Consumption

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Overview

Born in the 1950s, Victoria knows nothing but the nomadic life of the Inuit until, at age ten, she is sent to a sanitarium to recover from tuberculosis. Six years later, she returns to a radically different world, a stranger to her family and culture. She marries a non-Inuit, Robertson; as their children gravitate toward the pop culture of the mainland, and as her husband exploits the economic opportunities that the Arctic offers, Victoria is torn between her family and her ancestors, between the communal life of...
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Overview

Born in the 1950s, Victoria knows nothing but the nomadic life of the Inuit until, at age ten, she is sent to a sanitarium to recover from tuberculosis. Six years later, she returns to a radically different world, a stranger to her family and culture. She marries a non-Inuit, Robertson; as their children gravitate toward the pop culture of the mainland, and as her husband exploits the economic opportunities that the Arctic offers, Victoria is torn between her family and her ancestors, between the communal life of the North and the material life of the “South.” Kevin Patterson, acclaimed author of The Water in Between and Country of Cold, exposes the consequences of cultural assimilation, and the toll that modernization takes on communities in this epic novel of the Arctic.
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Editorial Reviews

Frances Itani
Because of his unique experience in the north, where he practiced as a physician, because of his elegant style and compassionate vision, Patterson has created a remarkably compelling novel. His insight into the human condition pulls us to the heart of events, even when the idea of these is "too painful...to utter aloud."
—The Washington Post
Publishers Weekly

In this powerful first novel, a beautiful Inuit woman spends her teen years in the 1960s in a Montreal TB sanitarium, learning French and mathematics from nuns. Upon returning to her Hudson Bay hamlet to live in a government-made dwelling, Victoria feels like a stranger "living in a kind of internal exile" and shudders at the taste of "half-rotted walrus meat." After getting pregnant by a Kablunauk(Inuktitut for white person), she marries him. Husband Robertson's ambition rankles the community to begin with, and when he accepts work from a South African mining company that wants to dig for diamonds in the frozen tundra, things come to a boiling point. Keith Balthazar, a doctor who comes to the community from New York, tends to Victoria's children in illness and gets unexpectedly entwined in the family's life. In language that is always sharp and sometimes mesmerizing, Patterson, author of a story collection and the memoir The Water in Between, seamlessly works murder, sex and intrigue into the mix and offers a terrific cast that makes arctic life, and the ties of kin, palpable. He delivers a searingly visceral message about love, loss and dislocation. (Aug.)

Copyright 2007 Reed Business Information
Kirkus Reviews
The Canadian Arctic is the setting for this elegiac and intricately patterned first novel, the work of an Ontario short-story writer (Country of Cold, 2003, etc.) and memoirist. More specifically, it's the settlement of Rankin Inlet on the northwestern coast of Hudson Bay-to which a beautiful Inuit woman named Victoria returns to rejoin her family in the late 1960s, after six years spent in a Montreal hospital being treated for tuberculosis. The world of the Inlet is rapidly, irreversibly changing. Seal and fish populations dwindle as industrialism alters the environment. Victoria's father Emo, a renowned hunter and trapper, has accepted work in a mine, relocating his family to subsistence-level government housing. As years pass, Victoria, who has married British settler John Robertson (manager of the town store) and borne him three surviving children, yearns nostalgically for the years of her confinement when easily available books stimulated her imagination, and watches as her daughters (Justine and Marie) adjust differently to confusing cultural pressures, and her son Pauloosie "retreats" to the elemental world of previous generations. When outside business interests prepare to cultivate diamonds detected in the frozen tundra, Robertson betrays the interests of "his" people-and the unraveling of his marriage to Victoria (who has long since taken an Inuit lover) incarnates in microcosm the disintegration of the old, stable Inuit ways. Patterson displays a real gift for blending scenic description and ethnographic detail with narrative and characterization, and his crisp depictions of events experienced and remembered expand to include stunning images ("Pauloosie's snow machine,twinkling its way north") and ruminations on medical and personal matters recorded in the "journal" kept by Keith Balthazar, an American doctor who has come to Rankin Inlet to help the Inuits survive. An all-but-vanished world is brought thrillingly to life, in one of the best debuts novels in recent memory.
From the Publisher
"Gently seductive. . . . Remarkably compelling. . . . [Patterson's] insight into the human condition pulls us to the heart of events."—The Washington Post“Utterly absorbing. . . . Engag[es] the heart as well as the mind in the service of a greater truth.” —The Times-Picayune “Patterson's own experience . . . lends his simply told, involving novel an unmatchable authority.”—Entertainment Weekly“Patterson is a sure guide through inhospitable terrain, be it [that] of the tundra or the far recesses of the soul.”—The New Yorker
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Product Details

  • ISBN-13: 9780385520744
  • Publisher: Knopf Doubleday Publishing Group
  • Publication date: 8/7/2007
  • Pages: 400
  • Product dimensions: 6.47 (w) x 9.53 (h) x 1.32 (d)

Meet the Author

Kevin Patterson grew up in Manitoba, and put himself through medical school by joining the Canadian army. Now a specialist in internal medicine, he practices in the Arctic and on the coast of British Columbia. His first book, The Water In Between, was a New York Times Notable Book. Country of Cold, his debut short fiction collection, won the Rogers Writers' Trust Fiction Prize in 2003, as well as the inaugural City of Victoria Butler Book Prize. He lives on Saltspring Island, Canada.
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Read an Excerpt

Chapter One

Storms are sex. They exist alongside and are indifferent to words and description and dissection. It had been blizzarding for five days and Victoria had no words to describe her restlessness. Motion everywhere, even the floors vibrated, and such motion was impossible to ignore, just as it was impossible not to notice the squeaking walls, the relentless shuddering of the wind. Robertson was in Yellowknife, and she and the kids had been stuck in this rattling house for almost a week, the tundra trying to get inside, snow drifting higher than the windows, and everyone inside the house longing to be out.

It was morning, again, and she was awake and so were the kids, but they had all stayed in bed and listened to the walls shake. Nine, or something like that, and still perfectly black. She had been dreaming that she was having sex with Robertson. She was glad she had woken up. Even the unreal picture of it had left her feeling alarmed—though that eased as the image of the two of them, entwined, had faded. In another conscious moment she was able to blink the topic away and out of her thoughts. As it had been.

She could hear her girls, Marie and Justine, whispering to each other in their bedroom. She couldn’t tell what they were saying. She heard the word “potato.” Pauloosie, her son, her oldest child, was silent. She listened carefully and thought she could hear him turning in his bed. And then the wind wound up and just howled.

As a girl she had not been this restless, waiting out storms with her parents on the land in a little iglu, drinking sweet tea and lying on caribou skins. It had been more dangerous then but less frightening. Storms make an iglu feel more substantial somehow. This house, on the other hand, felt as if it were about to become airborne, and it would have if not for the bolts tethering it to its pilings. It had been made in Montreal, of particleboard and aluminum siding, before being shipped by barge to Hudson Bay, sagging from square with each surge of the sea. Where the door frame gapped away from the kitchen door, snow sprayed through in parabolas. These wee drifts persisted as long as the door stayed closed. After five days they seemed as permanent as furniture. The wind whistling under the house kept the kitchen floor nearly as cold as the stone beneath it.

That stone slid, in its turn, through the town, to the shore, and then under the ice of Hudson Bay, angling shallowly out into the sea basin like a knife slipping between skin and meat. And on top of that water was ice, a quarter million square miles of it, arid and flat and sucking in the frigid air from the High Arctic like a bellows—blowing it down through Rankin Inlet and into the rest of the unmindful continent. Chicago would be Rome but for this frozen ocean, not that its significance is known to anyone who doesn’t live alongside it.

Rankin Inlet, Repulse Bay, Baker Lake, Coral Harbour, Whale Cove: variations on the theme of shelter from the sea, each of these hamlets lies on the west coast of Hudson Bay, named by nineteenth–century whalers seeking safety. The smallest is a couple hundred people and the largest of these, Rankin Inlet, is two thousand, almost all Inuit, with a handful of southerners, Kablunauks, among them.

The people exist along this coast against a backdrop of a half million square miles of tundra, gently rolling treeless plains. In the summer, this land is boggy and moss–bound; in the winter, frozen and blasted lowlands, eskers of rock protruding through shallow snow. The Inuit lived here for ten thousand years, pulling their living from this meager forage until the 1960s, when they accreted in the little government towns built along the coast and left the tundra empty of human inhabitants for the first time since the glacial ice had melted.

Victoria and Robertson had been married a year when Robertson paid to have this house shipped here for his new family to live in. It was twice the size of the housing department shacks offered to the rest of the community; this benefit of marrying a Kablunauk had been remarked upon in Victoria’s presence since the house had floated its way to the bay at the edge of the town. The other young families were crowded into the back rooms of their relatives’ cramped houses, and privacy such as Victoria knew was considered an uncommon luxury.

Robertson was not from here, and so no toothless and snuff–spitting aunts had been assigned to their family. The drawbacks of marrying a Hudson’s Bay Company man had been explored by dozens of women in the town, but this single advantage held. She lay in her bed now and listened to her daughters squealing and whispering and calling out to each other. This was an intimacy, she thought, that could never be available to a family who shared their house with another. She was lucky, at least on that score. But then, she thought, there might be a different kind of intimacy available to the cousins and brothers who had grown up unencumbered by the rind of privacy.

She was thinking about that when the banging at the kitchen door began. Victoria thought the door had become unfastened, and she leapt out of bed to close it before it was torn from its hinges. When she got to the kitchen she turned on the lights and saw her father standing just inside the door. Drifted snow stretched out alongside him on the kitchen floor. His eyebrows and eyelashes were coated in ice, and his caribou parka shed granules of snow steadily as he stood there.

Qanuipiit?” he asked.

Qanawingietunga,” she replied. As good as could be expected, anyway. They were all bored, certainly, but the furnace was working and there was food. Which was rather a lot to express with a shrug and a single word, but sufficiently severe terrain makes for a pronounced economy of expression. Consequently, Inuktitut is the very language of economy.

Ublumi anarahkto.”

A little windy? Her father’s understatement made her smile. Justine and Marie appeared in the kitchen, drawn by the sound of conversation, and when they saw their grandfather in his sealskin kamiks they paused behind their mother. Twelve and fourteen years old, they were nearly as tall as the old man and were not prepared to greet him while dressed in their pajamas. Pauloosie loomed up behind his younger sisters in a flannel shirt and jeans. The old man reached inside his jacket and pulled out a plastic grocery bag. He held it out to the boy. “Tuktu.” he said.

Pauloosie took the bag of caribou meat. “Koyenamee.

Igvalu.”

The steaks were frozen into pink and cartilaginous bricks. Pauloosie took the bag to the kitchen sink and peeled away the plastic. He began rinsing the meat off with cold water, picking away the bits of hair and tendon that stuck to it. Victoria and her father watched him. “How is Robertson?” Emo asked.

“He’s in Yellowknife again. Gets home next week.”

Ee–mah.”

“He’s bidding on a contract.”

“He works so much.” The old man looked around the kitchen as he said this, as if scanning the house for evidence of the man’s absence.

“He does.” Victoria followed her father’s eyes around her kitchen defensively.

“Do you need anything here?”

“Not really.” Which was to say: nothing at all.

“I didn’t see the lights on.”

“There’s ice over the windows.”

“You should tell the girls to put some clothes on. It’s ten in the morning.”

“They will.”

Justine and Marie were down the hall and out of range before Victoria's backward glance even came close to them.

“Your mother wanted me to see how you were.”

“Why didn’t she phone?”

“It’s not working again.”

“Do you need money?”

“No. We just forgot.”

“I’m going to the bank when the storm lets up. I could take care of it.”

“If you want.”

“I will.”

“Do you need some fish?”

“We still have char left over from the fall.”

“Tagak shot a nanuq last week.”

“A good one?”

“Eleven feet.”

“That will get him two thousand dollars, anyway.”

Emo stood there a moment, studying his daughter. If Emo had been the man his own father–in–law was, he would have pushed Robertson off the floe edge and into the sea by now. He turned to the door and opened it.

Ublukatiarak, attatatiak,” Pauloosie said.

"Igvalu, irnuktuq," Emo answered.

After her father was gone, Victoria cut up a pound of bacon and began frying it. Justine leaned over the kitchen table, opening her math book to do her long division. Marie sat closest to the stove with her Nancy Drew mystery: The Secret of the Old Clock. On the cover, a blond and dauntless Nancy peeked worriedly from behind a tree larger than anyone in the room had ever seen. Pauloosie laid the caribou meat on the counter and began cutting thin strips off it with his hunting knife and stuffing them into his mouth. After a few minutes of this, the bacon was finished and Victoria put a plate of it down in front of the girls.

The wind surged again and rose a half tone in register. Victoria looked out the window at the blowing snow. Pauloosie retreated to his room wordlessly. Her daughters read silently beside her. Storms like this make you appreciate a house. All you had to do was keep from losing your mind.

Chapter Two

When Victoria was ten years old, in the summer of 1962, she was brought on board the government ship C.D. Howe, a red steel supply vessel that traveled along the west coast of Hudson Bay each summer. Her family had noticed how she spent her days squinting into the sky for birds she could hear but not see and peering at stone cairns, Inukshuk, she thought were people. The C.D. Howe conducted tuberculosis screenings and ran a vaccination program together with general minor medical care and eyeglass dispensing. In the late 1950s, the people remained for the most part on the land, coming to the coast in the summer to trade the furs they had accumulated over the winter, and to catch char and arviaat, beluga whales. While they camped there, steel freighters plied the coast, dropping off crates of fox traps and rifle cartridges and flour and tinned meat at the Hudson’s Bay posts, or, in the instance of the government ships, inserting medical appliances into ears and pushing naked chests against X–ray plates and collecting sputa in metal cups.

Emo and Winnie rowed their children, Victoria and Tagak, out to the ship a few minutes after it anchored in the inlet. It was August and there were twelve families camped, waiting for the trading ships. It was getting colder but was not yet cold enough to travel easily on the land. And the rain had come. The walrus hunting was finished until the ice froze again, the deer were far inland, and char were no longer running, so the people were bored and had spent the previous several weeks playing cribbage and arguing. When the government ship appeared, it was greeted as a break in the boredom, and everyone climbed into the boats to visit with the iqswaksayee.

The lab on board the ship processed their sputum samples on the spot and the doctor dispensed antibiotics for the ear infections and provided spectacles to the squinting children. Victoria had wire–framed glasses strapped to her head and gasped at the sudden clarity of the world. All the children were weighed and measured. With the doctor were two nurses who were not nuns but another kind of nurse, whose devotion to their profession was less absolute and more understandable: “nungurayak” was the name for these women, which meant “false nun.” The nurses who spoke enough Inuktitut to understand the etymology of their title were constantly amused by it.

One of these women steered Victoria into a waiting room with her mother and father. Her mother teased Victoria about her glasses, but all she felt was a suffused contentment. Even at a distance, she could see the world now, found it many times as rich and detailed and complex as she had previously understood. One image burned itself into her memory: her father standing in the companionway of the ship in his spring boots, kamiks, and caribou parka, brown and lined in a way that had surprised her. Beside him: her mother, her marriage tattoos almost obscured by her tan, which stopped just where her father's did, at the throat. There, their skin became as pale as a char's belly, and remained so right out to their wrists.

She studied the lines on the backs of her father’s hands, and the fineness of the stitching on his waterproof sealskin boots. She noticed the skepticism in the eyes of her mother, which she had not appreciated before, and the unease in her face as she stood in the Kablunauk ship. A moment earlier, the iqswaksayee had finished explaining to her, through the interpreter, how to care for Tagak’s ear infections. He turned then and walked crisply away, the scent of perfumed soap and shaving cream wafting to her wrinkling nose. Behind her parents, Victoria could see the drip marks in the paint on the ship’s bulkheads; she could see the gray in her parents’ hair and how much skinnier their faces were than she had realized.

In the cramped waiting room were squeezed Victoria, her parents, Tagak on his mother’s knee, the iqswaksayee, Caroline Kapak, the woman hired to interpret the local dialect, and Siruqsuk. Siruqsuk was one of the oldest of the Inuit elders in the area, though she was not accorded the deference usually paid to the very aged because of the low stature of her family and because of a whispered–about scandal to do with a long–dead husband and her sister.

Siruqsuk had lived on the margins of several encampments and was discreetly and grudgingly given food by her nephews when there was enough to share. Victoria had been aware of her for as long as she could remember, though they had not talked often. The iqswaksayee spoke in his flat and guttural Kablunuktitut language, and Caroline Kapak translated. “He says he’s sorry but the X–rays show puvaluq. You’re both going to have to go with the ship to the sanatorium.” Victoria wondered if she was going to have to live with Siruqsuk while her parents were away when she realized Caroline was looking at her and the old woman.

***

The ship made for the Hudson Strait, and then for the open Atlantic and around to the Gulf of St. Lawrence and, eventually, Montreal. Siruqsuk and Victoria watched from the stern as the ribbon of shore disappeared behind them. Victoria kept a firm grip on her heavy skirts in the wind and the old woman put her stringy arm around the girl’s shoulders. Victoria asked what she knew about where they were going. Siruqsuk told her there would be plenty to eat when they got there and that the other Inuit in the hospital would take care of them. They could both feel the ship’s engines throbbing through the deck. Then the fog closed in and they went inside.

From the Hardcover edition.

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Foreword

1. How has reading Consumption changed your understanding of the Arctic and the Inuit?

2. Do you think “the north” is a character in Consumption? How does Kevin Patterson evoke the different locations in which the novel takes place, and their effect on people? What is the importance of the setting?

3. How would you compare Consumption to other recent novels about the Canadian North, such as Steven Heighton’s Afterlands or Wayne Johnston’s The Navigator of New York? Why do you think Canadian writers today are writing about the Arctic?

4. Consumption features a noticeably wide cast of characters. Who are your favourite and least favourite characters?

5. Isaiah Berlin defined freedom as “being at home in one’s culture.” Is anyone at home in Consumption?

6. What do you think of the ending of the novel? What do the different kinds of writing in the book–narrative, letters, medical reports, etc.–contribute to the novel as a whole?

7. Would you characterize Consumption as an optimistic or a pessimistic novel, or something in between? Why?

8. Consider the successes and failures of parents in Consumption. What does the book have to say about raising children?

9. Discuss death, change, loss, love or another theme of your choice.

10. Would you recommend Consumption to a friend? Why, or why not?

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Reading Group Guide

1. The narrator states “any contention that technology inevitably demeans humans falters on considering what must have been the misery of that life,” referring to the Dorset Inuit, who lacked the sophisticated tools of the later Thule Inuit [p. 257]. How do you think contemporary Inuit, as they are portrayed in Consumption, feel about technology?

2. In both the sanitorium scene and in the depiction of Amanda's friends, the boys seem more displaced, more adrift, than the girls. Are girls and women affected differently by rapid cultural change than men and boys? Do you find this portrayal convincing?

3. Why was Penny so desperate to find Pauloosie after he went out on the land? Would he have made different decisions had he known her state?

4. Victoria's kids and Amanda and her friends are similar in age but live in very different places. Do the problems they face better reflect these similarities or these differences?

5. How did the depiction of the hunting scenes affect your understanding of these characters and the Arctic?

6. The author contends that change is harder on children than on adults. Do you agree with this?

7. What is the author's purpose in interweaving Balthazar's ruminations with the narrative of the novel? What do you learn about Balthazar that you wouldn't have otherwise?

8. Who is the real core, the central character of the book: Victoria, Balthazar, the Inuit, Pauloosie, or Emo?

9. Why won't Victoria have anything to do with Balthazar at the end of the novel? Does this seem convincing?

10. What are the differences between Penny and Johanna's characters, and how do they account for their different fates?

11. Is Robertson on the whole, a sympathetic character? Were you surprised to learn who killed him?

12. Children in the book play the role of savior in several instances, especially to Amanda, Johanna, and Pauloosie. Does this play a role in the author's portrayal of women as more resilient than men, in the face of cultural change?

13. There are several important members of the celibate orders in the book: Isabelle, Bernard, and Raymond. What common role do they play, and why does the author place them so prominently?

14. What does the title Consumption mean to you?

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Customer Reviews

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  • Anonymous

    Posted October 18, 2007

    Like finding a diamond in the snow! Writing so fine it borders on religious experience!

    I was absorbed into the landscape and characters, transported to the world created. This book was an exhilarating experience. The author is the best kind of storyteller: confident, spare and precise as he discloses the strands of his plot.

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