Free After the Quake by Haruki Murakami

twenty or thirty years past the end of her menstruation was an oddity. The difficulty of continuing to live with tissues for which the ovaries or the thyroid had ceased to secrete the normal supply of hormones; the possible relationship between the postmenopausal decrease in estrogen levels and the incidence of Alzheimer’s: these were not questions worth troubling one’s mind over. Of far more importance to the majority of mankind was the challenge of simply obtaining enough food to eat each day. Had the advancement of medicine, then, done nothing more than to expose, subdivide, and further complicate the problems faced by the human species?
    Soon another announcement came over the PA system. In English this time.
If there is a doctor on board, please identify yourself to
one of the cabin attendants.
    A passenger must have taken sick. For a moment Satsuki thought of volunteering, but quickly changed her mind. On the two earlier occasions when she had done so, she had merely had run-ins with practicing physicians who happened to be on the plane. These men had seemed to possess both the poise of a seasoned general commanding troops on the front line and the vision to recognize at a glance that Satsuki was a professional pathologist without combat experience. “That’s all right, Doctor,” she had been told with a cool smile, “I can handle this by myself. You just take it easy.” She had mumbled a stupid excuse and gone back to her seat to watch the rest of some ridiculous movie.
    Still, she thought, I might just be the only doctor on this plane. And the patient might be someone with a major problem involving the thyroidal immune system. If that is the case—and the likelihood of such a situation did not seem high—then even I might be of some use. She took a breath and pressed the button for a cabin attendant.
    The World Thyroid Conference was a four-day event at the Bangkok Marriott. Actually, it was more like a worldwide family reunion than a conference. All the participants were thyroid specialists, and they all knew each other or were quickly introduced. It was a small world. There would be lectures and panel discussions during the day and private parties at night. Friends would get together to renew old ties, drink Australian wine, share thyroid stories, whisper gossip, update each other on their careers, tell dirty doctor jokes, and sing “Surfer Girl” at karaoke bars.
    In Bangkok, Satsuki stayed mainly with her Detroit friends. Those were the ones she felt most comfortable with. She had worked at the university hospital in Detroit for almost ten years, researching the immune function of the thyroid gland. Eventually she had had a falling-out with her securities analyst husband, whose dependency on alcohol had grown worse year by year, in addition to which he had become involved with another woman—someone Satsuki knew well. They separated, and a bitter feud involving lawyers had dragged on for a full year. “The thing that finally did it for me,” her husband claimed, “was that you didn’t want to have children.”
    They had finally concluded their divorce settlement three years ago. A few months later, someone smashed the headlights of her Honda Accord in the hospital parking lot and wrote “JAP CAR” on the hood in white letters. She called the police. A big black policeman filled out the damage report and then said to her, “Lady, this is Detroit. Next time buy a Ford Taurus.”
    What with one thing and another, Satsuki became fed up with living in America and decided to return to Japan. She found a position at a university hospital in Tokyo. “You can’t do that,” said a member of her research team from India. “All our years of research are about to bear fruit. We could be nominated for a Nobel Prize—it’s not that crazy,” he pleaded with her to stay, but Satsuki’s mind was made up. Something inside her had snapped.
    She stayed on alone at the hotel in Bangkok after the conference