Summary

This chapter begins in December, two months after the medevac flight of John to Boston, and Kidder has returned with Farmer to the other side of the epi divide. As they are driving toward Cange, they see a bumper sticker ahead of them which translates from the Creole to, Lord, a word on all this. It makes Farmer laugh. He tells Kidder that his e-mails are now up to 200 a day, but he's still managing them. He knows something's gotta give, but . . . he's not burning out. Once they arrive at his Ti Kay, and he changes into his Cange clothes, they sit outside on the bower and are joined by Ti Jean, the man who serves as Farmer's chief of staff, because he is his main local male confident. This man wishes that they would fix National Highway 3 so that Zanmi Lasante can receive 100,000 patients, because it is their vocation to receive them. He also believes that people turn themselves into animals for shifty reasons or else sorcerers turn them into animals as punishment. Pail calls it a giant morality play, a commentary on social inequality, almost invariably. Ti Jean notes that Paul's fish pond cost a lot of money, but he approves of it since it makes the doctor happy. If he only saw patients, he might not be happy. He says the doctor is a nestless bird in all his travels, but that since Haiti is his base, it can be called his nest.

Kidder summarizes at this point for the reader the outcomes of many of the patients he has introduced throughout the novel, like Ti Ofa, the young man with AIDS, who wanted to give Farmer a chicken or a pig. Now he has gained eight pounds and is doing much better. A few months back, a little boy named Alcante came into the clinic with scrofula and was given first-line drugs that wiped out his infection. He was the kind of child that takes strangers by the hand, and he was also very beautiful looking. As a result, Farmer kept him at the clinic two weeks longer, calling him a P.O.P. or prisoner of Paul. The rest of his family was eventually.........

Notes

This final chapter is a kind of summarization where Kidder seems to finally get exactly what Paul Farmer is all about. He is a genius who just happens to believe......

AFTERWARD

Summary

In June of 2002, seven years after Father Jack Roussin's death, WHO adopted new prescriptions for dealing with MDR-TB to which Jim Kim wrote, The world changed yesterday. The prices of second line antibiotics continued to drop, and the Russian Ministry of Health had finally agreed to the terms of the World Bank's loan - $150 million to fight the epidemic throughout the country.

The fear of 100 million HIV infections by the year 2010 had galvanized much of the world in spite of prominent voices, like the United States, that still argued that AIDS could not be defeated in impoverished places.

Jim Kim became the senior advisor to the new director of WHO in 2003 and the example of Zanmi Lasante continued to grow with.......

Notes

This afterward sums up what Paul has now accomplished in about 20 years in Haiti. The achievements are unbelievable, but.........

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