Late on Wednesday night two military doctors who were intensive care specialists had arrived by road from Islamabad. They had been sent by General Kayani after the British doctors had reported back to him that if I was left in Peshawar I would suffer brain damage or might even die because of the quality of the care and the high risk of infection. They wanted to move me but suggested that in the meantime a top doctor be brought in. But it seemed they were too late.
The hospital staff had made none of the changes Dr Fiona had recommended, and my condition had deteriorated as the night went on. Infection had set in. On Thursday morning one of the specialists, Brigadier Aslam, called Dr Fiona. ‘Malala is now very sick,’ he told her. I had developed something called disseminated intravascular coagulation (DIC), which meant my blood was not clotting, my blood pressure was very low and my blood acid had risen. I wasn’t passing urine any more so my kidneys were failing and my lactate levels had risen. It seemed that everything that could go wrong, had. Dr Fiona was about to leave for the airport to fly back to Birmingham – her bags were already at the airport – but when she heard the news, she offered to help and two nurses from her hospital in Birmingham stayed on with her.
She arrived back in Peshawar at lunchtime on Thursday. She told my father that I was to be airlifted to an army hospital in Rawalpindi which had the best intensive care. He couldn’t see how a child so sick could fly, but Dr Fiona assured him that she did this all the time so not to worry. He asked her if there was any hope for me. ‘Had there been no hope I would not be here,’ she replied. My father says that in that moment he could not hold back his tears.
Later that day a nurse came and put drops in my eyes. ‘Look, Khaista,’ said my mother. ‘Dr Fiona is right because the nurses put eye drops in Malala’s eyes. They wouldn’t put drops in if there was no chance.’ One of the other girls who had been shot, Shazia, had been moved to the same hospital and Fiona went to check on her. She told my father that Shazia was fine and had begged her, ‘Look after Malala!’
We were taken to the helipad by ambulance under high security with motorcycle outriders and flashing blue lights.The helicopter flight was one hour and fifteen minutes. Dr Fiona hardly sat down; she was so busy the whole way with all the different equipment that it looked to my father as if she was fighting with it. She was doing what she had been doing for years. Half her work in the UK was moving critically ill children, the other half was treating them in intensive care. But she had never been in a situation quite like this. Not only was Peshawar dangerous for Westerners but after googling me she realised this was no ordinary case. ‘If anything had happened to her it would have been blamed on the white woman,’ she said afterwards. ‘If she’d died I would have killed Pakistan’s Mother Teresa.’
As soon as we landed in Rawalpindi we were taken by ambulance with another military escort to a hospital called the Armed Forces Institute of Cardiology. My father was alarmed – how would they know how to deal with head wounds? But Dr Fiona assured him it had the best intensive care in Pakistan with state-of-the-art equipment and British-trained doctors. Her own nurses from Birmingham were there waiting and had explained to the cardiology nurses the specific procedures for dealing with head injuries.They spent the next three hours with me, swapping my antibiotics and my blood lines as I seemed to be reacting badly to the blood transfusions. Finally they said I was stable.
The hospital had been put on complete lockdown. There was an entire battalion of soldiers guarding it and even snipers on the rooftops. No one was allowed in; doctors had to wear uniforms; patients could only be visited by close relatives, all of whom underwent strict security checks. An army major was assigned to my parents and followed them everywhere.