Chapters 21–22 Summary and Analysis
Malala relates that Usman Bhai Jan, the bus driver, rushed the dyna to the hospital once he realized that she had been shot. Two of Malala's classmates, Shazia and Kainat, had also been shot. At the hospital, doctors reassured Ziauddin and Madam Maryam (the headmistress of the girls' school) that the bullet had missed Malala's brain. From the hospital in Mingora, plans were made to airlift Malala to the Lady Reading Hospital in Peshawar. Upon landing, however, Malala was taken to the Combined Military Hospital (CMH) instead. There, Colonel Junaid, the army neurosurgeon, warned against surgery. After Malala began vomiting blood and her brain began to swell, however, Colonel Junaid opted to operate. He explained that, although the bullet had not entered Malala's brain, particles of bone fragments had damaged the cerebral membrane, causing the brain to swell.
During the five-hour operation, the colonel removed a portion of Malala's skull and placed it in the subcutaneous tissue to the left of her stomach for preservation. He also performed a tracheotomy to clear her airways, removed clots from her brain, and disposed of a bullet from her shoulder blade. Malala reports that the governor gave Ziauddin 100,000 rupees to pay for her treatment. Many important public officials and politicians also gathered at the hospital to show their support. At this time, the Taliban issued a statement claiming responsibility for the shooting. In this chapter, Malala relates that she was also assessed by two British specialists, Dr. Javid Kayani and Dr. Fiona Reynolds, both from hospitals in Birmingham. The specialists warned that Malala's survival was being jeopardized by inadequate aftercare. Following surgery, the doctors had neglected to monitor her CO2 levels and blood pressure on a consistent basis.
Malala relates that the doctors failed to implement Dr. Fiona's very specific instructions for her aftercare. As a result, Malala developed Disseminated Intravascular Coagulation (DIC): her kidneys began failing, her blood stopped clotting, and her blood pressure began plunging. Disturbed, Brigadier Aslam (one of the specialists) alerted Dr. Fiona, and she...
(The entire section is 1039 words.)