nodded eagerly. “Ninety-sixth percentile to be precise.”
“Then tell me, what would you do with an unresponsive patient?”
“Well, hmm, let’s see,” Akhmed stammered. “First I would have him fill out a questionnaire to get a sense of his medical history along with any conditions or diseases that might run in his family.”
“You would give an unconscious, unresponsive patient a questionnaire?”
“Oh, no. Don’t be silly,” he said, hesitating. “I would give the questionnaire to the patient’s wife instead.”
Sonja closed her eyes, hoping that when she opened them, this idiot doctor and his ward would have vanished. No luck. “Do you want to know what I would do?” she asked. “I would check the airway, then check for breathing, then check for a pulse, then stabilize the cervical spine. Nine times out of ten, I’d be concentrating on hemostasis. I’d be cutting off the patient’s clothes to inspect the entire body for wounds.”
“Well, yes,” Akhmed said. “I would do all of that while the patient’s wife was filling out the questionnaire.”
“Let’s try something closer to your level. What is this?” she asked, raising her thumb.
“I believe that is a thumb.”
“No,” she said. “It is the first digit composed of the metacarpal, the proximal phalange, and the distal phalange.”
“That’s another way of saying it.”
“And this?” she asked, pointing to her left eye. “What can you say about this besides the fact that it is my eye, and it is brown and used for seeing?”
He frowned, uncertain what he could add. “Dilated pupils,” he said at last.
“And did they bother teaching the top tenth percent what dilated pupils are symptomatic of?”
“Head injuries, drug use, or sexual arousal.”
“Or more likely because the hallway is poorly lit.” She tapped a small scar on her temple. No one knew where it had come from. “And this?”
He smiled. “I have no idea what’s going on in there.”
She bit her lip and nodded. “Okay,” she said. “We need someone to wash dirty sheets anyway. She can stay if you work.” The girl stood behind Akhmed. In her palm a yellow bug lounged in a pool of melting ice. Sonja already regretted her consent. “What’s your name?” she asked in Chechen.
“Havaa,” Akhmed said. He gently pushed the girl toward her. The girl leaned against his palm, afraid to venture beyond its reach.
A year earlier, when Natasha had disappeared for the second and final time, Sonja’s one- and two-night stays in the trauma ward had lengthened into weeks. After five weeks had passed since she’d last slid the key into the double lock, she had given up on the idea of ever going back. The twelve blocks to her flat might as well have been the Sahara. Waiting for her there was a silence more terrible than anything she heard on the operating table. Years before that, she had posed with her hand pressed against a distant Big Ben, so that in the photograph her fiancé had taken, she appeared to be holding up the clock tower. He had taken it on the eighth of their seventeen-day engagement. The photograph was taped above the desk in her bedroom, but not even its rescue was enough to lure her home. Living in the trauma ward wasn’t much of a change. She’d already been spending seventeen of her eighteen waking hours in the ward. She knew the bodies she opened, fixed, and closed more intimately than their spouses or parents did, and that intimacy came as near to creation as the breath of God’s first word.
So when she offered to let the girl stay with her, she meant here at the hospital; but the girl already knew that as she followed Sonja to her room.
“This is where we’ll sleep, all right?” she said, setting the girl’s suitcase by the stacked mattresses. The girl still held the bug. “Is there something in your hand?” Sonja asked tentatively.
“A dead bug,” the girl said.
Sonja sighed, grateful, at least, to know she wasn’t imagining it. “Why?”
“Because I found it in the forest and brought it with me.”
“Again, why?”
“Because it needs to be buried facing Mecca.”
She closed her eyes. She couldn’t begin with this now. Even as a child she had hated children; she still did. “I’ll be back later,” she said, and returned to the corridor.
If nothing else, Akhmed was quick to undress. In the time it took her to show the girl to her room, he had changed into white scrubs. She found him preening before the hallway mirror.
“This is a hospital, not a ballroom,” she said.
“I’ve