On a recent Tuesday evening in London, the surgeon David Nott attended a dinner at Bluebird, an upscale Chelsea restaurant. The room was packed with doctors, renowned specialists who had come for the annual consultants’ dinner of the Chelsea and Westminster Hospital, one of Britain’s leading medical establishments. As waiters set down plates of lamb and risotto, Nott checked his phone and found a series of text messages. “Hi David,” it began. “This is an urgent consultation from inside Syria.” Attached was a photograph of a man who had been shot in the throat and the stomach.

The image had been sent by a young medical worker in Aleppo. He had removed several bullets from the patient’s small intestine, but he wasn’t sure what to do about the wound in the throat. For the past hour, the man had been slowly dying on the operating table while the medical worker awaited instructions.

“Sorry, didn’t see your message till now,” Nott typed under the table. “Is the neurology ok?” It was: a bullet had pierced the trachea and the esophagus, but it hadn’t damaged the spinal cord. Nott told the medical worker to insert a plastic tube into the bullet hole, to provide an even supply of air. Then, he instructed, sew up the digestive tract with a strong suture, and, “to buttress the repair,” partly detach one of the neck muscles and use it to cover the wound.

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Basma Abdel Aziz was walking in downtown Cairo one morning when she saw a long line of people standing in front of a closed government building.

Returning hours later, Ms. Abdel Aziz, a psychiatrist who counsels torture victims, passed the same people still waiting listlessly – a young woman and an elderly man, a mother holding her baby. The building remained closed.

When she got home, she immediately started writing about the people in line and didn’t stop for 11 hours. The story became her surreal debut novel, “The Queue,” which takes place after a failed revolution in an unnamed Middle Eastern city. The narrative unfolds over 140 days, as civilians are forced to wait in an endless line to petition a shadowy authority called The Gate for basic services.

“Fiction gave me a very wide space to say what I wanted to say about totalitarian authority,” Ms. Abdel Aziz said in a recent interview.

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