Ann Patchett - State of Wonder

Marina was at least three questions behind. She wanted very much to know about the unpleasant encounter but, feeling she had been called on to give the easiest answer, merely shook her head. “None.”

“That’s good. Dr. Eckman had no business coming down here leaving three children behind. Are you married?”

“I am not.”

“Good again.” Dr. Swenson nodded her approval before turning her face towards the breeze. The sky spooled blue above the river in both endless directions. “This is a business for old maids, and I don’t say that derogatorily, being one myself. I feel better about you being on the boat knowing your circumstances.”

Speaking of suppositions, how much light could being unmarried and childless shed on her circumstances? Did it mean that no one would miss her terribly if she were to die, that there wouldn’t be the same set of complications brought about by Dr. Eckman’s death? Marina said nothing but sat down on the deck near Dr. Swenson’s feet. The sun edged beneath the boat’s awning and she wanted more of the shade.

Dr. Swenson leaned to the side and patted her case of canned hash with an open hand. “I prefer to sit on a box. A box doesn’t protect one from the roaches but I like to think it sends a message: We are on another level. There is a case of grapefruit juice there. I would recommend that.”

Obediently, Marina got up and pushed the box of juice forward, sat. They passed a handful of open houses built onto stilts. Several children, all of them too young to be standing alone in the water, were standing waist deep in the river, waving.

“As for Easter’s parents—” Dr. Swenson stopped then and looked at the captain’s small back. She tilted her head. “ Parents seems a very sentimental word to use in his case. The man who inseminated the woman, the woman who pushed the child out of her body, other members of the tribe who may or may not have tried to raise that child when the original duo failed in their responsibilities: his parents have not been in evidence. The Hummocca left it up to the Lakashi, which, considering the nature of the tribe, strikes me as a startling act of humanity. I would have thought them more inclined to abandon a child in the jungle to starve to death or be eaten. All of which is to say he has been with me some eight years now, eight this past Easter. I suppose I am his parents.”

“It sounds as if the Hummocca may have left Easter for you then and not the Lakashi, assuming they knew you were here.” Marina realized she had made another assumption as soon as it was out of her mouth but this one Dr. Swenson let pass.

“Oh, they knew I was here,” she said, nodding her head. “Everyone knows everything eventually. Upon first consideration a person believes herself to be very isolated in the jungle but it isn’t the case. Word travels between the tribes, although I’ve never figured out how it happens as many of them refuse to communicate with one another. It would make a brilliant dissertation topic if you ever become interested in furthering your education.” (Marina would have mentioned her Ph.D. as well as her M.D. but there was not a glimmer of a break.) “I say it’s the monkeys,” Dr. Swenson said. “But then I tend to blame the monkeys for everything. ‘A white woman is living with the Lakashi.’ News like that goes up and down the river in a matter of hours. Then one afternoon a boy is cutting at a tree with a machete and when his arm goes back he sinks the blade into his sister’s head. Amazing that this sort of thing doesn’t happen every fifteen minutes out here. So I found a needle and some gut in my bag and I sewed the girl up. It was mostly blood, she was a very dramatic bleeder, but one hardly has to go to medical school to sew up a head. It didn’t take many events like this, a snake bite, a breech birth, and suddenly the whole of Brazil knows there is a doctor available off the Negro. Now, you must understand this, Dr. Singh, so few people do: I am not Médecins Sans Frontières. I have not come to the Amazon to be a family practioner. I am simply a person who made certain mistakes at the onset. They didn’t know me as a doctor when I arrived. The Lakashi knew me as a member of Dr. Rapp’s party. They thought I was like Dr. Rapp, that I was there for the flora and not for them. For the first few years I came alone they were forever bringing me mushrooms and various fungi to look at. They lugged so many fallen trunks of enormous, rotted trees back to camp it would have sent any mycological society into a frenzy. The fact that I took their temperature and drew blood samples and measured their children was completely lost on them, they continued to see me as the person they first met — as an extension of Dr. Rapp. And it had been my intention to be like him, to float on their misguided perceptions, but then I sewed up that girl’s head. It was my fatal mistake. The next thing I knew sick people were being paddled up the river to receive my care, and a deaf child had been left off for me to deal with.”

The deaf child had gotten her to town. He had ferried her guest to the restaurant after the opera and loaded the boxes on the boat and steered the boat through the river. The deaf child was not without his uses. “What would the alternative have been?” Marina asked. “Going back to that first girl.”

“The bleeder. The question is whether or not you choose to disturb the world around you, or if you choose to let it go on as if you had never arrived. That is how one respects indigenous people. If you pay any attention at all you’ll realize that you could never convert them to your way of life anyway. They are an intractable race. Any progress you advance to them will be undone before your back is turned. You might as well come down here to unbend the river. The point, then, is to observe the life they themselves have put in place and learn from it.”

Marina felt remarkably unmoved by this. “So go back in time, do it again: there is a child standing in front of you with a machete in her head. What do you do?” The farther they went down the river, the fewer boats they saw. From time to time there was still a group of people, mostly very small children, in clusters on the shore but they were thinning out. It felt good to ask a question twice. It was something she could never have managed in the past.

“That’s a dramatic flourish, Dr. Singh. Did I tell you the child had a machete in her head? I said she was cut. There was no doubt that she had a skull fracture. I picked out bone fragments with my tweezers but there was nothing else to be done about that. If she was draining cerebral spinal fluid she didn’t do it in front of me. I sewed her up, I gave her some antibiotic ointment, hooray for me, now I can meet your expectations of decency, unless of course your expectations include my taking her back to Manaus for an X-ray. But the actions you admire are not thoughtful, they were automatic, the actions I had brought with me from my Western medical background. The question you should be asking is what would have happened to the girl if I hadn’t been there? There was someone in the tribe who had managed these situations before me and I suppose that he, in this case it was a he, would have used the available means to help her. Would it have been a sterile needle? I think not. Would she have died? Very doubtful. And while you are moralizing, ask yourself this question as well: What happens to the girl whose brother cuts her after I’ve gone? Does the tribe still have faith in the man who sewed up heads before me? Has he kept up with his own skills or was he too busy watching mine? I don’t intend to be here forever.”

“The man who puts the girl’s scalp back together, the one you are respecting, do you think his methods are as successful as yours?”