The Tower: A Novel (13 page)

On the dot of eight he was at the garden gate of 8 Oktoberweg and rang the cracked bell that was held on with sticking plaster.

The nights, Christian felt, were far too short. He had just hit the stop button on his alarm clock to switch off its rattle, that burst of machine-gun fire in the world of a beautiful dream; but then there was the cold of the room in the grey half-light of dawn, the sound of Falk Truschler’s unmoved snoring in the lower bunk across from him – when would he learn to be on time? Never, Frau Stesny, the manager of the hostel,
had said – the bed, table, a few chairs appeared, Arturo Benedetti Michelangeli’s ecstatic face on the black-and-white calendar that the girls and the boarders from the twelfth year in the room next door envied him for. From the other side! Jens Ansorge had assumed a crooked grin and waved his index finger. Schnürchel won’t like that at all. And indeed, during his round of the rooms Schnürchel, the Russian teacher, had demanded the calendar be removed. Christian left it there and only took it down on Saturdays, before Schnürchel came sneaking along to stick his face, chafed raw from his razor, into matters that, unfortunately, did concern him. It was Verena above all who was interested in the calendar and even more in the musicians whose pictures were on it. Verena the unapproachable, the mocker, the beauty. Christian had dreamt of her. Perhaps it was her hair, its colour the brown of instruments, that was what he had first noticed about her in the summer work-week that the future pupils at the Maxim Gorki Senior High School had had to complete; perhaps her eyes, darkly shining like the cherries on the gnarled tree in the garden of his clock-grandfather in Glashütte when they were overripe and their skins would burst open in the next shower of rain. It was probably a movement, however; she had dried her hair in the school library, where half of the boys were housed during the work camp; that afternoon he had been there by himself, lying on his camp bed; she had come in and asked if she might use the socket, the one over in the girls’ accommodation wasn’t working; and then, through the whine of the dryer, she’d wanted to know why he was lying there in the murky room, shutting himself off from all the things the others were doing. He lowered the book he was pretending to read, it was Goethe’s
Elective Affinities
and he found it deadly boring but it was far above the stuff the others read – if they read at all – and left no doubts as to its quality. She stared at him; he stared back, confused by her finely drawn, dark-red lips that were swelling into a provocative pout under his gaze, by the index finger with which she scratched her neck, by the fingernail blackened
by a hammer blow that missed its target. The girls had been in the schoolyard repairing the desks, while the voice of Tamara Danz of the Silly rock group was bellowing out from the radio that Herr Stabenow, the boyish physics teacher, had set up by the flagpoles; suddenly the cry of pain and all the boys, apart from himself and Siegbert Füger, dashed over to Verena, who was sobbing. ‘Too dumb even to knock in a nail, these women,’ Siegbert had said, wrinkling his nose. ‘And look at them all running. And her, she’s going to make some man’s life a misery, I can tell you. Much too pretty. And sure to be as conceited as they come. My mother always says: “You can’t build a house with jewels, my lad.” And my mother knows what’s what.’

Christian peered down at Falk again. He was still snoring, though now he’d pulled his pillow over his ears.

He’d been struck by her at the very first meeting of the future pupils of the senior high school. The pupils had come with their parents. The Dacia with the Waldbrunn numberplate had parked beside the Lada from Dresden; Richard had noticed the first-aid kit on the rear shelf and the doctor’s special parking badge on the dashboard of the Dacia and immediately started a chat with his colleague: ‘Hoffmann.’ – ‘Winkler.’ – ‘Pleased to meet you.’ – ‘The pleasure’s all mine.’ – ‘Blahblah.’ – ‘Blahblahblah.’ Verena had waited, scrutinized the Dresden numberplate, the paved corner with the flagpoles and bust of Maxim Gorki, then cast Christian a quick glance so that Robert, with a grin, whispered, ‘Just look at that peach, man’, in his ear. The multipurpose room in the basement had been set up for the meeting. There was a piano, a Marx–Engels–Lenin poster in front of a lectern draped in red cloth, a table behind it, at which a few teachers were talking to each other, ignoring the chatter of voices. Most of the pupils knew each other already. Christian felt as if they were all looking him over, for he seemed to be the only one no one knew. When he came in there was just one seat left, by the entrance; sitting there was like being on show, which didn’t seem to bother Robert in the least, he just brazenly
chewed his chewing gum and cast his eyes over the girls. Christian, on the other hand, was embarrassed; his acne had to choose that day of all days to blossom like a willow in spring. Verena’s family had sat in the back row, under the high tilt windows, so that Christian could observe Verena. She greeted some of the others in a friendly but, as it seemed to him, distant manner. The babble of voices gradually subsided. Furtive glances. Christian lowered his head and didn’t dare look at anything apart from his fingernails, his new watch or Baumann, the white-haired maths teacher who, from the lectern far away at the front, was giving an introduction to socialist education for young people; as he spoke, his apple-cheeked face seemed strangely roguish – as if he himself didn’t believe everything he was saying. But Christian sensed that one should trust that friendly appearance less than the flash of his clear and sharp rimless spectacles … Christian suspected he would never be in the good books of that archetypal schoolteacher with the flashing spectacles. His ability at maths was too awful. The dark-haired girl by the windows at the back, he thought, would definitely be good at maths, she would definitely be good at everything in school. A swot, no question.

‘So why do you shut yourself off from everything?’ the swot had asked on that afternoon during the summer work camp, in the school library, the hair dryer in her hand; only she and he in the room. ‘I suppose everything we poor benighted village kids do is too boring or too ordinary for a boy from the big city of Dresden?’ He wanted to make a quick-witted reply, but nothing occurred to him and that made him even more furious when immediately afterwards Verena, without waiting for an answer, shrugged her shoulders and went out.

A boy from the big city. How they’d secretly – and sometimes less secretly – mocked him, made remarks about his strange habits. He didn’t go for a shower with the others but always arranged things so that he was by himself; nothing in the world would have persuaded him to display his puberty-stricken skin to others; he didn’t go with
them to the swimming pool in Freital and he preferred to pursue his own thoughts or dreams rather than seek out the company of the other boys. He only sensed something like understanding from Jens Ansorge and Siegbert Füger; at least they left him in peace. He had been pleased when he learnt he was to share a room in the boarders’ house with them. Even though he didn’t go with them when they went into the town, he did also look round Waldbrunn, by himself and in the evening, when he could be reasonably sure he wouldn’t meet the other pupils. Waldbrunn, the administrative centre of the eastern Erzgebirge; the F170 motorway wound its way above the school, descended into the river valley of the Rote Bergfrau, cut through the central district as it headed for the ridge of the Erzgebirge and the Czech border, which it reached just after Zinnwald. Simple, low houses, church and castle, each with a tower; in the distance, when you came by bus from Dresden, drove over Windhaushügel and down into Waldbrunn and the new housing appeared on the right, you could see the gleam of the Kaltwasser, the reservoir that dammed the second Waldbrunn river, the Wilde Bergfrau. To the left of the motorway was a potato field, during the work camp they’d picked potatoes, they got ten pfennigs a basket, hard work, they were picking the potatoes on piecework, their backs ached from all the bending and he, the boy from the big city, had been one of the worst, even a lot of the girls had managed more baskets than he did. In the evening of the two potato-picking days, he had crept into his camp bed completely exhausted; he’d had to put up with a few teasing, sarcastic, even contemptuous remarks. From the beginning he felt there was a gap between himself and the other pupils of that senior high school.

He had a collection of postcards that he would often look at in the evening, by the light of his reading lamp. They were sepia and coloured views of distant places with exotic-sounding names that stimulated his imagination: Smyrna, Nice. You could see the white horses of the Mediterranean as it broke on the Promenade des Anglais, a clay pot
with an agave on the left, on the right edge the row of fashionable hotels along the Promenade lined with palm trees. ‘Salerno, Piazza M
^o
Luciani’ on a photograph that at the edges merged into the yellowing white of the postcard; as if wiped away by the erasing fingers of time. However, the ones that led to the profoundest daydreams, farthest removed from reality, were a series of views of Constantinople that he had been allowed to select from duplicates in Herr Malthakus’s stamp and picture postcard shop in Dresden. A leaden blue sea: ‘Vue de l’Amirauté sur la Corne d’Or’; ‘Vue de Beycos, côte d’Asie (Bosphore)’; ‘Salut de Constantinople’; ‘Le Selamlik. Revue militaire’ with a crowd of black, cube-shaped carriages dotted with the red fezzes of the crowd. Those were the places where one ought to be, to live. When he looked at the cards Christian dreamt, dreamt of adventures, of conversations between pirates overheard in harbour taverns that would enable him to save beautiful women who had been abducted. Constantinople. Salerno. The Bosphorus. And ‘la Corne d’Or’ was the Golden Horn. That was where heroes lived, that was where adventure was. And what did he have? Waldbrunn. He would walk round the little town but with the best will in the world he couldn’t find any sailing ships such as there were on the pictures of Constantinople, the fairy-tale city. No muezzin called from the dark, bastion-like church on the market square and Herr Luther, in blackened sandstone on which the pigeons perched and left white theses, proclaimed, ‘A safe stronghold our God is still’ in chiselled letters. None of the women queuing at the butcher’s or the baker’s on the market square were anything like Princess Fatima, who, in gratitude for her rescue from the hands of the negro Zurga, would marry the adventurer Almansor – that was Christian’s alias in the Orient. But to get married: Christian, standing on the bridge over the Wilde Bergfrau as it foamed over smooth round stones the size of footballs, shook his head. He would never get married, never, never, as long as he lived. An adventurer had adventures, a hero was solitary; with Fatima he had an affair that, as in the films
he saw at the cinema, ended in the sunset, wild, painful and sadly beautiful. He looked across at the tannery: in the past the Wilde Bergfrau had powered it with its steely clear water; now it housed a museum. In the autumn he had enjoyed following the course of the Wilde Bergfrau, had thrown red maple leaves into it and, head bowed and hands clasped behind his back, watched them bobbing up and down; had Verena seen him like that, a glint of mockery at his poses would have crept into her eyes again. It seems that in the big city people mature earlier, she would have cried, as she had on the afternoon when their unit had gone to the cinema at the end of the street that ran along the bank of the Wilde Bergfrau, beyond the castle that now housed the local Party headquarters. Her eyes had flashed and she had rolled her hair round her index finger, and he, in his fury, had thought: You don’t understand, you silly Waldbrunn goose; I’ve just come from Constantinople and not from your east Erzgebirge dump with its paved marketplace and ten hunchback houses round it; it’s the flutter of Sinbad’s sails I can hear, not that of the wings of the few provincial Trabbis puttering past us. If you only knew that Sinbads don’t drive Trabbis.

‘Knife.’

The operating-theatre nurse handed Wernstein the scalpel.

‘Adjust light, please.’

Richard was enjoying himself: he had handed this operation over to Wernstein and taken the role of assistant himself and now he was actually treating him as a junior physician. If you’re going to do
something, you might as well do it properly. He reached up and focused the light of the lamp on the operating area that was framed in green cloths. ‘There you are, sir.’

Wernstein cut open the fascia. He didn’t respond to the joke; his tension was evident as he tried to widen the cut with his finger. The houseman, Herr Grefe, who was standing at the other side of the operating table holding the retractors, grinned behind his mask; the movement of his mouth that stretched the material of his mask and the wrinkles at the corners of his eyes indicated it.

‘I bet you anything you won’t manage the fascia with just your finger.’

‘We’ll see.’ Wernstein took a deep breath, asked the anaesthetist to add the antibiotic drop by drop.

‘Which fascia are we actually talking about here?’

Grefe, whom Richard had asked, started. ‘Fascia … er … the fascia …’

‘Lata,’ Wernstein said after a while. ‘The fascia lata. But that’s not the entire truth. What I’m trying to force apart here with my fingers but am never going to manage to open like a can of beans is … the tractus iliotibialis. Where did you do your preliminary study?’

‘In Leipzig.’

‘There’s a motto over the entrance to the anatomical lecture theatre there.’

You had to know that if you were working under Dr Hoffmann. The anaesthetist, who was just looking over the edge of the guard cloth, smirked.

‘Anatomia – clavis et clavus medicinae.’

‘The key and the rudder of medicine,’ Nurse Elfriede, who handed the operator the instruments, translated in a dry voice. ‘Young man, for the last fifteen years all Leipzig students have been asked that question in this operating theatre.’

‘Are you suggesting I’m starting to bore you?’

Nurse
Elfriede rolled her eyes. ‘I’ll give Dr Wernstein the scissors rather than answer that. You know that you’re our guiding light, Dr Hoffmann.’

Muttering, Wernstein got down to work and started to cut open the fibrous tissue. – How difficult he finds it to admit I was right. Now he’s sawing away at it after all. But, dammit, I was just the same. Smiling to himself, Richard staunched the flow of blood. At the same time he was irritated by the houseman. These young people, they came to an operation and had no idea! If we’d dared do that in the old days … He thought of a few of the surgeons under whom he’d developed his technique, eruptive characters inclined to outbursts of rage if things didn’t go precisely the way they expected; most of them came from the operating bunkers and field hospitals of the war, from the mills of unimaginable carnage. With Grosse the assistants had to prepare everything; once they’d finished he would make his way, godlike, eyes half closed, unapproachable, as if in a trance, gently waving his hands still moist from disinfection, to the operating table, have someone help him into his gown and gloves before silently holding out his hand for the scalpel that the operating-theatre nurse placed in it with due reverence. Woe to any assistant who was unable to answer one of the questions he would suddenly fire off into the silence. The boss wouldn’t look at him again, his career with him was over.

‘Thread.’ Richard tied off a bleeding vessel. With decisively made cuts Wernstein deepened the incision, felt for the fracture. His every movement, the elegance and assurance with which he handled the instruments, his finely gauged sense of when it was necessary to proceed with caution and when he could work more purposefully, his feeling for the hidden dangers of an operation, for all the deviations from operational and anatomical theory when, suddenly reduced to a blind man in a pitch-dark tunnel, you had to rely on instinct alone – all that spoke of the talent, intuition and outstanding technical ability of a born surgeon. Richard had always been surprised at how varied
things could be in his profession. As a student he had assumed there was no difference between one doctor and another, more specifically between one surgeon and another. Everything was done according to the textbooks and surgery seemed to be something like ticking off boxes in a catalogue: every patient was a human being and what the human being the surgeon was interested in was could be seen in the meticulous drawings in Spalteholz’s and Waldeyer’s handbooks of anatomy. That’s where the problem lies, these are the anatomical conditions, off we go. Practice had taught him otherwise. There were surgeons who worked incredibly slowly, who were afraid of every vessel, every little mucous membrane and, as they operated, transmitted this sense of fear to all those around them and who yet, for all their caution, had no better, sometimes even worse results than their apparently more casual colleagues. Richard remembered Albertsheim, his fellow assistant with Uebermuth in Leipzig. Albertsheim, whom they called Guarneri, for when he had a good day his intuition and his speed combined with perfect technique were as astonishing as a Guarneri violin. At such times Albertsheim would reach heights that Richard never reached, and presumably never would reach, and that had drawn cries of admiration even from Uebermuth. If he had a bad day, however, he operated ‘like a drayman’ and it was said that on his bad days Guarneri had also made ‘drayman’s violins’, which had led to the nickname, which didn’t even annoy Albertsheim – on the contrary, he cultivated his artist’s pose. On the other hand he had never managed to develop even an average feel for diagnosis, he could hardly distinguish crepitations in the lung from a pleural effusion, the slightly metallic rasp over a tubercular cavity from the wheeze of an asthmatic lung. But those were clinical skills, they were the business of the Internal Medicine specialist, of whom he would speak, like many a surgeon, with mild condescension – as if clinical knowledge were superfluous for a surgeon. Nor was he interested in further developments. ‘Great surgeons make great incisions,’ Albertsheim had said, mocking Richard,
who had his doubts about this absolute principle of these surgical monarchs, since he had found that great incisions can also cause great infections. Wernstein was not like that. What was it Albert Fromme, the first rector of the Medical Academy, had said? A surgeon has the heart of a lion and the hands of a woman. And now the houseman was moving the retractors of his own accord. Wernstein and Richard looked up simultaneously.

‘It’s the operating surgeon who moves the retractors, not you,’ Wernstein growled indignantly. ‘Now I can’t see anything. You must tell us if you can’t hold them any longer.’

Richard felt angry. The young man was far away from them in age and training, and certainly they ought to remain matter-of-fact, treat him like a colleague, but … The truth was, he couldn’t stand this houseman. He knew that that was connected with the fact that Grefe was the son of Müller’s sister and the Professor had, in an embarrassingly formal conversation, ‘asked’ Richard to send a houseman who had already been given the post to another clinic. True, Grefe could do nothing about these machinations, probably didn’t even know about them; one had to try to remain objective. And the lack of specialist knowledge would sort itself out. If he was honest, as a houseman he himself had paid more attention to the nurses than to surgery; moreover the idea of housemen was for them to acquire practical experience. Despite that, the pedagogue inside him broke through: ‘What characterizes pertrochanteric fractures?’ Again Grefe started to hum and haw. ‘I … er … I’ve only been with you for two days …’

‘But you did a degree in surgery; did you skip trauma surgery?’

‘Should I get them to put a little music on, Dr Hoffmann?’

Nurse Elfriede was well acquainted with her senior traumatologist’s angry outbursts. But he didn’t feel like music. This fellow might perhaps tell his uncle that the trauma surgeons were listening to music during an operation again, which, for his uncle, was an expression of a casual attitude and the Professor had no time for ‘bohemian’ surgeons.
‘That’s for Herr Wernstein to decide, he’s performing the operation. Let me have the retractors.’ He took the retractors out of Grefe’s hands and with a curt nod ordered him to come round to his side. ‘Be careful you don’t touch the image intensifier and make yourself unsterile. Let him feel it,’ he said to Wernstein, using the familiar ‘du’ without thinking, as if he were an equal colleague. ‘Can you feel the fracture?’ Grefe poked about in the wound.

‘The fracture line is between the greater and the lesser trochanter, almost directly on the neck of the femur. You do know where we’re operating here?’

‘Oh, yes, I’ve got it now. Basically at the hip joint, I thought?’

Wernstein had stepped back and was waiting, hands dripping with blood raised.

‘Good. We’ll change over again. In grown-ups at what angle are the femur and the neck of the femur to each other?’

Grefe, who was back on the other side and raised the retractors, gave the wrong angle.

‘Fractures of the neck of the femur – how are they classified and why?’

His knowledge was sketchy.

‘Five wrong answers to my questions, Herr Grefe. We have a rule here. For each wrong answer the person asked has to cut a hundred swabs or fold a hundred compresses. That’s five hundred swabs for you. Report to the duty operating-theatre sister after we’ve finished.’

That hit home. Wernstein was continuing his preparations in silence. Richard’s anger subsided as quickly as it had arisen. He sensed that he had reacted too harshly and that he was punishing Grefe for his uncle’s methods. Now he felt sorry for the young guy. You’re doing just the same as the communists! he told himself. That reminded him that in Grefe’s file he had discovered a request to be accepted as a member of the Socialist Unity Party … So what, he decided. If something was
to be made of them, you had to be hard on them. The plus side was that Sister Elfriede had 500 more swabs in her sterilization unit, swabs that the run-down socialist economy couldn’t manage to manufacture. If he wants to join the Party that determines all our lives, he should get to know the kind of world that it has produced.

‘Spherical cutter,’ Wernstein demanded, reamed the bone. ‘A Lezius nail on the handle grip. – Who was Lezius?’ This time it was Wernstein who asked. But Grefe knew the answer and proudly gave a little lecture. There was no addition to his 500 swabs.

After the operation Richard went to the Academy Administration. He took the route through the hospital. Wernstein had taken just three-quarters of an hour to perform the operation on the patient, a woman of sixty who had slipped while cleaning the stairs and broken her femur as she fell. The atmosphere in the clinic was something that had been familiar to Richard since he had started to study medicine, when, after his apprenticeship as a fitter, he had got to know the work of the hospital from the bottom upwards, first of all as a nursing auxiliary, then during the university vacations, as a student and a professor’s assistant: the morning rounds had finished in the wards on the north side, nurses were rushing to and fro, doctors were bent over patients’ notes or X-rays. ‘Morning, Dr Hoffmann.’ – ‘Morning, Nurse Gertrud.’ – ‘Morning, Dr Hoffmann.’ – ‘Morning, Nurse Renate.’ Familiar faces, some he had known for twenty years; he knew the people behind their routine masks, knew about their major and minor worries that you didn’t hear about during the day, in the hectic rush of the wards, but during night shifts when the city was asleep and the acute cases had been settled for the night. Nurse Renate, who, even after twenty-two years, still trembled like a schoolgirl when faced with the senior nurse and whose first husband had died in this ward, the surgical cancer ward. Richard sidestepped a mop that a nursing auxiliary was swinging across the PVC floor-covering in vigorous semicircles. The smell of
disinfectant – Wofasept – how familiar it was; how it brought everything back: the nurses with their blood-pressure gauges and intravenous-drip stands, the clatter of scissors and glass syringes in kidney dishes which were just being put into the sterilizer in the ward he was passing. He went into the vestibule. Food carts clattered by the lifts, a haze of voices came from the swing doors of South I, Müller’s powerful, precisely articulating voice: the consultant was doing his round of the private ward. Richard hurried out past the bust of Carl Thiersch. He had actually intended, before going over to Administration, to look in at his own ward to check on things, but he would probably have run into the gaggle of doctors, and he wasn’t in the mood for that, especially not for an encounter with Müller. Wernstein had done North II and Trautson, Richard’s fellow senior doctor, North III, together with Dreyssiger, who had been on duty and would see the outpatients. He could rely on Wernstein and anyway, when he’d done the round of North II today everything had been in order. With Dreyssiger you had to be more careful; he was good as a scientist, and as a teacher the students liked him; but in general the senior nurse knew better than he what was going on in his ward, North III, as the young houseman Richard would have liked to have kept often did as well.

He left the clinic and set off for the old Academy section where the Administration building was. The air, fresh after the snow, did him good, he took deep breaths. He had an uneasy feeling about the meeting he was about to attend. The eternal struggles for dressings, swabs, drip-feed bottles, plaster. Trifles. On the one hand. On the other, Administration had asked him to hand in his Christmas lecture to be checked. He had deliberately not brought it with him. How had Wernstein put it just now? We’ll see. Although he was freezing, he didn’t regret having taken this route and not the one through the subterranean tunnel system that appealed to his old sense of adventure and that he had known like the back of his hand since his days as a nursing auxiliary, but he preferred not to breathe its air, which was stale with the
smell of cigarettes and rats’ urine, after an operation. A few electric carts were bumping along the Academy road; far ahead, by the porter at the kiosk beside the Augsburger Strasse entrance, which was flanked by frosted-glass cubes with the red cross, patients were queuing for newspapers. A few doctors were coming from Radiology, which was in sight of the massive block of the Surgical Clinic. Richard went across the park, past the Dermatology Clinic and the equipment store, where thermophores were being loaded. Taking cover behind a hedge, he did a few jump squats to warm up.