Abraham Verghese - Cutting for Stone

There was nothing like a personal experience to tilt a man toward a specialty, and so Ghosh had become the de facto syphilologist, the venereologist, the last word when it came to VD. From the palace to the embassies, every VIP with VD came to consult Ghosh. Perhaps in the county of Cook in America, theyd be interested in this experience.

AFTER HE BATHED and dressed, he drove the two hundred yards to the outpatient building. He sought out Adam, the one-eyed com-pounder, who, under Ghosh's tutelage, had become a natural and gifted diagnostician. But Adam wasn't around, and so he went to W. W. Gonad, a man of many titles—Laboratory Technician, Blood Bank Technician, Junior Administrator—all of which were to be found on a name tag on his oversize white coat. His full name was Wonde Wossen Gonafer, which he'd Westernized to W. W. Gonad. Ghosh and Matron had been quick to point out the meaning of his new moniker, but it turned out that W.W. needed no edification. “The English have names like Mr. Strong? Mr. Wright? Mr. Head? Mr. Carpenter? Mr. Mason? Mrs. Moneypenny? Mr. Rich? I will be Mr. W. W. Gonad!”

He was one of the first Ethiopians Ghosh had come to know well. Outwardly melancholic, W.W. was nevertheless fun-loving and ambitious. Urbanization and education had introduced in W.W. a gravitas, an exaggerated courtliness, the neck and body flexed, primed for the deep bow, and conversation full of the sighs of someone whose heart had been broken. Alcohol could either exaggerate the condition or remove it entirely.

Ghosh asked W.W. to give him a B12 shot; it was worth a try—even placebos had some effect.

As he readied the syringe, W.W. made clucking noises. “You must be sure to always use prophylactics, Dr. Ghosh,” he said and immediately turned sheepish, because W.W. was hardly one to proffer such advice.

“But I do. After that first time I've never had unrubberized intercourse. Don't you believe me? That is why I don't understand this burning some mornings. And you, sir? Why don't you use a condom, W.W.?”

Gonad wore heel lifts that made him walk with an ostrichlike pelvic tilt. He teased his hair into a lofty halo that would one day be called an Afro. Now, he pulled himself to his full five foot one and said haughtily, “If I wanted to make love to a rubber glove I would never have to leave the hospital.”

IF GHOSH HAD BEEN AWARE that at this very moment Sister Mary Joseph Praise was in distress in her quarters, he'd have rushed to help; it might have saved her life. But at that point no one knew. The probationer had yet to deliver her message, and when she did, she failed to tell anyone how sick Sister was.

Ghosh made leisurely rounds with the ward nurse and the probationers. He pointed out a sulfa rash to the newest probationers, removed ascitic fluid from the belly of a man with cirrhosis. The outpatient clinics then took most of the day, except for a formal lecture to the nursing students on tuberculosis. Keeping busy helped him forget about Hema, who should have been back two days ago. He could think of only one explanation for her delay, and it depressed him.

In the late afternoon, Ghosh drove out of Missing. He missed by a few minutes the hue and cry when Thomas Stone carried Sister Mary Joseph Praise out of the nurses’ hostel.

HE PARKED near the towering Lion of Judah, a landmark for the area near the railway station. Carved out of blocks of gray-black stone, with a square crown on its head, that cubist lion resembled a chess piece. The eye slits beneath the low brow stared across the plaza; the sculpture gave this part of town an avant-garde sensibility.

Ghosh stepped into the chromed and lacquered world of Ferraros, where a haircut cost ten times as much as at Jai Hind, the Indian barbershop. But Ferraros, with its frosted-glass window and red-and-white-striped barber's pole, was rejuvenating. The mirrored walls, the necklace of globe lights, the oxblood leather chair with more knobs and chrome levers than Missing's operating table—you could only get this at the Italian establishment.

Ferraro, dazzling in his collarless white smock, was everywhere: behind Ghosh to slip off his coat, alongside him as he led him to the chair, then in front of him to slip on the gown. Ferraro chatted in Italian and it didn't matter that Ghosh knew only a few words; the conversation was offered as background music, not requiring a response. He felt at ease with the older man. “Beware of a young doctor and an old barber” went the saying, but Ghosh thought both he and Ferraro were in good hands.

Ferraro had soldiered in Eritrea before becoming a barber in Addis. Had they shared a common language, there was much that Ghosh would have asked. He'd have loved to hear about the 1940s typhus epidemic during which some brilliant Italian official decided to douse the whole city with DDT, getting rid of lice and the typhus. How had the Italians handled VD in the troops who couldn't possibly have confined themselves to the six Italian ladies in Asmara who were the official garrison puttanas?

He felt an urge to confide in Ferraro, to tell him how his chest ached with jealousy; how he was leaving the country because of a woman who didn't take his love seriously. Ferraro made a soft clucking noise, as if he had intuited the problem and its gender; easing the chair into a reclining position was Ferraro s first step to finding a solution. Neither man could have guessed that at that moment Sister Mary Joseph Praise's heart had stopped beating.

Ferraro gently draped the first hot towel around Ghosh's neck. When the last towel was in place, blotting out all light, Ferraro fell tactfully quiet. Ghosh heard him tiptoe to where he'd parked his cigarette, and then the sound of his exhaling smoke.

If I could have a valet, this would be my man, Ghosh thought. One never doubted for a moment that it was Ferraro s destiny to be a barber; his instincts were perfect; his baldness was inconsequential.

GHOSH EMERGED in a cloud of aftershave. Driving away, he took in the sights as if for the last time: up the steep slope of Churchill Road and past Jai Hind to the traffic light where a balancing act between accelerator and clutch was required before the light turned green. He turned left and went past Vanilal's Spice Shop, Vartanian's Fabrics, and stopped at the post office.

The leper child who staked out this territory where foreigners abounded had blossomed into a teen seemingly overnight. Her perky breasts pushed through her shama while the cartilage of her nose had collapsed to form a saddle nose. He put a one-birr note into her clawed hand.

He turned at the sound of castanets. A listiro, bottle caps threaded onto a nail on his shoe box, looked up at him. Ghosh stood against the post office wall along with a half-dozen other men who were smoking or reading the paper while listiros worked like bees at their feet. The Italians are responsible for this, too, Ghosh thought: people getting their shoes shined more often than they bathe.

It was starting to drizzle, and the listiro's elbows flew like pistons. On the nape of the boy's neck, Ghosh noticed a patch of albino-white skin. Surely not the collar of Venus? So young, and already with scars of healed syphilis? Venereum insontium —”innocently acquired” syphilis— was still in the textbooks, though Ghosh didn't believe in such a thing. Other than congenital syphilis where the mother infected the unborn child, he believed that all syphilis was sexually acquired. He'd seen five-year-olds at play mimicking the act of copulation with each other and doing a good job of it.

A sudden cloudburst sent Ghosh scrambling to his car. The rain washed off a coat of ennui that had enveloped the Piazza. The streetlights came on and reflected off the chrome of passing cars. The Ambassa buses turned a vivid red. On the rooftop of the three-story Olivetti Building (which also housed Pan Am, the Venezia Ristorante, and Motilal Import-Exports) the neon beer mug filled up with yellow lager, foamed over in white suds, then went dark before the cycle started again. That sign had been a source of such wonder when it was first put up. The barefoot men driving their sheep into town for Meskel festival had stopped to watch the show, knotting up traffic as the herd got away from them.