The Blue Afternoon

Archibald and Juliana Carriscant and their son Salvador… Commodore George Dewey and the battle of Manila Bay… The capture of Emilio Aguinaldo… Six hundred million dollars of American taxpayers' money spent on a forgotten and bloody colonial adventure half a world away… What did all this have to do with me? I wondered how it could possibly explain my journey to Lisbon with a man who claimed to be my father in search of a woman whose face I knew from a torn-out page in a 1927 pictorial magazine.

We had a rare and gratifyingly tranquil voyage on the SS Herzog. The Atlantic swell remained glassy and docile as we cruised eastwards through mild hazy sunshine, the fraying rope of smoke from our two tall stacks trailing persistently behind us as if reluctant to be dispersed on the gentle oceanic breezes.

During our ten-day journey Carriscant was as good as his word – he told me everything, and answered every interrogation I put to him without demur however embarrassing my enquiry or however damaging it might prove to the portrayal of his character and motives. As you will see, his candour was impressive. I kept copious notes of everything he told me and wherever possible attempted to catch him out or corroborate details. In the relaying of his story I have allowed myself some of the licence of a writer of fiction, have embellished it with information I obtained later and with facts gleaned from my own researches. But in the end this is Salvador Carriscant's story and I have had to trust the teller, as we all must in these circumstances, but what follows is, I believe, as close to the truth as anyone could come.

MANILA, 1902

TONGUE

According to his best recollection, on the day of the first killing, Dr Salvador Carriscant – the most celebrated surgeon in the Philippines – suffering from a mild headache, left his house and decided as was his occasional habit to walk to work. Nobody of any importance or self-regard, with even the slightest modicum of selfesteem, walked in Manila in those days but Dr Carriscant relished the short stroll from his fine house on Calle de la Victoria to the San Jeronimo hospital, not only for the pleasant sensation of libertarian fellow feeling it provoked in him but also because the interlude allowed him to calm down, to forget the irritations and frustrations of his home life, and clear his mind for the exhilarating but complicated business of the day's work waiting for him in the surgical wards.

The San Jeronimo hospital in Manila was a comparatively recent building, having been completed in 1878 and renovated again nearly twenty years later when the electric light was installed. It was to some extent modelled, so Carriscant had been informed by an elderly member of the hospital's board of governors, on the Palazzo Salimberri in Sie

The design of the San Jeronimo was simple and, as long as numbers of patients did not grow too rapidly, as they did when the cholera and smallpox epidemics erupted, was quite effective. Patients first visited the physicians on the ground floor who then, where necessary, referred them to the surgeons. Post-operative care took place in the wards that occupied the floor above. The one disadvantage of the place was that there were no laboratories or dissecting rooms and that the morgue was a little on the small side. Consequently any anatomical or experimental work had to be carried out at the San Lazaro hospital or in private premises. The reputation of the San Jeronimo had been high, almost from its inception, owing to the celebrated dexterity of Dr Cruz (who on one day in 1882 had performed over three dozen amputations) but it had been augmented in recent years as a result of Salvador Carriscant's return from Scotland in 1897 and his introduction of Listerism and the latest surgical methods and the remarkable success rate these i

Dr Salvador Carriscant passed through the wide arched gateway, acknowledging the respectful salute of the porter on duty. His headache was easing, he was happy to note, and he was looking forward to the first operation of the day, the extirpation of a large tumour from an adolescent boy's tongue. He was pla

Carriscant crossed the courtyard towards his consulting rooms, noting that the waiting room was already full and there were half a dozen people sitting on a wooden form outside. He glanced over at Cruz's equivalent suite of rooms and saw that the main door was closed and the shutters unopened. Cruz's patients had declined steadily in the years since Carriscant had arrived and now it was either ignorance or agonised desperation that led anyone to demand a consultation with the old surgeon. He was a dying breed, was Cruz, Carriscant reflected, a historical curiosity, an emblem of the bad old days of the profession, but he was good with the knife, Carriscant had to admit, and his eye was impeccably sure. He was fast, Cruz – damned fast. The war had seen a surge in demand for his expertise, he had carried out hundreds of amputations, but since it had ended, business had slackened again and now the old man spent much of his time on his large ranch at Flores and in his personal laboratories which he had had constructed there and where he kept his hand in by operating on monkeys and dogs. Carriscant never forgot the first and almost the last operation he had performed with Cruz. Cruz had watched him washing his hands prior to entering the theatre. 'You prefer to wash your hands before the operation I see, Carriscant,' Cruz had commented acidly. 'I prefer to wash mine afterwards.' On his rounds of the wards too his brutal frankness was legendary: 'That's one of the worst cancers I've seen,' he would tell some suffering soul cowering in his bed. Or, 'The leg will have to go, off at the hip too, let's not take any chances.' Or, 'Conditions such as yours, my dear fellow, are inevitably fatal. I doubt you'll be seeing the outside of this hospital again.'