A Son of the Circus

been lost. He resolved that he would compliment Dr. Aziz on his highly disciplined faith at the first opportunity. But when Dr. Aziz stepped into the elevator at the fifth floor, Farrokh was completely flustered. He scarcely managed to say, “Good morning, Doctor—you’re looking well!”

“Why, thank you—so are you, Doctor!” said Dr. Aziz, looking somewhat sly and conspiratorial. When the elevator door closed and they were alone together, Dr. Aziz said, “Have you heard about Dr. Dev?”

Farrokh wondered, Which Dr. Dev? There was a Dr. Dev who was a cardiologist, there was another Dev who was an anesthesiologist—there are a bunch of Devs, he thought. Even Dr. Aziz was known in the medical community as Urology Aziz, which was the only sensible way to distinguish him from a half- dozen other Dr. Azizes.

“Dr. Dev?” Dr. Daruwalla asked cautiously.

“Gastroenterology Dev,” said Urology Aziz.

“Oh, yes, that Dr. Dev,” Farrokh said.

“But have you heard?” asked Dr. Aziz. “He has AIDS—he caught it from a patient. And I don’t mean from sexual contact.”

“From examining a patient?” Dr. Daruwalla said.

“From a colonoscopy, I believe,” said Dr. Aziz. “She was a prostitute.”

“From a colonoscopy… but how?” Dr. Daruwalla asked.

“At least forty percent of the prostitutes must be infected with the virus,” Dr. Aziz said. “Among my patients, the ones who see prostitutes test HIV-positive twenty percent of the time!”

“But from a colonoscopy. I don’t understand how” Farrokh insisted, but Dr. Aziz was too excited to listen.

“I have patients telling me—a urologist—that they have cured themselves of AIDS by drinking their own urine!” Dr. Aziz said.

“Ah, yes, urine therapy,” said Dr. Daruwalla. “Very popular, but—”

“But here is the problem!” cried Dr. Aziz. He pulled a folded piece of paper from his pocket; some words were scrawled on the paper in longhand. “Do you know what the Kama Sutra says?” Dr. Aziz asked Farrokh. Here was a Muslim asking a Parsi (and a convert to Christianity) about a Hindu collection of aphorisms concerning sexual exploits—some would say “love.” Dr. Daruwalla thought it wise to be careful; he said nothing.

As for urine therapy, it was also wise to say nothing. Moraji Desai, the former prime minister, was a practitioner of urine therapy—and wasn’t there something called the Water of Life Foundation? Best to say nothing about that, too, Farrokh concluded. Besides, Urology Aziz wanted to read something from the Kama Sutra. It would be best to listen.

“Among the many situations where adultery is allowed,” Dr. Aziz said, “just listen to this: ‘When such clandestine relations are safe and a sure method of earning money.’” Dr. Aziz refolded the often-folded piece of paper and returned this evidence to his pocket. “Well, do you see?” he said.

“What do you mean?” Farrokh asked.

“Well, that’s the problem—obviously!” Dr. Aziz said.

Farrokh was still trying to figure out how Dr. Dev had caught AIDS while performing a colonoscopy; meanwhile, Dr. Aziz had concluded that AIDS among prostitutes was caused directly by the bad advice given in the Kama Sutra. (Farrokh doubted that most prostitutes could read.) This was another example of the first-floor dogs—they were barking again. Dr. Daruwalla smiled nervously all the way to the entrance to the alley, where Urology Aziz had parked his car.

There’d been some brief confusion, because Vinod’s Ambassador had momentarily blocked the alley, but Dr. Aziz was soon on his way. Farrokh had waited in the alley for the dwarf to turn his car around. It was a close, narrow alley—briny-smelling, because of the proximity of the sea, and as warm and steamy as a blocked drain. The alley was a haven for the beggars who frequented the small seaside hotels along Marine Drive. Dr. Daruwalla supposed that these beggars were especially interested in the Arab clientele; they were reputed to give more money. But the beggar who suddenly emerged from the alley wasn’t one of these.

He was a badly limping boy who could occasionally be seen standing on his head at Chowpatty Beach. The doctor knew that this wasn’t a trick of sufficient promise for Vinod and Deepa to offer the urchin a home at the circus. The boy had slept on the beach—his hair was caked with sand—and the first sunlight had driven him into the alley for a few more hours’ sleep. The two automobiles, arriving and departing, had probably attracted his attention. When Vinod backed the Ambassador into the alley, the beggar blocked the doctor’s way to the car. The boy stood with both arms extended, palms up; there was a veil of mucous over his eyes and a whitish paste marked the corners of his mouth.

The eyes of the orthopedic surgeon were drawn to the boy’s limp. The beggar’s right foot was rigidly locked in a right-angle position, as if the foot and ankle were permanently fused—a deformity called ankylosis, which was familiar to Dr. Daruwalla from the common congenital condition of clubfoot. Yet both the foot and ankle were unusually flattened—a crush injury, the doctor guessed—and the boy bore his weight on his heel alone. Also, the bad foot was considerably smaller than the good one; this led the doctor to imagine that the injury had damaged the epiphyseal plates, which is the region in bones where growth takes place. It wasn’t only that the boy’s foot had fused with his ankle; his foot had also stopped growing. Farrokh felt certain that the boy was inoperable.

Just then, Vinod opened the driver’s-side door. The beggar was wary of the dwarf, but Vinod wasn’t brandishing his squash-racquet handles. The dwarf was nevertheless determined to open the rear door for Dr. Daruwalla, who observed that the beggar was taller but frailer than Vinod—Vinod simply pushed the boy out of the way. Farrokh saw the beggar stumble; his mashed foot was as stiff as a hammer. Once inside the Ambassador, the doctor lowered the window only enough so that the boy could hear him.

“Maaf karo,” Dr. Daruwalla said gently. It was what he always said to beggars: “Forgive me.”

The boy spoke English. “I don’t forgive you,” he said.

Also in English, Farrokh said what was on his mind: “What happened to your foot?”

“An elephant stepped on it,” the cripple replied.

That would explain it, the doctor thought, but he didn’t believe the story; beggars were liars.

“Was it being a circus elephant?” Vinod inquired.

“It was just an elephant stepping off a train,” the boy told the dwarf. “I was a baby, and my father left me lying on the station platform—he was in a bidi shop.”

“You were stepped on by an elephant while your father was buying cigarettes?” Farrokh asked. This certainly sounded like a tall tale, but the cripple listlessly nodded. “So I suppose your name is Ganesh—after the elephant god,” Dr. Daruwalla asked the boy. Without appearing to notice the doctor’s sarcasm, the cripple nodded again.

“It was the wrong name for me,” the boy replied.

Apparently, Vinod believed the beggar. “He is being a doctor,” the dwarf said, pointing to Farrokh. “He is fixing you, maybe,” Vinod added, pointing to the boy. But the beggar was already limping away from the car.

“You can’t fix what elephants do,” Ganesh said.

The doctor didn’t believe he could fix what the elephant had done, either. “Maaf karo,” Dr. Daruwalla repeated. Neither stopping nor bothering to look back, the cripple made no further response to Farrokh’s favorite expression.

Then the dwarf drove Dr. Daruwalla to the hospital, where one surgery for clubfoot and another for wryneck awaited him. Farrokh tried to distract himself by daydreaming about a back operation—a laminectomy with fusion. Then Dr. Daruwalla dreamed of something more ambitious—the placement of Harrington rods for a severe vertebral infection, with vertebral collapse. But even in prepping his surgeries for, the clubfoot and the wryneck, the doctor would keep thinking about how he might fix the beggar’s foot.

Farrokh could cut through the fibrous tissue and the contracted, shrunken tendons—there were plastic procedures to elongate tendons—but the problem with such a crush injury was the bony fusion; Dr. Daruwalla would have to saw through bone. By damaging the vascular bundles around the foot, he could compromise the blood supply; the result might be gangrene. Of course there was always amputation and the fitting of a prosthesis, but the boy would probably refuse such an operation. In fact, Farrokh knew, his own father would have refused to perform such an operation; as a surgeon, Lowji had lived by the old adage primum non