CHAPTER 80
Contains spoilersOverview
Mariamma visits Saint Bridget’s to confront Digby and instead witnesses his meticulous tendon surgery and a patient’s restored function. In his study, Digby anticipates her question about parentage and reveals the unblinking woman in the garden is Elsie—alive at the leprosarium and his enduring love. This revelation reshapes Mariamma’s identity and explains Digby’s decades-long devotion to Saint Bridget’s.
Summary
In 1977, Mariamma rides to Saint Bridget’s leprosarium determined to find answers about her origins. She enters the operating theater, observes Digby Kilgour’s deliberate tendon transfer on a patient’s hand, and notes his credo of minimal trauma and faith in tissue planes. Her agitation simmers beneath professional habits as he works.
Before they can speak, Digby brings her to a ward where Karuppamma, a leprosy patient, demonstrates regained thumb opposition after a tendon rerouting. Digby explains the brain must learn a new command pathway—imagining ring finger movement to move the thumb—eliciting shared joy when it works. The success momentarily softens Mariamma’s anger.
As they walk, Digby describes leprosy’s true harm: loss of protective pain and, when facial nerves are damaged, failure to blink leading to corneal desiccation and blindness. From his study window they watch a resident in a white sari, disfigured hands and flattened nose, sit in the sun and scarcely blink. The sight underscores the disease’s isolating effects and Digby’s commitment.
In the study, Mariamma moves to confront him about her parents. Digby, anticipating the question, remarks on her resemblance to her mother. He then reveals that the unblinking woman in the garden is Elsie—Mariamma’s mother—alive at Saint Bridget’s and the love that anchored him there for twenty-five years. The disclosure redefines Mariamma’s past and the reasons for Digby’s life’s work.
Who Appears
- Mariamma
Protagonist; arrives at Saint Bridget’s for answers, watches surgery, and confronts Digby; learns Elsie is alive.
- Digby Kilgour
Leprosy surgeon; demonstrates tendon transfer, explains pain’s protection, and discloses Elsie as Mariamma’s mother and his love.
- Elsie
Silent resident in the garden; unblinking, disfigured. Revealed as Mariamma’s mother and Digby’s enduring love.
- Karuppamma
Leprosy patient whose tendon transfer restores thumb opposition by retraining the brain’s command.
- Suja
Nurse with a bandaged foot; guides Mariamma, assists Digby, and applies immobilization after procedures.
- Taxi driver
Elderly Ambassador driver; brings Mariamma to Saint Bridget’s and nervously agrees to return after lunch.