It’s possible for a surgeon to get distracted by the wrong wound. The most dangerous wounds don’t always look the worst. People can get shot in the head and they’re leaking bits of brain from a hole in the skull and that’s not the fatal wound; the fatal wound is from another bullet that ripped through the chest. One patient a few years ago was shot in the face with a shotgun at close range over some money owed. He pulled his coat up over his mangled face and walked to the ER of one of Temple’s sister hospitals, approaching a nurse. She looked at him. He lowered the coat. The nurse thought to herself what you might expect a person to think in such a situation: “Daaaaaamn.” He was stabilized, then transferred to Temple. He lived. The price of survival is often lasting disability. Some patients, often young guys, wind up carrying around colostomy bags for the rest of their lives because they can’t poop normally anymore. They poop through a “stoma,” a hole in the abdomen. “They’re so angry,” Goldberg said. “They should be angry.” Some are paralyzed by bullets that sever the spinal column. Some lose limbs entirely…

These stories were written years ago, but Stillson and Rennie bear enough of a resemblance to the current resident of the White House for me to flatter myself I have a country-fair understanding of how such men rise: first as a joke, then as a viable alternative to the status quo, and finally as elected officials who are headstrong, self-centered and inexperienced. Such men do not succeed to high office often, but when they do, the times are always troubled, the candidates in question charismatic, their proposed solutions to complex problems simple, straightforward and impractical. The baggage that should weigh these hucksters down becomes magically light, lifting them over the competition like Carl Fredricksen in the Pixar film Up. Trump’s negatives didn’t drag him down; on the contrary, they helped get him elected.