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In 1968, Mariamma enters medical school in Madras. Though she is still grieving for her grandmother and aunt, she applies herself with vigor to the program. She pours over the copy of Gray’s Anatomy that a friend found for her in a used book store. She is fascinated by the cadavers that she is supposed to memorize and dissect and inspired by one of her more interesting professors, an Indian named Dr. Cowper.
The group working with Mariamma on the cadaver nickname her Henrietta after Henry Gray of Gray’s Anatomy. The work is going well, and she is also excited to receive a letter from Lenin; they have been writing to each other through the ensuing years of her college attendance and his seminary studies. They are both busy with their respective careers, and 14 months pass quickly. Mariamma lets Philipose know that her final exams are upon her; she has been asked to take the advanced exam in anatomy for a prize.
She receives another letter from Lenin, who admits he has lost his faith in God: “I’m lost,” he says (535). He is drawn to the Communist party instead. She is preoccupied with Lenin’s troubles when she arrives for her final exam. She finds a lone professor in an office who will question her after she has completed the physical part of the exam. He asks her to put her hand in his pocket and proceeds to force her to masturbate him; this is in exchange for a passing grade. However, Mariamma decides to fight back, squeezing the man’s penis with as much strength as she has. The two fall into a glass table, and Mariamma injures her head. After hearing the screams from the office, a fellow classmate rescues her.
Mariamma is dealing with the aftermath of the assault. Lenin has found out about the incident, and he shows up on campus to comfort her. He convinces her to go to the beach and out into the ocean with him. The sojourn helps her to feel better, and she reflects upon her feelings for Lenin. He always bothered her, but she could not help but to feel drawn to him.
Lenin tells her his story: He has been attacked and has finally recuperated. This is why she did not hear from him for so long. She noticed the scar on his face, but did not comment on it until he told his story. However, it is worse than she had feared: Lenin has joined the Naxalites, the extreme left-wing group labeled terrorists by the Indian government. He has watched a friend be killed, and he is now, by definition, a wanted man.
Mariamma cannot sleep after what Lenin has told her, and she finally realizes that she is in love with him—be he is now effectively an exile. She also has no doubt that “[h]e loves her too” (561). But now that love is impossible. They make love—Mariamma is sure that she will never see him again—and he asks her to go away with him. If they are married, then they can go into hiding together. Mariamma is furious. She wants him to consider that he could have chosen her instead of political extremism.
Though Mariamma knows that Lenin will either be imprisoned or executed, she cannot stop herself from thinking of a life with him. She starts to experience nausea and worries that she is pregnant. She is interning at the women’s hospital and her nurse, Akila, assures her that she is not. Akila knows that many women who intern at the hospital and witness women giving birth often have phantom symptoms.
It turns out that Akila is right: Mariamma is not pregnant. She returns to Parambil for the Christmas holidays. When she is asked about Lenin, she decides to feign innocence, claiming she has not heard from him in some time. Philipose already knows about Lenin’s association with the Naxalites, and he sympathizes with Lenin’s choice. Lenin has always been focused on social justice—even if this is a dangerous way of going about it.
Father and daughter bond over Mariamma’s stories about medical school, though she does not tell him about the sexual assault. She hears from Anna that Joppan’s business has been shuttered. She also visits the nest, her mother’s natural sculpture from before she was born. On the way back to the train station, Philipose tells Mariamma more about Joppan; Philipose has again offered him a position on the estate.
Dr. Uma Ramasamy wants Mariamma to work with her in the Department of Pathology. While Mariamma has always believed her strongest work was in anatomy, she cannot refuse Dr. Ramasamy’s offer. The chance to work with a renowned female pathologist on the scourge of leprosy is too tempting. So, Mariamma takes the internship, and Ramasamy is immediately impressed with her talents.
Meanwhile, Joppan has accepted the estate manager’s job at Parambil. While it appears that the extended family at Parambil will finally be coming back together, Ramasamy comes to the lab to give Mariamma some terrible news.
Philipose is in Cochin on assignment from the newspaper. After dinner, he happens to find an art catalogue that some tourists left behind. He is stunned to find that the cover features of picture of a sculpture that looks almost exactly like the Stone Woman sculpture Elsie had created so many years ago—the sculpture he destroyed while high on opium. He has always assumed Elsie was dead, though a body was never found. Now he knows he must return to Madras to see this work, to find out if Elsie is still alive.
He must take a train that crosses water to get there, but his urgency will not allow him to be afraid. As the train crosses the river, there is a crash, and his compartment falls into the water. He is injured, though not gravely, but he sees a child who he thinks is drowning. He sinks into the water to try to save the boy.
Mariamma is summoned to the morgue to identify her father’s body. She is overwhelmed: “He wasn’t dead. It was a mistake” (594). She has a letter from him that has just reached her. In the letter, he says nothing about his suspicions about whether her mother is still alive, though he makes oblique references to the situation.
When she returns to Parambil, she is greeted by Anna Chedethi and Uplift Master. Everyone is in shock, but Mariamma knows that Philipose’s death may provide some answers for science. She has asked Dr. Ramasamy to remove her father’s brain so that the two of them can study it.
Mariamma brings the Water Tree genealogy to Ramasamy so they can both pore over the evidence. Mariamma is still searching for an answer to the Condition. Ramasamy informs Mariamma that her father’s injuries were not life-threatening; he simply drowned. When they are finally able to autopsy the brain, Ramasamy claims that he has a “variant of neurofibromatosis, or von Recklinghausen’s disease” (601). It is a condition that interferes with hearing, balance, and orientation; when someone with this disease is not on solid land, they lose their bearings. Hence, the tradition of drowning within the family. Mariamma decides at that moment that she will continue her studies—but in neuroscience. She wants to find a cure for the Condition. She is admitted to one of the most prestigious schools in India, but first she must do an internship: she will be posted at the new hospital in Parambil.
When Mariamma arrives in Madras for medical school, the city is markedly different from her father’s time. Though its footprints remain, the British empire has receded: “Madras has changed from her father’s brief student days, when the British were everywhere, their pith helmets bobbing on the streets and most of the cars carrying white people. Now, only their ghosts linger in buildings of fearsome scale” (523). By 1968, when Mariamma arrives, memories of empire have faded, though they will never be completely erased: “Mariamma has no resentment. It’s all Indian now—hers—whatever its origins” (523-24). India is entering a new phase of its history, just as Mariamma represents a new phase of her family history. She will become the doctor that Big Ammachi prayed for, someone to understand and solve the Condition.
While Mariamma is finding her place, Lenin is losing his faith. In the first letter the reader sees from him to Mariamma, he writes, “After all these years, all I know is that my life was spared to serve God. But what if God meant for me to serve in some other way?” (532). His time in seminary will soon be over. Later, he tells her that “my faith has vanished” and that he is “lost’” (535). Soon, however, he rises above this despair, finding The Will to Believe in another kind of calling: “Call it communism or whatever you like, but standing up for the rights of the lowest caste appeals to me” (537). When he joins the radical Naxalite group, risking his life and his freedom for his vision of social justice, his actions mirror those of religious martyrs who undertake similar sacrifices for their beliefs. Lenin’s struggles with his faith are mirrored in Mariamma’s struggle with her psyche in the wake of her sexual assault. She also loses her way, for a time: “Outwardly, she has shrugged off the vile episode with Brijee. But her insides are still in disarray. She’s ashamed to face her father” (543). While the shame she feels should not be her burden to bear, it is nearly impossible to shake.
When the two finally come together, they are “both marked” in varying ways (546). Lenin has the physical scars that are the hazard of his affiliations, while Mariamma bears the emotional scars of her encounters with men. These marks separate them from others while bringing them closer to each other; there is an understanding between them. Mariamma notes that, “as a girl […] she hated the newly arrived Lenin for his antics, but she couldn’t stop herself from trailing him. Why? She had to see what happened next. It was a compulsion” (549). Thus, when Lenin tells her that he has joined the Naxalites, Mariamma is stunned—and angered. She knows that this journey will lead to imprisonment or death for him. There will be no future for the couple in her mind. Still, Mariamma forgives him, an echo of Big Ammachi’s asking for forgiveness in the previous part.
Philipose’s leaves Mariamma adrift, though it will be the catalyst for her discovery of the Condition’s cause. Even before Philipose drowns, Mariamma has her suspicions about the roots of the disease:
Mariamma thinks about the Condition. Already, with the knowledge of anatomy and physiology that she has, she thinks the Condition must involve parts of the brain associated with hearing and balance. Perhaps for those affected by the Condition, immersion in water causes the signals to spill over to [other] parts of the brain (582).
All of this speculation will be confirmed by the study of Philipose’s brain after his death.
Mariamma, at least, spends some time with her father at the holidays, before his accident. They talk about Joppan and the Parambil estate. Thinking of Joppan taking the manager’s position at Parambil, Philipose says, “You resist fate, but the hound finds you anyway” (577). The statement foreshadows Philipose’s death, when his family’s fate catches up with him. When Philipose sees the young child struggling in the water, he cannot turn away. He plunges in after the child, and it is as if he is trying to save his own son as well as his half-brother, JoJo, who died by drowning before he was born.
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