Kirstine Reffstrup is a Danish author whose debut novel, I, Unica (about the German artist and writer Unica Zürn), was nominated for number of prizes. Now her 2023 novel, Iron Lung, has been translated into English by Hunter Simpson and published by Peirene Press. The novel is divided into two distinct stories, one set in a hospital in Copenhagen in 1952 and the other in an orphanage in Hungary in 1913. The first tells the story of a teenage girl, Agnes, in an iron lung, a mechanical respirator she has been placed inside as a consequence of catching polio. Being inside the device leaves her almost entirely helpless:
“I can’t use my hands, I can only move my left one and move it a little, and I need help with everything. With washing myself, with eating. I have to lie completely still in the iron lung with my arms at my side while my body is pumped with air…”
Agnes will spend months inside the iron lung, with only visits from her mother and her friend, Ella, to break the monotony. The language suggests her mother’s visits are not entirely welcome, as she “bends over the iron lung as if it were a coffin” and “her hands crawl over my body,” whereas Ella is described as a “sister” to her. As the novel progresses, we see Ella become more distant from Agnes as she is able to embrace her developing sexually in a way Agnes cannot, telling her:
“I was out last night. All night. With a man, he invited me out… he told me to take off my clothes, and I wanted to do it quickly, but he said slowly, slowly and I didn’t understand why. He sucked on my breasts, he examined every part of my body as if I was the sick one.”
Agnes’ reaction is to cry, not because she unable to experience life like her friend, but because she fears she is losing Ella. Perhaps, it is suggested, she is jealous not of Ella but of the man. Earlier, when her friend brought her a diaphragm, the first sign that she was maturing more quickly, it is Ella she imagines:
“The men stand over Ella. She spreads her legs and their eyes flash as they fumble with the diaphragm, looking up at her hole, and they’re all naked and blushing and bashful.”
Agnes’ story alone would not sustain a novel, but it is paired with the story of Boy (later Iggy), a baby abandoned by its mother near Budapest in the early twentieth century. Agnes first feels a connection to Iggy’s story when she faints as a result of the polio:
“When I fell to the asphalt, the old world disappeared…I was somewhere I’ve never been before. In a city I’ve only read about in books. The city was called Budapest… I reached out my hand. I saw my own birth. It really was me.”
There are hints that there is something unusual about the baby as the midwife “touched its genitals with a thumb and sighed”, describing it as a “strange child”
“The first of its kind
and the last.”
The child is taken in by nuns at an orphanage for boys, and is called ‘Boy’, but they when they are older they realise they are different:
“I have slender wrists and light down over my lip. My sex is smooth and arching like a big goose egg.”
Any idea that they are simply a girl, hiding their gender among all the male orphans, is contradicted by the fact that they are taken to a doctor in Budapest to be x-rayed:
“Dr Vajda says that he will print the pictures in a scientific journal, to share their findings about me, my body, the walking mystery that I am.”
What isn’t in doubt is the treatment they receive when the boys at the orphanage discover their secret which will see them leave to forge a new life. Boy’s story is obviously more dramatic, but also more intriguing, particularly the conjunction of the character’s uncertain gender with the early part of the twentieth century. However, both parts if the novel work on their own terms: Refferstrup is especially adept at creating a sense of period. Where Iron Lung does not quite work, for me at least, is in the combination of the two as one does not seem to reflect the other in a meaningful way. Each is so well-written, however, that this flaw only occasionally detracts from the experience of reading.











