Cutting For Stone Part 3

"Yes, we know," the father said.

They squeezed in next to her on the bench. The boy didn't cry; he only whimpered. His face was pale-he was in shock-and he clung to her, his cheek against her bosom.

Trust me, I'm a doctor. She thought it ironic that these would be her last words.

Through the porthole Hemlatha saw the white crests getting closer, looking less and less like lace on a blue cloth. She had always a.s.sumed that she would have years to sort out the meaning of life. Now, it seemed she would only have a few seconds, and in that realization came her epiphany.

As she bent over the child she realized that the tragedy of death had to do entirely with what was left unfulfilled. She was ashamed that such a simple insight should have eluded her all these years. Make something beautiful of your life. Wasn't that the adage Sister Mary Joseph Praise lived by? Hema's second thought was that she, deliverer of countless babies, she who'd rejected the kind of marriage her parents wanted for her, she who felt there were too many children in the world and felt no pressure to add to that number, understood for the first time that having a child was about cheating death. Children were the foot wedged in the closing door, the glimmer of hope that in reincarnation there would be some house to go to, even if one came back as a dog, or a mouse, or a flea that lived on the bodies of men. If, as Matron and Sister Mary Joseph Praise believed, there was a raising of the dead, then a child would be sure to see that its parents were awakened. Provided, of course, the child didn't die with you in a plane crash.

Make something beautiful of your life-this whimpering little fellow with his shiny eyes and long eyelashes, his oversize head and the puppy-dog scent of his unruly hair ... he was about the most beautiful thing one could make.

Her fellow pa.s.sengers looked as terrified as she felt. Only the Armenian shook his head at her, and smiled as if to say, This isn't what you think it is.

What an idiot, Hema thought.

An older Armenian-his father perhaps-was impa.s.sive, staring straight ahead. The older man had looked morose on boarding and his mood now was no better, and no worse. Hema found herself amazed that she should notice such trivial details at a time like this when, instead of deconstructing faces, she should be bracing for the moment of impact.

As the sea rushed up to meet the plane, she thought of Ghosh. She was shocked when a flood of tender feelings for him overcame her, as if he were about to die in a plane crash, as if his grand adventure in medicine and his carefree days were ending and with it any chance of his achieving the thing he wanted most: to marry Hema.

CHAPTER 4.

The Five-F Rule

YOUR PATIENT, DR. STONE," Matron said again, vacating the stool between Sister Mary Joseph Praise's legs. Seeing his face, she wondered if he was about to throw something.

Thomas Stone was an occasional flinger of instruments, though never in front of Matron. It was rare that Sister Mary Joseph Praise ever handed him the wrong implement, but from time to time, a hemostat failed to release with light counterpressure, or a Metzenbaum didn't cut at its tip. He had good aim; one spot on the wall of Operating Theater 3, just above the light switch and perilously close to the gla.s.s instrument cabinet, was his usual target.

No one but Sister Mary Joseph Praise took it personally-she would be crestfallen, even though she tested every instrument before she put it in the autoclave. Matron insisted the throwing was a good thing. "Feed him a ratchetless hemostat from time to time," she said to Sister Mary Joseph Praise. "Otherwise he'll keep it bottled up till it comes oozing out of his ears and we'll have a right mess then."

The plaster above the light switch had stellate pits and scratches as if a firecracker had gone off there. The strike on the wall occurred after the word "COMPLETELY" and before the word "USELESS!" left his mouth. Once in a great while he exploded at Nurse Asqual, the anesthetist, if the patient were too lightly under or had been given too little curare so that the belly muscles clamped down like a vice on his wrists as he fished inside the abdomen. More than one etherized patient had woken in holy terror hearing Stone bellow, "I'll need a pickax if you can't give me more relaxation down here!"

But at this moment, with Sister Mary Joseph Praise's lips ashen, her breathing shallow, her eyes seeing past him, her unrelenting bleeding, and then with Matron having pa.s.sed the baton to him, Stone was speechless. He was experiencing the helplessness that patients' relatives must feel, and he didn't like it in the least bit. His lips trembled and he felt shame at how his wet face displayed his emotions. But more than that he felt fear, and an astonishing paralysis of thought which only shamed him further.

When he finally spoke it was to say in a quavering voice, "Where is Hemlatha? Why isn't she back? We need her," which was an act of uncharacteristic humility.

He swiped at his eyes using the back of his forearm, a childlike gesture. Matron watched in disbelief: instead of taking the stool she offered, he retreated. Stone walked to the wall that bore the marks of his anger. He struck his head on the plastered surface, a head b.u.t.t worthy of a mountain goat. His legs wobbled. He clung to the gla.s.s cabinet. Matron felt obliged to murmur "Completely useless" on the off chance that if his violence had meaning, G.o.d forbid it should fail for lack of its accompanying mantra.

True, Stone could have done a Cesarean section, though, strangely for a tropical surgeon, it was one of the few operations he hadn't done. "See One, Do One, Teach One" was a chapter heading in his textbook, The Expedient Operator: A Short Practice of Tropical Surgery. But what his readers didn't know, and what I learned only many years later, was that he had an aversion to anything gynecological (not to mention anything obstetrical). It stemmed from his final year of medical school, when he did what was unheard of: he bought his very own cadaver so that he could master the anatomy he had already learned so well on a shared cadaver in his first year of medical school. The male poorhouse specimen of his first-year anatomy cla.s.s had been ancient and shriveled with ghostly muscles and tendons, such being the common tender of Edinburgh anatomy theaters. He'd shared that body with five other students. But he lucked out with the cadaver he purchased in his final year: a well-fed, middle-aged female, a type he a.s.sociated with the linoleum factories in Fife. Stone's dissection of the hand was so elegant (with just the tendon sheath exposed on the middle finger, while on the ring finger he carried it further to lay open the sheath and show the tendons of flexor sublimis like the wires of a suspension bridge, the profundus tendon coursing between them) that the anatomy professor preserved it to show the first-year students. For weeks Thomas Stone toiled over his cadaver, spending more time with her than he had with any other female save his mother. He felt an ease with her, a fluency that came from intimate knowledge. On one side, he had filleted her cheek to the ear, tying the flap back with sutures to expose the parotid gland and the facial nerve pa.s.sing through, its branches splayed out like a goose's foot, hence the name pes anserinus. On the other side of the face hed removed all subcutaneous tissue and fat to reveal the myriad muscles of expression whose concerted movements in life had conveyed her sorrow, joy, and every emotion in between. He didn't think of her as a person. She was simply knowledge embodied, embalmed, and personified. Every evening he folded back the muscles and then the skin flaps dangling on narrow hinges, and then he spread the formalin-soaked rags over her to ensheathe her. Sometimes when he fastened the rubber sheet around her and tucked the edges in, it reminded him of his mother's ritual of putting him to bed. Back in his room, his solitude and loneliness always felt more acute.

On the day he removed the bowel to expose the aorta and kidneys, he saw her womb. It wasn't the shriveled purse he expected to find, sunk into the bowl of the pelvis. Instead, it peeked above the pelvic brim. A few days later he turned to the pelvis, his Cunningham's dissection manual open to the new section. He proceeded step by step, marveling at the book's genius as it unpeeled and unroofed and taught as it went. Cunningham's dictated a vertical slice through the front of the uterus and then the operator was to gently pry the uterus open. He did, and out fell a fetus, its head a little bigger than a grape, eyes tightly shut, limbs folded in like an insect. It dangled on the umbilical cord like an obscene talisman on a headhunter's belt. He could see the mother's cervix destroyed and black, from infection or gangrene. The catastrophe that befell this woman was memorialized in formalin.

Stone barely made it to the sink before his dinner came up. He felt betrayed, as if someone had been spying on him. All this time he'd imagined he and she were alone. He couldn't go on. He couldn't even look at her, or fold her back up or cover her. The next day he asked the puzzled attendant to dispose of the cadaver even though the dissection of the pelvis was incomplete and the lower limbs were untouched. But Thomas Stone was done.

At Missing Hospital, because of Hema, Stone never had to venture into the territory of the female reproductive organs. That area he conceded (and it was atypical for him to concede anything) to her.

He and Hemlatha were civil, collegial, and even friendly outside the operating theater. After all, Missing only had three physicians-Hema, Stone, and Ghosh-and it would've been awkward if they didn't get along. But in Operating Theater 3, Hema and Stone managed to provoke each other. Hema's style was precise and careful-a living example, Matron thought, of why more women should be surgeons. Matron sometimes believed she saw Hemlatha listening and then thinking when with a patient in the clinic, rather than trying to do both things at once. Hema was a surgeon who would throw four casts to her knots where others might be content with three. She never left the operating room until her patient awoke from anesthesia. Her surgical field was as neat and tidy as an anatomical demonstration with vulnerable structures carefully identified and moved out of harm's way and with bleeding meticulously controlled. To Matron the field looked static, yet alive, like a painting by t.i.tian or da Vinci. "How can a surgeon know where she is," Hema was fond of saying, "unless she knows where she has been?"

For Stone, minimal handling of tissue was what counted the most, and he had no time for the aesthetic of the surgical field. "Hema, if you want pretty, dissect cadavers," he once told her. "Stone, if you want b.l.o.o.d.y, become a meat cutter," she said. So vast was his experience and the practice that he put into his craft that his nine fingers could find their way in a b.l.o.o.d.y field in which no landmarks were visible to others; his movements were economical and precise, and his results were excellent.

On those rare occasions when a woman with the mud of the field still fresh on her feet was brought in with a bull-gore wound that extended into the pelvis, or when a bar girl came with a knife or bullet wound near the uterus, Hemlatha and Stone would scrub together and enter the abdomen deux, fussing at each other, b.u.mping heads, and at times rapping each other's knuckles with the handle of the hemostat. Matron said she kept a register of which surgeon had stood on the right side at the last joint exploration, and she made sure they took turns. While Hemlatha meticulously resected uterus or repaired a bladder tear, Stone, who could not carry a tune, nevertheless whistled "G.o.d Save the Queen," which riled Hema. If Stone went first, Hemlatha would talk about the famous surgeons of years past-Cooper, Halsted, Cushing-and what a shame it was that tropical surgeons showed no sign of that great surgical legacy.

Stone didn't believe in glorifying surgeons or operations. "Surgery is surgery is surgery," he liked to say, and on principle he would no more look up to a neurosurgeon than down on a podiatrist. "A good surgeon needs courage for which a good pair of b.a.l.l.s is a prerequisite," he had even written in the ma.n.u.script of his textbook, knowing fully well that his editor in England would take it out, but enjoying the experience of putting those words on paper. Stone had found a volubility a combative-ness and forcefulness, in his writing that he didn't show in his speech. "Courage? What's this you write about 'courage'?" Hema asked. "Is it your life you are risking?"

A Cesarean section was technically not beyond Stone's abilities. But on that fateful day, the thought of taking scalpel to Sister Mary Joseph Praise-his surgical a.s.sistant, his closest confidante, his typist, his muse, and the woman he realized he loved-terrified him. She was already in appalling shape, pale and clammy, her pulse so thready that he believed anything he did would send her over the precipice. On a stranger, he might not have hesitated to try a Cesarean section. "The doctor who treats himself has a fool for a patient" was an adage he knew well. But what about a doctor who performed an unfamiliar operation on a loved one? Was there an adage for that?

Increasingly, since the publication of his textbook, Stone had taken to quoting from it, as if his own written word had greater legitimacy than his unpublished (and heretofore unspoken) thoughts. He'd written, "The doctor who treats himself has a fool for a patient, but there are circ.u.mstances when he has no recourse ..." He had gone on to chronicle the tale of his own ray amputation, how he'd performed a nerve block on his right elbow, and then, with Sister Mary Joseph Praise "helping," he had made the incision into his flesh, his left hand doing some of the work while Sister Mary Joseph Praise stood in for his right. He realized as he watched her make the bone cuts that she could do much more than a.s.sist if she chose to. It was the anecdote of the amputation, together with his picture in the frontispiece, his fingers-all nine of them-forming a steeple in front of his chin, which had made the book so successful. There were so many extant surgery texts that it was surprising how popular The Expedient Operator (or A Short Practice, as it was known in some countries) had become. For a tropical surgery book, most of its sales took place in nontropical countries. Perhaps it was its quirkiness, its biting tenor, and the often sharp and unintended humor. He drew only on his experience or his careful interpretation of the experience of others. Readers pictured him as a revolutionary, but one who operated on the poor instead of preaching land reform. Students wrote him adoring letters, and when his dutiful responses (penned by Sister Mary Joseph Praise) didn't match the gushy, confessional tone of their letters, they pouted.

The ill.u.s.trations in the textbook (all drawn and lettered by Sister Mary Joseph Praise) had a simple quality as if done on a napkin; no attempt was made at getting proportion or perspective right, but they were models of clarity. The book was translated into Portuguese, Spanish, and French.

Daring operations performed in darkest Africa-that was how the publisher had described the book on the back cover. The reader, knowing nothing about the "dark continent," filled in the blanks, pictured Stone in a tent, a kerosene lamp held up by a Hottentot providing the only light, elephants stampeding outside while the good doctor recited Cicero and excised a part of himself as blithely as if he were cutting for stone on the body of another. What neither the reader nor Stone would accept was that his self-amputation was as much an act of conceit as it was an act of heroism.

"YOUR PATIENT, Dr. Stone," Matron said for the third time.

Stone took the spot between Sister Mary Joseph Praise's legs that Matron vacated, though, after all that, Matron seemed reluctant to let him by, as if she didn't want him to sit there any more than he wanted to sit. It wasn't a vantage point that he was accustomed to, at least not often with a woman. With men, he sat there to repair a watering-can s.c.r.o.t.u.m, and in both s.e.xes he might be seated to drain rectal abscesses, or to ligate and excise hemorrhoids or fistula-in-ano. But otherwise, he was a surgeon who was rarely seated.

When Stone clumsily parted the l.a.b.i.a, blood poured out. He adjusted the gooseneck lamp and then his own neck to sight up the birth ca.n.a.l.

He tried to remember the citrus rule from his student days. What was it? Lime, lemon, orange, and grapefruit corresponded to four, six, eight, and ten centimeters of dilation of the cervix. Or was it two, four, six, and eight? And was there a grape or plum involved?

What he saw made him turn pale: the cervix was past grapefruit, on its way to melon. And there, as if at the bottom of a b.l.o.o.d.y well, was a baby's head, the tissues around it flattened. The fine wet black hair on the skull reflected the theater lights.

At that moment it was as if someone who'd lain dormant within Stone took over.

If there was a connection between him and the poor infant within, it was something that Stone didn't see. Instead, the sight of that skull agitated him. Fear was driven out by anger, and anger had its own perverted reasoning: What cheek this invader had to put Mary's life in jeopardy! It was as if he'd spotted the corpse of a burrowing mole that had attacked Mary's body, and the only way he could bring her relief was to extract it. The sight of that bright scalp wrought no tenderness from Thomas Stone, only revulsion. And it gave him an idea.

"Find the enemy and win the firefight" was a saying of his.

He had found the enemy.

" Flatus, Fluid, Feces, Foreign Body, and Fetus feel better out than in," he said aloud, as if he'd just invented the phrase. In his book he had called it the Five-F rule. He drove himself to his terrible decision. Far better, he decided, to drill a hole in the skull of the mole-he'd already stopped thinking of it as a baby-than to experiment on Sister Mary Joseph Praise by doing a Cesarean, an operation that was both unfamiliar and one that he feared would kill her in her fragile state. The enemy was more a foreign body, a cancer, than it was a fetus. No doubt the creature was dead. Yes, he would tap that skull, empty its contents, crush it just as if he were crushing a bladder stone, and then he'd pull out the deflated head which was the part that was hung up in the pelvis. If need be, he'd use scissors on its collarbones, scalpel on ribs; he would grab, slash, slit, and smash whatever fetal part obstructed delivery, because only by getting it out could Mary be out of her misery and the bleeding cease. Yes, yes-better out than in.

Within the boundaries of his irrational logic, this was a rational decision. Doing the wrong thing to do the right thing, as Sister Mary Joseph Praise might have said.

To a shocked and horrified Matron, the man who sat between Sister Mary Joseph Praise's legs didn't resemble their fierce, shy, and exceedingly competent Thomas Stone. This man had nothing in common with Thomas Stone, FRCS, author of The Expedient Operator. His place had been taken by this desperate, agitated fellow who did not look like a Fellow of the Royal College of Surgeons, but rather someone for whom the letters FRCS could mean (as Dr. Ghosh often claimed they did) "Farting Round the Country-Side."

Stone, animated now, consumed by a sense of mission, propped Munro Kerr's Operative Obstetrics open, cookery-book fashion, on the down slope of Sister Mary Joseph Praise's protuberant belly. "d.a.m.n it, Hemlatha, you picked a h.e.l.l of a time to be away," he said aloud, feeling his courage return.

Two blasphemies, Matron noted. "Custody of the tongue," she murmured under her breath. She took her own pulse because despite her faith in the Lord she was anxious about the heart flutter that had turned up in the last year like a surprise guest. Her heart was skipping beats now and she felt faint.

The strange instruments that Stone had requested and that Matron dug up from an old supply closet refused to be tamed by his hands. "Where the devil is Ghosh?" he shouted, because Ghosh often pitched in to help Hema with abortions and tubal ligations, and, as a jack-of-all-trades, he had more experience with a women's reproductive anatomy than Stone. Matron once again sent a runner over to Ghosh's bungalow, more to placate Stone than with any faith that Ghosh was back. Perhaps she would have done better to send the maid to inquire at the Blue Nile Bar or its vicinity for the banya doctor. But even an inebriated Ghosh could counsel Stone that what he was about to do was not the act of an expedient surgeon but an idiotic one, and that his decision was wrong, his logic illogical. Matron felt this pregnancy, this birth, was somehow her fault-some inattention on her part had resulted in this. Still, she also a.s.sumed in the face of torrential bleeding that the child was long dead. Had she believed for a moment that the child was alive (she knew nothing about twins), she would have intervened.

Stone c.o.c.ked his head from side to side, trying to match Munro Kerr's ill.u.s.trations of instruments-Smellie scissors, Braun's cranioclast, Jar-dine's cephalotribe-with the objects he juggled in his hand. His tools were distant cousins of the ones depicted in the book, but clearly designed for the same sinister purpose.

With two Jacobs clamps, he grabbed the oval of my brother's scalp. "I see you in the depths, burrowing creature! d.a.m.n you for torturing Mary," he muttered. Then, using scissors, he cut the skin between the two clamps and gave the intruder its first introduction to pain.

His next move was to try to put the cephalotribe-the skull crusher- on the head. This awkward medieval instrument had three separate pieces. The middle was a spear meant to go deep into the brain, cutting a big opening in the skull as it did so. Flanking it were two forcepslike structures to clamp to the outside of the skull. Once all three pieces were in place, their stems interlocked to form a single handle with convenient finger indentations. Stone would be able to crush and grip the skull so it wouldn't slide away. Out would come the intruder.

It was cool in the operating theater, but sweat from his brow trickled into his eyes and wet his mask.

He tried to drive the spear in.

(The child, my brother, Shiva, sheltered for eight months and already hurting from the cut of scissors on his scalp, cried out in the womb. I pulled him to safety as the spear slid over the skull.) Stone decided it would be easier if he first applied the outer two blades of the cephalotribe, then dragged the head within reach, and then inserted the spear. His hands were clumsy in this awkward s.p.a.ce. Matron shuddered at the damage he might be doing to Sister Mary Joseph Praise's tissues and to the baby as he jammed each piece past an ear until, finally, he had the skull in his grasp, or thought he did.

Matron was close to dropping. "It is the duty of the nurse to a.s.sist and antic.i.p.ate the doctor's every need." Wasn't this what she herself preached to her probationers? But it was all wrong, all wrong, and she didn't know how to begin to turn it around. She was sorry she ever dug out the instruments. A humane obstetrician invented these instruments for mothers with the most desperate needs, not for desperate physicians. A fool with a tool is still a fool. In Stone's hands the instruments had taken over, and they were doing the thinking for him. Matron knew that nothing good could ever come out of that.

CHAPTER 5.

Last Moments

AT THE VERY LAST SECOND, just as she braced for the plane to smash into the water, Dr. Hemlatha saw the ocean give way to dry scrubland.

And before she could digest this, the plane flared to a touchdown over shimmering asphalt, squealing its tires, wiggling its tail, and, when it bled off its speed, scampering down the runway like a dog unleashed.

The pa.s.sengers' relief turned to bewilderment and embarra.s.sment, for the most G.o.dless among them had prayed for divine intervention.

The plane stopped, but the pilot continued arguing with the tower while dragging on a cigarette, even though he had made a big point of turning on the NO SMOKING light after they landed.

The little boy whimpered, and Hema rocked him with an adeptness she didn't know she possessed. "I'm going to put a tiny, tiny bandage on your leg, okay? Then the hurt will be all gone." The young Armenian somehow found a cane, and the two of them fashioned a splint.

When the throb of the engine ceased, Hema felt the silence within the cabin press on her eardrums. The pilot looked around, a smirk on his face, as if he were curious to see how his pa.s.sengers had held up. Almost as an afterthought, he said, "We are stopping to pick up some bagg-aje and some Very Important People. This is Djibouti!" He smiled and showed his bad teeth. "They did not give me permission to land unless it is emergency. So I make an engine failure." He shrugged as if modesty prevented him from accepting their accolades.

Hemlatha was startled to hear her own voice shatter the silence.

"Baggage? You b.l.o.o.d.y mercenary. What do you think we are? Goats? You just shut down an engine and drop out of the sky like that and stop in Djibouti? No warning? Nothing?"

Perhaps she should have been grateful to him, happy to be alive, but in the hierarchy of her emotions, anger was always trumps.

"b.l.o.o.d.y?" the pilot said, turning red. "b.l.o.o.d.y?" he said, clambering out of the c.o.c.kpit, white knees knocking under his safari shorts, as he struggled free.

He stood before her, huffing from the effort. He seemed to take far more exception to "b.l.o.o.d.y" than "mercenary." His contempt for this Indian woman was greater than his anger. But he had raised his hand. "I will offload you here, insolent woman, if you don't like it." Later he would claim that he had raised his hand merely as a gesture, with no intent to strike her-G.o.d forbid that he, a gentleman, a Frenchman, would strike a woman.

But it was too late, because Hemlatha felt her limbs move as if by their own volition, fueled by anger and indignation. She felt as if she were observing the actions of a stranger, of a Hemlatha who had not previously existed. The new Hemlatha, whose license on life had just been renewed and its purpose defined, came to her feet. She was as tall as the pilot. She could see the tiny feeder vessel in the starburst on his left cheek. She pushed her gla.s.ses up on her forehead and met him eyeball to eyeball.

The man squirmed. He saw she was beautiful. He fancied himself a lady's man, and he wondered if he'd blown the opportunity to have drinks with her at the Ghion Hotel that evening. Only now did he notice the people huddled over the whimpering boy. Only now did he notice the father's rage, and the clenched fists of some of the other pa.s.sengers who had lined up behind her.

What a specimen, Hema thought as she studied him. Spider angiomas all over his exposed skin. Eyes tinged with jaundice. No doubt his b.r.e.a.s.t.s are enlarged, his armpits hairless, and his testes shriveled to the size of walnuts-all because his liver no longer detoxifies the estrogen a male normally produces. And the stale juniper-berry breath. Ah yes, she thought, coming to a diagnosis beyond cirrhosis: a gin-soaked colonial resisting the reality of postcolonial Africa. If in India they still are cowed by all of you, it is from long habit. But there are no such rules on an Ethiopian plane.

She felt her rage boil over, and it was directed not just at him but at all men, every man who in the Government General Hospital in India had pushed her around, taken her for granted, punished her for being a woman, played with her hours and her schedule, transferred her here and there without so much as a please or by-your-leave.

Her proximity to him, her encroachment of sacred bawana s.p.a.ce, rattled him, distracted him. But his hand was still up there. And now, as if he just noticed it, he moved the hand, not to strike her, he would claim, but as if to determine whether it really was his hand and to see if it still answered to his commands.

The upraised hand was insult enough, but when Hema saw it start to move, she reacted in a manner that made her blush when she recalled it later.

Hemlatha's fingers shot up the pilot's shorts and locked around his t.e.s.t.i.c.l.es, only his underwear intervening. There was an ease to her movements which surprised her, and an ease to the way the gap between her thumbs and index fingers allowed pa.s.sage for the spermatic cords that connected b.a.l.l.s to body. Years later she would think that what she did was conditioned by her surroundings, by the propensity in East Africa for shiftas and other criminals to lop off their victims' t.e.s.t.i.c.l.es. When in Rome...

Her eyes burned like a martyr's. Sweat changed the pottu on her forehead from a dot to an exclamation mark. She had worn a cotton sari for the heat, and earlier, when she had been seated, she had hiked it to her knees-modesty be d.a.m.ned-and now that she was standing it stayed that way, outlining her thighs. Sweat glistened on her upper lip as she squeezed to extract the same measure of distress and fear the Frenchman had caused her.

"Listen, sweetie," she said (deciding that there was indeed testicular atrophy and also trying to recall tunica albugineae, and tunica something else, and vas deferens, of course, and that craggy thingy at the back, whatsitcalled ... epididymis!). She saw his shoulders sag and the color drain out of his face as if she'd opened the spigot below. Dampness quite different from sweat appeared on his forehead. "At least your syphilis isn't far advanced because you can feel testicular pain, huh?" His upraised hand came floating down and then hesitantly, almost lovingly rested on her forearm, pleading with her not to increase the pressure. A cathedral of silence descended on the plane.

"Are you listening now?" she said (thinking that she didn't really want to know a man's anatomy this way). "Are we talking as equals? ... My life in your hands and now your family jewels in mine? You think you can terrify people like that? That little boy broke his leg because of your stunt."

She turned her head toward the other pa.s.sengers but, keeping her eye on Frenchie's face, said, "Anybody have a sharp knife? Or a Gillette?"

The rustle she heard might just have been the cremaster muscles of all the males on board involuntarily reeling their dangling sperm factories back up to shelter.

"We were unauthorized ... I had to ...," the pilot wheezed.

"Take your wallet out right now and pay for this child," Hema said, because she didn't believe in IOUs.

When he fumbled with the notes, the young Armenian grabbed the wallet and handed it to the boy's father.

One of the Yemenis, finding his voice, let out a stream of profanities, wagging his finger in the pilot's face.

Hema said, "Now, you refund the plane tickets for the boy and his parents. And you get us back in the air very soon, ... otherwise, you will not only be a eunuch, but I will personally pet.i.tion the Emperor to make sure that even a job as a camel driver, let alone flying khat, will be much too good for you."

They heard the cargo door open and sharp exclamations from the coolies milling around outside.

The Frenchman, his eyeb.a.l.l.s sinking in their sockets, nodded mutely. France had colonized Djibouti and parts of Somalia, and they had even jockeyed with the English in India before settling for a foothold in Pon di cherry But on this steamy afternoon, one brown soul who would never be the same again, and who had Malayalis, Armenians, Greeks, and Yemenis backing her, showed she was free.

"Well, how can one be sane in hot weather?" Hemlatha said to no one in particular, letting go and making for the outside to wash her hands, stifling her laughter.