they needed stitches, or if they had broken a bone, or had a cough that wouldn’t go away. It was a free clinic, but it was a long walk from town, uphill along a rutted track through the jungle, so only the common folk made much use of it. Anyone who was well off or important saw their own doctor in town.
The front wards were also where women could come when they were pregnant, to have examinations and, if there were difficulties, to give birth. But it was considered ill-omened by the townspeople to bring a child into the world so close to the demented souls of the back wards, so only the poorest women ever chose to do so. The orphan herself had been born there. A nurse had once told her that it had been a terrible labour, long and bloody and damaging, and the orphan often wondered if perhaps that explained why she was the way she was. Certainly, the pregnant mothers regarded her with suspicion. Sometimes they would hiss curses at her and make signs to drive her away, as if she might spell a similar doom for their own children.
The back wards, on the other hand, weren’t for everyday patients. The back wards were where the dying were kept. And the insane.
The building was hidden behind the front wards, an elongated structure of several wings, with stone walls and high ceilings and narrow windows. It was very old, dating from other times entirely, before the hospital was even a hospital. It had been a grand house once, and grand folk had dwelt there. Or so the orphan was informed. But that was long ago, and she couldn’t imagine it. Now the plaster was flaking away from the walls and the stone was crumbling and the tin roof was red with rust. Inside, it was a grim maze of long wards and metal doors and echoing hallways.
Many people were frightened of the building alone, never mind the inmates. But the orphan wasn’t frightened, no matter how gloomy the wards might be, and no matter how the inmates might scream or yell, no matter even how tangled their hair or bad their breath or shitty their sheets. It was only smell and noise, after all. The building was just a building, and most of the patients wereharmless. (The ones who weren’t were kept in the locked ward, where she wasn’t allowed to go.)
She was even happy to work in the back wards at night. The night nurse—coward that he was—was almost too scared to enter there after dark, but the orphan actually preferred it. It was cooler and quieter then, and she was less in people’s way. Most evenings—seeing that the night nurse, apart from being cowardly, was also purely lazy—the orphan was the only soul the inmates might see after lights-out. They liked her for that, and she liked them.
She was less comfortable in the front wards. It wasn’t just the unfriendly looks she received from the townspeople—worse than that, the front wards were the territory of the surgeon, and she didn’t like the surgeon. He was the hospital’s only other doctor, much younger than the old doctor, and all the nurses thought he was very good-looking. But the orphan knew that he cut people open with knives, and whenever he glanced at her, his eyes unsmiling, she felt a little afraid.
To begin with, they put the foreigner in the catatonic ward.
The orphan did not quite understand the word, but to her, these patients were the empty people, the ones with nobody inside them. And of all the back wards inmates, they certainly resembled the foreigner most closely. One, for instance, was a woman who did nothing but sit and brush her hair for hours at a time, staring, even though she had long since brushed herself bald. Another was a boy who rocked back and forth ceaselessly on his bed, his arms clasped around his knees. Others simply slept all day, or gazed blindly at the ceiling, almost exactly as the foreigner himself did.None of them, beyond the occasional incoherent mutter or cry, ever spoke.
But things changed after the foreigner moved in.
Over the following days, the woman