Summer House With Swimming Pool by Herman Koch
Summer House With Swimming Pool by Herman Koch
Summer House With Swimming Pool by Herman Koch
cha
seac
opyof
SUMMERHOUSEWI
TH
SWI
MMINGPOOL
a
toneoft
hes
eret
ail
ers
:
Koch_9780804138819_01_5p_r1.indd 1 3/26/14 1:52 PM
Summer House
with
Swimming Pool
Herman Koch
T r a n s l at e d f r o m th e D u t c h
b y Sa m G a r r e tt
H o ga r th
London New York
ISBN 978-0-8041-3881-9
eBook ISBN 978-0-8041-3882-6
10 9 8 7 6 5 4 3 2 1
First Edition
Are you sure you’re not getting too much/too little to eat? I
hold the stethoscope to their chests, then to their backs. Take
a deep breath, I say. Now breathe out nice and slow. I don’t
really listen. Or at least I try not to. On the inside, all human
bodies sound the same. First of all, of course, there’s the heart-
beat. The heart is blind. The heart pumps. The heart is the
engine room. The engine room only keeps the ship going, it
doesn’t keep it on course. And then there are the sounds of the
intestines. Of the vital organs. An overburdened liver sounds
different from a healthy one. An overburdened liver groans. It
groans and begs. It begs for a day off. A day to deal with the
worst of the garbage. The way things are now, it’s always in a
hurry, trying to catch up with itself. The overburdened liver is
like the kitchen in a restaurant that’s open around the clock.
The dishes pile up. The dishwashers are working full tilt. But
the dirty dishes and caked-on pans only pile up higher and
higher. The overburdened liver hopes for that one day off that
never comes. Every afternoon at four-thirty, five o’clock (some-
times earlier), the hope of that one day off is dashed again. If
the liver’s lucky, at first it’s only beer. Beer passes most of the
work along to the kidneys. But you always have those for whom
beer alone isn’t enough. They order something on the side: a
shot of gin, vodka, or whisky. Something they can knock back.
The overburdened liver braces itself, then finally ruptures.
First it grows rigid, like an overinflated tire. All it takes then is
one little bump in the road for it to blow wide open.
I listen with my stethoscope. I press against the hard spot,
just beneath the skin. Does this hurt? If I press any harder,
it will burst open right there in my office. Can’t have that. It
makes an incredible mess. Blood gushes out in a huge wave.
No general practitioner is keen to have someone die in his
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 explod-
ing 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 awaits. It burns when I pee, Doctor. Like
there are needles coming out . . . A train explodes just before
it enters the station. The space shuttle Columbia shatters into
millions of little pieces. The second jet slams into the South
Tower. It burns, here, Doctor. Here . . .
You can get dressed now, I say. I’ve seen enough. I’ll write
you a prescription. Some of the patients can barely conceal
their disappointment: a prescription? They stand there for a
few seconds, staring blankly, their underwear down around
their knees. They took a morning off from work, and now they
want value for their money, even if that money has actually
been coughed up by the community of the healthy. They want
the doctor to poke at them at least; they want him to pull on his
rubber gloves and take something—some body part—between
his knowing fingers. For him to stick at least one finger into
something. They want to be examined. They aren’t content
only with his years of experience, his clinical gaze that reg-
isters at a single glance what’s wrong with a person. Because
he’s seen it all 100,000 times before. Because experience tells
him that there’s no need on occasion 100,001 to suddenly pull
the rubber gloves on.
Sometimes, though, there’s no getting around it. Some-
times you have to get in there. Usually with one or two fingers,
sometimes with your whole hand. I pull on my rubber gloves.
If you would just roll onto your side . . . For the patient, this
is the point of no return. Finally, he is being taken seriously,
its ankles. Less helpless. Two legs with the shoes and socks
still on, and bound together at the ankles by pants and under-
wear. Like a prisoner in a chain gang. A person with his pants
around his ankles can’t run away. You can submit someone
like that to an internal examination, but you could also punch
him right in the side of the head. Or take a pistol and empty
the clip into the ceiling. I’ve listened to these fucking lies long
enough! I’m going to count to three . . . One . . . two . . . Try to
relax, I say again. Turn on your side. I pull the rubber gloves
tighter over my fingers and farther over my wrists. The sound
of snapping rubber always reminds me of party balloons. Bal-
loons for a birthday party. You blew them up last night in order
to surprise the birthday boy. This may be a little unpleasant, I
say. The important thing is to just keep breathing calmly. The
patient is all too aware of my presence, right behind his half-
naked body, but he can’t see me anymore. This is the moment
when I take time to submit that body, or at least the naked part
of it, to a further look.
I have, until now, been assuming that the patient is a man.
In the example we are dealing with, a man is lying on the table
with his pants and underwear pulled down. Women are a dif-
ferent story; I’ll get to women later. The man in question turns
his head slightly in my direction but, as I’ve mentioned, he
can no longer get a good look at me. Just relax your head now,
I say. All you have to do is relax. Unbeknownst to the patient,
I now turn my gaze to the naked lower back. I’ve already told
him that what follows may be a bit unpleasant. Between that
remark and the unpleasant feeling itself, there is nothing.
This is the empty moment. The emptiest moment in the entire
examination. The seconds tick by silently, like a metronome
Excuse me . . . Oh, fucking hell! And then there was that one
fraction of a second, my fingers feeling something hard amid
the goo. Careful, it could also be a piece of glass . . . I hold it
up to the light, the dim light from a lamppost beside the field,
but in fact I already know what it is. It glistens, it gleams,
I won’t have to walk home after all. Without looking at my
hands, I pull off the gloves and toss them in the step-on trash
can. You can sit up now. You can get dressed. It’s too early to
draw conclusions, I say.
It was eighteen months ago when Ralph Meier suddenly
appeared in my waiting room. I recognized him right away, of
course. He asked whether he could talk to me for just a mo-
ment? . . . It . . . was nothing urgent, he said. Once we were
in my office, he came straight to the point. He wanted to know
whether it was true, what so-and-so had told him, that I was
fairly accommodating with prescriptions for—Here he looked
around somewhat skittishly, as though the place might be
bugged. “So-and-so” was a regular patient of mine. In the long
run they all tell one another everything, which is how Ralph
Meier ended up in my practice. It sort of depends, I said. I’ll
have to ask you a few questions about your general health, so
we don’t run into any unpleasant surprises later on. But if we
do that? he insisted. If everything is okay, would you be will-
ing . . . I nodded. Yes, I said. That can be arranged.
Now we’re eighteen months down the road and Ralph
Meier is dead. And tomorrow morning I have to appear before
the Board of Medical Examiners. Not for what I helped him
out with that time, but for something else, about six months
later. Something you might describe as a “medical error.” I’m
not so worried about the Board of Examiners; in the medical
night, the patient suffocates on his own mucus. That can hap-
pen, you say, but it’s a fluke. A rare combination of factors. We
see it in no more than one out of every ten thousand patients.
Patients don’t realize that there’s strength in numbers. They
let themselves be ushered into my office one by one. There I
spend twenty minutes with them, convincing them that there’s
nothing wrong. My office hours are from eight-thirty to one.
That adds up to three patients an hour, twelve to thirteen a
day. For the system, I’m the ideal family doctor. General prac-
titioners who think they can make do with half the time per
visit see twenty-four patients in a working day. When there are
twenty-four of them, there’s more of a chance of a few slipping
through the cracks than there is when there are only twelve.
It has to do with how they feel. A patient who gets only ten
minutes’ attention feels shortchanged sooner than a patient
who gets the same song and dance for twenty minutes. The
patient gets the impression that his complaints are being taken
seriously. A patient like that is less likely to insist on further
examination.
Mistakes happen, of course. Our system couldn’t exist
without mistakes. In fact, a system like ours thrives on its mis-
takes. Even a misdiagnosis, after all, can lead to the desired
result. But usually a misdiagnosis isn’t even necessary. The
most important weapon we general practitioners have at our
disposal is the waiting list. The mere mention of the waiting
list tends to do the job. For this examination there’s a wait-
ing list of six to eight months, I say. With that treatment your
symptoms might be a little less acute, but there’s a waiting
list . . . Half the patients give up as soon as the waiting list
is mentioned. I can see it in their faces: relief. One of these
days is none of these days, they figure. No one wants to have
a plastic lawn chair—he had to sit while he did it. It’s always
fascinating, how an illness—an illness like his—attacks the
human body. It’s a war. The bad cells turn against the good. At
first they attack the body from the sides, a flanking maneuver.
An orderly little attack is all it is, a glancing blow, designed
only to divert attention from the main force. You think you’ve
won: You have, after all, repelled this first minor assault. But
the main force is still in hiding, deeper inside the body, in a
dark place where the X-rays, the ultrasounds, and the MRI
scans can’t find it. The main force is patient. It waits until it
has reached full strength. Until victory is assured.
The third episode was on TV last night. The emperor con-
solidates his power. He changes his name from Gaius Octa-
vius to Augustus, and sidelines the Senate. There are ten
more episodes to come. There has never been any suggestion
of canceling or postponing Augustus just because its star is
dead. Ralph Meier is formidable in his role, the only Dutch
actor in a cast of Italians, Americans, and Englishmen, but he
outplays them all.
Last night, I believe I must have been the only one who
watched the series in a different way. Through other eyes, per-
haps that’s the way to put it. The eyes of a doctor.
“Can I go, anyway?” he’d asked me at the time. “It’s a two-
month shoot. If I have to pull out halfway through, it would be
a disaster for everyone involved.”
“Of course,” I told him. “Don’t worry. It usually doesn’t
amount to anything. We’ll just wait for the tests to come back.
There will be plenty of time afterwards.”
I watched the Emperor Augustus as he spoke to the Sen-
ate. It was an American-Italian coproduction, and they hadn’t
cut any corners. Thousands of Roman soldiers, entire legions
SUMMERHOUSEWI
TH
SWI
MMINGPOOL
a
toneoft
hes
eret
ail
ers
: