Characters in Joaquim Maria Machado de Assis stories often have a causa secreta (ulterior motive) for their actions. When a young doctor opens a hospital in partnership with a forty-year-old acquaintance, he is amazed by the older man’s dedication to nursing the most seriously ill and injured patients. A visit to his partner’s house explains why. He is a sadist who finds pleasure in inflicting pain on animals and observing the suffering of others. The doctor suppresses a growing love for the man’s frightened wife, only letting it show on her deathbed. Themes include sadism, cruelty, and secret love.
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