Maybe Jacob Appel hopes that language can manipulate our values, as clearly the tale told by the daughter of a charming ne'er-do-well seeks our collaboration in murdering innocent bystanders.
Appel's "The Rod of Acsceplius" begins with "A FIRST PULSE OF MEMORY---" by a precocious daughter of an architect who pretends to be a doctor to punish relatives of doctors---a vendetta against the medical profession because some doctors botched the treatment of his wife's ruptured uterus, killing her on Thanksgiving, and leaving our narrator, Lauren, motherless while still in kindergarten.
That "first pulse of memory" included a visit to a hospital, where her father, in a white lab coat is waived past security, and together they take the elevator to the top floor. He mistakenly barges into the room of an elderly man who has had his leg amputated, and makes a retreat, entering the room of a woman in her thirties who is emaciated and asking for Dr. Hagerman. He assures her that her doctor has been delayed, but that he's prescribed a blood-thinner, as he fills his syringe and administers a dose of his usual fatal" cocktail.
"Papa" never calls his daughter by name. She is a princess, and he has her go along as part of the mission. "Who are we doing this for?" he asks. Lauren replies, "For Mama."
Papa's sister, Henrietta, comes to live with them because of a court order issued when Lauren plays hooky from kindergarten and "Papa" must adhere to new custody requirements for his lack of oversight.
Henrietta has many boyfriends coming and going. She is 27, five years younger than her brother. When she asks Lauren what she wants to be when she grows up, Lauren answers she wants to be a doctor. When asked why, she replies because "Papa is a doctor." She is told outright her father is not a doctor, information that Lauren had suspected, but now knows to be true.
The murders of doctors' relatives, and in one case, an actual doctor, continues, all in the cause of Lauren's mother---all administered as medical treatments by syringe. Presumably the syringe is the Rod of Aceplius.
Each episode is followed by a celebration such as ice cream, or meals at fun places. After one such treatment, Papa asks Lauren what she wants to be when she grows up. When she answers "a doctor," he slaps her with stunning force. He tells her doctors are the enemy. Never forget that.
When Papa meets an aspiring doctor after she bumps into his car and smashes the headlamp, he begins to date her. For a while she believes his story, but in time she sees through his masquerade. But she has fallen in love and wants to be part of his life, no matter who or what he is.
Her name is Suzanne, and through her we learn that "Papa" is Phil. Phil constantly stays at her place, some distance from his actual home. He never asks Suzanne to come to his home, not even for Christmas. Finally she issues an ultimatum that they celebrate Christmas at his home or their relationship is ended.
He celebrates Christmas at home with Lauren, her aunt and future uncle, but without Suzanne. After the holiday dinner, Henrietta and her boyfriend leave for vacation at the Gulf Coast.
Phil returns to heavy drinking and two days later he asks Lauren to practice being a doctor by administering a dose of "salt water" with a syringe.
Amazingly, she cooperates, even though she knows it is the same lethal dose he has administered to his victims. The Rod of Asceplius administers justice one last time.
Appel's "Papa" is a socially adept, good-natured fellow, who wants everyone to have a good time. Seen through the eyes of a young girl, his daughter, she serves as his accomplice in medically administered ceremonies of death followed by celebrations of ice cream and dessert.
Appel seems to rationalize Phil's motives as a reasonable reaction to medical malpractice. But there is also a tone of arrogance that is troubling because all sense of right and wrong is apparently abandoned.
This might be the most complex narrative of this collection of short stories. It clearly is fueled by Jacob Appel's study of medicine and his actual practice as a doctor. He propels the story through the use of dialogue. It is a chilling final scene when he forces Lauren to administer his lethal concoction in an act of assisted suicide.