Abraham Verghese - Cutting for Stone

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Marion and Shiva Stone are twin brothers born of a secret union between a beautiful Indian nun and a brash British surgeon at a mission hospital in Addis Ababa. Orphaned by their mother’s death in childbirth and their father’s disappearance, bound together by a preternatural connection and a shared fascination with medicine, the twins come of age as Ethiopia hovers on the brink of revolution. Yet it will be love, not politics—their passion for the same woman—that will tear them apart and force Marion, fresh out of medical school, to flee his homeland. He makes his way to America, finding refuge in his work as an intern at an underfunded, overcrowded New York City hospital. When the past catches up to him—nearly destroying him—Marion must entrust his life to the two men he thought he trusted least in the world: the surgeon father who abandoned him and the brother who betrayed him.

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IT WAS LATE EVENING before the hospital staff gathered by the gaping cavity in the earth, now shored up with timber. There was no time to waste, because by Ethiopian tradition, no one eats till the body is interred. That meant the nurses and probationers were starving. The casket arrived on the shoulders of orderlies treading the same path down which Sister Mary Joseph Praise would come to sit in this grove. Hema trailed behind the pallbearers, walking with Stone's maid, Rosina, and with Ghosh's maid, Almaz, the three of them taking turns carrying the two infants who where bundled up in blankets.

They laid the casket down by the edge of the grave, and removed the lid. There were sobs and strangled cries as those who had yet to see the body pressed closer.

The nurses had dressed Sister Mary Joseph Praise in the clothes the young nun first donned when she pledged body and soul to Christ—her “bridal” dress. The arching, hooded veil was to show that her mind was not on earthly things but on the kingdom of heaven; it was the symbol of her being dead to the world, but in the gathering mist it was no longer a symbol. The starched guimpe around her neck hung down like a bib. Her habit was white, interrupted by a plaited white cord. Sister Mary Joseph Praise's hands emerged from the sleeves and met in the middle, the fingers resting on her Bible and a rosary. Discalced Carmelites originally shunned footwear—hence the term “discalced.” Sister Mary Joseph Praise's order had been practical enough to wear sandals. Matron had left her feet bare.

Matron chose not to call Father de la Rosa of St. Joseph's Catholic Church, because he was a man who had a disapproving manner even when there was nothing to disapprove, and there was plenty here. She almost called Andy McGuire from the Anglican church; he would have been a comfort and most willing. But in the end Matron felt that Sister Mary Joseph Praise would have wanted no one but her Missing family to see her off. The same instinct led Matron to ask Gebrew earlier that day to prepare to say a short prayer. Sister was always respectful of Gebrew, even though his being a priest was incidental to his duties as watchman and gardener; she would have appreciated how much it honored and consoled Gebrew to be called on in this fashion.

In the cool and very still air, Matron held up her hand. “Sister Mary Joseph Praise would have said, ‘Don't grieve for me. Christ is my salvation.’ That must be our consolation as well.” Matron lost her train of thought. What else was there? She nodded at Gebrew who was immaculately dressed in a white tunic extending to his knees, trousers underneath, and tightly coiled turban on his head. These were the ceremonial clothes he wore only on Timkat, the day of the Epiphany. Gebrew s liturgy was in ancient Biblical Geez, the official language of the Ethio pian Orthodox Church. With great effort, he kept his singsong recitation short. Then the nurses and probationers sang Sister Mary Joseph Praise's favorite hymn, one she had taught them and which they favored in morning chapel in the nurses’ hostel.

Jesus lives! Thy terrors now

Can no longer, death, appall us;

Jesus lives! By this we know

Thou, O grave, canst not enthrall us.

Alleluia!

They all pushed forward, straining for a last look before the lid was nailed in place. Gebrew would say later that Sister Mary Joseph Praise's face glowed, her expression was peaceful, knowing her ordeal on earth was over. Almaz insisted that a lilac scent emerged as the lid went down.

Ghosh felt a message being conveyed to him. Sister seemed to be saying, Make good use of your time. Don't waste more years pursuing love that might never be reciprocated. Leave this land for my sake.

Hema, standing close, vowed silently to Sister Mary Joseph Praise that shed look after us as if we were her own.

With ropes under the casket, the coolies lowered Sister into her grave. The heavy stones required by Ethiopian tradition were handed down to the taller coolie whose feet were perched on either side of the coffin. The stones were to keep hyenas out.

At last the two men pushed the earth back to fill in the grave, the service all but over. All but the ululations.

Shiva and I, so new to life, were startled by that unearthly sound. We opened our eyes to contemplate a world in which so much was already amiss.

14. Knowledge of the Redeemer

THE DAY AFTER THE FUNERAL, Ghosh rose early. For a change his waking thoughts were not about Hema but about Stone. As soon as he was dressed, he went straight to Stone's quarters, but he found no sign that the occupant had returned. Deflated, he went to Matron's office. She looked up expectantly. He shook his head.

He was eager to see his postoperative patient and check his handiwork. He'd been a reluctant surgeon, but now the anticipation he felt was a revelation to him. It must have been a feeling Stone had regularly enjoyed. “This could be addictive,” he said to no one in particular.

He found Colonel Mebratu sitting on the edge of the bed, his brother helping him dress. “Dr. Ghosh!” Mebratu said, smiling like a man without a care in the world, though he was clearly in pain. “My status report: I passed gas last night, stool today. Tomorrow I will pass gold!” He was a man used to charming others, and even in his weakened state, his charisma was undiminished. For someone fewer than twenty-four hours out of surgery, he looked great. Ghosh examined the wound, and it was clean and intact.

“Doctor,” the Colonel said, “I must return to my regiment in Gondar today. I can't be gone for much longer. I know it's too soon, but I don't have a choice. If I don't show my face I will be under even deeper suspicion. You don't want to save my life only for me to be hanged. I can arrange for intravenous fluids at home, whatever you say.”

Ghosh had opened his mouth to protest, but he realized he could not insist.

“All right. But listen, there is a real hazard of the wound bursting if you strain. I'll give you morphine. You must travel lying flat. We'll arrange intravenous fluids, and tomorrow you can sip water and then clear liquids the next. I will write it all down. You will need the stitches removed in about ten days.” The Colonel nodded.

The bearded brother clasped Ghosh's hand and bowed low, muttering his thanks.

“Will you travel with him?” Ghosh said.

“Yes, of course. We have a van coming. Once he is settled, I'll go to my new posting in Siberia.” Ghosh looked puzzled. “I am being banished.”

“Are you also in the military?” Ghosh said.

“No, as of this moment, I am nothing, Doctor. I am nobody.”

Colonel Mebratu put his hand on his brother's shoulder. “My brother is modest. Do you know he has a master's degree in sociology from Columbia? Yes, he was sent to America by His Imperial Majesty. The Old Man wasn't happy when my brother was attracted by the Marcus Garvey Movement. He didn't let him pursue a Ph.D. He summoned him back to be a provincial administrator. He should have let him finish.”

“No, no, I came willingly,” the brother said. “I wanted to help my people. But for that I am off to Siberia.” Ghosh waited, expecting more.

“Tell him why,” the Colonel said. “It's a health matter, after all.”

The brother sighed. “The Health Ministry built a public health clinic in our former province. His Imperial Majesty came to cut the ribbon. Half my budget for the district was consumed to make everything look good along His Majesty's route. Paint, fences, even a bulldozer to tear down huts. As soon as he left, the clinic closed.”

“Why?”

“The budget for the clinic was spent!”

“Did you not protest?”

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