Page 121 - And the Mountains Echoed (novel)
P. 121

With my respects,

                       Roshana



                   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.
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