A Thousand Splendid Suns(72)

One of the women saw Mariam looking.

"They put the live ones on the top," she said tiredly.

The doctor, in a dark blue burqa, was a small, harried woman with birdlike movements. Everything she said came out sounding impatient, urgent.

"First baby." She said it like that, not as a question but as a statement.

"Second," Mariam said.

Laila let out a cry and rolled on her side. Her fingers closed against Mariam's.

"Any problems with the first delivery?"

"No."

"You're the mother?"

"Yes," Mariam said.

The doctor lifted the lower half of her burqa and produced a metallic, cone-shaped instrument. She raised Laila's burqa and placed the wide end of the instrument on her belly, the narrow end to her own ear. She listened for almost a minute, switched spots, listened again, switched spots again.

"I have to feel the baby now, hamshira."

She put on one of the gloves hung by a clothespin over the sink. She pushed on Laila's belly with one hand and slid the other inside. Laila whimpered. When the doctor was done, she gave the glove to a nurse, who rinsed it and pinned it back on the string.

"Your daughter needs a caesarian. Do you know what that is? We have to open her womb and take the baby out, because it is in the breech position."

"I don't understand," Mariam said.

The doctor said the baby was positioned so it wouldn't come out on its own. "And too much time has passed as is. We need to go to the operating room now."

Laila gave a grimacing nod, and her head drooped to one side.

"There is something I have to tell you," the doctor said. She moved closer to Mariam, leaned in, and spoke in a lower, more confidential tone. There was a hint of embarrassment in her voice now.

"What is she saying?" Laila groaned. "Is something wrong with the baby?"

"But how will she stand it?" Mariam said.

The doctor must have heard accusation in this question, judging by the defensive shift in her tone.

"You think I want it this way?" she said. "What do you want me to do? They won't give me what I need. I have no X-ray either, no suction, no oxygen, not even simple antibiotics. When NGOs offer money, the Taliban turn them away. Or they funnel the money to the places that cater to men."

"But, Doctor sahib, isn't there something you can give her?" Mariam asked.

"What's going on?" Laila moaned.

"You can buy the medicine yourself, but - "

"Write the name," Mariam said. "You write it down and I'll get it."

Beneath the burqa, the doctor shook her head curtly. "There is no time," she said. "For one thing, none of the nearby pharmacies have it. So you'd have to fight through traffic from one place to the next, maybe all the way across town, with little likelihood that you'd ever find it. It's almost eight-thirty now, so you'll probably get arrested for breaking curfew. Even if you find the medicine, chances are you can't afford it. Or you'll find yourself in a bidding war with someone just as desperate. There is no time. This baby needs to come out now."

"Tell me what's going on!" Laila said. She had propped herself up on her elbows.

The doctor took a breath, then told Laila that the hospital had no anesthetic.

"But if we delay, you will lose your baby."

"Then cut me open," Laila said. She dropped back on the bed and drew up her knees. "Cut me open and give me my baby."

* * *

INSIDE THE OLD, DINGY operating room, Laila lay on a gurney bed as the doctor scrubbed her hands in a basin. Laila was shivering. She drew in air through her teeth every time the nurse wiped her belly with a cloth soaked in a yellow-brown liquid. Another nurse stood at the door. She kept cracking it open to take a peek outside.

The doctor was out of her burqa now, and Mariam saw that she had a crest of silvery hair, heavy-lidded eyes, and little pouches of fatigue at the corners of her mouth.

"They want us to operate in burqa," the doctor explained, motioning with her head to the nurse at the door. "She keeps watch. She sees them coming; I cover."

She said this in a pragmatic, almost indifferent, tone, and Mariam understood that this was a woman far past outrage. Here was a woman, she thought, who had understood that she was lucky to even be working, that there was always something, something else, that they could take away.

There were two vertical, metallic rods on either side of Laila's shoulders. With clothespins, the nurse who'd cleansed Laila's belly pinned a sheet to them. It formed a curtain between Laila and the doctor.

Mariam positioned herself behind the crown of Laila's head and lowered her face so their cheeks touched. She could feel Laila's teeth rattling. Their hands locked together.

Through the curtain, Mariam saw the doctor's shadow move to Laila's left, the nurse to the right. Laila's lips had stretched all the way back. Spit bubbles formed and popped on the surface of her clenched teeth. She made quick, little hissing sounds.

The doctor said, "Take heart, little sister."

She bent over Laila.

Laila's eyes snapped open. Then her mouth opened. She held like this, held, held, shivering, the cords in her neck stretched, sweat dripping from her face, her fingers crushing Mariam's.