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Archibald Joseph Cronin was born on 19th July 1896 in Cardross near
Glasgow on the west coast of Scotland to a Scottish mother and Irish
father.
Cronin graduated with honours from medical school at the end of the First
World War in 1919. In the mining towns of Wales, he saw the human spirit
Thus, he worked with the miners, then the rich, eventually grew
disillusioned with the medical profession entirely. This disillusionment is
reflected in the novel 'Citadel' which is the origin of the extract in the class
XI CBSE textbook.
THE NAME: The symbol of the citadel is central to the book. It symbolises
ideals in Mansons case medical integrity which are enclosed in a castle
on a hill. Manson fights against great odds to free himself from materialistic
temptation, and climb that hill. At the end of the book we are left with the
sense that, with Denny and Hope at his side, Manson will scale the walls of
the citadel to realise his ideals.
A junior doctor, Denny proposes to blow up the old sewer in order to oblige
the authorities to build a new safe one. Andrew helps and the plan works.
Andrew falls in love with a schoolteacher, Christine Barlow. Manson cures
someone no other doctor has been able to help, with a hormone treatment.
Andrew contemplates marrying Christine. He has a little tiff with her. On
returning home, he is called by a minor to help deliver a baby.
Andrew managed to help a difficult birth and save a babys life and walks
away from the incident more confident as a doctor and feeling as if he had
finally done something real in his life.
WHAT ELSE TO DO
Watch the movie 'Three Idiots' again with special focus on the birth scene
towards the end of the movie. Reflect upon the expressions on the face of
all the people involved, from the immediate relatives to the friends to
acquaintances. Before you read, understand that a birth is an extremely
emotional and exacting event.
CHAPTER VOCABULARY
The child finally breathes. Notice the author's description of the mucus as a
joyful iridescent bubble.
Andrew redoubles his efforts till the baby is breathing freely and safe.
As he left the house, he realised that he had truly saved a life that night
fulfilling the purpose of his profession. For the first time in his life, he felt he
had done something 'real', something worthwhile.
Beliefs of the small town: The midwife is present in the house before the
doctor arrives. The mining community did not have complete faith in
modern medicine and perhaps, preferred to have someone older, more
experienced and traditional present during a birth. Yet, Joe Morgan trusted
Andrew completely.
Contrasting personalities: The midwife is a foil to Andrew. She feels
hopeless, resigned, helpless, fearful and untrained. On the other hand,
Andrew proves to be more optimistic, diligent, efficient, self-sufficient,
spontaneous and well-trained.
The 'Birth' is not only of the child but also of the many relationships the birth
ushers. It is the birth of a grandmother, father and mother. Most
significantly, it was the birth of Andrew as a true doctor worthy of his title
and confident of his future.
QUESTION BANK
Q.1. Andrew had no premonition that,that night would influence his whole
future in Blaenelly. How did this happen?
Q.2. Why was Joe Morgan relieved to see Andrew? Did Andrew justify his
hope?
Q.3. Why was Andrew called in? How did he react to this call of duty?
Why does Andrew say, 'Usually perceptive, Andrew now felt dull and
listless'?
Q.4. 'Don't fret mother. I will not run away.' Why does Andrew say this?
Q.5. Why did Andrew choose to remain till everything was over?
Q.6. What were Andrews thoughts as he waited for the childbirth? Why
were they heavy and muddled?
Q.7. What was the conflict in Andrews mind regarding marriage?
Q.8. Why was Andrew surprised during the wait, when the grandmother
made a sound? What did the grandmother tell Andrew as he sat by the
fire?
Q.9. Why did a shiver of horror pass over Andrew?
Q.10. What dilemma did Andrew face during the course of events? How did
he resolve the same?
Q.11. How did Andrew revive Susan Morgan?
Q.12. What did the child look like when Andrew pulled it out?
Q.13. What was the cause of the still birth? Which methods did the doctor
try to resuscitate the child?
Q.14.
Q.15. What was the child suffering from? What treatment did Andrew
apply?
Q.16. What were Andrews thoughts after he had successfully overcome
the crisis?
Q.17.What unexpected miracle took place to turn Andrews desperation into
joy?
Q.18. How did the old Mrs. Morgan react to the entire ordeal?
Q.19. What did the room look like when Andrew had finished?
Q.20. Do you think that at the end of the story Andrew is justified in saying
Ive done something? Support your answer suitably.
Q.21. How did Dr. Mason prove worthy of his title by the end of the story?
Q.22. What opinion do you form of Andrew Mason from this excerpt? Which
values can we learn from him?
Q.23. Which values should the nurse have demonstrated during the
ordeal?
Q.24. Giving specific instances from the chapter, demonstrate how the
midwife proved to be a foil for Dr. Mason.
Q.25. There lies a great difference between textbook medicine and the
world of a practising physician. Comment with reference to the chapter,
'Birth' by A. J. Cronin.
Q.26. Compare and contrast Andrew's emotional, mental and physical state
at the beginning of the story with his condition at the end.
Q.27.'I've done something; oh, God! I've done something real at last'. This
statement justifies the title of the story. Discuss.
Q.28. Why do you think Andrew said, 'I'll fetch my bag later, nurse'?
Q.29. Describe in your own words, how Joe Morgan must have been
feeling during his wait and eventually when Andrew spoke to him on the
latter's way out.
Q.30.The original title of the novel is 'Citadel' meaning 'fortress'. Attempt a
parallel of the title with the context of the story.
The Citadel
In October 1921, Andrew Manson, an idealistic, newly qualified doctor,
arrives from Scotland to work as assistant to Doctor Page in the small
Welsh mining town of Blaenelly.
He quickly realizes that Page is an invalid and that he has to do all the work
for a low wage.
For his fifth book, Dr. Cronin drew on his experiences practising
medicine in the coal mining communities of the South Wales Valleys, as he
had for The Stars Look Down two years earlier. Specifically, he had
researched and reported on the correlation between coal dust inhalation
and lung disease in the town of Tredegar. He had also worked as a doctor
for the Tredegar Medical Aid Society at the Cottage Hospital, which served
as the model for the National Health Service.
Cronin once stated in an interview, "I have written in The Citadel all I
feel about the medical profession, its injustices, its hide-bound unscientific
stubbornness, its humbug ... The horrors and inequities detailed in the story
I have personally witnessed. This is not an attack against individuals, but
against a system."
Christine helps her husband with his silicosis research. Eager to improve
the lives of his patients, mainly coal miners, Manson dedicates many hours
to research in his chosen field of lung disease. He studies for, and is
granted, the MRCP, and when his research is published, an MD. The
research gains him a post with the 'Mines Fatigue Board' in London, but he
resigns after six months to set up a private practice.
Seduced by the thought of easy money from wealthy clients rather than the
principles he started out with, Manson becomes involved with pampered
private patients and fashionable surgeons and drifts away from his wife. A