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'Put the rubber on again.'

'No,' I said. 'It is no good.'

'It is good. It will work.'

The other girl said in amazement, 'It is still coming!'

'You need stitches,' said a third girl.

'It is not that big,'I said.

'Yes. Go to the doctor. He is across the street.'

I went to the doctor's office, but it was shut: out for lunch. Back in the pharmacy and, still bleeding, I said, 'Forget the rubber tube. Just sell me a bandage and some antiseptic. I know it will stop — they always stop, sooner or later.'

A different Chinese girl broke open a bandage and helped me wrap my hand, then she gave me all the odds and ends of tape and bottles we had used and I went to the cash desk and paid for them.

It leaked some more — not too much, but enough to soak the gauze bandage and look quite horrible, like the joke shop bandage children wear to frighten their friends. The bandage was thick, the blood bright red. But I was fairly certain it had stopped. Buying a sugary coffee to restore my health, I held my bandaged hand in my lap.

'Yugh. How did that happen?' asked the waiter.

'An accident,' I said lightly.

And at the bank, changing some money, I rested my wounded hand on the counter. The teller was quick; she sorted the bills, asked no questions, averted her eyes from my hand, and off I went: it was the fastest bank transaction I had made in months.

I went to the railway agency. The clerk was elderly but full of beans. He kept saying in Spanish a word that means 'Ready!' or 'Check!' He told me to sit down. I did so, placing my right hand on his desk and pretending to ignore it.

'One ticket to Buenos Aires, via Tucuman, please.'

'Check!'

'A First Class sleeper, and I would like to go as soon as possible.'

'Check!'

He shuffled papers, and as he wrote out my ticket he said, 'The wound — is it big?'

'Very.'

'Check,' he said, giving me a wheeze of sympathy. No ticket had ever been easier for me to buy. I was so encouraged by the Bolivian response to my wounded hand that I did not change the bandage until the next day. I was treated with great promptness, I was asked questions about it- did it hurt? how had it happened? was it large? My hand became a wonderful conversation piece, and everyone who passed by me stared at my white mitten. In Lima I had tried to buy a painting, but the price was ridiculously high and I had given up in frustration. In La Paz, I saw a better painting, a pious portrait of Saint Dominic, done in Potosi in the mid-eighteenth century. I haggled for less than an hour, using my bandaged hand to gesture with, and walked out of the shop with the painting under my arm.

'Better keep that painting in your suitcase,' said the lady in the shop. 'It is illegal to take such works of art out of the country.'

The wounded hand turned out to be one of my most satisfying experiences in South America. But later I thought I might be pushing my luck. I began to worry that the cut would become infected and my hand would drop off.

It was a city that seemed suited to ghastliness of this kind; it suffered itself, from a sort of urban gangrene, and if any city looked blighted to the point of being wounded — it even had a scabrous cankered colour — it was La Paz. Its extreme ugliness was woeful enough to be endearing, and I found it on further inspection to be a likable place. It was a city of cement and stale bread, of ice storms that produced a Bulgarian aroma of wet tweeds, built above the timber-line in a high pass in the Andes. The people in La Paz had heavy dignified faces and none of the predatory watchfulness I had seen in Colombia and Peru. In the wood-panelled coffee shops in La Paz, with their white-jacketed waiters and espresso machines and gooey pastries and mirrors, scowling matrons at one table, thickset men in baggy ill-fitting suits at other tables, it was hard to believe I was not in eastern Europe; it was only when I went outside and saw a stocky Indian chewing coca leaves in the shelter of a cement mixer that I was reminded where I was.

It drizzled constantly: cold rain, ice slivers, hail. But most people were dressed for the weather. They wore thick overcoats and heavy sweaters, wool hats, and even mittens and gloves. The Indians had a bulky rounded look, and some wore earflaps under their derby hats. I saw the sun once. It appeared one morning between a break in the mist that hung over the canyon, and it was powerfully bright without being warm, simply a blinding flash that was soon eclipsed by more mist. The weather report in the daily paper was usually the same: Cloudy, fog, some rain, no change, like a certain season in northern Maine, except that here I was never able to elude my feeling of the bends or my nausea. I was tired but could not sleep; I had no appetite, one drink and I was staggering. And it is hard to be a stranger in a cold city: the people stay indoors, the streets are empty after the stores close, no one lounges in the parks, and the purposefulness — or what looks like it — in a cold climate is always a reproach to an idle traveller. I rolled up my painting, hid it in my suitcase and made preparations to leave.

The sun came out just as the Panamerican left the precincts of the railway station and began to travel in tight circles through the eucalyptus groves on the slopes north of the city. They were the only trees I was to see for several days. Ragged toothy boys'ran from behind the trees and hitched on the train, and after a few minutes jumped off and hurried, shouting, into the frail foliage. Then they were lost among the tall slender trees, the stringy bark. There were mud huts on the lower slopes, but as we climbed higher there were no more huts, only abandoned earthworks and an Indian or two. In spite of the steady rain of the previous days the steep creekbeds were dry and stony, cut deep in the waterless mountainside. Littered with rocks and sand, the soil could not have looked more infertile. But we were very high now, perhaps 13,000 feet and still climbing above the back of the city to the dry grey lip of the plateau that hangs over it. On this steep grade the train was tilted at a sharp angle; on the right a mountainside, on the left a deep ravine of clumsily made roofs.

After almost an hour we were still in sight of La Paz. It was there below us; we had gone back and forth on the mountainside, passing and repassing the city which had become large and spectacularly shabby. Behind the city were the Andes, snowy mountains with clouds smoking on their summits. We were up among the daisies and the weeds and the twittering birds; it was cold and bright, and clear enough to see for a hundred miles. There were plateaux and peaks on three sides of the city, and as we passed it for the last time — we had now reached an open plain — it looked strip-mined with roads and ditches, a reddened ledge rising to green slopes, black cliffs, white peaks.

Chased by rabid dogs, the train picked up speed and crossed the grey plain to the first station, Illimani, at 13,500 feet. There were sheep on the tracks and Indian women selling oranges for a penny each. I bought six oranges and boarded quickly as the train began to move. After the slow climb to this station it was surprising for the train to pick up speed and begin racing across the high plains.

It was a Bolivian train. Most of the coaches were wooden Second Class boxes crammed with Indians on their way south. These coaches, and the dining car and the one Bolivian sleeping car, would go no farther than the border at Villazon. My sleeping car belonged to Argentine Railways and was going all the way to Tucuman. This solid British-made pullman was about fifty years old, each compartment fitted with cupboards and a sink and a chamberpot. There were two berths in my compartment. Fernando, a journalism student, had the upper berth; I had the lower one and was privileged, because this gave me the window seat and the table.

'You are a teacher and all you do is write,' said Fernando. 'Me, I'm supposed to be the journalist and I haven't even got a pen! You should be a journalist!'