Somewhere in Peshawar, in a lesser known Government Hospital
Dr. Fawltea entered his domain, the forgotten Medical E ward, like a king finally bestowing his magnanimous grace upon one of those lesser-visited and more neglected hamlets. Or, to give it a more local flavor, a police officer visiting one of those streets he knew was frequented by smugglers, drug dealers, and those he hated the most: fruit vendors; but those vendors would not sour his mood on that particular day because he had gotten a brand-new motorcycle as a gift from the state. A gift, in this context, being a bike he'd taken a fancy to at the impound, removed the plates off of, and claimed as his own. Similarly, nothing would sour Fawltea's mood today; not the faulty oxygen lines, the lack of essential drugs, the misplaced crash carts or even the outdated monitors that were well past it, their green phosphorescent glow drowning out any information a doctor might glean from them.
Not even Gul Abad, the technician who liked to pretend he was a trainee from some other specialty, could ruin his day. He had been a Cardiologist, Pulmonologist, and even an Emergency Medicine specialist (a specialty that wasn't even recognized in Peshawar, such was his dedication to the role). He'd argued many a time with Gul Abad in the past, but, like others before him, Dr. Fawltea too had given up, realizing he was just one of many; there were similar characters in Surgery, Radiology, Pathology, and even the blood bank, for some reason.
“Gul Abad is not just a person, he is an idea, and these ideas often have their own clinics on the outskirts of town” had become his new go-to line whenever any new doctors asked what his deal was.
Why anyone would want to be a blood bank officer, Dr. Fawltea could not fathom, but then, dear reader, he was not aware of Gul Abad's favorite maxim: “There is always money in the blood bank.” Gul Abad's role model, a notoriously corrupt doctor who had dodged jail more times than Pakistan had had IMF bailout programs (25 at the time of writing) had bestowed this wisdom unto him. In Gul Abad's view, this saint among men would've probably cheated the IMF and led Pakistan to heights hitherto unseen. In the views of more pragmatic people, such as his family, friends, etc. he would've taken a few bad loans and absconded with the money.
While Gul Abad had been named after his father's favorite place, Dr. Fawltea was sadly not named by his father after that esteemed personage, Basil Fawlty, who managed Fawlty Towers. But he told people that anyway, making sure to look at them with a derisive eye so that they would not ask questions about why the timeline didn't match up, him being older than Fawlty Towers and all. This benevolent shepherd (or so he fancied himself—but then he also fancied himself a cardiologist, even though he had specialized in internal medicine) of that godforsaken flock, which constituted today's trainees (they did not even know how to read ECGs, the only one that had shown any interest was that annoying Gul Abad), annoyed him to no end. But nothing could ruin his mood today; he had finally managed to get his hands on the holy grail of holy grails: a VIP. VIP in this here context does not mean Very Important Person; it means Very Important Patient.
Patients, you see, had varying levels of importance for Dr. Fawltea (and many other Pakistani doctors) depending on what they had to offer. A poor patient? Pointless. The milk of human kindness, however much remained in Dr. Fawltea, compelled him to take a cursory look at those poor downtrodden and help them, but that is all. Those middle-class, annoying patients who only asked questions, on the other hand – ingrates, the lot of them – were of no use to him. He disliked them the most. VIPs, on the other hand, were patients that were connected to the halls of power; they could be businessmen, criminals (in Pakistan, the Venn Diagram of such an association would be extremely overlapping; some have tried to find that rare creature, a businessman that is not a criminal, and have turned every rock up and down for said cause, but to no avail), politicians (much like businessmen, they also overlap with criminals, and like our criminals, they overlap with businessmen too), and of course, the unicorn: a high-ranking army officer. Dr. Fawltea was dreaming of luxurious luncheons at golf courses, days whiled away driving those cute little golf carts all over the course. Perhaps he would even throw down a fishing rod or two in the water – he didn't care that there were no fish. He was due some much needed introspection.
He entered the break room, not at all surprised to find only two of his sheep there. He did not know how many there were in total; only God knew that because the system was a mess, and over half of them were ghost employees who never showed up, except when they needed to change their attendance records – a little bribery went a long way. Within the lounge, there was that new fellow who looked like he was dressed as a seller for a book fair at some old bookshop that had long since run out of funds and was hoping to glean some extra sympathy from buyers; he was talking about how computers were unfairly priced for the umpteenth time. He was perpetually on the night shift, and judging by his pallor Fawltea was beginning to suspect the fellow was some sort of lesser vampire.
Sitting on that twin green sofa across the table was that famous professor's daughter. Her father had a master's in several domains, and she too claimed expertise in said matters. Why she had decided to go into medicine also baffled Dr. Fawltea, he had seen her discuss everything but. She was, as ever, reading her book out loud, perhaps lost in the delusions of being a person of lordly caliber, much as Fawltea himself was. Dr. Fawltea wondered if she too viewed the other doctors as her flock; it certainly seemed like it. He did not like the idea of competition from a junior doctor, but, being related to not one but two brigadiers on her mother's side, Dr. Fawltea knew better than to say anything to her. A harsh word from him would lead to many harsh beatdowns in a cell. 'Sticks and stones will break my bones, and words will never save me,' he reminded himself. Feigning polite interest, for one can always do with being on good terms with someone related to the army, he smiled and asked, 'And what are we reading today?'”
The Professor, as she was affectionately nicknamed (not that she was aware they called her that), smiled back and pointed to the cover of the book dismissively, as if Dr. Fawltea was not worthy of her time. It was another one of Adam Smith's works; of course it was. Moral Sentiments or something. And all he could do, in lieu of her powerful family, was to nod and smile as she continued to read it out loud, as if this were a Class 3 (for my American audience, think third grade; for my British audience, I am not familiar with your form system rannygazoo) English lesson.
She spoke stentoriously: “It is to be observed accordingly, that we are still more anxious to communicate to our friends our disagreeable than our agreeable passions, that we derive still more satisfaction from their sympathy with the former than from that with the latter, and that we are still more shocked by the want of it.” The fellow who looked like a down-on-his-luck bookseller nodded and obliged, Fawltea was not sure if it was due to genuine interest or simply what her status commanded. Fawltea felt bad for the poor sod, it was clear he'd not slept all night, and now this. It was all Fawltea could do to keep himself from yelling something akin to “Go on, you vampire, go into the sunlight and end your torment.”
All this scene really needed – Fawltea thought in disdain – was a harsh, dissonant violin to make it more annoying, or perhaps a sad piano piece to drive home the lesser vampire's agony. “Shall we start the round then?” Dr. Fawltea asked, though it was more of a command than anything.
“After this chapter,” replied the Professor, as if she were the head consultant and Fawltea the trainee medical officer.
Fawltea sat down to drink some tea, wondering if any of the other rascals he supervised would bother showing up to today's round, when the Hardy Boyses entered the lounge as if it were their own backyard, bringing a smile to his face. He called them that because they reminded him of Frank and Joe, two characters from his favorite book series. Always together, practically like brothers, always off having an adventure. Normally, this sounded great, but when their adventures (the Hardy Boyses in a brawl with the local Snooker Club toughs was a particular favorite of Fawltea's) happened on the hospital's time and dime – that is to say, they were being paid to treat patients and not beat up hoodlums that darkened the doors of the local Snooker club, or go hunting or fishing or whatever else they found to occupy their already paid-for time – it made quite a lot of administrative trouble. But Fawltea had always idolized such adventurous lads, having been denied that feeling in his own school years. He was now living vicariously through them, much like the books had allowed him to live vicariously through Frank and Joe. If that stupid deputy sub-inspector police were going to make sure his nephew Gul Abad stayed, then he, Fawltea, would also fight to the death for his Hardy Boyses, who had taken him fishing, hunting, and even horse riding, besides the usual spot of cricket. Sadly, they did not have access to that hanging garden of Babylon, the local golf course. He could simply go and pay a rather exorbitant sum, but Fawltea had always found it hard to part with his money.
“Allo allo bruva,” said Frank, whose hair was in more disarray than the traffic in Peshawar, but not so bad as to be likened to the traffic in Karachi or Lahore. “Hey, bro,” said Joe, who had used more hair gel than a baboon would on a particularly bad hair day. Both of them fist-bumped Fawltea. This, right here, was the dream. For a moment, he too had forgotten he was their boss, and he was just one of the lads. There was a triumphant smirk on his face, and in his own mind, he was bathed in radiance, others watching on, jealous that he was a member of this exclusive boys' club. How Fawltea wished they were off in some long lost Amazonian jungle, finding lost treasures and thwarting devious pit vipers as they made their way to the top of a sacrificial altar just in time to save the world from a permanent eclipse. But before he knew it, they were gone again. Dammit, he had not gotten a chance to get any new stories from them, his daydreams were too vivid sometimes.
The Professor's sermon on Adam Smith's treatise regarding moral sentiments continued for a good while, during which Fawltea pondered many things. He wondered when exactly the heat death of the universe would occur, if today’s youth were interested in those old Doctor Who radio dramas, and why his car had such particularly bad mileage. As a matter of fact, it was because his driver used it as a taxi during the time Fawltea was busy working.
As he continued to ponder, another trainee he was afraid of entered. The first words she uttered were: “Hi Benazir, hi Hamlet. I'm well past 3000 now!” and then she made a peace sign. The fellow who looked like the world's most forlorn bookseller (Fawltea could see why he had the Hamlet moniker, it was easy to visualize the boy being plagued by several ghosts, though he would've gone with some lesser known vampire himself) mumbled congratulations. The Professor (aptly nicknamed Benazir, after the former Prime Minister who was the first woman to lead a Muslim majority government) also nodded her acknowledgment. Unfortunately for Dr. Fawltea, this trainee was not related to any army officers by any degrees of separation; she was as close to the establishment as one could possibly be – both of her parents were high-ranking officers. Why she was in a government hospital like this and not a military hospital, he couldn't fathom, but it possibly had something to do with the higher salary and the lack of consequences. All one had to do was be in the right place at the right time, and they could perform operations well outside their own domain. Fawltea himself had done a few appendectomies and exploratory laparotomies out of sheer curiosity, and had even botched a few cardiac surgeries.
While looking at her, most would see a normal girl. Not Fawltea, though. He always saw her flanked by two phantasms, both famous generals of the past, who looked at him threateningly, daring him to say anything so they could toss him into a jail cell for good, their mustaches brimming with the arrogance of a thousand suns. At least she wouldn't oppress him like The Professor, Fawltea consoled himself as he watched the girl sit down, bring out a MacBook (which, by the way, is asking for trouble in a government hospital, dear reader, as someone will invariably want to snatch it) and start watching a movie with her fancy Bluetooth thingamajigs that fit in the ear, they were called earpods or something of the sort. Fawltea did not like how they made him feel; he was an old-fashioned sort and preferred old-school headphones. He noticed she watched at least two, sometimes three or four movies at work, and he wondered just how many films she must have seen. The number must be in the thousands. One day, perhaps, he'd talk cinema with her – always useful to have contacts in the army, after all.
A cursory look told him she was watching The Breakfast Club, the irony of which was not lost on Fawltea. His own ward, once a well disciplined unit that ran with the cold, calculated efficiency of a machine when he was a trainee here, had turned into a recreational club of sorts under his own command. It seemed as if she were mocking his very being, by watching that movie.
Having given up on conducting a morning round, some but not all of his good mood soured like your typical fruit vendor's stock in the suburbs of Hayatabad, Peshawar. Fawltea had decided the hangdog bookseller would be carrying out today’s orders. He did not like to call Frank and Joe and ask them to cover their allotted beds, for he did not want to seem uncool. They would say something like, “Never figured you for a stooge,” and he would no longer be one of the boys, merely a toad, or whatever slang was hip these days.
As much as he hated that bloke who kept gabbing on about how Pakistan would have its first guillotine soon, the revolution being nigh, the bourgeoisie finally coming out and making the nation their own, Fawltea realized he was missing him today. His arguments with The Professor about Communism, Socialism, Economics, Philosophy, and the like usually ended up with the cozy, almost café-esque atmosphere so prevalent here right now going up in flames, and everyone marching out to start the round without Fawltea having to say anything. Come to think of it, this was the first day he’d been absent. Communist or no, Fawltea had suddenly become an admirer of the man, and after a few phone calls that went unanswered, Fawltea had realized that this Tartan Check sweater wearing patriot had probably been picked up for good. Others had warned the fellow not to go on posting exposés about the army’s various businesses, but he had not taken those warnings to heed. Fawltea wondered if he should perhaps ask the girl whose parents were high-ranking officers to have a word with them about Mr. Tartan Check, but then he remembered what had happened to all those people who had become missing persons simply because they were searching for another, and decided against it. He poured himself a cup of tea and drank it in remembrance, hoping Mr. Check would return alive someday.
The “café” that the doctor's lounge had become now had two happy faces on the green sofa towards the left – one reading her book out loud, the other watching a movie on her Mac with her Bluetooth thingamajigs – and two downcast faces on the right: the fellow who looked like a woebegone bookseller, and Fawltea, who was sure the former was going to print out a few posters of Adam Smith (on the hospital's dime, of course) and throw a few darts at them. As things stood currently, Fawltea wanted to do so himself; perhaps this could be a bonding moment. It would be far better than brooding at graveyards, or whatever it was this gloomy vampire undertaker did in his free time.
As for Frank and Joe, Fawltea speculated they had probably embarked on their next adventure, and had just been stopped by the police for carrying all that vodka near GT Road. Alcohol was illegal in Pakistan and usually carried the threat of jail, but even the police officer had fallen for their charisma, wanting so badly to be one of the lads that he ended up escorting them in his own car so that no one would stop them. They seemed like rich, well-off boys, so the officer knew no good would come of arresting them. He had a penchant for good vodka anyway; might as well make friends with people who could source the damn thing. They probably sang Pashto songs as they traveled to the River View hotel, where the plan was to drive the police car into the sea or some such. Yes, it seemed like the sort of thing they would do on any given day; at least, in Fawltea's opinion. Outside that world of dreams, however, Frank and Joe were just playing snooker at a newer, lesser-known club, as was their custom, so that they would not become too well known as hustlers.
God, Fawltea missed Nancy Drew, as addicted as she was to reading true crime books, she could be trusted to check up on the patients and make sure they were all getting the right medication. But she had since made her way to far off shores, and Fawltea had not been able to find anyone else with that sense of responsibility. Now she had been replaced by a Veronica Mars, who only cared about what Olivia Rodrigo was up to and the like. “They're all doomed anyway, they're living in Pakistan.” Veronica would say nonchalantly, before going back to her phone, refusing to check up on any of the patients. Were she not some higher up bureaucrat's daughter, she too would be walking the plank on his ship, but instead she was busy making all kinds of playlists for her musically uncultured colleagues.
As Fawltea continued to wallow in despair, the clock, which had struck 9 (and 8 before, and 7 before that, and so on), struck 10, and he realized he had waited over 90 minutes for Adam Smith’s sermon to end. Just then, Gul Abad entered, and the first thing he did was ask when the round was going to start. As much as Fawltea despised the fellow, he wanted to sing his praises for the interruption. But sadly for Fawltea, no one else heard Gul Abad. Before Fawltea could say anything, Gul Abad seized the opportunity and declared, “Don't worry, I'll conduct the round myself.” Did he just conjure a lab coat out of thin air? Fawltea was flabbergasted, but before he could say anything, Gul Abad had bolted faster than The Flash when he needed to mess with the fabric of time itself.
Fawltea called his Assistant Professor, wondering why the AP had not arrived. “Pakistan vs Netherlands hockey match today, mate, can't be bothered.” was all he got. Fawltea muttered more curses under his breath, wishing he were part of some military outfit — then he’d like to see how anyone would dare disobey or misbehave as they were now. Still, he had to begrudgingly give the man some credit, here he was supporting the flickering flame of a once glorious hockey empire. The jokers that sat before Fawltea had no idea how glorious Pakistan's hockey team had once been in the 70s and the 80s, winning four world cups.
“You, come with me. Don't just sit around. It's time for the round,” Fawltea motioned to the boy, who looked like a heartbroken bookseller whose wares had drowned due to a leak while he had already been weighed down by a suffocating debt. Or a vampire that had just arrived at a blood bank for a feast, only to be hit with a flood of sunlight. Afraid of getting in trouble with his supervisor, the depressed vampire started to get up, only to be chided for it.
“Sit down, you idiot, don't get up.” The Professor glared angrily at him; he was now exuding the vibe of a practically hopeless bookseller whose store had burned down, and it was beginning to look like he would cry.
Then, she shot an angry look at Fawltea, dropping her Adam Smith for the moment. This did not bode well.
“And just why does he have to obey you? We don't have to do anything you say. We're doctors, we're supposed to be independent. We'll examine patients on our own time. Why don't you stick to your job, and let us do ours? It's not like this is an office, and you're our boss.” She huffed with the kind of rage usually seen in a tiger disturbed from enjoying its usual meal of daily villager, with a side of rabbit.
As a matter of fact, he was precisely that. They were trainees, and the whole point of training was to do as you were told by your supervisor. But these new trainees weren’t even interested in following basic protocols. Suddenly, Fawltea realized just how brave the Tartan Check doctor was for taking on these establishment prats, for he could not bring himself to do the same and risk the army's wrath. Even a lowly captain could make you disappear forever, never mind someone related to brigadiers. It was all he could do to stop his hands from shaking.
Nodding and saying, “Sorry, ma'am,” because he was reminded of his particularly harsh History teacher, and because his paranoia insisted on it, he left the doctor's lounge. He was consoled by the fact that, for the gloomy insomniac, listening to more Adam Smith was a fate far worse than any that could befall him during a morning round.
Fawltea started to make his way to the private room where his VIP patient was. Always best to butter these fellows up and what not. He made his way past the main counter where over 20 people were queued up. The two doctors on duty there were playing Tekken Tag on the PC used to register and discharge patients, and the crowd of attendants in the queue seemed more interested in the match than in their own patients. Various amounts of money were exchanged, and the fellow playing Heihachi and Kuma against Eddy and Hwoarang had 12-1 odds or something of the sort. Fawltea liked Heihachi, he was a no-nonsense man, the kind that threw his own son off a cliff if need be. If only I were like him, he thought pensively.
The IT Administrator seemed to be handling the financial side of things as far as the betting went. Fawltea remembered those days when these two buffoons could be found playing Tekken 3. The queues seemed far shorter back then, interest in Tekken 3 had waned after 15 odd years of it being the mainstay government hospital videogame in Peshawar, (and all the other cities too) but now the queues were longer than ever – signing off on those new PCs had been Fawltea's undoing. The IT Administrator had tricked him into thinking it would make the administrative side of things faster, yet all it had done was gum up the works significantly while lining his own pockets. These PCs were also capable of playing Tekken 4, 5, and 6 for when interest in Tag waned. The future of the administrative side of the process looked bleak.
When he finally arrived, still a bit shaken by his brief encounter with what he swore was the Grim Reaper playing Ludo with the custodial staff, he found a nurse putting the death shroud on his patient’s face, eyes closed. “W-what happened?” he asked, his voice cracking as if his very soul – and more importantly, his hopes and dreams of free adventures on the golf course – were being cleaved out. There went his only chance of impressing Frank and Joe.”
“Dr. Gul Abad tried his best; he threw everything at uncle – adrenaline, morphine, ketamine, you name it,” said the patient's only attendant. All Fawltea could do was glare at Gul Abad, who was doing his best to look solemn while the attendant thanked him for trying so hard to save his uncle, who had been admitted for a simple case of mild pneumonia, which Fawltea had managed quite well.
They went outside the room, Fawltea fuming like a police officer who discovered the bike he had stolen from another had been stolen from him. “You did it again; you rat bastard. You killed a perfectly stable patient.” His eyebrows nearly jumped off his face, as if he were some sort of angered cartoon.
“I saw signs that led me to predict a shortness of breath, sir, and concluded adrenaline might be needed, so I acted in advance, before the bacteria could surprise us. I am still learning about why they use morphine and ketamine,” Gul Abad spoke nonchalantly, as if he were a trainee.
“Goddamn it, YOU ARE NOT A DOCTOR!” Fawltea wanted to choke him right then and there, yet Gul Abad was smiling as if they were the best of friends, like petrol smugglers in Balochistan and the soldiers that patrolled the border on petrol smuggling day.
“I got his golf club pass for you, sir; the nephew agreed to put it in your name, the paperwork is underway.” Gul Abad smiled wryly, holding out the card.
“Oh, you did...? Well, that does change things. Well done, Gul Abad; perhaps I shall teach you a few things from now on.” He smiled, all that malice evaporating faster than Pakistan's GDP crashing after the typical bust caused by bad loans stimulating useless consumption. A patient was a patient after all; you lose one, you move on to the next. Such was the spirit the country that had defaulted 3 times had inculcated in its citizens. Frank and Joe were more important, as were his dreams of golf.
“Shall we drink some tea, sir, while you teach me how to read ECGs?” said Gul Abad, as one of the poor patients in the corner rooms passed away silently, forgotten by all. In his death summary, Veronica Mars merely wrote: “Saved him from a bleak, hopeless future that would probably end in suicide anyway. kthxbai”
“Of course, of course,” nodded Fawltea happily, and they went back to that pleasant café, what was once known as the doctor's lounge. Without the argumentative revolutionary, it was certainly far more pleasant. Fawltea made a mental note to be sure to denounce him beforehand on his social media accounts, just to make sure the authorities didn't assume they were pals or anything. There was no arguing with them, one only ended up in an infinite combo of pain.
The Professor was still reading, still the most imperious of orators. Fawltea wondered if she somehow wasn't related to Mark Antony. “The first are those whining and melancholy moralists, who are perpetually reproaching us with our happiness, while so many of our brethren are in misery, who regard as impious the natural joy of prosperity, which does not think of the many wretches that are at every instant labouring under all sorts of calamities, in the languor of poverty, in the agony of disease, in the horrors of death, under the insults and oppressions of their enemies.”
Adam Smith was going to haunt this lounge for a good while longer, it seemed. The Breakfast Club was no longer playing on the Macbook; it was now Ferris Bueller's Day Off. Fawltea liked this Ferris fellow, he reminded him of his buddies Frank and Joe. Maybe it was time he took a day off, too, and went on a wild adventure. He made his way towards his classic 96 Corolla, and drove off, it did not matter where he went.
Back at the hospital, Gul Abad had noticed the Defibrillator for the very first time, and was wondering just how it worked. Now that he had surface level knowledge of electrocardiograms, it was time to put his knowledge to the test.