CHAPTER 77

Contains spoilers

Overview

Lenin wakes after emergency CSF drainage, learns he has an acoustic neuroma, and resists transfer because he is a fugitive. After another seizure, Mariamma decides to take him to Vellore against his wishes. A near‑total resection succeeds, police are notified to safeguard and hold him, and the chief hints at Mariamma’s future subspecialty training.

Summary

At Saint Bridget’s, Lenin regains consciousness after Mariamma’s ventricular tap relieved pressure. Digby Kilgour calms him and explains they smuggled him from Gwendolyn Gardens for safety. Mariamma reveals the acoustic neuroma and urges transfer to Vellore; Lenin balks, fearing arrest. Overwhelmed, Mariamma briefly faints, then recovers and refocuses.

As they talk, Mariamma proposes the Condition may shape personality, fueling Lenin’s recklessness. Alone together, Lenin laments wasted years and refuses surgery, then suffers a seizure, confirming urgency. Mariamma resolves to take him to Vellore regardless, her “revolutionary” choice to preserve his life.

Cromwell drives them overnight. During the journey, Lenin reconsiders and chooses to live for what he believes in—impliedly, Mariamma. At Christian Medical College, Vellore, the registrar stabilizes Lenin and orders tests. On Digby’s advice, Mariamma alerts the Manorama to deter police violence; Digby has already identified Lenin to the hospital, triggering police notification.

The neurosurgical chief rapidly schedules surgery, postponing another case. After hours of waiting, supported by prayerful staff, Mariamma learns the team removed most of the tumor, leaving adherent capsule; facial nerve recovery is uncertain.

The chief praises Mariamma’s research linking neuromas and the Condition, describes the emerging House trans‑labyrinthine approach and training needs, and suggests such a path may be hers. He also notes DSP Rajan’s assurance that Lenin will remain under watch, binding Mariamma to help keep Lenin in place.

Who Appears

  • Mariamma
    Doctor and protagonist; persuades, then transports Lenin to Vellore; calls press; waits through his surgery.
  • Lenin
    Fugitive lover; wakes improved, resists transfer, seizes, then agrees; undergoes near‑total acoustic neuroma removal.
  • Digby Kilgour
    Senior doctor at Saint Bridget’s; calms Lenin, urges Vellore, informs Vellore of Lenin’s identity, advises press strategy.
  • Cromwell
    Ally from Saint Bridget’s; carries Mariamma when she faints and drives them overnight to Vellore.
  • Chief neurosurgeon at Vellore
    Leads urgent operation; removes most tumor; discusses outcomes and advanced technique; coordinates with police.
  • Neurosurgical registrar
    First assesses Lenin, orders anticonvulsants and tests, and briefs the chief for expedited surgery.
  • DSP Rajan
    Local police official; receives assurance Lenin won’t leave, implying protective custody and oversight.
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