appearance of clear liquid â cerebral spinal fluid â the surgeon decided to take an abdominal fat graft to seal the leak. He made a small transverse incision in Rosalindâs lower abdomen, and with a pair of surgical scissors removed a piece of subcutaneous fat which he dropped into a kidney dish. With great delicacy, the graft was passed through the nose and set into the remains of the sphenoid sinus, and held in place with nasal packs.
The elegance of the whole procedure seemed to embody a brilliant contradiction: the remedy was as simple as plumbing, as elemental as a blocked drain â the optic nerves were decompressed and the threat to Rosalindâs vision vanished. And yet the making of a safe route into this remote and buried place in the head was a feat of technical mastery and concentration. To go in right through the face, remove the tumour through the nose, to deliver the patient back into her life, without pain or infection, with her vision restored was a miracle of human ingenuity. Almost a century of failure and partial success lay behind this one procedure, of other routes tried and rejected, and decades of fresh invention to make it possible, including this microscope and the fibre optic lighting. The procedure was humane and daring â the spirit of benevolence enlivenedby the boldness of a high-wire circus act. Until then, Perowneâs intention to become a neurosurgeon had always been a little theoretical. Heâd chosen brains because they were more interesting than bladders or knee joints. Now his ambition became a matter of deep desire. As the closing up began and the face, this particular, beautiful face, was reassembled without a single disfiguring mark, he felt excitement about the future and impatient to acquire the skills. He was falling in love with a life. He was also, of course, falling in love. The two were inseparable. In his elation he even had some love left over for the maestro himself, Mr Whaley, as he bent his massive form over his minute and exacting tasks, breathing noisily through his nostrils behind his mask. When he was sure that he had removed all the tumour and clot he strode off to see another patient. It was left to the predatory registrar to put together again Rosalindâs beautiful features.
Was it improper of Henry, to try and position himself in the recovery room so that he would be the first person she saw as she came round? Did he really think that with her perceptions and mood cradled in a gentle swell of morphine, she would notice him and become enraptured? As it turned out, the busy anaesthetist and his team swept Perowne aside. He was told to go and make himself useful elsewhere. But he lingered, and was standing several feet behind her head as she began to stir. At least he saw her eyes open, and her face remain immobile as she struggled to remember her place in the story of her existence, and her wary, painful smile as she began to understand that her sight was returning. Not yet perfect, but in a matter of hours it would be.
Some days later he was genuinely useful, removing the stitches from inside her upper lip, and helping in the removal of the nasal packing. He stayed on after shifts to talk to her. She appeared an isolated figure, pale from the ordeal, propped up on her pillows, surrounded by fat law manuals, her hair in two heavy schoolgirlish braids. Her only visitorswere the two studious girls she shared a flat with. Because it hurt to talk, she sipped water between sentences. She told him that three years ago, when she was sixteen, her mother died in a car accident, and that her father was the famous poet John Grammaticus, who lived in seclusion in a chateau near the Pyrenees. To jog Henryâs memory, Rosalind helpfully mentioned âMount Fujiâ, the poem anthologised in all the school editions. But she didnât seem to mind so much that heâd never heard of it or the author. Nor did she care that Henryâs
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