This story, set in a hospital in a Japan demoralized by Allied air-raids, concerns an intern, Dr. Suguro, who is coopted by an ambitious senior surgeon to participate in medical experiments involving vivisection of captured American airmen. The experiments are to determine how much lung tissue can be removed before the patient dies, how much saline solution, and how much air can be injected into the blood before death occurs. Ostensibly this knowledge will improve treatment of tuberculosis which is ravaging the country. The real motivation arises from the brutality of the military, from competition among hospital department heads, and from an atmosphere of nihilism in the face of almost certain defeat by the Allies.
Dr. Suguro's acquiescence humiliates him. Paralyzed by moral conflict into non-action in the operating room, he succumbs to deeper shame and humiliation. The novel begins many years after the event, when a narrator comes as a patient to Dr. Suguro's dilapidated clinic.
In this short novel, published in the 1950’s by a popular Japanese fiction writer, the themes of cruelty, moral weakness, and contempt for human life in a medical school are portrayed. In a somewhat awkward series of narrations with flashbacks within flashbacks, the reader is introduced to the characters whose participation in wartime atrocities will be studied. Japan is suffering from the ravages near the end of the war. There is little food, daily bombing, and a general sense of futility.
The two surgical interns, Suguro and Toda, are the low men on a totem pole of power. Their aging chief is one of two contenders for the Dean’s position. He and his assistants devise methods of gaining attention for the promotion which include risky surgical procedures and, ultimately, vivisection experiments on American prisoners. The story line is carried by the acceleration of evil actions as the pressure for power increases. The motivations and internal deliberations of the two interns and one nurse whose characters are explored in some depth provide the human tensions.
