From time to time during the process Joseph gasped as the tightening bandage, in the course of bringing things back into alignment, struck a lode of pain in the battered limb. But he knew that he was doing the right thing in having his leg bandaged like this. Immobilize the damned leg: that way, at least, he would not constantly be putting stress on the torn or twisted parts whenever he made the slightest movement, and it would begin to heal. Already he could feel the bandage's beneficial effects. The thick binding gripped and held his leg firmly, though not so firmly, he hoped, as to cut off circulation, just tightly enough to constrain it into the proper position.
When the wrapping had reached as far as his knee, Joseph released the Indigene from its task and finished the job himself, winding the bandage upward and upward until it terminated at the fleshiest part of his thigh. He fastened it there to keep it from unraveling and looked up in satisfaction. “That should do it, I think,” he said.
The entire group of Indigenes was still staring at him in the same wonderstruck way.
He wondered what could arouse such curiosity in them. Was it the fact that his body was bare from the waist down? Very likely that was it. Joseph smiled. These people would never have had reason to see a naked human before. This was something quite new to them. Having no external genitalia of their own, they must be fascinated by those strange organs dangling between his legs. That had to be the explanation, he thought. It was hard to imagine that they would get so worked up over a simple thing like the bandaging of a leg.
But he was wrong. It was the bandage, not the unfamiliarities of his anatomy, that was the focus of their attention.
He found that out a few hours later, after he had spent some time hobbling about his room with the aid of his stick, and had had a midday meal of stewed vegetables and braised illimani meat brought to him. He was experimenting with the still useless combinant once again, his first attempt with it in days, when there came a sound of reed-flute music from the corridor, the breathy, toneless music that had some special significance for the Indigenes, and then an Indigene of obvious grandeur and rank entered the room, a personage who very likely was the chieftain of the village, or perhaps the high priest, if they had such things as high priests. It was clad not in simple cotton robes but in a brightly painted leather cape and a knee-length leather skirt much bedecked with strings of seashells, and it carried itself with unusual dignity and majesty. Signaling to the musicians to be still, it looked toward Joseph and said, “I am the Ardardin. I give the visiting Master good greeting and grant him the favor of our village.”
Ardardin was not a word in Joseph's vocabulary, but he took it to be a title among these people. The Ardardin asked Joseph briefly about the uprising at Getfen House and his own flight through the forest. Then, indicating Joseph's bandaged leg, it said, “Will that wrapping cause your injuries to heal more quickly?”
“So I expect, yes.”
“The matagava of the Masters is a powerful thing.”
Matagava, Joseph knew, was a word that meant something like “magic,” “supernatural power,” “spiritual force.” But he suspected that in this context it had other meanings, too: scientific skill, technical prowess. The Indigenes were known to have great respect for such abilities in that area as the humans who lived on their world manifested—their technology, their engineering achievements, their capacity to fly through the air from continent to continent and through space from world to world. They did not seem to covet such powers themselves, not in the slightest, but they clearly admired them. And now he was being hailed as a person of great matagava himself. Why, though, should a simple thing like bandaging an injured leg qualify as a display of matagava? Joseph wanted to protest that the Ardardin did him too much honor. But he was fearful of giving offense, and said nothing.
“Can you walk a short distance?” the Ardardin asked. “There is something I would like to show you nearby, if you will come.”
Since he had already discovered that a certain amount of walking was, though difficult, not impossible for him, Joseph said that he would. He used his stick as a crutch, so that he would not have to touch his sore foot to the ground. Two Indigenes, the one named Ulvas and another one, walked close beside him so that they could steady him if he began to fall.
The Ardardin led Joseph along a spiral corridor that opened unexpectedly into fresh air, and thence to a second building behind the one where he had been staying. Within its gloomy central hall were three Indigenes lying on fur mats. Joseph could see at first glance that all three were sick, that this must be an infirmary of some sort.
“Will you examine them?” the Ardardin asked.
The request took Joseph by surprise. Examine them? Had they somehow decided that he must be a skilled physician, simply because he had been able to manage something as elementary as bandaging a sprained knee?
But he could hardly refuse the request. He looked down at the trio of Indigenes. One, he saw, had a nasty ulcerated wound in its thigh, seemingly not deep but badly infected. Its forehead was bright with the glow of a high fever. Another had apparently broken its arm: no bone was showing, but the way the arm was bent argued for a fracture. There was nothing outwardly wrong with the third Indigene, but it held both its hands pressed tight against its abdomen, making what had to be an indication of severe pain.
The Ardardin stared at Joseph in an unambiguously expectant way. Its fleshy throat-pouch was pouting in and out at great speed. Joseph felt mounting uneasiness.
It began to occur to him that the medical techniques of the Indigenes might go no farther than the use of simple herbal remedies. Anything more complicated than the brewing of potions might be beyond them. Closing a wound, say, or setting a broken bone. Getting a pregnant woman through a difficult childbirth. And any kind of surgery, certainly. You needed very great matagava to perform such feats, greater matagava than had been granted to these people.
And the human Masters had that kind of matagava, yes. With the greatest of ease they could perform feats that to the Indigenes must seem like miracles.
Joseph knew that if his father were here right now, he would deal swiftly enough with the problems of these three—do something about the infected thigh, set the broken arm, arrive at an explanation of the third one's pain and cope with its cause. At home he had many times seen Martin, in the course of his circuits around the estate, handle cases far more challenging than these seemed to be. His father's matagava was a powerful thing, yes: or, to put it another way, it was his father's responsibility to look after the lives and welfare of all those who lived on the lands of House Keilloran and he accepted that responsibility fully, and so he had taken the trouble to learn at least certain basic techniques of medicine in order that he could meet an emergency in the fields.
But Joseph was not the lord of House Keilloran, and he had had no formal medical training. He was only a boy of fifteen, who might one day inherit his father's title and his father's responsibilities, and he was a long way just now from being prepared to undertake any sort of adult tasks. Did the Ardardin not realize how young he was? Probably not. Indigenes might be no better able to distinguish an adolescent human from an adult one than humans were when it came to distinguishing a male Indigene from a female one. The Ardardin perceived him as a human, that was all, and very likely as a full-grown one. His height and the new beard he had grown would help in fostering that belief. And humans had great matagava; this Joseph Master Keilloran who had come among them was a human; therefore—
“Will you do it?” the Ardardin said, using not just the supplicatory tense but a form that Joseph thought might be known to grammarians as the intensive supplicatory. The Indigene—the chieftain, the high priest—was begging him.
He could not bear to disappoint them. He hated doing anything under false pretenses, and he did not want to arouse any false hopes, either. But he could not resist an abject plea, either. These people had willingly taken him in, and they had cared for him these two days past, and
they had promised to transport him to Ludbrek House when he was strong enough to leave their village. Now they wanted something from him in return. And he did have at least some common-sense notions of first aid. There was no way he could refuse this request.
“Can you raise them up a little higher?” he asked. “I'm not able to bend, because of my leg.”
The Ardardin gestured, and several Indigenes piled up a tall stack of furs and placed the one with the wound in its thigh on top. Bending forward a little, Joseph inspected the cut. It was three or four inches long, perhaps half an inch wide, fairly shallow. There was swelling all around, and reddening of the bronze-colored skin. Hesitantly Joseph placed his fingertips against the ragged edges of the opening. The texture of the alien skin was smooth, unyielding, almost slippery, oddly unreal. A small sighing sound came from the Indigene at Joseph's touch, but nothing more. That did not sound like an indicator of severe pain. Gently Joseph drew the sides of the wound apart and peered in.
He saw pus, plenty of it. But the wound was filthy, besides, covered with a myriad of black spots, the dirt of whatever object had caused it. Joseph doubted that it had ever been cleaned. Did these people not even have enough sense to wash a gash like this out?
“I need a bowl of hot water,” Joseph said. “And clean cloth of the kind I used for bandaging my leg.”
This was like being an actor in a play, he thought. He was playing the role of The Doctor.
But that was no actor lying on the pile of furs before him, and that wound was no artifact of stage makeup. He felt a little queasy as he swabbed it clean. The Indigene stirred, moaned a little, made a small shuddering movement.
“The juice that you gave me, to make my fever go down: give some of that to him, too.”
“To her,” someone behind him corrected.
“To her,” said Joseph, searching for and not finding any indication that his patient was female. Doubtless the Indigenes did have two sexes, because there were both male and female pronouns in their language, but all of them, male and female both, had the same kind of narrow transverse slit at the base of the abdomen, and whatever sort of transformation came over that slit during the sexual process, what organs of intromission or reception might emerge at that time, was not anything that the Indigenes had ever thought necessary to explain to any human.
He cleaned the wound of as much superficial dirt as he could, and expressed a good deal of pus, and laved the opening several times with warm water. The queasiness he had felt at first while handling the wound quickly vanished. He grew very calm, almost detached: after a while all that mattered to him was the task itself, the process of undoing the damage that neglect and infection had caused. Not only was he able to steel himself against whatever incidental pain he might be causing the patient in the course of the work, but he realized a little while further on that he was concentrating so profoundly on the enterprise that he had begun to forget to notice the pain of his own injury.
He wished he had some kind of antiseptic ointment to apply, but his command of the Indigene language did not extend as far as any word for antisepsis, and when he asked if their herbal remedies included anything for reducing the inflammation of an open wound, they did not seem to understand what he was saying. No antisepsis, then. He hoped that the Indigene's natural healing processes were up to the task of fighting off such infection as had already taken hold.
When he had done all that he could to clean the wound Joseph instructed Ulvas in the art of bandaging it to hold it closed. He did not want to experiment with using the device from his utility case that seemed to be designed for stitching wounds, partly because he was not certain that that was what it was for, and partly because he doubted that he had cleaned the wound sufficiently to make stitching it up at this point a wise thing to do. Later, he thought, he would ask Ulvas to bring him a chunk of raw meat and he would practice using the device to close an incision, and then, perhaps, he could wash the wound out a second time and close it. But he dared not attempt to use the instrument now, not with everyone watching.
Dealing with the broken arm was a more straightforward business. The field hands of House Keilloran broke limbs all the time, and it was a routine thing for them to be brought to his father for repairs. Joseph had watched the process often enough. A compound fracture would have been beyond him, but this looked like nothing more than a simple break. What you did, he knew, was manipulate the limb to make the fractured bone drop back into its proper alignment, and bind it up to keep the broken ends from moving around, and do what was necessary to reduce inflammation. Time would take care of the rest. At least, that was how it worked with Folkish fractures. But there was no reason to think that Indigene bones were very different in basic physiology.
Joseph wanted to be gentle as he went about the work. But what he discovered very quickly was that in working on an unanaesthetized patient the key lay in getting the job over with as fast as possible, rather than moving with tiny circumspect steps in an attempt to avoid inflicting pain. That would only draw things out and make it worse. You had to take hold, pull, push, hope for the best. The patient—this one was male, they told him—made one sharp grunting sound as Joseph, acting out an imitation of the things he had seen his father do, grasped his limply dangling forearm with one hand and the upper part of his arm with the other and exerted sudden swift inward pressure. After the grunt came a gasp, and then a sigh, and then a kind of exhalation that seemed to be entirely one of relief.
There, Joseph thought, with a hot burst of satisfaction. He had done it. Matagava, indeed! “Bind the arm the way you bound my leg,” he told Ulvas, no supplication this time, simple instruction, and moved to the next patient.
But the third case was a baffling one. What was he supposed to do about a swollen abdomen? He had no way of making a rational diagnosis. Perhaps there was a tumor in there, perhaps it was an intestinal blockage, or perhaps—this patient was another female—the problem was a complication of pregnancy. But, though he had blithely enough talked himself into going through with this medical masquerade, Joseph's audacity did not begin to extend to a willingness to perform a surgical exploration of the patient's interior. He had no notion of how to go about such a thing, for one—the thought of trying to make an incision in living flesh brought terrifying images to his mind—nor would there be any purpose in it, anyway, for he had no inkling of internal Indigene anatomy, would not be able to tell one organ from another, let alone detect any abnormality. So he did nothing more than solemnly pass his hands up and down over the patient's taut skin with a kind of stagy solemnity, feeling the strangeness again, that cool dry inorganic unreality, lightly pressing here and there, as though seeking by touch alone some understanding of the malady within. He thought he should at least seem to be making an attempt of some kind at performing an examination, however empty and foolish he knew it to be, and since he did not dare do anything real this would have to suffice. He was, at any rate, unable to feel anything unusual within the abdominal cavity by these palpations, no convulsive heavings of troubled organs, no sign of some massive cancerous growth. But then, thinking he should do something more and obeying a sudden stab of inspiration, Joseph found himself making broad sweeping gestures in the air above the Indigene and intoning a nonsensical little rhythmic chant, as primitive witch-doctors were known to do in old adventure stories that he had read. It was sheer play-acting, and a surge of contempt for his own childishness went sweeping through him even as he did it, but for the moment he was unable to resist his own silly impulse.
Only for a moment. Then he could no longer go on with the game.
Joseph looked away, embarrassed. “For this one I am unable to do anything further,” he told the Ardardin. “And you must allow me to lie down now. I am not well myself, and very tired.”
“Yes. Of course. But we thank you deeply, Master Joseph.”
He felt bitter shame for the fraud he had just perpetrated. Not just the preposterous business at the end, but the e
ntire cruel charade. What would his father say, he wondered? A boy of fifteen, posing as a doctor? Piously laying claim to skills he did not in any way possess? The proper thing to do, he knew, would have been to say, “I'm sorry, I'm just a boy, the truth is that I have no right to be doing this.” But they had wanted so badly for him to heal these three people with the shining omnipotent human matagava that they knew he must have within him. The very grammar of the Ardardin's request had revealed the intensity of their desire. And he had done no real harm, had he? Surely it was better to wash and bind a gash like that than to leave it open to fester. He felt confident that he had actually set that broken arm properly, too. He could not forgive himself, though, for that last bit of disgraceful chicanery.
His leg was hurting again, too. They had left a beaker of the succulent-juice by his bedside. He took enough of it to ease the pain and slipped off into a fitful sleep.
When he awoke the next day he found that they had set out inviting-looking bowls of fruit at his side and had put festive bundles of flowers all around his chamber, long-tubed reddish blossoms that had a peppery aroma. It all looked celebratory. They had not brought him flowers before. Several Indigenes were kneeling beside him, waiting for him to open his eyes. Joseph was beginning to recognize the distinct features of different individuals now. He saw Ulvas nearby, and another who had told him yesterday that its name was Cuithal, and a third whom he did not know. Then the Ardardin entered, bearing an additional armload of flowers: plainly an offering. It laid them at Joseph's feet and made an intricate gesture that seemed certainly, alien though it was, to be one of honor and respect.
The Ardardin earnestly inquired after the state of Joseph's health. It seemed to Joseph that his leg was giving him less discomfort this morning, and he said so. To this the Ardardin replied that his three patients were greatly improved also, and were waiting just outside in the hallway to express their thanks.
Asimov's Science Fiction 10-11/2001 Page 8
