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The sole decoration in the living room was, as it had always been, the Glaxo powdered-milk calendar hanging on a nail. The overfed blue-eyed Caucasian baby had never grown up. The caption read “Glaxo Builds Bonny Babies.” It was enough to make any breast-feeding mother feel guilty that she was starving her infant. As a child Hema had barely registered the Glaxo baby. Now the calendar drew her eye and her ire. What an insidious presence that brat had been in her life. An interloper with a false message. Hema took down the calendar, but the pale rectangle on the wall called attention to itself in a way the baby never had. No doubt once Hema left, another Glaxo baby would find its way back there.

During her brief vacation, Hema had the house painted and ceiling fans installed. Sathyamurthy, the father of her old childhood nemesis, Velu, peered over the fence as workmen carried in a Western-style commode to be cemented over the footpads of the Indian toilet. He sniggered and shook his head. “It's not for me, you old coot,” Hema said in English. “My mother's hips are bad.” And Sathyamurthy answered in the only English phrase he knew, “Goddamn China, kiss me Eisenhower!” He smiled and waved, and she waved back.

THE SOMALI ACROSS FROM HER wore a shiny blue polyester shirt and a gold watch that swung on his stick wrist. His toes, protruding from sandals, glowed like polished ebony. He looked familiar to Hema. Now, he bowed, grinned, and displayed his fingers as if bidding at an auction as he said, “Three kids, two shots, one night!”

She remembered. His name was Adid. “I say, are you still doing double duty these days?”

His ivory teeth lit up the plane's dim interior. He said something to his friends. They smiled and nodded sagely. Such strong teeth they have, Hemlatha thought. She admired his blackness, a color so pure that there was a purple tinge to it. The headmistress at her school, Mrs. Hood, had been porcelain white, and the schoolgirls believed that if they touched her, their fingers would come away white; with Adid, she imagined they would come away black. Adid's regal manner, the slow play of expressions on his face, each thought matched by a lip-eyebrow combo, gave Hema the bizarre idea that she'd like to suck his index finger.

She'd last seen Adid in a headdress and flowing robes in the casualty room at Missing, unflappable, even though his pregnant wife was convulsing. When Hemlatha unwrapped the shrouds of cotton she found a young, pale, anemic girl. Her blood pressure was sky-high. This was eclampsia. While Hemlatha was in Theater 3 delivering this wife of her firstborn by Cesarean section, Adid disappeared and returned with an older wife, also in labor, who proceeded to deliver in the horse-drawn gharry beside the outpatient steps. Hemlatha ran out in time to cut the cord. She pushed on the wife's belly, but instead of the afterbirth, a twin popped out. Adid's smile when he saw the second child, the third total, reached from ear to ear. Hema suggested he wear a banner across his chest that said ONE NIGHT, TWO SHOTS, THREE KIDS. Adid had laughed like a man whod never heard the word “worry.”

“Yes, yes,” he said now, raising his voice to be heard over the drone of the engines. He had the clipped, French-accented diction of a Djiboutian. “A man is only as rich as the number of children he fathers. After all, what else do we leave behind in this world, Doctor?”

Hema, who'd been thinking along similar lines just minutes before, decided she was a pauper by that yardstick. She said, “Amen. You must be a millionaire many times over then.”

An impish expression stole across his face, and with waggling brows and using just his eyes he pointed down the bench to a woman veiled and swathed in red-and-orange cotton robes. A very pale, henna-painted foot showed. Hemlatha guessed her to be a Yemeni. Or else a Muslim from Pakistan or India.

“And she is … ?” Hema said, hoping it would not be impolite to ask about her nationality.

Adid nodded vigorously. “Three more months at least. And one more expecting at home!”

“I tell you what,” Hema said, looking pointedly at Adid's groin, “I'll ask Dr. Ghosh to give you a special rate on a vasectomy, two for one. It will be cheaper than doing a tubal ligation on all the begums.”

The Gujarati couple across from her looked up scowling at Adid's thigh-slapping laughter.

“Why don't you bring the wives to the antenatal clinic?” Hema asked. “A smart man like you shouldn't wait till they get into trouble. You don't want them to suffer.”

“It's not my choice. You know how these women are. They won't come until they are unconscious,” he said simply.

True enough, Hemlatha thought. Years before, an Arab woman in the Merkato was in labor for days, and the husband, a rich merchant, brought Dr. Bachelli to see her. But rather than allow a male doctor to see her, she wedged her body behind the bedroom door so that any attempt to open it would crush her. The woman died alone, behind that door, an act much admired by her peers.

Because Hema was hungry, and to annoy the Gujaratis further, she accepted some leaves of khat from Adid and tucked them into her cheek. It was something she'd never have dreamed of doing before, but events of the last few hours had changed things.

The khat was bitter at first, but then the pulpy mass became almost sweet and not unpleasant. “Wonder of wonders,” she said aloud, as her face took on the chipmunk bulge and her jaw fell into the lazy, slewing rhythm of the thousands of khat chewers she had seen in her lifetime. Like a pro, she used her handbag as an elbow bolster and she brought her feet up to the bench, one knee flat, the other under her chin. She leaned toward Adid, who was surprisingly chatty.

“… and we spend most of the rainy season away from Addis, in Aweyde, which is near Harrar.”

“I know all about Aweyde,” Hema said, which wasn't true. Shed driven there years before on a holiday to see the old walled city of Harrar. What she remembered about Aweyde was that the entire town seemed nothing more than a khat market. The houses were hopelessly plain, not a trace of whitewash. “I know all about Aweyde,” she said again, and the khat made her feel that she actually did. “The people there are rich enough to each drive a Mercedes, but they won't spend a cent to paint their front door. Am I right?”

“Doctor, how could you know these things?” Adid said, astonished.

Hema smiled, as if to say, Very little escapes me, my dear man. And then she was thinking of the Frenchman's balls, of rugaeform folds, of the median raphe that separated one bollock from the other, of the dartos muscle, the cells of Sertoli. Her mind was racing, hyperaware.

The cabin was no longer hot, and it felt good to be heading home. She wanted to say to Adid: When I was a medical student, we had to do this test on patients to check for visceral pain. Visceral pain is different from when you bump your knee, for example. Visceral pain comes from the inside, from the body's organs. It's a pain that is tough to characterize, poorly localized, but painful all the same. Anyway, as students we had to squeeze the testes to check for intact visceral pain, because diseases like syphilis can cause the loss of visceral pain sensations. One day, at the bedside of a patient with syphilis, the professor picked on me to demonstrate visceral pain. The men in our group were snickering. I was bold then—I didn't hesitate. I exposed the balls— the testes, excuse me. The patient had advanced syphilis. When I squeezed, the man just smiled at me. Nothing. No pain. No reaction. So I squeezed harder—really hard. Still nothing. But one of my male classmates fainted!

Adid grinned, as if she had told him this story.

THE PLANE DESCENDED, slipping into and out of the scattered clouds over Addis Ababa. The dense forests of eucalyptus trees at first concealed the city. Emperor Menelik had imported eucalyptus years before from Madagascar, not for its oil, but as firewood, the lack of which had almost made him abandon his capital city. Eucalyptus had thrived in the Ethiopian soil, and it grew rapidly—twelve meters in five years, and twenty meters in twelve years. Menelik had planted it by the hectare. It was indestructible, always returning in strength wherever it was cut down, and proving ideal for framing houses.