Apple and considered herself a New Yorker. That’s where she’d been born, and as hard as it had been, that’s where she’d grown up.
Jennifer took another sip of her coffee, and switched her full attention to the TV. The two CNN talking heads had said something that caught her interest. They had said that medical tourism seemed to be threatening to become a growth industry in the developing world, particularly in South Asian countries like India and Thailand, and it wasn’t just for cosmetic or quack procedures, such as untested cancer cures, as it had been in days of yore. It was for full-blown twenty-first-century procedures, such as open-heart surgery and bone-marrow transplants.
Leaning forward, Jennifer listened with growing interest. She’d never even heard the term
To Jennifer it was apparent the newscasters shared her disbelief. “It’s shocking,” the man said. “In 2005, more than seventy-five thousand Americans traveled to India for major surgery, and since then, according to the Indian government, it’s been growing more than twenty percent per year. They expect by the end of the decade, it will be a two-point-two-billion-dollar source of foreign exchange.”
“I’m amazed, totally amazed!” the woman newscaster said. “Why are people going there? Does anyone have an idea?”
“Lack of insurance here in the States is the main reason, and cost is the second,” the man said. “An operation that would cost eighty thousand here in Atlanta might cost twenty thousand there; plus, they get a vacation at a five-star Indian resort to boot.”
“Wow!” the woman commented. “But is it safe?”
“That would be my concern as well,” the man agreed, “which is why this story that’s just come in is so interesting. The Indian government, which has been supportive of this medical tourism with economic incentives, has claimed over the last number of years that the results are as good as or better than anywhere in the West. They say the reason is that the surgeons are all board-certified, and the equipment and hospitals, some of which are accredited by the International Joint Commission, are state-of-the-art and brand-new. However, there’ve never really been much data and statistics in any of the medical journals to back up such claims. Just a few moments ago CNN learned from a known, reliable source that a generally healthy sixty-four-year-old American woman from Queens, New York, named Maria Hernandez, who’d had an uncomplicated hip replacement some twelve hours earlier, suddenly died at seven-fifty-four Monday night, India time, at the Queen Victoria Hospital in New Delhi, India. Of particular interest, the source said she was certain that this tragic passing of a healthy sixty-four-year-old was merely the tip of the iceberg.”
“Very interesting,” the woman said. “I trust we’ll be hearing more.”
“That’s my understanding,” the man agreed.
“Now, let’s move on to the interminable ’08 presidential campaign.”
Jennifer sat back, dazed. In her mind she repeated the name: Maria Hernandez from Queens, New York. Jennifer’s paternal grandmother, the most important person in her life, was named Maria Hernandez, and more worrisome, she lived in Queens. Even more worrisome, she had a bad hip that had been progressively worsening. Just a month ago, she’d asked Jennifer’s opinion if she should get it repaired. Jennifer’s advice had been that only Maria could answer such a question, since it depended, at this stage, on how much disability and discomfort it caused.
“But India?” Jennifer shook her head. The fact that it seemed so totally unlikely that her grandmother would go to India without discussing the idea with her was Jennifer’s main source of hope that the story was just a coincidence and didn’t involve her Maria Hernandez but some other Maria Hernandez who also lived in Queens. Jennifer and her grandmother were extremely close, since Maria was Jennifer’s ersatz mother. Jennifer’s real mother had been killed when Jennifer was only three, as the tragic victim of a hit-and-run driver on the Upper East Side of Manhattan. Jennifer, her two older brothers, Ramon and Diego, as well as her good-for-nothing father, Juan, had lived in Maria’s tiny one-bedroom row-house apartment in Woodside, Queens, almost from the day of the accident.
Jennifer had been the last child to move out, and that hadn’t happened until she’d left for medical school. In Jennifer’s mind, Maria was a saint whose own husband had abandoned her. Maria had not only allowed them all to live with her, she’d supported and nurtured them all while working as a nanny and housekeeper. Jennifer and her brothers helped with after-school jobs as they got older, but the main breadwinner had been Maria.
As for Juan, he had done nothing for as long as Jennifer could remember. Supposedly having suffered an old incapacitating back injury before Jennifer was born, he’d been unable to work. Before her death, Jennifer’s mother, Mariana, had been the only wage earner, a buyer for Bloomingdale’s. Now that Jennifer was nearing the end of medical school and knew something about psychosomatic illness and malingering, she had even more reason to question her father’s supposed disability and despise him even more.
As the lounge chair she was sitting in was low with high arms, Jennifer had to struggle to get to her feet. She couldn’t just sit there with the disturbing worry about her grandmother. She also knew that even the slight possibility that the news release involved her grandmother was going to make it near impossible to concentrate when she met her new preceptor. She had to find out for certain, which meant she was going to have to do something she was loath to do—call her hated, lazy-ass father.
Jennifer had barely spoken to her father since she was nine, preferring to pretend he didn’t exist, which was somewhat difficult, as they were all living together in such tight quarters. In that regard, it had been a relief since she’d come to L.A., as she hadn’t spoken to him at all. During her first year, if he ever happened to answer the phone when she’d called Maria, she just hung up and would try later when she was certain her grandmother would be home. But mostly she let her grandmother call her, which her grandmother did on a regular basis. Even the phone was no longer a problem when her grandmother, at Jennifer’s insistence, got a mobile phone and allocated the land line to Jennifer’s father. As far as Jennifer visiting New York was concerned, she hadn’t done it for four years. It was partly because of her father and partly because of the expense. Instead, she’d had her grandmother come out to the West Coast every six months or so. Maria had loved it. She’d told Jennifer that for her, coming to California to see Jennifer was the most exciting thing she’d done in her whole life.
Inside the women’s locker room, Jennifer undid the safety pin that held her locker key, opened her locker, and got out her cell phone. After walking around the room and searching, she was happy to find a hot spot with an adequate signal. She dialed, and as she waited for the call to go through, she gritted her teeth in anticipation of hearing her father’s voice. As it was seven-forty-five in L.A., she knew it would be ten-forty-five in New York, just the time Juan usually raised himself from the dead.
“Well, well, my uppity daughter,” Juan scoffed after the initial hellos. “What’s the occasion I get a call from the snooty doctor-to-be?”
Jennifer ignored the provocation. “It’s about Granny,” she said simply. She was insistent that she wasn’t going to be baited into expanding the conversation beyond the issue at hand.
“What about Granny?”
“Where is she?”
“Why do you ask?”
“Just tell me where she is.”
“She’s in India. She finally had her hip repaired. You know how hardheaded she is. I’ve been asking her to do it for a couple of years since it was really getting in the way of her work.”
Jennifer bit her tongue about the comment concerning work, knowing her father’s history. “Have you heard from the doctor or the hospital or anything?”
“No. Why should I?”
“They have your telephone number, I assume.”
“Certainly.”
“How come you didn’t go with her?” It pained Jennifer to think of her grandmother going all the way to India by herself and facing major surgery when the most distant travel she’d ever done was come to California to visit
