind the long confusing words. Another purpose that Verghese found using this diction is that it gives more authority to the characters, because they appear to have medical knowledge that we as an audience lack.  With our ignorance it makes it easier to create suspense and make us more concerned with every surgery and patient.  One of the occasions that surprised me the most was the birth of the twins, because when at first stone tried to find a complicated explanation for the belly of the nun and it turned out to be a pregnancy the details used to describe the bleeding made us feel the tension with every word. Cutting for stone, although centered around the medical field, its different from television shows in some aspects, for instance when you watch, Untold Stories of the ER, you have more of a visual explanation for everything that is happening and you acquire more background knowledge and unlike Cutting for Stone , you do not get a sense of what is really going on inside the surgeon’s head while having surgery, the drama on television is simply based on the well-being of the patient with an added sense of humor. Television shows are meant to be informative, but they do portrait the same overall feelings such as tension during a complication and relief or sorrow after every surgery. 

On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:
Okay, guys. Below is our first discussion question for Cutting for Stone. My expectation is that you will have read the first three parts of the book before entering into our discussion. I also want you responding to what other people have written about the topic. That is why on the last assignment I wanted you to read the previous 5-10 posts before you wrote yours. You should directly address what other people have said in a positive fashion. I want you to look for what you agree with first before you begin disagreeing with others' interpretations of the text. That does not mean that you will all just say the same thing, but you should validate the thoughts of others before you present your own.

Due Date: July 27 12:00 am
Length Requirement: 300 words

Emily Marquez

unread,
Jul 26, 2014, 11:56:22 PM7/26/14
to dhs-ap-lite...@googlegroups.com

Humans in general, love to cling onto suspense. It keeps the audience sitting on the edge of their seats waiting to find out what happens next, it keeps people interesting in what they are seeing. As for in the novel, Cutting for Stone, by Abraham Verghese, the author uses a lot of medical terms and knowledge to keep the reader’s attention. By using the words, "Fulminant Hepatitis" and other medical terms, it brings a sense of a stressful and intense environment where anything can happen. For example, how Sister Mary Joseph Praise was on the brink of death, in chapter 9,  it had not only myself but other readers desperate to find out what happen next. Just as Nikki and Sophia stated, readers love the suspense of something unknown.

The medical terms and subject in this novel relate to television hospital dramas because there is a constant main theme. The theme of being close to the brink of death and not knowing what will happen next, shows throughout every medical story. When producers make a medical connection, they attempt to make it as close as possible to a real life situation; because that’s how life works, always not knowing what will come next. There is a similar pattern of not knowing what will come next in the series, which makes the audience desire so much more, to find all the answers.

Using medical terms in a novel comparing to a television episode is also hugely different in regards to limited imagination. While watching a television show, you have the time, setting, image, characters given too, unlike a novel. In a medical novel, you can imagine all of the details for yourself, giving you more creativity. Novels allow the reader to imagine all the medical terms for yourself, not television where it is given to you. As Clarissa stated, in a novel, we know the background and life of a character, but in television shows, we only see the physical appearance of the character. 

Stefany Pineda

unread,
Jul 27, 2014, 12:00:04 AM7/27/14
to dhs-ap-lite...@googlegroups.com
YESENIA RAMOS:
In the novel, Cutting for Stone, the author Abraham Verghese, utilizes a variety of medical terms to specify and dramatize the scenes meanwhile on the operating tables. The terms that are used throughout the novel help intensify the situation for the readers due to the lack of experience one has with such diction. The lack of medical terminology creates more tension for the audience, because we do not know the real crisis hidden behind the complex words Due to the unknown words, readers feel a sense of mystery because they do not have a clear concept of what the author is exactly referring to when using medical language. The form in which this book is written makes the tension last longer by adding details the readers to expand their thoughts in order to have an understanding of the detailed scenario, for example. Just as Sophia O' Neil previously mentioned, readers are able to get a sense of how severe a situation can become.

For example the birth of the two twins; the scene in which the sister Mary Joseph Praise is giving birth can relate to films and television hospital dramas because moments such as these always appear to be very dramatic. As an example, television shows that try to explain the intensity of giving birth tend to show a scenario in which the mother is seen in great pain due to the contractions and we can also see the fear in the husbands face as he watches his child being delivered and watching his wife suffering. However, in television shows we are not able to see or feel the tension that goes on the room. The words choice and such great details headers get from books allow a greater connection to the characters feelings and feel the gravity of the situation.

Jacob Smith

unread,
Jul 27, 2014, 12:41:46 AM7/27/14
to dhs-ap-lite...@googlegroups.com
When we read Cutting for Stone, we are confronted with many tense and dramatic operating scenes that as a reader, we hardly know anything about. For example, when General Mebratu arrived at Missing with a volvulus, how many of you actually knew that it was when your large bowels wrap around the colon? Even though I certainly did not know what it meant, I like how Verghese included these different scenes throughout the novel. Agreeing with Sam and Nikki, implementing these sections into the reading gives the reader a sense of suspense and confusion as we do not really know what will happen to each of these characters since we are not knowledgeable with the medical situations. However, I feel that Abraham Verghese intended for these sticky situations to have a deeper meaning then what transcribes in theater 3 at Missing. What lies outside of Missing, in Addis Ababa, there is a certain suspenseful chaos that is erupting with the rebellions that is similar to the dramatic medical scenes in the hospital. Both are unusual, suspenseful and show that Marion, Shiva, Ghosh and all the other characters are living in a dangerous world, not only in the confines of Missing. None of the characters are safe, even if they are the saviors to so many lives in the hospital.

When comparing the novel to a popular television hospital drama, Verghese does an adequate job recreating the surgeries in the readers head; just as the audience visually sees the actions take place on a television. There is an extensive amount of imagery supplied to us, which allows us to create rich illustrations of what is being told about each surgery. We are supplied with what cuts, movements and each crucial detail Ghosh, Hema, and Stone had to do in order to successfully pull off the operation. This alone, as well as my minimal knowledge in anatomy, I can easily picture what is happening just like how it is so easy to see what is happening in a popular TV show. In my opinion, we may learn less when we watch an operation unfold because we are not given the smaller details since we just see things unfold and keep on watching.  

Claire Williams

unread,
Jul 27, 2014, 12:45:47 AM7/27/14
to dhs-ap-lite...@googlegroups.com

Abraham Verghese’s beautiful novel Cutting for Stone is full of “on the edge of your seat” medical drama.  Written in an unfamiliar language due to the medical terms, the reader unless one familiar in the medical profession, is practically oblivious to what is truly going on.  Any form of a life or death situation can be suspenseful and when adding in the unknown language the outcomes of the operations are full of surprise. 

Verghese paints out each scene for you perfectly giving the reader just enough information so that as Maddy stated, it makes you “anxious to read ahead” during a chaotic surgical crisis.  He gets you attached to each character, using the medical issues to make you worry and hope for the best outcome.  When Sister Mary Joseph Praise is undergoing surgery, we have no knowledge on what a “uterine rupture [or] placenta previa” is or the extent of the issue, but we understand that Hema knows what she must do to try and save her life (105).  Unlike Katie saying that hope was given, in my opinion this idea gives us a slight sense of false hope.  The fact that Sister Mary Joseph Praise passed away and Doctor Thomas Stone went missing left me unsure about what was going to come next in this tragic story.

Cutting for Stone can be compared to a medical drama TV show, “Night Shift”.   In “Night Shift” you can see the emotions and watch the doctor execute the surgeries.   As Sam said, while watching the show you can see what is happening and you do not necessarily have to understand the medical terms, however when reading you have to visualize the dramatic surgeries using your imagination.  The reader feeds off of Verghese’s well-developed characters reactions to each situation and may interpret it differently.  Personally while I was reading the novel and a term was mentioned multiple times, I felt it was important that I understood it, therefor I googled it reducing confusion.

Claire Mitchell

unread,
Jul 27, 2014, 1:14:46 AM7/27/14
to dhs-ap-lite...@googlegroups.com

Throughout Abraham Verghese’s novel, Cutting For Stone, he is able to transport the reader into the operating theater’s through his vivid details and use of medical terminology. Though, as Nikki mentioned earlier, the real tension created during the operations is our confusion and inability to relate to the medical vocabulary; therefore leaving us perplexed and naive to the situation at hand. By leaving the reader unaware of whether the circumstances are fatal or not, Verghese is able to create suspense and keep the reader engaged and wanting more. The real clues given to the reader during the operations are the way the surgeons or assistants react. For example during the twin’s birth, the reader gets the notion that Sister Mary Joseph Praise may not make it, though it is only through Hema’s worrisome behavior. Lines such as “Quick, quick, quick!” and “but she stifled a sob now as she waited,” inform the reader on the possible outcome more than the medical description of things.

 In comparison to medical TV shows and movies, the mood in Cutting for Stone is much more challenging for the audience, or reader, to infer. On television shows such as Grey’s Anatomy and other hospital dramas, we can physically see and interpret the surgeons tone and reaction to the severity of the patient’s condition. The audience is able to understand what is going on without having to use Dictionary.com to research every medical term. Television dramas are also more relatable to those who are not informed on the terminology doctor’s use, we are able to see the physical condition of the patient and more thoroughly understand the seriousness of the situation. In comparison to television dramas, Verghese does a wonderful job explaining the operations with vivid language and allowing the reader to imagine the situations themselves. Both the novel and television shows are able to properly explain operations and leave the audience wanting more.

Kayla McMillen

unread,
Jul 27, 2014, 1:39:29 AM7/27/14
to dhs-ap-lite...@googlegroups.com
Throughout Cutting For Stone, Abraham Verghese creates tension and surprise by using medical detail. Since we are not med students, sometimes the words that are written can be confusing, and we may not know exactly what they mean. We often find ourselves having to set the book aside to define these words so that we have a better understanding of the story. The use of this difficult vocabulary keeps the audience on the edge of their seats, so to speak, because of the anticipation of finding out what is happening and not being able to know right at that moment. For example, during the story, a liver transplant takes place. This transplant is deemed as risky because they had never done it before. The dangerousness of the surgery about to take place puts the reader in an anxious mood, because the reader doesn’t know what is going to happen. The suspense adds to the gut feeling that something will go wrong at any moment.

This relates to medical films and television series. Both seem to keep you on your toes, because you never know what is going to happen. Something can seem like it is going wonderfully, and all of a sudden, the operation can take a turn for the worse. I see this a lot on the medical drama, Grey’s Anatomy, because I watch the show constantly. Therefore I am a little more at ease when it comes to the downfalls of patients, but like Nikki stated, I have not gone through medical school, and I have no medical background, such as family members that are doctors, to help me predict what the outcome of the patient will be. Instead I am stuck nervously anticipating the outcome of whether the patient will live or die, or whether the patient’s health will recover or plummet.

Cutting for Stone revolves around the life of one man and only focuses on a few patients, whereas a television series like Grey’s Anatomy, or any other medical drama for that fact, usually revolves around the lives of many doctors and their emotions between each other. It focuses more heavily on the lives of the doctors rather than the emotional connection between doctor and patient.

Francisco Quintana

unread,
Jul 27, 2014, 2:16:08 AM7/27/14
to dhs-ap-lite...@googlegroups.com

At the start of each of these graphic scenes, I think Verghese does an excellent job at providing scenery in order to build better understanding for what’s going on in the scenes he’s describing. He captivates the reader’s attention through startling descriptions of explicit situations supported by his vast knowledge of medicine. As Sam mentioned previously, Verghese’s expert diction creates suspense and drama throughout every graphic scene. The diction utilized by the author provides a portal for us readers which leads us into a new perspective from where we can truly understand the situations thanks to how much we can picture in our minds and previous knowledge before reading. It also allows the reader to see things from the point of view of the people performing the surgery. This allows the readers can be on the same page as Verghese in terms of how we see and understand the situations.

I also think it is important to highlight the way Verghese uses his medical knowledge to keep the reader off balance and wondering. Since the vast majority of us do not know what exactly it is he’s describing in his intricate description of the surgeries, it creates even more suspense and as Jacob Smith described it “confusion” which I totally agree with. Jacob talks about how you do not necessarily know what’s going to happen after the surgery since the terms described such as “volvulus” are not necessarily terms familiar to the average individual.

            However, despite the complex terminology, Verghese is still very precise and detailed when describing the situations which allows us to experience the vivid imagery of the situations.

            Brittany Cordell and others have also brought up the point that it is easier to create this imagery while in literature the reader has to meet the author halfway and using both the detail provided and pure imagination. 

Laura Bairett

unread,
Jul 27, 2014, 2:25:28 AM7/27/14
to dhs-ap-lite...@googlegroups.com

I have heard it said that great literature speaks differently to every reader. So many factors provide for this truth; the reader's age, skill, and experience all play their parts. We know this. Verghese exploits it. The esoteric descriptions he employs splinter the reading experience into levels which invite one to return to its pages repeatedly, probably to Nabokov's profound delight. For instance, “the visceral odor of a freshly opened abdomen” (113) is obviously a raw, unforgettable scent. That much is conveyed by context. However, were I to complete medical school and split open the midsection of a living, breathing human being with my own hands, that phrase would take on an entirely different meaning. And I can only dream of the day when I might be familiar enough with physiology to refer to the body’s intricate systems as “lymph vessels, arteries, nerves, and whatnot” (368).


Language creates the oddest of pairings. As Sarah Payne so insightfully pointed out, Cutting for Stone juxtaposes the intimate and the iatric with regularity. Peculiar this may be, but it is vastly achievable when one considers the privacy of medical jargon. Its recondite terminology is matched only by the closeness of love, in Verghese’s opinion. He said it best through Ghosh; “the language of love was the same as the language of medicine” (153).


While my personal experience with medical dramas and the like is nonexistent, I think that I can confidently rely upon my classmates' assessments of them: television is more open to being understood than the written word. Good writing needs to be coaxed out of hiding and befriended, while TV throws itself like a brick in your face. In this way, Cutting for Stone is more mysterious and again private than most dramas, which seem to be comparable in subtlety to a marching band. Nevertheless, I would like it noted that (if my understanding is correct) Verghese’s novel and the television series House are tied together in a truly binding way: their main characters find fulfillment in breaking and entering.

Ehren Engel

unread,
Jul 27, 2014, 2:26:15 AM7/27/14
to dhs-ap-lite...@googlegroups.com

  In Abraham Verghese's Cutting for Stone, the reader is presented with intense and suspenseful scenes that take place during medical procedures. In these scenes, Verghese supplies the reader with details of the procedure through the use of medical diction and descriptive adjectives and it is these details that create the vivid imagery of the operations within Theater 3. Although, I agree with Nikki's point, as I too feel that sometimes this medical diction goes over the readers head, and leaves us confused as to what is actually happening in the in the dramatic situations that take place at Missing. I think that it is through this feeling of confusion, that we as the reader start to feel the suspense that the scene is creating, even though the author may be describing the scene with specific medical details, the reader as an observer can still be unknowing of the outcome.


 I feel the same way as Jacob when he said how he felt that Verghese is creating a looming sense of uneasiness with the chaos erupting in Addis Ababa. This background of chaos that surrounds Missing is constantly present and continuously adds to the drama of the situations that take place inside, by showing the reader that danger and chaos is not confined to the walls of Theater 3.


 Verghese describes the procedures that take place in Cutting for Stone with medical terms and descriptive adjectives in a way that ensures the reader will be able imagine the operations as they would be unfolding in front of them, much like the way one would view an operation in a TV medical drama. Although, this style is not how the entire novel is written, the switch Verghese makes from a more casual and personal style in some scenes, to a more medically focused and descriptive one during operation scenes shows similarities to how medical TV dramas are presented. In TV shows, the same two styles can be seen, as personal scenes of the doctors are shot in a completely different aspect of those that take place during suspenseful medical procedures and operations.





Caleb Logan

unread,
Jul 27, 2014, 2:57:47 AM7/27/14
to dhs-ap-lite...@googlegroups.com
      The advantage that medicine has over any form of science is the fact that it is directly linked to the active lives of humans. We may be able to ignore how our body motors function, how cells work, or the reactions in our body to maintain homeostasis, but ignoring a broken leg is nigh impossible. With this fact Verghese uses the nature of the various medical procedures to make the actions inside of the book significant by playing off of the human element. What he does with this is that he shows blatant fact about things even if we dont understand exact medical terminology it is quite understandable that cutting off your own finger sounds quite dangerous and painful. Lots of times people are driven by the sense of danger and pain (fight/flight response) Verghese uses this natural human response to crisis in the book by giving people the desire of flight with the necessity of fight.  
       The prime difference between Verghese and Medical drama's is objectivity and subjectivity. Tv. shows prime directive is viewer numbers, create newer and better content while trying to attract the largest number of people. Novels dont have this impediment they have the advantage of being able to be less objective and more targeted towards the author itself. Eventually content created from the heart is going to become more relevant then content made for viewers. Verghese's novel is allowed to speak out to hearts of reader rather then their interests pull out humanity from within. Something that is similar along that lines is the effect of playing with the viewer/readers mind with suspense in the form of the dreaded cliffhanger. Although again the objective is different: medical dramas to watch the next episode, and for Cutting for Stone to provide a sense of shock at the readers heart, both are able to put the person of interest into a state where they want more and desire to stay of the train of interest whether in form of entertainment or emotional ride. 

Juan Ambriz

unread,
Jul 27, 2014, 2:59:23 AM7/27/14
to dhs-ap-lite...@googlegroups.com

 In the beginning of all these scenes Varghese did a great with visual and imagery for the readers to better understand what is going on. Francisco mentioned that it is important that Verghese used his medical knowledge to keep the reader off balance and wondering. I think this is great to keep us wondering what will happen next or to add a bit to the book.
     I also think its important that verghese creates suspence and drama throughout every scene, as this will attract more readers and keep them on edge. Through verghes's great writing and use of imagery we can create scenes and we can mentally picture what is going on in every scene, which may help out a lot of reader (Including myself). This use of writing also allows people to see the view point of the surgeons and helps us stick on the same page as Verghese.
  

Marcus Perez

unread,
Jul 27, 2014, 3:26:15 AM7/27/14
to dhs-ap-lite...@googlegroups.com
      Throughout the various depictions of medical operations within Abraham Verghese's novel Cutting For Stone, the author manages to maintain a delicate balance between using official scientific vocabulary throughout the surgeries to create a general feeling of visceral detail and realism, yet also simplifies and explains the various terminology to enough extent that any adept reader, even one with minimal knowledge of medical jargon, can grasp the visualization of the scenes taking place. This gives readers a gateway into the particular writing style of the novel without detracting from its impact by using oversimplified language or with such convoluted terms as to render a vast majority of readers utterly lost.
      The scenes within the novel do share some correlation with the typical medical/hospital dramas, as there is typically a significant build up to the event itself, the requirement for surgery is either surprising or met with disdain by the bystanders. Renowned shows like House or CSI display these tropes with high frequency, and Cutting For Stone does do some retreading on these ideas. However, Katie does bring up a very valid and relevant point to the story, in that most if not all of the operations preformed within the book happen not on nameless characters who simply serve as a vessel for plot progression, but to people who serve very important parts in the novel, which greatly increases the weight behind each scene. Even within the first 50 pages of the book, Dr. Stone is the one of the scarce number of characters at that point who has a constant presence and personality, and he is the one who preforms surgery on himself. An unexpected turn coming from the fact that mere pages before he was the unknown boat doctor who operated on all the unnamed passengers.
      All in all, Verghese's clever writing and delicate balance of intelligent terminology and reader accessibility leads to scenes within this book that create more detail than any diagram and more tension than any cinema.

sierra faulkner

unread,
Jul 27, 2014, 5:17:53 PM7/27/14
to dhs-ap-lite...@googlegroups.com
While reading Abraham Verghese book Cutting For Stone, you find yourself at the edge of your seat a lot. Especially during all of the surgery scenes. Throughout the book you find the characters using a lot of medical terms. Like Sophia talks about most readers do not understand these medical terms. With not knowing what they mean it kind of leaves us blinded. Not really knowing what's going on. That triggers suspense and curiosity within us. It's like when your friends are talking about something really important and you have no clue what they are talking about. It makes you even more curious right? On top of the terminology, these surgeries are life or death situations. Like Carissa says " the audience hopes that the patient will survive, despite the facts proving they won't." With this hope of them living we still fear the possibility of death. Even If we don't want to believe it. With being blinded by the terminology and anxious with the life or death situation, it creates this suspenseful crazy feeling inside of us.
You can easily compare some parts of the book to televisions shows. A show I have found myself referring to a lot is Grey's Anatomy. There was one episode I watched and during a surgery some of the surgeons were arguing and seemed frustrated with each other. This automatically reminded me of when Hema was frustrated with Dr. Stone during Sister Mary Joseph's surgery. In Grey's Anatomy like Carissa said " I found that most of the patients were random." You can also contrast the book from TV shows. During television shows you can obviously see what's going on, but while reading the book you can know what the characters are thinking and how they feel. You don't just have to assume you know what they feel or what the are thinking like you have to do with TV shows. In the end both still have that nerve racking life or death situation.

Chelsea Hagen

unread,
Jul 27, 2014, 5:53:01 PM7/27/14
to dhs-ap-lite...@googlegroups.com


     In Cutting for Stone, Verghese uses plenty of medical-type words that surely most of his readers, including myself, don't understand or know what it is he is referring to.  To me the use of these words causes confusion and makes me want to continue reading to try and figure out what's going on.  Just like Carissa stated, in television shows where there are life-or-death operations happening every week, there is always that hope that this new character in the show will survive, even though they most likely will never appear in any more than one episode.  It is usually the lifesavers that appear in every show, not the patient, whereas Sister Mary Joseph Praise is the patient and one of the main characters in Cutting for Stone.  I believe that because she is one of the key characters in Verghese's novel, it creates even more hope that she survives, and it creates disappointment and sadness when the readers find out that she doesn't make it through childbirth.
         The surgery of Sister Mary Joseph Praise is different compared to the typical drama television shows because her death isn't just another loss to the Missing Hospital staff, it affects everyone because they worked with her, knew her personally, etc. whereas the patients in television shows are constantly random people where the surgeons need to understand that they can't save everyone.  Surgeons in television shows always blame themselves for not being able to save someone's life just as Dr. Stone felt like he killed Sister Mary Joseph Praise.  Because of this feeling he decided to vanish, but surgeons in hospital dramas learn to live with it and don't just disappear from their job, friends, and family.  Trying to save the life of a loved one and failing doesn't compare to failing at trying to save the life of someone you've never met; but in reality you still experience the loss of a live, a person.

Jackson Dwelley

unread,
Jul 27, 2014, 7:46:23 PM7/27/14
to dhs-ap-lite...@googlegroups.com

Within the novel “Cutting For Stone,” Abraham Verghese uses his medical background, which most readers are unable to comprehend fully. This use of challenging medical terms adds suspense with the auguries taking place because the reader is not fully able to understand what is going on. As Kyle stated, “without knowing what any of these medical terms mean, the reader can assume an occurrence of any one of these medical conditions would be fatal.” This shows up in the novel as Hema makes the decision to cut and disconnect the twins while in the womb. She hoped the tube was only a minor blood vessel, not a cerebral artery that would cause great harm to the twins. The suspense added by Verghese led the reader guessing whether or not the cut would prove to be fatal to the twins or not.

These medical operations are both common and uncommon to what we say everyday on television. The relation between certain medical TV films such as “Grey’s Anatomy” and “House” can be related to “Cutting For Stone” by the desire of the reader and viewer for a better outcome. The story being told from Marion’s point of view, isolates the feelings of the surgeons and their crew, from what we are able to depict in television shows. Television films allows us to be able to observe and predict more of what will happen in contrast to “Cutting For Stone” because of the suspense built up.

The Jackson Dwelley

Brandon Roscoe

unread,
Jul 27, 2014, 8:43:30 PM7/27/14
to dhs-ap-lite...@googlegroups.com

Verghese uses his literary talent to create climactic scenes which make you want to keep reading as he goes into more and more detail until he reaches the shock of what happens next. As I was reading through these intriguing scenes in the novel, I did not want to stop; the extreme detail he uses gives you a clear image of what is happening. Each surgical scene is so vivid and dramatic, just what I would expect to see on television hospital dramas, although it doesn’t work like that on television.

Like Sarah said, Verghese uses his detail with no question that it is happening which makes the reader able to picture it like he is in the operating room. Detail like matron walking into operating theater 3 as Sister Mary Joseph Praise is in labor and sees all of the medical officials “bent over like hyenas over carrion, peering into Sister Mary Joseph Praise’s open abdomen and its scandalous contents.” (113). This intense amount of detail put into his writing causes the reader to really not know what to expect and the operation proceeds; it creates a tension that will not stop until the operation is over.

As Jillian has said, in a medical drama we know what is happening because it shows us every step of the way about what is going on but not quite to the standard of Verghese. I believe that he goes into more detail than what the TV Dramas go into. Verghese really makes you feel like you are in the room in which all of the operating is happening. He causes you to see every aspect of what is going on and all of his descriptions paint a clear picture in your head. The difference between his way of writing and hospital TV dramas is what the really allow you to see and how much detail is used.


On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:
Okay, guys. Below is our first discussion question for Cutting for Stone. My expectation is that you will have read the first three parts of the book before entering into our discussion. I also want you responding to what other people have written about the topic. That is why on the last assignment I wanted you to read the previous 5-10 posts before you wrote yours. You should directly address what other people have said in a positive fashion. I want you to look for what you agree with first before you begin disagreeing with others' interpretations of the text. That does not mean that you will all just say the same thing, but you should validate the thoughts of others before you present your own.

Due Date: July 27 12:00 am
Length Requirement: 300 words

David Martinez

unread,
Jul 27, 2014, 9:33:20 PM7/27/14
to dhs-ap-lite...@googlegroups.com
Abraham Verghese's use of medical terms throughout his novel, "Cutting for Stone", definitely heightens the drama and suspense because it creates an uncertainty among the readers as to what exactly is happening during an operation and whether or not it is going well or taking a turn for the worst. This uncertainty is what makes readers want to continue reading because during an operation they are, like claire said, oblivious to what is really happening unless they are already familiar with the medical terms used. The readers are then forced to read on, awaiting the outcome of the operation.
During Shiva and Marion's liver transplant, Verghese uses detailed medical language to keep the reader engaged, but also "in the dark" about how the operation will turn out. Verghese writes that "[Deepak] dissected out the right hepatic artery, then the right branch of the portal vein and the right biliary duct" and later he "[pinched] off the stalk of blood vessels in the porta hepatis to control the bleeding"(625). With the medical language that is used, it is very difficult to comprehend what is happening, and invites the reader to read further, in search of a "simpler" explanation of what had happened.
Verghese's use of medical terms to keep the reader engaged, is very similar to what you might see when watching a surgery performed on television. Both, Verghese's novel and a medical procedure on tv, provide little information while the surgery is actually taking place because they want to make sure the audience is fully engaged before revealing what actually took place.They differ because in a novel the reader is only given the words on a piece of paper and are forced to create their own visual of what they think is happening, while on a tv show you are provided with a visual, but are still unaware of the how things may be going.

Patrick Luckey

unread,
Jul 27, 2014, 10:40:44 PM7/27/14
to dhs-ap-lite...@googlegroups.com

In Verghese’s book Cutting for Stone, many dramatic and heart pounding surgical operations take place throughout the book and while reading these, readers feel as if they can’t stop reading due to the excitement and tension created by the medical detail created by Verghese.  Like many hit hospital dramas seen on television, Verghese uses his knowledge of medical detail and vocabulary to bewilder, yet also entrance the reader. By doing this Verghese now has the reader’s interest and attention.  Now, most average readers aren’t doctors, so as reader get deep into the surgeries most have a sense of optimism and hope, yet due to the complex language many reader have little idea of the magnitude of any situation creating suspense and mystery, resulting in the effect in which the reader can’t stop reading until they have fully comprehended the situation at hand.  Yet a major difference between television sitcoms and Cutting for Stone, is the in Cutting for stone there is extreme detail and much more medical knowledge. While reading Cutting for Stone, unlike watching the television, if the reader is paying attention to small detail, the feeling of intenseness of the book makes the reader feel as if they have a front row seat to the show of the surgery at hand, unlike the glimpses of medical knowledge shown in hit television hospital shows.  In these dramatic and heart pounding moments on the surgical table one major aspect Cutting for Stone has, is the ability to touch on more senses, and describe in more detail, about the surgeries to create suspense, like the sight of not just a wide pan camera shot in television, but what every character sees, feels, and knows.  Yet after all of this one of Verghese’s greatest tools in the element of surprise is the ending he has set up.  After all the medical knowledge and professional vocabulary used, in which the reader has had their heart pounding, one of the greatest surprises is the ending in which everything is brought into a clear picture.  This can surprise many people, because in some instances readers may think they knew what was going to happen or not, but at the end it is clear, and anything can change.

Alejandro Sanchez

unread,
Jul 27, 2014, 10:43:09 PM7/27/14
to dhs-ap-lite...@googlegroups.com

                There are a variety of dramatic scenes in Abraham Verghese’s Cutting for Stone that occur at the operating table, and these scenes are intensified through the author’s complex medical diction, providing a sense of drama, suspense, and in the end surprise for the readers who are unfamiliar with the language employed by the author.  As Francisco said, Verghese captivates the reader with his startling descriptions and explicit situations which are supported by his medical knowledge. I believe that it is the great detail that keeps the reader hooked onto the scenes at the operating table, but although the author’s medical knowledge creates interest and excitement, the common reader does not understand much of the medical terminology that the author utilizes. As Laura stated, we can only dream of the day when are familiar enough with physiology to refer to the terms used in this novel such as “lymph vessels, arteries, nerves, and whatnot” (368). The use of words that are unknown to us readers leaves us lost in the whole surgical process and we are only aware of what has occurred when we reach the end, which is what causes this sense of surprise and shock. This experience can be comparable to the unique feeling of being blindfolded while being driven around in a car. You can feel the vehicle moving left or right, but you have no idea of where it’s going until the very end and remove the blindfold. This is the same feeling when reading through one of the surgical processes in Cutting for Stone; You have no idea of the significance of certain surgical processes or the status of certain organs, or whether what occurred was a step in the right or wrong direction during a surgery, you just know whether the entire surgery was a success or failure based on the outcome of the patient at the end of the process, when your “sight has returned” from the removing of the blindfold that is Verghese’s medical vocabulary. This creates a sense of surprise and shock in readers when they come to the conclusion of all these scenes occurring at the operating table.

                These depictions of dramatic surgeries are similar with film and television hospital dramas in that they both create an intense feeling of tension and, in the end, shock for the audience. They both use medical terms, but they are different in the way that reading Verghese’s scenes are much more difficult than viewing a scene at the operating table. When we view something it is much easier to understand what’s going on based on the characters’ reactions and we can see what is happening in the operating room, whereas reading something, especially when the subject is not common amongst the readers, can be more difficult since we can’t truly see what is occurring, we can only attempt to visualize the process using the author’s words. Although Verghese utilizes a lot of imagery in Cutting for Stone, it is still difficult to visualize these scenes because we may have no idea of what some of the medical terms he mentions look like, or what they mean, in the end making them harder to understand.

Ashley Cordeiro

unread,
Jul 27, 2014, 11:01:44 PM7/27/14
to dhs-ap-lite...@googlegroups.com
In the novel, Cutting For Stone, Verghese uses medical terminology throughout the many scenes on the operating tables. By using this almost foreign language, he creates suspense to the readers, which encourages them to continue reading in order to determine the outcome of the patient. Since most people do not understand what is happening exactly to the person being operated on, they feel a sense of need to find out what happens next. 

When the twins were being born, Verghese brilliantly goes through most of the main characters thoughts and feelings during the surgery. He creates even more dramatic suspense by showing a scene of the birth, and then directing the reader's attention to something different, such as Hema's travels. Then when all the characters are in the operating room, Verghese carefully switches from the thoughts and feelings of one character to another. 

Unlike medical TV shows, the novel is different in that it is more centrally focused on main character's operations rather than strangers visiting the hospital. By putting main character's lives in danger rather than nameless people, the reader is more interested in how it will end. Another difference between the two is how the reader or watcher feels apart of the procedure. I agree with Brandon's statement about how when reading the book, one feels like they are apart of what is happening. Unlike a TV show where you only feel like a third person party. 

Lana Karajeh

unread,
Jul 27, 2014, 11:24:28 PM7/27/14
to dhs-ap-lite...@googlegroups.com
  Cutting For Stone by Abraham Verghese is, as Sophia pointed out, chalk-full of medical terms that one may not be able to comprehend unless equipped with a dictionary. This medical detail, while foreign to almost all of us readers, aids in adding dimension to the scenes depicted in the text. For example, the horrific scene of Sister Mary Joseph Praise's labor was swimming in anatomical terms and medical detail, such as all the surgical tools used by Stone and Hema. While reading through this scene, there were many tools and a lot of language that I was not familiar with; however, there were times when I would find myself dreading what would happen next. The reason for this is because there were some terms that I was familiar with, and using my knowledge of these terms, I could anticipate what outcome would result. I am familiar with the term Cesarean section, for example, so I knew that if the baby was not coming out naturally and there was a need for a Cesarean section to be done, then Sister Mary or the babies, or both, must be in grave danger. Same with the blood; when Sister Mary is first brought into the Operating Theater, Matron notices the great amount of blood. Personally, I associate a great loss of blood with someone being near death. Medical detail like this creates tension because it places an unwanted thought in our head; Sister Mary is not going to make it.
     Verghese uses medical detail to create surprise by introducing us to foreign surgical tools, and then providing us with a brief, and sometimes shocking, description of what that tool is used for. An example would be when we are introduced to "the cephalotribe--the skull crusher...” (75). After reading that, I was filled with surprise that they even have such a tool, and also shock that Stone would dare to use a horrific tool on an innocent child.

     The depictions of dramatic surgeries in Cutting For Stone have a lot in common with those of television hospital dramas. When watching these shows, the viewer can clearly see the organized chaos of the operating room; someone is clearly the main surgeon, others assist, and the problem the patient is dealing with is easily identified. In the book it is the same thing; each surgeon, such as Stone, Hema, etc. specializes in a certain field. The probationers and Sister Mary assist, and the five senses are used to identify the problem. Also, they are ; similar in that they both verbally discuss the course of action needed to be taken before operating. Lastly, the sense of camaraderie is clear between all the staff at the hospital; everyone thinks of each other as family.

   Though similar, Cutting For Stone and TV hospital dramas have their differences. For example, on most TV hospital dramas, the staff think of the hospital they work in as their second home. In Cutting For Stone, however, Missing Hospital is their home; the staff (Hema, Ghosh, Gebrew, etc.) reside on the grounds of Missing. This aspect helps to add a genuine feeling of everyone being sort of like a family.

 

 

 

 

 

Jaret Wedow

unread,
Jul 28, 2014, 12:22:32 AM7/28/14
to dhs-ap-lite...@googlegroups.com

Throughout Cutting for Stone, Abraham Verghese uses dramatic surgical scenes to create tension and surprise for the reader.  In these scenes, medical detail is used to capture the reader and to provide the dramatic tension.  Surgical language and medical terms are used during these surgeries to set the tone and also to excite and captivate the reader.  For example, as Dr. Stone prepares to operate on Sister Mary Joseph Praise, he brings up memories of doing operations that involved “Flexor sublimis… profundus tendon” and “Pes anserinus” (68).  As Sophia stated, “The chaos and suspense of Sister Mary Joseph Praise’s death is created by the elaborate and panicked terms that fill the air as Dr. Stone and Hema try to save her life.”  Although the reader may not be able to understand the medical terms being used, the reader can determine the status of the operation and what the likely result of the operation may be.  Verghese uses these minute details in his writing to create suspense for the reader and to give the reader enough confusion to stay interested in the story.  
The surgical scenes that occur throughout Cutting for Stone show certain similarities to television hospital dramas.  Like Nikki suggested, the confusion theme that is found in the novel is also present in television hospital dramas.  This confusion is a result of the use of medical terms and surgical language that ordinary people do not understand.  This confusion catches the reader’s attention and makes the reader get a sense of how intense the operation is.  
One major difference between Cutting for Stone and television hospital dramas is how the reader’s imagination is used.  As Sophia said, “Entertainment gives leeway for laziness in imagination.”  While watching television, all of the details are presented to the viewer and no room for imagination is allowed.  Reading, however, lets the reader form a mental picture and imagine many aspects of the book.  Cutting for Stone uses imagery in all of the surgical scenes to paint a vivid picture in the reader’s mind and allow the reader to express their imagination.  Abraham Verghese uses his dramatic surgeries to create tension and surprise for the reader in his novel.

David Avery

unread,
Jul 28, 2014, 1:03:58 AM7/28/14
to dhs-ap-lite...@googlegroups.com
What sets Verghese’s novel apart from the modern medical dramas we now see (House, Grey’s Anatomy, etc.) is the brutal detail and raw emotion used in his writing.  There is something in his diction that can display more emotion than the face of any actor I have seen in modern medical dramas.  One part of the novel in particular jumped out at me in its emotional aspect, and really stayed with me through the rest of the day.  That is Sister Mary Joseph Praise’s labor and Thomas Stone’s disturbing attempt to murder his own sons during birth with a spear-like tool used to crush skulls.  What made the passage so horrifying however, was the diction used to describe Thomas Stone’s view of his sons.  “It was as if he’d spotted the corpse of a burrowing mole that has attacked Mary’s body...I see you in the depths, burrowing creature!  Damn you for torturing Mary.” (Pages 73-75)  Thomas Stone’s depiction of his own sons is almost too revolting for me to force myself to imagine, let alone his attempt to murder one of them.  It is this kind of language and imagery that forces us to use our imaginations, like Sophia mentioned, and enter into a surgeon’s world in a way that is much different than how we view a medical drama.


Answering to another part of the discussion question, It is some form of background, that make the surgeries so engaging, adding suspense and tension to the story.  When Ghosh untwists Colonel Mebratu’s volvulus it is knowing that Ghosh has never done that kind of surgery that adds suspense.  It is knowing Thomas Stone as a character that makes his amputation of his own finger so unnerving.  It is personal bonds you form with characters, that allow these “medical details to create tension and surprise.”

Tanner Cunningham

unread,
Jul 28, 2014, 1:37:54 AM7/28/14
to dhs-ap-lite...@googlegroups.com


In Abraham Verghese's novel, Cutting for Stone, a major use of medical overtone seems to have taken place within the novel (obviously). As the medical scenes unfold, Verghese has put an extensive amount of complex wording that may prove a challenge to some readers, I personally stared at "volvulus" for about a minute not knowing whether or not to be disgusted or intrigued. Although difficult to understand, Verghese uses medical language and detail in the novel specifically to make the reader think about the scene and to imagine it with the severity it intends to.
       The use of this language in literature is meant for a specific purpose; imagery. An extensive scene that was notable was Sister Mary Joseph Praise's death, as Stone and Hema try to save her, it gives the reader an exclusive insight to see what would happen. Sophia mentions the "...hunch in the back of the viewer's mind that this person will live, even when death seems imminent." This tone is used primarily in medical dramas on film and television. Whatever it is, we are so intrigued to see a medical emergency occur, witnessing the doctor's remarkable attempts to save the victim and wondering whether or not they succeed in doing so. It is in this that we have to imagine the scene with literature. Film and television already gives us the scene without any effort from the viewer, the use of words in a novel forces the reader to use their imagination to create an accurate portrayal of the scene. The use of medical terms and events provides us with the challenge of properly inventing the scene within our minds to really receive the overall enthusiasm given off from our own imagination. 
         Cutting for Stone remains an extraordinary piece of literature. We all have grasped the incredible scenes of medical challenge and capability as well as the quest to commit the act of healing. Given these parameters, Cutting for Stone is the perfect novel to grasp something, Verghese purposely uses his expertise in medical experience to enact the enabling scenes in this novel that really separates it from others. The use of the human imagination is gratified through the mind, as we read Cutting for Stone.

Mallory Waldeck

unread,
Jul 28, 2014, 2:01:22 AM7/28/14
to dhs-ap-lite...@googlegroups.com

     While reading Cutting for Stone, I, an individual who does not know an extensive amount of information pertaining to the practice of medicine, have based my mental image of the surgeries taking place in Theater 3 on the diction and syntax used by Verghese. Almost expecting his readers to experience some degree of confusion, Verghese uses both very familiar words and almost foreign words when describing a scene taking place on the operating table. By doing so, a tension and stress is placed on the reader, leaving them to wonder what exactly is going on. One does not know whether they should feel dread or hope for the patient, like Kyle mentioned, because the only understand some of the procedure. In providing just enough information as Maddy stated, the reader feels more than obligated to continue reading to fill in the unclear gaps (thanks to the progressive in-depth context Verghese uses during each operation) and find out the result of the operation, allowing for the element of surprise to take action.

     Similar to other television medical drama shows and Cutting for Stone, viewers/readers relate to what is happening as best we can. Whether I saw a man amputate his own finger or just read about it, I would still try to relate the pain to myself in the same way. However, when a major operation is taking place in the novel, as Sam explained, it is up to our imagination to form a mental scene, which in turn allows us to form feelings and emotion about the actions taking place. By simply watching the operation on the television, I do not have to form these thoughts and feelings on my own. I can see the emotion on the surgeons face’s, and base my prediction of the result on their actions. The element of surprise is taken away when presented in the form of a visual production, as we can clearly see the urgency, or lack thereof, in the operating room. Meanwhile when described in a book with advanced medical vocabulary, it is up to us and our imagination to figure out everything that is going on, leaving little mental space to form a prediction. Ergo, the element of surprise remains present. 

Gagandeep Dhillon

unread,
Jul 28, 2014, 2:06:35 AM7/28/14
to dhs-ap-lite...@googlegroups.com

In Verghese’s novel The Cutting Stone ,  there are many dramatic scenes in which characters go under the knife. Due to the fact that Verghese is a Professor for the Theory and Practice of Medicine at the Stanford University School of Medicine, he uses extreme medical diction during the procedures, which in turn creates tension and surprise for the reader.

To begin with, Verghese’s use of detail in describing the procedures, often included extensive amounts of blood and gore which I found surprising because unlike film and television operations where everything is usually tidy and non grotesque, there is a lot of blood and gore described in the novel. This aspect of the novel is surprising because its usually not as bloody in other procedures,

Secondly, Verghese always manages to show that there is a possibility of death in the scenes. No matter what Verghese always made it evident that death was very possible. This lead to tension because you do not know what the outcome of the operation will be.

Moving on, as Carissa stated, I believe that a similarity that tv dramas have with Verghese’s novel is that they both have the doctors often yelling back and forth. These exchanges are often rich in medical terminology that the reader and viewer may not comprehend. This lack of comprehension of the doctors lingo causes both the reader and the viewer to come to view the doctors as intelligent thus creating a belief that the doctors know what they are doing, which often leads to a sense of hope that the patient may live.

Also, as Carissa stated, in The Cutting Stone  patients are characters in the novel, whereas in tv dramas the patients are complete strangers. I would like to take this a step further by saying that it was a genius idea by Verghese to make the characters the patients, because it really allows for the reader to root for either the success of the procedure or the failure, depending on how you feel about that given character. due to the fact that many of the TV patients have no background, the viewer can't become personally involved in the procedure.


Baylee Poole

unread,
Jul 28, 2014, 2:12:42 AM7/28/14
to dhs-ap-lite...@googlegroups.com

In the novel, Cutting for Stone, Abraham Verghese uses medical terms and surgical language to keep the reader in a suspenseful state of mind for the unknown outcome of the performed surgeries. Just like Nikki, Katie and others mentioned, we do not have an equivalent amount of knowledge of the medical procedures being performed in this novel, compared to a doctor. As Katie mentioned in her response, because “we do not know the severity of the case…life or death seems possible.” For example, when Hema realized the twins were attached by their heads, she prayed that it would “…be only a blood vessel, and a minor one at that,” instead of “…meninges or ventricle or cerebral artery or cerebrospinal fluid…” (115). This quote shows that the use of medical terms creates suspense for the readers because, like Kyle said, “…the reader can assume an occurrence of any one of these medical conditions would be fatal.”

The tension and chaos occurring in Operating Theater 3 is similar to television, shows such as Grey’s Anatomy, because of the suspenseful life or death situations in the operating room. For an example, Grey’s Anatomy gives its viewers the suspense of whether or not a patient will survive the removal of a brain tumor. Throughout the operation, the doctors work frantically to make sure the patient will stay alive. Similar to when Hema was doing everything she could do to keep Sister Mary Joseph Praise alive after the babies were born. Verghese gave the reader hope that Sister Mary Joseph Praise would suddenly awaken from her last breath after all the procedures Hema was performing, but Hema was unsuccessful.

The difference between TV shows and Cutting for Stone is that a viewer watching Grey’s Anatomy has more of a visual on the operation compared to a reader trying to imagine all of the details of the operations being performed in the novel. With watching television, the viewer is able to predict a more accurate outcome of the procedure based off the actions of the actors. Unlike a viewer of TV shows, a reader has to imagine everything in their mind and base their predictions off of the given details. Being able to visualize something is an easier way to predict the outcome, compared to using your imagination and basing your predictions off of your own thoughts.

Cassidy Blanton

unread,
Jul 28, 2014, 2:17:27 AM7/28/14
to dhs-ap-lite...@googlegroups.com

In Abraham Verghese’s novel Cutting for Stone, readers are introduced to a wide variety of medical terminology to accompany thrilling and detailed operations. These new terms provide readers with an obstacle they do not usually face; we are required to create our own images for a large portion of the novel, during some of the most intense scenes. As Monica stated, “…in reading this story you are required to place a body part with a name, imagine the intimate parts of where a muscle and bone connect, where they are separated”. While we have the ability to look up each term and therefor understand exactly what is happening, I chose to let my imagination fill in any medical descriptions. By choosing to see the story with our own minds, we create a unique version of the novel; no two people will picture quite the same operation. This sets a drastic difference from the “operations” we see on television, because in writing we are not given a fixed image. We, as readers, have the power to manipulate how we perceive each term; and in the case of Cutting for Stone, the lack of concrete images only makes it more graphic.

Right from the beginning, we are given the life story of Sister Mary Joseph Praise. We are told of her hopeful beginning, of her loss of innocence, of how she fell in love with a man that never knew of her feelings. In hearing her story, we begin to sympathize with her and grow to become fond of her character. It seems, however, that as soon as we form this connection it is broken by her inevitable death. Verghese provides readers with hints of the tragedy of Sister’s death along the way, found in lines such as “I learned later that no one had dared remove her cardigan from where it sat draped on the chair. It was a sacred object.” Though we have a sinking understanding that she won’t survive the birth of her twins, we cannot help but cling onto any shred of hope tossed our way. This is where the medical terms come into play; terms such as “Smellie scissors”, “Braun’s cranioclast”, and “Jardine’s cephalotribe” instil a strong sense of fear into our minds, and though we cannot picture them precisely, we are able to infer their sinister purpose.

Hema’s thinking process during the procedure is perhaps one of the largest causes of anxiety for the reader; thinking in medical terms is second nature to her. She presents us lines such as “Let there be no brain or meninges or ventricle or cerebral artery or cerebrospinal fluid or whatnot in it”. This trail of thought, though simply put for her, gives readers pause. I found myself reading the phrase several times over as my mind attempted to come up with an image to accompany the terms. For someone with no knowledge of medical terms, reading Hema’s thoughts is like trying to find your way out of a deep pool of water in complete darkness- we cannot determine which direction our efforts are taking us, though our minds and heartbeats race to find an exit. By using such complex terms, Verghese creates a powerful tool; it heightens suspense, delivers hope, and establishes a sense of trust in the doctor’s seemingly vast knowledge.


On Tuesday, July 8, 2014 12:20:49 PM UTC-7, Jed Miller wrote:

Sammi Lyons

unread,
Jul 28, 2014, 2:26:32 AM7/28/14
to dhs-ap-lite...@googlegroups.com

Throughout Abraham Verghese novel, “Cutting For Stone,”  he uses the medical detail to engage us as readers and to build up our tension to know what will happen next. As Nikki stated, the tension and suspense also builds up because of our inability to fully relate. Personally I have never any operation take place before, so I am clueless to the grammatical gestures and language taking place. 

Starting with the horrible birth of the twins connected at the head, Verghese had me engaged because of the high tension in the room. Hema explains, “They could have seizures the minute I cut this. One twin could bleed out and the other overfill with blood,”(115) and immediately I want to know what will happen next. Not wanting to stop reading until I know what the outcome of the twins will be, I read each word waiting for whats next. Verghese builds the suspense by leaving the readers with such vast detail of what each operation is like so we begin to visualize it happening before us. Like Brandon stated. “As I was reading through these intriguing scenes in the novel, I did not want to stop,” Verghese drew his readers in and left them only wanting to know more. 

Generally speaking, humans usually hate not knowing the outcome of situations. We read and also watch in order to figure out what actually ends up happening. That is why many are obsessed with TV shows that always leave you wanting to know whats next. Greys Anatomy, like many of my fellow classmates have mentioned, is a very popular hospital drama with many operation scenes. Unlike a book, where you have to use your imagination, Greys Anatomy give us a physical picture of what is happening. The reason there is suspense built up within the TV show is because of the details used in each operating room in order to intrigue the audience. They use commercial breaks just as the “good part” or climax of the episodes are about to take place; leaving us wanting to know what will happen even more. Vergheses doesn't have pictures within his book to give us the visual engagement, but he used the suspense of the our inability to know what happens next until we reading it. 

Thomas Choonhaurai

unread,
Jul 28, 2014, 2:43:37 AM7/28/14
to dhs-ap-lite...@googlegroups.com

In Cutting for Stone, Verghese uses a very knowledgable tone, which is reinforced by his extensive information of the medical field.  I was immediately baffled and could only get a hold of what was happening  by reading on.  As Carissa pointed out, the book is very relatable to the medical TV shows we watch, where we are constantly hoping for the best outcome for whoever is on the operating table. There are many similarities between the book and a TV show, but they are also very different. For example, some of the ways TV shows will build up suspense:  telling us the low percentage of an operation’s success, needing an organ donor and being on a long waiting list, etc.  Verghese creates suspense another way: by putting a character of meaning in the operation room. 

When Sister Mary Joseph Praise was in the operating room, the pressure Dr. Stone must’ve felt wouldn’t be comparable to what any surgeon on TV would show, or even what he would’ve felt working on any other patient,  because Sister Mary is someone he knows, and the outcome wouldn’t just affect her family, it would affect himself as well. When I realized the weight on Thomas Stone’s shoulders, I couldn’t help but get antsy, sit on the very edge of my couch,  and start reading faster until I found out what would happens. When I read that Sister Mary didn’t make it, I was dying to know what the  doctor’s following actions would be.

After the operation, Dr. Stone vanished. Reiterating on the book’s similarities to a TV show, I felt that a surgeon on T.V. would actually do the same if they had just witnessed, almost caused, a death. They’d constantly be wondering if they should’ve done something different, trying to pinpoint their error so it would never happen again, and I don’t think they could just do this in a day and be able to get over the grief of their mistake without an extended break.

Dillon Page

unread,
Jul 28, 2014, 2:50:44 AM7/28/14
to dhs-ap-lite...@googlegroups.com

As discussed, in his novel, Cutting for Stone, Abraham Verghese contininously brings the reader back to the operating table, where he eploys his seemingly vast (honestly most of us would not know if his depiction of the medical world were a complete sham, and in our ignorance, like cavemen before a magician, we praise him all the more) knowledge of medical terminology to both bring forth an atomosphere of a certain calm and collectedness mixed with the tightly constrained panic of both the observer and the surgen, as well as to bring the reader to feel as helpless as one of the medical students or less-practiced medical workers of the hospital, standing by wishing to assist in some form, but knowing they can do nothing. Jeret said it well when he explained the experience “Surgical language and medical terms are used during these surgeries to set the tone and also to excite and captivate the reader”. Indeed, Verghese’s writing seems to have a bewitching effect and, as a spectator, you are confined to a situation in which the only solace or reselution you can find is by continuing to turn the page and read on.

Much like the television hospital dramas, Abe creates frantic scene. Though unlike the modern day programming, he writes from an omniciant point of view, knowing the thoughts of his desired character helping them convey the status of the operation. This coupled along with the author’s frequent interruptions of the highly-intense scene to lay down interesting, but nonetheless interruptive, backstory, sets him apart from the popular films and shows.

As said by miss O’Neal “Entertainment gives leeway for laziness in imagination”, and in doing so, has let each individual reader come away with a slightly differently imagined scene. This also, in affect, lets the mood of the current scene influece how descriptions are seen. Such is the case in which Thomas grabs the “skull crusher”, as you might have as well, I imagined the instrument to be some gory, caroaded, torture like instrument, when in all probability, it was as clean and as seemingly normal as any of the other instruments, but because of the intensity of the scene, the one word “medival” that was used to describe the tool allowed my imagination to take me to draw much larger conjectures than the evidence would have otherwise permitted. Thus details were exaggerated for the benefit of the story. 

Brandon Barragan

unread,
Jul 28, 2014, 2:55:08 AM7/28/14
to dhs-ap-lite...@googlegroups.com
The novel Cutting for Stone by Abraham Verghese has many scenes that occur on operating tables.  Using his knowledge of medicine Verghese is able to make the reader feel as though they are in the operating room watching the surgical procedures happen right in front of them, Verghese is also able to use his medical knowledge to create suspense in the operating scenes by using a lot of medical terminology and plenty of details. Verghese is able to create suspense using his medical diction by keeping the reader wondering what is going to happen next, because like Jacob mentioned "we are confronted with many tense and dramatic operating scenes that as a reader, we hardly know anything about.". these scenes keep the reader on the edge of their seat wondering what is going to happen next and if it will be positive or negative.

In my opinion, Cutting for Stone and many popular TV medical dramas are pretty different. For example the doctors on many TV medical dramas are often portrayed as though they can treat and heal almost any disorder or disease they come across as though they deal with it everyday. Also, in Cutting for Stone, Verghese provides abundant details about the procedure, which makes you feel you are there watching the procedure, while in many hospital TV shows you only see the before and after of the surgery which does not have as much suspense as feeling like you are there watching the surgery. Another difference between Cutting for Stone and TV hospital dramas, just like Sophia mentioned is that Cutting for Stone makes you utilize your imagination unlike TV dramas, because you can see what everything looks like, but in Cutting for Stone you have to paint a mental image of what everything looks like and what is happening in the book.

Ashley LaBass

unread,
Jul 28, 2014, 2:55:54 AM7/28/14
to dhs-ap-lite...@googlegroups.com

In the book Cutting for Stone, Abraham Verghese describes many dramatic operating scenes, such as Thomas Stone amputating his own finger or the gruesome birth of Shiva and Marion.  Throughout the book, Verghese uses complex medical terminology to describe graphic surgeries.  I agree with Alejandro that the vocabulary used puts the audience in a state of suspense.  This is because unless the reader is a doctor or a person who reads medical dictionaries for fun, you probably have no idea how severe the operation actually is.  I like Young Money’s comparison of the diction used in Cutting for Stone being similar to being blindfolded in a car.  I feel this portrays the feeling you get while reading this book accurately. 

            Verghese’s depictions of different operations in Cutting for Stone are similar to hospital dramas seen on television, such as Gray’s Anatomy House. They both contain tension and suspense that intrigue the reader and/or watcher. Verghese’s book and television dramas both contain uncertainty by always having the operating table as a place of “life and death.” Hospital dramas rely on visual images to convey the severity of a situation. However, in Cutting for Stone, Verghese uses medical terminology and tone to put the reader in a state of suspense until the final verdict of the patient’s health is realized. While both television shows and Verghese’s book contain high doses of tension, I agree with Molly and Mirell when they say that a book’s dramatic events are seen as more natural. It seems to me that it is more realistic when you have the thoughts along with the dialogue, because the thoughts of the operator allow us to experience his/her doubts, confusion, and their triumph or heartache after surgery. Even when Marion was just diagnosing people at Missing, it seemed more realistic because you could experience how he came to the decision of that ailment, unlike how in a medical television show when they just seemingly come up with the diagnosis automatically.

Grant Carrasco

unread,
Jul 28, 2014, 3:14:29 AM7/28/14
to dhs-ap-lite...@googlegroups.com
Abraham Verghese is a intellectual and talented writer who uses medical language to enforce tension and surprise in his novel, "Cutting For Stone". Just like Katie and Nikki explained this type of medical vocabulary creates more tension by not being able to relate as a real life situation for many people. This type of vocabulary gives the reader suspense by using a confusion method. This medical language can be used like" They could have seizures the minute i cut this...One twin could bleed out and the other could overfill with blood...They could get meningitis" (115). Abraham uses these sequences in the book to give the reader enough knowledge to know what's happening, but also creates tension and surprise by those lines not common to the average person. His dramatic surgery scenes relate to any television series or film by being having the surgeon being able to relate to the patient, or the surgeon and patient having some kind of bond in some way. For example, in the television series Scrubs there is almost always a type of bond between the patient and the surgeon, even if it is a bad subject to relate on there is some type bond between the surgeon and the patient. In, "Cutting For Stone" there is a relationship between Thomas Stone and Sister Mary Joesph Praise. As the surgeon Thomas Stone can relate to Sister Mary because of the strong relationship they had together. Although there may be similarities there are also differences. In the television series you can usually understand and relate to most of the characters, but in the novel Abraham uses characters that you cannot really relate to much and uses uncommon events in life that many cannot relate to. That is why often an average person would rather watch a television series like scrubs that you can relate to very easily compared to a book with rare events that are hard to relate to.


rianf...@gmail.com

unread,
Jul 28, 2014, 3:14:55 AM7/28/14
to dhs-ap-lite...@googlegroups.com
Throughout the novel, Cutting For Stone, Abraham Verghese used complex medical vocabulary that created suspense and tension during operations. The vocabulary created suspense because the reader could not fully understand the words/ phrases being said, or the actions that took place. Because of this medical jargon, the outcome of each operation in Operating Theater 3 seemed fatal, to the reader, causing "a suspenseful state of mind for the unknown outcome of the performed surgeries," (Baylee). As Nikki and others said, our knowledge of complex medical procedures is limited, compared to that of a doctor. I agree with Kyle when he says that our lack of knowledge of most medical vocabulary allows the reader to, "assume an occurrence of any of these medical conditions would be fatal," (Kyle). This creates a suspenseful atmosphere in Operating Theater 3.

There are a few television series that share dramatic scenes in an Operating Room, such as "House" and "Scrubs." These television shows show dramatic scenes in Operating Rooms just as Cutting For Stone has. Dramatic scenes such as the birth of the twins, Shiva and Marion, the operation on Colonel Mebratu, etc. The television series share same dramatic scenes that end either in misery or triumph.

The difference between these television series and the novel, Cutting For Stone, is that in the book the complex medical vocabulary used was hard to comprehend, let alone imagine in your head. In television shows the viewer gets a visual image on what is transpiring. No matter how incomprehensive the medical vocabulary is the viewer can still see what actions are occurring, which gives the viewer insight into what the medical jargon means. This insight releases some of the suspense because the viewer knows what is happening and can monitor the procedures. In the novel this insight is not given. The reader does not get a visual on the procedures taking place. They have to imagine the scene in their head using the vocabulary used by the author. Because the vocabulary was so hard to understand, unless the reader was trained medically, that they did not know what was happening at times, sometimes even not knowing what was wrong with the patient. This suspense causes a sense of hope or defeat during operations, a suspense that cannot be matched to television shows.

Julie Tvrdik

unread,
Jul 28, 2014, 10:33:37 PM7/28/14
to dhs-ap-lite...@googlegroups.com
Abraham Verghese describes his many surgeries in his novel, Cutting for Stone, with an interesting choice of words. Since Verghese does not have a medical degree some of the  descriptions are in lay men's terms that allow us to picture in our minds what is really going on in the surgery. I'm not sure I totally agree with Noah's statement about Verghese using hard medical terms because some of his terms were easy for me to understand such as during the description of the vasectomy Verghese uses the common term "balls" instead of the correct anatomical term "tentacles." In the birth of the twins I felt sorry for sister Mary Joseph because the birth was so drawn out. He really portrayed to the reader how much suffering she went through. To top it off even though Dr. Thomas stone is a "great surgeon" he had no idea what to do, or that she was giving birth. This created a huge amount of tension because the reader wants to hurry and find it if she will survive and if the babies will also survive. 
During the Liver transplant drama it reminded me of an episode of "House" where the husband needed a liver and the pregnant wife was willing to give half of hers, but the husband did not want her to because it would kill her baby. Just as in Shiva's attempt to give half of his liver to his brother Marian there was controversy because Hema did not want him to risk his life. Usually in the TV drams they find a way to  work around the problem even though it may not be feasible in real life and the outcome is a happy ending. This is where the book is different because there is not always a happy ending to the surgeries.
 
  
 

Justin Kemper

unread,
Jul 29, 2014, 9:53:26 PM7/29/14
to dhs-ap-lite...@googlegroups.com
Cutting for Stone by Abraham Verghese has many dramatic and vulgar scenes that occur in theater 3. The author clearly knows a bit of surgical vocabulary, that he uses to create surreal scenes that  are hard for many readers to understand. he is very good at creating tension and surprise, but like Nikki said, i do not believe the tension comes from the detail, i think it comes from the readers lack of knowledge. an example is when he is describing the twins birth.The author tells us that Thomas stone used a "bloody trephine" to try to remove the twins. Because many readers do not know what that is we feel suspense, wondering if he will be able to get them out and save Mary as well. In the end he creates even more tension because we later learn that he was trying to break there skulls, which leads us to the conclusion that a trephine is actually a tool to remove a dead child or kill a living one in Stones case. I found that in most of the surgical scenes i wanted to pull out a dictionary to look up the unknown tools and procedures, but I did not in order to save the surprise that Verghese purposely created with his scholarly language.
Unlike many of the responses on here I do not not believe that the surgical scenes in cutting for stone relate those in dramas. Yes there are some similarities like a main surgeon or similar vocabulary like low blood preasure, but the scenes themselves are very different. first, in the shows, the camera primarily focuses on the surgeons, where as in the book, the focus is on the patient. The reader is able to picture more detail, like cutting of a finger or crushing a skull, when we read it. an author is not limited to how much gore and detail he would like to go in, whereas you can only show so much on t.v.
Reply all
Reply to author
Forward
0 new messages