Stephanie Deutsch, a writer and critic living in Washington, D.C., was a first year graduate student in Soviet Union Area Studies at Harvard in 1970 when Aleksandr Solzhenitsyn was awarded the Nobel Prize for literature. She had spent the previous year living in Moscow. This essay is an update of an appreciation written ten years ago for the Washington Times’s “Lost Word” column dedicated to second looks at classic works. Solzhenitsyn died on August 3rd at 89.My copy of Cancer Ward is a well-worn relic from the 1970s, when a paperback book cost $1.50 and Solzhenitsyn was the must-read author of the moment. He had won the Nobel Prize for literature in 1970 and when I bought the novel it had been through fifteen printings in three years. A quote on the back cover calls it “a literary event of the first magnitude… by Russia’s greatest living prose writer.”The book reprints the author’s 1967 letters to the Congress of Soviet Writers and the Union of Writers of the USSR complaining of the “no longer tolerable oppression, in the form of censorship, that our literature has endured for decades,” and insisting that his work “be published without delay.” Who could foresee then that when Aleksandr Solzhenitsyn died he would no longer be much read, either here or in his native land. The one-time Vermont recluse returned to Russia but there, as here, his fervor and his writing are out of fashion.Just as a voguish book can disappoint, though, Cancer Ward remains compelling. While the title hints at symbolism and death, the straightforward story is vibrantly and affirmatively about life. Mr. Solzhenitsyn does see cancer as a fitting metaphor for his society’s ghastly flaws, but he is also telling a literal story about physical illness. He himself was a survivor not just of front-line combat with the Red Army, Stalinist prison camps, forced labor and exile in his own country, but also of real illness. A recurrence of his rare stomach cancer was treated with radiation in the spring of 1954 at a hospital in Tashkent.This is where the novel brings together a lively cast of characters. The protagonist is Oleg Kostoglotov, a big, dark-haired man in his 30s, a former political prisoner and internal exile. He’s a land surveyor with unslakable curiosity about everything: “…although he’d never missed a chance to scoff at education in general, he’s always used his eyes and ears to pick up the smallest thing that might broaden his own.” He likes people, too, especially as he feels life returning after his near death and successful radiation therapy.Kostoglotov’s nemesis in the ward is Rusanov, a self-satisfied bureaucrat, a Party member whose life work has been in “personnel records administration… Only ignoramuses and uninformed outsiders were unaware what subtle, meticulous work it was… The actual direction life took was decided without loud publicity, calmly in quiet offices, by two or three people who understood one another, or by dulcet telephone calls. The stream of real life ran on in the secret papers that lay deep in the briefcases of Rusanov and his colleagues.” This work gives Rusanov an inflated sense of his own importance and caution and pettiness that are the opposite of Kostoglotov’s exuberant good nature.Ludmila Afanasyevena Dontsova is the head of the hospital’s radiology department, a brilliant clinician who hesitates to use her diagnostic skills on the pain she feels in her own stomach. We see her not just in the hospital but on her way home from work, grabbing a seat on a streetcar: “…the was the first thought apart from the hospital that began to transform her from an oracle of human destinies into a simple passenger on a trolley jostled like anyone else… At every stop and with every shop that flashed by the window, Ludmila Afanasyevna’s thought turned more and more to her housework and her home. Home was her responsibility and hers alone because what can you expect from men? Her husband and son, whenever she went to Moscow for a conference, would leave the dishes unwashed for a whole week. It wasn’t that they wanted to keep them for her to do, they just saw no sense in this repetitive, endlessly self-renewing work.”Kostoglotov’s life in prison and exile has kept him isolated from women for years so his joy at returning health is mingled with wonder at the chance to be with members of the opposite sex. He flirts wildly with the high-spirited night nurse, Zoya; he feels deep sympathy with Vera Gangart, one of his doctors. “For a man like Oleg, who had to be permanently suspicious and watchful, it was the greatest pleasure in the world to be able to trust, to give himself to trust. And he trusted this woman, this gentle, ethereal creature. He knew she’d move softly, thinking out her every action and that she wouldn’t make the slightest mistake.”And we meet the ward’s other patients – Dyomka, a teenager facing the amputation of his leg and trying to keep up with his literary studies; Asya, the yellow-haired girl desolate about impending surgery for breast cancer; Vadim, an engineer so absorbed in his work he had no time for illness; Chaly, suffering from acute stomach cancer but cheerfully sharing with Rusanov his feast of illicit pickles and vodka.Solzhenitsyn gives a full and sympathetic picture of these characters, revealing each one’s inner reality – loneliness, marital happiness, eagerness for life, fear of death. Like others of the best Russian novels, Cancer Ward bursts with conversations. Some are timely still – about alternative cancer cures from roots and herbs and the influence of one’s mental state on the healing process; about the difficulties of achieving free national health service and yet providing patients with sufficient personal attention; and about what of honor or self-respect or bodily function one is willing to sacrifice to stay alive.The heavy atmosphere of the totalitarian Soviet Union is brilliantly rendered and, in my tattered edition, numerous footnotes clarify allusions that might be lost on a reader without a detailed knowledge of the time. When Kostoglotov talks to Zoya he has to explain to her that he is a Russian and was exiled on a trumped-up charge of treason. “Note: A number of small nationalities – Volga Germans, Chechens, Kalmucks and others – were deported en masse to Central Asia during and after the second world war, suspected of collaborating with the Nazis. These were called ‘exiled settlers.’ ‘Administrative exiles,’ like Kostoglotov, were usually political prisoners who had served their term in a labor camp but still had to live in a remote region of the country.”This novel is constructed around these and other historical truths too ghastly to be believed and, in our country, in some danger of being forgotten. When Kostoglotov begins to suspect that political changes may be coming in his country he thinks, “A man dies from a tumor, so how can a country survive with growths like labor camps and exiles?” As it turned out, this one could not; the system that produced the camps is gone. Solzhenitsyn’s story, brilliantly mixing fact and fiction, tells us just how sick the patient actually was.With his prophet-like appearance and cantankerous public persona, Aleksandr Solzhenitsyn will surely be remembered for his determined truth-telling. By keeping the details of Soviet history alive, his extraordinary literary oeuvre may help guard against the recurrence that with cancer can never be fully ruled out. But Solzhenitsyn deserves to be remembered, as well, as a novelist to put on the shelf next to Gogol and Dostoevsky, Tolstoy and Pasternak, a writer to be re-read and savored for the way he translates messy, often ghastly human experience into brilliant, clarifying prose.