Bloodletting and Miraculous Cures: A novel of short stories
Vincent Lam’s Giller Prize-nominated work, Bloodletting and Miraculous Cures, is billed as a short story collection, but in many ways it is more like a novel. Its cast of characters make their way from story to story and the stories themselves are strung together by narrative threads created by a linear timeline and a tendency for the setting to be drawn toward a single nexus in Toronto.
In the opening chapter, “How to Get Into Medical School, Part I” we meet Fitzgerald and Ming, two pre-med students at the University of Ottawa. Ming’s approach to her studies and her emotional life is disciplined, structured, and compartmentalised. Fitz’s, on the other hand, is haphazard, intuitive, and (as we later discover), sometimes self-destructive. The two are in love, but decide to place restrictions on their relationship, due largely to Ming’s concerns about intimacy and fear of her family’s reaction to her being with someone who isn’t Chinese.
Fitz stays behind in Ottawa to improve his grades for a second attempt to get in while Ming goes on to the University of Toronto’s medical school in the second chapter, “Take All of Murphy,” which Andrew Piper of The Globe and Mail described as “perhaps the collection’s best story.” It is here that we meet the rest of the book’s recurring characters, Ming’s anatomy class lab partners: Chen and Sri. Ming and Sri are diametrically opposed when it comes to dealing with the body they are dissecting. Ming treats it as a cadaver, the object of scientific study, and the means to a good grade. Sri is just as interested in him as a man, a veteran, a person with a name (in the absence of his real one, Sri names him Murphy) and a life story. Chen is left to try and negotiate a truce between the two inclinations.
With each subsequent chapter, we see further and get to know these four characters in more depth. We also get glimpses into the lives of the people with whom they or their patients interact (the family of Dr. Chen in “A Long Migration,” a psychotic patient in “Winston,” a prostitute and a paramedic in “Afterwards,” a pregnant woman in “An Insistent Tide”) . We also have a detailed account of what life was like in the hospitals of Toronto during the 2003 SARS crisis in “Contact Tracing.”
Lam’s writing is straight-forward and uncompromising, as one might expect of a writer who spends his off-hours working in a Toronto ER. There are occasional hints of brilliance in a turn of phrase, apt metaphor or narrative layering. His characters, even minor ones, are generally complex and life-like, though he keeps his female characters at more of a distance (none of their stories are told in the first-person for example).
I look forward to reading more of Lam’s books (when he writes them of course), especially if we get to see more of the characters we’ve come to know in Bloodletting and Miraculous Cures.


The Immaculate Conception refers to the doctrine that the Virgin Mary was conceived without Original Sin, her purity preserved through the power of divine grace. In Gaétan Soucy’s novel (a translation by Lazer Lederhendler of L’Immaculée conception (1994)), Purity is an elusive state and Grace a slippery object.