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Hans Lazar’s morphine dependence

Los pacientes del doctor García

Hans Lazar’s morphine dependence is rooted in physical injuries from the First World War and shapes both his convalescence and his manner of conducting business. The novel makes the condition legible through specific bodily signs: a recent abdominal operation, the pain of intestinal adhesions, anxious breathing, and the expectation of a morphine injection. Lazar’s dependence appears not simply as a diagnosis but as part of a practiced discipline, one he claims sharpens his suspicion and intelligence even as it exposes his vulnerability.

Origins and bodily signs

Lazar’s dependence reaches back to injuries he suffered during the First World War. As Rolf Steinbauer later explains, the wounds made physical suffering a daily ingredient of Lazar’s life, and he became addicted to morphine. That history gives the hospital scene a longer timeline than its immediate circumstances: the man recovering from surgery is also living with an old injury and an established reliance on the drug used to relieve pain.

The narrator, a doctor, reads Lazar’s condition in details that a casual visitor might miss. Lazar’s face is held tight by pain; a slight tremor at the corners of his mouth makes his expression resemble a bitter smile. His jacket is open at the bottom, while the two buttons above it strain over a gap showing a small piece of white dressing. His legs are spread to accommodate the abdominal wound. These signs point to recent surgery, while the glassiness of his eyes suggests a more longstanding distress and a missing remedy.

The narrator distinguishes the sources of suffering without claiming equal expertise in them. He knows more about scars than addiction, but Lazar’s anxious gaze and frequent mouth-breathing appear so symptomatic that the combined picture commands his attention. Acute postoperative pain and withdrawal coexist; Lazar’s extreme courtesy during the visit adds another dimension, suggesting not ease but powerful self-command under physical strain.

Surgery, pain, and morphine

The precise cause of Lazar’s hospitalization becomes clearer after the visit. The narrator has glimpsed the diagnosis on a form attached to a board at the foot of the bed: painful intestinal adhesions, a common consequence of appendicitis operations. In Lazar’s case, Steinbauer says, the operation had removed an appendix that did not need to be removed, making the consequences of the intervention an added bodily cost. The narrator’s inspection of the form turns a visual impression into a specific medical history.

Steinbauer also confirms the narrator’s suspicion about the drug. The nurse who had interrupted Lazar’s conversation was going to inject him with morphine. Lazar’s appointment with the visitor had been arranged half an hour before the dose, not by chance: he habitually dealt with important matters at the worst point in his daily condition. The timing places business directly against the return of pain and the expectation of relief.

Lazar describes pain and anxiety as instruments of attention. He maintains that they keep him alert, heighten his distrust and powers of observation, and make him uncomfortable in a way that sharpens his intelligence. The narrator suspects that Lazar may also want to experience the drug’s effects without interference, but keeps that inference to himself. The distinction matters: Lazar’s own account presents suffering as a chosen discipline, while the narrator sees a possible private motive that remains unspoken.

Dependence and control

Lazar’s formal manners persist even in the hospital. His voice is weak, but he courteously thanks his visitor, regrets that they have met under poor circumstances, and invites him to sit. The narrator reads the ceremony as characteristic of an Austrian diplomat, yet also finds the sympathy artificial. The scene therefore places social self-control beside physical dependence: Lazar can shape the terms of a meeting while his body remains subject to surgical pain and a recurring need for morphine.

The dependence also informs the business arrangement surrounding Lazar and Steinbauer. After the visit, Steinbauer explains that Lazar trusts the narrator but that he himself does not trust Lazar. He fears that Lazar has kept everything—the money included—for himself, and that holding it for long enough may have led him to think it belongs to him. Steinbauer’s suspicion is not presented as a consequence of morphine use; rather, it shows how Lazar’s vigilance and control operate in a wider atmosphere of mistrust. The narrator is assigned a role beyond that of a commercial agent: he is to keep Steinbauer informed while Steinbauer continues to live in Munich.

Steinbauer says Lazar makes a practice of handling important affairs when pain and anxiety are at their worst, treating the ordeal as a kind of exercise of will. That routine complicates any simple opposition between dependence and control. Morphine is the expected means of relief, but Lazar arranges consequential conversations around the interval before receiving it, turning bodily distress into a test of attention and authority. The narrative neither erases the addiction beneath this performance nor accepts Lazar’s account of it as the whole explanation.

Narrative significance

The account of Lazar’s dependence is filtered through a doctor who notices dress, posture, facial tension, breath, and the medical form at the bedside. This close observation makes the condition concrete before Steinbauer supplies its history. The movement from visible signs to diagnosis and then to Lazar’s own theory of pain preserves a distinction between what the body displays, what another character confirms, and what Lazar claims his suffering accomplishes.

The scene’s central tension is between a carefully controlled public manner and an exposed, dependent body. Lazar’s formal invitation to sit and his measured conduct do not cancel the tremor, the strained buttons, the dressing, or the imminent injection. Nor does the narrator’s medical reading settle the meaning of the dependence: Steinbauer supplies its wartime origins, Lazar turns pain into a claimed advantage, and the narrator privately entertains a further motive. Together these perspectives present morphine dependence as both a lived physical condition and part of Lazar’s guarded way of exercising control.