Cutting For Stone Part 40

Hema came back on the line. She was in a chatty mood, reluctant to let me go. Listening to her lilting voice, I was transported back to Missing Mean Time, as if I were sitting by the phone under Nehru's photograph and looking across the room at the portrait of Ghosh which consecrated the spot where he spent so many hours listening to the Grundig.

When I hung up I felt despair: I was back in the Bronx, my walls bare but for the framed Ecstasy of St. Teresa. My beeper, silent till then, went off. In answering its summons, I slipped the yoke back around my neck; indeed, I welcomed my slavish existence as a surgical resident, the never-ending work, the crises that kept me in the present, the immersion in blood, pus, and tears-the fluids in which one dissolved all traces of self In working myself ragged, I felt integrated, I felt American, and I rarely had time to think of home. Then in four weeks, it was time to dial Missing again. Were these phone calls just as difficult for Hema? I wondered.

In a letter after our call, Hema said that shed checked with Bach.e.l.li, Almaz, and even W. W. Gonad to see if they had heard of Ghosh or Sister leaving a letter behind, but no one had. She told me that Shiva's application for an exit visa to come visit me was held up by the government; he was asked to provide affidavits to show he had no debts in Ethiopia, and moreover that I had no debts for which he might be responsible. She said she would remind Shiva to work on the visa. Reading between the lines, I knew and she knew that Shiva had lost interest.

I wrote to Thomas Stone to let him know that the whereabouts of Sister Mary Joseph Praise's letter remained a mystery. He never wrote back to me thanking me for my troubles.

OVER THE NEXT FOUR YEARS, I saw Thomas Stone now and then when he came to conduct conferences or bedside teaching rounds; he was impressive, as I knew he would be, masterful, serious, and in command of his subject. He had the kind of perspective that could only come from careful study of the literature of surgery and from living it for many years. I much preferred being around him in that fashion than having a dinner with him. Perhaps he felt the same way, because he didn't call or visit again.

I went up to Boston for three separate, month-long rotations: plastic surgery, urology, and transplant, and the work was engrossing, challenging, so that each time my anxieties about being there and near him were forgotten. I worked with him in that last rotation, which was busier than I'd ever imagined. He suggested once during that time that we have a meal, but I begged off because my work in the transplant intensive care unit simply did not allow me to get away before nine in the evening, even on my nights off. I think he was relieved.

By 1986 I had finished my year as Chief Resident, which was also my fifth year of training, and I stayed on as an a.s.sistant to Deepak as I prepared to take my board exam. Grudgingly, Id come to admire the long, arduous American system of surgical training; it was easier to admire when you were about done with it. I felt technically competent to do all the major operations of general surgery, and I knew my limits. There wasn't much I hadn't seen at Our Lady. More important, I was confident about caring for patients before and after surgery, and in the intensive care settings.

ALSO IN 1986, my brother became famous; it was Deepak who showed me the feature article in the New York Times. What a shock it was to see Shiva's picture, to see in it my reflection, but with shorter hair, almost a crew cut, and without the gray that had completely taken over my sideburns and temples. The image brought immediate bitterness, the recollection of the pain of betrayal. And yes, envy. Shiva had taken the first and only girl I loved and spoiled her for me. Now, he was making headlines in my backyard, in my newspaper. I'd followed all the rules, and tried to do the right thing while he ignored all the rules, and here we were. Could an equitable G.o.d have allowed such a thing? I confess, it was a while before I could read the article.

According to the Times, Shiva was the world's expert and the leading advocate for women with v.a.g.i.n.al fistula. He was the genius behind a WHO fistula-prevention campaign that was a "far cry from the usual Western approach to these issues." The Times reproduced the colorful "Five Failings That Lead to Fistula" poster: it showed a hand, the fingers splayed out. Peering at the photograph, I could see that it was Shiva's hand. In the palm was a seated woman in a posture of dejection-was the model the Staff Probationer?

The poster was distributed all over Africa and Asia and printed in forty languages. Village midwives were taught to count off on one hand the Five Failings. The first was being married off too young, child brides; the second was nonexistent prenatal care; the third was waiting too long to admit that labor had stalled (by which time the baby's head was jammed halfway down the birth pa.s.sage and doing its damage) and a Cesarean section was needed; the fourth failing was too few and too distant health centers where a C-section could be done. Presuming the mother lived (the baby never did), the final failing was that of the husband and in-laws who cast out the woman because of the dribbling, odiferous fistula from bladder to v.a.g.i.n.a, or from r.e.c.t.u.m to v.a.g.i.n.a, or both. Suicide was a common ending to such a story.

"Somehow women with fistula find their way to Shiva Praise Stone," the article said. "They come by bus, as far as they can before the other pa.s.sengers kick them off. They come on foot, or by donkey. They come often with a piece of paper in their hand that simply says in Amharic, 'MISSING' or 'FISTULA HOSPITAL' or 'CUTTING FOR STONE.'"

Shiva Stone was not a physician, "but a skilled layperson, initiated into this field by his gynecologist mother."

When I next spoke to Hema, I asked her to congratulate Shiva for me. "Ma," I said, "you should have gotten more recognition in that story. Without you, Shiva couldn't be doing what he does."

"No, Marion. This is really all his doing. Fistula surgery wasn't something I relished. It suits someone as single-minded as Shiva. It needs constant attention, before, during, and after surgery. You should see the hours he spends thinking over each case, antic.i.p.ating every problem. He can see the fistula in three dimensions." Shiva had fashioned new instruments in his workshop and invented new techniques. The article had mentioned Matron's fund-raising efforts and the desperate needs, and the article brought donations pouring in. Matron had in mind a new Missing building devoted to women with fistula. "Shiva has had the plans drawn out for years. It will be in the shape of a V with the wings converging on Operating Theater 3." Theater 3 was to be overhauled and remodeled, making two operating rooms with a shared scrub area in the middle.

I reread the Times article late that night. I felt a hollow sensation in my belly this time as I went through it again. The writer's unabashed admiration for Shiva came through, and one sensed she had abandoned her reserve, her usual dispa.s.sionate tone, because the man more than the subject so moved her. She ended with a quote from my brother: "What I do is simple. I repair holes," said Shiva Praise Stone.

Yes, but you make them, too, Shiva.

I HAD MY OWN SUCCESS, albeit a quieter one: I pa.s.sed the written exam of the American Board of Surgery. A few months after that, I was a.s.signed to take my oral exams in Boston at the Copley Plaza Hotel. After a grueling hour and a half in front of two examiners, I was done. I knew I did well.

Outside, the day was glorious. The monolith of gray stone that was the Church of Christian Scientists stood serene at the end of a long reflecting pool and framed against a blue sky. For five years I had spent my nights and days in the hospital, not seeing the sky, not feeling the sun on my face. I felt the urge to wade through the water fully clothed, or to let out a victory whoop. I contented myself instead with an ice-cream cone, which I enjoyed while sitting by the reflecting pool.

I planned to head to the airport, take the shuttle back to New York. But seeing that my driver was so obviously Ethiopian, and having greeted him in our language, I had another idea. Yes, of course he knew the Queen of Sheba's in Roxbury, and it would be an honor for him to take me there.

"My name is Mesfin," he said, grinning at me in the rearview mirror. "Who are you? What do you do?"

"My name is Stone," I said, putting my seat belt on, although I wasn't worried; nothing bad could happen to me on this day. "I'm a surgeon."

CHAPTER 49.

Queen's Move

THE STREET HAD A JUNKYARD at the corner with high walls and barbed wire so reminiscent of Kerchele Prison. A ma.s.sive dog, chained and asleep, was visible through the gate. Then came a string of vacant lots where ashes and soot outlined whatever had stood there. Mesfin seemed to be pointing the cab to the sole house at the end of the street that survived the blight that had felled the others. Its driveway began in the middle of the road, as if the paving machine had run out of asphalt when it got this far and so the owner took things into her own hands. The split-level house had yellow shingles. The steps, the railings, the pillars, the doors, the decks, and even the drains were painted the same canary yellow. A column of (unpainted) wheel hubs sh.o.r.ed up a corner of the sagging front veranda. There were four taxis parked outside, all yellow.

The smell of fermenting honey elicited a Pavlovian response from my taste buds. A dour Somali met us at the door and led us to a dining room six steps down from the front landing. We found a half-dozen men eating at the picnic tables and benches, with room for a dozen more. The wooden floor was strewn with freshly cut gra.s.s, just as it would have been if this were a home or restaurant in Addis.

We washed our hands and took our seats, and at once a buxom woman arrived, bowing, wishing us good health, and placing water and two small flasks of golden yellow tej before us. The cornea of her left eye was milky white. Mesfin said her name was Tayitu. Behind her, a younger woman brought a tray of injera, on which were generous servings of lamb, lentils, and chicken.

"You see?" Mesfin said, looking at his watch. "I can eat here quicker than I can pump gas in my car. It's cheaper, too." I ate as if I had lived through a famine. The waitress in New York who first told me about the Queen of Sheba's had been right. This was the real thing.

Later, through a side window that looked out onto a sloping yard, I saw a white Corvette slide up. A shapely leg in heels emerged, the skin a cafe au lait color, with a shade of nail polish that B. C. Gandhi called "f.u.c.k-me red." A baby goat appeared from nowhere and danced around those elegant feet.

Soon a lovely Ethiopian lady came cautiously down the stairs, careful not to snag her heels. She said over her shoulder to the Somali, "Why is that silly boy letting the baby goat out at this hour? One of these days I'll run over it." Her golden-brown hair had red streaks, and it was cut in a perky, asymmetrical style that revealed her neck. She wore a maroon pinstriped blazer over a white blouse and skirt.

The Queen, for there was little doubt that this was she, bowed in our direction while continuing on to an office next to the kitchen. She stopped abruptly. She turned as if she had seen a vision and she stared. I was in my suit, my tie loosened-did I look that out of place? Within the confines of Our Lady of Perpetual Succour, all the tribes of Abraham were represented and I felt no more foreign than my patients or the staff. Now, as I attracted her attention, and that of the others there, I felt like a ferengi again.

"Praise G.o.d, praise His Son," the Queen said, her hands on her cheeks. She shifted her tinted gla.s.ses to her forehead, revealing eyes that were wide open in astonishment. I looked behind me; could she be talking to someone else? Her expression, at first quizzical, now turned joyous, showing brilliant white and perfect teeth. "Child, do you not know me?" she said, coming close, her rose-scented attar preceding her.

I came to my feet, still puzzled.

"I pray for you every day," she said in Amharic. "Don't tell me that I have changed that much?"

I towered over her. I was tongue-tied. She had been a mother and I a boy when I first met her.

"Tsige?" I said at last.

She lunged toward me, kissed my cheeks, held me at arm's length to better examine me, then pulled me to her to b.u.mp cheeks again and again. "My G.o.d, Blessed Mary and all the saints, how are you? Is it you? Endemenneh? Dehna ne woy? How are you? Can this be you? Praise G.o.d that you are here ..."

After six years in America, it was only at that moment, standing in that yellow house, in her arms, cut gra.s.s under my feet, that I felt at ease in this land, felt my guard come down and the muscles in my belly and neck relax. Here was someone from my past, from my very street, someone whom I liked and with whom I had always felt a bond. I kissed her cheeks as vigorously as she kissed mine: Who would stop first? Not I.

Tayitu peered in from the kitchen. Two other women looked over the upstairs rail. Our fellow diners stopped to watch. They were displaced people, just like us, and they understood all too well these kinds of reunions, these moments when a piece of your old house comes floating by in the river.

"What are you doing here?" Tsige said. "You mean you didn't come to see me?"

"I came to eat. I had no idea! I've been living in New York for six years. I'm here just for the day. I'm a doctor now. A surgeon."

"A surgeon!" She gasped, falling back, clasping her hands to her heart. Then she kissed the back of my wrists, first one, then the other. "A surgeon. You brave, brave child." She turned to our audience and in the tones of a cantor she continued, still in Amharic, "Listen, all you unbelievers, when he was a little boy, and when my baby was dying, who took me to the right place in the hospital? It was he. Who called the doctor, who was his father, to see my child? He did. Then who was it who stayed with me as my baby fought for life? No one but him. He was the only one by my side when my little baby died. No one else was there for me, if only you knew ..." The tears streamed down her face, and in an instant the mood in the room went from the joy of reunion to profound sadness, as if those two emotions were invariably linked. I heard sympathetic clucks and tsks from the men, and Tayitu blew her nose and dabbed at her good eye, while the other two women wept freely. Tsige was unable to speak, head bowed-she was overcome for a moment. At last she straightened her shoulders, raised her head, the lips parted to smile bravely, and she declared, "I never ever forgot his kindness. Even today, when I go to sleep, I pray for my baby's soul, then I pray for this boy. I lived across the street. I watched him grow up, become a man, go to medical school. Now he is a surgeon. Tayitu, give everyone their money back, for today is a feast day. Our brother has come home. Tell me, ye of little faith, does any one of you need some other proof that there is a G.o.d?" Her eyes glittered like diamonds; her hands, palms up, reached for the ceiling.

For the next few minutes I solemnly shook the hand of every person in the house.

LATER I SAT WITH TSIGE on a sofa in a living room upstairs. She had kicked off her heels and tucked her feet up under her. Still holding my hand, she touched my cheek often to exclaim how happy she was to see me.

I had plans to return to New York that afternoon, but Tsige insisted on sending Mesfin away. "You can take a later flight," she said.

"Are you sure I can find a taxi here?" I said, pretending to be serious.

After a beat, she threw her head back and laughed. "See, you have changed! You used to be so shy."

Through the window I saw six or seven baby goats in a large wire enclosure. Behind that was a chicken coop. A dreamy-looking boy with a long narrow head sat stroking one of the goats. "He's my cousin," Tsige said. "You can see the forceps marks on his forehead. He has some problems. But he loves to take care of the animals. You should come here when we celebrate Meskel on Meskerem Day. We slaughter the goats and cook outdoors. You will see not just taxis, but police cars. They come from the Roxbury and South End stations to eat."

Tsige said she left Addis a few months after me. A patron of the bar, a corporal in the army, had wanted to marry her. "He was n.o.body. But in the revolution, even the privates became powerful." When she declined his advances, she was falsely accused of imperialist activities and imprisoned. "I bought my way out after two weeks. In the time I was in Kerchele, they confiscated my house. He came to see me, pretending he had nothing to do with my arrest. If I married him, he said, everything would come back to us. The country was being run by dogs like him. I had money hidden away. I never looked back. I left.

"In Khartoum, I waited a month for asylum from the American Emba.s.sy. I worked as a servant for the Hankins, a British family. They were nice. I learned English by taking care of their children. That was the only good thing that came out of Khartoum. I don't mind the cold in Boston because every cold day reminds me how good it is to be out of Khartoum.

"I worked hard here, Marion. Quick-Mart-often I did two shifts. Then five nights I worked at a parking garage. I saved and saved. I became the first Ethiopian woman to drive a taxi in Boston. I learned the city. I found work for Ethiopians. Stock boy, parking attendant, taxi driver, or counter girl at the hotel gift shop. I lent money on interest to Ethiopians. Tayitu used to work for me in the bar, so when she came, I rented this house. She cooked. Then I bought the house. Now, my G.o.d, there is much to be done: grind tef, make injera, clean chicken, make wot, sweep the house. It takes three or four people. Ethiopians arrive at my door like newborn lambs, everything they have tied up in bedsheets, their X-rays still in their hands. I try to help them."

"You really are the Queen of Sheba."

There was an impish grin on her face. She switched to English, a language I had never heard her speak. "Marion, you know what I had to do to feed my baby in Addis. Then in Sudan, I was even lower than that- I was no better than a bariya," she said, using the slang word for "slave." "In America they said you can be anything. I believed it. I worked hard. So when they say, 'Queen of Sheba,' I think to myself, Yes, from bariya to queen."

I told Tsige about seeing her on the day I left Addis so hastily, seeing her getting out of her Fiat 850. "Today, what do I see before I see your face? Your beautiful leg getting out of a car. The last glimpse of you in Addis was also your beautiful leg coming out of a car. I wanted to say good-bye to you then. But I couldn't."

She laughed, and self-consciously pulled her skirt down. "I knew you disappeared right after Genet," Tsige said. "No one knew if you were part of the hijacking."

"Really? People thought I was an Eritrean guerrilla?"

She shrugged. "I didn't think you had anything to do with it. But when I saw Genet, she never said anything one way or the other."

I was puzzled. "How could you have seen Genet? She left the same day I left. That's why I had to go-did you see her in Khartoum?"

"No, Marion. I saw her here."

"You saw Genet in America?"

"I saw her here. In this house ... Oh my G.o.d. You didn't know?"

I felt the air leave my lungs. A sinkhole opened up under me. "Genet? Isn't she still fighting with the Eritreans?"

"No, no, no. That girl came here as a refugee, just like the rest of us. Someone brought her here. She had her baby in her arms. She acted as if she didn't recognize me at first. I had to remind her." Tsige s face turned hard. "You know, Marion, once we come here, we are all the same. Eritrean, Amhara, Oromo, big shot, bariya, whatever status you had in Addis it means nothing. In America you begin at zero. The ones who do the best here are those who were zero there. But Genet came here thinking she was special, not like the rest of us-"

"When was this?"

"Two, maybe three years ago. She said she'd lost touch with you. She didn't know where you went. She acted as if she didn't know you had escaped from Addis."

"What? She was lying," I said. "It was the Eritreans who helped me escape. She was their star ... their big heroine. She must have known."

"Maybe she didn't trust me, Marion. I never knew her the way I knew you, never exchanged two words with her. People change, you know. When you leave your country, you are like a plant taken out of soil. Some people turn hard, they can't flower again. I remember she told me she got sick in the field. She got sick of the fighting, too, I think. She had the baby. Some women she knew in New York had a job for her and offered to help take care of the baby boy. So I didn't really have to do anything for her."

"My G.o.d," I said, sinking back into the sofa. I was glad I didn't know of this before, glad I didn't know she was in New York. "Is she still there?"

"No." Tsige hesitated, as if she wasn't sure whether to tell me the rest. "There were lots of rumors. What I heard is ... she met a man and they got married. Something happened. She almost killed him. I don't know exactly why or how. All I know is that she's in prison. Her baby was given up for adoption ..." Tsige saw the shock on my face. "I'm sorry. I thought you knew all this ... I could find out if she is still in jail."

"No!" I shook my head. "You don't understand. I don't want to ever see her again," I said. I don't want to see her other than to spit in her face, I thought.

"But she was your own sister."

"No! Don't say that," I said sharply.

We sat there in silence. If Tsige found my reaction unexpected, I couldn't blame her. I had to wait a few minutes for the turmoil in me to subside.

"Tsige," I said, at last, reaching for her hand. "I'm sorry. I must explain. You see, Genet was not my sister. She was the love of my life."

Tsige was shocked. "You were in love with your own sister?"

"She's not my sister!"

"I am sorry. Of course."

"What does it matter, Tsige? If she was my sister or not my sister, either way I was in love with her. I couldn't change what I felt for her. We were going to marry after we finished medical school ..."

"What happened?"

"My own brother betrayed me. She betrayed me." This was so hard to say. "They were pillows for each other," I said, using an Amharic expression.

I realized Id just told Tsige what I'd never told anyone else, not even Hema. I'd come close to telling Thomas Stone in the restaurant, but I hadn't. There was such relief now in the telling. I left nothing out-my being falsely accused, Genet's genital mutilation, Rosina's death, Hema's suspicion that I was responsible. In six years at Our Lady of Perpetual Succour, with all the close friends I had made-Deepak, B.C., various medical students-not one of them had I told this tale.

Tsige s hand was over her mouth, her eyes showing her astonishment and empathy. After a while, she put her hand down and shook her head sadly. "Your brother wanted to sleep with me," Tsige said. She grinned when she saw my jaw drop. "Oh, yes. You both were young then, fourteen or fifteen. Not too young, though. Shiva was so direct. 'How much to sleep with you?' "

She laughed at the audacity of this, gazing out of the window, her mind conjuring up that faraway time.

"Did he?" I said at last, my throat so dry that the words could have set fire to the tejin my stomach. She had no idea how important her answer was to me.

"Did he what?"

"Sleep with you?"

"Oh, you sweet thing. No!" She pinched my cheek. "You should see your expression. No, no." I let out the breath I had been holding. "Don't you know that if it had been you, it would have been different? If you'd ever asked ... I owe you, Marion. I still owe you."

I was sure I was blushing. As quickly as Genet had appeared in my head, she had disappeared. "You don't owe me anything, Tsige. And I'm sorry, I never should've asked you that-it's personal, your business."

"Marion, you must have lots of girlfriends. A surgeon in New York! How many nurses share your pillow, eh? Where are you going? Why are you standing? What's the matter?"

"Tsige, it is late, I'd better-"

She pulled me firmly down, so that I landed almost on top of her. She held me. The scent of her body and of her perfume had shot up my nostrils. My eyes were on her throat, her chin, her bosom. I had thought of her many a night in the house-staff quarters at Our Lady of Perpetual Succour, never imagining that I might really touch her. I was a board-certified general surgeon, but now I felt like a pimply adolescent.

"You are turning so red! Are you all right? Oh, bless me, Mary ... blessed Gabriel and the saints ... you are still a virgin, aren't you?"

I nodded sheepishly "Why are you crying?" I asked.

She would only shake her head, studying my face while swiping at her eyes. At last, holding my cheeks in her hands, she said, "I am crying because it's so beautiful."

"It isn't beautiful, Tsige. It's stupid."