Cutting for Stone
patient,” she said to the man who everyone believed to be my father, putting in his hands not only the life of a woman that he chose to love, but our two lives—mine and my brother's—which he chose to hate.

CHAPTER 3
The Gate of Tears
    W HEN SISTER MARY JOSEPH PRAISE felt the herald cramps of labor, Dr. Kalpana Hemlatha, the woman I would come to call my mother, was five hundred miles away and ten thousand feet in the air. Off the starboard wing of the plane Hema had a beautiful view of Bab al-Mandab—the Gate of Tears—so named because of the innumerable ships that had wrecked in that narrow strait that separated Yemen and the rest of Arabia from Africa. At this latitude, Africa was just the Horn: Ethiopia, Djibouti, and Somalia. Hema traced the Gate of Tears as it widened from a hairline crack to become the Red Sea, spooling north to the horizon.
    As a schoolgirl studying geography in Madras, India, Hema had to mark where coal and wool were produced on a map of the British Isles. Africa figured in the curriculum as a playground for Portugal, Britain, and France, and a place for Livingstone to find the spectacular falls he named after Queen Victoria, and for Stanley to find Livingstone. In future years, as my brother, Shiva, and I made the journey with Hema, she would teach us the practical geography she had taught herself. She'd point down to the Red Sea and say, “Imagine that ribbon of water running up like a slit in a skirt, separating Saudi Arabia from Sudan, then farther up keeping Jordan away from Egypt. I think God meant to snap the Arabian Peninsula free of Africa. And why not? What do the people on this side have in common with the people on the other side?”
    At the very top of the slit a narrow isthmus, the Sinai, thwarted God's intention and kept Egypt and Israel connected. The man-made Suez Canal finished the cut and allowed the Red Sea to connect with the Mediterranean, saving ships the long journey around the Cape. Hema would always tell us that it was over the Gate of Tears that she had the awakening that would change her life. “I heard a call when I was in that plane. When I think back, I know it was you.” That rattling, airborne tin can always seemed an improbable place for her epiphany.
    HEMA SAT ON THE WOODEN BENCH SEATS that ran lengthwise on both sides of the ribbed fuselage of the DC- 3 . She was unaware of how badly her services were needed just then at Missing, the hospital where she had worked for the last eight years. The drone of the twin engines was so loud and unrelenting that half an hour into the flight she felt as if the sound inhabited her body. The hard bench and choppy ride were raising blisters on her behind. Whenever she closed her eyes, she felt as if she were being hauled across a rutted landscape in the back of a bullock cart.
    Her fellow travelers on this flight from Aden to Addis Ababa were Gujaratis, Malayalis, French, Armenians, Greeks, Yemenis, and a few others whose dress and speech did not as clearly reveal their origins. As for her, she wore a white cotton sari, a sleeveless off-white blouse, and a diamond in her left nostril. Her hair was parted in the middle and gathered with a clip at the back, and loosely braided below.
    She sat sideways looking out. She saw a gray dart below—the shadow cast by the plane on the ocean. A giant fish she imagined was swimming just below the surface of the sea, keeping pace with her. The water looked cool and inviting, unlike the interior of the DC- 3 , which had grown less steamy but was still thick with the mingled scents of the human freight. The Arabs had the dry, musty smell of a grain cellar; the Asians contributed the ginger and garlic; and from the whites came the odor of a milk-soaked bib.
    Through the half-open curtain to the cockpit she could see the pilot's profile. Whenever he turned to glance at his cargo, his bottle-green sunglasses seemed to swallow his face, only his nose poking through. The glasses had been

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