Tag Archives: medical ethics

Summer House with Swimming Pool by Herman Koch

“In my profession, true relaxation is a necessity. I see and hear things all day long. Things you need to get off your mind at night. The fungal growths. The bleeding warts. The folds of skin between which things have gotten much, much too warm. The three-hundred pound woman you have to examine in a place you hoped you’d never have to go again.”

The Dinner by Herman Koch made my best-of-2012 list, and when I turned the last page of the book, I was very disappointed to discover that there were no other books available in English by the author, so you can understand my delight when I heard about Summer House With Swimming Pool.  Plus a big bonus on this book, it includes the added attraction of one of my reading obsessions: a holiday setting.

Summer House with swimming poolSummer House with Swimming Pool is narrated by doctor Marc Schlosser and the book begins with a deliciously nasty, claustrophobic, self-obsessed first-person narration which recalls Bernhard, or a sicko version of Dostoevsky’s Notes from Underground. The not-so-good doctor, a general practitioner is obviously a seriously disturbed man, and that makes him an unreliable narrator.

Many of us have probably had doctors who’ve seemed unbalanced, but Schlosser is dangerous because, on the surface, he seems to be so stable. This is a man who loathes his patients, who grimaces at their ailments which he believes are mostly imagined, and yet his carefully developed professional mask has helped Schlosser built a large practice of loyal patients mainly from the “creative professions.” Schlosser paces his patients twenty minutes apart, “his selling point” as a doctor, but he barely bothers to listen to the litany of health issues, and confides that in his practice, “the key is not to worry too much about medical standards.”  While he knows that people line up on a waiting list to become patients, believing that he “makes time for each individual case,” Schlosser brags that “patients can’t tell the difference between time and attention.” He has a well-honed script to deter anyone from seeking a specialist, and a manner in which he encourages patients to keep coming to him while feeling good about their bad, unhealthy addictive habits. Repulsed by his patients’ bodies, he has fantasies of death during examinations:

Human bodies are horrible enough as it is, even with their clothes on. I don’t want to see them, those parts where the sun never shines. Not the folds of fat in which it is always too warm and the bacteria have free rein, not the fungal growths and the infections between the toes, beneath the nails, not the fingers that scratch here, the fingers that rub there until it starts to bleed … Here, Doctor, here’s where it itches really badly … No, I don’t want to see. I pretend to look, but I’m thinking about something else. About a roller coaster in an amusement park. The car in front has a green dragon’s head mounted on it. The people throw their hands in the air and scream their lungs out. From the corner of my eye I see moist tufts of pubic hair, or red, infected bald spots where no hair will ever grow again, and I think about a plane exploding in the air. The passengers still belted to their seats as they begin a mile-long tumble into eternity: It’s cold, the air is thin, far below the ocean waits.

One of the very best scenes in the book, and one that made me laugh out-loud concerns how Schlosser terrorizes patients prior to a rectal exam while appearing to reassure them as he slowly and methodically preps. Of course, any doctor with an attitude like this is a disaster waiting to happen, so it doesn’t come as any great surprise to discover that something has gone terribly wrong with one of Schlosser’s patients. A famous actor, Ralph Meier, is now dead, and Schlosser is accused of malpractice.

Meier, a larger than life, bon vivant, obnoxious womanizer, first came to Schlosser’s practice 18 months before because he had heard through the grapevine that the doctor “was fairly accommodating with prescriptions.” This, incidentally, is another way that Schlosser has built his practice.  A series of events brings Schlosser and his wife, Caroline into Ralph’s social sphere. When Ralph is introduced to Caroline, he doesn’t disguise his lust:

As he examined the back of Caroline’s body from head to foot, a film slid down over his eyes. In nature films, you see that sometimes with birds of prey,. A raptor that has located, from somewhere far up high in the air, or from a tree branch, a mouse or some other tasty morsel. That was how Ralph Meier was regarding my wife’s body: as if it were something edible, something that made his mouth water. Now there was also some movement around his moth. The lips parted. his jaws churned, I even thought I heard the grinding of teeth–and he breathed a sigh. Ralph Meier was seeing something delicious. His mouth was already anticipating the tasty morsel that he would, if given the chance, wolf down in a few bites.

The most remarkable thing perhaps was that he did all this without the slightest embarrassment. As though I weren’t even there.

Ralph and his wife Judith invite Schlosser, his wife Caroline and their two daughters (aged 11 & 13) to join them near the Mediterranean coast at a rented summer house. Caroline wants to decline, and yet strangely enough, Schlosser manipulates a visit which ends in complete disaster…

Summer House with Swimming Pool is a bit of a disturbing curiosity. It begins with an unreliable narrator, a nasty toxic, twisted doctor who indulges in violent fantasies involving his patients (and humanity in general), who references the teachings of a former university professor who was “later drummed out of the university” for his controversial studies, and isn’t completely honest about his motivations. These motivations become clear over time, and yet I still didn’t quite trust his version of events.  While the book was initially very funny, in a sick psycho sort of way, the plot spins in the doldrums for a while before it takes an unexpected, very serious turn, and the two parts of the novel don’t quite mesh smoothly. 

I enjoyed Summer House with Swimming Pool, but I prefer The Dinner–a novel with nastiness that built relentlessly to the end. Both books examine the parent-child role–specifically the issues of protection and innocence. In Summer House with Swimming Pool, the male adults at the rented home, who include a visiting American film director with a taste for nubile young girls, engage in a summer of irresponsible, lustful juvenile behaviour which naturally ends badly. The motivations of all the characters are under scrutiny here, and while revenge may seem to be the dominant directive, troubling questions remain regarding Schlosser’s actions. We all tend to believe what we want to believe and accept the version of events that we like best, and perhaps this is what happened with Schlosser.  Unfortunately for the book, the Marc Schlosser we are left with at the end appears to have run out of steam and nastiness and this, in spite of the fact that Schlosser has finally had to confront the validity of his demented mentor’s misogynic ravings, doesn’t quite gel with the character revealed at the beginning. That said, I just read that Herman Koch has a third book soon to be published in English, and you bet I’ll be reading it.

Translated from Dutch by Sam Garnett. Review copy.

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