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The Diagnosis: A Novel [Paperback]

Alan Lightman
2.9 out of 5 stars  See all reviews (85 customer reviews)

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Book Description

February 19, 2002
From the bestselling author of Einstein’s Dreams comes this harrowing tale of one man's struggle to cope in a wired world, even as his own biological wiring short-circuits. As Boston’s Red Line shuttles Bill Chalmers to work one summer morning, something extraordinary happens. Suddenly, he can't remember which stop is his, where he works, or even who he is. The only thing he can remember is his corporate motto: the maximum information in the minimum time.

Bill’s memory returns, but a strange numbness afflicts him. As he attempts to find a diagnosis for his deteriorating illness, he descends into a nightmarish tangle of inconclusive results, his company’s manic frenzy, and his family’s disbelief. Ultimately, Bill discovers that he is fighting not just for his body but also for his soul.

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Editorial Reviews

Amazon.com Review

In the bravura opening chapter of Alan Lightman's novel The Diagnosis, a nameless horror befalls Boston businessman Bill Chalmers in the hubbub of his morning commute. As he jostles his way aboard the train and makes cell-phone calls to check last-minute details on his morning meeting (for Bill is punctilious), a realization surfaces in his brain, "like a trapped bubble of air rising from the bottom of a deep pond." He has forgotten where he's going. All he can remember is his anxious urgency and his company's creed, "The maximum information in the minimum time." Acutely aware that he's got a 9:15 appointment, but recalling only the first six digits of his phone number, Bill helplessly gazes out the window. "Trees flew by like flailing arms.... Railroad tracks fluttered by like matchsticks. Trees, white and gray clapboard houses with paint peeling off, junkyards with stacks of flaccid tires." Lightman's Kafka pastiche is as pitch perfect as his verbal music: note the rhyming x sounds in stacks and flaccid (which is not pronounced "flassid").

Terrifyingly soon, Bill is mad, homeless, beaten, and experimented on by comically evil doctors. He recovers and reunites with his family, but inexorably, mysterious paralysis ensues. Doctors try to diagnose him. Coworkers offer empty condolences and plot to steal his fast-track job. His wife seeks consolation with a passionate virtual lover on the Internet, a professor she's never met in the flesh. His teenage son triumphantly hacks into AOL's Plato Online, and Bill's last days are counterpointed with the trial of Socrates and his troubled, rich inquisitor Anytus. Instead of the real story, we get a second shimmering Lightman fable. Anytus's strife with his rebel son, a Socrates supporter, parallels Bill's grief as his son is distanced from him by illness.

Though I felt glimmerings of understanding from time to time, I never did fully figure out exactly what the Socrates story and Bill's decline have to say about each other, nor what Bill's paralysis says about modern times. I implore a smarter reader to explain it to me in the customer comments below. But I can tell you that every character is resonant, and every sensory particular is exquisitely precise, as in Lightman's biggest hit, the Italo Calvino pastiche Einstein's Dreams. --Tim Appelo --This text refers to an out of print or unavailable edition of this title.

From Publishers Weekly

The author of Einstein's Dreams has made a darkly affecting book out of what seems at first to be unpromising material. Bill Chalmers is an executive at an "information company" in Boston who on his way to work one day forgets completely who he is, what he does or where he is supposed to be going. After a number of nightmarish experiences, in which he rapidly becomes a homeless bum, he awakens in a hospital, more or less his old selfDexcept that his body is beginning to turn numb. So far, this approximates a conventional "breakdown under the pressures of civilization" story (and Lightman is particularly good at evoking the impersonal horrors of contemporary urban life). But the progress of Chalmers's ordeal is much stranger, richer and more weirdly comic than that. He sees a doctor who can offer only infinite tests, a psychiatrist who seems equally at a loss. Wife Melissa, conducting a cyber affair with a professor (e-mails figure extensively in the book, the kind of typos we all commit rendered with malicious glee), begins to fall apart, taking to drink as Bill gets worse. Eventually confined to a wheelchair, Bill senses that his son, Alex, a computer geek, is growing apart from him. When he's fired by his employers, Bill sues them for unfair dismissal of a sick man. All this is conveyed in scenes that show a subtly calibrated mastery of comic timing, emphasizing contemporary heedlessness and a helpless anger. The ending, as Chalmers draws increasingly inward, seeing himself only as a brain stem in an utterly dysfunctional body, carries haunting echoes of a similar passage at the conclusion of James Joyce's The Dead. Lightman's masterly study of early 21st-century angst is marred only slightly by a series of episodes from the trial and hemlock poisoning of Socrates, first called up as an e-lesson by Alex, then read by him and Melissa to Bill as he sinks further into desuetude. Vivid as these scenes are, their link with the present is extremely tenuous. Is Lightman saying that things were just as bad 2,000 years before cell phones and traffic jams, or is he imparting some hidden Socratic instruction?
Copyright 2000 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

Product Details

  • Paperback: 384 pages
  • Publisher: Vintage; Reprint edition (February 19, 2002)
  • Language: English
  • ISBN-10: 0375725504
  • ISBN-13: 978-0375725500
  • Product Dimensions: 0.8 x 5.1 x 7.9 inches
  • Shipping Weight: 11.2 ounces (View shipping rates and policies)
  • Average Customer Review: 2.9 out of 5 stars  See all reviews (85 customer reviews)
  • Amazon Best Sellers Rank: #72,802 in Books (See Top 100 in Books)

More About the Author

Alan Lightman, a Fellow of the American Academy of Arts & Sciences since 1996, is adjunct professor of humanities at MIT. He is the author of several books on science, including "Ancient Light: Our Changing View of the Universe" (1991) and "Origins: The Lives and Worlds of Modern Cosmologists" (with R. Brawer, 1990). His works of fiction include "Einstein's Dreams" (1993), "The Diagnosis" (2000), which was a finalist for the National Book Award, and, most recently, "Reunion" (2003).

Customer Reviews

Most Helpful Customer Reviews
27 of 29 people found the following review helpful
5.0 out of 5 stars Changing Nature of the American Dream September 24, 2000
Format:Hardcover
It could happen to anybody, anytime, anywhere. You take the same train to the office as you have done every working day for the past nine years. Then suddenly you lose it.

Your mind becomes a blank. You cannot remember which stop to get off at, or even where you work. Then the panic attack starts. You begin to sweat, imagining all the other commuters are looking at you. Finally reduced to a gibbering, naked wreck crouched on the floor of the train carriage, you are escorted by police out of the station to the nearest psychiatric hospital.

What happens next to Bill Chalmers, the protagonist of Alan Lightman's brilliant new novel, is even more frightening. Mistaken for a worthless vagrant headcase, he is subjected to illegal, invasive experiments, from which his brain emerges irreparably altered. He escapes, only to be mugged.

Somehow he finds his way back home and picks up the pieces of his life, his experiences a fractured, elusive memory. Like Lester Burnham in the film American Beauty, Chalmers goes into free fall from society as he knows it. Unlike Burnham, he is not given a chance to re-invent himself.

He has it all, or so he thinks: nice house in an affluent area of Boston, swish car, good job, loving family. But the price of his success means communicating with his son via e-mail - even when they are both home. It also means long hours at the office, which pushes his wife into a cyber love affair.

The similarities to American Beauty don't end there, though Lightman adds an unusual twist by cleverly working into the story the fate of Greek philosopher Socrates, a paragon of virtue in a corrupt society. Chalmers loses his job as he degenerates physically and mentally, but comes to realise there is more to life than trying to live the dream....

This is a dark story about the erosion of moral values and the high cost individuals pay for information overload in the workplace today. Erudite and philosophical, Lightman is also a skilful storyteller who captures the reader's attention from the opening paragraph. Provocative and challenging, The Diagnosis shows the fallibility of humans in the pursuit of greed and ambition.

Socrates reasoned that to "know thyself" was the key to existence in society. For Bill Chalmers, it's a voyage of discovery that proves to be a tragedy waiting to happen. Read more ›

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27 of 30 people found the following review helpful
3.0 out of 5 stars Metamorphosis Lite October 2, 2000
By A Customer
Format:Hardcover
Lightman has been praised for using this novel to take a hard look at the technological dystopia that our world seems to increasingly resemble. Unfortunately, the look amounts to little more than a glance: Lightman doesn't make much of an effort to explore the ramifications of such a world. Rather, he presents a fairly straightforward narrative which is initially absorbing but eventually frustrating. It's like Kafka without heft, Orwell sans allegory.

As for the fictionalized Dialogue by Plato, I think the Amazon.com reviewer had it right: "I never did fully figure out exactly what the Socrates story and Bill's decline have to say about each other..." That's because Lightman provides no real thread between the stories, leaving a rather large metaphoric gap for the reader to bridge. It's as if the author has excused himself from his *own* Dialogue in the face of truly difficult questions -- leaving both his characters and us none the wiser for it.

According to Lightman, _The Diagnosis_ is: figure it out for yourself.

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20 of 22 people found the following review helpful
4.0 out of 5 stars An Angry, Intelligent Attack on Our Culture September 30, 2000
Format:Hardcover
I want to begin on a note of cynicism -- if, in fact, we live in a morally bankrupt society that becomes less intelligent each year, why is the market for highly-literate novels, plays and films about our corporate dystopia so sizeable? "American Beauty" was a surprise hit and it seems that every young novelist in America has been influenced by Don DeLillo. For all the talk about our smothering popular culture, we seem to have ample wriggle room to escape into intelligent critiques of that culture. Is it that we cultural elitists just want to tut-tut those who can't see through the most shallow features of our culture?

I hold none of this against Alan Lightman or his fine book. "The Diagnosis" begins with, in my opinion, the best first chapter of the year, a Kafka-esque nightmare of lost identity amid technological chaos. From there, the book deftly changes tone several times, alternating between medical drama, corporate satire, domestic soap opera and philosophical treatise.

"The Diagnosis" lives in the same moral universe as Don DeLillo's "White Noise" and even includes two veiled references (one would have been sufficient) to that book. It falls short of DeLillo's greatness because it lacks his humor and keen social insight. Lightman's anger at contemporary America is sometimes suffocating -- every character in the book becomes a victim of his wrath.

But taken as a work of philosophy and a snapshot of our times, "The Diagnosis" is effective and (in a strange way) entertaining. Lightman gives no easy payoffs and is completely willing to leave his reader on a down note. But somewhere in this jungle of despair is a glimmer of hope ......

Maybe we, the great anti-consumer consumers, are the hope. Even if we aren't, thinking so makes us feel good. Read more ›

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15 of 16 people found the following review helpful
1.0 out of 5 stars A National Book Award Nominee? December 9, 2000
Format:Hardcover
Clearly, it is currently chic to "like" this book. The National Book Foundation had Lightman's latest up as a nominee for the 2000 National Book Award for fiction. I eagerly read THE DIAGNOSIS with great anticipation. I was again disappointed with the "literary" reviews from "serious" reviewers. This book is awful. Is there a kind way to put it?

I am at a loss to find the "brilliance" in this novel. There are moments of intense description that show flashes of real talent. Maybe even a remarkable talent. But not near enough of them to salvage the plot, the characters - the book. E-mails (complete with headers) are used throughout the novel, this is an okay device, but the messages which (I guess) were to be more realistic with misspellings and typos were so ridiculous as to be obnoxious. If I received e-mails with typos like those depicted as "normal" in this book from MY attorney, MY physician, etc... I would clearly look elsewhere. Hasn't Mr. Lightman heard of spell check? Does he really think NOBODY uses it? I found this very distracting and it actually achieved the opposite by making the e-mails almost parodies and very unrealistic.

The story rises and falls, rises and falls, ultimately going - nowhere. THE DIAGNOSIS is actually a collection of paragraphs, some of which were actually penned with great skill. However, this book goes nowhere. Literally, nowhere. I am trying to write this ever so carefully as to not give anything away but I am now thinking, what could I possibly give away? There's certainly no suspense, no characters that you invest your emotions in, and in the end, you'll be glad you didn't try to get too close. It is one thing for a novel to not have a resolution, I can accept that (and do all the time)....

I think about having read some truly great novels (Of Human Bondage, Look Homeward Angel, even On The Road!) and then think back on this book and wonder what Somerset Maugham, especially, would have said about such a novel being recognized as a National Book Award nominee. I can only imagine. It is a bit frightning to me actually to think this is being considered great fiction by some. Are we entering another one of those periods where writers have to write something off-the-wall, breaking all the rules, using cheap device tricks to get noticed, while writing truly poor stories? And then have the publishing house hype it so that reviewers are afraid to be considered fogeys if they don't at least *pretend* they loved it?

Summed up: This book belongs on remainder tables, not in lights as a National Book Award nominee. Harsh? I know. But my gosh, THE DIAGNOSIS is awful. Read more ›

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Most Recent Customer Reviews
4.0 out of 5 stars The Death of Ivan Ilych for our times
One day, on his way to his job at the corporateum, Bill Chalmers experiences a strange episode -- his orientation and his entire memory vanish, leaving him lost, both externally... Read more
Published 2 months ago by Three Months Without Sun
5.0 out of 5 stars A Perfect Book
Why anyone would rate this book as anything other than 5 stars is beyond my imagination. This book is a must-read for the soulful, thinking mind. Read more
Published 4 months ago by Jacqueline D. Martin
1.0 out of 5 stars Horrible Book
This book was extremely boring. The quality when I received this book was good, it was just the content that disappointed. It sounded like a better book than it really was. Read more
Published 6 months ago by kemp68
5.0 out of 5 stars The diagnoses
This was a great book. It deals with modern mans adventures within the confines of a crazy world. It is about KNOWING THY SELF and leading a Good life. Read more
Published 18 months ago by scott
3.0 out of 5 stars What "they" said starting 10 years ago!
I have just copied and pasted another reviewer's comments word-for-word as they reflect most concisely exactly how I felt about this book: "After reading the book, I was left... Read more
Published 19 months ago by Joy S. Johnson
2.0 out of 5 stars Kafka meets Plato, and they don't play well together...
A busy junior executive first suffers flash amnesia and then progressively loses feeling in his body. While waiting for a diagnosis of his illness, his son reads Plato to him. Read more
Published on June 16, 2011 by Matthew Farrell
2.0 out of 5 stars A real downer
After reading the book, I was left with a puzzled, confused emptiness. The theme and the meaning of the book were baffling. Read more
Published on April 24, 2011 by R. Larsen
3.0 out of 5 stars A Good Prognosis for The Diagnosis
The Diagnosis by Alan Lightman is a captivating book that I a perfect example of one of the best story-writing techniques; throughout the book, right up to the ultimate pages, the... Read more
Published on October 31, 2010 by Alexandro C. Telander
2.0 out of 5 stars Tries too hard to be interesting
I listened to the audiobook, which was recommended by Audible from my previous Kafka/Camus/Sartre purchase history. Read more
Published on March 1, 2009 by C. Dale
1.0 out of 5 stars yeesh
Did not enjoy or appreciate this book. Left me feeling antsy and irritated and furious, like its main character. Read more
Published on September 24, 2008 by W. King
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