Cutting for Stone: A novel [DECKLE EDGE] (Hardcover)

~ (Author)
Key Phrases: short practice, house staff quarters, missing hospital, Thomas Stone, Sister Mary Joseph Praise, Addis Ababa (more...)

Editorial Reviews

From Publishers Weekly

Starred Review. Lauded for his sensitive memoir (My Own Country) about his time as a doctor in eastern Tennessee at the onset of the AIDS epidemic in the 80s, Verghese turns his formidable talents to fiction, mining his own life and experiences in a magnificent, sweeping novel that moves from India to Ethiopia to an inner-city hospital in New York City over decades and generations. Sister Mary Joseph Praise, a devout young nun, leaves the south Indian state of Kerala in 1947 for a missionary post in Yemen. During the arduous sea voyage, she saves the life of an English doctor bound for Ethiopia, Thomas Stone, who becomes a key player in her destiny when they meet up again at Missing Hospital in Addis Ababa. Seven years later, Sister Praise dies birthing twin boys: Shiva and Marion, the latter narrating his own and his brothers long, dramatic, biblical story set against the backdrop of political turmoil in Ethiopia, the life of the hospital compound in which they grow up and the love story of their adopted parents, both doctors at Missing. The boys become doctors as well and Vergheses weaving of the practice of medicine into the narrative is fascinating even as the story bobs and weaves with the power and coincidences of the best 19th-century novel. (Feb.)
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From The Washington Post

From The Washington Post's Book World/washingtonpost.com Reviewed by W. Ralph Eubanks "Why St. Teresa, mother?" the narrator of Abraham Verghese's masterful first novel asks longingly. Marion Praise Stone wants to understand his long-dead mother and her devotion to the 16th-century mystic. But the circumstances surrounding his birth complicate that quest: Marion and his identical twin brother, Shiva, were born from a secret union between a beautiful Indian nun, Sister Mary Joseph Praise, and a British surgeon, Thomas Stone, in Addis Ababa in 1954. Now 50 years old, and a doctor like the father who abandoned him, Marion sets out to piece together his personal history, both as a spiritual exercise and as an act of reconciliation. Marion's question, "Why Saint Teresa?," is prompted by one of the few remnants of his late mother's life: a print of Bernini's sculpture of Teresa of Avila, depicting her enraptured by the love of God. He senses that his mother's beauty must have been like that of Saint Teresa, a woman known to be so attractive to men that her confessor not only fell in love with her but also wound up confessing his own sins to her. Verghese's gripping narrative moves over decades and generations from India to Ethiopia to an inner-city hospital in New York, describing the cultural and spiritual pull of these places. Sister Mary Joseph Praise and Dr. Thomas Stone meet during the young nun's voyage from India to a missionary post in Yemen. Sister Mary Joseph saves Stone's life on the tempestuous passage, one filled with typhoid and other dangers. Impressed by her skills as a nurse, Stone asks the nun to join him in Addis Ababa at a mission hospital known to natives as "Missing Hospital." She declines his invitation, noting her commitment to her order in Yemen. Later while serving in Aden, a Yemeni city that is "at once dead and yet in continuous motion," Sister Mary Joseph confronts an evil man and an act of violence that she never discusses or reveals to anyone. Yet what happened leaves its mark on her like stigmata. She flees from Yemen and finds her way to Addis Ababa and Missing Hospital. When she recovers, she and Stone become an inseparable team in the operating room. After seven years of working together and more, Stone learns of Sister Mary Joseph's pregnancy when he is called to the hospital and finds her in a distressed labor. When she dies giving birth to their twins, he disappears. Cutting for Stone then moves to the story of Marion and Shiva, as well as their adoptive parents, Stone's fellow physicians, and the world of Missing Hospital. Until their teens, the twins share a bed, sleeping with their heads touching each other just as they did in their mother's womb. Yet as young men, an act of sexual betrayal -- they share a passion for the same woman -- spirals out of control and separates them for many years. Both men become doctors, and eventually the division leads Marion to an internship at a New York hospital. But then an illness leaves Marion's life in the hands of the brother who betrayed him as well as the father who abandoned him. Even with its many stories and layers, Cutting for Stone remains clear and concise. Verghese paints a vivid picture of these settings, the practice of medicine (he is also a physician) and the characters' inner conflicts. I felt as though I were with these people, eating dinner with them even, feeling the hot spongy injera on my fingers as they dipped it into a spicy wot. In The Interior Castle, Saint Teresa's work on mystical theology, she wrote, "I began to think of the soul as if it were a castle made of a single diamond or of very clear crystal, in which there are many rooms, just as in Heaven there are many mansions." Cutting for Stone shines like that place.
Copyright 2009, The Washington Post. All Rights Reserved.

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Product Details

• Hardcover: 560 pages
• Publisher: Knopf; 1 edition (February 3, 2009)
• Language: English
• ISBN-10: 0375414495
• ISBN-13: 978-0375414497
• Product Dimensions: 9.3 x 6.4 x 1.8 inches
• Shipping Weight: 1.8 pounds (View shipping rates and policies)
• Average Customer Review: 4.7 out of 5 stars  See all reviews (183 customer reviews)
• Amazon.com Sales Rank: #294 in Books (See Bestsellers in Books)

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Customer Reviews

Most Helpful Customer Reviews

222 of 225 people found the following review helpful:

5.0 out of 5 stars "We are all fixing what is broken. It is the task of a lifetime.", February 12, 2009

By	S. McGee (New York, NY) - See all my reviews (TOP 500 REVIEWER)    (REAL NAME)

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This brilliant novel revolves around what is broken -- limbs, family ties, trust -- and the process of rebuilding them. It starts with the birth of twin boys to a nursing nun, Sister Mary Praise Joseph, in a small hospital on the outskirts of Addis Ababa, Ethiopia; an event which no one had expected: "The everyday miracle of conception had taken place in the one place it should not have: in Sister Mary Praise Joseph's womb." The delivery rapidly becomes a debacle when it's clear that Mary Praise Joseph can't deliver her baby normally; the last minute arrival home at "Missing" (the Mission Hospital) by Indian obstetrician Hema saves the children, but their mother dies and their presumed father father, surgeon Thomas Stone, disappears into the night.

That brief summary does no justice to Verghese's powerful and remarkable prose style or the structure of the first part of the book which, although it revolves around the tragedy that claims the life of the twins' mother, also introduces the other main characters who will take the place of their biological parents. Darting back and forth between the events in the surgical theater (as Thomas Stone, horrified at what he sees, first tries to save Mary Joseph Praise's life by collapsing the skull of the infant he believes cannot be born alive), the mundane daily activities of his fellow doctor, Ghosh (trying to escape what he believes is a hopeless love for Hema) and Hema's struggle to get home to Missing from her annual holiday in India, the reader will find it impossible to put the book down and wants only to find a way of reading faster and faster to discover what happens next. By the time the twins are born, attached by a blood vessel at the head and separated at the last moment by Stone and Hema to save their lives, the reader will find himself or herself resenting every moment not spent following this story until the tale is told. And even when you are finished, the novel and its more-than-compelling characters will linger on in your mind...

Separated at birth, the twins grow up in the Ethiopia of the Emperor Haile Selaisse's reign, and Verghese introduces the reader to an ancient world that will be new to most readers, with all its flavors, colors, scents and sounds. His remarkable artistry ensures that this is never jarring but always intriguing and that the characters -- Indian expatriate doctors raising their two foster children, born to an Indian nun and an American surgeon, with the help of an Eritrean caretaker and her own daughter -- feel as familiar to us as if they were members of our own family. In the manner of a classic epic, Verghese picks his themes -- separation, the intersection of sex and death, wounds and what surgery can and can't accomplish -- and sticks to them throughout. And yet, those themes -- sweeping ones for any novelist to tackle -- never overshadow the fact that this is, at its core, the story of two brothers, Shiva and Marion -- or ShivaMarion, as Marion, the narrator, describes their single-minded unity in their youngest years.

Ultimately, the political events in Ethiopia and family betrayals send Marion fleeing to the United States. His odyssey seems to rupture all these ties and yet by the time the novel ends, we realize that every step has, in fact, been bringing Marion, Shiva and their extended family closer together as well as toward a resolution of the various plot twists. Training as a surgeon in a Bronx hospital where the only interns are from overseas ("the bloodlines from the Mayflower hadn't trickled down to this zip code", Marion reflects wryly), the finally encounters his birth father in person -- with dramatic consequences -- and has a chance to make peace with Thomas Stone, Shiva -- and himself.

Anyone familiar with Veghese's non-fiction writing (two very compelling memoirs, My Own Country: A Doctor's Story and The Tennis Partner) knows that he is an impeccable prose stylist. But relatively few non-fiction writers can also write wonderful fiction, much less produce this kind of complex drama. Rarer still is that this is a debut novel. Even the remarkable coincidences of the final third of the book never feel anything less than pitch-perfect: a real tribute to both Verghese's carefully-constructed plot and his eloquent, pitch-perfect writing.

It is rare for me to stumble over a novel of such a high caliber, one that creates the kind of characters I have never met before, characters who now are as vividly alive in my mind as any of the real individuals who populate my world. May this be only the first of many novels that Verghese produces for us, his lucky readers.

97 of 100 people found the following review helpful:

5.0 out of 5 stars Are You Your Brother's Keeper?, February 10, 2009

By	delicateflower152 (Texas) - See all my reviews (TOP 500 REVIEWER)

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Throughout this magnificent novel, this question is answered affirmatively over and over again. Whether your brother is your identical twin, an orphaned child, an unfortunate neighbor, or a stranger, each person deserves to be cared for.

Beginning in India, the story progresses to Africa where it remains until the protagonist immigrates to America. Marion, the narrator of this fictional autobiography, is one of a set of identical twins. His birth and life at the mission, Missing, provide the basis for the conflicts and triumphs contained in the novel. The historical backdrop, Ethiopia's internal conflicts and coups, impart additional depth to the book's realistic atmosphere. The title "Cutting for Stone" is taken from the Hippocratic oath, but may also reflect a double meaning. The biological father of the Marion and his twin, Shiva, is Thomas Stone, a famous surgeon. In what may be a subconscious effort to emulate and impress their absent parent, both become skilled surgeons. They are "Cutting for Stone".

This is one of the most outstanding books I have been privileged to read. Verghese is a skilled writer and draws the reader into the book immediately. The characters are strong, interesting, and very human; the conflicts are realistic and keep the pace of the novel moving forward. Even minor characters are sufficiently well developed so that the reader would like to know more about their lives. There is gentle humor, emotional turmoil, and great personal triumph throughout the book.

Allow yourself the luxury of time to read "Cutting for Stone" without interruption. If you do not, you will find yourself thinking about the characters and wondering what is going to happen to each one. In my opinion, that is the mark of a great book - the author has captured your attention and quietly demands you give it to nothing else. When a book as fine as "Cutting for Stone" is involved, you are more than happy to comply. You can, if necessary, read this book in multiple sessions without losing interest or forgetting what has previously occurred.

Had I been allowed to rate this book more than five stars, I would have done so. It is truly a masterpiece.

58 of 60 people found the following review helpful:

5.0 out of 5 stars Fiction at it's Best, February 10, 2009

By	Sara M "A Reader" (California, USA) - See all my reviews

Many readers will tell you that Cutting for Stone is the epic story of two conjoined twins fathered by a brilliant British Surgeon and an Indian Nun. And it technically is. Narrated by Marion the first born twin we are told of every influence on his and his brother's existence. More than the story being told however, the novel is an accurate portrayal of life in all it's cruelty and wonder.

The twin's mother dies in childbirth and their father abandons them minutes later. They are raised in a missionary medical hospital in Ethiopia. As they grow up they are forced to face their past and futures re-defining the meanings of destiny, love and family.

While reading you will notice the fine points are painstakingly researched as the story is and packed full of medical jargon and situations along with vivid descriptions of Ethiopian culture and history. My only reservation in recommending the book is the novels "hard moments" as almost every imaginable tragedy touches these brothers, and medical operations and oddities are very detailed. Squeamish readers may want to skim some of these passages.

All in all, this novel is elegantly told, superbly structured and the most original piece of fiction I've read in years. It's deserving of every positive adjective I can throw at it; marvelous, and thrilling. You will want to own and lose yourself in this book again and again. Buy it now, and thank me later.