"I don't know how it was where you were, but at Hailsham we had to have some form of medical almost every week-usually up in Room 18 at the very top of the house-with stern Nurse Trisha, or Crow Face, as we called her" (13).
This passage helps the reader make sense of the many themes in the novel by showing how the children at Hailsham had no choice on whether to be examined or not. Their lack of free will, which is the author's theme depicted in this case is shown in this passage by the speaker. The speaker, who is Kathy, uses tone to describe how uncomfortable these examinations were. She describes a specific place where these examinations occurred, Room 18, as if it was a place none of the children wanted to be. She also uses the word "stern" to describe one of the people who examined the children to show how uncomfortable the examinations were. She also calls the "stern Nurse Trisha" a name, "Crow Face", to show how much they all hated her. The tone used in this passage shows how the children at Hailsham were unable to change their futures, due to lack of free will, as they were forced to do many things that they do not want to do.
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