I had explained as much to Jamie, who sat on a stool watching me as I poured the broth from each live culture through another bit of gauze to strain it.
“So what ye’ve got there is broth that the mold has pissed in, is that right?”
“Well, if you insist on putting it that way, yes.” I gave him an austere glance, then took up the strained solution and began distributing it into several small stoneware jars.
He nodded, pleased to have got it right.
“And the mold piss is what cures sickness, aye? That’s sensible.”
“It is?”
“Well, ye use other sorts of piss for medicine, so why not that?”
He lifted the big black casebook in illustration. I had left it open on the counter after recording the latest batch of experiments, and he had been amusing himself by reading some of the earlier pages, those recorded by the book’s previous owner, Dr. Daniel Rawlings.
“Possibly Daniel Rawlings did—I don’t.” Hands busy, I lifted my chin at the entry on the open page. “What was he using it for?”
“Electuary for the Treatment of Scurvy,” he read, finger following the neat small lines of Rawlings’s script. “Two Heads of Garlic, crushed with six Radishes, to which are added Peru Balsam and ten drops of Myrrh, this Compound mixed with the Water of a Man-child so as to be conveniently drunk.”
“Bar the last, it sounds like a rather exotic condiment,” I said, amused. “What would it go with best, do you think? Jugged hare? Ragout of veal?”
“Nay, veal’s too mild-flavored for radish. Hodgepodge of mutton, maybe,” he replied. “Mutton will stand anything.” His tongue flicked absentmindedly across his upper lip in contemplation.
“Why a man-child, d’ye think, Sassenach? I’ve seen the mention of it in such receipts before—Aristotle has it so, and so have some of the other ancient philosophers.”
I gave him a look, as I began tidying up my slides.
“Well, it’s certainly easier to collect urine from a male child than from a little girl; just try it, sometime. Oddly enough, though, urine from baby boys is very clean, if not entirely sterile; it may be that the ancient philosophers noticed they had better results with it in their formulae, because it was cleaner than the usual drinking water, if they were getting that from public aqueducts and wells and the like.”
“Sterile meaning that it hasna got the germs in it, not that it doesna breed?” He gave my microscope a rather wary glance.
“Yes. Or rather—it doesn’t breed germs, because there aren’t any there.”
With the countertop cleared, save for the microscope and the jars of penicillin-containing broth—or at least I hoped that’s what they were—I began the preparations for surgery, taking down my small case of surgical instruments, and fetching a large bottle of grain alcohol out of the cupboard.
I handed this to Jamie, along with the small alcohol burner I had contrived—an empty ink bottle, with a twisted wick of waxed flax drawn up through a cork stuck into the neck.
“Fill that up for me, will you? Where are the boys?”
“In the kitchen, getting drunk.” He frowned in concentration, carefully pouring the alcohol. “Is the urine of wee lassies not clean, then? Or is it only harder to get?”
“No, actually, it isn’t as clean as that of boys.” I unfolded a clean cloth on the countertop and laid out two scalpels, a pair of long-nosed forceps, and a bunch of small cautery irons. I dug about in the cupboard, unearthing a handful of cotton pledgets. Cotton cloth was hideously expensive, but I had had the good fortune to cajole a sack of raw cotton bolls from Farquard Campbell’s wife, in return for a jar of honey.
“The … um … route to the outside isn’t quite so direct, you might say. So the urine tends to pick up bacteria and bits of debris from the skin folds.” I looked over my shoulder at him and smiled. “Not that you ought to go feeling superior on that account.”
“I shouldna dream of it,” he assured me. “Are ye ready, then, Sassenach?”
“Yes, fetch them in. Oh, and bring the basin!”
He went out, and I turned to face the east window. It had snowed heavily the day before, but today was a fine, bright day, clear and cold, with the sun reflecting off the snow-covered trees with the light of a million diamonds. I couldn’t have asked for better; I should need all the light I could get.
I set the cautery irons in the small brazier to heat. Then I fetched my amulet from the cabinet, put it round my neck so it hung beneath the bodice of my gown, and took down the heavy canvas apron from its hook behind the door. I put that on, too, then went to the window and looked out at the cold icing-sugar landscape, emptying my mind, steadying my spirit for what I was about to do. It was not a difficult operation, and I had done it many times before. I had not, however, done it on someone who was sitting upright and conscious, and that always made a difference.
I hadn’t done it in several years, either, and I closed my eyes in recollection, visualizing the steps to take, feeling the muscles of my hand twitch slightly in echo of my thoughts, anticipating the movements I would make.
“God help me,” I whispered, and crossed myself.
Stumbling footsteps, nervous giggles, and the rumble of Jamie’s voice came from the hallway, and I turned round smiling to greet my patients.
A month of good food, clean clothes, and warm beds had improved the Beardsleys immensely, in terms of both health and appearance. They were both still small, skinny, and slightly bowlegged, but the hollows of their faces had filled out a bit, their dark hair lay soft against their skulls, and the look of hunted wariness had faded a little from their eyes.
In fact, both pairs of dark eyes were presently a little glazed, and Lizzie was obliged to grab Keziah by the arm in order to prevent his stumbling over a stool. Jamie had Josiah gripped firmly by the shoulder; he steered the boy over to me, then set down the pudding basin he carried under his other arm.
“All right, are you?” I smiled at Josiah, looking deep into his eyes, and squeezed his arm in reassurance. He swallowed hard, and gave me a rather ghastly grin; he wasn’t drunk enough not to be scared.
I sat him down, chatting soothingly, wrapped a towel round his neck, and set the basin on his knees. I hoped he wouldn’t drop it; it was china, and the only large pudding basin we had. To my surprise, Lizzie came to stand behind him, putting her small hands on his shoulders.
“Are you sure you want to stay, Lizzie?” I asked dubiously. “We can manage all right, I think.” Jamie was thoroughly accustomed to blood and general carnage; I didn’t think Lizzie could ever have seen anything beyond the common sorts of illness and perhaps a childbirth or two.
“Oh, no, ma’am; I’ll stay.” She swallowed, too, but set her small jaw bravely. “I promised Jo and Kezzie as I’d stay with them, all through.”
I glanced at Jamie, who lifted one shoulder in the hint of a shrug.
“All right, then.” I took one of the stoneware jars of penicillin broth, poured it into two cups, and gave one to each of the twins to drink.
Stomach acid would likely inactivate most of the penicillin, but it would—I hoped—kill the bacteria in their throats. Following surgery, another dose washed over the raw surfaces might prevent infection.
There was no way of knowing exactly how much penicillin there might be in the broth; I might be giving them massive doses—or too little to matter. At least I was reasonably sure that whatever penicillin was in the broth was presently active. I had no means of stabilizing the antibiotic, and no notion how long it might be potent—but fresh as it was, the solution was bound to be medicinally active, and there was a good chance that the rest of the broth would remain usable for at least the next few days.
I would make new cultures, as soon as the surgery was complete; with luck, I could dose the twins regularly for three or four days, and—with greater luck—thus prevent any infections.
“Oh, so ye can drink the stuff, can ye?” Jamie was eyeing me cynically over Josiah�
�s head. I had injected him with penicillin following a gunshot injury a few years before, and he obviously now considered that I done so with purely sadistic intent.
I eyed him back.
“You can. Injectable penicillin is much more effective, particularly in the case of an active infection. However, I haven’t any means of injecting it just at present, and this is meant to prevent them getting an infection, not to cure one. Now, if we’re quite ready …”
I had thought that Jamie would restrain the patient, but both Lizzie and Josiah insisted that this was not necessary; Josiah would sit quite still, no matter what. Lizzie still gripped his shoulders, her face paler than his, and her small knuckles sharp and white.
I had examined both boys at length the day before, but had another quick look before starting, using a tongue depressor made of a slip of ash wood. I showed Jamie how to use this to keep the tongue pressed out of my way, then took up forceps and scalpel and drew a long breath.
I looked deep into Josiah’s dark eyes, and smiled; I could see two tiny reflections of my face there, both looking pleasantly competent.
“All right, then?” I asked.
He couldn’t speak, with the tongue depressor in his mouth, but made a good-natured sort of grunt that I took for assent.
I needed to be quick, and I was. The preparations had taken hours; the operation, no more than a few seconds. I seized one spongy red tonsil with the forceps, stretched it toward me, and made several small, quick cuts, deftly separating the layers of tissue. A trickle of blood was running out of the boy’s mouth and down his chin, but nothing serious.
I pulled the gobbet of flesh free, dropped it into the basin, and shifted my grip to the other tonsil, where I repeated the process, only a trifle more slowly in consequence of working backhanded.
The whole thing couldn’t have taken more than thirty seconds per side. I drew the instruments out of Josiah’s mouth, and he goggled at me, astonished. Then he coughed, gagged, leaned forward, and another small chunk of flesh bounced into the basin with a small splat, together with a quantity of bright red blood.
I seized him by the nose and thrust his head back, stuffed pledgets into his mouth to absorb sufficient blood that I could see what I was doing, then snatched a small cautery iron and took care of the largest vessels; the smaller ones could clot and seal on their own.
His eyes were watering ferociously, and his hands were clamped in a death grip on the basin, but he had neither moved nor made a sound. I hadn’t expected that he would, after what I had seen when Jamie removed the brand from his thumb. Lizzie was still gripping his shoulders, her eyes tight shut. Jamie reached up and tapped her on the elbow, and her eyes sprang open.
“Here, a muirninn, he’s done. Take him and put him to his bed, aye?”
Josiah declined to go, though. Mute as his brother, he shook his head violently, and sat down upon a stool, where he sat swaying and white-faced. He gave his brother a ghastly grin, his teeth outlined in blood.
Lizzie hovered between the two boys, looking back and forth between them. Jo caught her eye, and pointed firmly at Keziah, who had assumed the patient’s stool with an outward show of fortitude, chin upraised. She patted Jo gently on the head, and went at once to take hold of Keziah’s shoulders. He turned his head and gave her a smile of remarkable sweetness, then bent his head and kissed her hand. Then he turned to me, shutting his eyes and opening his mouth; he looked just like a nestling begging for worms.
This operation was somewhat more complicated; his tonsils and adenoids were terribly enlarged, and badly scarred from chronic infection. It was a bloody business; both the towel and my apron were heavily splattered before I had done. I finished the cautery and looked closely at my patient, who was white as the snow outside, and completely glassy-eyed.
“Are you all right?” I asked. He couldn’t hear me, but my concerned expression was clear enough. His mouth twitched in what I thought was a gallant effort to smile. He began to nod; then his eyes rolled up and he slid off the stool, ending with a crash at my feet. Jamie caught the basin, rather neatly.
I thought Lizzie might faint as well; there was blood everywhere. She did totter a little, but went obediently to sit down beside Josiah when I told her to. Josiah sat looking on, squeezing Lizzie’s hand fiercely while Jamie and I picked up the pieces.
Jamie gathered Keziah up in his arms; the boy lay limp and bloodstained, looking like a murdered child. Josiah rose to his feet, his eyes resting anxiously on his brother’s unconscious body.
“It will be all right,” Jamie said to him, in tones of complete confidence. “I told ye, my wife is a great healer.” They all turned then, and looked at me, smiling: Jamie, Lizzie, and Josiah. I felt as though I ought to take a bow, but contented myself with smiling, too.
“It will be all right,” I said, echoing Jamie. “Go and rest now.”
The small procession left the room, more quietly than they had come in, leaving me to put away my instruments and tidy up.
I felt very happy, glowing with the calm sort of satisfaction that attends successful work. I had not done this sort of thing for a long time; the exigencies and limitations of the eighteenth century precluded most surgeries save those done in emergency. Without anesthesia and antibiotic, elective surgery was simply too difficult and too dangerous.
But now I had penicillin, at least. And it would be all right, I thought, humming to myself as I extinguished the flame of my alcohol lamp. I had felt it in their flesh, touching the boys as I worked. No germ would threaten them, no infection mar the cleanliness of my work. There was always luck in the practice of medicine—but the odds had shifted today, in my favor.
“All shall be well,” I quoted to Adso, who had silently materialized on the counter, where he was industriously licking one of the empty bowls, “and all shall be well, and all manner of thing shall be well.”
The big black casebook lay open on the counter where Jamie had left it. I turned to the back pages, where I had been recording the progress of my experiments, and took up my quill. Later, after supper, I would write down the details of the surgery. For the moment … I paused, then wrote Eureka! at the bottom of the page.
37
MAIL CALL
Fergus undertook his bimonthly trip to Cross Creek in mid-February, returning with salt, needles, indigo, a few more miscellaneous necessities, and a bag full of mail. He arrived in mid-afternoon, so anxious to get back to Marsali that he stayed only long enough for a quick mug of beer, leaving Brianna and me to sort through the parcels, gloating over the bounty.
There was a thick stack of newspapers from Wilmington and New Bern; a few from Philadelphia and Boston as well, sent by friends in the north to Jocasta Cameron, and thence forwarded on to us. I flipped through these; the most recent was dated three months prior. No matter; newspapers were as good as novels, in a place where reading material was almost literally scarcer than gold.
Jocasta had also sent two issues of Brigham’s Lady’s Book for Brianna, this being a periodical featuring drawings of fashionable London costumes, and articles of interest to women of such tastes.
“How to Clean Gold Lace,” Brianna read, arching one eyebrow as she opened one of these at random. “That’s something everybody ought to know how to do, for sure.”
“Look in the back,” I advised her. “That’s where they publish the articles about how to avoid catching gonorrhea and what to do about your husband’s piles.”
The other brow went up, making her look just like Jamie, presented with some highly questionable proposition.
“If my husband gave me gonorrhea, I think he could just worry about his own piles.” She turned several pages, and the eyebrows arched higher. “A Spur to Venus. This being a List of infallible Remedys for Fatigue of the Male Member.”
I peered over her arm, my own eyebrows rising.
“Goodness. A Dozen of Oysters, soaked overnight in a Mixture of Wine and Milk, to be baked in a Tart with Crushed Almonds and L
obstermeat, and served with Spiced Peppers. I don’t know what it would do for the male member, but it would probably give the gentleman attached to it violent indigestion. Of course, we haven’t got any oysters here anyway.”
“No loss,” she assured me, frowning at the page in concentration. “Oysters remind me of big plugs of snot.”
“That’s only the raw ones; they’re more or less edible when cooked. Speaking of snot, though—where’s Jemmy?”
“Asleep, or at least I hope so.” She cast a suspicious eye toward the ceiling, but no untoward noises manifested themselves, and she returned to the page.
“Here’s one we could do. The Testicles of a Male Animal—like you’d get them from a female animal—taken with six large Mushrooms and boyled in Sour Ale until tender, then both Testicles and Mushrooms to be sliced thin, well-pepper’d and seasoned with Salt, then sprinkl’d with Vinegar and brown’d before the Fire until crusty. Da hasn’t gotten around to castrating Gideon yet, has he?”
“No. I’m sure he’d be happy to give you the objects in question, if you want to try.”
She went very pink in the face, and cleared her throat with a noise that reminded me even more of her father. “I—um—don’t think we need that just yet.”
I laughed and left her to her fascinated perusal, turning back to the mail.
There was a wrapped object addressed to Jamie that I knew must be a book, sent from a bookseller in Philadelphia, but with Lord John Grey’s seal affixed—a daub of blue wax whimsically marked with a smiling half-moon and a single star. Half our library came from John Grey, who insisted that he sent us books primarily for his own satisfaction, as he knew no one in the Colonies other than Jamie who was capable of carrying on a decent discussion of literature.
There were several letters addressed to Jamie, too; I looked these over carefully, in hopes of seeing his sister’s characteristic spiky script, but no such luck. There was a letter from Ian, who wrote faithfully once a month, but nothing from Jenny; there had been no word from her in the past six months; not since Jamie had written reluctantly to tell her of the fate of her youngest son.
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