inserted a rubber tube into the cavity it left and drained the fluid out. The nurses swabbed and cleaned. He tied off the appendix from the caecum and cut it free. He closed the wound and stitched it, dressing the cut with iodoform gauze.
He stepped back and looked at the clock on the wall – only thirty-five minutes had passed. He felt exhausted, ruined. He washed his hands and moved through in a daze to the dressing room. He sat in a chair, elbows on his knees, head hanging, watching the sweat drops fall from his nose on to the hexagonal tiles beneath his feet. He heard Pantaleon come in and felt his reassuring squeeze on his shoulder.
'Very successful,' Pantaleon said. 'I think we had an hour or two to spare.'
'I'd better see Sieverance.'
He changed his clothes and went through to his consulting room where Sieverance was waiting and told him that the operation was over and seemed to have passed off well. To his alarm and embarrassment, Sieverance collapsed in his arms, in a kind of weeping swoon and had to be revived with a small glass of brandy.
'It's all right,' Carriscant said to him. 'It's over. It went well. I'm sure she'll be fine.'
Sieverance clung to him, fingers clutching his biceps, like a drowning man just hauled from the water.
'Bless you, Carriscant,' he said. 'Bless you, I'll never forget this.'
Carriscant said something to him, something bland and consolatory, knowing that there was a double dose of truth in Sieverance's affirmation. He would never forget, that was for sure, as it was also for sure that he would never cease to regret, either.
A 'SIMPLE SURGEON'
Salvador Carriscant stared at the interleaved fingers of his hands, trying to pray, contemplating the horizontal and vertical creases on his knuckles, each one unique and different, like Chinese ideograms scored in the loose flesh above the fingerbones. Why should that be, he wondered, idly? The first joint, say, of my left little finger moves identically to the right joint, yet the creased flesh on the left forms a distinct starburst effect, whereas on the right – He raised his eyes, to the nape of the man's neck bowed in the pew in front of him. Collar too tight, small canopies of flesh overlapping on either side. Hair growing right down the neck too. No. Rather growing up, from his back. How far down should the barber trim? Kindly remove your shirt, sir. He looked back at his prayer- clasped hands: the skin between the finger joints with their small neat patches of hair, almost tended-looking, all growing in the same direction. Densest on the ring finger, curiously, wonder if that's true of other men? Liver spot on his hand-back. Or a big freckle, maybe?
He thought at once of the freckles on Delphine Sieverance's forearm, upon and over which his eyes had rested and travelled as he had taken her pulse the day before. Freckles at her throat too, at the top of her chest and the tender indentations of the collarbone. How far down did they go, he asked himself. Would her breasts and shoulders be dappled with pigment, like a trout, like some hen's eggs you see, a light shading? There were none on her belly, none on her- He closed his eyes as the priest invited the congregation to join him in prayer. Carriscant moved his lips and felt a sound blurt from his chest, half moan of longing, half frustrated grunt of pain. Annaliese nudged him sharply with her elbow and he looked round at her, his eyes full of pious apology, and he tapped his chest and made a face as if he had indigestion.
'… tibi Domine commendamus animam famuli tui, ut de-functum saeculo, tibi vivat… '
'Amen,' he managed to say.
The congregation gathered on the steps of the Santa Clara church while they waited for their carriages to arrive. Annaliese chatted with acquaintances while Carriscant stood alone, hands behind his back, head down, the toe of his shoe tapping out a rhythm on the cracked marble steps. He exhaled and put on a smile for a Spanish family that he vaguely knew – a man helping his ancient, lace-shrouded mother-in-law down the shallow steps to the waiting victoria. Her face was white and dull, matt with face powder. How old? Somewhere in her eighties. What changes she had witnessed! If she looked to her right she could see the big Stars and Stripes flying over Fort Santiago; to her left the Plaza Mayor, now renamed Plaza McKinley in honour of the assassinated president. Sixty years ago, when she was a haughty young peninsulara such notions, such transformations, would have seemed beyond the bounds of wildest fantasy. She was settled delicately in the little carriage now and some granddaughters climbed in beside her. She looked straight ahead, squid-black eyes moist and unforgiving. How much more of this new century would she see, he wondered? Probably ready to go now, keen. It happens. The body tires, the mind senses its fatigue: ready to go.
He was still pondering this question as he and Annaliese sat side by side in their carriage as they were driven down Calle Palacio towards their house. Annaliese was relating some article of gossip which he was barely registering. The carriage had to make a detour up Calle da Ando as the Americans were digging up a cobblestoned stretch of Palacio in order to macadamise the street. They turned left and as they crossed the Calle Real he suddenly told Constancio, the coachman, to stop.
'Where are you going?' Annaliese said in surprise as he opened the small door at his side.
'The hospital. As we're so close. It occurred to me that there's a patient I must see. I operated yesterday. I'm a little concerned.'
'But it's Sunday.' Annaliese protested, her eyes heavy with… with what? Disappointment? Suspicion?
'My dear, ill health doesn't take weekends off.'
'Don't patronise – ' She started again in a low raw voice, conscious of the broad back of Constancio, listening. 'But you're never at home, never, nowadays. Why don't you move in, set up your bed there?'
'A most amusing suggestion, my dear, but really -'
' Salvador,' her voice brooked no further argument. 'It can wait 'til tomorrow. Nothing is so urgent.'
'You don't understand. The new American hospital's providing stiff competition. All these contract surgeons they're bringing over. I'm only thinking of our future.' The lie sounded feeble and inept; he felt he could taste it in his mouth, a sour ashy thing. He backed away without a further word, waved and smiled and strode off up the Calle Real towards his hospital.
Delphine Sieverance had made a slow but sure recovery from her operation. The first week had been the worst with the agonising fear of peritonitis on everyone's mind, but as time passed and she regained her strength it became clear that the operation had been a total success. She had been in the San Jeronimo now for almost two weeks, in a private room, and was now able to swing herself out of bed and take a few shuffling steps across the floor to the window. Carriscant saw her every day without fail, even if it was only for a matter of a few minutes, but rarely alone. Sieverance had employed an American nurse to sit with her at nights and he himself was often there. She had many visits from friends, also, and the news of the operation, its danger and her steady recovery had already brought Carriscant an increase in American patients. His renown had spread and he was busier than ever. But the important factor for him was her presence: she was there, close, under his roof. He could climb the stairs, knock on her door, take her temperature, consult her charts, order her dressing changed. He could be near her, he could be with her whenever he wished. The itch could always be scratched, the craving always satisfied. But now it was the thought of her leaving that began to weigh on him. Sieverance had asked if she might be home for Christmas and Carriscant said that he was sure it would be possible. The very fact that she was beginning to walk again made it difficult for him to insist on her staying in the hospital any longer.
He climbed the stairs to her room and met a nurse at her door, leaving, carrying a tray with the remains of a meal on it. He knocked and entered when she called. She sat up in bed, propped against pillows, her dull red hair down on her shoulders, an open book in her lap. Through the open window he could see over the huge overgrown city walls to a portion of the botanical garden with its ill-tended scrubby, dusty allies bordered by a turbid brown loop of the Pasig. Lunchtime smoke rose from the kitchens of Quiapo beyond. There was a haze this morning, he thought, humid, it might have been a day in June.
'Mrs Sieverance, how are you?'
'Better than ever.' She smiled at him. She was always pleased to see him, he knew. The man who had saved her life: she trusted him, her friend, her saviour. 'I sat in the chair to read. I got in and out of bed. Not a twinge.'
'We'll have those stitches out soon.'
'Can't wait.'
