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Parambil estate thrives under the management of Joppan, while the hospital struggles to find its footing. Mariamma enlists the assistance of Uplift Master, and the hospital starts to get what it needs; there are an abundance of patients. In her spare time, Mariamma studies the Water Tree, trying to discover more about the Condition. To her surprise, she finds that many other families in the community of Saint Thomas Christians have also suffered from multiple drownings, and that many of these families are interrelated.
Mariamma meets her father’s former editor at the ceremony to open the new hospital. She tells him about the Condition and asks him to write about it; maybe others will come forward with new information. Mariamma also decides to read through his father’s diaries—no small task, considering that his handwriting is difficult to decipher. At the end of the day, she worries about Lenin and laments that he cannot communicate with her. On a subsequent evening, after reading her father’s entry about almost destroying the Stone Woman, Mariamma walks out to where the statue was once hidden and talks to her, as if she were her mother.
Digby shows up at the hospital and asks Mariamma to come with him to the leprosarium. He needs the assistance of a talented surgeon. He tells her that he knew Chandy, her grandfather, well. She agrees to go. She discovers that the patient is Lenin and that he has asked for her specifically.
Lenin is unconscious, and Digby suspects that there is mounting pressure on his brain. He wants Mariamma to open a hole in the skull to drain the fluid that is causing the problem. She performs the operation, and Lenin immediately regains consciousness and speaks to her: “I am so happy to see you” (637).
Thanking Digby, Lenin reaches for Mariamma’s hand. Digby saved Lenin’s prenatal life, and now he has brought Mariamma to prevent his untimely death. After a short conversation with Lenin, Mariamma faints; she needs time to process and food to revive her. Once she has regained her composure, she knows that there are more serious matters to discuss: Her remedy is a temporary one; Lenin will need to go to a major hospital for a more extensive surgery to remove the tumor—caused by the Condition—that is creating the fluid and pressure on his brain. She also begins to think about a potential future with him, despite the complications.
Lenin refuses further treatment, but Mariamma insists. Lenin fears arrest, or worse, but when he loses consciousness again, Mariamma tells Digby to load him into the car. The surgery is successful. It is the first documented instance of the Condition being treated.
As Lenin is recuperating from the surgery, the local magazine for which Philipose once wrote runs an article calling him the “Naxalite Priest” (652). The article suggests that the tumor caused by the Condition prompted his reckless behavior, and that he should be rehabilitated rather than imprisoned or executed. Mariamma knows this is not entirely true, especially as Lenin tells her of his time in exile. She also knew him as a child and realizes that his eccentricities will never not be a part of him—and she loves him all the more for these quirks. Still, the police come to arrest Lenin once he is mostly recuperated.
Mariamma cannot visit Lenin in prison for at least a month, according to policy. Meanwhile, Uplift Master helps her to retain a lawyer, who says that, because of his medical history—and the fact that no specific deaths have been linked to his name—he may only serve a few years. Mariamma is still disheartened.
She returns to her father’s diaries to keep her mind off the situation with Lenin. This is where she learns that Philipose is not actually her father.
Mariamma’s discoveries about the Condition also reveal something about the Christians in the state of Kerala: “[T]hey are related. The community of Saint Thomas Christians is now quite large, but they share the same ancestors in the original families that Doubting Thomas converted to Christianity” (615). This interconnected community mirrors the theme of Condition and Connection, as the history that connects them is also the source of their shared condition, a condition that provides an undercurrent of meaning to their communal existence. This discovery also foreshadows Mariamma’s future discovery about her parentage; though she is raised by Big Ammachi, she is not a blood relative. Nevertheless, their paths never diverged. As the marriage broker tells Mariamma, “Every family has secrets, but not all secrets are meant to deceive. What defines a family is not blood, molay, but the secrets they share” (620). Again, this points to Mariamma’s ultimate discovery about the fact that Philipose is not her father, that the secret was kept from her—not to deceive, but to protect. This will become even more evident in the final section of the book.
The house at Parambil becomes the place where another curse is broken—that of The Injustice of Caste and Class. Here, Joppan—a so-called untouchable—will eat at the same table alongside Anna, who is not a servant but a big sister, and Mariamma: “Parambil has changed. The three of them are family and all one caste” (621). The ancient and unjust system of caste is no longer honored at Parambil. Family takes precedence over rankings, and the family that has been built at the estate is one in which none of the members are blood relations.
Mariamma’s studies about the Condition reveal some intriguing truths about the disease. Her article—published in the magazine for which Philipose once wrote—describes the various manifestations of the Condition: “It’s fascinating how the women with the Condition are all remembered as ‘eccentric.’ That stood out as much as their dislike of water” (624). The editor goes on to suggest that “these eccentricities aren’t explained by a tumor. […] [H]ere’s my hypothesis: What if these acoustic neuromas have a counterpart in the mind, some aberration that’s part of the Condition and reveals itself as ‘eccentricity’?” (625). This becomes crucial in the potential rehabilitation of Lenin. If his reckless actions are the result, at least in part, of the Condition, then he may be freed from prison one day—and sooner than expected.
Mariamma also notes that the “eccentricity” identified by her studies and singled out in the magazine article will never be wholly excised from Lenin’s personality—even if the tumor is. This, ultimately, does not deter her affection for him: “She likes this Lenin. No. She loves him. As much as they’ve both changed, the essence of a person is formed at 10 years of age—that’s her theory. The ‘eccentric’ part can’t be cut out” (654). While Lenin will eventually be carted off to prison—and the reader never learns of his and Mariamma’s fate—it is fairly safe to presume that Mariamma will wait for him to emerge, that he will return to her as soon as he can. As with water, there are relationships that cannot be broken.
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