In the yellow notebook, Dr West writes the medical advice column at Women at Home magazine. Ella manages his overflow, responding to letters that are insufficiently “medical” for his taste. At the beginning of Anna’s manuscript of The Shadow of the Third, Ella goes to a party at Dr West’s house, which is a slightly improved version of the dreary, identical, working-class houses that surround it. He later informs Ella that Paul Tanner went to Nigeria in order to get away from his mistress, who was a “flighty piece” (and, of course, was Ella herself). Dr West later tries to start an affair with Ella (she refuses) and ends up with Patricia Brent instead. A prototypical career-minded and emotionally tone-deaf man, Dr West is interested entirely in his own pleasure and does not care about how he affects the women in his life.