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I drank too much at the farewell dinner for Collins, but the HealthGuard magicked the effects away. My first day solo was anticlimactic; everything went smoothly, and Okwera, with no high-tech hangover cure, was unusually subdued, while Masika was as quietly attentive as ever.

Six days a week, the world shrank to my room, the campus, the ward, the operating theatre. I ate in the guest house, and usually fell asleep an hour or two after the evening meal; with the sun diving straight below the horizon, by eight o’clock it felt like midnight. I tried to call Lisa every night, though I often finished in the theatre too late to catch her before she left for work, and I hated leaving messages, or talking to her while she was driving.

Okwera and his wife invited me to lunch the first Sunday, Masika and his girlfriend the next. Both couples were genuinely hospitable, but I felt like I was intruding on their one day together. The third Sunday, I met up with Iganga in a restaurant, then we wandered through the city on an impromptu tour.

There were some beautiful buildings in Kampala, many of them clearly war-scarred but lovingly repaired. I tried to relax and take in the sights, but I kept thinking of the routine — six operations, six days a week—stretching out ahead of me until the end of my stay. When I mentioned this to Iganga, she laughed. “All right. You want something more than assembly-line work? I’ll line up a trip to Mubende for you. They have patients there who are too sick to be moved. Multiple tumours, all nearly terminal.”

“Okay.” Me and my big mouth; I knew I hadn’t been seeing the worst cases, but I hadn’t given much thought to where they all were.

We were standing outside the Sikh temple, beside a plaque describing Idi Amin’s expulsion of Uganda’s Asian community in 1972. Kampala was dotted with memorials to atrocities — and though Amin’s reign had ended more than forty years ago, it had been a long path back to normality. It seemed unjust beyond belief that even now, in an era of relative political stability, so many lives were being ruined by Yeyuka. No more refugees marching across the countryside, no more forced expulsions—but cells cast adrift could bring just as much suffering.

I asked Iganga, “So why did you go into medicine?”

“Family expectations. It was either that or the law. Medicine seemed less arbitrary; nothing in the body can be overturned by an appeal to the High Court. What about you?”

I said, “I wanted to be in on the revolution. The one that was going to banish all disease.”

“Ah, that one.”

“I picked the wrong job, of course. I should have been a molecular biologist.”

“Or a software engineer.”

“Yeah. If I’d seen the HealthGuard coming fifteen years ago, I might have been right at the heart of the changes. And I’d have never looked back. Let alone sideways.”

Iganga nodded sympathetically, quite unfazed by the notion that molecular technology might capture the attention so thoroughly that little things like Yeyuka epidemics would vanish from sight altogether. “I can imagine. Seven years ago, I was all set to make my fortune in one of the private clinics in Dar es Salaam. Rich businessmen with prostate cancer, that kind of thing. I was lucky in a way; before that market vanished completely, the Yeyuka fanatics were nagging me, bullying me, making little deals.” She laughed. “I’ve lost count of the number of times I was promised I’d be co-author of a ground-breaking paper in Nature Oncology if I just helped out at some field clinic in the middle of nowhere. I was dragged into this, kicking and screaming, just when all my old dreams were going up in smoke.”

“But now Yeyuka feels like your true vocation?”

She rolled her eyes. “Spare me. My ambition now is to retire to a highly paid consulting position in Nairobi or Geneva.”

“I’m not sure I believe you.”

“You should.” She shrugged. “Sure, what I’m doing now is a hundred times more useful than any desk job, but that doesn’t make it any easier. You know as well as I do that