Abraham Verghese - Cutting for Stone

But Gebrew was different. Almaz was sure God approved of Gebrew. He spent hours with his nose buried in his prayer books, leaning on his makaturia— his praying stick—beads clicking through his fingers. Even when he shed his priest garb to cut the grass, to run errands, to be Missing's watchman and gatekeeper, his turban stayed on and his lips never stopped moving. “Please make Ghosh a scroll,” I said to Gebrew. “Have faith. Maybe it is not too late.”

SHIVA HAD JUST COME BACK. I hadn't been in that toolshed for ages, and I was unprepared for the extreme clutter. Parts of engines and electrical boxes covered the floor. The narrowest of paths led to where his tank and welding equipment stood along with scraps of metal. Shiva had shored up the walls and ceiling of the shed with a welded metal scaffold, and from this his tools hung on wire holsters. He was hidden at his desk behind a mountain of books and papers. I made my way there. He was sketching a design for a frame of some kind, an apparatus he said would allow better exposure during fistula surgery. He put his pencil down and waited. Hed known nothing about what had transpired in the bungalow earlier. I told him the truth about Ghosh.

He listened but said nothing. Though he turned a little pale, his face otherwise gave away very little. He closed his eyes. He had climbed into his tree house and pulled up the ladder. He had no questions. I waited. Not even this news could break down the walls between us, I saw.

I needed him. I had carried Ghosh's secret alone, and now I was ready to spread the burden. I needed his strength for the days that were to come, but I didn't want to admit it. What was Shiva thinking? Did he feel anything at all? I left after a while, disgusted that those eyes would not open, convinced I couldn't count on him.

But Shiva surprised me. That night and for two more nights Shiva slept in the corridor outside Ghosh and Hema's bedroom with just a blanket wrapped under and over him. It was his way of expressing his love for Ghosh, of staying close. Ghosh was moved to tears seeing Shiva curled up there the next morning. I felt something around my heart break down and shatter when Hema told me. On the fourth night, as Ghosh's condition worsened, I decided to leave Ghosh's old bungalow and return to the bed I used to share with Shiva. I convinced Shiva not to sleep on the floor in the corridor. We slept awkwardly, on the edges of the mattress, getting up several times in the night to check on Ghosh. By morning, our heads were touching.

SHIVA AND I HAD the same blood group as Ghosh. With Adam's help, I'd been stockpiling my blood for this moment. Now, Shiva gave his. But blood was no longer sufficient, and it had caused a dangerous iron overload. Ghosh's platelets weren't working; he was oozing from his gums as well as losing blood in his bowel. He became progressively weaker.

Ghosh didn't want to move to the hospital. Soon the anemia left him short of breath, and he could no longer lie flat. We moved him from his marital bed of more than twenty years to his favorite armchair in the living room, his legs up on the footstool.

Quietly, systematically, he sought time with everyone he loved. He sent for Babu, Adid, Evangeline, and Mrs. Reddy and the other bridge players; I heard them laughing and reminiscing, though it wasn't all laughter. His cricket team surprised him when they arrived dressed in their whites to honor their captain. They regaled him with exaggerated stories of his past exploits.

Then it reached the point that he was breathing oxygen through a face mask that sat loosely over his chin. It was my turn to have the conversation with Ghosh. I'd been dreading the moment, resisting its implication.

“You're avoiding me, Marion,” he said. “We must start. We can't finish unless we start, right?”

I would never have predicted what he'd say next.

“I don't want you to feel responsible for the entire family. Hema is very capable. Matron, even though she is getting old, is tough and resourceful. I am saying this to you because I want you to take your medi cal career to great heights. Don't feel bound by duty to Shiva or Hema or Matron to stay here. Or to Genet,” he added, frowning slightly as he mentioned her name. He leaned forward to grab my hand, to make sure I understood how serious he was. “I wanted to go to America so badly. All these years I've read Harrisons and the other textbooks … and the things they do, the tests they order … it's like reading fiction, you know? Money's no object. A menu without prices. But if you get there, it won't be fiction. It'll be true.” His eyes turned dreamy as he imagined what it was like.

“We stopped you from going, didn't we? Me and Shiva. Our birth?”

“Don't be silly. Can you imagine me giving up this?” he said sweeping his hand to indicate family, Missing, the home he'd made out of a bungalow. “I've been blessed. My genius was to know long ago that money alone wouldn't make me happy. Or maybe that's my excuse for not leaving you a huge fortune! I certainly could have made more money if that had been my goal. But one thing I won't have is regrets. My VIP patients often regret so many things on their deathbeds. They regret the bitterness they'll leave in people's hearts. They realize that no money, no church service, no eulogy, no funeral procession no matter how elaborate, can remove the legacy of a mean spirit.

“Of course, you and I have seen countless deaths among the poor. Their only regret surely is being born poor, suffering from birth to death. You know, in the Book of Job, Job says to God, ‘You should've taken me straight from the womb to the tomb! Why the in-between part, why life, if it was just to suffer?’ Something like that. For the poor, death is at least the end of suffering.” He laughed as if he liked what he just said. His fingers automatically went up to his pajama pocket, then to the back of his ear searching for a pen, because the old Ghosh would have jotted that down. But there was no pen and no more need to write anything down.

“I haven't suffered. Well, maybe briefly. Only when my darling Hema made me pursue her for years. That was suffering!” The smile said it was a kind of suffering he wouldn't have traded for fame or fortune.

“Shiva will thrive with Hema. Hema needs him to keep her occupied. Hema's instinct will be to retreat to India. She'll make a lot of noise about that. It won't happen. Shiva will refuse. So she'll stay here in Addis. What I am saying is that it's not your worry. You understand?”

I nodded, without much conviction.

“I do have one small regret,” Ghosh said. “But it's something you can help me with. It has to do with your father.”

“You're the only father I've ever had,” I said quickly. “I wish Thomas Stone had this leukemia instead of you. I wouldn't care one bit if he died!”

He waited before answering, swallowing hard. “Marion, it means everything to me that you consider me your father. I couldn't be prouder of you, of who you've become. But I bring up Thomas Stone for selfish reasons. As I said, it's one of my regrets.

“You see, I was as close a friend to your father as he was capable of having. You have to picture how it was then, Marion. He was the only other male physician here at Missing. We were so different, nothing in common, or so I thought, when I met him. But I found that he loved medicine in the same sort of way that I love medicine. He was dedicated. His passion for medicine … it was as if he came from another planet, my planet. We had a special bond.”

His eyes drifted off to the window, perhaps recalling those times. I waited. Eventually he turned to me and squeezed my hand.