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Hospital No. 6 hired her without requesting an application or résumé. When she provided a list of references in London, Deshi crumpled the paper, tossed it under the desk, and told Sonja that Dr. Wastebasket would dutifully contact each recommender. Sonja’s former professors had fled to the West, to the countryside, to private practices in places where they could save lives without endangering their own. Unimpeded by a hierarchical bureaucracy or institutional memory, she rose from resident to head surgeon in two months. Land mines didn’t obey the Khasavyurt Peace Accord, and within a year she had more trauma surgery experience than the professors she’d studied under. She worked with gratitude for the pain of her patients. In their cries she heard her name as though she were the missing sister, recalled by their gibberish to this place where she amputated limbs and stanched bleeding, where her training was so needed and scarce her patients saw her hovering over the hospital bed as the last prophet of life, whom they pleaded with and praised and spoke to in prayer.

The days were urgent, without pause for reflection beyond the recall of case studies and anatomy lessons. At night she drifted home. If she remembered, she would brush her teeth with baking soda and recite the prayers her mother had taught her. Her tongue fumbled with those awkward and ancient words, and though no one was listening she found a measure of peace in this obsolete language of supplication. After crossing herself, she lay back on the divan and squirted a cool puddle of hand lotion from the bottle she’d brought from London. Invariably she would apply too much, and her hands would be slick and shiny in the candlelight as she asked for another pair with which to share the excess.

The weeks stacked into months that were flipped from the Red Cross calendar hanging behind the waiting-room reception desk; the calendar was from 1993 and would be reused until 2006 and for those thirteen years her birthday would always fall on a Monday. She marked the days, but time didn’t march forward; instead it turned from day to night, from hospital to flat, from cries to silence, from claustrophobia to loneliness and back again, like a coin flipping from side to side. Happiness came in moments of unpredictable loveliness. The blind man who played accordion for her as she splinted the broken leg of his guide dog. The boy who narrated his dreams while recovering from meningitis.

Then, one evening, a knock sounded from the door as she prepared for sleep. She considered and disregarded Laina’s advice as the doorknob slipped in her greasy grip. When she opened the door she wanted to scream. Natasha stood right there, in front of her, close enough to hold. She did scream, and she embraced Natasha, and later, on the divan, she took Natasha’s hands in her own and rubbed until hers were dry.

CHAPTER 3

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DESPITE AN ADMITTEDLY unimpressive first day, Akhmed left Hospital No. 6 with his eyes on the stars and a swing in his gait. Sure, Sonja was a cold, domineering woman, whose glare could wither flowers and cause miscarriages, and Deshi was clearly a lunatic, and though there wasn’t a sliver of compassion between the two of them and the only fate worse than having those two as caretakers was having them as colleagues, it had been a good day. Havaa was safe. His medical training was put to use, and for the first time in months, Ula wasn’t his only patient.

He was the first person from Eldár admitted to medical school, an institution so distant and rarefied his inclusion had been celebrated as a village-wide achievement. There had been feasts in his honor, collections to pay for his textbooks. In 1986, Akhmed became the greatest hero in village history since an Eldár barber trimmed the beard of the great Imam Shamil one hundred and forty-one years earlier. There was talk he would move to Volchansk, or even — they would drop their voices to a whisper — Grozny. Anywhere farther was too far to dream. Did he realize the hopes the village had pinned on him? Not really. Despite telling Sonja he had graduated medical school in the top tenth of his class, he had, in fact, graduated in the bottom tenth, the fourth percentile to be precise, and he blamed his inability to find a job on prejudice within the Soviet Medical Bureau rather than on the fact that he had skipped a full year of pathology to audit studio art classes. Eventually the village had offered him an abandoned house on the outskirts, haunted, it was said, by the ghost of a pedophile. He had turned it into a clinic. Even though the villagers overcame their fear of the pedophilic specter — though many wouldn’t let their children enter — and even though their lives were undeniably improved by the presence of a clinic, Akhmed always felt he had let them down, or at least let himself down, by returning to the village that had celebrated his escape. But after applying to twenty-three different hospital positions, and receiving not one interview, he was, today, finally, a physician at Hospital No. 6. And not only a physician, but third in command! When put like that, it was a higher honor than he could have ever imagined. He trekked along the service road more confidently than he had that morning, and imagined what those smug search committees would have had to say about it. They probably wouldn’t say anything. They were probably all dead. In this way the war was an equalizer, the first true Chechen meritocracy. He was an incompetent doctor but a decent man, he believed, compensating for his professional limitations with his empathy for the patient, his understanding of pain. Passing the field where the wolf’s frozen carcass lay in moonlight, he thought of Marx. Perhaps here was where history had reached its final epoch. A civilization without class, property, state, or law. Perhaps this was the end.

The final fifty meters through the village were the most dangerous of the eleven-kilometer slog. His footsteps, if overheard, could prove as lethal as land mines. He slowed as he approached the only house without blackout curtains. The light of generator-powered bulbs burned through the windows. Ramzan, sitting inside, picking at a shiny slice of meat, didn’t look like an informer or a collaborator, looked no more menacing than a man in the throes of a mighty indigestion. In the next window, Khassan, Ramzan’s father, sat reading at his desk. Khassan hadn’t spoken to his son in the two years since Ramzan had begun informing, and though Akhmed never blamed the old man for his son’s crimes, the electric bulbs bathed both in the same light.

The glow of their house shrank to a glimmer as he reached his own. The doorframe was intact; the door still stood. Opening it, he tensed, waiting for a forceful grip on the shoulder, a rifle butt to the forehead. None came. He lit a kerosene lamp and walked into the bedroom. Ula lay on the bed. She rolled on her side and into the yellow glow.

“Where were you?” she asked. Divorced from tone, the three words still suggested accusation, and he hoped his silence would extinguish her question, as it often did. “Where were you?” she asked again. Her head barely indented the pillow.

“I went to see Dokka,” he said. “I helped him shear the sheep.”

She smiled wide enough to show the tips of her teeth. Twelve years earlier those incisors were beloved by the city dentist, a young man who plugged his most lascivious thoughts into the open mouths of young women; but the dentist died a virgin when a misaimed mortar shell landed on his practice and carried him to Paradise in an erupting gray cloud. “Dokka is so impatient,” she murmured. “If he waited a month, the flock would give more wool.”

“Yes,” he agreed. “Dokka was always impatient.” He sat on the bed and set the lantern next to the bedpan and the broth bowl. Each was half full. An ellipsis of wet footprints followed him to the bed. He unlaced his icy boots, massaged the balls of his feet, and lay beside Ula. Once she would have had to roll over to make room for him, but there was less of her now.