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East of the Mountains

by David Guterson · 1999

It is mid-October, 1997, harvest time in the Columbia Basin of central Washington state, a rich apple- and pear-growing region. Ben Givens, recently widowed, is a retired heart surgeon, once admired for his steadiness of hand, his precision, his endurance. He has terminal colon cancer. While Ben does not readily accept defeat, he is determined to avoid suffering rather than engage it. And so, accompanied by his two hunting dogs, he sets out through the mythic American West - sage deserts, yawning canyons, dusty ranches, vast orchards - on his last hunt. The main issues for Ben as a doctor ha

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