Khaled Hosseini - And the Mountains Echoed

He answers Amra, thanks her, writes that he is sorry to hear about the flooding. He hopes the rains will abate. He tells her that he will discuss Roshi with his chief this week. Below that he writes:

Salaam, Roshi jan:

Thank you for your kind message. It made me very happy to hear from you. I too think about you a lot. I have told my family all about you and they are very eager to meet you, especially my sons, Zabi jan and Lemar jan, who ask a lot of questions about you. We all look forward to your arrival. I send you my love,

Kaka Idris

He logs off and goes to bed.

On Monday, a pile of phone messages greets him when he enters his office. Prescription-refill requests spill from a basket, awaiting his approval. He has over one hundred and sixty e-mails to sift through, and his voice mail is full. He peruses his schedule on the computer and is dismayed to see overbooks—squeezes, as the doctors call them—inserted into his time slots all week. Worse, he will see the dreaded Mrs. Rasmussen that afternoon, a particularly unpleasant, confrontational woman with years of vague symptoms that respond to no treatment. The thought of facing her hostile neediness makes him break into a sweat. And last, one of the voice mails is from his chief, Joan Schaeffer, who tells him that a patient he had diagnosed with pneumonia just before his trip to Kabul turned out to have congestive heart failure instead.

The case will be used next week for Peer Review, a monthly video conference watched by all the facilities during which mistakes by physicians, who remain anonymous, are used to illustrate learning points. The anonymity doesn’t go very far, Idris knows. At least half the people in the room will know the culprit.

He feels the onset of a headache.

He falls woefully behind schedule that morning. An asthma patient walks in without an appointment and needs respiratory treatments and close monitoring of his peak flows and oxygen saturation. A middleaged executive, whom Idris last saw three years before, comes in with an evolving anterior myocardial infarction. Idris cannot start lunch until halfway through the noon hour. In the conference room where the doctors eat, he takes harried bites of a dry turkey sandwich as he tries to catch up with notes. He answers the same questions from his

colleagues. Was Kabul safe? What do Afghans there think of the U.S. presence? He gives economical, clipped replies, his mind on Mrs. Rasmussen, on voice mails that need answering, refills he has yet to approve, the three squeezes in his schedule that afternoon, the upcoming Peer Review, the contractors sawing and drilling and banging nails back at the house. Talking about Afgh- anistan—and he is astonished at how quickly and imperceptibly this has happened—sud- denly feels like discussing a recently watched, emotionally drenching film whose effects are beginning to wane.

The week proves one of the hardest of his professional career. Though he had meant to, he doesn’t find the time to talk to Joan Schaeffer about Roshi. A foul mood takes hold of him all week. He is short with the boys at home, annoyed with the workers streaming in and out of his house and all the noise. His sleep pattern has yet to return to

normal. He receives two more e-mails from Amra, more updates on the conditions in Kabul. Rabia Balkhi, the women’s hospital, has reopened. Karzai’s cabinet will allow cable television networks to broadcast programs, challenging the Islamic hard-liners who had opposed it. In a postscript at the end of the second e-mail, she says that Roshi has become withdrawn since he left, and asks again whether he has spoken to his chief. He steps away from the keyboard. He returns to it later, ashamed of how Amra’s note had irritated him, how tempted he had been, for just a moment, to answer her, in capital letters, I WILL. IN DUE TIME.

…

“I hope that went okay for you.”

Joan Schaeffer sits behind her desk, hands laced in her lap. She is a woman of cheerful energy, with a full face and coarse white hair. She peers at him over the narrow reading glasses perched on the bridge of her nose. “You understand the point was not to impugn you.”

“Yes, of course,” Idris says. “I understand.” “And don’t feel bad. It could happen to any of us. CHF and pneumonia on X-ray, some-

times it’s hard to tell.”

“Thanks, Joan.” He gets up to go, pauses at the door. “Oh. Something I’ve been meaning to discuss with you.”

“Sure. Sure. Sit.”

He sits down again. He tells her about Roshi, describes the injury, the lack of resources at Wazir Akbar Khan Hospital. He confides in her the commitment he has made to Amra and Roshi. Saying it aloud, he feels weighed down by his promise in a way he had not in Kabul, standing in the hallway

with Amra, when she’d kissed his cheek. He is troubled to find that it feels like buyer’s remorse.

“My God, Idris,” Joan says, shaking her head, “I commend you. But how dreadful. The poor child. I can’t imagine.”

“I know,” he says. He asks if the group would be willing to cover her procedure. “Or procedures. My sense is, she’ll need more than one.”

Joan sighs. “I wish. But, frankly, I doubt the board of directors would approve it, Idris. I doubt it very much. You know we’ve been in the red for the last five years. And there would be legal issues as well, complicated ones.”

She waits for him, maybe prepared for him, to challenge this, but he doesn’t.

“I understand,” he says.

“You should be able to find a humanitarian group that does this sort of thing, no? It would take some work, but …”

“I’ll look into it. Thanks, Joan.” He gets up again, surprised that he is feeling lighter, almost relieved by her response.

The home theater takes another month to be built, but it is a marvel. The picture, shot from the projector mounted on the ceiling, is sharp, the movements on the 102-inch screen strikingly fluid. The 7.1 channel surround sound, the graphic equalizers, and the bass traps they have put in the four corners, have done wonders for the acoustics. They watch Pirates of the Caribbean, the boys, delighted by the technology, sitting on either side of him, eating from the communal bucket of popcorn on his lap. They fall asleep before the final, drawnout battle scene.

“I’ll put them to bed,” Idris says to Nahil.

He lifts one, then the other. The boys are growing, their lean bodies lengthening with alarming speed. As he tucks each into bed, an awareness sets in of the heartbreak that is in store for him with his boys. In a year, two at the outside, he will be replaced. The boys will become enamored with other things, other people, embarrassed by him and Nahil. Idris thinks longingly of when they were small and helpless, so wholly dependent on him. He remembers how terrified Zabi was of manholes when he was little, walking wide, clumsy circles around them. Once, watching an old film, Lemar had asked Idris if he had been alive back when the world was in black and white. The memory brings a smile. He kisses his sons’ cheeks.

He sits back in the dark, watching Lemar sleep. He had judged his boys hastily, he sees now, and unfairly. And he had judged himself harshly too. He is not a criminal. Everything he owns he has earned. In the

nineties, while half the guys he knew were out clubbing and chasing women, he had been buried in study, dragging himself through hospital corridors at two in the morning, forgoing leisure, comfort, sleep. He had given his twenties to medicine. He has paid his dues. Why should he feel badly? This is his family. This is his life.

In the last month, Roshi has become something abstract to him, like a character in a play. Their connection has frayed. The unexpected intimacy he had stumbled upon in that hospital, so urgent and acute, has eroded into something dull. The experience has lost its power. He recognizes the fierce determination that had seized him for what it really was, an illusion, a mirage. He had fallen under the influence of something like a drug. The distance between him and the girl feels vast now. It feels infinite, insurmountable, and his promise to her misguided, a reckless mistake, a terrible misreading of the