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As eye-catching spectacles went, it was hard to choose between a wrecked helicopter close by, and a mushroom cloud of copper-red ammonium nitrate smoke rising above the collapsing remains of a luxury hotel in the distance. And yet only a few minutes later Willem found himself staring at something else. Drawn by the sounds of the hotel being blown up and the helicopter crashing, hospital staff began emerging in numbers from the little hut in the corner of the roof that marked the upper end of the stairwell. More pulsed forth from an elevator near the helipad. They looked much the same as nurses, doctors, x-ray techs, and so on anywhere else: color-coded scrubs, stethoscopes, name tags. Of course there were regional differences: lots of ethnic Papuans, lots of women wearing the headgear that marked them as Catholic nuns. As minutes went by, they were joined by some others who did not appear to be medical professionals. Patients, perhaps, who were well enough to be ambulatory, or people who had come to visit patients. The one who stood out, for Willem, was a grizzled Papuan gent who was naked except for a penis gourd. Willem had read about these, but always assumed they would be smaller. More penis-sized. This one was much, much longer than any human penis Willem had ever seen, and in his younger days he had seen a few. Its wide end—just wide enough to accommodate a penis—was lashed to the man’s groin. From there it curved upward along his belly, restrained by a cord around his waist, and then twisted about in free space to end in a sharp point somewhere out in front of his sternum. Willem wondered if it was rude to stare; or if you went about in that getup, would you find it more insulting not to be stared at?

They shoved the helicopter off the roof. More choppers—legit medevac choppers—were coming in. They couldn’t land while T.R.’s helicopter was in the way. It was not capable of taking off. So a contingent of the hospital’s security staff was detailed to cordon off a generous stretch of lawn below. Once they gave the all clear, a couple of dozen of those on the roof converged on the chopper and rotated it until its glass snout was protruding over the edge of the parapet. Then they used its long tail as a lever arm to pitch it forward. This quickly elevated beyond reach and so people rushed to get their shoulders under the landing gear and push on that. Willem found himself between Amelia and the man with the penis gourd. Whatever strengths and weaknesses this guy might have had as far as his grasp on technology and the ways of the modern world were concerned, he understood the helicopter-tipping procedure as well as anyone here, and even used hand gestures to make polite suggestions as to how others might position their hands and use their muscles to best advantage. Eventually the crowd settled into a rhythmic heave-ho procedure, and finally shifted it past its tipping point. It lifted free of their outstretched hands and somersaulted over the edge in perfect silence. The man with the penis gourd watched it fall and smash into the ground with only modest curiosity. It simply wasn’t as big a deal to him as it was to those of a more modern mindset. Having made friendly eye contact with Willem earlier, he now made gestures the import of which was Hey buddy, got a smoke? and Willem had to pat himself down and show empty hands. “Does anyone have a cigarette for this man?” Willem asked. In short order one was conjured from a janitor’s pocket. The man, after expressing due gratitude, snapped it in half and smoked it double-ended as he watched the first medevac chopper come in for a landing.

T.R. led them toward the stairwell. As they walked past the elevators that serviced the helipad, Willem did a double take. A sign above the doors proclaimed T.R. AND VICTORIA SCHMIDT MEDICAL PAVILION, with the same—or so he assumed—repeated in Indonesian and one of the eight hundred some local languages of New Guinea.

“Where are we going? Just curious,” Willem asked, after T.R. had led them down eight flights of modern, reinforced-concrete stairs and then into a much older wing of the hospital—walls lined with glazed cement blocks, linoleum floors, wooden doors, the smell of disinfectant. Like a certain number of post-war institutional buildings in the Netherlands.

“L & D.”

“Which stands for?”

“Labor and Delivery,” T.R. said.

An odd choice, but logical in a way? The trauma center, surgery, x-ray, ICU—all probably swamped, or about to be. Labor and Delivery, no more so than on any other day.

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