Meanwhile, in Boston, Dr Zajac is a hand-surgeon of mighty skill, with a bitter ex-wife, a withdrawn son, a dog that likes to eat turds and a housekeeper of no dimension or personality whatsoever, until she goes to the gym and develops abdominal muscles and tight buns. She then becomes a powerful romantic force, while retaining her womanly right to have no dimension or personality. Apropos his female portraits, Irving seems to have unlocked a secret in The Fourth Hand - there are two types of women. The ones with decent jobs, who are grasping, emasculating, humourless old bags, spiralling into their old age lonely and unwanted. And the ones with nice, menial jobs, who say very little, very gnomically, whose motives are utterly impenetrable but seem to centre on finding the love of a good man, and who never give you any backchat.