{"id":36994,"date":"2016-07-05T10:14:06","date_gmt":"2016-07-05T09:14:06","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=36994"},"modified":"2017-08-22T16:58:44","modified_gmt":"2017-08-22T15:58:44","slug":"claire-mcdaniel-and-daniel-marchalik-survival-is-a-myth","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/07\/05\/claire-mcdaniel-and-daniel-marchalik-survival-is-a-myth\/","title":{"rendered":"Claire McDaniel and Daniel Marchalik: Survival is a Myth"},"content":{"rendered":"<p><a href=\"http:\/\/bmj.co\/doctors_book_club\"><span style=\"text-decoration: underline\"><strong>The Doctors\u2019 Book Club<\/strong><\/span><\/a><br \/>\n<span style=\"text-decoration: underline\"><strong> Anthony Doerr\u2019s <em>All the Light We Cannot See<\/em><\/strong><\/span><\/p>\n<p><em>Rich men, trust not in wealth,<\/em><br \/>\n<em> Gold cannot buy you health;<\/em><br \/>\n<em> Physic himself must fade.<\/em><br \/>\n<em> All things to end are made<\/em><br \/>\n&#8211;Thomas Nashe \u201cA Litany in Time of Plague\u201d<\/p>\n<p>Anthony Doerr\u2019s <em>All the Light We Cannot See<\/em> recounts the story of two children thrown into the crosswinds of the Second World War. Werner, a German orphan growing up in a mining town is recruited into the Nazi army for his exceptional ability of reconfiguring radios; meanwhile, Marie-Laure, a young Parisian girl who is rapidly losing her sight, is evacuated to Saint-Malo, a small coastal city in Brittany.<!--more--><\/p>\n<p>If their stories seem familiar, the characters themselves are anything but that. Doerr refuses to simplify Werner to the archetype of a typical Nazi soldier, crafting instead a character that is equal parts introspection and na\u00efvet\u00e9, sufferer and aggressor. So too, Doerr deliberately avoids reducing Marie-Laure\u2019s blindness to the clich\u00e9 of disability. Her condition does not grant her paradoxical powers, but rather allows her to meaningfully interact with the world in a profoundly novel way.<\/p>\n<p>She learns to admire her universe through touch because \u201cto really touch something, she is learning\u2014the bark of a sycamore tree in the gardens; a pinned stag beetle in the Department of Etymology; the exquisitely polished interior of a scallop shell in Dr. Geffard\u2019s workshop\u2014is to love it.\u201d The light she cannot see becomes her impetus for crafting new relationships with the physical world.<\/p>\n<p>Though separated by politics and national borders, Werner and Marie-Laure, through a series of serendipitous events, become united against a common adversary, Sergeant Major von Rumpel. At first glance, von Rumpel represents a prototypical Nazi commander: Ruthless, methodical, and devoid of emotions. His mission\u2014to compile the largest collection of jewels and art as a testament to Germany\u2019s power\u2014initially obscures his true goal of unearthing one single stone, the mysterious Sea of Flames. The diamond, a character in its own right, weaves in and out of the reader\u2019s view, wreathed in subterfuge and shrouded in the myth of immortality.<\/p>\n<p>As von Rumpel learns, multiple legends confirm that \u201cthe keeper of the stone would live forever.\u201d This promise of immortality becomes his singular obsession as his body begins to give way to a rapidly progressing lymphoma. Feeling \u201cthe lymph nodes on either side of his neck compressing his esophagus and trachea,\u201d his search for the diamond intensifies and morphs into a desperate attempt to save his own life as his steadfast empiricism and composure give way to quixotic hopes. The search for the Sea of Flames, therefore, becomes an analogue to regaining control of his fleeting life and to regaining a hold on his disappearing autonomy.<\/p>\n<p>But Doerr is careful to remind the reader that von Rumpel\u2019s disease functions as neither an excuse nor an explanation for his callous brutality. The numbers of war, too, are indisputably real and von Rumpel is not the only character handed an imminent death sentence. He compares the numbers: he has been given \u201cfour months. One hundred and twenty sunrises, one hundred and twenty more times he has to grad his corrupted body out of a bed and button it into a uniform.\u201d Meanwhile, \u201cthe Eighth and Fifth German Armies retreat north through Italy\u2026 How many men? A hundred thousand.\u201d How many sunrises does that add up to? And yet, even in the background of the unimaginable violence of war, there is something unmistakably familiar in von Rumpel\u2019s selfishness and transformation from his reliance on facts to his faith in legends.<\/p>\n<p>Disease invariably invokes a loss of control. For many, this aspect of illness can be one of the most difficult to bear. It is in these moments that myths and unorthodox explanatory models can play important roles in extracting meaning out of confusing and inexplicable situations.<\/p>\n<p>The desire to persevere, to fight, to control one\u2019s own life echoes throughout war, medicine, and life as a whole. And in these moments, traditional thinking often cannot offer a sufficient explanation for why terrible things occur and medicine can do nothing to help. For patients, who face a brutal and hopeless fight against their own bodies, hope and autonomy can therefore often be found outside the confines of traditional treatments. Where science fails, myth begins.<\/p>\n<p><span style=\"text-decoration: underline\">Next Month:<\/span><br \/>\nWe will discuss Lily King\u2019s <em>Euphoria.<\/em><\/p>\n<p>Questions to consider:<br \/>\n-What are the ethics and implications of studying a group of people?<br \/>\n-Does scientists have dehumanize their study subjects in order to remain objective?<br \/>\n-What makes a human sacrifice worth it \u201cin the name of science?\u201d<br \/>\n-Are the anthropologists in Euphoria doing their work for fame, the good of humanity, or other motives?<br \/>\n-How do we decide where to draw the line in research?<\/p>\n<p><a href=\"http:\/\/bmj.co\/doctors_book_club\">More articles in this series<\/a><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/04\/20\/claire-mcdaniel-and-daniel-marchalik-haruki-murakamis-the-colorless-tsuluru-tazaki-and-the-complexity-of-grief\/daniel_marchalik3\/\" rel=\"attachment wp-att-36528\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-36528\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/04\/daniel_marchalik3.jpg\" alt=\"daniel_marchalik3\" width=\"160\" height=\"160\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/04\/daniel_marchalik3.jpg 160w, https:\/\/blogs.bmj.com\/bmj\/files\/2016\/04\/daniel_marchalik3-150x150.jpg 150w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\" \/><\/a><em><strong>Daniel Marchalik<\/strong> is completing his urologic surgery residency in Washington, D.C. He writes a monthly column for <\/em>The Lancet<em> and directs the <a href=\"http:\/\/www.georgetownliteratureandmedicine.com\/\">Literature and Medicine Track<\/a> at the Georgetown University School of Medicine.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/11\/claire_McDaniel.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-35599 \" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/11\/claire_McDaniel.jpg\" alt=\"claire_McDaniel\" width=\"168\" height=\"220\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/11\/claire_McDaniel.jpg 601w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/11\/claire_McDaniel-229x300.jpg 229w\" sizes=\"auto, (max-width: 168px) 100vw, 168px\" \/><\/a><\/p>\n<p><em><strong>Claire McDaniel<\/strong> is a second year medical student at Georgetown University School of Medicine in Washington, DC, participating in the school&#8217;s Literature and Medicine Track. Additionally, she is an MBA candidate at Georgetown University McDonough School of Business.<\/em><\/p>\n<p><em><strong>Competing interests:<\/strong> None declared.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Doctors\u2019 Book Club Anthony Doerr\u2019s All the Light We Cannot See Rich men, trust not in wealth, Gold cannot buy you health; Physic himself must fade. All things to [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/07\/05\/claire-mcdaniel-and-daniel-marchalik-survival-is-a-myth\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[765],"tags":[],"class_list":["post-36994","post","type-post","status-publish","format-standard","hentry","category-literature-and-medicine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Claire McDaniel and Daniel Marchalik: Survival is a Myth - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/07\/05\/claire-mcdaniel-and-daniel-marchalik-survival-is-a-myth\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Claire McDaniel and Daniel Marchalik: Survival is a Myth - The BMJ\" \/>\n<meta property=\"og:description\" content=\"The Doctors\u2019 Book Club Anthony Doerr\u2019s All the Light We Cannot See Rich men, trust not in wealth, Gold cannot buy you health; Physic himself must fade. 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