Bloodletting and Miraculous Cures. Vincent Lam

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      Bloodletting &

      Miraculous Cures

      VINCENT LAM

      TO MY PARENTS, ANDREW AND ROSALIE,

      AND MY WIFE, MARGARITA, WHO MAKE EVERYTHING POSSIBLE.

      “Medicine is a science of uncertainty and an art of probability.”

      SIR WILLIAM OSLER, 1849‒1919,

      renowned Canadian physician and educator

      Contents

       How to Get into Medical School, Part I

       Take All of Murphy

       How to Get into Medical School, Part II

       Code Clock

       A Long Migration

       Winston

       Eli

       Afterwards

       An Insistent Tide

       Night Flight

       Contact Tracing

       Before Light

       GLOSSARY OF TERMS

       ACKNOWLEDGEMENTS

       About the Author

       Copyright

       About the Publisher

       PART I

       HOW TO GET INTO MEDICAL SCHOOL,

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      DESPERATE STRAGGLERS ARRIVED LATE FOR THE molecular biology final examination, their feet wet from tramping through snowbanks and their faces damp from running. Some still wore coats, and rummaged in the pockets for pens. Entering the exam hall, a borrowed gymnasium, from the whipping chaos of the snowstorm was to be faced with a void. Eyeglasses fogged, xenon lamps burned their blue-tinged light, and the air was calm with its perpetual fragrance of old paint. The lamps buzzed, and their constant static was like a sheet pulled out from under the snowstorm, though low enough that the noise vanished quickly. Invigilators led latecomers to vacant seats among the hundreds of desks, each evenly spaced at the University of Ottawa’s minimum requisite distance.

      The invigilators allowed them to sit the exam but, toward the end of the allotted period, ignored their pleas for extra time on account of the storm. Ming, who had finished early, centred her closed exam booklet in front of her. Fitzgerald was still hunched over his paper. She didn’t want to wait outside for him, preferring it to be very coincidental that she would leave the room at the same time he did. Hopefully he would suggest they go for lunch together. If he did not ask, she would be forced to, perhaps using a little joke. Ming tended to stumble over humour. She could ask what he planned to do this afternoon—was that the kind of thing people said? On scrap paper, she wrote several possible ways to phrase the question, and in doing so almost failed to notice when Fitzgerald stood up, handed in his exam, and left the room. She expected to rush after him, but he stood outside the exam hall.

      “Are you waiting for someone?” she asked.

      Shortly after they arrived at the Thai-Laotian café half a block from campus, Ming said deliberately, “Fitz, I simply wanted to wish you the best in your future endeavours. You are obviously intelligent, and I’m sure you will be a great success.”

      The restaurant was overly warm, and Fitz struggled out of his coat, wrestled his sweater over his head, leaving his hair in a wild, electrified state. He ran his hands over his head, and instead of smoothing his hair this resulted in random clumps jutting straight up.

      “Same to you,” he said, smiling at her almost excitedly.

      She watched him scan the bar menu. When she asked for water, he followed suit. She liked that.

      She said, “Also, thank you for explaining the Krebs cycle to me.”

      “Any time,” said Fitz.

      “I feel guilty that I haven’t been completely open,” said Ming. She considered her prepared phrases and selected one, saying, “It didn’t seem like the right time in the middle of exams.”

      “Nothing in real life makes sense during exams,” said Fitzgerald. He tilted in the chair but kept a straight back. Ming reassured herself that he had also been anticipating “a talk,” and so—she concluded with an administrative type of resolution—it was appropriate that she had raised the topic of “them.”

      She leaned forward and almost whispered, “This is awkward, but I have strong emotional suspicions. Such suspicions are not quite the same as emotions. I’m sure you can understand that distinction. I have this inkling that you have an interest in me.” She didn’t blurt it out, instead forced herself to pace these phrases. “The thing of it is that I can’t have a romantic relationship with you. Not that I want to.” Now she was off the path of her rehearsed lines. “Not that I wouldn’t want to, because there’s no specific reason that I wouldn’t, but I— Well, what I’m trying to say is that even though I don’t especially want to, if I did, then I couldn’t.” The waiter brought shrimp chips and peanut sauce. “So that’s that.”

      “All right,” said Fitzgerald.

      “I should have told you earlier, when I first got that feeling.”

      “You’ve given the issue some thought.”

      “Not much. I just wanted to clarify.”

      Fitz picked up a shrimp chip by its edge, dipped it in the peanut sauce with red pepper flakes, and crunched. His face became sweaty and bloomed red as he chewed, then coughed. He grasped the water glass and took a quick gulp.

      Ming said, “Are you upset?”

      He coughed to his right side, and had difficulty stopping. He reminded himself to sit up straight while coughing, realized that he wasn’t covering his mouth, covered his mouth, was embarrassed that his fair skin burned hot and red, wondered in a panicky blur if this redness would be seen to portray most keenly his injured emotional state, his physical vulnerability in choking, his Anglocentric intolerance to chili, his embarrassment at not initially