“God save us, what is this?” he murmured under his breath, as a head appeared above the Artemis’s rail.
It was a young man, evidently in his late twenties, but with his face drawn and shoulders slumping with fatigue. A uniform coat that was too big for him had been tugged on over a filthy shirt, and he staggered slightly as the deck of the Artemis rose beneath him.
“You are the captain of this ship?” The Englishman’s eyes were red-rimmed from tiredness, but he picked Raines from the crowd of grim-faced hands at a glance. “I am acting captain Thomas Leonard, of His Majesty’s ship Porpoise. For the love of God,” he said, speaking hoarsely, “have you a surgeon aboard?”
* * *
Over a warily offered glass of port below, Captain Leonard explained that the Porpoise had suffered an outbreak of some infectious plague, beginning some four weeks before.
“Half the crew are down with it,” he said, wiping a crimson drop from his stubbled chin. “We’ve lost thirty men so far, and look fair to lose a lot more.”
“You lost your captain?” Raines asked.
Leonard’s thin face flushed slightly. “The—the captain and the two senior lieutenants died last week, and the surgeon and the surgeon’s mate, as well. I was third lieutenant.” That explained both his surprising youth and his nervous state; to be landed suddenly in sole command of a large ship, a crew of six hundred men, and a rampant infection aboard, was enough to rattle anyone.
“If you have anyone aboard with some medical experience …” He looked hopefully from Captain Raines to Jamie, who stood by the desk, frowning slightly.
“I’m the Artemis’s surgeon, Captain Leonard,” I said, from my place in the doorway. “What symptoms do your men have?”
“You?” The young captain’s head swiveled to stare at me. His jaw hung slackly open, showing the furred tongue and stained teeth of a tobacco-chewer.
“My wife’s a rare healer, Captain,” Jamie said mildly. “If it’s help ye came for, I’d advise ye to answer her questions, and do as she tells ye.”
Leonard blinked once, but then took a deep breath and nodded. “Yes. Well, it seems to start with griping pains in the belly, and a terrible flux and vomiting. The afflicted men complain of headache, and they have considerable fever. They …”
“Do some of them have a rash on their bellies?” I interrupted.
He nodded eagerly. “They do. And some of them bleed from the arse as well. Oh, I beg pardon, ma’am,” he said, suddenly flustered. “I meant no offense, only that—”
“I think I know what that might be,” I interrupted his apologies. A feeling of excitement began to grow in me; the feeling of a diagnosis just under my hands, and the sure knowledge of how to proceed with it. The call of trumpets to a warhorse, I thought with wry amusement. “I’d need to look at them, to be sure, but—”
“My wife would be pleased to advise ye, Captain,” Jamie said firmly. “But I’m afraid she canna go aboard your ship.”
“Are you sure?” Captain Leonard looked from one to the other of us, eyes desperate with disappointment. “If she could only look at my crew …”
“No,” Jamie said, at the same moment I replied, “Yes, of course!”
There was an awkward silence for a moment. Then Jamie rose to his feet, said politely, “You’ll excuse us, Captain Leonard?” and dragged me bodily out of the cabin, down the passage to the afterhold.
“Are ye daft?” he hissed, still clutching me by one arm. “Ye canna be thinking of setting foot on a ship wi’ the plague! Risk your life and the crew and Young Ian, all for the sake of a pack of Englishmen?”
“It isn’t plague,” I said, struggling to get free. “And I wouldn’t be risking my life. Let go of my arm, you bloody Scot!”
He let go, but stood blocking the ladder, glowering at me.
“Listen,” I said, striving for patience. “It isn’t plague; I’m almost sure it’s typhoid fever—the rash sounds like it. I can’t catch that, I’ve been vaccinated for it.”
Momentary doubt flitted across his face. Despite my explanations, he was still inclined to consider germs and vaccines in the same league with black magic.
“Aye?” he said skeptically. “Well, perhaps that’s so, but still …”
“Look,” I said, groping for words. “I’m a doctor. They’re sick, and I can do something about it. I … it’s … well, I have to, that’s all!”
Judging from its effect, this statement appeared to lack something in eloquence. Jamie raised one eyebrow, inviting me to go on.
I took a deep breath. How should I explain it—the need to touch, the compulsion to heal? In his own way, Frank had understood. Surely there was a way to make it clear to Jamie.
“I took an oath,” I said. “When I became a physician.”
Both eyebrows went up. “An oath?” he echoed. “What sort of oath?”
I had said it aloud only the one time. Still, I had had a framed copy in my office; Frank had given it to me, a gift when I graduated from medical school. I swallowed a small thickening in my throat, closed my eyes, and read what I could remember from the scroll before my mind’s eye.
“I swear by Apollo the physician, by Aesculapius, Hygeia, and Panacea, and I take to witness all the gods, all the goddesses, to keep according to my ability and my judgment the following Oath:
I will prescribe regimen for the good of my patients according to my ability and my judgment and never do harm to anyone. To please no one will I prescribe a deadly drug, nor give advice which may cause his death. But I will preserve the purity of my life and my art. In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill-doing and all seduction, and especially from the pleasures of love with women or with men, be they free or slaves. All that may come to my knowledge in the exercise of my profession or outside of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal. If I keep this oath faithfully, may I enjoy my life and practice my art, respected by all men and in all times; but if I swerve from it or violate it, may the reverse be my lot.”
I opened my eyes, to find him looking down at me thoughtfully. “Er … parts of it are just for tradition,” I explained.
The corner of his mouth twitched slightly. “I see,” he said. “Well, the first part sounds a wee bit pagan, but I like the part about how ye willna seduce anyone.”
“I thought you’d like that one,” I said dryly. “Captain Leonard’s virtue is safe with me.”
He gave a small snort and leaned back against the ladder, running one hand slowly through his hair.
“Is that how it’s done, then, in the company of physicians?” he asked. “Ye hold yourself bound to help whoever calls for it, even an enemy?”
“It doesn’t make a great difference, you know, if they’re ill or hurt.” I looked up, searching his face for understanding.
“Aye, well,” he said slowly. “I’ve taken an oath now and then, myself—and none of them lightly.” He reached out and took my right hand, his fingers resting on my silver ring. “Some weigh heavier than others, though,” he said, watching my face in turn.
He was very close to me, the sun from the hatchway overhead striping the linen of his sleeve, the skin of his hand a deep ruddy bronze where it cradled my own white fingers, and the glinting silver of my wedding ring.
“It does,” I said softly, speaking to his thought. “You know it does.” I laid my other hand against his chest, its gold ring glowing in a bar of sunlight. “But where one vow can be kept, without damage to another …?”
He sighed, deeply enough to move the hand on my chest, then bent and kissed me, very gently.
“Aye, well, I wouldna have ye be forsworn,” he said, straightening up with a wry twist to his mouth. “You’re sure of this vaccination of yours? It does work?”
“It works,” I assured him.
“Perhaps I should go with ye,” he said, frow
ning slightly.
“You can’t—you haven’t been vaccinated, and typhoid’s awfully contagious.”
“You’re only thinking it’s typhoid, from what Leonard says,” he pointed out. “Ye dinna ken for sure that it’s that.”
“No,” I admitted. “But there’s only one way to find out.”
* * *
I was assisted up onto the deck of the Porpoise by means of a bosun’s chair, a terrorizing swing over empty air and frothing sea. I landed ignominiously in a sprawl on the deck. Once I regained my feet, I was astonished to find how solid the deck of the man-of-war felt, compared to the tiny, pitching quarterdeck of the Artemis, far below. It was like standing on the Rock of Gibraltar.
My hair had blown loose during the trip between the ships; I twisted it up and repinned it as best I could, then reached to take the medicine box I had brought from the midshipman who held it.
“You’d best show me where they are,” I said. The wind was brisk, and I was aware that it was taking a certain amount of work on the part of both crews to keep the two ships close together, even as both drifted leeward.
It was dark in the tween-decks, the confined space lit by small oil lamps that hung from the ceiling, swaying gently with the rise and fall of the ship, so that the ranks of hammocked men lay in deep shadow, blotched with dim patches of light from above. They looked like pods of whales, or sleeping sea beasts, lying humped and black, side by side, swaying with the movement of the sea beneath.
The stench was overpowering. What air there was came down through crude ventilator shafts that reached the upper deck, but that wasn’t a lot. Worse than unwashed seamen was the reek of vomitus and the ripe, throat-clogging smell of blood-streaked diarrhea, which liberally spattered the decking beneath the hammocks, where sufferers had been too ill to reach the few available chamber pots. My shoes stuck to the deck, coming away with a nasty sucking noise as I made my way cautiously into the area.
“Give me a better light,” I said peremptorily to the apprehensive-looking young midshipman who had been told off to accompany me. He was holding a kerchief to his face and looked both scared and miserable, but he obeyed, holding up the lantern he carried so that I could peer into the nearest hammock.
The occupant groaned and turned away his face as the light struck him. He was flushed with fever, and his skin hot to the touch. I pulled his shirt up and felt his stomach; it too was hot, the skin distended and hard. As I prodded gently here and there, the man writhed like a worm on a hook, uttering piteous groans.
“It’s all right,” I said soothingly, urging him to flatten out again. “Yes, I’ll help you; it will feel better soon. Let me look into your eyes, now. Yes, that’s right.”
I pulled back the eyelid; his pupil shrank in the light, leaving his eyes brown and red-rimmed with suffering.
“Christ, take away the light!” he gasped, jerking his head away. “It splits my head!” Fever, vomiting, abdominal cramps, headache.
“Do you have chills?” I asked, waving back the midshipman’s lantern.
The answer was more a moan than a word, but in the affirmative. Even in the shadows, I could see that many of the men in the hammocks were wrapped in their blankets, though it was stifling hot here below.
If not for the headache, it could be simple gastroenteritis—but not with this many men stricken. Something very contagious indeed, and I was fairly sure what. Not malaria, coming from Europe to the Caribbean. Typhus was a possibility; spread by the common body louse, it was prone to rapid spread in close quarters like these, and the symptoms were similar to those I saw around me—with one distinctive difference.
That seaman didn’t have the characteristic belly rash, nor the next, but the third one did. The light red rosettes were plain on the clammy white skin. I pressed firmly on one, and it disappeared, blinking back into existence a moment later, as the blood returned to the skin. I squeezed my way between the hammocks, the heavy, sweating bodies pressing in on me from either side, and made my way back to the companionway where Captain Leonard and two more of his midshipmen waited for me.
“It’s typhoid,” I told the Captain. I was as sure as I could be, lacking a microscope and blood culture.
“Oh?” His drawn face remained apprehensive. “Do you know what to do for it, Mrs. Malcolm?”
“Yes, but it won’t be easy. The sick men need to be taken above, washed thoroughly, and laid where they can have fresh air to breathe. Beyond that, it’s a matter of nursing; they’ll need to have a liquid diet—and lots of water—boiled water, that’s very important!—and sponging to bring down the fever. The most important thing is to avoid infecting any more of your crew, though. There are several things that need to be done—”
“Do them,” he interrupted. “I shall give orders to have as many of the healthy men as can be spared to attend you; order them as you will.”
“Well,” I said, with a dubious glance at the surroundings. “I can make a start, and tell you how to be going on, but it’s going to be a big job. Captain Raines and my husband will be anxious to be on our way.”
“Mrs. Malcolm,” the Captain said earnestly, “I shall be eternally grateful for any assistance you can render us. We are most urgently bound for Jamaica, and unless the remainder of my crew can be saved from this wicked illness, we will never reach that island.” He spoke with profound seriousness, and I felt a twinge of pity for him.
“All right,” I said with a sigh. “Send me a dozen healthy crewmen, for a start.”
Climbing to the quarterdeck, I went to the rail and waved at Jamie, who was standing by the Artemis’s wheel, looking upward. I could see his face clearly, despite the distance; it was worried, but relaxed into a broad smile when he saw me.
“Are ye comin’ down now?” he shouted, cupping his hands.
“Not yet!” I shouted back. “I need two hours!” Holding up two fingers to make my meaning clear in case he hadn’t heard, I stepped back from the rail, but not before I saw the smile fade from his face. He’d heard.
I saw the sick men removed to the afterdeck, and a crew of hands set to strip them of their filthy clothes, and hose and sponge them with seawater from the pumps. I was in the galley, instructing the cook and galley crew in food-handling precautions, when I felt the movement of the deck under my feet.
The cook to whom I was talking snaked out a hand and snapped shut the latch of the cupboard behind him. With the utmost dispatch, he grabbed a loose pot that leapt off its shelf, thrust a large ham on a spit into the lower cupboard, and whirled to clap a lid on the boiling pot hung over the galley fire.
I stared at him in astonishment. I had seen Murphy perform this same odd ballet, whenever the Artemis cast off or changed course abruptly.
“What—” I said, but then abandoned the question, and headed for the quarterdeck, as fast as I could go. We were under way; big and solid as the Porpoise was, I could feel the vibration that ran through the keel as she took the wind.
I burst onto the deck to find a cloud of sails overhead, set and drawing, and the Artemis falling rapidly behind us. Captain Leonard was standing by the helmsman, looking back to the Artemis, as the master bawled commands to the men overhead.
“What are you doing?” I shouted. “You bloody little bastard, what’s going on here?”
The Captain glanced at me, plainly embarrassed, but with his jaw set stubbornly.
“We must get to Jamaica with the utmost dispatch,” he said. His cheeks were chapped red with the rushing sea wind, or he might have blushed. “I am sorry, Mrs. Malcolm—indeed I regret the necessity, but—”
“But nothing!” I said, furious. “Put about! Heave to! Drop the bloody anchor! You can’t take me away like this!”
“I regret the necessity,” he said again, doggedly. “But I believe that we require your continuing services most urgently, Mrs. Malcolm. Don’t worry,” he said, striving for a reassurance that he didn’t achieve. He reached out as though to pat my shoulder, but then thought b
etter of it. His hand dropped to his side.
“I have promised your husband that the navy will provide you accommodation in Jamaica until the Artemis arrives there.”
He flinched backward at the look on my face, evidently afraid that I might attack him—and not without reason.
“What do you mean you promised my husband?” I said, through gritted teeth. “Do you mean that J—that Mr. Malcolm permitted you to abduct me?”
“Er … no. No, he didn’t.” The Captain appeared to be finding the interview a strain. He dragged a filthy handkerchief from his pocket and wiped his brow and the back of his neck. “He was most intransigent, I’m afraid.”
“Intransigent, eh? Well, so am I!” I stamped my foot on the deck, aiming for his toes, and missing only because he leapt agilely backward. “If you expect me to help you, you bloody kidnapper, just bloody think again!”
The Captain tucked his handkerchief away and set his jaw. “Mrs. Malcolm. You compel me to tell you what I told your husband. The Artemis sails under a French flag, and with French papers, but more than half her crew are Englishmen or Scots. I could have pressed these men to service here—and I badly need them. Instead, I have agreed to leave them unmolested, in return for the gift of your medical knowledge.”
“So you’ve decided to press me instead. And my husband agreed to this … this bargain?”
“No, he didn’t,” the young man said, rather dryly. “The captain of the Artemis, however, perceived the force of my argument.” He blinked down at me, his eyes swollen from days without sleep, the too-big jacket flapping around his slender torso. Despite his youth and his slovenly appearance, he had considerable dignity.
“I must beg your pardon for what must seem the height of ungentlemanly behavior, Mrs. Malcolm—but the truth is that I am desperate,” he said simply. “You may be our only chance. I must take it.”
I opened my mouth to reply, but then closed it. Despite my fury—and my profound unease about what Jamie was going to say when I saw him again—I felt some sympathy for his position. It was quite true that he stood in danger of losing most of his crew, without help. Even with my help, we would lose some—but that wasn’t a prospect I cared to dwell on.
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