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The Diagnosis: A Novel Hardcover – September 12, 2000
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While rushing to his office one warm summer morning, Bill Chalmers, a junior executive, realizes that he cannot remember where he is going or even who he is. All he remembers is the motto of his company: The maximum information in the minimum time.
When Bill's memory returns, "his head pounding, remembering too much," a strange numbness afflicts him, beginning as a tingling in his hands and gradually spreading over the rest of his body. As he attempts to find a diagnosis of his illness, he descends into a nightmare, enduring a blizzard of medical tests and specialists without conclusive results, the manic frenzy of his company, and a desperate wife who decides that he must be imagining his deteriorating condition.
By turns satiric, comic, and tragic, The Diagnosis is a brilliant and disturbing examination of our modern obsession with speed, information, and money, and what this obsession has done to our minds and our spirits.
- Print length384 pages
- LanguageEnglish
- PublisherPantheon
- Publication dateSeptember 12, 2000
- Dimensions5.93 x 1.19 x 8.56 inches
- ISBN-100679436154
- ISBN-13978-0679436157
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Editorial Reviews
Amazon.com Review
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
From Publishers Weekly
Copyright 2000 Reed Business Information, Inc.
From Library Journal
Copyright 2000 Reed Business Information, Inc.
From Booklist
Copyright © American Library Association. All rights reserved
Review
"The Diagnosis is packed with dark power and awful humor. Lightman's intelligence, imagination, and clarity of style mark him as one of the most brilliant contemporary American writers."
--Annie Proulx
"I know of no novel that captures the technological horror and pervasive spiritual poverty of our wildly prosperous land in so powerful a way as The Diagnosis. It is haunting."
--Norman Mailer
From the Publisher
-- Annie Proulx
"I know of no novel that captures the technological horror and pervasive spiritual poverty of our wildly prosperous land in so powerful a way as The Diagnosis. It is haunting."
-- Norman Mailer
From the Inside Flap
While rushing to his office one warm summer morning, Bill Chalmers, a junior executive, realizes that he cannot remember where he is going or even who he is. All he remembers is the motto of his company: The maximum information in the minimum time.
When Bill's memory returns, "his head pounding, remembering too much," a strange numbness afflicts him, beginning as a tingling in his hands and gradually spreading over the rest of his body. As he attempts to find a diagnosis of his illness, he descends into a nightmare, enduring a blizzard of medical tests and specialists without conclusive results, the manic frenzy of his company, and a desperate wife who decides that he must be imagining his deteriorating condition.
By turns satiric, comic, and tragic, The Diagnosis is a brilliant and disturbing examination of our modern obsession with speed, information, and money, and what this obsession has done to our minds and our spirits.
From the Back Cover
"The Diagnosis is packed with dark power and awful humor. Lightman's intelligence, imagination, and clarity of style mark him as one of the most brilliant contemporary American writers."
--Annie Proulx
"I know of no novel that captures the technological horror and pervasive spiritual poverty of our wildly prosperous land in so powerful a way as The Diagnosis. It is haunting."
--Norman Mailer
About the Author
Excerpt. © Reprinted by permission. All rights reserved.
ON THE SUBWAY
People must have been in a great hurry, for no one noticed anything wrong with Bill Chalmers as he dashed from his automobile one fine summer morning. Earnest and dressed in a blue cotton suit, he was immediately swept up by the mass of commuters also galloping from their cars toward the elevators and down to the trains of the Alewife Station, a cavernous structure of concrete and crisscrossed steel struts, one end of the Red Line through Boston. At the ground floor, Chalmers presented his pass and rushed through the turnstile. He was halfway down the stairs to the platform when he heard the taut string of electronic beeps and the doors began sliding on train Number One. A woman groaned. Another commuter, a tall nervous man with squeaky shoes, lunged ahead and ran alongside the train, shouting and slapping his magazine against the red paneled doors. But the train was already in motion, its steel wheels scraping and squealing so fiercely that several people had to turn up their head sets. The tall man swiveled and shot Chalmers an accusing stare, as if his lack of sufficient speed through the turnstile had caused a half-dozen people to miss their trains. What a jerk, Chalmers thought to himself and looked down at his watch. It was 8:22. Twenty-three minutes to his stop, a nine-minute walk to his building, two minutes on the elevator, and he'd be sitting at his desk by 9:00. Assuming the train on Track Two arrived and departed within four minutes, as it should. With some satisfaction he reminded himself that, unlike the ridiculously agitated man with the magazine, he had calculated his morning commute so that he could miss the first train and still arrive at the office on time. Abruptly, he began worrying that the train on Track Two might be late. Never had that happened when he'd missed train Number One, but it was certainly a possibility. Stroking his mustache, he continued down the stairs and looked again at his watch. He mustn't waste the four minutes. However, he slowed his descent to drop fifty cents into the cup of a homeless woman sprawled on the edge of the stairs. She looked disturbingly like his old piano teacher. "Thank you, kind sir," she said. "Please don't thank me," he answered, embarrassed. "I thank everyone who is more fortunate than me," she called to him as he hurried down to the platform. Waves of people flowed around him, jostling and crushing from all sides, shoving each other to gain an advantage for the next arriving train. Gulped down in seconds were muffins and rolls, hard-boiled eggs, bananas, coffee, and crackers. Some commuters tried to unfold newspapers in the cramped space but gave up and contented themselves with staring at the digital sign on the kiosk, where bits of news and the correct time scrolled by in bright glowing dots. The dozens of upturned faces were waxy and yellow beneath the underground fluorescent bulbs.
Even in that pale yellow light, if any of those waiting had looked carefully into Chalmers's eyes, they might have observed a faint petrifaction, a solidification, some sign that all was not well. But they did not, occupied with their own busy schedules and the marching dots on the sign. Chalmers himself felt perfectly fit, aside from the normal stresses and aches of a man just past forty, arguably overweight but by no means fat. He glanced at his watch, 8:23, and forged a path to the kiosk. Above his head, the digital sign flickered and hummed and something clattered repeatedly against the high concrete ceiling and the air sagged with the burnt smell of hot brake fluid. Several radios blared, jumbling their throbbing bass notes in competing rhythms. Huddled against the kiosk as if battling a strong wind, a woman in a smart linen suit was delivering instructions into a cellular telephone. Chalmers couldn't help noticing that her phone was a new model, considerably smaller and sleeker than his. He took out his own phone from his briefcase. As he began dialing, he found that he was still shaken by the poor woman on the stairs. Her misery had cast a gloom over him, which he tried to forget by pushing the tiny buttons as fast as he could. First, he called Jenkins, to make sure that the proper documents would be ready for his 9:15 meeting. All was in order. He hung up and stood on his toes, peering down the dark tunnel of Track Two. Over the track, hundreds of glowing red neon tubes dangled down from the ceiling, one of them broken and blinking like a Christmas tree light. His telephone rang. Two men reached inside their briefcases, thinking it theirs. "Mr. Chalmers, this is Robert again. You didn't tell me if you wanted the Lehman file for the meeting." "No. Thank you, Robert." "Just checking to make sure everything is in order, Mr. Chalmers. We're set for TEM at ten-thirty." That Jenkins was an excellent young man, Chalmers said to himself. He would remember to compliment him when he arrived at the office. People didn't compliment each other nearly enough. Everyone was too quick to criticize. Chalmers looked at his watch and dialed his voicemail. As the connection was being relayed through space or wherever--who knew exactly where cellular transmissions were at any one instant?--he twisted his neck and gazed up at the digital sign: "8:24 . . . Introducing a new feature of Providential Services: Providential Online . . . Get stock quotations on your pager, minute by minute . . . Think of Providential Online as 'Work wherever, whenever'™ . . . PO@Provins.com . . . 8:24." Chalmers fumbled with a pencil and hurriedly copied down the e-mail address before it fled from the screen while a feminine voice crooned from his telephone receiver, "The Plymouth voicemail system will be disabled for twelve hours, beginning at midnight on June 26, while Telecom performs an upgrade of the system. At Telecom, progress is our business. You have three messages." Which must have arrived in the previous twenty minutes, since Chalmers last checked his voicemail. A dog barked. What were dogs doing down here? he wondered. People should be more considerate. Last week he had come within inches of stepping in dog poop. He retrieved his first message. "Jasper Olswanger calling. I need to talk--hold it a moment, please. . . . Sorry, that was call waiting. I need to talk to you as soon as possible. You've got my number." Someone was shouting Chalmers's name over the roiling of voices and music and dogs. He removed his ear from the receiver and went up on his toes. Twenty feet away he spotted the shouter, now waving and grinning. "Yes," Chalmers answered, trying to make out the man's head in the ocean of pale, fluorescent faces. Gradually he recognized the sunken eyes of Tim Cotter, his neighbor across the street. He didn't know Cotter very well. Cotter worked in a small bank somewhere downtown and came home late every night to the loud reprisals of his wife. Chalmers waved back good-naturedly and started to retrieve his second message. Someone elbowed him, shoving the phone into the side of his head. The neighbor continued waving and shouting "Bill, Bill," with a definite note of urgency, as if there was something he needed to tell him that moment. "What?" Chalmers shouted back, still standing on his toes. His neighbor didn't seem to hear him, then removed one of his earphones and yelled, "What did you say?" "I thought you wanted to tell me something," Chalmers shouted back, realizing at once that he had used far too many words under the circumstances. "Lower your voice," yelled a cheeky college boy standing next to him. "You're destroying my eardrums." The student made a face and slapped his hands over his ears. Chalmers glanced at his watch. He had only two minutes or less to retrieve his messages. With a sigh, he began working his way through the concrete thick crowd toward his neighbor. Cotter shouted something else, which Chalmers didn't hear, and refastened his headphones. Now Chalmers could see that his neighbor was sitting on some kind of fancy foldable chair, like a beach chair or a country lawn chair. He made a mental note that he should get one for himself. "Guess what I'm doing," said Cotter, keeping one of the earphones pressed against his ear so that he could listen and talk at the same time. His fingers tapped on his briefcase. "I don't know. What are you doing?" "I'm reading," said Cotter, grinning broadly. He paused, to let the announcement sink in. "Books on Tape. The Bridges of Madison County." Chalmers made a thumbs-up sign. For the first time, he realized how much he disliked Cotter. In a hundred little ways, Cotter always tried to make him feel like a slacker. Cotter was just envious of anyone seriously engaged in their profession. It was Cotter who was the slacker. The dog was barking again and Chalmers began coughing, having inhaled an invisible cloud of the burnt brake-fluid air. In addition, the morning's usual indigestion had just slammed into his stomach. "Nice to talk to you," said Cotter. "I haven't seen you since Phil's thing." He put his second earphone back on. At that instant, with a high shriek of metal on metal, the train on Track Two arrived. Chalmers looked at his watch, 8:26, and surged forward with the torrent. By the time he had squeezed through the doors and been shoved to a spot in the middle of the car, the seats were long gone. The upright commuters, pressed hard against each other, clutched their coffee cups and muffins close to their bodies and searched in vain for handrails to grasp. Chalmers began brooding over his unretrieved messages. Maybe one of his appointments had been rescheduled. He could have an important call from New York. Those people got to their desks early. As he was considering the various possibilities and their dark implications, with the knowledge that he would be incommunicado for the next several minutes, an extremely loud alarm bell rang, then the series of electronic bee...
Product details
- Publisher : Pantheon; Reprint edition (September 12, 2000)
- Language : English
- Hardcover : 384 pages
- ISBN-10 : 0679436154
- ISBN-13 : 978-0679436157
- Item Weight : 1.23 pounds
- Dimensions : 5.93 x 1.19 x 8.56 inches
- Best Sellers Rank: #2,404,362 in Books (See Top 100 in Books)
- #27,376 in Contemporary Literature & Fiction
- #94,806 in Literary Fiction (Books)
- #108,736 in American Literature (Books)
- Customer Reviews:
About the author
Alan Lightman is an American writer, physicist, and social entrepreneur. Born in 1948, he was educated at Princeton and at the California Institute of Technology, where he received a PhD in theoretical physics. He has received five honorary doctoral degrees. Lightman has served on the faculties of Harvard and the Massachusetts Institute of Technology (MIT) and was the first person at MIT to receive dual faculty appointments in science and in the humanities. He is currently professor of the practice of the humanities at MIT. His scientific research in astrophysics has concerned black holes, relativity theory, radiative processes, and the dynamics of systems of stars. His essays and articles have appeared in the Atlantic, Granta, Harper’s, the New Yorker, the New York Review of Books, Salon, and many other publications. His essays are often chosen by the New York Times as among the best essays of the year. He is the author of 6 novels, several collections of essays, a memoir, and a book-length narrative poem, as well as several books on science. His novel Einstein’s Dreams was an international bestseller and has been the basis for dozens of independent theatrical and musical adaptations around the world. His novel The Diagnosis was a finalist for the National Book Award. His most recent books are The Accidental Universe, which was chosen by Brain Pickings as one of the 10 best books of 2014, his memoir Screening Room, which was chosen by the Washington Post as one of the best books of the year for 2016, and Searching for Stars on an Island in Maine (2018), and extended meditation on science and religion. Lightman is an elected fellow of the American Academy of Arts and Sciences. He is also the founder of the Harpswell Foundation, a nonprofit organization whose mission is “to advance a new generation of women leaders in Southeast Asia.”
Photo by Alan Lightman (Own work) [Public domain], via Wikimedia Commons.
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Theoretical Physics either, but I could make the sense of 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.
Wonderful book, which I would recommend to a friend.
Top reviews from other countries
Medicine, too, has proceeded further down the road described in this novel. I have had these experiences myself: doctors discussing my case as if I weren't there; sending me for an appointment to a hospital 40 miles away, but then not bothering to examine me, only looking at the previous test results; sending me for a procedure which was known to cause renal failure in a proportion of patients, and which did so in my case; and keeping me waiting in an examination room while the doctor runs from room to room seeing other patients. Here in the UK, at least, this seems to be due to doctors having a huge work overload. Many are working ridiculous hours and the NHS is being treated as a "marketplace" by the government, rather than as a public service, resulting in much of the funding being wasted on unneccessary paperwork.
Therefore Lightman's book has proved to be unusually prophetic, yet it also looks into the past with the chapters about Anytus and Sokrates. Anytus was a politician, a former army general and a businessman. Sokrates was a sophist, a wise man and a teacher. Anytus, along with two others, was responsible for condemning Sokrates to death, as they perceived him as a threat to society. Anytus is a coward who wants Sokrates gone, preferably into exile, (not least because his son has become a follower of his), but who does not want to be seen by the public in the role of sentencer. He also is sickened by his own business, a tannery which has some disgusting and very smelly aspects.
In both the ancient and the modern story, then, we have a disfunctional society in which the important thing is how others perceive us, rather than who we truly are on the inside. Sokrates is an example of how we can be on the inside, and how this inner peace results in a happier life regardless of external situations. Despite his imprisonment and impending death, he remains calm, thereby suffering less.
At the beginning of the book, when Bill Chalmers first loses his memory, he is similar to Anytus, being respected within his community and concerned with what others think of him, but as time goes by and his illness progresses, he becomes more and more like Sokrates. He is imprisoned by his illness in his own room, yet that imprisonment is partly voluntary as he hates the world outside. Sokrates chose death in prison rather than exile because of his love for his community, but the nature of his death by hemlock poisoning meant that he and Chalmers had symptoms in common.
This is not an easy book to read, and it benefits from asking the kinds of questions which are posed to Chalmers son following the first section of his course on Sokrates. It is also not a happy read at times as there is significant suffering for all of the characters in one way or another. Some reviewers have criticised the typos in the email sections, but I find that very realistic. More so these days, perhaps, than when the book was first written. Nevertheless, much of the prose is truly beautiful and there is a sense of enlightenment at the end. I enjoy thought provoking books, but if you are looking for entertainment only, you might be better off elsewhere.