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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None of us knew till then that Almaz's vigil had included the family picture, and that whenever a car came or left the prison, she'd stand up and hold that picture up and smile.

The minutes were ticking by and we pressed Ghosh to tell us all. I don't think he wanted to alarm us, but he couldn't lie. “The first night was the worst. I was put in that cage,” he said, pointing to a grubby, low-slung shack that looked like a storeroom. “It's a tiny space. You can't stand up. That's where they put common criminals, murderers, along with vagrant boys, pickpockets. The air is terrible, and at night, they lock the door and then there's no air at all. This one fellow, a brute, rules the place, and he decides who sleeps where. The only place where you can get a little air is by the door, and in return for my wristwatch, he let me sleep there. If I spent another night there I thought I'd have died. No sheets, no blankets, sleeping on the cold ground. When the sun rose, I was scratching from lice.

“A major came directly from the palace with instructions to take me to the military hospital and give me everything I needed to care for General Mebratu. The Emperor didn't have much faith in the doctors who were caring for him. When this major saw where I'd spent the night, and saw that my face was swollen, and that I was limping, he was furious. He took me to the military hospital where I could shower, get deloused, and get a fresh set of clothes.

“At the military hospital, they showed me the General's X-rays, then took me to him. Who do I see there but Slava—Dr. Yaroslav from the Russian hospital. Slava was shaking badly and not looking good. As for Mebratu, he was in deep sleep, or else he was unconscious. Slava said the Ethiopian doctors wouldn't go near the General. They were terrified that if he died they'd suffer, and if they saved him they'd be suspected of being sympathizers. ‘Slava,’ I said, ‘tell me he is sedated, and wasn't this way before you saw him.’ Slava said the General had been wide awake, speaking, no weakness in hands and legs when he came in. ‘I was against sedation,’ Slava said. All this time, there was another Russian doctor with Slava, a youngish woman—Dr. Yekaterina. She said, ‘Sedation is very good. He has head injury. We have to operate.’ I said, ‘Head injuries are only important because the head contains the brain. That bullet is not near the brain.’ ‘What you call this,’ she says pointing to his eye. ‘Comrade,’ I said to her, ‘I call it his orbit.’ She didn't think much of me, and I didn't like the way she was disrespectful of Slava. Slava may be an alcoholic, but he was a pioneer in orthopedics before they banished him to Ethiopia. Slava mouths to me from behind her, ‘KGB!’ I called in the major. ‘What are your instructions as far as my authority?’ He said, ‘Whatever you need. You are in charge. Those are my direct orders from His Majesty.’ ‘Good,’ I said. ‘Take this doctor back to Balcha Hospital. Don't let her come back. I need medicinal brandy, some smelling salts, and let's put two beds in this room for me and Slava.’ I dosed General Mebratu with every antibiotic there was, and gave Slava the brandy and he stopped shaking. Then Slava and I debrided the General's eye, right at the bedside, cut away what was hanging without trying to do too much more. The General never stirred. I had no plans to take the bullet out.

“For the next two nights, I had Slava for company, and I slept in a regular bed. It was three days before that Communist sedation wore off. ‘Slava, was that dose of sedative for a horse, by any chance?’ I asked. ‘No, but it was given by a nag named Yekaterina!’ Slava said.

“When General Mebratu woke up, other than a slight headache and a nasal voice, he was in good shape. They wouldn't let me stay there anymore, and they sent Slava off. That's when I scribbled the note. When I came back here they put me in one of the proper cells with some decent chaps. They brought me back and forth once or twice a day, to dress the wound, but I wasn't allowed more than a few words with the General.”

I'd already spotted two giant rats emerging in broad daylight from a gutter between two buildings. Ghosh was hiding things from us, but then we were hiding something from him.

From that day on, we were allowed twice-weekly visits. Now the only question was when he would be released.

First one, then another of Ghosh's VIP patients came by the house to pick up some comfort from home that Ghosh sought—a particular pen, more books, a paper in a certain stack. Theyd bring with them a Lati-nate script in Ghosh's handwriting, a prescription for a compound mixture, and I'd lead them to Adam, the compounder.

In Ghosh's absence I understood what kind of doctor he was. These royals, or ministers or diplomats, weren't seriously ill, not to my eyes anyway. They didn't have the power to get him out of jail, but they had the power to get into prison to see Ghosh. He, by pulling down the lower eyelid and looking at the color of the conjunctivae, by asking them to protrude the tongue, and all the while with his finger on the pulse, managed to diagnose and reassure them. The modern designation “family practitioner” doesn't quite cover all the things he was.

THREE WEEKS AFTER we first saw Ghosh, General Mebratu was put on trial, a show for international observers. An underground newspaper carried reports of the trial, as did a few foreign papers. General Mebratu, proud and far from penitent, wouldn't renounce what he'd done. His bearing made a great impression on people who were allowed to attend. From the witness box he preached his message: land reform, political reform, and the end of entitlements that reduced peasants to slaves. Those who had fought to put down Mebratu s coup now wondered why they had opposed him. We heard that a core of junior officers plotted to spring the General from prison, but Mebratu vetoed this. The death of his troops weighed on him. The court sentenced him to hang. His last words in the courtroom were “I go to tell others the seed we planted has taken root.”

ON THE EVENING of the forty-ninth day of Ghosh's captivity, a taxi drove up our driveway and swung around the back. I heard Almaz yell, and I tried to imagine what new calamity we were facing.

Getting out of the taxi, surveying our quarters as if he'd never seen them before, was our Ghosh. Gebrew, who'd ridden on the running board of the taxi from the gate, jumped off, clapping with glee, hopping in place. Genet and Rosina came out from their quarters. We danced around Ghosh. The air was filled with shrieks and with lululululu —the sound of Almaz's joy. Koochooloo was there, barking, wagging her tail, and howling, the two nameless dogs standing at a distance following her cue.

It was midnight when we went to bed, Shiva and me crowded in with Ghosh and Hema. It was far from comfortable, and yet I never slept better. I woke once and heard the sound of Ghosh's heavy snoring: it was the most reassuring sound on earth.

WE AWOKE EARLY the next morning, our mood still celebratory. Unbeknownst to us, at that moment General Mebratu, veteran of Korea and the Congo, graduate of Sandhurst and Fort Leavenworth, was taken to his execution.

They hung him in a clearing in the Merkato, perhaps because it was in the Merkato that the student procession and the idea of the coup had found its most vocal support. The executioner, we later learned, was the Emperor's aide-de-camp, a man General Mebratu had known for years. “If you ever loved a soldier, put that knot carefully,” General Mebratu was reported to have said. When the noose was in position, and just as the truck was about to pull away, the General took a running jump off the back of the truck, sailing off into martyrdom.

We heard about it by late morning. That night in the stone villas, the barracks, and in chikka houses, junior officers who graduated from the Holeta Military Academy, or the Harar Military Academy, or the Air Force Academy in Debre Zeit, went to bed plotting to finish what General Mebratu had started.

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