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Cutting for Stone - Abraham Verghese [216]

By Root 1232 0
that I should have in the air by now. I just stopped to admire your work.”

“If you were to show us how to harvest the liver … we could start it for you, save you time.”

I tried to turn around to look, but because I was holding a retractor, I couldn't.

“I don't trust anyone else to do it,” the voice said. “That's why I do it myself. My chief residents don't have the skill … Smart boys, but they don't get the volume you have in a place like this.”

“We get the volume. And they are shutting us down.”

“What? I had heard some such rumor. I heard Popsy … True?”

Deepak just nodded.

“This is your fifth year?” the voice said.

“Seventh. Eighth. Tenth. Depends how you count, sir.” He didn't mention his training in England.

He didn't need to, because the visitor said, “I hear a Scotch inflection. Were you in Scotland? Took your FRCS?”

“Yes.”

“Glasgow?”

“Edinburgh. I worked in Fife. All over there,” Deepak said.

There was a profound silence. The man behind me hadn't moved. He seemed to be considering this.

“What will you do if they shut down?”

Deepak dropped his eyes. “I'll just keep working. Probably here. I love surgery …”

After an eternity the voice said, “Deepak Jesudass, with a J?” And then he spelled it out. “Did I get that right? Come see me in Boston, Dr. Jesudass. We'll pay your fare. I'll arrange for you to come up to my dog lab. We'll get you going. If anyone can harvest for me, you probably can. When you come up we'll visit at length. Have to run now. Good work, Deepak.”

We heard the door swing behind him.

We worked in silence. At last, Deepak said, “He heard my name just once … and he was able to repeat it.” Deepak's repair was done. He was closing up now, as carefully and efficiently as he had opened. He asked for gel foam from the scrub nurse. “In all my years here, no one's been able to remember my name when I'm introduced. No one has bothered. They usually see us as types, not as individuals.”

His shoulders were straighter, his eyes bright and glowing. I'd never seen my Chief Resident like this. I was happy for him, and proud.

“Who was that?” I said, at last unable to contain my curiosity.

“Call me old-fashioned,” Deepak said, “but I've always believed that hard work pays off. My version of the Beatitudes. Do the right thing, put up with unfairness, selfishness, stay true to yourself … one day it all works out. Of course, I don't know that people who wronged you suffer or get their just deserts. I don't think it works that way. But I do think one day you get your reward.”

“Did you know him?” I said again.

Deepak sidestepped my question and turned to the circulating nurse.

“Did that particular team come for liver or heart?”

“Liver. Another team took the heart and ran.”

Deepak smiled and turned to me. “Marion, I'm not a hundred percent sure, because of his mask; had I seen his fingers I could have been certain. But I have a pretty good idea. You just met one of the foremost liver surgeons in the world, a pioneer of liver transplants.

“What's his name?”

“Thomas Stone.”

CHAPTER 43

Grand Rounds

IBELIEVE IN BLACK HOLES. I believe that as the universe empties into nothingness, past and future will smack together in the last swirl around the drain. I believe this is how Thomas Stone materialized in my life. If that's not the explanation, then I must invoke a disinterested God who leaves us to our own devices, neither causing nor preventing tornadoes or pestilence, but a God who will now and then stick his thumb on the spinning wheel so that a father who put a continent between himself and his sons should find himself in the same room as one of them.

As a child Id longed for Thomas Stone or at least the idea of him. So many mornings I waited for him at the gates of Missing. I saw that vigil now as necessary, a prerequisite for my insides to harden and cure just like the willow of a cricket bat must cure to be ready for a lifetime of knocks. That was the lesson at Missing's gates: the world does not owe you and neither does your father.

I hadn't forgotten what Ghosh asked of me. Let's just say

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