a spasm of horror at the sight of men with ruptures sitting in their doorways on hot afternoons, fanning their enormous testicle as if it were a child sleeping between their legs. It was said that the hernia whistled like a lugubrious bird on stormy nights and twisted in unbearable pain when a buzzard feather was burned nearby, but no one complained about those discomforts because a large, well-carried rupture was, more than anything else, a display of masculine honor. When Dr. Juvenal Urbino returned from Europe he was already well aware of the scientific fallacy in these beliefs, but they were so rooted in local superstition that many people opposed the mineral enrichment of the water in the cisterns for fear of destroying its ability to cause an honorable rupture.
Impure water was not all that alarmed Dr. Juvenal Urbino. He was just as concerned with the lack of hygiene at the public market, a vast extension of cleared land along Las Animas Bay where the sailing ships from the Antilles would dock. An illustrious traveler of the period described the market as one of the most varied in the world. It was rich, in fact, and profuse and noisy, but also, perhaps, the most alarming of markets. Set on its own garbage heap, at the mercy of capricious tides, it was the spot where the bay belched filth from the sewers back onto land. The offal from the adjoining slaughterhouse was also thrown away there--severed heads, rotting viscera, animal refuse that floated, in sunshine and starshine, in a swamp of blood. The buzzards fought for it with the rats and the dogs in a perpetual scramble among the deer and succulent capons from Sotavento hanging from the eaves of the market stalls, and the spring vegetables from Arjona displayed on straw mats spread over the ground. Dr. Urbino wanted to make the place sanitary, he wanted a slaughterhouse built somewhere else and a covered market constructed with stained-glass turrets, like the one he had seen in the old boquerias in Barcelona, where the provisions looked so splendid and clean that it seemed a shame to eat them. But even the most complaisant of his notable friends pitied his illusory passion. That is how they were: they spent their lives proclaiming their proud origins, the historic merits of the city, the value of its relics, its heroism, its beauty, but they were blind to the decay of the years. Dr. Juvenal Urbino, on the other hand, loved it enough to see it with the eyes of truth.
"How noble this city must be," he would say, "for we have spent four hundred years trying to finish it off and we still have not succeeded."
They almost had, however. The epidemic of cholera morbus, whose first victims were struck down in the standing water of the market, had, in eleven weeks, been responsible for the greatest death toll in our history. Until that time the eminent dead were interred under the flagstones in the churches, in the exclusive vicinity of archbishops and capitulars, while the less wealthy were buried in the patios of convents. The poor were sent to the colonial cemetery, located on a windy hill that was separated from the city by a dry canal whose mortar bridge bore the legend carved there by order of some clairvoyant mayor: Lasciate ogni speranza voi ch'entrate. After the first two weeks of the cholera epidemic, the cemetery was overflowing and there was no room left in the churches despite the fact that they had dispatched the decayed remains of many nameless civic heroes to the communal ossuary. The air in the Cathedral grew thin with the vapors from badly sealed crypts, and its doors did not open again until three years later, at the time that Fermina Daza saw Florentino Ariza at close quarters as she left Midnight Mass. By the third week the cloister of the Convent of St. Clare was full all the way to its poplar-lined walks, and it was necessary to use the Community's orchard, which was twice as large, as a cemetery. There graves were dug deep enough to bury the dead on three levels, without delay and without coffins, but this had to be stopped because the brimming ground turned into a sponge that oozed sickening, infected blood at every step. Then arrangements were made to continue burying in The Hand of God, a cattle ranch less than a league from the city, which was later consecrated as the Universal Cemetery.
From the time the cholera proclamation was issued, the local garrison shot a cannon from the fortress every quarter hour, day and night, in accordance with the local superstition that gunpowder purified the atmosphere. The cholera was much more devastating to the black population, which was larger and poorer, but in reality it had no regard for color or background. It ended as suddenly as it had begun, and the extent of its ravages was never known, not because this was impossible to establish but because one of our most widespread virtues was a certain reticence concerning personal misfortune.
Dr. Marco Aurelio Urbino, the father of Juvenal, was a civic hero during that dreadful time, as well as its most distinguished victim. By official decree he personally designed and directed public health measures, but on his own initiative he intervened to such an extent in every social question that during the most critical moments of the plague no higher authority seemed to exist. Years later, reviewing the chronicle of those days, Dr. Juvenal Urbino confirmed that his father's methodology had been more charitable than scientific and, in many ways, contrary to reason, so that in large measure it had fostered the voraciousness of the plague. He confirmed this with the compassion of sons whom life has turned, little by little, into the fathers of their fathers, and for the first time he regretted not having stood with his father in the solitude of his errors. But he did not dispute his merits: his diligence and his self-sacrifice and above all his personal courage deserved the many honors rendered him when the city recovered from the disaster, and it was with justice that his name was found among those of so many other heroes of less honorable wars.
He did not live to see his own glory. When he recognized in himself the irreversible symptoms that he had seen and pitied in others, he did not even attempt a useless struggle but withdrew from the world so as not to infect anyone else. Locked in a utility room at Misericordia Hospital, deaf to the calls of his colleagues and the pleas of his family, removed from the horror of the plague victims dying on the floor in the packed corridors, he wrote a letter of feverish love to his wife and children, a letter of gratitude for his existence in which he revealed how much and with how much fervor he had loved life. It was a farewell of twenty heartrending pages in which the progress of the disease could be observed in the deteriorating script, and it was not necessary to know the writer to realize that he had signed his name with his last breath. In accordance with his instructions, his ashen body was mingled with others in the communal cemetery and was not seen by anyone who loved him.
Three days later, in Paris, Dr. Juvenal Urbino received a telegram during supper with friends, and he toasted the memory of his father with champagne. He said: "He was a good man." Later he would reproach himself for his lack of maturity: he had avoided reality in order not to cry. But three weeks later he received a copy of the posthumous letter, and then he surrendered to the truth. All at once the image of the man he had known before he knew any other was revealed to him in all its profundity, the man who had raised him and taught him and had slept and fornicated with his mother for thirty-two years and yet who, before that letter, had never revealed himself body and soul because of timidity, pure and simple. Until then Dr. Juvenal Urbino and his family had conceived of death as a misfortune that befell others, other people's fathers and mothers, other people's brothers and sisters and husbands and wives, but not theirs. They were people whose lives were slow, who did not see themselves growing old, or falling sick, or dying, but who disappeared little by little in their own time, turning into memories, mists from other days, until they were absorbed into oblivion. His father's posthumous letter, more than the telegram with the bad news, hurled him headlong against the certainty of death. And yet one of his oldest memories, when he was nine years old perhaps, perhaps when he was eleven, was in a way an early sign of death in the person of his father. One rainy afternoon the two of them were in the office his father kept in the house; he was drawing larks and sunflowers with colored chalk on the tiled floor, and his father was reading by the light shining through the window, his vest unbuttoned and elastic armbands on his shirt sleeves. Suddenly he stopped reading to scratch his back with a long-handled back scratcher that had a little silver hand on the end. Since he could not reach the spot that itched, he asked his son to scratch him with his nails, and as the boy did so he had the strange sensation of not feeling his own body. At last his father looked at him over his shoulder with a sad smile.
"If I died now," he said, "you would hardly remember me when you are my age."
He said it for no apparent reason, and the angel of death hovered for a moment in the cool shadows of the office and flew out again through the window, leaving a trail of feathers fluttering in his wake, but the boy did not see them. More than twenty years had gone by since then, and Juvenal Urbino would very soon be as old as his father was that afternoon. He knew he was identical to him, and to that awareness had now been added the awful consciousness that he was also as mortal.
Cholera became an obsession for him. He did not know much more about it than he had learned in a routine manner in some marginal course, when he had found it difficult to believe that only thirty years before, it had been responsible for more than one hundred forty thousand deaths in France, including Paris. But after the death of his father he learned all there was to know about the different forms of cholera, almost as a penance to appease his memory, and he studied with the most outstanding epidemiologist of his time and the creator of the cordons sanitaires, Professor Adrien Proust, father of the great novelist. So that when he returned to his country and smelled the stench of the market while he was still out at sea and saw the rats in the sewers and the children rolling naked in the puddles on the streets, he not only understood how the tragedy had occurred but was certain that it would be repeated at any moment.
The moment was not long in coming. In less than a year his students at Misericordia Hospital asked for his help in treating a charity patient with a strange blue coloration all over his body. Dr. Juvenal Urbino had only to see him from the doorway to recognize the enemy. But they were in luck: the patient had arrived three days earlier on a schooner from Curacao and had come to the hospital clinic by himself, and it did not seem probable that he had infected anyone else. In any event, Dr. Juvenal Urbino alerted his colleagues and had the authorities warn the neighboring ports so that they could locate and quarantine the contaminated schooner, and he had to restrain the military commander of the city who wanted to declare martial law and initiate the therapeutic strategy of firing the cannon every quarter hour.
"Save that powder for when the Liberals come," he said with good humor. "We are no longer in the Middle Ages."
The patient died in four days, choked by a grainy white vomit, but in the following weeks no other case was discovered despite constant vigilance. A short while later, The Commercial Daily published the news that two children had died of cholera in different locations in the city. It was learned that one of them had had common dysentery, but the other, a girl of five, appeared to have been, in fact, a victim of cholera. Her parents and three brothers were separated and placed under individual quarantine, and the entire neighborhood was subjected to strict medical supervision. One of the children contracted cholera but recovered very soon, and the entire family returned home when the danger was over. Eleven more cases were reported in the next three months, and in the fifth there was an alarming outbreak, but by the end of the year it was believed that the danger of an epidemic had been averted. No one doubted that the sanitary rigor of Dr. Juvenal Urbino, more than the efficacy of his pronouncements, had made the miracle possible. From that time on, and well into this century, cholera was endemic not only in the city but along most of the Caribbean coast and the valley of the Magdalena, but it never again flared into an epidemic. The crisis meant that Dr. Juvenal Urbino's warnings were heard with greater seriousness by public officials. They established an obligatory Chair of Cholera and Yellow Fever in the Medical School, and realized the urgency of closing up the sewers and building a market far from the garbage dump. By that time, however, Dr. Urbino was not concerned with proclaiming victory, nor was he moved to persevere in his social mission, for at that moment one of his wings was broken, he was distracted and in disarray and ready to forget everything else in life, because he had been struck by the lightning of his love for Fermina Daza.
It was, in fact, the result of a clinical error. A physician who was a friend of his thought he detected the warning symptoms of cholera in an eighteen-year-old patient, and he asked Dr. Juvenal Urbino to see her. He called that very afternoon, alarmed at the possibility that the plague had entered the sanctuary of the old city, for all the cases until that time had occurred in the poor neighborhoods, and almost all of those among the black population. He encountered other, less unpleasant, surprises. From the outside, the house, shaded by the almond trees in the Park of the Evangels, appeared to be in ruins, as did the others in the colonial district, but inside there was a harmony of beauty and an astonishing light that seemed to come from another age. The entrance opened directly into a square Sevillian patio that was white with a recent coat of lime and had flowering orange trees and the same tiles on the floor as on the walls. There was an invisible sound of running water, and pots with carnations on the cornices, and cages of strange birds in the arcades. The strangest of all were three crows in a very large cage, who filled the patio with an ambiguous perfume every time they flapped their wings. Several dogs, chained elsewhere in the house, began to bark, maddened by the scent of a stranger, but a woman's shout stopped them dead, and numerous cats leapt all around the patio and hid among the flowers, frightened by the authority in the voice. Then there was such a diaphanous silence that despite the disorder of the birds and the syllables of water on stone, one could hear the desolate breath of the sea.
Shaken by the conviction that God was present, Dr. Juvenal Urbino thought that such a house was immune to the plague. He followed Gala Placidia along the arcaded corridor, passed by the window of the sewing room where Florentino Ariza had seen Fermina Daza for the first time, when the patio was still a shambles, climbed the new marble stairs to the second floor, and waited to be announced before going into the patient's bedroom. But Gala Placidia came out again with a message:
"The senorita says you cannot come in now because her papa is not at home."
And so he returned at five in the afternoon, in accordance with the maid's instructions, and Lorenzo Daza himself opened the street door and led him to his daughter's bedroom. There he remained, sitting in a dark corner with his arms folded, and making futile efforts to control his ragged breathing during the examination. It was not easy to know who was more constrained, the doctor with his chaste touch or the patient in the silk chemise with her virgin's modesty, but neither one looked the other in the eye; instead, he asked questions in an impersonal voice and she responded in a tremulous voice, both of them very conscious of the man sitting in the shadows. At last Dr. Juvenal Urbino asked the patient to sit up, and with exquisite care he opened her nightdress down to the waist; her pure high breasts with the childish nipples shone for an instant in the darkness of the bedroom, like a flash of gunpowder, before she hurried to cover them with crossed arms. Imperturbable, the physician opened her arms without looking at her and examined her by direct auscultation, his ear against her skin, first the chest and then the back.
Dr. Juvenal Urbino used to say that he experienced no emotion when he met the woman with whom he would live until the day of his death. He remembered the sky-blue chemise edged in lace, the feverish eyes, the long hair hanging loose over her shoulders, but he was so concerned with the outbreak of cholera in the colonial district that he took no notice of her flowering adolescence: he had eyes only for the slightest hint that she might be a victim of the plague. She was more explicit: the young doctor she had heard so much about in connection with the cholera epidemic seemed a pedant incapable of loving anyone but himself. The diagnosis was an intestinal infection of alimentary origin, which was cured by three days of treatment at home. Relieved by this proof that his daughter had not contracted cholera, Lorenzo Daza accompanied Dr. Juvenal Urbino to the door of his carriage, paid him a gold peso for the visit, a fee that seemed excessive even for a physician to the rich, and he said goodbye with immoderate expressions of gratitude. He was overwhelmed by the splendor of the Doctor's family names, and he not only did not hide it but would have done anything to see him again, under less formal circumstances.
The case should have been considered closed. But on Tuesday of the following week, without being called and with no prior announcement, Dr. Juvenal Urbino returned to the house at the inconvenient hour of three in the afternoon. Fermina Daza was in the sewing room, having a lesson in oil painting with two of her friends, when he appeared at the window in his spotless white frock coat and his white top hat and signaled to her to come over to him. She put her palette down on a chair and tiptoed to the window, her ruffled skirt raised to keep it from dragging on the floor. She wore a diadem with a jewel that hung on her forehead, and the luminous stone was the same aloof color as her eyes, and everything in her breathed an aura of coolness. The Doctor was struck by the fact that she was dressed for painting at home as if she were going to a party. He took her pulse through the open window, he had her stick out her tongue, he examined her throat with an aluminum tongue depressor, he looked inside her lower eyelids, and each time he nodded in approval. He was less inhibited than on the previous visit, but she was more so, because she could not understand the reason for the unexpected examination if he himself had said that he would not come back unless they called him because of some change. And even more important: she did not ever want to see him again. When he finished his examination, the Doctor put the tongue depressor back into his bag, crowded with instruments and bottles of medicine, and closed it with a resounding snap.
"You are like a new-sprung rose," he said.
"Thank you." <