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74 pages 2 hours read

Abraham Verghese

Cutting for Stone

Fiction | Novel | Adult | Published in 2009

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Part 1, Chapters 6-10Chapter Summaries & Analyses

Part 1, Chapter 6 Summary: “My Abyssinia”

Hema is happy to return to Ethiopia, which feels like home. On the plane, she realizes she knows the Somali man sitting across from her; she delivered children from two of his wives on the same night. He thanks her and offers her khat, which she never normally chews. In this instance, however, she likes it.

Hema is glad to return to Missing, even though she is two days late. In the taxi, she passes the location of a hanging she witnessed when she first arrived in Addis. When she gets to Missing Hospital, all the gates and windows are open, which surprises her. Gebrew, the gatekeeper, tells her that Sister Mary is in labor, but the baby will not come out. He has opened the windows and doors to try to help.

Part 1, Chapter 7 Summary: “Fetor Terribilis”

Hema appears in the operating room, smells death, and sees Sister on the table. Suddenly Thomas, Matron, and the probationer view the scene from an outside perspective and can see all that appears wrong. Matron hears Sister reciting her prayers and realizes that she is dying. Hema chastises Thomas for not telling her that Sister was pregnant, and he responds that he did not know. She prepares to perform a Cesarean section, and Matron faints.

Part 1, Chapter 8 Summary: “Missing People”

Matron holds Sister’s hand, crying. She remembers when she decided that she and Sister should not wear habits anymore; after seeing men’s reactions to Sister, she changed her mind. Normally, Matron relies on medicine for healing, but she prays aloud for Sister. The sun lights up the room as Hema opens Sister’s womb. They see the twins inside, and Matron thinks that everything has changed.

Part 1, Chapter 9 Summary: “Where Duty Lies”

Hema tries to deliver one of the twins and realizes that they are attached at the head, but there is a tear in the connection. They are losing blood, and she must separate them. She expects disaster but successfully delivers the tiny, premature babies. She turns her attention back to their mother.

Part 1, Chapter 10 Summary: “Dance of Shiva”

Marion claims to remember being born and his separation from Shiva, then flashes back to describe it. The twins are not breathing. The probationer makes notes on her chart and forgets to examine them; believing they are dead, she turns away.

Hema tries to rouse Sister with an adrenaline shot but gets no response. She feels as if Sister is her sister and waits before declaring her dead. While this is going on, Marion shifts in the basin the babies were put in, making noise as he hits the copper sides. Hema rushes to them, and the probationer is confounded by the fact that one baby is alive. The other one is still blue and silent.

Hema tells Thomas that Sister is dead. He tries to revive her but has to admit defeat. She tries to interest him in the children, but he turns away. He knows they believe these are his children, and although they are not, he feels somehow responsible. Hema asks him to name them and becomes irate when he leaves without looking at them. She holds the babies while the others mourn Sister. The twins are alive, healthy, and quiet. She names them Marion, after J. Marion Sims, a famous surgeon, and Shiva, after her favorite god.

Part 1, Chapters 6-10 Analysis

In Chapter 6, the narrator returns to Hema, who is unaware of what is happening in her absence. By switching between the scene at the hospital and Hema’s return, Verghese builds narrative tension. He also employs dramatic irony, as the reader knows what awaits Hema and feels urgency that she does not experience. With her near-death experience, Hema had a revelation about her love for Ghosh and the way she should live her life. Hema’s rebirth happening in parallel with Sister’s death emphasizes Sister’s philosophy, “Make something beautiful of your life” (64). This parallel also foreshadows Hema’s decision to parent Sister’s children, taking on Sister’s role and finding purpose as a mother.

When Hema passes the site of a hanging, Verghese widens his narrative lens and pulls Addis Ababa and Ethiopia into this story. Throughout the novel, he weaves Ethiopian history into the otherwise cloistered world of Missing. For Hema, the site reinforces the differences between her home and Addis but also reminds her of how much she has changed. Although we see little of Hema’s experiences in Addis, Verghese raises the experience of Feeling Like a Foreigner here, both in terms of how she felt seeing the hanging and the difference in how she feels now, having lived in Ethiopia for years. Throughout her trip, she reflects on how she feels like Ethiopia is home now. It is the same feeling that Marion will have, much later, about America.

In Gebrew’s act of opening the hospital’s doors and windows, Verghese shows one facet of the complex Community of Faith that exists at Missing. Religion and medicine are intertwined, and the religion that is practiced takes many forms and is open to different interpretations. For example, opening doors and windows during childbirth is a common tradition in many cultures. This is also illustrated in the scene where Verghese contrasts a very graphic surgery with Sister and Matron’s prayers, a blend of scientific healing and faith. While other characters exercise their faith, Thomas loses his. When he is unable to save Sister, he reflects, “[Work] was the only arena in which he felt complete and the only thing he had to give Sister Mary Joseph Praise. But at this moment work had failed him” (126). This crisis of faith changes Thomas’s life and eventually leads to a further commitment to medicine. In the end, this decision leads him back to the twins he turns from at this moment.

While this traumatic scene is going on, the underlying question of how Sister, a devout nun, became pregnant remains. Everyone assumes that Thomas is the father—he is the obvious choice because everyone knew about the love between Thomas and Sister. The omniscient narrator, who has insight into Thomas’s thoughts, reveals Thomas’s anger and confusion, which indicate that the children are not his. Verghese will not solve this mystery until later in the story, and while it is not the focus of the novel, it does create underlying tension that continues until Marion meets Thomas as an adult and hears his story. Thomas’s emotions and actions here also foreshadow his abandonment of the twins.

The twins’ arrival in the world is dramatic, as is the revelation that they are conjoined. This is the reader’s first introduction to ShivaMarion, and the connection between the brothers is the book’s central theme. Their physical connection is quickly severed, as it has been damaged, and Marion will not feel fully connected to Shiva again until the end of the novel. For now, although the twins are physically separated, they seem to act as one entity.

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