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the American College of Surgeons in 1980, and in 1990 he was awarded the Master of Surgery degree for his self-published A Clinical and Pathological Atlas: The Records of a Surgeon in St Vincent, the West Indies . The book illustrates and discusses many of the conditions that he attended during his decades of practice. In the world of medicine he was known before his retirement as ‘the isolated
affectionately (the diminutive as pet name), but also in some way as ‘reduced’ (the author’s alter ego, but with less substance).39 A BBC programme on Yerofeev recorded by Pawel Pawlikowski40 shortly before Yerofeev died introduces some of the originals for the characters in the novel, including one drunk who recalls a form of literary duelling with Yerofeev and others, in which the participants challenged each other as to who could best recite literature from memory. In the programme Yerofeev has to use a voice box in order to speak, following surgery for throat cancer. The