Bill Ward
East of the MountainsBill Ward is Ben Givens’s doctor, but the novel presents him chiefly through Ben’s expectations of what a physician will know, keep private, and eventually do. Ward’s significance lies in the boundary between professional care and personal choice: Ben believes Ward may suspect his suicide plan, yet also imagines him as the doctor who would relieve the suffering of his final decline.
Professional Role and Limits
Ben identifies Bill Ward as his doctor while considering how to conceal his plan to die during a hunting trip. Ward is the one person Ben thinks might suspect the truth, but even that suspicion would not amount to certainty: Ben has arranged contrary evidence by making the trip look ordinary. The passage therefore establishes Ward’s importance through Ben’s assessment of his medical judgment, while leaving Ward himself outside the scene.
Ben’s confidence in Ward’s discretion is specific rather than absolute. He believes Ward would keep his cancer private unless a coroner’s inquest or an insurance agent’s inquiry required disclosure. The doctor’s silence, as Ben imagines it, is governed by professional protocol and a principle of confidentiality, not by proof that Ward has discovered what Ben intends. The distinction matters: Ward is both a possible witness to the concealed plan and someone Ben expects not to expose it without an external obligation.
Ben’s Illness and His Expectations
Ward’s role is shaped by Ben’s knowledge of his own prognosis. Ben understands that his colon cancer has metastasized from the colon to nearby lymph nodes and then to his liver; as a physician, he regards the disease as incurable and its progression as something he cannot stop. The text supplies no independent account of Ward delivering the diagnosis or discussing treatment. Instead, Ben’s anticipation of medical decline frames what he believes Ward may eventually be asked to do.
Ben’s forecast of that decline is sharply physical. He imagines bedsores, fractures, infection associated with a catheter, fluid requiring drainage, vomiting and dehydration, difficulty swallowing, pneumonia, fever, and the loss of strength and breath. The list culminates in an image of himself reduced to eighty-five pounds and struggling for air in a nursing-home bed. These are feared future conditions, not events the narrative confirms have occurred. They explain why Ben regards a prolonged death as intolerable and why Ward figures in his thoughts as a doctor who will encounter him at the end of that trajectory.
The Anticipated Final Care
Ben imagines that, if he does not kill himself first, Ward will eventually administer death-inducing morphine through a drip when Ben reaches the nursing-home stage of his illness. This is Ben’s projection of a possible final intervention, not a scene showing Ward prescribing or administering the drug. Its place in Ben’s reasoning is consequential: he sees medical relief as arriving only after an extreme period of suffering, whereas suicide appears to him to offer a way to avoid that interval altogether.
That expectation sits alongside Ben’s awareness that he has previously spoken of consolations in gradual dying: the intensification of ordinary perceptions, the deepening of love, and the chance to reflect. Now he doubts that those consolations can withstand pain severe enough to overwhelm argument. Ward is not shown debating these beliefs with him. Rather, Ben’s imagined account of Ward’s eventual care gives concrete form to a conflict between anticipated symptom relief and Ben’s desire to control when suffering ends.
Narrative Significance
Ward remains an offstage character in the supplied episodes, and the reader learns about him through the limits of Ben’s perspective. Ben’s medical knowledge lets him describe disease progression in detail, but it does not establish what Ward knows, what he would decide, or whether the imagined final treatment would occur. This gap prevents Ben’s predictions from becoming a confirmed account of Ward’s conduct.
The doctor’s quiet presence nevertheless anchors two competing expectations: that a physician will respect the confidentiality of a patient’s illness, and that medical care may eventually ease suffering that cannot be cured. Ben’s plan to conceal his death tests the first expectation in advance; his imagined nursing-home decline tests the second. Ward’s narrative function is thus less that of an onstage decision-maker than that of the physician through whom Ben measures privacy, prognosis, and the limits of intervention.


