She was studying her city when the nurses arrived on the morning she was to perform her third solo delivery. “It’s going to get busy,” Maali said, with no small amount of glee. With her rain jacket, windbreaker, and overcoat hung on different pegs, the coat stand suggested a fully staffed ward. “We heard land mines on the way in.”
Deshi wagged her head. “You enjoy this job too much, sister. I worry your head has broken.”
“It’s too bad you can’t amputate a head.”
“You can. It’s called a decapitation.”
Maali noted it excitedly on her clipboard.
“We’re all working trauma today,” Deshi said.
“What if there are deliveries?” Natasha asked.
“Then you’ll do them, Natashechka. It doesn’t take much to deliver a child. The mother does most of the work.”
The first casualties arrived a half hour later; red heat radiated from their skin. Natasha disinfected the ropy ends of a calf when Deshi came calling. “We have a delivery. Go.”
The patient lay gowned and supine on the maternity ward bed. Her face throbbed against the white sheets, as flushed and anguished as those four floors below. Two men stood beside her, each holding one hand. She recognized the cleft in the older man’s chin, but now wasn’t the time for pause, for reflection; now was the time to act. She stood between the woman’s pale open legs, trying not to look down.
“The contractions are three minutes apart,” the younger man volunteered. He spoke with the halting formality of an outsider.
It was all she needed in order to remember what to do. “Lasting how long?”
He didn’t know. Sweat grew heavy on the woman’s forehead and trickled toward her temples. After washing her hands to her wrists, rubbing sanitizer to her elbows, she snapped on a fresh pair of gloves. Another contraction came; they all heard it.
“Do you feel like you have to shit?” she whispered into the woman’s ear, afraid of embarrassing her in front of her husband.
The woman nodded.
“What did you ask?” the younger man asked. “Is she okay?”
“The child is in the birth canal, putting pressure on the rectum, that’s all.” These people knew nothing of her, and she drew enough confidence from what they did not know to keep her voice level. They didn’t know that her name was Natasha; that she had performed only two solo deliveries, one and three weeks earlier; that six months earlier, as she detoxed in a Rome psych ward, God had pulled her through a needle’s eye so narrow that this thread in front of them was all that remained.
She told the woman to lift her pale little legs, place her feet in the stirrups, and the woman did. She pulled the woman’s dress into a crumpled hoop around her stomach. They thought she knew what she was doing and she made their faith hers.
“My chest hurts,” the woman said.
“You need to breathe.”
“My eyes hurt,” the woman said.
“You need to blink.”
She set two pillows on the floor, beneath the woman’s open legs, just in case. The vise of the woman’s grip crushed the older man’s fingers to squirming scarlet tendrils. “I’ve seen you before,” Natasha said, but was swallowed within the woman’s wail. “Push,” Natasha said. “Push.”
A mat of damp hair ringed by pubic curls began to crown.
“Gently,” she said, extending her hands as the mat of hair became a head. “Take deep breaths. Slow breaths. Imagine you are inflating a balloon. Your breaths are slow and deep. Blow through your mouth at the most painful point of each contraction. Try to whistle.”
She steadied her hands beneath the crowning skull. Instinct told her to palm the back of the child’s head so its first sensation was of warmth and comfort, but she kept a finger’s width between the child’s skin and her own. Maali had warned her never to touch a child’s head before seeing its face; doing so could cause the child to inhale amniotic fluid. But it wasn’t the child who gasped, it was Natasha as she watched the damp forehead emerge. The birth canal sheathed every slip of skin as the mother slid her child into life. Its little eyes didn’t move. Far away, the mother emptied her lungs in an unshaped melody. They all inhaled her whistle.
“The head has come out,” Natasha announced, trying her hardest, for the sake of professional decorum, to stifle the smile widening across her face. The mother pushed and the room hushed, dampened, narrowed by her exertion. The shoulders stuck. With the most tender turn of her gloved hands, Natasha rotated the child’s head so its lids looked into the fleshy pale of the mother’s thigh. The right shoulder slid through. She lifted the child’s head and when the mother’s next whistle pushed out the left shoulder, the rest glided into her hands like an afterthought.
She lifted the umbilical cord over the child’s face, and the warm wet weight of the head pressed to her palm. She angled the child toward the floor. “A girl,” she said. The child opened its eyes and a sharp chill ran through her to know that hers were the first hands to hold the girl.
“She doesn’t look right,” the father said.
Natasha rubbed the girl’s back through a towel, then tilted her head to open the airway. She stroked the girl’s nose, dried the girl’s mouth, suctioned residue through a plastic syringe, tickled her feet, but still the girl hadn’t cried. Should she run downstairs for help? Could she perform CPR on a newborn? She pushed her fingers into the child’s soft, soggy soles, and begged them to kick back. At the ends of her feet the protruding toes seemed in error, so curled and delicate they might sink back into the doughy flesh. These are the feet of a human being you brought into the world. She will not die.
She didn’t. Lips drawn to the pink edges of her toothless gums. A sharp gulp.
“She’s breathing.”
“I can hear,” the father said. The girl wailed. “She breathes like her mother.”
She placed the girl on the mother’s bare skin. The mother stared through a frame of damp hair and recognized her daughter; they were both breathing. Pink liquid trickled from the girl’s mouth, striping the incline of her mother’s still swollen stomach. With a fresh towel Natasha wrapped the two together.
“You should start nursing as soon as you feel able,” Natasha said. She didn’t need to borrow their confidence. It was hers. “It will help the placenta come out and stop the bleeding.”
The mother nodded weakly, happily. Her voice was unfamiliar when she spoke. Natasha had only heard it in screams. “This is my daughter?”
“Yes,” Natasha said, finally allowing herself a smile. “She’s yours.”
The older man approached as she washed her hands under the sputtering tap. There was much yet to clean, but first, her hands. He thanked her.
“The mother did most of the work,” she said. In his wrinkles she recognized his face as she might a photograph crumpled and flattened. “I’ve seen you before.”
“Have you been to Eldár?”
In a truck, with five other women. “In passing.”
“What about the city university? I taught there. Or the Café Standard? I enjoyed their bebop nights. Do you like bebop?”
“I don’t like trumpets.”
“But what if a trumpet is playing the music you like?”
She thought of loose screws trembling on the Nightclub dance floor.
“The music I like can’t be played on a trumpet,” she said.
“If it can’t be played on a trumpet, it’s not music.”
“My name is Natasha,” she said, smiling.
“Khassan Geshilov.”
Repeating the name aloud, she saw the black-and-white dust jacket photo. “I’ve read your book.”
He gave a bashful laugh. “You’re the one?”
“It ended before the Russians arrived. A stupid decision, if you ask me.”
“If only you had been my editor! Origins of Chechen Civilization,” he said fondly, as if he had also forgotten the title. He turned to the boarded windows. “This is the whole city, isn’t it
?”
“As much as can be seen from the window.”
He strolled the ash-shaded streets and verdant leaves, reading the city so he might later remember. He lingered at an intersection between City Park and the university library, hesitated, then pressed his finger into the street. “The love of my life was nearly killed by a bus here. She had been following me, and I only found out then, with the screech of bus tires.”
“You have stalkers? No wonder you didn’t have time to write about the Russians.”
“That’s a story for another day.” He glanced back to the newborn. “Let’s introduce ourselves.”
The father and the historian embraced, all gratitude and congratulations silently locked between their arms. The father lifted the girl from the mother. His long fingers held her.
“What will you call her?” Natasha asked.
“Havaa,” the father said. “Havaa.”
CHAPTER
17
HAVAA’S FATHER NEVER again played chess after returning from the final trip to the mountains with Ramzan in January 2003. He spent his days caught like a coin between the divan cushions. Sweat seeped into his shirt collar, leaving a rim the color of crushed mustard seed. His fingers had, well, healed wasn’t the right word. The stumps had hardened into pink lumps rising from the webs of his palms. He struggled to button his shirt, open the door, eat, tie his shoes, and Havaa, insistent and unrelenting, became his hands.
The heat of the following summer weighed so much it would take an extra autumn to fully lift. Her mother kept her waistline hidden beneath wide skirts and aprons, refusing to wear maternity clothes. She still slept in her parents’ bedroom on a mattress so thin she felt the pattern of nail heads in the floor. Refugees still arrived, still overdressed and bewildered, and her father still took them in.
That summer the leaves drooped in the heat. Decay baked at her feet and in it crawled little insects that made homes in her boot prints. She hiked as if the forest were a fragile thing, careful to sidestep saplings so slender they bowed with the breeze. Her father told her that Soviet timber interests had controlled the forest before the wars, but she couldn’t find a tree stump on her side of the forest, and rust-chewed saw belts, buried like relics of a prior civilization, were the only evidence of past industry.
Flocks of migrating birds clutched shaded branches. Lizards hid in dewy deer tracks. Once, she saw a wolf slaloming between the birch trunks; its pink tongue lolled from its open mouth and the sunlight glimmered on its fangs. When the wolf spotted her, half hidden behind a hornbeam, its ears snapped skyward. It found her eyes amid the leaves and studied them, questioningly, and she stared back, unnerved but not quite afraid, until they came to an understanding, and the wolf continued its saunter through the long, lovely shadows. Despite her sprinting pulse, she had only pity for the wolf, sweltering, as it was, under that heavy silver coat.
She visited Akim often that summer. His portrait survived the February frosts and March thaws, but even the varnish, smeared like sunblock across his cheeks, couldn’t save him from the summer heat. His face slumped and faded. How the summer aged him. In life he had preferred the cold and dreamed of visiting the North Pole. In eighteen years his oldest brother, a geologist, would bury what remained of Akim’s portrait in Arctic snow, not quite at the North Pole, but close enough to make a compass needle spin in circles.
The sight of Akim’s half-erased face left Havaa crestfallen, but an hour’s trek from the village, she found the solution guarding a fallow field. The scarecrow wore a burlap sack and sun-bleached blue trousers, its straw-stuffed waist wider than that of any villager. A faceless cloth crammed with dead leaves sat where the head should be. Crows perched on its brim and mice nested in the sags of its shirtsleeves. Her parents warned her against venturing into the fields, but the chance to extend Akim’s life, once again, outweighed her fear. Each step planted with cautious deliberation, she reached the scarecrow. A wooden post, rooted in the soil, impaled the limp straw body. She kicked the post, then excavated its base. The dirt scratched her knees and she scratched the dirt back. The scarecrow tilted with the post, arms and legs hanging back like a refugee collapsing into bed. Mice scurried from the sleeves when they at last brushed the ground. The whole glaring sky focused on her as she tied a rag around the splintered post end, gripped, and pulled. The scarecrow’s head nodded as it fell along the furrows. His arms stretched across the dry soil as if searching for mines.
It took three afternoons before she joined the straw body to Akim’s head. When the sun set on the first evening, she left the scarecrow to sleep in the driest part of a roadside ditch. The next evening she hid him in the shadow of a fallen tree. Finally, she had the wilted torso leaning against the tree, and taking gardening shears by their blue rubber handles, she decapitated the faceless cloth head with a few rusty snaps. She dug a small hole, slid the post in, and the scarecrow stood. Browned straw jutted from the scarecrow’s neck, bearding Akim, but another few clips shaved him. Though the scarecrow looked better, it was still no more than a lax, lifeless body propped up beneath a fading portrait, requiring resuscitation. She snipped her hair with the gardening shears and pasted the clippings on Akim’s crown. She pricked her finger with a sewing needle and rubbed her warm blood onto Akim’s cheeks. Reenacting Akhmed’s movements, she thumped on the scarecrow’s chest, as he had thumped on the boy’s chest, and when the breath of life erupted—her own—she stood back and wiped the sweat-sting from her eyes. The air was clean. Her hands brown with dirt. Pride surged through her, raw and immense; she had believed happiness to be an absence—of fear, of pain, of grief—but here it roared in her as powerful as any sadness. She looked at her fingers and loved them. They had carried the scarecrow for three kilometers of field, road, and forest without setting off a single mine. They had saved Akim for a second time.
As the summer burned on she would lie on her back and describe to Akim the shapes of clouds spotted through breaks in the trees. She would lie on her stomach and report the gross and fascinating news from the insect world. She would complain about her mother and father, how the Landfill had changed them both and how the dry evening air combusted without refugees to douse the tension. Silence, she had learned, was safer than questions. Even as her mother’s belly grew, Havaa kept her questions and comments for Akim, who, in death, treated her more graciously than he ever had in life.
Havaa was sitting beside Akim when she heard her mother’s screams, first mistaking them for the breeze through thicket, but the air lay thick and still, and wind couldn’t call for help. She ran home. Her mother lay on the floor beneath a blood-soaked apron. Her father and Akhmed knelt beside her. “She’s hemorrhaging,” Akhmed was saying. “I don’t know what to do. We need to get her to the hospital.” She waited with her father while Akhmed hurtled toward Ramzan’s for his truck. In a shuddering voice her father kept asking the pale-faced woman—who looked like her mother and wore her mother’s apron but couldn’t be her mother—for forgiveness. If she had been dying every minute of every day, they might have been a happy family. The blood consumed every centimeter of apron cloth and Havaa was afraid the wound would become hers if she came too close. Her mother stirred, looked to her father, and wrapped her five fingers over his none. She opened her mouth, but he shook his head, told her to save her breath, and Havaa would always remember how he had shushed what might have been her good-bye so that she could breathe.
The splatter of gravel outside and Akhmed ran in, now in the living room, now kneeling on the floor, now lifting the head of the woman who would not be, could not be, but was her mother. Her father tried to help but he couldn’t even lift the hair from her eyes. They left Havaa at the house with instructions shouted from the open passenger window and swallowed by the road before she could ask for clarification. The road distended, becoming a cloud the truck fell into. She asked Allah to save her mother, and, as her prayer vanished in dust, wondered if she should ask again in Arabic.
Back
in the house she went to her parents’ bedroom and opened the top dresser drawer. She plodded over the cool circles of coins, rummaged through silk handkerchiefs and leather wristbands. She found it in the back of the drawer. It was wrapped in a cotton bandanna, next to the jewelry her mother tried on when she thought she was alone. Even through the bandanna her fingers remembered the grip. The knot was simple, loose, gone with a tug. The silvery finish shone as if in those months of darkness it had reserved its reflection for this. She held it as Ramzan had taught her. Close to her chest. As if carrying a water pitcher. What lay at the other end of the barrel didn’t matter. She couldn’t see past the trigger. The whole world was howling and if it kept on, if it didn’t stop, she would let the barrel reply.
She would remember the cool metal warming in her hands, how she gripped it like a banister. Later she would learn that Akhmed had shouted instructions as he drove; her father performed them as well as his hands allowed. She would never understand why Akhmed hadn’t thought to bring her when he needed a second set of fingers. In the panicked departure no one remembered her mother’s ID card. The sergeant at the checkpoint nodded often, sympathetically, and then explained there was simply no way he could allow her through without proper identification. There are few rules in war, he went on, but those that do exist must be upheld, because if so simple a rule as this is broken, then couldn’t the more complex, convoluted, one might even say absurd rules of the Geneva Convention break with even greater ease? Her father raised his hands in response, but the sergeant, a man who had grown up in a mining town above the Arctic circle, and found the Chechen climate so fine he had renewed his contract three times, had seen worse. Her mother died and the argument went on for several more minutes before anyone noticed.
A Constellation of Vital Phenomena Page 21
