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At the moment, Ejub isn’t smiling. The ability to sterilize equipment and apply an antiseptic puts him only one foot into the nineteenth century. The century’s other great discovery—general anesthesia—is not something Ejub has to offer his patients. All he has are two syringes of precious local anesthetic swiped from the town’s abandoned dental clinic. They lie in a silver pan before him. Ejub knows how to use the anesthetic to numb the skin, but not to prevent pain in deep structures such as bone. When he thinks of the fact that the injured foot connects to a conscious human being, he wonders whether it would be better, in some cosmic sense, not to operate. Not long ago, when faced with his first amputation, he felt so powerless that he prayed to God for the suffering patient to die before he began. And—regardless of the fact that he’s trapped in what some people are calling a “religious” war—Ejub does not even believe in God. THE SURGEON’S ARRIVAL RELIEVES ILIJAZ. He sizes him up, assuming that anyone who would try to make it to Srebrenica without having some sort of family connection must be at least slightly insane. Nedret doesn’t look crazy, though, just somewhat macho and adventuresome and, no doubt, courageous. He also seems hungry for the challenge of his new job. Although Nedret has walked for a week over hills and through forests, picked his way past minefields and run for cover from passing Serb patrols, he eagerly washes up, unpacks the equipment he brought—new surgical tools in plastic wrappers, bandages, gauze, and perfusions—and gets to work. Organized health care in Srebrenica stretched at least as far back as the late nineteenth century when the area—then backward and unindustrialized—came under the governance of the Austro-Hungarian Empire. The Austrians mapped the area, developed its forestry industry, paved its main road, and, knowing that Srebrenica had been a mining town in medieval times (its current name means silver, its Latin namewas “Argentaria,” and in the Middle Ages it was the most prosperous inland town in all of the western Balkans), explored its mineral resources. They erected a one-story hospital to serve a large area of villages along the Drina River. Most of its physicians and nurses came from neighboring Serbia. During World War I, Srebrenica’s reputed healing waters, known since Roman times and analyzed by the Austrians, were used to treat injured soldiers. The waters were bottled for export and a spa was built. After the war, health tourists thronged into Srebrenica for physician-administered bathing treatments in the waters of the medicinal springs on the far southern end of town.

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