Cutting for Stone

by Abraham Verghese

  “Will you travel with him?” Ghosh said.

  “Yes, of course. We have a van coming. Once he is settled, I'll go to my new posting in Siberia.” Ghosh looked puzzled. “I am being banished.”

  “Are you also in the military?” Ghosh said.

  “No, as of this moment, I am nothing, Doctor. I am nobody.”

  Colonel Mebratu put his hand on his brother's shoulder. “My brother is modest. Do you know he has a master's degree in sociology from Columbia? Yes, he was sent to America by His Imperial Majesty. The Old Man wasn't happy when my brother was attracted by the Marcus Garvey Movement. He didn't let him pursue a Ph.D. He summoned him back to be a provincial administrator. He should have let him finish.”

  “No, no, I came willingly,” the brother said. “I wanted to help my people. But for that I am off to Siberia.” Ghosh waited, expecting more.

  “Tell him why,” the Colonel said. “It's a health matter, after all.”

  The brother sighed. “The Health Ministry built a public health clinic in our former province. His Imperial Majesty came to cut the ribbon. Half my budget for the district was consumed to make everything look good along His Majesty's route. Paint, fences, even a bulldozer to tear down huts. As soon as he left, the clinic closed.”

  “Why?”

  “The budget for the clinic was spent!”

  “Did you not protest?”

  “Of course! But no replies to my messages. The Health Minister intercepted them. So, I reopened the health center myself. It took about ten thousand birr. I got a missionary doctor in a town fifty miles away to come once a week. I had a retired army nurse doing dressings, and I found a midwife to move there. I got supplies. The local bootlegger gave me a generator. The people loved me. The Health Minister wanted to kill me. The Emperor summoned me to Addis.”

  “How did you get the money?” Ghosh asked.

  “Bribes! People would bring over a big injera basket, with more money in it than Injera. When I used the bribes for a good purpose, they gave me more bribes because they were worried that I would expose them.”

  “You told this to His Majesty?”

  “Ah! But that is complicated. Everyone is whispering in his ear. ‘Your Majesty,’ I said, when I got my audience. ‘The health center needs a budget to keep going.’ He acted surprised.”

  “He knew,” the Colonel interjected.

  “He heard me out. Those eyes give away nothing. When I was done, His Majesty whispers to Abba Hanna, the Minister of the Purse. Abba Hanna scribbles in the record. And the other ministers, have you seen them? They are in a state of constant terror. They never know if they are in their master's favor or not.

  “His Majesty thanks me for my service to that province, et cetera, et cetera, and then I bow and bow and walk backward. I meet the Minister of the Purse at the rear of the room, and he gives me three hundred birr! I need thirty thousand, or even three hundred thousand, I could use. For all I know the Emperor said one hundred thousand and Abba Hanna decided it was worth only three hundred. Or was three hundred the Emperor's idea? And who do you ask? By then, the next petitioner is telling his story, and the Minister of the Purse is running back to take his position near the Emperor.

  “I tried to shout from the back of the room, Your Majesty, did the minister make a mistake?’ My friends dragged me away—”

  “Otherwise you wouldn't be around to tell us this story,” the Colonel said. “My foolhardy brother.”

  The Colonel turned serious, his eyes on Ghosh as he took Ghosh's hand in both of his. “Dr. Ghosh. You're a better surgeon than Stone. A surgeon in hand is worth two who are gone.”

  “No, I was lucky. Stone is the best.”

  “I thank you for something else. You see, I was in terrible pain all the way from Gondar to here. The journey going back is going to be easy by comparison. The pain was … I knew whatever this was would get worse, would kill me. But I had options. I came to you. When you told me that for my fellow countrymen, if they have to suffer this, they simply die …” The Colonel's face turned hard, and Ghosh could not be sure if it was anger or if he was holding back tears. He cleared his throat. “It was a crime to close my brother's health center. When I came to Addis Ababa for this meeting with my … colleagues, I was prepared to listen. But I wasn't sure. You could say my motives were suspect. If I wanted to be part of a change, was it for the best of reasons, or just to grab power? I'm telling you things you can never repeat, Doctor, do you understand?”

  Ghosh nodded.

  “My journey, my pain, my operation …,” the Colonel went on, “God was showing me the suffering of my people. It was a message. How we treat the least of our brethren, how we treat the peasant suffering with volvulus, that's the measure of this country. Not our fighter planes or tanks, or how big the Emperor's palace happens to be. I think God put you in my path.”

  Later, when they had left, Ghosh realized how he'd been so predisposed to dislike Colonel Mebratu, but the opposite had happened. Conversely, as an expatriate, it was easy to project benevolent qualities on to His Majesty. Now he was less sure.

  MR. ELIHU HARRIS was dressed all wrong. That was the first thing Matron noticed when he closed the door behind him and stepped up to her desk and introduced himself. He had every right to be annoyed, having visited Missing on the two previous days without meeting Matron. Instead, he seemed grateful to see her, worried about intruding on her time.

  “I had no idea you were coming, Mr. Harris,” Matron said presently. “Under any other circumstance, it would have been a pleasure. But you see, yesterday, we buried Sister Mary Joseph Praise.”

  “You mean …” Harris swallowed hard. His mouth opened and closed. He saw such sorrow in Matron's eyes, and he was embarrassed to have overlooked it. “You mean … the young nun from India? … Thomas Stone's assistant?”

  “The very same. As for Thomas Stone, he has left. Vanished. I am very worried about him. He is a distraught man.”

  Harris had a pleasant face, but his overdeveloped upper lip and uneven front teeth left him just short of handsome. He fidgeted in his chair. He was doubtless yearning to ask how all this had happened, but he didn't. Matron understood he was the sort of man who, even when he had the upper hand, didn't know how to press for his rights. As he stood before her, his soft brown eyes reluctant to engage, her heart softened to him.

  So Matron told Harris everything, a rush of simple sentences that were weighed down by what they conveyed. When she was finished, she said, “Your visit comes when we are at our worst.” She blew her nose. “So much of what we did at Missing revolved around Thomas Stone. He was the best surgeon in the city. He never knew that it was because of the people he operated on in the royal family, in the government, that we were allowed to go on. The government makes us pay a hefty annual fee for the privilege of serving here, can you imagine? They could if they want simply close us down. Mr. Harris, even your giving us money was because of his book … This might be the end of Missing.”

  As Matron talked, Harris sank farther back in the chair, as if someone had a foot on his chest. He had a nervous habit of patting his cowlick, even though it was not in danger of falling.

  There are people in the world who were cursed by bad timing, Matron thought. People whose cars break down on the way to their wedding, or whose Brighton holiday is invariably ruined by rain, or whose crowning day of private glory is overshadowed by and forever remembered as the day King George VI died. Such people vexed the spirit, and yet one was moved to pity because they were helpless. It wasn't Harris's fault that Sister had died or Stone had disappeared. Yet there he was.

  If Harris wanted an accounting of money, she had nothing to show him. Matron submitted progress reports under duress, and since what donors wanted to spend on had no link to the reality of Missing's needs, her reports were a form of fiction. She'd always known a day like this would come.

  Harris choked, then coughed. When he recovered, with much throat clearing and fumbling with h
is handkerchief, he came indirectly to his business with Matron. But it wasn't what Matron imagined it would be.

  “You were right about our plan to fund a mission for the Oromo, Matron,” Harris said. Matron faintly recalled a mention of this in a letter. “The doctor in Wollo sent me a telegram. The police have occupied the building. The district governor will do nothing to evict them. The supplies are being sold. The local church has been preaching against us, saying we are the devils! I had to come to straighten things out.”

  “Pardon me for being blunt, Mr. Harris, but how could you have funded it sight unseen?” She felt a pang of guilt as she said this, since Harris hadn't seen Missing till now. “If I recall, I wrote to say that it was unwise.”

  “It's my fault,” Harris said, wringing his hands. “I prevailed on my church steering committee … I haven't told them yet,” Harris said, almost in a whisper. Clearing his throat and finding his voice he added, “My intentions …, I hope the committee will understand, were good. We … I hoped to bring knowledge of the Redeemer to those who do not have it.”

  Matron let out an exasperated sigh. “Did you think they were all fire worshippers? Tree worshippers? Mr. Harris, they are Christians. They are no more in need of redemption than you are in need of a hair straightening cream.”

  “But I feel it's not true Christianity. It's a pagan sort of …,” he said, and patted his forehead.

  “Pagan! Mr. Harris, when our pagan ancestors back in Yorkshire and Saxony were using their enemies’ skulls as a plate to serve food, these Christians here were singing the psalms. They believe they have the Ark of the Covenant locked up in a church in Axum. Not a saint's finger or a pope's toe, but the Ark! Ethiopian believers put on the shirts of men who had just died of the plague. They saw in the plague a sure and God-sent means of winning eternal life, of finding salvation. That,” she said, tapping the table, “is how much they thirsted for the next life.” She couldn't help what she said next. “Tell me, in Dallas, do your parishioners hunger like that for salvation?”

  Harris had turned red. He looked around as if for a place to hide. But he wasn't completely done. Men like him became stubborn with opposition, because their convictions were all they had.

  “It's actually Houston, not Dallas,” he said softly. “But, Matron, the priesthood here is almost illiterate—Gebrew, your watchman, doesn't understand the litany that he recites because it is in Geez, which no one speaks. If he holds to the Monophysite doctrine that Christ had only a divine nature, not a human one, then—”

  “Stop! Mr. Harris, do stop,” Matron said, covering her ears. “Oh, how you vex me.” She came around the table, and Harris drew back as if he worried that she might box his ears. But Matron walked to the window.

  “When you look around Addis and see children barefoot and shivering in the rain, when you see the lepers begging for their next morsel, does any of that Monophysitic nonsense matter the least bit?”

  Matron leaned her head on the windowpane.

  “God will judge us, Mr. Harris, by”—her voice broke as she thought of Sister Mary Joseph Praise—”by what we did to relieve the suffering of our fellow human beings. I don't think God cares what doctrine we embrace.”

  The sight of that plain, weathered face pressed against the glass, the wet cheeks, the interlocking fingers … it was for Harris more powerful than anything she had said. Here was a woman who could give up the restrictions of her order when it stood in the way. From her lips had come the kind of fundamental truth which, because of its simplicity, was unspoken in a church like Harris's where internecine squabbling seemed to be the purpose for the committee's existence, as well as a manifestation of faith. It was a small blessing that an ocean separated the doers like Matron from their patrons, because if they rubbed shoulders they'd make each other very uncomfortable.

  Harris stared at the stack of Bibles by the wall. He hadn't seen them when he first walked in.

  “We have more English Bibles than there are English speaking people in the entire country.” Matron had turned from the window and followed his gaze. “Polish Bibles, Czech Bibles, Italian Bibles, French Bibles, Swedish Bibles. I think some are from your Sunday-school children. We need medicine and food. But we get Bibles.” Matron smiled. “I always wondered if the good people who send us Bibles really think that hookworm and hunger are healed by scripture? Our patients are illiterate.”

  “I am embarrassed,” Harris said.

  “No, no, no. Please! People here love these Bibles. They're the most valuable thing a family can possess. Do you know what Emperor Mene-lik, who ruled before Haile Selassie, did when he fell ill? He ate pages of the Bible. I don't think it helped. This is a land where paper—worketu— is much valued. Did you know that among the poor, marriage consists simply of writing two names on a piece of paper? And to divorce, why you just tear up the paper. Priests will give out pieces of paper with verses on them. The paper is folded over again and again until it is a tiny square and then these are wrapped in leather and worn around the neck.

  “I was happy to give away Bibles. But the Interior Minister saw it as proselytizing. ‘How can it be proselytizing when no one can read? Besides it is the same faith as yours,’ I said. But the minister disagreed. So now the Bibles pile up, Mr. Harris. They breed in the toolshed like rabbits. They spill over into our storerooms and into my office. We use them as support for bookshelves. Or to paper the walls of the chikka huts. Anything at all, really!”

  She walked over to the door and beckoned him to join her outside. “Let's take a walk,” she said. “Look,” Matron said when they were in the hallway, pointing to a sign above a door: OPERATING THEATER 1. The room was a closet, jammed full of Bibles. Wordlessly she pointed to another room across the way which Harris could see was a storeroom for mops and buckets. The sign above it read OPERATING THEATER 2. “We have only one theater. We call it Operating Theater 3. Judge me harshly, if you will, Mr. Harris, but I take what I am given in God's name to serve these people. And if my donors insist on giving me another operating theater for the famous Thomas Stone, when what I need are catheters, syringes, penicillin, and money for oxygen tanks so I can keep the single theater going, then I give them their operating theater in name.”

  At the steps of the Missing outpatient department the bougainvillea was in full bloom, concealing the pillars of the carport so that the roof appeared to be cantilevered.

  A man hurried by, bundled in a heavy white wrap over a ragged military overcoat. His white turban and the monkey-mane fly-swish in his hand made him stand out.

  “That's the very Gebrew we were talking about,” Matron said as Gebrew spotted them and stopped and bowed. “Servant of God. And watchman. And … one of our bereaved.”

  Harris was surprised at Gebrew's relative youth. In one of her letters, Matron wrote of a Harrari girl of twelve or thirteen who had been brought in, moribund, a cut umbilical cord trailing out from between her legs. She had given birth a few days before, but there had been no afterbirth; the placenta wouldn't budge. The family had traveled by mule and bus for two days to get to Missing. And as Gebrew, in his compassion, lifted the poor girl out of the gharry, she screamed. Gebrew, instrument of God, had inadvertently stepped on the trailing umbilical cord, causing the placenta to break free. The little girl was cured even before she crossed the threshold of the casualty room.

  Harris shivered in a sleeveless cotton shirt, his eyeballs oscillating, his fingers tugging at his collar, then adjusting a pith helmet which Matron didn't realize he had with him.

  Matron walked him through the children's ward, which was no more than a room painted bright lavender with infants on high beds with metal rails. The mothers camped out on the floor beside the beds. They jumped up at the sight of Matron and bowed. “That child has tetanus and will die. This one has meningitis, and if he lives he might well be deaf or blind. And its mother”—she said, affectionately putting her arm around a waiflike woman—”by staying at Missing night and day is neglecting
her three other children. Lord, we've had a child back home fall into a well, get gored by a bull, and even kidnapped while the mother was here. The humane thing is to tell her to go home, to take the child home.”

  “Then why is she here?”

  “Look at how anemic she is! We are feeding her. We give her the child's portions, which the child can't eat, as well as her portion, and I've asked them to give her an egg every day, and she is getting an iron injection and medicine for hookworm. In a few days we'll find her bus fare and then send her home with this child if he is alive. But at least she'll be healthier, better able to look after the other children … Now this child is awaiting surgery …”

  In the male ward, which was long and narrow and held forty people, she kept up her recitation. The patients who could tried to sit up to greet them. One man was comatose, his mouth open, his eyes unseeing. Another sat leaning forward on a special pillow, struggling mightily to breathe. Two men, side by side, had bellies swollen to the size of ripe pregnancy.

  “Rheumatic heart valve damage, nothing we can do … and these two fellows have cirrhosis,” Matron explained.

  Harris was struck by how little it took to nurture and sustain life. A huge chunk of bread in a chipped basin and a giant battered tin cup of sweetened tea—that was breakfast and lunch. Very often, as he could see, this feast was being shared with the family members squatting by the bed.

  When they emerged from the ward, Matron stopped to catch her breath. “Do you know that at this moment we have funds for three days, that's all? Some nights I go to sleep with no idea of how we can open in the morning.”

  “What will you do?” Harris asked, but then he realized he knew the answer.

  Matron smiled, her eyes almost disappearing as her cheeks pushed up, giving her a childlike quality. “That's right, Mr. Harris. I pray. Then I take it out of the building fund or whatever fund has money. The Lord knows my predicament, or so I tell myself. He must approve the transfer. What we are fighting isn't godlessness—this is the most godly country on earth. We aren't even fighting disease. It's poverty. Money for food, medicines … that helps. When we cannot cure or save a life, our patients can at least feel cared for. It should be a basic human right.”