does it hurt to die by paul g. anderson

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    Paul Anderson lives in Adelaide, South Australia. He is

    a surgeon who specialises in upper gastrointestinal and

    hepatobiliary surgery. Born in Rotorua, New Zealand,

    his tertiary education began at Waikato University

    before he went on to further studies in Scotland,California, and South Africa where he completed both a

    Ph.D. and a medical degree. The passion for writing has

    latently manifested, thanks to the encouragement and

    direction of many friends.

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    Paul G Anderson

    D O E S I T H U R T T O D I E

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    Copyright Paul G. Anderson (2014)

    The right of Paul G. Anderson to be identified as author of this

    work has been asserted by him in accordance with section 77 and

    78 of the Copyright, Designs and Patents Act 1988.

    All rights reserved. No part of this publication may be reproduced,stored in a retrieval system, or transmitted in any form or by any

    means, electronic, mechanical, photocopying, recording, or

    otherwise, without the prior permission of the publishers.

    Any person who commits any unauthorized act in relation to this

    publication may be liable to criminal prosecution and civil claimsfor damages.

    A CIP catalogue record for this title is available from the British

    Library.

    ISBN 978 1 78455 097 4

    www.austinmacauley.com

    First Published (2014)

    Austin Macauley Publishers Ltd.

    25 Canada Square

    Canary Wharf

    LondonE14 5LB

    Printed and bound in Great Britain

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    Acknowledgments

    With any writing, there are many contributions in many different

    forms. They are all extremely valuable and each in their own wayadds to the final story and pleasure of reading. Pre-eminent on the

    gratefulness ladder, has to be the family that you have who support

    you. They might be biased, but there are days when you love their

    bias. Their belief in your writing and its value to others as

    entertainment is an invaluable spur when the creative well has only

    a few lonely drops left in the bottom.Gabrielle, a wonderful sister and my favourite son Jordan.

    Independently you are both of inestimable value. Gabrielle your

    unswerving and consistent enthusiasm always astounds. Jordan has

    read so many books it embarrasses his father, but in having done

    that provides invaluable analysis and critique. Thank you for the

    suggestions, kiddo you are an invaluable part of writing.

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    Chapter 1

    At eighteen years of age, Christian de Villiers had an angulated

    coltish appearance. Shoulders that were broad but withoutsignificant muscle definition and rakishly long legs suggested that

    testosterone had not yet finished its subtle hormonal sculpturing.

    He was a head taller than most boys his age. A leptorrhine nose was

    framed within a shock of wavy sun-bleached hair that reached his

    shoulders. It was his smile that was most disarming. It assuaged the

    impact of his physical presence and drew you to the youthfulinquisition that resided in his eyes. Nearly everyone remarked on

    how similar in appearance he was to his father, with one

    exceptionhis mother.

    Christian had moved to Adelaide from Cape Town in South

    Africa with his mother, Renata, when he was four years old. The

    beautiful bluestone villa that they lived in for the next fifteen yearswas typical of many Adelaide homes. Blocks of bluestone, mined

    in South Australia at the turn of the century, had then beensmoothed with chisels and cemented to form solid walls. The

    thickness of the walls provided warmth in winter, and protection in

    summer from the harsh forty degree heat. The bluestone block intheir villa was set off with an elegant woodwork edging around the

    top of a whitewashed veranda, which contrasted starkly the deep

    blue corrugated roof. He had liked it from the moment they first

    moved in.

    Despite the solid walls and its elegance, Christian had come tounderstand their villa was not maintenance free. Every few years

    the wooden parts of the house needed painting and protecting from

    the termites, which were endemic in South Australia. His mother

    had insisted from an early age that privilege was earned and not a

    birthright. Each time the house was due to be painted there was no

    discussion, just the presentation of sandpaper and paintbrush and a

    look which demanded compliance. He effectively became a

    labourers navvy for the week that it took to complete the treatmentand painting. He hated doing it, but more so the apparent

    satisfaction it gave his mother to see him doing menial work. What

    he was meant to learn from this he could neither work out nor get

    his mother to explain.

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    Now nearly nineteen years of age, he felt there were other

    things he could more successfully do with his time, especially as he

    knew his mother could afford to employ someone. However, he had

    never been able to change his mothers mind once it was made up

    and guessed it would not probably happen now. He knew it wassomehow related to her Teutonic background: some kind of genetic

    inflexibility which demanded perfection, a standard which he founddifficult to live up to and deal with at times. He often wondered

    how his father had dealt with his mother.

    Jannie de Villiers, Christians father, was murdered in Cape

    Town just before Christians fourth birthday. Christian knew he

    was a surgeon and that he had been the head of the Cape Town

    liver transplant unit. He also knew that he had been caught up in aterrorist attack carried out by a radical black group who wanted to

    destroy the apartheid government. His father had survived that only

    to be murdered a week or so later. What was particularly strange

    about his fathers death was that no one, especially not his mother,

    seemed to want to give him any more information about why or

    how his father had died. The older that he grew the more it irritated

    him that no one would talk about his father.

    Over the years, Christian had read on the Internet how hisfather had survived the terrorist attack on a church in Cape Town,

    in which twenty people were killed and fifty seriously maimed. The

    act of terrorism had divided the country. It seemed as a result ofthat attack, black people were considered even more unfit for

    democracy by the ruling white government. He had read how his

    father was seriously injured and had been interviewed on television

    and appeared in newspapers. There was, however, very little on his

    fathers subsequent killing. The Cape Timesnewspaper suggestedthat it was the unfortunate consequence of a robbery gone wrong.

    However, he could not imagine his father not putting up a fight or

    there not being a report of his resistance. It all seemed so

    incompletea puzzle that needed all the pieces arranged more

    neatly, at least in his mind.

    Soon after his fathers death, his mother had decided that it was

    safer to leave the country. Through a job advertisement, Adelaide

    had been chosen because of the work potential for his mother, whowas a medical doctor and pathologist. Like Cape Town, Adelaide

    had beautiful surrounding vineyards. His mother often used to

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    remark that McLaren Vale and Barossa Valley reminded her of

    Paarl and Stellenbosch.

    Christian could remember little of Cape Town or his father,

    although at times he would think there was something in his

    subconscious related to his fathers death that he could not quiteaccess. Try as he might, he could never recall more than an uneasy

    feeling when thinking of his father. When he first arrived inAustralia, he had had nightmares about him. He would awake

    crying out for his mother certain that he could see his father lying

    by a pool bleeding. His mother would reassure him until eventually

    he went back to sleep. With time, the nightmares became less

    frequent, but there was a disquiet that remained somewhere deep

    inside. He tried harder to research the murder as he got older,feeling that the disquiet would only settle once he knew what had

    happened to his father.

    There were certain other strange things that he could not

    account for that he thought contributed to that disquiet. Christian

    knew his mother was professionally successful and there was not

    much in life that they had to worry about financially, but he had

    also been aware that his father had provided an offshore bank

    account. He had heard his mother discuss it with friends, obviouslyconcerned that in some way this linked her to whatever Jannie de

    Villiers had been involved with in South Africa, before he was

    killed. When he asked his mother about it, she would never answerother than it was something that he did not need to concern himself

    about. That phrase to Christian was one of the most annoying

    answers he ever received from his mother and compelled him to

    find out more.

    That his father had left them an offshore bank account initiallyhardly raised too many questions in his mind about where the

    money had come from. After all, his father was a surgeon who

    travelled abroad. That was until he heard his mother discuss with an

    old South African friend whether they should use it at all. Her

    friend, anaesthetist Charles Viljoen, had argued that it was their

    inheritance and provision for a future life, to which no past guilt

    could be associated.

    He had not really understood the discussion but knew in somestrange way it was related to what had happened to his father. If it

    had just been a straightforward murder, why should there be an

    overseas bank account with guilt associated with it. Other small

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    things also piqued his curiosity about his father. After they arrived

    in Adelaide, there were the strange phone calls, which used to

    occur monthly. He remembered that they had seemed to frighten

    his mother. The phone calls continued for quite a few years before

    mysteriously stopping.His mother had quickly established herself in the Adelaide

    medical community and had become a senior partner in a privatepathology laboratory. Within a very short time she became a

    sought-after consultant in genetic counselling, an area of pathology

    that she had specialised in. As her reputation grew, she became a

    sought-after expert witness in profiling for DNA paternity suits.

    She would often talk about some of the cases to him, which

    intrigued Christian from an early age and helped spur his interest indoing medicine one day.

    The other thing that intrigued him about his mother was why

    she had never re-married. She was of medium height, had natural

    blond hair which she usually wore pulled back in a bun, was of

    slim build and always dressed beautifully. He thought, in a biased-

    son-sort-of way, that she was very attractive. Male colleagues from

    work would often call in but were never encouraged to go beyond

    friendship, let alone stay overnight. That no man had featured inher life since his father had died was puzzling. It was something he

    never really understood. He wondered whether it was because the

    love that she had had for his father had run so deep that no one elsemeasured up to him. The alternative, he sometimes reasoned, was

    that his fathers death was so traumatic that she never wanted to be

    involved in a serious relationship again. It puzzled him, though,

    that she never seemed to want to discuss anything significant about

    his father.Sometimes Christian thought that she had completely forgotten

    about the life that they had started in Cape Town. The only times

    she really talked about his father was to acknowledge that he was a

    great surgeon and had done some wonderful things for the people

    in South Africa. This so exasperated him that finally, from the age

    of about twelve or thirteen, he had tried to gather as much

    information from the Internet about his father as he could. Some of

    the comments attributed to his father following the terrorist attackwere racist, but he considered them to be not too antagonistic since

    five black terrorists had just shot him. However, racism did not

    quite fit with what little he knew of his father and seemed at odds

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    with the other parts of his life, particularly the oath that he had

    taken as a doctor to save peoples lives.

    Christian had also read on the Internet his fathers death notice,

    which followed a week or so after the terrorist attack.

    Accompanying this were acclamations about the great work that hisfather had initiated through the liver transplant unit. It mentioned in

    particular his courageous decision to do a groundbreaking livertransplant on a young South African boy called Sibokwe. To

    Christian that was all quite impressive and a legacy to be proud of.

    Why his mother did not want to talk about that he could not

    comprehend. There were too few answers for someone who

    desperately wanted to know more about his father.

    By the time he turned fifteen the desire to know more about hisfather had become overwhelming. The need to at least know what

    his father stood for persisted right through into his final year at

    school. He determined that he would do well enough in school to

    get into medicine, and then take time off to go to South Africa.

    During study breaks, he would often Google the terrorist attack

    on the church in Cape Town, looking and hoping for a new blog

    site or updated information. Occasionally he caught his mother

    looking at him from the doorway of the study, unsure whether shewas disapproving or was remembering certain things about his

    father. When he did ask her, she had always just turned her back

    and walked out of the room.When he had exhausted gleaning information from the Internet,

    he resorted to eavesdropping to try to find out a little bit more about

    his father. When friends of his mother came over for dinner and he

    heard the conversation turn to his father, he stayed at the dinner

    table for as long as he could. That also was not very helpful, as theytended to talk mostly about the differences between himself and his

    father. His mother seemed to be much more delighted that there

    were differences than similarities. Not that he could stay at the table

    for long when the subject was his father; it was usually suggested

    that he should go and study. His mother would constantly remind

    him that if he wanted to follow in his fathers footsteps and study

    medicine, he needed to work harder. It seemed no one was really

    interested in giving him more information. He became convincedthere was a conspiracy of silence going on, which made him even

    more determined to visit Cape Town.

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    Christian had almost given up but he still kept on checking the

    Internet in case one day there might be something new. Shortly

    after his graduation from Year 12, he was searching through all his

    favourite folders, aware that his mother was again standing at the

    study door where she could see over his shoulder. This time she didnot turn and walk out of the room. He was going through the old

    YouTube clips of the terrorist attack on the church, partlywondering why his mother had not yet left. Turning to see if she

    was doing something else, he noticed she was staring intently at his

    computer screen. On the screen was a picture of his father, one that

    he had always liked, showing his strong jaw, high cheekbones and

    eyes not unlike his. He could see his fathers wavy hair, similar to

    his own. It was obviously the picture that caught his mothersattention, but then he noticed that underneath it was a new blog site.

    Looking more carefully, he noted that it announced that new

    documents had been revealed about the church massacre. The blog

    had been set up by an old anti-apartheid activist, Kurt Davies, who

    had suggested that the attack had been orchestrated by the apartheid

    government security services as a way of showing the world that

    blacks were not capable of governing South Africa. Then at the

    bottom, there was a footnote about Jannie de Villiers, his father,alleging his involvement with the security forces and the apartheid

    regime.

    Christian was so shocked he did not notice that his mother hadmoved up close behind him. He read the footnote again uncertain as

    to whether he should believe what had been written , that the very

    well known transplant surgeon Professor Jannie de Villiers had

    been complicit in terrorism through his links with the Bureau of

    State Security. Christian sat looking at the screen stunned. Surely,that was not his father, he thought. It could not possibly suggest his

    father was involved in a terrorist attack. He turned slowly to face

    his mother.

    Mum, thats not true, is it? Tell me thats not true.

    Christian, Renata said quietly, putting her hand on his

    shoulder, its time we had a talk.

    Christian never liked sitting when he was talking to his mother,

    as she always seemed to stretch herself up to her full height to gaingreater authority, something he assumed again came from her

    Flemish background. Although she was a tall woman, her aquiline

    features and rigid posture seemed to make her appear even taller.

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    With her harsh hairstyle, she was the essence of efficiency and

    control, and when in a mood he knew from past experience was not

    to be messed with. Christian also had learnt that there were ways of

    dealing with her controlling inclinationssitting down to address

    his mother gave her too much advantage, so he always stood up. Hestood and looked at her, trying to contain his anger that she had

    kept this from him for so long.Mum, did you know about all of this?

    Im not sure that Ive ever fully understood what your father

    was involved with outside of his surgery. Im not certain whether

    the blog that youve just read is true, butneither can I be certain its

    not true. I never said anything to you, as I made a conscious

    decision that I wanted you to remember him for all the goodthings.

    But I always sensed that, and its been so frustrating that you

    wouldnt tell me anything.

    I know, but I thought it was for your own good. I also knew

    thered be a time when Id need to tell you as much as I know.

    Mum, thats what Ive wanted to talk to you about all these

    years. Ive decided Im going to take a year off now and go back to

    Cape Town to see where Dad worked and find out more about him.I dont think he would support terrorism, and someone needs to

    clear his name, our name!

    Think about this. Youve worked so hard and done so well inyour Year 12 exams. Im sure youll be accepted into medicine.

    Dont you think you should go with the momentum? Maybe once

    youre qualified you can go back and find out what happened to

    him or even work there? I think thats what your father would have

    wanted. She paused slightly to ensure she had his full attentionbefore continuing. And besides which, all that work that youve

    done in biometrics and iris recognition software development

    during your school holidays may be lost. I believe they were going

    to involve you with the new upgraded addition and even provide

    you with a salary increase these holidays.

    Foul, Mum. Thats an attempt at distraction.

    Renata stopped talking and looked at her son. He had Jannies

    skin, with its propensity to tan in the summer, and reluctantlyadmitted they looked very similar. She had always known that he

    had the essence of Jannie within him and that she might, as in this

    instance, have to confront the spirit of his fatherthe resilience,

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    determination, the sense of challenge, the I-want-to-show-you-I-

    can-overcome attitude. Christian had inherited many of his fathers

    traits and these, she suspected, had partly caused him to be the

    achieving teenager that he now was. Perhaps it was true, she

    thought, that you can take the Afrikaner out of Africa but youcannot take the Afrikaner gene out of their progeny. She realised

    there was no sense in denying it; she needed to handle it as best shecould.

    She looked at him again and laughed in a way that Christian

    had not seen for a while.

    What, Mum?

    Its just that you, at times, are so unbelievably like your father.

    Heres the deal, thenIll tell you all I know about him, and thenyou can decide if you need to go.

    OK. And thanks, Mum. This is the first time Ive heard you

    say that Im so much like my fatherthat means a lot to me.

    Christian saw tears in her eyes and felt a little embarrassed, but

    his mother quickly closed the gap between them and hugged him.

    Hey, Mum, this tactic wont work either; you know Ive got to

    go.

    Renata laughed again dabbing at her eyes.Can we start now?

    Yes, we can. In a way, its the fulfilment of a time that I knew

    would come, a time when the Afrikaner in you could no longer bedenied. In order for you to progress to adulthood you need all the

    pieces in place that you can find, but they may not be the pieces

    that you were hoping to find.

    So, how about starting with the terrorist attack? Tell me what

    happened, and then fill in whatever else you know. The news onlygives a basic outline and I need to know what it was really like for

    Dad.

    Come through to the kitchen. I have some books and letters to

    show you, and Ill do my best to remember everything that

    happened that evening and the events afterwards. However, I warn

    you, it may not be what you want to hear. After that, we need to

    have a serious talk. Perhaps I should tell you a bit about your father

    before we get to the killings in the church

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    Chapter 2

    Your father was very tall, with broad shoulders and slim hips. He

    was quite handsome in a rugged kind of way, as youve seen from

    the photographs, Renata said. He was raised on a farm in the Paarl

    region, about an hour from Cape Town, and was used to hard

    physical work. His father insisted on him supervising and working

    alongside the black and coloured workers, and as a result, he was

    quite muscular. I often thought that without that background of

    hard physical work that he may have chosen a medical specialty

    more suited to his awkward height.

    Christian looked at her, taking in all that she said. Although he

    wanted to ask questions, he decided to let his mother continue in

    case his interruption derailed the information he had so long waited

    for.

    His family were staunch conservative Afrikaners, third-

    generation Boers, who had always been farmers. Your father was

    the only son and there were expectations that he would continue the

    tradition and take over the farm from your grandfather.

    So they were against him doing medicine?

    Renata nodded.You have to understand that his parents were passionate

    supporters of segregation of the racial groups and early and

    vigorous supporters of apartheid, something which they had

    constantly instilled into your father from a young age. Afrikaner

    sons were not expected to question the philosophy of segregation,

    which was something which troubled your father. I remember when

    he told me that he first tried to question his father about the basis

    for racial segregation he received a backhander that left his ears

    ringing and drew blood. As he grew older, he came to realise that

    talking about the non-whites as potential human beings was

    regarded as heresy, to be expunged from patriotic Afrikaner

    families. Legislated separation of the races was considered the only

    way a white South African would survive in Africa in the nineteen

    fifties and Afrikaner sons like your father were expected to

    unquestionably uphold that belief.

    That must have been really hard for Dad if he didnt believe in

    that system.

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    That kind of upbringing was very typical for many of the

    Afrikaner men of that era. Their families were direct descendants

    from the early settlers, and as such, they had to be tough to survive.

    Initially, the early settlers were everything from priest to police

    officer. Because the blacks that they came into contact with had hadno education, they assumed that they were no better than animals

    and thats the way they should be treated. They also saw their rolein preserving their inheritance as ensuring that their sons and

    daughters understood, sometimes forcibly, that the only solution for

    South Africa was segregation of the races.

    Doesnt sound like he had a great childhood, with all that

    indoctrination and then being beaten by his father when he

    disagreed with him. How did he get away to study medicine,Mum?

    From the time he was about ten years old he decided that

    tending vines on his fathers farm didnt satisfy him. It wasnt all

    the physical work that was requiredhe quite enjoyed that aspect

    of farmingit was the treatment of non-white workers as little

    better than slaves that he became more and more uncomfortable

    with. He could see that segregation ensured that the family farm

    was financially successful, as labour costs were minimal. But hewas most concerned with the way his father treated the workers and

    abused them. He couldnt stand seeing them kickedor punched. He

    knew he couldnt be part of his fathers succession plan; there hadto be an alternative. He determined his way out after hed had

    several conversations with Dr Wauchop, their local general

    practitioner, when he came to the farm to do home visits. Although

    the visits primarily were to check on his mothers hypertension, the

    doctor would find time to talk to your father about medicine. Yourfather soon realised that medicine was challenging and about

    helping peoplean alternative to what he considered a lifetime of

    servitude on his fathers farm. There also didnt appear to him to be

    any abuse in medicine. While Dr Wauchop never treated the black

    or coloured workers on the farm, your father had noticed that he

    always greeted them warmly. From that time he was convinced that

    if he worked hard enough, medicine could be the way out for him.

    That sounds like he wanted to get away from racism, notenforcing it through some terrorist act. And it doesnt sound

    consistent with what was said on that blog at all.

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    Honey, thats just the background I wanted you to have so you

    could understand where he came from, and the fact that there might

    have been deep-seated influences for the decisions that he

    subsequently made. It must have been really difficult for him. Then

    there was an incident, which Ill tell you about later, on the night ofhis twenty-first birthday, when his father told him never to come

    back. In addition, he never did return to his family or the farm. Thatwas incredibly difficult, as he was his mothers favourite, but in the

    Afrikaner family the ultimate allegiance was to the husband, and

    his father never wanted to see him again.

    That must have been awful, said Christian, and so confusing,

    going from such a rigid belief system to one where you were

    allowed to question whatever you wanted.It was, honey; there were many days when we all thought he

    was making a smooth transition, and then suddenly all that

    Afrikaner past would surface. When he made his announcement to

    the media after the terrorist attack, none of us really knew which

    Jannie was going to speak. We all prayed that he would not revert

    completely to his family values and say that blacks were not fit to

    govern.

    I read that part in the news story.Yes, it wasnt as bad as we had feared, but then it wasnt as

    good as it could have been either.

    I understand all that a bit better now, Mum. Can we fastforward to the terrorist attack, as thats where it seems most of the

    questions about my father started?

    That was a night Ill never forget. I can describe it almost

    exactly as it happened, but there are lots more bits of information

    that I need to give you for you to understand him. And I have towarn you that there may be things about me that you may not like

    either.

    I cant imagine that, Mum, said Christian, cheekily, relieved

    to lighten the discussion.

    Very cute, young man, but lets go back to the story. The night

    of the shooting, your father was waiting for a call to do a liver

    transplant on a young African boy. The proposed recipient of the

    donor liver was a young African boy, Sibokwe Tamasala, who haddeveloped hepatic failure. He was particularly concerned, as this

    young boy was an African high school pupil in one of the remote

    townships of the Cape Province, which meant he only had a limited

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    window of opportunity to get him to Cape Town and do the

    transplant. Your father knew Sibokwe wouldnt survive more than

    a few days unless he could receive a new liver. But there were also

    other pressures which made the transplant more stressful than it

    normally would have been.What kinds of other pressures?

    Sibokwe Tamasala was the son of Thompson Tamasala, whowas falsely suspected of being an anti-government activist and was

    killed by the Bureau of State Security (BOSS)the apartheid

    states sinister security service. Not only was Sibokwe the son of an

    innocent black man who had been erroneously killed, but he was an

    incredibly photogenic young African boy, who, for both reasons,

    had captured the attention of the nations left-wing anti-apartheidgroups. Your father knew that the transplant meant more than just

    saving a boys life; it also meant possibly assuaging a little of the

    white nations guilt over the meaningless killing of his father. That

    in itself created an enormous pressure to succeed. That was the

    lead-up to the terrible night when your father was shot and is really

    where his story begins.

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    Chapter 3

    Jannie de Villiers lay stretched out on the king-size bed, his size

    twelve feet hanging over the end. He tried to remember when he

    had last made love to Renata, and decided it was at least six months

    ago. Their relationship, he knew, was deteriorating, and he

    wondered whether it was partly the difference in their upbringing.

    Renata came from a liberal English speaking third-generation South

    African family, while his family were staunchly conservative

    Afrikaner farmers. Looking up from the bed at the whitewashed

    walls of the Cape Dutch cottage, his thoughts drifted to the family

    he had been cut off from. How far, in many ways, he had come

    from a farm in Paarl; a place which his father had asked him to

    leave and never come back to, brandishing him a traitor to the

    Afrikaner because he wanted to go to the liberal English-speaking

    University of Cape Town. Jannies success in becoming the head of

    the liver transplant unit at Groote Schuur, he knew, was partly to

    prove to his father that he could succeed without him. The unit had

    become one of the most successful in southern Africa, and now

    they were waiting to do the first transplant on a young African

    boynot any young African boy, but the son of an anti-apartheidactivist who had been tortured and killed by the security police.

    The Groote Schuur team had been waiting several days for a

    donor liver, without any success. He knew that unless they got a

    liver within the next thirty-six hours, the young African patient,

    Sibokwe Tamasala, would probably die from fulminant liver

    failure. Strangely, he thought there would be many among the

    conservative Afrikaner community who would not be unhappy if

    that happened. Africans were not seen as equals in any way,

    especially when it came to sophisticated medical care. They were

    cheap labour, expendable and replaceable; with his conservative

    Afrikaner upbringing, he could identify with that feeling. Jannie

    felt the immense pressure to not only succeed but also to fail. He

    did wonder to himself what his family would think if he saved this

    young African boys life. Having been ostracised for going to an

    English-speaking university and marrying an English-speaking

    woman, he assumed that they would consider he had completely

    rejected Afrikanerdom.

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    The pager then beeped, interrupting his thoughts. He pushed

    the illuminate button on the pager several times but, for some

    reason, he could not read the message. The light would not come

    on.

    He called down the hallway. Renata, I dont think this pager isworking. Can you phone the paging service to ask them to test it?

    As he elected to try to fix it, he suddenly noticed Renatastanding in the bedroom doorway, hands on her hips, glaring at

    him. Jannie, ever since you were a medical student, you have

    thought that the world revolves around surgeons. You think that

    everything must be dropped to accommodate youthat whatevers

    happening, if not now, shortly, will become a major emergency.

    Why dont you just phone them yourself?Jannie wondered where she had come from. The old Cape

    Dutch cottage they owned had long hallways. Although they had

    Karakul mats covering the floor, he could still usually hear her

    approaching the bedroom. While he thought about the quietness of

    her approach and the ultimate meaning of her lecture, his pager

    went off again, but this time the light came on and he could read

    the message. Donor liver acceptable, HLA and volume match,

    hepatitis negative.I think its working now, he said, somewhere in her direction

    as she disappeared down the hallway.

    There was no reply, which did not really surprise him toomuch. Thinking about whether he should try to say something

    again, he looked up and saw one of the Golden Cocker Spaniels

    poke her head into the bedroom. Her tail was wagging

    energetically, and she had that playful or expectant look on her

    face. He was always surprised at how delightful their dogs were;how much unconditional love they had, and he reflected how much

    easier it might be to have a relationship with them compared to

    Renata. He stroked Tasha around the ears and noticed her tail

    wagged even more enthusiastically, and knew the previous thought

    was a bit of a cop-out; it was just an alternative far more attractive

    to him than conflict resolution. It was not that he thought that he

    deliberately avoided crisis solving, it was just that crises always

    seemed to arrive when he had something much more importantscheduled, like now.

    The relationship with Renata had initially been both interesting

    and confronting to Jannie. Their diverse backgrounds produced

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    challenges in understanding their differing viewpoints. Many of

    these, in the beginning, were diametrically opposed, especially

    when it came to politics. Renata thought the apartheid government

    was destructive and inhuman. She believed that all peoples,

    irrespective of colour, should have equal rights. Jannie, on the otherhand, thought that while equality should be improved, having

    blacks run the country was tantamount to anarchy and chaos.There were many animated discussions during the early part of

    their courtship, and he had been surprised initially that he had been

    able to adapt to Renatas more liberal views on certain aspects,

    especially integration. However, as the demands of being the head

    of surgery and the liver transplant unit escalated they had less time

    for discussion, and it seemed more time for disagreement. Now,with their first ever child liver transplant looming, their

    relationship, he realised, was under significant strain.

    Renata, the pager is working, he repeated, on entering the

    bathroom, where she was now undressing Christian, pushing

    repeatedly the illuminate button on the pager so that he could read

    the message about the transplant.

    Yes, I heard you the first time.

    Well, why didnt you say so?You know, Jannie, for a supposedly intelligent man, you

    sometimes display a remarkable lack of insight.

    Now is the time to keep quiet, he told himself. If you have anyintelligence, keep your mouth firmly shut. This had all the signs of

    a championship fight. There was something clearly irritating her

    and this was going to be an excuse to discharge it. Sadly, it was a

    fairly familiar scenario for them nowadays, but the pre-fight

    manoeuvring was still enough to sadden and depress him.Forget it, Renata. Im sorry I spoke.

    Isnt that just typical. You refuse to face the problem and then

    you make out as though you were the martyr. Its all well and good

    when its one of your precious transplant patients, but when it

    comes to us as a family, well, we can just wait.

    The outburst from Renata was inviting. He was not sure

    whether it was his Afrikaner background, but it was rare that he

    would back away from a skirmish, be it in his private orprofessional life. There was something in his genetic makeup that

    did not tolerate other opinions easily, and he was constantly ready

    to debate them. The pager beeped again and distracted him from a

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    reply to Renata, and possibly further irretrievable relationship

    damage.

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    Chapter 4

    Jannie reached for the phone next to the bed. The transplant was

    going ahead, and the argument with Renata would have to wait

    until later for an attempted resolution.

    Mike, is that you? Janniewhispered down the phone.

    Yes, replied Mike, but why on earth are you whispering?

    Its Renata, said Jannie. Shes in one of those moods and

    thinks my main love is the transplant programme. Can you prepare

    Sibokwe and tell him that we might need to go to the hospital

    tonight.

    Thats fine, weve already had a talk to him and Sian has his

    bag packed.

    Mike McMahon was the coordinator of the non-operative side

    of transplants at Groote Schuur Hospital. He looked after the

    anaesthetic and intensive care needs of the transplanted patients. He

    was almost the same age as Jannie, and they had known each other

    for what seemed a lifetime. Sometimes he infuriated Jannie. Mike

    was an English-speaking liberal who believed firmly in integration

    and loved to challenge ideas; in many ways, he was the complete

    opposite of Jannie. Despite their differences, however, they hadbecome good friends. Jannie also thought he was an excellent

    anaesthetist and gratefully acknowledged that he had been a critical

    force in setting up the liver transplant programme.

    Mike had always been very encouraging, understanding how

    difficult it was trying to succeed in the shadow of Christian

    Barnards famous heart transplant unit. The success of the first

    heart transplant in 1967 still cast itself into the corners of the

    smallest room at Groote Schuur Hospital, the persona of its premier

    surgeon seeming to come alive whenever the hospitals name was

    mentioned. Jannie knew he would always be competing with that

    memory and that it was a record that would never be matched.

    Despite thator in spite of that, he was not quite sure whichhis

    desire was still to create the best liver transplant unit in the

    Southern Hemisphere.

    Mike interrupted his thoughts. Jannie, to speed things up why

    dont you let Susannah take the donor liver out?

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    Good God, Mike, you seem to have a very short memory. I

    thought you wanted this transplant programme to succeed!

    You cant do everything. People, other than you, sometimes

    make mistakes. It wasnt her fault that the last liver wasnt

    maintained at the right temperature.Look, Mike, if she had been really switched on she would

    have picked it up. Why does she want to do transplant surgeryanyway? Why doesnt she do plastic surgery, or if she likes a bit of

    drama, paediatric surgery? Ill gladly give her a reference.

    The conversation was going the way of many past

    conversations, towards an issue that Jannie knew Mike was

    passionate about: equality of the sexes, a subject that equally

    irritated Jannie coming from a background of Afrikaner maledominance. With his background, he had always seen the womans

    primary role as being a mother and carer to children. Being a

    specialist surgeon, he could not see how a woman could meet the

    demands of surgery and motherhood. It had been difficult enough

    for him adjusting to someone like Renata, but at least they had

    found common ground to accommodate his beliefs, and she worked

    part-time when Christian was born. What annoyed him most now

    was that Mike did not seem to have any understanding of whenthings could be discussed and when they could not. He did not

    believe Susannah had the ability to harvest the donor livernot

    primarily because she was a woman but because she was not ascapable. Part of him wanted to pull rank as head of the transplant

    unit and tell Mike to shut up, when Mike cut into his thoughts

    again.

    Jannie, either you give her another chance, or you can find

    yourself another anaesthetist. Im not going to be drawn into adiscussion about the merits of women in surgery. Susannah is very

    talented, if you would only give her half a chance.

    Whats got into you? You sound like youre having an affair

    with her. Jannie heard the phone click at the other end. Damn, he

    thought as he redialled.

    Mike, its Jannie. Dont hang up. Im sorry. Its a bit of a

    stressful time for all of us. I know youre not having an affair with

    Susannah, but your remark about not making mistakes got to me alittle, and I retaliated by saying something that was way out of

    line.

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    Youre going to have to start giving a bit more responsibility

    to others. Youre going to have to accept that others are not perfect

    or as talented as you, and that people learn from their mistakes.

    I understand that, but there is an awful lot riding on this

    transplant. Sibokwe has become something of a cause clbreamong the liberal left. They see him as a chance to redress years of

    injustices. The chancellor is saying that this is our opportunity tojustify a First-World practice just when there is a groundswell of

    opinion for Third-World community medicine. You know that, and

    we havent done any kids. Weve only done eleven adults, for

    Petes sake, and if we stuff this up, were finished.

    Youre over-dramatising, Jannie.

    Maybe, but Id prefer the other junior consultant, Peddington,to harvest the liver. Susannah can do the back table.

    I think thats a mistake. Peddington is already an egotistical

    sod, and hes Susannahs junior. If you put him above Susannah in

    the transplant team, hell be unbearable, not to mention what it will

    do to Susannahs feelings, said Mike.

    Jannie struggled to control his sense of frustration. A

    frustration brought on by his friends inability to dissect out the

    important factors. He surprised himself.OK, Mike. Well have Susannah harvest the liver, but Ill get

    Peddington to go with her. Yes, yes, I know they dont get on, but

    we need two brains there; theyll just have to get on for a fewhours. Will you explain the situation to Susannah, and Ill phone

    Peddington?

    There was silence at the other end. Jannie wondered whether

    Mike had hung up again, but heard no telltale click.

    But I think it would be better coming from you, or Hannah,the transplant coordinator, said Mike.

    Thanks, Mike. Ill do that and tell them that the donor is in

    Port Elizabeth and that the Red Cross will fly them up as soon as

    theyre ready. Ill chat to Hannah and make sure that everything is

    ready to go as soon as theyre back.

    Thatll be at least seven hours. What are you going to do?

    said Mike.

    I thought Id go to church and pray.Mike knew better than to comment. Despite his friends

    intolerance of others and other character misdemeanours, he was

    someone who went to church most Sundays. In many ways, he had

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    traits consistent with Christian belief, without the firm convictions

    that helped you live out those beliefs. Mike knew that part of that

    was Jannies strict Dutch Reformed church upbringing, but he also

    wondered whether it was just because he had not found a better

    explanation for life. He had often quizzed Jannie on what he hadbelieved in and why he felt the need to go to church. It was the only

    time he could recall that he had received a single sentence replyfrom Jannie.

    After a short silence, Jannie added, I still need help each day

    in understanding why Im here.

    Mike thought that if anyone knew why he was here, it was

    Jannie, but, then again, even good friends fail to understand the

    depths and complexities of each others personalities sometimes.Jannie put down the phone to Mike, and then in succession

    talked to Hannah, the chancellor, the theatre coordinator and the

    minister of health. By the time he finished it was a quarter to eight,

    and he could hear no sounds coming from the rest of the house.

    Christian must be asleep. Renata obviously had put him straight to

    bed. No goodnight, Daddy was a frequent form of punishment

    when he was in her bad books.

    Christian too tired to say goodnight, was he? said Jannie as hewalked towards the front door.

    Save your sarcasm, Jannie. While it befits you and the surgical

    profession, it contributes little to humanity.Well, if thats your attitude, Im going out. He deliberately

    did not tell her it was to church, lest it provoked more comment on

    the inconsistencies in his life.

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    Chapter 5

    Jannie shut the front door more loudly than he usually did, mostly

    as an exclamation mark to his last statement to Renata. He stood on

    the step for a minute and wondered to himself if they should really

    go for counselling, or whether the relationship was beyond

    reprieve. He had thought about it many times before and knew that

    if they were to survive, something had to be done, but then

    something such as the transplant would intervene. As he walked

    down the front steps towards the car, the rain started. He had

    brought an umbrella and quickly put it up. As he hurried towards

    the car, a gust of wind blew it inside out thoroughly soaking him. In

    disgust, he threw the umbrella into the back of the car and sat

    thinking that this obviously was an omen. Either Susannah would

    stuff up the donor liver or it would reject within thirty-six hours.

    He started the car and drove slowly towards the church,

    convinced that no amount of praying was going to prevent a

    disaster with the transplant. As he got closer to the church, the rain

    became heavier and he had to drive even more slowly, struggling to

    see through the windscreen. The road that led up to St Andrews

    Church was poorly lit, and because of the rain, he was notexpecting the scrum of cars. They lined both sides of the street.

    Damn, Jannie muttered to himself.

    Not a place to park within eight hundred metres and an

    umbrella that did not work properly meant he would be wringing

    wet by the time he reached the church. There were two alternatives,

    he thought, go home or brave the rain. That thought was quickly

    replaced by another; that going to church, even wringing wet, was

    infinitely preferable to having to deal with Renatas mood.

    Getting out of the car, he half ran, half walked to the old stone

    church, wondering why it had suddenly become so popular. There

    would be nearly a thousand people there that night if it was

    consistent with the other nights that he had recently been. It would

    be overflowing from the original presbytery into the new wing, and

    some of the congregation would be blacks and coloureds, which

    made it quite unusual for a church even in liberal Cape Town.

    Coming from the background that he did, which demanded

    segregation even in church, St Andrews fascinated him. Its

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    services were almost like being transported to some foreign

    country. Not that he ever told Renata, as it was at her insistence that

    he had first come to St Andrews and he did not want her to think

    that desegregation worked, even in a church.

    As he ran he held the umbrella half in front of him, his fingersholding the spokes to ensure that it did not blow out again. Peering

    over the top to ensure that he did not run into anyone, he barelynoticed several men sitting in a green bakkie in the church car park.

    A quick glance in their direction unnerved him a little; they seemed

    to be dressing in the bakkie. Moreover, they were black; a thought

    he then quickly dismissed as insignificant, as perhaps they were

    part of the service that night. St Andrews he knew was attempting

    to reach out to the black community and often had servicesfeaturing blacks. Perhaps that was the reason for its popularity; it

    was experimental and different, although it was also the message of

    love that they preached that seemed to attract so many, he

    thoughta concept he had struggled with. How did you love those

    you did not feel were your equal? He had tried, unsuccessfully, to

    imagine some of the workers on his fathers farm. Nevertheless, it

    still fascinated him that people wanted to try. He was sceptical, but

    at the same time curious, that black and white people couldintermingle and treat each other with equal respect. As his umbrella

    blew out again he focused on the final fifty-metre dash to the

    church.Once inside, one of the ushers tried to show him to a seat in the

    front row. Most nights he sat at the front, the pastor insisting that

    someone of his stature be a focal point of the congregation.

    However, the way he was feeling tonight, he wanted to just melt

    into the congregation, so he smiled politely at the youth groupusher, and made his way halfway up towards the back of the

    church. The church was able to accommodate about two thousand

    worshippers and was two-thirds full. The innovative design meant

    that the seating was graduated up towards the back of the church,

    meaning those at the back were seated approximately ten feet

    higher than those in the front row.

    As he sat down and tried to put Renata out of his mind, he

    wondered whether he could ask God to help ensure the success ofthe transplant. He then thought that that was self-interest and

    hubris, which even with his rudimentary biblical knowledge he

    knew God did not like. As he was contemplating the relative merits

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    of the thought, the choir began with a song that he had always

    liked: God, how great thou Art. His affection for the song was

    partly because he had struggled to understand the concept of a

    loving, giving God when there was so much poverty and

    unhappiness in the world and partly because many of the peoplewho led that praise were those who had the least to praise God

    about.This evening, though, it was not the words so much that

    commanded his attention as a voice so pure singing it. The young

    woman standing in front of the choir could only have been sixteen

    years of age, but she had a voice so pure, the notes so crisp that he

    felt the hairs on his neck rising as she sang.

    When we reach that heavenly home, we will fully understand

    the greatness of God, and will bow in humble adoration, saying to

    Him, O Lord my God, how great thou art.

    He was so taken by the pureness of the notes that he only

    partially registered the vestry door opening. It was just off to the

    left of the stage. That in itself was not unusual. Quite often St

    Andrews would have performers make a quiet entrance and takethe stage to give a surprise rendition as a way of introducing the

    sermon. Jannie looked again, as this did not feel the same as other

    nightsthe person coming in through the door wore a mask. Hecould see in the spaces around his eyes that he was black. It was not

    his colour that disturbed him. This was, after all, a growing

    multiracial church attempting to meet the needs of all racesa fact

    that Jannie had struggled with for quite some time but had adjusted

    to with Renatas persuasion. More recently, he had had to admit tohimself that if integration was ever going to happen, then this

    church provided something of a model. However, he reminded

    himself that despite the fact that religion was interwoven with

    politics, politics was bereft of the love that seemed to make a

    church such as this work.

    The first man in a black hooded mask was quickly followed by

    a second in a balaclava and overalls. They were both carrying what

    appeared to be semi-automatic weapons, with pouches tied aroundtheir waists bulging forward at the front. Behind the first two,

    Jannie could now catch a glimpse of three others pulling on hoods.

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    The thought that this was a novel way to introduce a sermon

    was shattered as the first black man shot the youth group usher and

    then turned the AK-47 towards the beautiful young singer. As if in

    slow motion she stumbled backwards as three shots were fired from

    direct range, finally collapsing, with blood pouring from her neckand abdomen, her white dress slowly turning scarlet. Someone in

    the congregation then began clappingapplauding what theythought was a dramatic staged introduction to the sermon.

    Jannie was transfixed. Uncertain still of what was happening,

    he watched as the other gunmen quickly entered. Two years of

    army service suddenly flashed before him. From his gun

    classification classes he recalled that their guns were AK-47s. They

    were highly inaccurate over twenty metres but deadly at closerange. This was not a staged introduction to a sermon; these were

    real AK-47s and they were firing live ammunition.

    The first gunman was by this time twenty metres into the

    church, his weapon on semi-automatic, firing indiscriminately at

    the congregation. People were crying out at the realisation that

    something horrible and terrible was evolving. There was no

    applause now, just an eerie silence surrounding gunshots, and the

    dawning of disbelief that this was a terrorist attack.Jannie could feel the fear building, a sense of helplessness

    through being unable to defend himself, a feeling that he had not

    experienced before. Some people were scrambling to get out of theline of fire while others climbed back over pews to get away from

    the advancing gunmen. As he tried to process his options, the voice

    in the back of his mind was screaming at him to get down. He flung

    himself to the floor behind the pew immediately in front of where

    he was sitting.Lying on the floor, he began searching through the feet in front

    of him. The second terrorist was advancing in his direction. His

    firearm was an Uzi not an AK-47, short and snub-nosed, which he

    held in one hand. With his other hand, he reached into a bag around

    his waist and pulled out a hand grenade. It was not the normal type

    of hand grenade that Jannie had seen often on the practice range

    during National service. This hand grenade was crowded with nails

    that had been crudely stuck to the outer casing, the intention tomaim as well as kill. Whoever they were, he thought, they were

    aiming for maximum damage and quite possibly a massacre.