The Washerwoman
DISCLAIMER: while ispired by real accounts of obstetric violence, all names and facts recounted in this story are invented and do not refer to real people.
-
The hospital hall was almost blindlingly white, only broken by the equally aqua-clad nurses going back and forth. Tha air was filled with a low murmur, and occasionally a scream, a request for help.
Nobody was looking in her direction. She tried to stop a nurse passing by.
"Good morning. I am Aglaia Gheraldini, I was supposed to meet with ..."
"Ask at the reception"
"It was them who told me to go here ..."
"That's not my problem"
The nurse left. Aglaia found herself stranded in the aisle, now even more nervous at the perspective of actually approaching someone.
"Excuse me? I'm here for the internship ..." she tried asking a doctor.
"I'm busy"
"Excuse me, I wanted to speak with Dr Farella ..."
"Can't you read the signs over the door?!"
"Listen, move, you are in the way of everyone"
"Sorry"
They were right. Anxious as she was, she had stopped looking at the signs over the doors, and Dr Farella's office was in fact right in front of her. Nice going, Aglaia.
She could hear the muttering of the nurses and ostetricians around.
"Yeah, sorry ..."
"That's the intern? We will have to just endure her ..."
Good, she had already made a fool of herself. Desperately trying not to worsen the situation, she lightly knocked at the door, doing everything she could not to seem intrusive.
"Excuse me, I'm Aglaia Gheraldini. I had an agreement for an internship in this hospital with Dr Farella ..."
The middle aged man who was examining a bunch of papers at the desk glanced up and, upon actually noticing her, gave her a bright smile.
"That's me! Now, dear, I'm a little busy right now. Maybe we talk later? Go take a walk, maybe we'll get a drink together later and discuss this"
-
The baby blue of the sky clashed against the gold of the burnt grass in the heat of summer; the pinewood was closer and closer, promising cool, dark green shade, and Aglaia walked faster.
Finally, she reached her refuge from the merciless sun; she swiped her sweat, and sighed contently. Trekking was just what she needed after a long week of work.
She inspired the scent of pines and sea breeze. If she closed her eyes and focused she could hear, beyond the murmur of a nearby stream, the crashing of the waves on a beach. Maybe she would have gone for a swim later ...
She had fallen in love with Sardinia years ago, when she was a young teenager and had spent a summer there. She had been instantly smitten by the constant presence of the sea that found you no matter where you were, by the dry expanses of dry and reddish earth, by the night sky that held more stars than she had ever seen in her life.
Finding a stage in an hospital near Sassari had seemed like a blessing: to finally get to do her dream job, and enjoy the wonders of Sardegna during her scarce free time. Of course, now that she had seen the hospital, she was starting to have some doubts; but after all, nothing guaranteed her that an hospital in Milan or Rome would have been any better, and without being in such a beautiful place. She could still count herself lucky.
Another sound mixed with the stream and the waves. At first, she had troubles recognizing it: cicadas, birds? No, she realized as she walked closer: it was a human voice. It was singing something akin to a lullaby, in that Sardinian dialect that Aglaia didn't understand. A sweet, melancholic voice ... so melancholic. So much that it gave her chills. There was something wrong in those sad words, something unnatural ... what the hell was she thinking?!
It was just some lady singing. Judging by the direction of the sound, she was by the stream Aglaia was about to see, probably another trekker, maybe out with her child.
She would have seen her, gave her that friendly but detached greeting between two people who cross paths in the middle of nowhere, and continued on to the sea. Simple as that.
There was something in Aglaia that refused to do so. Something that paralized her, that screamed at her to don't go, don't go, don't go. It was ridiculous ... but still, that day, Aglaia avoided the stream and took another path to reach the sea.
-
"Now look to this one" the nurse said mockingly, pointing her gloved finger at the young woman writhing on the bed, her sweat and blood staining the otherwise pristine hospital bed. "She isn't even able to push"
"She might be too tired, she has been in labor by three days straight" objected Aglaia. "Maybe it's best if we ..."
"Who the hell do you think you are? You are here to learn the job, not to teach it to us!"
"Listen, we know what's it, okay?" intervened another nurse, trying to sound more placating. "We know what is an actual emergency and what is just some kid who desperately needs to get fucked at twenty and then can't handle the consequences. Right?"
The last part, along with a glare, was addressed to the patient, who cowered as much as she could, weakly asking for help.
"Aglaia, go call Dr Farella, we're giving her the episiotomy"
-
The hawk soared high in the deep azure of the sky; it circled a couple times, then launched itself somewhere past the point Aglaia could see. She smiled, and continued her trek.
The nuraghe should't have been far by now. She had already seen this one, back on that vacation that had sparked her love for Sardegna; this path was the same she had walked with her parents that time. A trip down memory lane, quite literally.
Now she would have had to pass a canal, cross a bridge, and then walk straight for another couple miles. She would have had her packed lunch there, rested a bit, taken some pictures, and then headed back. A day of perfect relax.
The cicadas were crying so loud that day, prompted by the intense heat. But amidst their choir, Aglaia could make up the running water of the canal, and - that song.
It was the very same song she had heard in her trek of two weeks before, the one who, she had to admit with some embarassment, had pushed her to run from her intended path. The same sad and sweet voice; the same incomprehensible lyrics in Sardinian.
Again, Aglaia felt her skin crawl, but this time, she stood her ground. It was ridiculous! It was just a song, probably the favorite of some trekker who coincidentally took the same paths of her. There wasn't this much choice on an island, after all. It was beyond absurd to be scared.
This time she would have gone forward. She had to, to reach the nuraghe, and she wasn't about to renounce her trip because of some suggestion. Now she would have reached the canal, seen the woman, greeted her and passed by. And everything would have been fine.
Here she was. Bent on the canal, tan, a long aquiline nose, a cascade of black hair, brows furrowed in concentration on what she was doing; washing clothes in the water.
Really! Aglaia had never thought that there could still be someone who washed clothes by hand in water bodies. Maybe the woman was from a very backwards family ... or maybe, her washing machine had broken and she was trying to bear the situation with dignity, acting as if everything was normal.
Now closer, about to cross the bridge, Aglaia was about to shout a greeting, a wave, and then go on her path, when her gaze fell on what the woman was actually washing.
There was so much red. What once should have been a lavender nightgown was now painted by a big crimson stain in its middle, the blood dripping and painting the surrounding crystalline canal a light pink; next to the woman there was another indument, a damp baby suit, its color impossible to understand with all the blood that completely covered it.
A scream escaped from Aglaia's lips, and she immediately tried to suppress it. This was the aftermath of a crime. She knew what she was seeing, it was impossible for a human being to lose all the blood she was seeing on these clothes and survive ... especially the baby. This woman was trying to cover up a murder, she was violent, dangerous, and they were alone here ...
The woman turned to look at her, and the nightgown slipped from her hands. Aglaia had to move, move, why had her body decided to freeze, what it had to do was run!
The woman screamed. The sound pierced Aglaia's hears, bringing tears to her eyes all by itself; it was different from anything she had ever heard even at the hospital, a cry of pure agony, despair and rage fused into one. Now she would have attacked her ...
She splashed Aglaia with the water of the canal. The young woman could barely elaborate on what an absurd, stupid move that was, that the liquid actually hit her face, and she fell down, screaming.
What should have been the barely warm water of a low canal felt like it was coming from all the rivers in Hell, a scorching thing that ravaged Aglaia's face, hissing and blistering on the spots of her face where it touched her.
Aglaia didn't even think: she scrambled to her feet, desperately trying to wipe out the liquid from her face and only managing to spread it further, and ran away, stumbling, falling, getting back up and running again, over and over, to her home.
-
Aglaia ignored the umpteenth message Dr Farella had sent her, asking her out. She would have had to see him in person anyway, et theh hospital, and tolerate his constant harassment. Not even the light disfigurement from the scalding water on her face seemed to deter him.
She had tried telling him she wasn't interested, and the answer had been to not be snobbish and an increase of the requests. She had tried, as politely as she could, to bring up the subject to the department head, but she had been completely ignored.
Nurses and obstetricians had made of her their personal stress ball, bursting out in screams at the minimal error or even without reason. And honestly, it was better like this, she could take it. It was a different question when they took it out on the patients.
Today it was another of such cases. Nurse Stefanini was making her wrath clear to a woman guilty of screaming too much during the expulsion phase. The poor woman was actually reining herself in, probably.
Especially because this labor was, once again, taking too long. Aglaia reached them, studying the track; the woman looked at her, at a complete loss, hoping in some kind of response.
Aglaia reached the nurse, avoiding to look the woman in her eyes. She showed her the results,
"The baby is under ..."
"Yeah, scream it for everyone to know!" huffed the nurse. "Do something useful and call Dr Paragnini, we'll need a Kristeller maneuver"
Aglaia shut up and ran to obey; the situation was even more serious than she had thought.
It seemed to take forever, finding Paragnini's office in the long white aisles that all looked the same, careful not to lose her way; as for the medic himself, he preferred finishing organizing his papers before, telling her to just wait. When she finally got back, the doctor in tow, the patient was gripping the metal bars on the bed with all her might.
"What is happening? What is happening?!"
"Hasn't the nurse told you?" asked Aglaia. She had been expecting to find her ready, scared, but aware of what was about to happen.
"Do you think one like her will understand?" Nurse Stefanini pointed at the woman, as if her appearence alone provided crushing evidence of her lack of wits.
Dr Paragini pressed all his weight on the woman's womb, causing her to cry in terror and surprise. Hadn't they debriefed her? It wasn't possible, the deontological code demanded informed consent!
"Aglaia, do you want to move?! Otherwise she'll never stop screaming!"
Aglaia ran, putting her own pressure on the woman's body. The maneuver, fortunately, was effective; two minutes later, the baby was out, placed at her mother's breast.
Aglaia felt relief washing all over her; she knew how dangerous this maneouver could be, the success was something to celebrate.
Still, she couldn't overlook the situation. Why had nobody asked for the patient's consent? What was she supposed to do in this situation, she couldn't expose the fact, she was just an intern, not even a doctor ...
"Excuse me" a feeble voice broke through her thoughts. "What do I ... how do I ..."
"Can't you take care of it on her own?" Aglaia immediately regretted her words. The patient seemed to make herself small, somehow smaller than the baby she held in her arms. No, she had to focus on her job. Not using vulnerable people as a stress anthidote, no matter how diffused the practice seemed to be in this hospital.
"Here, you held her like this. Do you feel strong enough to breastfeed her right now? Perfect. Here you go"
-
At least her social life wasn't limited to that damn hospital. Going around and chatting with other trekkers had given their fruits: Aglaia was now taking a nice stroll on a small town along a girl named Marina, who lived there.
It was a lovely place, a small fishermen town, the walls of ths buildings old and battered from the wind and sea, the smell of salt penetrating everything. Marina wasn't particularly impressed, having spent all her life there; she was talking about doing a 'decent' trip to Cagliari, as soon as they would have had enough coinciding free time. Aglaia didn't mind. Anywhere was fine, as long as it was in Sardinia and far away from the hospital environment.
All of a sudden, Marina's bored expression turned into a smile, and she strode forward.
She reached an elderly woman, so curved and signed that she seemed to have been sculpted into an old olive trunk; the two started talking in Sardinian dialect, so that Aglaia didn't understand a word and ended up standing there awkwardly, trying not to look too confused and hoping her friend would have remembered her existence.
"Sorry!" said Marina after a few minutes. "Aglaia, this is my grandmother. She was going to the marketplace, too"
"Nice to meet you" said Aglaia, offering her hand.
Marina's grandmother took and shook it, but her gaze remained fixed on Aglaia's burns. The young woman felt put under intensive examination, wondered how to react without sounding rude, and then the woman said something in Sardinian, still looking pointedly at her.
"She asked if you have met a panas" explained Marina. Ah, so her grandmother was of that old generation that didn't know standard Italian and only spoke regional dialects; Aglaia smiled kindly at her and then turned to her friend.
"What is a 'panas'?"
"An old legend we have around here. It says that a woman who dies in childbirth is condemned to wash her and her baby's clothes in penance, for a very long time. If someone interrupts her work she has to repeat by start, so if it happens she will get angry and punish the culprit by spraying boiling water on them" Marina pointed at Aglaia's blisters.
Aglaia stood still for a few seconds, trying to retreve her voice; when she did, what got out of her mouth was: "Penance for what? Did they murder their children?"
"No, no, just for dying in childbirth. You see, it makes them 'impure'. Ancient Sardinians weren't very progressive, sorry"
It wasn't possible. It just wasn't possible. It must have been a coincidence, maybe some criminal had exploited the legend to get rid of the evidence and the water had been made hot by some totally explainable means ...
No, that sounded like Scooby Doo. Hell, the whole reason Aglaia still hadn't told anyone what she had seen was because she couldn't explain it! But there had to be a way, there just had to be a rational explaination for everything, she couldn't have met a ghost!
She forced a laugh. "Sorry to disappoint. I have these because my roommate let fall a pot of boiling water and I got drops on my face"
-
"Look at her, she looks like she's about to birth a frog!"
Aglaia, passing hurriedly by the aisle, had absolutely no cointext for this exclamating by one of the nurses. Her next charge, however, was to bring an oxytocine phlebo right in that very room, so that she had a privileged view over the issue.
The woman was as white as the hospital walls, but the bed she was on was a disaster. Her nightgown and the sheets were stained, dripping in subtle rivers of blood and an unidentified brown-green liquid. Had she defecated during the birth process? It was normal, why had the nurse even commented on it ...
No, that wasn't normal. That was too fluid, and the labor too early on ... that was her amniotic fluid. Her waters just broke, and instead of crystalline as they should, they were that mud color that had caused such ilarity in the nurses.
Ilarity, her ass! She had studied it over and over back in university. Meconium inalation syndrome: the child was suffering from a lack of oxygen, it had expelled his meconium in the amniotic fluid, and now risked breathing it, worsening the situation. If they did nothing, it would have suffucated.
The nurses were chatting among themselves, clearly not intentioned to do anything and just leave the poor woman to her own devices. She was trying to push, she was painful to see; Aglaia forced herself to stay impassible, to stay clinical, and still the result of her examination was anything but comforting.
She ran outside, finding Dr. Farella.
"Doctor, this is urgent. We have to do a caesarean"
"We don't have to do anything"
"Doctor, you haven't seen the situation, the amniotic fluid is ..."
"She can still terminate the birth naturally and it's better like this. Besides the fact that it saves us a lot on the costs, it will help her get her lesson. She had her fun with her legs open, now she gets the consequences"
Impure women, huh?
"The one waiting outside is her husband, not even the Damn Mother Church would have anything to say on that ... and even if he wasn't, that's not our business to judge, we have to ..."
"You have to shut up and listen to the people who actually have experience. She's carrying out the process naturally, and that's it"
It was only an emergence caesarean that prevented the disaster that day. The woman was cut open and stitched back up rather carelessly, of course without asking for her informed consent. The baby had to be brought to reanimation, but he was ultimately saved.
The doctor handed him to the patient, who laid exhausted and tearful among her own sweat, blood and other bodily fluids, and declared that she was clearly about to be a horrible, abusive mother, seen how she had already refused to suffer even to give birth to her son.
-
At last, Aglaia was due for a weekend back in Milan, with her family. It had been a long time since she had seen her parents, after all, so she could take a couple days away from the mountains and the beaches of Sardinia.
She stopped to a bakery before boarding her plane on Friday night: some traditional sweets were just what was needed to placate anxious, 'you-never-call' parents. A small package of sebadas would have done ...
And there, at the cash register, she saw the woman at the canal.
She recognized the tan, the long hair, the long and aquiline nose. The only difference was the expression: she was smiling, a bright smile that would have lit up a room.
Inside a framed picture.
The man at the register noticed her gaze. "Did you know my daughter?"
"Eh? No, I had just mistaken her for someone I know"
The man smiled, a small, wistful thing. "How old are you? Twenty-five? She was a little younger than you, in that picture"
The smile vanished. "She was pregnant, back then. It doesn't show, because I cut up the picture to focus on her smile, and not how ..."
He trailed off.
"I am sorry. Did something happen?"
"She died. Complications from childbirth. Neither her nor the kid made it. Weird, right? You think these things happened long ago, or maybe in some Third World country, instead ... there are people who don't believe me when I tell them, you know? Well, sure, you never expect that it will happen to people you love."
"I am terribly sorry. It's awful"
"The hospital was investiigated, of course, but ... well, they didn't find anything. Said that the doctors had done everything possible, and ... I'm sorry, now I am rambling. I shouldn't throw this story on every customer that passes by"
"It's no problem, really"
As she exited from the bakery, Aglaia decided that it had to be a scam. There were no other explainations. Maybe someone had sent the woman at the canal, and then the picturee, to conspire against her, to ...
Who was she kidding? She wasn't the target of a conspiracy. She was a perfect nobody, with no actual work and very little money to her name, living with a roommate in a tiny apartment. Nobody had anything to gain from her.
But then, what was this story?
The following days were spent in research. She actually spent very little time with the parents she had gone to see: her time was consumed by internet searches for the 'panas'.
She actually found her with no problem: a couple local newspaper had talked about her death. Her name was Arianna Lanzetti, she had been twenty-one, and already married. She also found the woman's former social profile: a Facebook page now submerged by messages of condolences and remembrance.
This was insane. This was all insane. And maybe she was going actually insane, because a particular idea was starting to take shape in her mind.
-
Usually, it was discomforting to be ignored as 'just an intern', Today, it was a blessing.
There weren't many women in the delivery room in that day and hour; if the hospital personnel did they job, they could have easily taken care of them without needing her. They probably wouldn't have even noticed.
Dr Farella, as befitting of his great intelligence, had left the computer on and logged into his hospital account; if he had returned too soon, Aglaia would have told him that Nurse Stefanini had sent her to check on a thrombophilic patient. if the nurse had denied, she would have played it as a misunderstanding. She could take it, she was used to everyone yelling at her and calling her incompetent.
She set on 'research file', and typed in Arianna Lanzetti's death date. The very same day as she should have given birth to her child.
There had been several births that day. Aglaia scrolled down, scanning the screen. Ludovica Fornasari, Vanessa Prosdocimi ... maybe Arianna Lanzetti had been in the care of another gynecologist ...
No. Here she was. Aglaia opened her file.
She hadn't known what to expect. Maybe some laconic report about the birth being more difficult than anticipated, due to 'lack of cooperation from the patient' and not, of course, from carelessness of the hospital personnel. She wasn't prepared to a horror story,
Arianna's baby was being expelled with the umbiilical chord wrapped around their neck. A critical situation, but not an uncommon one. All ostetrician personnel was prepared to deal with it. But they hadn't noticed. Farella, and everyone in attendance that day, had not realized the situation. Maybe Arianna had, she should have realized that something wasn't right. Probably, she had complained, tried to signal her fear. Surely, she had been laughed at.
They had seen too late, when the baby was already out, almost strangled. They had intervened in a hurry, doing a fretful episiotomy on Arianna, rushing to try and reanimate the baby, and it had been all useless. That baby had never drawn even one breath.
As for Arianna herself, her wound had been hastily stitched up, too badly: it had reopened, and she had been let alone for hours afterwards, with all the nurses avoiding her and the consequences of their mistake. Only hours later, at the insistence of the family, someone had checked and found out that she was dead.
It was almost too ridiculous to believe. Too absurd, too cruel. What that woman must have felt as she died, alone, without knowing what had been of her child ... Aglaia fought back tears. She felt like everyone would have discovered everything, if they had seen her in tears.
She drew deep breaths, in and out, in and out. Slowly, it worked. She felt suddenly very calm, completely in control. She had all the facts now, and she could act accordingly.
She had another plan now.
-
"I didn't take you for the type to do such things. To think you acted like a puritan! Not that I'm complaining"
Aglaia smiled through gritted teeth. She wouldn't have had to bear this act for long.
She looked up. Through the treetops shone the stars of Sardinia, so bright, so many. The sweet perfume of wet grass filled the air. The sound of the stream was closer and closer.
"Sooo ... do we get to it?"
"I know a better spot"
Farella huffed, but still followed her. The whole date had been insufferable: not only she had had to act like she was genuinely attracted by him, but he looked indignant that she hadn't jumped him yet!
As if she would let herself be touched by a murderer ... she still needed a little time. She still heard no song. At least, she could pretending she was getting cold feet.
No song. Farella put an arm around her waist. He would have accepted a no, right? They were alone in the forest by night, there was nothing that prevented him from - but his crimes were out of apathy and lack of care, she didn't know if he would have been capable of something as direct as to force himself on her ...
That thing she heard, was it the stream? A happy illusion or ... no, it was there, it was the panas' song!
She strode decisively towards the sound, leaving Farella behind.
"Hey, were are you going? Wait ..."
He was running after her. Good.
She removed her flashlight from the figure knelt over the water immediately, she didn't want to be the one to disturb her again. Just a moment, to make sure of where she was, then pointed the flash to the surrounding trees.
Farella wasn't smart enough to do the same.
"What the fuck ..."
The light showed Arianna's tan skin, her long, shiny hair, her aquiline nose. Her eyes were dark, fixed on the man - maybe she couldn't see him in the face, with that torch pointed towards her.
Aglaia directed her flashlight on him, fully illuminating his stunned visage.
The panas dropped her clothes in the stream and lunged. Aglaia had barely a flash of her long, thin arms protending towards them, and then she turned on her heels and ran, ran as fast as she could.
The screams echoed for a few seconds, then they were replaced by the splashing of water. After a few minutes, the lullaby resumed.
Aglaia sighed. Everything had gone well, and Arianna Lanzetti had received her justice.
She took the way home with a lighter step, turning her nose up to admire the beautiful sky of Sardinia, shining bright as she had never seen before.
"
The Carabinieri found nothing implicating Aglaia in the death of Dr Farella.
She was interrogated, of course; the 'gentleman' had bragged about their date with his friends, and the restaurant personnel could confirm that they had been there together the night of the 'tragedy'.
But she simply lied, declaring that they had parted ways after the dinner together: he had drunk too much and gotten inopportune, and she had dropped him, returning home by foot. Her roommate could attest to this, as she had seen her arrive walking alone from her window. Aglaia had been careful not to leave anything on the car that could be attributed to her, and in the end, they let her go without too much of a fuss.
Farella's death was ruled as an accident: as Aglaia had said, he was drunk, so he had driven to the middle of nowhere, taken an ill-advised walk in the forest by night, slipped into the stream and drowned because of his impaired reflexes. He couldn't have been killed, they had found no traces of other human presences around the area where the corpse was found.
There wasn't much of a fuss about the death itself. Farella was given a tearful funeral with family and colleagues going on and on about what a great man he was, what an example to all doctors; once he was under the ground, he got only complaints because his sudden disappearence upset the turn system and they had to procure another gynecologist on short notice.
Aglaia got some nurses blaming her because 'if she hadn't left him all of this wouldn't have happened', but by now, she was used to ignore those complaints.
Life to the hospital returned to its dull, pathetic normality.
Nurses and doctors still took out their frustrations on the patients. Interventions were denied, informed consent not given. Many women left the place shaking, in tears, only comforted by finally having their children with them.
Aglaia did everything she could. She was comforting, kind; she explained the medical procedures that should have been executed; she made sure nobody was left alone for any extended period of time; she did everything in her power to notify the higher-ups of any possible problem with the births that her colleagues might have ignored.
It still wasn't enough. She was only an intern; she had little to no decisional power in there. She was the secondary stress ball after the patients. She only did what she could.
Take the situation to the authorities' attention seemed impossible. Arianna's death and the number of cops at Farella's funeral had made it clear: someone here had important protections. Even if alerted, they wouldn't have done nothing.
Aglaia did what she could. She was a needed comfort to the patients; she never answered to the abuse the rest of the medical equipe hurled at her and instead offered smiles and little presents. She was just a treasure to have around.
And sooner or later, someone else here would have accepted her offer to go for a trek to the nuraghe, passing by the old canal.
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