Cutting for Stone

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by Abraham Verghese


  The captain came by, sleepless, apoplectic, spraying saliva and brandy as he spoke: “How dare you dispose of shipboard property?”

  Stone leaped to his feet, and at that moment he reminded Sister Mary Joseph Praise of a schoolboy spoiling for a fight. Stone fixed the captain with a glare that made the man swallow and take a step back. “Tossing that box was better for mankind and worse for the fish. One more word out of you and I'll report you for taking on passengers without any medical supplies.”

  “You got a bargain.”

  “And you will make a killing,” Stone said, pointing to Anjali.

  The captain's face lost its armature, the eyebrows, eyelids, nose, and lips all running together like a waterfall.

  Thomas Stone took charge now, setting up camp at Anjali's bedside, but venturing out to examine every person on board, whether they consented to such probing or not. He segregated those with fever from those without. He took copious notes; he drew a map of the Calangutés quarters, putting an X where every fever case had occurred. He insisted on smoke fumigation of all the cabins. The way he ordered the healthy crew and passengers around infuriated the sulking captain, but if Thomas Stone was aware of this he paid no attention. For the next twenty-four hours he didn't sleep, reexamining Sister Anjali at intervals, checking on the others: keeping vigil. An older couple was also quite ill. Sister Mary Joseph Praise never left his side.

  Two weeks after they left Cochin, the Calangute limped into the port of Aden. The Greek captain had the Madagascar seaman hoist the Portuguese flag under which the ship was registered, but because of the shipboard fever the Calangute was promptly quarantined, Portuguese flag or no Portuguese flag. She was anchored at a distance, where, like a banished leper, she could only gaze at the city. Stone bullied the Scottish harbormaster who had pulled up alongside, telling him that if he didn't bring a doctor's kit, bottles of lactated Ringer's solution for intravenous administration, as well as sulfa, then he, Thomas Stone, would hold him responsible for the death of all Commonwealth citizens on board. Sister Mary Joseph Praise marveled at his outspokenness, and yet he was speaking for her. It was as if Stone had replaced Anjali as her only ally and friend on this ill-fated voyage.

  When the supplies came, Stone went first to Sister Anjali. Making do with the crudest of antisepsis, with one scalpel stroke he exposed the greater saphenous vein where it ran just inside Sister Anjali's ankle. He threaded a needle into the collapsed vessel that should have been the width of a pencil. He secured the needle in place with ligatures, his hands a blur as he pushed one knot down over another. Despite the intravenous drip of Ringer's lactate and the sulfa, Anjali didn't make a drop of urine or show any signs of reviving. Later that evening, she died in a final dreadful paroxysm, as did two others, an old man and old woman, all within a few hours of one another. For Sister Mary Joseph Praise the deaths were stunning, and unforeseen. The euphoria she felt when Thomas Stone had risen and come to see Anjali had blinded her. She shivered uncontrollably.

  At twilight, Sister Mary Joseph Praise and Thomas Stone slipped the shrouded bodies over the rail, with no help from the superstitious crew who wouldn't even look their way.

  Sister Mary Joseph Praise was inconsolable, the brave front she'd put up shattering as her friend's body splashed into the water. Stone stood beside her, unsure of himself. His face was dark with anger and shame because he had not been able to save Sister Anjali.

  “How I envy her,” Sister Mary Joseph Praise said at last through tears, her fatigue and sleeplessness combining to release custody of her tongue. “She's with our Lord. Surely that is a better place than this.”

  Stone bit off a laugh. To him such a sentiment was a symptom of impending delirium. He took her by the arm and led her back to his room, lay her down on his bunk, and told her she was to rest, doctor's orders. He sat on the hammock and watched as life's only sure blessing—sleep—came to her, and then he hurried off to reexamine the crew and all passengers. Dr. Thomas Stone, surgeon, did not need sleep.

  TWO DAYS LATER, with no more new cases of fever, they were finally allowed off the Calangute. Thomas Stone sought out Sister Mary Joseph Praise before disembarking. He found her red-eyed in the cabin she'd shared with Sister Anjali. Her face and the rosary she clutched were wet. With a start he registered what he had failed to before: that she was extraordinarily beautiful, her eyes big and soulful and more expressive than eyes had a right to be. His face grew warm and his tongue wouldn't unstick itself from the floor of his mouth. He shifted his gaze to the floor, to her travel bag. When he finally spoke it was to say, “Typhus.” He'd looked in his books and given the matter a great deal of thought. Seeing her puzzlement, he said, “Indubitably typhus.” He had expected the word, the diagnosis, would make her feel better, but instead it seemed to fill her eyes with fresh tears. “Most likely typhus—of course a serum test could have confirmed it,” he stammered.

  He shuffled his feet, crossed and uncrossed his hands. “I don't know where you're going, Sister, but I'm heading to Addis Ababa … it's in Ethiopia,” he said, mumbling into his chin. “To a hospital … that would value your services if you were to come.” He looked at her and blushed again, because the fact was he knew nothing about the hospital he was going to or whether it could use her services, and because he felt those moist dark eyes could read his every thought.

  But it was her own thoughts that kept Sister Mary Joseph Praise silent. She remembered how shed prayed for him and for Anjali, and how God had answered just one of her prayers. Stone, risen like Lazarus, then brought his entire being into understanding the fever. Hed barged into the crew's quarters, run roughshod over the captain, and bullied and threatened. Doing the wrong thing, as Sister Mary Joseph Praise saw it, but in pursuit of the right thing. His fierce passion had been a revelation to her. At the medical college hospital in Madras where she trained as a nurse, the civil surgeons (who at the time were mostly Englishmen) had floated around serene and removed from the patients, with the assistant civil surgeons and junior and senior house surgeons (who were all Indian) trailing behind like ducklings. At times it seemed to her they were so focused on disease that patients and suffering were incidental to their work. Thomas Stone was different.

  She felt his invitation to join him in Ethiopia hadn't been rehearsed. The words had slipped out before he'd been able to stop them. What was she to do? Saintly Amma had identified a Belgian nun who had broken away from her order, and who had made a most tenuous foothold in Yemen, in Aden, a foothold that was in jeopardy because of the nun's ill health. Saintly Amma's plan was for Sister Anjali and Sister Mary Joseph Praise to start there, perched above the African continent, and to learn everything they could from the Belgian nun about operating in hostile climates. From there, after correspondence with Amma, the sister-sisters would head south, not to the Congo (which the French and Belgians had covered), not to Kenya, Tanganyika, Uganda, or Nigeria (the Anglicans had their fingers all over those souls and disliked competition), but perhaps to Ghana or Cameroon. Sister Mary Joseph Praise wondered what Saintly Amma might say to Ethiopia.

  Saintly Amma's vision now felt like a pipe dream, a vicarious evange lism so ill informed that Sister Mary Joseph Praise was embarrassed to mention it to Thomas Stone. Instead she said in a breaking, hopeless voice, “I have orders to Aden, Doctor. But I thank you. Thank you for all you did for Sister Anjali.” He protested that he'd done nothing.

  “You did more than any human being could do,” she said and took his hand in both of hers and held it. She looked into his eyes. “God be with you and bless you.”

  He could feel the rosary still entwined in her fingers, and the softness of her skin and the wetness from her tears. He recalled her hands on him, washing his body, dressing him, even holding his head when he retched. He had a memory of her face turned to the heavens, singing, praying for his recovery. His neck grew warm and he knew his color was betraying him a third time. Her eyes showed pain, and a cry escaped her lips, and only then did h
e know that he was squeezing her hands, grinding the rosary against her knuckles. He let go at once. His lips parted, but he didn't say anything. He abruptly walked away.

  Sister Mary Joseph Praise couldn't move. She saw that her hands were red and beginning to throb. The pain felt like a gift, a blessing so palpable that it rose up her forearms and into her chest. What she couldn't bear was the feeling that something vital had been plucked out and uprooted from her chest when he walked away. She'd wanted to cling to him, to cry out to him not to leave. She had thought her life in the service of the Lord was complete. There was, she saw now, a void in her life that she'd never known existed.

  THE MOMENT she stepped off the Calangute onto the soil of Yemen, Sister Mary Joseph Praise wished she'd never disembarked. How absurd it had been for her to have pined to come ashore all those days they'd been quarantined. Aden, Aden, Aden—she'd known nothing about it before this voyage, and even now it was no more than an exotic name. But from the sailors on the Calangute, she gathered that one could hardly go anywhere in the world without stopping in Aden. The port's strategic location had served the British military. Now its duty-free status made it the place to both shop and find one's next ship. Aden was gateway to Africa; from Africa it was gateway to Europe. To Sister Mary Joseph Praise it looked like the gateway to hell.

  The city was at once dead and yet in continuous motion, like a blanket of maggots animating a rotting corpse. She fled the main street and the stultifying heat for the shade of narrow alleyways. The buildings looked hewn from volcanic rock. Pushcarts loaded impossibly high with bananas, with bricks, with melons, and even one carrying two lepers weaved through the pedestrian traffic. A veiled, stooped old woman walked by with a smoldering charcoal stove on her head. No one glanced at this strange sight, saving their stares instead for the brown-skinned nun walking in their midst. Her uncovered face made her feel stark naked.

  After an hour during which she felt her skin puffing up like dough in an oven, after being directed this way and that, Sister Mary Joseph Praise arrived before a tiny door at the end of a slitlike passage. On the rock wall was a pale outline of a signboard recently removed. She offered a silent prayer, took a deep breath, and knocked. A man yelled in a hoarse voice, and Sister Mary Joseph Praise interpreted the sound as invitation to enter.

  Seated on the floor next to a shiny balancing scale, she saw a shirtless Arab. All around him, reaching to the ceiling, were great bales of bundled leaves.

  The hothouse scent stifled her breathing. It was a new scent for her, this scent of khat: partly cut grass, yet with something spicier behind it.

  The Arab's beard was so red with henna she thought hed bled into it. His eyes were lined like a woman's, reminding her of depictions of Salahuddin, who'd kept the Crusaders from taking the Holy Land. His gaze took in the young face imprisoned in the white wimple, and then those hooded eyes fell to the Gladstone bag in her hand. A heave of his body produced a vulgar laugh through gold-trimmed teeth, a laugh which he cut off when he saw the nun was about to collapse. He sat her down, sent for water and tea. Later, in a mixture of sign language and bastardized English, he communicated to her that the Belgian nun who'd lived there had died suddenly. When he said that, Sister Mary Joseph Praise began shivering again, and she felt a deep foreboding, as if she could hear death's footsteps rustling the leaves in that hothouse. She carried a picture of Sister Beatrice in her Bible, and she could see that face in her mind's eye, now metamorphosing into a death mask, and then to Anjali's face. She forced herself to meet the man's gaze, to challenge what he said. Of what? Who asks “of what” in Aden? One day you are well, your debts are paid, your wives are happy, praise Allah, and the next day the fever gets you, and if it opens your skin up to the heat which your skin has fought off all these years, you die. Of what? Of what doesn't matter. Of bad skin! Of pestilence! Of bad luck, if you like. Of good luck, even.

  The building was his. Green khat stalks flashed in his mouth as he spoke. The old nun's God had been unable to save her, he said, looking up to the ceiling and pointing, as if He were still crouching there. Sister Mary Joseph Praise's eyes involuntarily followed his gaze, before she caught herself. Meanwhile, his muddy eyes dropped from the ceiling to her face, to her lips, and to her bosom.

  IF I KNOW THIS MUCH about my mother's voyage, it's because it came from her lips to the ears of others and then to mine. But her tale stopped in Aden. It came to an abrupt halt in that hothouse.

  What is clear is that she embarked on her journey with faith that God approved of her mission and would provide for and protect her. But in Aden, something happened to her. No one knew what exactly. But it was there that she understood that her God was also a vengeful and harsh God and could be so even to His faithful. The Devil had shown himself in Sister Anjali's purple, contorted death mask, but God had allowed that. She considered Aden an evil city, where God used Satan to show her how fragile and fragmented the world was, how delicate the balance between evil and good, and how naïve she was in her faith. Her father used to say, “If you want to make God laugh, tell him your plans.” She felt pity for Saintly Amma, whose dream of enlightenment for Africa was vanity that cost Anjali's life.

  For the longest time all I knew was this: after an unknown period of time that could have been months or even a year, my mother, aged nineteen, somehow escaped Yemen, then crossed the Gulf of Aden, then went overland perhaps to the walled and ancient city of Harrar in Ethiopia, or perhaps to Djibouti, then from there by train she entered Ethiopia via Dire Dawa and then on to Addis Ababa.

  I know the story once she arrived at Missing Hospital. There were three spaced knocks on the door to Matron's office. “Come in,” Matron said, and with those two words Missing was on a course different than anyone could have imagined. It was at the start of the short rains, when Addis was stunned into wet submission, and when after hours and days of the sound and sight of water, one began hearing and seeing things. Matron wondered if that explained this vision of a beautiful, brown-skinned nun, standing, but just barely, in the doorway.

  The young woman's recessed, unblinking brown eyes felt like warm hands on Matron's face. The pupils were dilated, as though, Matron would think later, the horror of the journey was still fresh. Her lower lip was ripe, as if it might burst at the touch. Her wimple, cinched at the chin, imprisoned her features in its oval, but no cloth could restrain the fervor in that face, or conceal the hurt and confusion. Her gray-brown habit must have once been white. But, as Matron's eyes traveled down the figure, she saw a fresh bloodstain where the legs came together.

  The apparition was painfully thin, swaying, but resolute, and it seemed a miracle that it was capable of speech, when it said in a voice heavy with fatigue and sadness: “I desire to begin the time of discernment, the time of listening to God as He speaks in and through the Community. I ask for your prayers that I may spend the rest of my life in His Eucharistic Presence and prepare my soul for the great day of union between bride and Bridegroom.”

  Matron recognized the litany of a postulant entering the order, words she herself had uttered so many years ago. Matron replied automatically, just as her Mother Superior had done, “Enter into the joy of the Lord.”

  It was only when the stranger slumped against the doorpost that Matron came out of her trance, running around her desk to grab her. Hunger? Exhaustion? Menstrual blood loss? What was this? Sister Mary Joseph Praise weighed nothing in Matron's arms. They took the stranger to a bed. Under the veil, the wimple, and habit they found a delicate wicker-basket chest and a scooped out belly. A girl! Not a woman. Yes, a girl whod only just bid good-bye to childhood. A girl with hair that was not cut short like that of most nuns but long and thick. A girl with (and how could they not notice?) a precocious bosom.

  Every maternal instinct in Matron came alive, and she kept vigil. She was there when the young nun woke up in the night, terrified, delirious, clinging to Matron once she knew she was in a safe place. “Child, child, what happened to you? It i
s all right. You are safe now.” With such soothing words, Matron comforted her, but it was a week before the young nun slept alone and another week before the color returned to her face.

  When the short rains ended, and when the sun turned its face to the city as if to kiss and make up and say it was after all its favorite city for which it had reserved its most blessed, cloud-free light, Matron led Sister Mary Joseph Praise outdoors. She was to introduce her to the Missing People. The two of them entered Operating Theater 3 for the first time, and an astonished Matron watched as the stern and serious expression of her new surgeon, Thomas Stone, crumbled into something akin to happiness at the sight of Sister Mary Joseph Praise. He was blushing, taking her hand in his and crushing it till tears came to the young nun's eyes.

  My mother must have known then that she would stay in Addis Ababa forever, stay in Missing Hospital and in the presence of this surgeon. To work for him, for his patients, to be his skilled assistant, was sufficient ambition, and it was an ambition without hubris, and God willing, it was something she could reasonably do. A return journey to India through Aden was too difficult to contemplate.

  In the ensuing seven years that she lived and worked at Missing Hospital, Sister Mary Joseph Praise rarely spoke about her voyage and never about her time in Aden. “Whenever I brought up Aden,” Matron said, “your mother would glance over her shoulder, as if Aden or whatever it was she left behind had caught up with her. The dread and terror on her face made me loath to ask again. But it scared me, I'll tell you. All she said was, ‘It was God's will that I come here, Matron. His reasons are unknowable to us.’ There was nothing disrespectful about that answer, mind you. She believed that her job was to make her life something beautiful for God. He had led her to Missing.”

 

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