#haha... unless?

What came off to most outsiders as a cool and direct manner of conduct was simply pragmatism. She had a laptop computer used primarily for sending emails. She recorded the bulk of her notes on patients by-hand and revised by means of portable recorder. She kept no photographs in her home nor office. The casual anecdotes she provided to her colleagues were ostensibly as droll as her taste in décor; though her efforts to blend in had largely gone unappreciated.

There wasn’t anything else immediate to review for tonight. She wished a curt good-night to the secretary before donning her coat and exiting into the crisp evening air.

⁂

It was only a fifteen-minute walk from the clinic to the flat. Above her head the clouds hung grey and pregnant with snow. By the time she had ascended the staircase and opened the door to her apartment her fingers prickled. Numbness seeped into her skin. She’d never much cared for the colder seasons.

“You’re back early,” said Arnaud—a fellow Sociology major from her college days. After graduating from Oxford, Madeleine had taken his offer to return to Paris and transfer over to the 8tharrondissement with the understanding that they would be rooming together. Her colleagues back then often referred to them as friends-with-benefits as Madeleine had showed little interest in dating before. After three years of cohabitation, her co-workers at the office wondered how she and Arnaud remained so cordial while balancing their careers and relationship.

“Yes.” Madeleine hung up her coat, noting that he had not yet changed out of his own. “I submitted my request with the MSF a week ago. If I am accepted I’ll be working as a psychologist consultant. In that case, I’ll be out of the country until August at least.”

“Well, you’ve never landed a position that didn’t suit you.” Madeleine smiled politely. “Can I get you anything?”

“No, thanks.” She looked away from him towards the window. “You could open the blinds. It's very bright in here with the lights on.”

“There’s hardly much to look at when the sun is in your eyes. Isn’t that what you say?”

For the most part, Arnaud was easy to live with. Neither of them required financial support and he was of equitable social standing. Her relentless volunteer work did not always lend much time to get to know his inner mind. “It’s late. Are you going out again?”

“No, I got back first. And it’s fortunate. You looked awfully cold when you came in.”

“I can hardly control the weather. And you needn’t worry, I always carry a key on me.”

“Madeleine, we live together. It wouldn’t be right to avoid you. But you know, if I were going out to an unscrupulous club it would make for a pretty good story.”

“Hm.”

“And knowing you,” Arnaud continued, “you probably won’t be going out drinking. The sunrise disturbs you in the mornings, and you woke up before I did, at seven. I assume you’ve been busy all day. In just a few weeks you’ll be working that much harder. You ought to get some rest while you can.”

“So,” a little cooler, “you’ll be another mission?”

“Most likely.”

“All these countries must seem the same after a while.”

“Oh, I wouldn’t expect you to understand. When was the last time you volunteered out of the country? 2011?”

Arnaud laughed. “Jesus, this isn’t a competition.”

“But it’ll give you something to talk about to your friends while I am away.”

Arnaud said nothing. Madeleine frowned. She went into the other room and began to change. He could not approach her in the same casual manner as his peers, nor dissect her outright. His life was one of prestige as well as privilege, and Madeleine could not foster any underlying resentment towards him for acting in his nature. The silence held, strained. Then Arnaud said:

“It’s always been important to you. That’s what should matter.”

⁂

In two weeks’ time she got a response from the HRO; the initial interview was scheduled shortly thereafter. By the middle of April she was making preparations to depart. Thanks to Arnaud’s tactic of avoidance she had little reason to tell him the details. No one would know where she was headed unless they broke inside her laptop and hunted through her mail. The situation in Guinea had kicked into mainstream awareness back in February for a week or so before gradually sinking back into obscurity.

Reports from several news outlets cited the emergence of an outbreak primarily affecting South Africa. Originating inland, a mysterious illness that revealed itself first with fever and spells of vomiting, then gradually ate away at the flesh of those afflicted and bore their bones and muscle, vulnerable to further rot. More emboldened journalists had taken to calling it the Red Death on account of this. Neither a cure nor a place or origin had been discovered.

The situation had not improved in the last two months so much as stabilised. Madeleine had been assured several times over email and electronic conference that those working in the field had already taken precautions, and she’d be instructed further on what to do upon her arrival. She was issued a few pamphlets and strongly advised to vaccinate before boarding the flight. Which she had done, but it was very kind of them to remind her.

In spite of Arnaud’s apparent disinterest, his last words to her before she departed had been: “Last year it was four missions. I'd never seen you so tired. I wish I knew what you’re trying to prove.”

After managing to get some sleep on the plane she touched down Conakry International Airport around mid-morning and contacted the Project Coordinator; a shorter man in his mid-forties with a photogenic smile and toupee. He clasped her hand in both of his clammy ones and said: “Very glad you've made it, Doctor. We need you on-site in twenty minutes. Make sure you are ready.” Her luggage was dropped off on the second floor of the Grand Hotel de L’independence, where she and the other MSF members would be rooming. The staff were polite enough, though their attention was fixed on the Project Coordinator.

Her room was spare and a little dingy, and the only means of fresh air came from opening the window and polluting the room with outside noise, but it was at least reasonably clean. A fine sheen of sweat was building on her skin. No reason to delay the inevitable.

Upon reaching Donka Hospital she met up with the rest of the team, most notably the Medical Coordinator, and the Psychosocial Unit. It soon became apparent that there were still not enough medical doctors to handle the influx of infected. An isolation ward had been established before the MSF’s involvement, but they were reportedly at full capacity; the workers in there were clad in full-body personal protective equipment. Another section of the grounds had been set aside and fenced off; rows of tents all lined up, reminding Madeleine distantly of a prisoner’s accommodations. No matter where you went the stench of rot always seemed to hang pervasively in the air.

She was paired off with another psychologist by the name of John Herrmann; American, around her age. He was of a friendlier disposition than she was used to, introducing her semi-formally to the rest of the group before adding:

“So, one thing you should know now, we’ve been having problems with the electricity on site as well as the hotel. There’s no running water either.”

“This isn’t my first mission with MSF. And I lived out in the countryside when I was small. I know how to look after myself.”

Herrmann smiled. “That’s fair.” He scratched his neck. “The mosquitoes are worse. Bug nets won’t help worth a damn. Make sure you close your windows at night, I had to learn that the hard way.”

“I see.” The humidity combined with the smell off-road were already becoming intolerable. But she did not want to appear so snobbish or weak in front of someone she would be monitoring for the next three months. “I won’t go any easier on you just because you are unaccustomed to the environment.”

 “See ,that’s the kind of attitude we need around here!” He clapped a hand on her back; Madeleine regarded him levelly until he relented. “Good to have you on the team.”

The other members on the Psychosocial Unit were as amicable with Madeleine as the situation permitted. None of them got on her nerves as much as Herrmann. His enthusiasm was never to the point of seeming false or obsequious, but he remained just enough of a go-getter to piss her off. After a week of monitoring them she came away with the impression that Herrmann was genuine. He had been consistently genial with the clientele and hospital staff alike, no matter the severity of their condition. She saw no reason to socialise with him outright. The most he ever noted about her mood was: “You’re pretty reticent for a psychologist consultant.”

“I’m here to do my job. That’s all.”

Herrmann shrugged. “I can respect that. We all deal with the situation in our own ways.” He paused. “I can see why the Project Coordinator wanted you. You’re handling this situation a lot better than I would have.”

“Thank you.”

“The workload must be insane compared to what you’re normally used to. I know it took me time to adjust—" he stopped as Madeleine threw him a look of confusion “—what is it?”

“Back home, I am usually referred to as what one would call a workaholic. Or didn’t anyone tell you?”

“Oh, hey, I didn’t mean to imply—”

“No offence taken.”

The higher temperature was not so bad as the humidity that slapped her in the face whenever stepping outside—according to the forecasts, it was only going to get worse within the coming months. There was no manner of ventilation or air-conditioning in the hotel so often times she had to draw the curtains and keep her hair back. She resigned herself by reminding herself that it was better than sleeping in a tent.

There wasn’t much time to be hung-up on much else besides her assignment. The members of the Psychosocial Unit all looked good on paper, but they betrayed their inexperience through a shared level of idealism towards the mission that Madeleine deemed ill-fated. She did not blame them. Young, perhaps fresh out of school, looking to make a difference in the world without truly anticipating the gravity of the situation. Their time spent observing the crises of the rest of the world through the lens of journalism and outside empathy could not compare with the experience of actually sitting down and listening to the stuff their patients talked of with prosaic seriousness.

It often sounded outrageous when Madeleine played back the recordings, taking down notes in the quiet, stuffy hotel room. Mortality was an expected outcome, and the implication of negligence by their government a common topic of discussion among patients. Most conversations were conducted in French or else by way of an interpreter, though the antagonism in the voices of these patients needed no translation.

There was a growing disparity between the narrative put into circulation by the news and what was happening in the field. According to several members of the MSF and the staff at Donka, the media blew the problem out of proportion. The people whose condition had kicked off the “Red Death” story had been subjected to long-term exposure. Most of the patients that came through were not in that same condition, but it created an illusion of immediacy that incited concern in the public eye and a need for donations. Government officials wanted to cover up the severity of the situation as not to detract from any potential business opportunities; until the MSF got involved, they were only employing the most rudimentary of safety procedures.

This latter revelation had shaken up the Psychosocial Unit considerably; Dr Herrmann had lost his patience with the Medical Coordinator. To this end, he’d apologised profusely to Madeleine afterwards though she would hear none of it. Whatever he felt about the situation was not necessarily invalid, but out of consideration for their patients, he would not bring it up again.

Herrmann never held it against her. So Madeleine busied herself in her own work. Whatever quiet camaraderie forged between the other MSF members was not her business. When pressed for advice, she would talk calmly, carefully with the rest of the team about what would be optimal but never overreach. In the sweltering nights and throughout the early morning, Madeleine would pore over her notes, listening to the passing automobiles and indistinct conversation carried over by civilians.

⁂

June crawled by. Currently the MSF were in the process of dealing with a new influx of internally displaced persons (IDPs) from the surrounding prefectures and villages, all of whom had to be tested and separated from those not stricken with disease. Thanks to the cooperation with the local civilians and tireless efforts on part of the medical staff and Medical Unit, there had been a forty-five-percent decrease in fatalities compared to the start of the year.

The atmosphere within the hospital was not improving. The topic of insurgence was the new favourite with patients. Allegedly there had been several attacks on neighbouring villages; a consequence of the lack of tangible progress coupled with deep-seated mistrust of government officials. Now the Force Sécurité/Protection, or FSP, had been brought on in collaboration with an additional Protective Services Detail (PSD) by the name of Kerberos, to ensure the hospital and surrounding property remained untouched.

Their Project Coordinator called them all in for the sake of reviewing protocol in the event of an attack. Outright criticism of the government’s method in handling the situation was discouraged. Madeleine was savvy enough to keep herself abreast of any controversy. For the rest of the Psychosocial Unit, she presumed they were either too naïve or willing to look the other way.

The only exception to this was the Vaccines Medical Advisor, Francis Kessler; a stoic older man with thinning hair and glasses. He and Madeleine had cooperated a handful of times beforehand, at the discreet behest of the Medical Coordinator. Madeleine had found nothing wrong with his conduct. A diligent worker, he acknowledged her judgement fairly but did not overextend his gratitude. Outside of his work he was straight-laced and reserved and wouldn’t be seen socialising with any of the younger MSF who all talked about him as though he were some out-of-touch stick-in-the-mud. As the situation in the hospital became more dire he would stay behind on-site, late into the evening. Whenever they had a break, he would disappear on calls. Once he came back late by only a few minutes and apologised to Madeleine.

“I was supposed to be sent home last month, but with the situation being what it is, I decided to stay on until things are resolved.” He did not sit down, his attention turned towards the path back to the infected ward. “It’s madness. We’ve already waited until things are too severe to think of bringing in a proper security detail—who the hell does the Project Coordinator think we’re fooling?” Madeleine ignored him. “Dr Swann. The Medical Coordinator tells me you’ve been involved in volunteer work for a while.”

“Five years, as of March.”

“Perhaps they would be more willing to listen to someone with your expertise.”

“I’m flattered. But it’s fortunate that I was not selected for my personal opinion.”

Kessler chuckled. “You’ll go far.”

Madeleine had no interest in pursuing this topic any further. “Who were you speaking to?” He froze up, didn’t answer immediately. “My apologies. I shouldn’t have been so blunt. But you leave often enough on calls, and it appears to be taking a toll on you.”

Comprehension dawned on his face, his shoulders relaxed. “Just my wife. This past month has been no easier on her. But I find that it can help somewhat, just talking to someone outside of this element.” Madeleine nodded stoically. “I’ve never seen you contact anyone outside of your unit.” Madeleine did not anticipate the conversation to take such a turn, nor did she wish to divulge much about herself. But she could not deflect as she could in the clinic back home, and Kessler seemed forthright enough to warrant a harmless response.

“I’m living with a friend. We graduated from college together.”

“And you keep in touch while you are abroad?”

“He tends to lead his own life while I am away.”

“That’s a great deal to ask of someone.” Madeleine inclined her head in his direction. This was not a man that emoted often; now the thin mouth was set, and the eyes behind the glasses disillusioned. “Few women your age would devote themselves to a thankless vocation as this. Not everyone is going to want to stick around until you decide you want to settle down.”

Madeleine’s smile did not touch her eyes. She hadn’t even mentioned the nature of her relationship to Arnaud. “We have an understanding, that’s all. Besides, I don’t bother him about his social life.”

Kessler shook his head. In a few minutes they were back to work as usual. By the end of the day, Madeleine resolved to let him dig his own social grave without further interference.

By the time July rolled around Madeleine found her mind snagging easily on technicalities. She became less tolerant of the Psychological Unit’s personal hang-ups with the lack of resources and lack of any obvious moral closure. Smell of rot and disinfectant permeated into her clothing and hair until she had begun to associate the smell itself with a total lack of progress.

She left the window to her hotel room cracked most nights, afraid to open it completely. Alone with her own mind and the recorder. The conversations now circled back readily to death and terrorism. An overwhelming fear of retaliation from looming insurrection.

Madeleine stopped the recording. She checked the time and cursed under her breath. Just past one in the morning. In six hours she would return to Donka Hospital and repeat the process. A month and a half from now she would be on a flight back to Paris. Her mind wouldn't settle on either direction.

Outside her window she heard the distant voice of Francis Kessler. He was conversing in German, from a few storeys down, but as Madeleine came over to the window she understood him clearly:

“…I’ve been saying it for weeks, and they dismiss me every time. These wounds are the result of prolonged exposure from chemicals. We’ve seen evidence of IDPs coming through, exhibiting the same symptoms as the PMCs we treated back in February. How we can expect to make any progress if the Project Coordinator refuses to bring this up? We’re putting God-knows how many lives at risk waiting for a vaccine that we don’t know if we need—and even so, it won’t be ready for another week. There’s not enough time to justify keeping silent….”

Madeleine closed the window carefully. She’d never been one to intrude on family matters.

⁂

When Madeleine exited her room the next morning, she found the Project Coordinator waiting for her in the hallway, along with the head of security from Kerberos and a couple Donka Hospital staff Madeleine knew by sight but not intimately.

The vaccines had arrived earlier than anticipated, around three or four in the morning. Several members of the Medical Unit had stayed on-site in order to determine if all had been accounted for and subsequently realised it was rigged. Thanks to the intervention of Kerberos the losses were minimal. Several doctors had suffered chemical exposure and were currently isolated from the rest of the IDPs to receive immediate medical attention. Others, such as Drs Kessler and Herrmann, had been less fortunate.

Now there was additional pressure from the hospital doctors and Logistics Team to begin moving the high-risk patients to a safer area. The fear that this story would circulate and any chance of obtaining vaccines would be discouraged could not be ruled out. So they would not be reporting this as a chemical attack, but as a failed interception of an attack by local terrorists, stopped by the FSPs.

“Dr Swann.” The head of security, Lucifer Safin, gave Madeleine pause. His accent would presume a Czech or Russian background but his complexion and eye colour invited room for ambiguity. The MSF on staff commonly referred to him by surname; perhaps Lucifer was simply an alias. What set him apart was his face. Gruesomely scarred from his right temple to the base of his left jaw, though the structure of his eyes and nose remained intact. In spite of the weather, Madeleine had never seen him without gloves. “I understand that you were one of the last to speak with Dr Kessler?”

His manner wasn’t explicitly taciturn, more akin to the disconcerting silence one might experience while looking into a body of still-water—met only with your reflection.

“Yes,” said Madeleine, “but that was nearly five days ago.”

“You were instructed to monitor him during that period by the Medical Coordinator?”

 “That’s correct.”

Safin glanced at the Project Coordinator. “I’ll speak with her alone.”

“Of course.”

Safin nodded. They walked down the length of the hall back to her room. His gait was purposeful and direct. He had a rifle strapped to his side. Madeleine tried to avoid concentrating on it. Her attention went to the window. She'd forgotten to lock it.

“Dr Swann.” The early morning light put his disfigurement into a new, unsettling clarity. Too intricate to be leprosy or a typical burn wound, it was more as if his very face were made of porcelain and had suffered a nasty blow, then glued together again. “What was the extent of your relationship to Dr Kessler?”

“I did not work with him often. We talked once or twice but that was all. I have my own responsibilities with the Psychosocial Unit. From what I could tell, he never made an effort to befriend anyone.”

“But you were asked to monitor Dr Kessler.”

“I was requested to do so on behalf of the Medical Coordinator. There were concerns that Dr Kessler was somehow unqualified to continue his work. In observing him, I had no reason to suspect he was unfit for the position psychologically.” Safin said nothing. “The only issue I could see worth disqualifying him for, was that Kessler and the Project Coordinator had very differing views on protocol.”

“He spoke to you about his views?”

“He expressed to me once, in confidence, that he did not understand the Project Coordinator’s hesitance to bring in a security detail.” Safin’s attention on her became sharper. “He also told me he’d elected to continue volunteering here past his contract duration, just to ensure the operation was successful. That was my only conversation with him outside of a work-related context. You would be better off asking the other doctors about this.”

“We have video surveillance in place on the Grand Hotel de L’independence. At around one in the morning, Dr Kessler exited the building and contacted an unknown party by mobile phone. Then, a minute later, you were at your window.”

“Oh, yes. I have been forgetting to close it. With so many longer days, it can be difficult to remember these things.”

“Your room was the only one to show signs of activity at that hour.”

“I was reviewing my notes from that day’s session. I heard a voice from outside, though not clearly. It was distracting me from my work, so I got up and closed the window.”

“Do you commonly review your notes in the early hours of the morning with an unlocked window?”

“I just wanted some quiet. I leave the windows open because otherwise I seem to find myself trapped with the smell of rotting flesh as well as humidity.”

Safin’s expression became easier to read, but not in a positive sense. This was not a man you wanted to be on opposing sides with. Madeleine kept any apprehension away from her face and her voice tightly controlled.

“Look. Without information about Dr Kessler’s lifestyle outside of the MSF, I cannot give you an answer in good faith. I was assigned to survey him. He showed no signs of dereliction in his work, and to my knowledge kept his personal views separate from his work. Whatever he said to me during outside hours was assumed to be in confidence. Many people say things to one another in what they believe to be confidence that they would not admit to otherwise. If I had reason to suspect he was unfit to work, I would have contacted the Medical Advisor immediately.”

Safin held her gaze. She did not dare avert her face. Then he said: “Thank you for your cooperation. The Project Coordinator is waiting for you downstairs.”

The rest of the day she spent in a different wing of the hospital. The Psychosocial Unit was cut down from four members to three. Another inconsequential day of thankless work that never seemed quite good enough. That night Madeleine laid back on her bed and watched the shadows on the ceiling stretch over peeling paint until daybreak.

When she’d arrived at the airport she could stave off her doubts with shallow, private reassurances. As long as you are here, you are just Dr Swann the psychologist consultant. Your father is many miles away and he won’t contact you again. No one else will come looking for you in a place like this.

With a guy like Safin around she was undoubtedly safer than she would have been with the FSPs alone.

Safer, but no longer invisible.

⁂

July brought hotter weather and brittle peace—the vaccines had finally arrived. The wing of the hospital that had suffered the terrorist attack was still closed and they had lost several more staff members wounded in the initial attack. Madeleine and the remaining MSF were encouraged by the Project Coordinator to take earlier shifts. Progress remained steady but there was no clear resolution in sight. The stench of rot imprinted into Madeleine’s senses to the point where she no longer consciously registered her own nausea. Discontent among the staff continued to bubble under the surface on account of the closed wing and bad press.

It couldn't last forever.

A week away from August. Just another humid morning at six AM. Madeleine rose and prepared herself mentally for the day ahead. Stress kept her mind working late into the night, but her position with the Psychosocial Unit barred her from working overtime in the hospital. She was overwhelmed with keeping up the pace, not yet to the point of exhaustion.

There was an inordinate of activity on the road outside as she got dressed and left the room. She put it out of her mind.

Outside the hotel she met up with the Medical Coordinator and a few members of the Logistics Unit. They spent about ten minutes standing idle in the humid air, too weary to speak. The streets were usually empty this time of day.

An unremarkable black Jeep pulled up. The Medical Coordinator opened the door and was about to step into the car when it happened. The Medical Coordinator’s head burst over the interior of the vehicle and Madeleine. The body slumped like a doll to the dirt. Madeleine wanted to scream but could not. She turned and found herself facing down the barrel of a rifle.

Around a dozen men with guns, sans insignia, circled them. The man who had fired addressed her harshly in French: “Where are the rest of the MSF? Why are they not at the hospital?”

“I don’t understand.” Madeleine could see another group of men approaching from the rear. A massacre, onset.

“We’ve been waiting for months for a solution, and you have been injecting us with a useless vaccine.” He aimed right at her sternum. “Your doctors gave them all false hope for months. Now the MSF have abandoned you.”

“You have been protecting them!” the insurgent roared, levelling his weapon. “All this time! You knew why they were here, and you allowed them to experiment on our families like dogs!”

The man at his left turned and fired. The insurgent fell dead. “That’s enough.” One of the men from Kerberos in plainclothes. A dozen more in military gear materialised as if from nowhere. “There is no need for additional bloodshed,” said the plainclothes. “Release them now or you will be shot.”

All around her at once, gunfire. Madeleine didn't wait to see who had fired first. She prostrated herself, hands clasped over her neck, breath clogged in her throat.

All sound ceased. Her head continued to ring. Her eyes were open but she did not process the colour staining her skin, on her clothes, the smell of it. She hadn’t been shot. Her heart hammered against her ribcage.

Heavy footsteps approaching. She closed her eyes awaiting the kiss of metal at her temple.

“Dr Swann.” Madeleine shrunk away instinctively from the gloved hand upon her forearm. “It’s all right. I’m not going to hurt you.”