Tunnel Vision (2 page)

I had plenty of time to think about how different people would react to what had happened or might happen to me, since the emergency ward staff refused to act on
‘
this case
'
till the medico legal officer had grilled the good Samaritan foolish enough to bring me in. And it was Samaritan, not Samaritans, I realized, drifting through a gauzy memory of my hijra sister blowing a kiss at me as she closed the back door of the car that had been my rescue chariot. It was a good half hour before the resident doctor collared a consultant and began making desultory conversation about how long it would have taken me to bleed out.

The nurses fidgeting with my clothes – trying to remove the yards of dupatta in which my transporters had thoughtfully wrapped me, perhaps to dispel any suggestion of impropriety while moving female goods from point A to point B – were distracted by the sounds of a commotion near the entrance to the ward. It could be a particularly gruesome injury demanding much hollering and shouts of
‘
lookie this
'
, it could be a casualty of a political, ethnic or religious dispute escorted by sixty of his closest friends, or it could simply be my family. Would they be allowed in after me? Was I at Jinnah or Civil? Jinnah would have been closer to the scene of the accident but did it really matter? The four-foot-high wall that formed the only barrier between the open ward where paramedical staff and doctors did their initial exams and the thoroughfare that led into the hospital
'
s main hall couldn
'
t have kept out a family of Daulat Shah
'
s holy midgets, let alone the remnants of the Siddiqi clan. If indeed it was the clan, at least one of the absent patriarch
'
s plans had come to some kind of double-edged fruition.

The most tangible legacy of my father
'
s disappearance fourteen years ago were the cards we all had to carry on our persons at all times. Name. Age. Address. Blood Group. Numbers and names of people to call in case of emergency. Someone had obviously been rooting through my wallet.This was a government hospital, so I didn
'
t expect to find any cash left in the wallet if I ever got to go through it myself again, but it was reassuring to know that some of the staff, at least, could read.

Saad wasn
'
t on that list yet, since we had no formal relationship, just an unspoken understanding. I had awkwardly attempted to formalize today by asking him, so rapidly that he made me repeat myself twice before he could make out what I was saying, to marry me. But women don
'
t blatantly court men here in Pakistan. Most women anyway. They capitulate, manipulate, tempt, flirt, induce seduction, but they aren
'
t supposed to lead the mating dance, only (occasionally) participate in it. Was that why some mythical force had seen fit to propel me head first through a windshield? Had I broken the code? Upset the apple cart? Set fire to the dhobi ghat? Did it serve me right for serving him the wrong side dish?
Palak
plea instead of
palak aloo.

It was really all my mother
'
s fault, I mused while watching as emergency ward staff swarmed over me like flies on a carcass – a nurse in a slightly grubby uniform ventured a needle stab here and a pinprick there while another placed an oxygen mask over my face – if she hadn
'
t latched onto me in her passive aggressive
‘
it
'
s been three years I
'
m only thinking of your best interests
'
style, Saad and I wouldn
'
t have parted as we had. Badly. Abruptly. The silence after the plea. My question hanging in the air like a baby mushroom cloud over the Chagai hills, a woefully inadequate manifestation of the destruction beneath. I had rushed out without waiting to hear his answer. Any answer. Not wanting him to see me cry.

If I hadn
'
t shown emotion everything would have been all right. But my emotional constipation had been relieved by the laxative of pain, my bubble punctured by the prick of self-pity, and Saad was probably still clueless and no one had bothered to tell him I was fresh road kill and and and …

I wasn
'
t usually like this. Ice maiden, that was more my style. I claimed extenuating circumstances. The shock was wearing off, and the reality of my situation latched onto my ankle and almost dragged me under.

There lay my body on a bed in the emergency ward of one of the city
'
s busiest government hospitals. The yellow enamelled walls, the paan stains in the corner by the entrance, the bloody lumps of cotton wool tossed carelessly under a bed, my private medical nightmare had obviously begun. Doctors and paramedics were doing officious things to my arms, chest and head. They varied in size, girth and skin colour, but were united by the same carefully cultivated look of festering, ceaseless bitterness. Had they not been paid again? I remembered the strike from last year … focus, Ayesha, focus, stick around.

An orderly slouched in a corner looking bored. He probably saw dozens of people like me every day. Except he couldn
'
t, because there weren
'
t dozens of people like me. There was only one me. Someone needed to be aware of that. There were other comatose and non-comatose people in the ward at the moment, but you only had to look at me to know I wasn
'
t one of them. I had far better skin for one, cranial gashes or no cranial gashes.

A doctor motioned to the orderly and he helped a nurse move me from the ward. I was taken into an operating theatre. A cockroach crawled across the instruments arrayed behind a nurse. A creature of the darkest drains. Milky. Probably blind. In a hospital. Those instruments would be picked up, used, inserted into my poor body. If the accident didn
'
t kill me, infection surely would. I read the papers, I worked in a pharmaceutical company, and I knew the facts. Even if they managed to stitch my head back together and revive me I
'
d probably develop complications because of poor hygiene standards and post-operative care. Bugs swarmed in blood banks. Staphylococcus nestled in open wounds. Cats wandered through maternity wards. Who hadn
'
t heard the one about the newborn and the hungry tom? The heralds of the germ brigade had probably already sounded the battle cry; bacteria were no doubt converging in orderly formations upon my helpless appendages as my soul thrashed, panicked and trapped, in the air above.

I tried to dive back in, slip into the glove of my flesh, rise triumphantly from the table and annihilate that roach, rip the scalpel from the nearest hand and yell
‘
thanks I think I
'
ll just take two Panadols instead okay? Bye!
'
but I couldn
'
t. Over, under, next to, above, beside but never in. Leaving the room, reaching my mother was also like straining against an invisible leash. Surely she
'
d hear the anguished silent cries of her first-born, heed the metaphorical tug on the emotional umbilical cord that was supposed to bind me to her? But no. Bad reception. Cable hadn
'
t gone astral yet. Once again, I had been reduced to passive onlooker, a spectator in the contact sport of my own life. I needed to get out of here. Out of this state-funded, top heavy, germ-ridden hellhole. It didn
'
t matter if the emergency staff here had more experience than all the rest of their private cousins combined, I was a child of my generation, and what I feared most was the things I couldn
'
t see.

‘Take me to the Agha Khan,
'
I yelled. The scream echoed in my ears. The medical staff continued their dispassionate probing, chatting amiably about this and that, cricket and music, TV and red tape, undisturbed by the turmoil in the air around them.

If only someone would tell Saad. He
'
d get me out of here.

I whimpered in a corner till they finished. Then the orderly rose from his upright stupor to wheel my gurney into what must be a recovery room, cluttered with all manner of whining electronica, two doctors separating from the pack to settle me in. Then my mother rushed in to stand by my side, and the cockroach, even the accident, became a distant, almost pleasant memory, a minor chord in a discordant cacophony now being conducted by the pit mistress herself, the mother of Ayesha.

MAAN KI DUA, JANNAT KI HAWA

BACK OF RICKSHAW

~

M
y mother is one of that special breed of women for whom helplessness is the critical survival mechanism. Rain or shine, crisis or calm, she has made such a habit of ostensibly throwing herself upon other people
'
s mercy, I am surprised she can still walk upright. It would probably be easier to just squirm like the sun-resistant worm she has become. I love my mother but, as you can probably tell, the sum total of my respect for her coping skills would probably feel lost on a needlepoint.

And as she lurched to my bedside, doing her best impression of a pious aunty overwhelmed at a
dars,
it became apparent that she was running true to type.

‘
Oh, Ayesha Ayesha! What has happened to you? How has it happened?
'
She lifted her dupatta to wipe the tears streaming down her face. The male doctor seemed unnerved, but the woman put her clipboard down long enough to squeeze my mother
'
s shoulder reassuringly.

‘
Now Auntie, she isn
'
t as bad as she looks.
'

‘
Good, because she looks dead. Tell me beta, when will she wake up?
'
In the blink of an eye, my mother had rejected the nurturance of the female and courted the indifferent male.

‘
Dr Fauzia can answer that question better than I can. This is her case, I
'
m just observing.
'

A lesser woman would have been embarrassed by her own misogyny, but I knew that for my mother snubs were often just stepping stones to emotional confidence. And she didn
'
t disappoint.

‘
I didn
'
t realize you were the senior doctor, beti, you just look so young. You tell me then, if she isn
'
t dead, when will she wake up?
'

The two doctors exchanged glances. The man turned away. I began to get worried.

‘
She had some external head trauma which we
'
ve addressed, and she
'
s stable, but in a case like this there are other factors that come into play. With head trauma, we don
'
t know much about the extent of the possible internal injury for forty-eight hours. We
'
ll know more in a day or so.
'

‘
You might not know much right now but that
'
s still more than I do. So whatever it is you know, tell me!
'

I didn
'
t expect her to get a straight answer. Most local doctors were given to cryptic proclamations from up high, hardly ever taking the time to explain what was happening, automatically assuming the layman incapable of understanding. It might have evolved as the quickest way of coping with a largely illiterate population given to fits of emotional excess rather than a focused plan of action, but that didn
'
t make their arrogance any less annoying. Still, nearly all of us had fallen into the habit of accepting it. I would have pegged my mother as one of the pre-cowed supplicants mutely accepting the aforementioned cryptic proclamation from on high as her due, and the ferocity of her words caught me by surprise. I wasn
'
t the only one either.

‘
Look,
'
Dr Fauzia cleared her throat,
‘
the impact of the car that hit her propelled your daughter
'
s torso through the windshield. She obviously wasn
'
t wearing a seat belt, because, you know nobody here does. Everything is God
'
s will, isn
'
t it? If you have any other children, perhaps you might insist they wear one. If you have any in your car, of course.
'

She must have seen a lot of accidents like these, I realized. And she was really quite young.

Despite how annoying they became when they actually got their medical degrees, I had a healthy respect for people who wanted to be doctors. Eight years of higher education, at least, and then a lifetime of exposing yourself to all the ills of the world. Okay, I wasn
'
t that impressed with dermatologists or dentists, that was light work, but the poor emergency room doctor …

‘
Anyway,
'
she had collected herself,
‘
she has suffered significant head trauma, perhaps internal as well as external. The extent of the damage won
'
t be seen until the swelling recedes. A CT scan would give us a more accurate picture of where we stand, but until we can do one we won
'
t have any idea how long the coma will last, or how responsive she will be when she wakes up. And even then there are no guarantees.
'

‘
So why aren
'
t you doing a CT scan right now?
'
There was an edge to Ammi
'
s voice.

The doctors looked a little embarrassed. The man suddenly decided to saunter over to the other bed in the room and study the machines its occupant was hooked up to. Was it a man, was it a woman? All I could make out was a badly burnt hunk of human-shaped flesh, the scar tissues precluding any hopes of identifying gender.