• Choose a category
• All
• Classic-Fiction

By Root 831 0

I tell you the child had a machete in her head? I said she was cut. There was no doubt that she had a skull fracture. I picked out bone fragments with my tweezers but there was nothing else to be done about that. If she was draining cerebral spinal fluid she didn’t do it in front of me. I sewed her up, I gave her some antibiotic ointment, hooray for me, now I can meet your expectations of decency, unless of course your expectations include my taking her back to Manaus for an X-ray. But the actions you admire are not thoughtful, they were automatic, the actions I had brought with me from my Western medical background. The question you should be asking is what would have happened to the girl if I hadn’t been there? There was someone in the tribe who had managed these situations before me and I suppose that he, in this case it was a he, would have used the available means to help her. Would it have been a sterile needle? I think not. Would she have died? Very doubtful. And while you are moralizing, ask yourself this question as well: What happens to the girl whose brother cuts her after I’ve gone? Does the tribe still have faith in the man who sewed up heads before me? Has he kept up with his own skills or was he too busy watching mine? I don’t intend to be here forever.”

“The man who puts the girl’s scalp back together, the one you are respecting, do you think his methods are as successful as yours?”

“Now you are being purposefully ridiculous. I have very little respect for what passes as science around here. There’s nothing a Westerner loves more than the idea of being cured by tinctures made of boiled roots. They think this place is some sort of magical medicine chest, but for the most part the treatments here consist of poorly recorded gossip handed down throughout the ages from people who knew very little to people who know even less. There is much to be taken from the jungle, obviously—I am here to develop a drug—but in most cases the plants are as useless as the potted begonia that grows on your kitchen windowsill. The ones that do have potential can only be medicinal when they are properly employed. For these people there is no concept of a dosage, no set length for treatments. When something works it seems to me to be nothing short of a miracle.”

Marina remembered that cup of sludge Barbara Bovender had brought her from the shaman’s stand and wondered if she was no more than a Westerner given to the charms of boiled tinctures. It was a cure she would never admit to now.

Dr. Swenson brightened for a moment. “I’ll tell you what the locals do have a real genius for, and that’s poison. There are so many plants and insects and various reptiles capable of killing a person out here that it seems any idiot could scrape together a compound that would drop an elephant. As for the rest of it, people survive regardless of the care they get. The human animal is too resilient for it to be otherwise. It is not for me to meddle.”

“I appreciate your point. It’s only that I believe in the moment—the child, the blood—it would be hard not to act.”

“Then perhaps it will actually open up some of my time to have you here. I’ll send the daily medical emergencies to you.”

Marina laughed at this. “Then I know they’d be better off with the local medical care. I haven’t threaded a needle in nearly fifteen years.” Suddenly Marina realized she couldn’t remember sewing up that last woman she’d operated on. She remembered lifting out the infant, and at that instant realizing what she had done. She remembered one of the nurses taking him away, but what came after that? Where was the needle? She didn’t leave the patient there, uterus and abdomen open to the world, but she could not find a picture in her memory of closing.

“It comes right back,” Dr. Swenson said. “You were my student. Believe me, I pounded it all in there.”

Marina was still looking for the conclusion to the surgery in her mind when she had another thought. “What about Dr. Rapp?”

“What about him?”

“Wouldn’t he have sewn up the girl’s head?”

Dr. Swenson snorted. “He most certainly