William Gaddis said this quote

“ The ship's surgeon was a spotty unshaven little man whose clothes, arrayed with smudges, drippings, and cigarette burns, were held about him by an extensive network of knotted string, The buttons down the front of those duck trousers had originally been made, with all of false economy's ingenious drear deception, of coated cardboard. After many launderings they persisted as a row of gray stumps posted along the gaping portals of his fly. Though a boutoniere sometimes appeared through some vacancy in his shirt-front, its petals, too, proved to be of paper, and he looked like the kind of man who scrapes foam from the top of a glass of beer with the spine of a dirty pocket comb, and cleans his nails at table with the tines of his salad fork, which things, indeed, he did. He diagnosed Camilla's difficulty as indigestion, and locked himself in his cabin. that was the morning. ”