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The Private Patient
 
 

The Private Patient [Large Print] (Paperback)

by P.D. James (Author)
4.3 out of 5 stars  See all reviews (6 customer reviews)
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Review

"Brilliant. . . . A jewel in [James's] crown."—Pittsburg-Post Gazette
 
 "No one is better than James at maintaining this tension between the cozy and the frightful."—The Washington Post
 
"[James is] a master. . . . Nothing is as it first appears."—The Boston Globe 

"[I]intricately plotted and suspenseful... James' clear-eyed, often sardonic prose describes rooms and people exactly as she sees them." —Providence Journal
 
"Elegant . . . compelling. . . . Continues the James tradition. . . . She comfortably tackles timeless concerns." —Chicago Tribune
 
"The ghost of literature past haunts P.D. James' newest novel. . . . The novel's pointed descriptions, its gothic settings, and its theme exploring the insidious legacies of family and class violence suggest Charles Dickens may have rested a hand on James' shoulder while she wrote this terrific literary mystery." —Milwaukee Journal Sentinel
 
"James is a wonderful writer." —Chicago Sun-Times
 
"James is in excellent form. . . . [She] offers her readers intelligence, wisdom, dry humor, knowledge both deep and wide-ranging, humanity, compassion, understanding and a wonderful way with words. . . . James is one of Britain's greatest living writers."—St. Louis Post-Dispatch
 


Excerpt. © Reprinted by permission. All rights reserved.

On November the twenty-first, the day of her forty-seventh birthday, and three weeks and two days before she was murdered, Rhoda Gradwyn went to Harley Street to keep a first appointment with her plastic surgeon, and there in a consulting room designed, so it appeared, to inspire confidence and allay apprehension, made the decision which would lead inexorably to her death. Later that day she was to lunch at The Ivy. The timing of the two appointments was fortuitous. Mr. Chandler-Powell had no earlier date to offer and the luncheon later with Robin Boyton, booked for twelve-forty-five, had been arranged two months previously; one did not expect to get a table at The Ivy on impulse. She regarded neither appointment as a birthday celebration. This detail of her private life, like much else, was never mentioned. She doubted whether Robin had discovered her date of birth or would much care if he had. She knew herself to be a respected, even distinguished journalist, but she hardly expected her name to appear in theTimes list of VIP birthdays.

She was due at Harley Street at eleven-fifteen. Usually with a London appointment she preferred to walk at least part of the way, but today she had ordered a taxi for ten-thirty. The journey from the City shouldn’t take three-quarters of an hour, but the London traffic was unpredictable. She was entering a world that was strange to her and had no wish to jeopardise her relationship with her surgeon by arriving late for this their first meeting.

Eight years ago she had taken a lease on a house in the City, part of a narrow terrace in a small courtyard at the end of Absolution Alley, near Cheapside, and knew as soon as she moved in that this was the part of London in which she would always choose to live. The lease was long and renewable; she would have liked to buy the house, but knew that it would never be for sale. But the fact that she couldn’t hope to call it entirely her own didn’t distress her. Most of it dated back to the seventeenth century. Many generations had lived in it, been born and died there, leaving behind nothing but their names on browning and archaic leases, and she was content to be in their company. Although the lower rooms with their mullioned windows were dark, those in her study and sitting room on the top storey were open to the sky, giving a view of the towers and steeples of the City and beyond. An iron staircase led from a narrow balcony on the third floor to a secluded roof, which held a row of terra-cotta pots and where on fine Sunday mornings she could sit with her book or newspapers as the Sabbath calm lengthened into midday and the early peace was broken only by the familiar peals of the City bells.

The City which lay below was a charnel house built on multilayered bones centuries older than those which lay beneath the cities of Hamburg or Dresden. Was this knowledge part of the mystery it held for her, a mystery felt most strongly on a bell-chimed Sunday on her solitary exploration of its hidden alleys and squares? Time had fascinated her from childhood, its apparent power to move at different speeds, the dissolution it wrought on minds and bodies, her sense that each moment, all moments past and those to come, were fused into an illusory present which with every breath became the unalterable, indestructible past. In the City of London these moments were caught and solidified in stone and brick, in churches and monuments and in bridges which spanned the grey-brown ever-flowing Thames. She would walk out in spring or summer as early as six o’clock, doublelocking the front door behind her, stepping into a silence more profound and mysterious than the absence of noise. Sometimes in this solitary perambulation it seemed that her own footsteps were muted, as if some part of her were afraid to waken the dead who had walked these streets and had known the same silence. She knew that on summer weekends, a few hundred yards away, the tourists and crowds would soon be pouring over the Millennium Bridge, the laden river steamers would move with majestic clumsiness from their berths, and the public city would become raucously alive.

But none of this business penetrated Sanctuary Court. The house she had chosen could not have been more different from that curttained, claustrophobic semi-detached suburban villa in Laburnum Grove, Silford Green, the East London suburb where she had been born and in which she had spent the first sixteen years of her life. Now she would take the first step on a path which might reconcile her to those years or, if reconciliation were impossible, at least rob them of their destructive power.

It was now eight-thirty and she was in her bathroom. Turning off the shower, she moved, towel-wrapped, to the mirror over the washbasin. She put out her hand and smoothed it over the steam-smeared glass and watched her face appear, pale and anonymous as a smudged painting. It was months since she had deliberately touched the scar. Now, slowly and delicately, she ran a fingertip down its length, feeling the silver shininess at its heart, the hard bumpy outline of its edge. Placing her left hand over her cheek, she tried to imagine the stranger who, in a few weeks’ time, would look into the same mirror and see a doppelgänger of herself, but one incomplete, unmarked, perhaps with only a thin white line to show where this puckered crevice had run. Gazing at the image, which seemed no more than a faint palimpsest of her former self, she began slowly and deliberately to demolish her carefully constructed defences and let the turbulent past, first like a swelling stream and then a river in spate, break through unresisted and take possession of her mind.


2

She was back in that small rear room, both kitchen and sitting room, in which she and her parents colluded in their lies and endured their voluntary exile from life. The front room, with its bay window, was for special occasions, for family celebrations never held and for visitors who never came, its silence smelling faintly of lavender furniture polish and stale air, an air so portentous that she tried never to breathe it. She was the only child of a frightened and ineffective mother and a
drunken father. That was how she had defined herself for more than thirty years and how she still defined herself. Her childhood and adolescence had been circumscribed by shame and guilt. Her father’s periodic bouts of violence were unpredictable. No school friends could safely be brought home, no birthday or Christmas parties arranged and, since no invitations were ever given, none was received. The grammar school to which she went was single-sex and friendships between the girls were intense. A special mark of favour was to be invited to spend the night at a friend’s house. No guest ever slept at 239 Laburnum Grove. The isolation didn’t worry her. She knew herself to be more intelligent than her fellows and was able to persuade herself that she had no need of a companionship which would be intellectually unsatisfying and which she knew would never be offered.

It was eleven-thirty on a Friday, the night her father got paid, the worst day of the week. And now there came the sound she dreaded, the sharp closing of the front door. He came blundering in and she saw her mother move in front of the armchair, which Rhoda knew would awaken his fury. It was to be her father’s chair. He had chosen it and paid for it, and it had been delivered that morning. Only after the van had left had her mother discovered it was the wrong colour. It would have to be changed, but there had been no time before the shop closed. She knew that her mother’s querulous, apologetic, half-whining voice would enrage him, that her own sullen presence would help neither of them, but she couldn’t go up to bed. The noise of what would happen beneath her room would be more terrifying than to be part of it. And now the room was full of him, his blundering body, the stink of him. Hearing his bellow of outrage, his ranting, she felt a sudden spurt of
fury, and with it came courage. She heard herself saying, “It isn’t Mother’s fault. The chair was wrapped up when the man left it. She couldn’t see it was the wrong colour. They’ll have to change it.”

And then he turned on her. She couldn’t recall the words. Perhaps at the time there had been no words, or she hadn’t heard them. There was only the crack of the smashed bottle, like a pistol shot, the stink of whisky, a moment of searing pain which passed almost as soon as she felt it and the warm blood flowing from her cheek, dripping onto the seat of the chair, her mother’s anguished cry. “Oh God, look what you’ve done, Rhoda. The blood! They’ll never take it back now. They’ll never change it.”

Her father gave her one look before stumbling out and hauling himself up to bed. In the seconds in which their eyes met, she thought she saw a confusion of emotions: bafflement, horror and disbelief. Then her mother finally turned her attention to her child. Rhoda had been trying to hold the edges of the wound together, the blood sticky on her hands. Her mother fetched towels and a packet of sticking plasters and tried with shaking hands to open it, her tears mixing with the blood. It was Rhoda who gently took the packet from her, unpeeled the plasters from their covers and managed at last to close most of the wound. By the time, less than an hour later, she was lying stiffly in bed, the bleeding had been staunched and the future mapped out. There would be no visit to the doctor and no truthful explanation ever; she would stay away from school for a day or two, her mother would telephone, saying she was unwell. And when she did go back, her story would be ready: she had crashed against the edge of the open kitchen door.

And now the sharp-edged memory of that single slashing moment softened into the more mundane recollection of the following years. The wound, which became badly infected, healed painfully a...

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5 of 5 people found the following review helpful:
4.0 out of 5 stars A MODULATED, PRECISE READING, Nov 28 2008
By Gail Cooke (TX, USA) - See all my reviews
(TOP 50 REVIEWER)    (REAL NAME)   
This review is from: The Private Patient (Audio CD)
London born actress Rosalyn Landor is the perfect choice to read a P. D. James mystery. The daughter of an actor/broadcaster Landor grew up with reading aloud, story telling, and that love for the spoken word is reflected in her voice performances. Her readings are well modulated, precise as she carries listeners along to what is in this case a surprising denouement.

What lover of mysteries has not read or at least heard of P.D. James? The author of 19 books she spent some 30 years in the British Civil Service and recently celebrated her 88th birthday. One of her many gifts to readers is the creation of Commander Adam Dalgliesh, a consummate investigator who is often given to Holmesian discussions as he presents his thoughts to various characters and suspects.

With The Private Patient we visit an impressive old house, Cheverell Manor in Dorset. Once a family home it was sold of necessity to an eminent plastic surgeon, George H. Chandler-Powell, who now operates it as a clinic for the privileged. Rhoda Gradwyn comes to him for the removal of a disfiguring facial scar. She's an investigative journalist (her work is similar to that of a reporter for a supermarket tabloid in the USA). She's with us only briefly as she's soon dead of strangulation, a murder committed by an unknown person wearing latex gloves.

While the crime most definitely has affected Rhoda, it also affects the good doctor as who would want to come to a clinic where a murder has just occurred? Commander Dalgliesh is summoned to investigate. He has a great deal to look into considering the clinic staff, the departed's boyfriend, and others who were a part of her life for good or ill.

Once again James treats us to her vivid descriptions of setting and extensive vocabulary - the perfect word for every thought and situation. A pleasure to read - do so slowly and savor this author's unique style.

- Gail Cooke
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1 of 1 people found the following review helpful:
5.0 out of 5 stars The private patient, a clever thriller, Jun 17 2009
By Emma Leer (Qc, Canada) - See all my reviews
This review is from: The Private Patient (Paperback)
An excellent thriller. The author keeps us until the last word thinking that what we think being the thruth will come out. But she had something else in mind. Extremely well written, I felt the writing assurance of an expert writer, which I am convinced is the result of long hours of editing. Her perfectionism guaranties rewarding reading.
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1 of 1 people found the following review helpful:
4.0 out of 5 stars Under the knife, Jan 10 2009
By E. A Solinas "ea_solinas" (MD USA) - See all my reviews
(TOP 10 REVIEWER)    (REAL NAME)   

Most people who die because of plastic surgery have a bad reaction to the anesthetic or something like that.

Few plastic surgery patients are strangled. But that is the crime du jour of the fourteenth Adam Dalgleish novel, a quietly tangled web of motives and suspicious characters in a classic mystery setting. But P.D. James elevates your average whodunnit with her refined brand of police investigation, as well as the bittersweet meditations on aging, love and loneliness.

For the past thirty years, investigative journalist Rhoda Gradwyn has had a chasmic scar on her face. But now she decides to have it repaired by the eminent plastic surgeon George Chandler-Powell, at his beautiful old manorhouse. But mere hours after the surgery, Rhoda is found strangled, and Adam Dalgleish is called in to investigate who in the Manor wanted her dead.

Turns out that there are a number of motives, some more coldly rational than others -- Rhoda's boytoy, the mentor of a girl Gradwyn destroyed, and a young woman with a gruesome past. With plenty of people who could have done it, Dalgleish must unravel who actually did do it, and the secret motives that others are keeping hidden. But he may not be in time to prevent more deaths...

"The Private Patient" is a book preoccupied by the passage of time. Lonely futures, sad pasts, the "flattening" of aging, the world changing and people losing their family homes. Even Dalgleish's impending wedding has a bittersweet edge, since it heralds changes among his friendships. Yet P.D. James makes sure to remind us that love and friendship can overcome the sadness of change and loss.

And with the sure hand of an experienced writer, James spins a solid whodunnit with plenty of red herrings and a wealth of suspects. While the first few chapters are a bit slow -- do we REALLY need the life story of every member of the Manor staff? -- everything speeds up after the first murder. It quietly chugs along up through ghastly backstories (the child-murder case), right up to the hallucinatory, fiery climax at a ring of stones where an alleged witch was once burned.

While most of the story is devoted to basic police investigations, James also fills it with a beautiful, picturesque atmosphere ("... burnishing the trunks of the beech tees and bathing the stones of the manor in a silvery glow") and literary allusions (Oscar Wilde and Thomas Hardy, among others). Most strikingly, she gives the modern police grind a refined, elegant edge that harkens back to a previous age.

And James handles Dalgleish with fondness and warmth, whether it's making a horribly awkward visit to his future father-in-law (very "Importance of Being Earnest") or navigating a crime maze with his partners. And he has some personal problems to deal with as well, since some close friends are victims of a horrible crime -- plus there's that whole impending wedding thing.

As befits a mystery, the supporting characters are given the shadowy dimensions of acquaintances -- we have some idea of their lives and personalities, but not really whether they are the murderer. And James handles some of the seemingly cliche characters -- the crazy girl, the prettyboy wastrel, the haughty doctor -- quite gracefully.

"The Private Patient" is a murder mystery that blossoms into a bittersweet exploration of passing time, with haunting writing and a solid plot. Definitely deserving of notice.
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4.0 out of 5 stars A Kitchen Sink of a Crime Novel.
I know I am going to be seen as seriously offside when I make critical remarks about Britain's master crime writer on her latest book, "The Private Patient", but I have to make... Read more
Published 4 months ago by Ian Gordon Malcomson

5.0 out of 5 stars The Private Patient
Phyllis still rules as Queen of the British mystery genre. Adam Dalgleish will long be remembered as one of the great characters in the history of the "mystery" novel. Read more
Published 9 months ago by Ronald E. Dines

4.0 out of 5 stars The Consequences of Love and Its Lack in a Novel Where Crime Outpaces the Investigation

Adam Dalgliesh fans will feel wonderfully rewarded by a deep and long look at his work in diligently investigating this case while attempting to balance his life to leave... Read more
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