What Heals the Heart
Page 1
WHAT HEALS
THE HEART
Karen A. Wyle
All rights reserved
Published 2019 in the United States of America
Oblique Angles Press
Cover design by Kelly A. Martin of KAM Design
Author photo by Holy Smoke Photography
Table of Contents
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Chapter 11
Chapter 12
Chapter 13
Chapter 14
Chapter 15
Chapter 16
Chapter 17
Chapter 18
Chapter 19
Chapter 20
Chapter 21
Chapter 22
Chapter 23
Chapter 24
Chapter 25
Chapter 26
Chapter 27
Chapter 28
Chapter 29
Dedication
What Frees the Heart!
Acknowledgments
Author’s Note
About the Author
Connect with the Author
Chapter 1
Joshua Gibbs felt sun on his face and thought about opening his eyes. He decided to wait. He had some blessings to savor that wouldn’t need sight.
He was in a bed, a four-poster with a well-stuffed husk mattress, instead of in a tent on rough ground. He was in Nebraska, far from any of the towns he had passed through — or seen devastated — during the war. The sound nearest his right ear wasn’t the whistle of a shell or the wails and screams of dying men, but the soft grumbly snore of his Irish Setter. And the dog’s name might be Major (or, to give the full grandiloquent version, Reginald Phineas Major), but that was the closest to an officer he’d find for miles around.
And what Joshua smelled, when he took a slow, lazy sniff, was a mix of Major and almost-clean bed linen, and not . . . well, no need to sully a brand new morning with the memory of what he’d have smelled this time nine years ago.
But thoughts like these were not worth staying abed for. He opened his eyes and sat up, stretching out his arm and laying a hand lightly on Major’s side for the warm breathing comfort of it. Major’s eye twitched, and his tail, but that was all. A dog knew, without having to think about it, what safety meant.
Joshua levered himself out of bed. He’d shave, get dressed, and take a walk with Major before frying himself some breakfast.
As a boy, if he could have even imagined himself so old as thirty-three, he’d have assumed he’d be leaving a wife behind staying warm in bed or making breakfast, or better yet, accompanying him on his morning amble. But things change. War changes them. And solitude suited him, these days.
Most of the latest — perhaps the last? — snow had melted. It wouldn’t take him too long to clean off his boots after his walk. Joshua liked having clean boots when he saw patients, even if some folk in town might think it affected of him.
He headed away from the square to start, toward the creek that had given Cowbird Creek its name. If he’d been taking this road out of town to see a patient, he’d have been riding his trotter Nellie-girl or using one of the livery stable buggies. He wouldn’t have had time or attention to spare for the serviceberry bushes just starting to put forth their lacy white flowers, or the sparrows with their thin high chirps, stirring about on whatever business sparrows had.
He got as far as the buttonwood tree by the creek before his hollow stomach reminded him to turn round. He took a turn around the square and saw a light in the laundry. Li Chang looked to be hard at work already. It wasn’t easy to get the Chinese fellow talking, as busy as he kept himself, but his tales of the gold fields could cure anyone of hankering after mining. Though he’d managed to make enough of a stake to set up his business and even pay for help — except the help had given up on America and gone home a year since.
Turning the corner brought Joshua past the church. Passing the church meant passing the churchyard. A few of his patients were at rest there, though others were buried on their farms. One or two of them wouldn’t be there yet, if he’d known then what he knew now. He paused, bowed his head, and sent them a silent apology, and a promise to stick to his books until he knew as much medicine as anyone could learn that way.
At least there were other folk, asleep in bed or about their chores, in town and outside it, who might have been sleeping colder in the ground if not for him.
He picked up his pace, more than ready for breakfast. He had bacon and eggs he’d got in payment from the farmer whose cough he’d dosed two days ago. Good thing he liked his eggs runny, because he hadn’t left all that much time for cooking and eating before opening his office and seeing who sauntered or stumbled or limped in to be doctored.
By now, everyone knew that Doctor Gibbs saw patients in his office on Tuesdays, Thursdays, and Saturdays, unless someone in urgent need of him called him away somewhere. The town days, when he got them, gave Nellie-girl a good rest, not to mention Joshua himself. Sometimes things were slow, and he’d have time to read or even (out of sight of the street) practice magic tricks or nap a bit. And the stroll to the office — or rather, the long way around, ending up at the office — gave him a chance to watch the town come alive, as much as it ever did, and to greet a neighbor or two.
Joshua had by now lived in Cowbird Creek long enough to take particular notice of any new face. So when he saw a woman heading into the general store and realized he could not remember seeing her before, he stopped and took a second look. Besides her being unfamiliar, Joshua’s first impression was that she was tall for a woman, and next, that she was thin, her plainly cut dress doing nothing to disguise the fact. As she turned into the store, he caught a glimpse of striking green eyes and a long dark braid hanging beneath her simple bonnet — darker than Joshua’s own, almost black.
A farmer, one of Joshua’s patients, was lounging nearby while one of his sons argued with the blacksmith about how long it took to shoe a carthorse. Noting the direction of Joshua’s glance, he spat some tobacco juice and said, “That’d be the daughter on that farm that changed hands last month. Skinnier’n you, ain’t she?”
Given the farmer’s girth, his view of what it meant to be “skinny” was somewhat skewed. Joshua would describe himself as lean. The farmer, meanwhile, added, “Owners gave up fighting the drought and went back east. I heard something about these folks renting land somewhere else and coming here to buy their own place. Got some kind of funny name, Crick or Stream or suchlike.”
With that pronouncement, the farmer straightened up and went in to relieve his son in the dispute with the blacksmith. Joshua pulled out his pocket watch and hurried along.
Two patients were waiting outside his door when he opened it. He steered the blacksmith, who seemed the steadier on his feet of the two, not to mention the one who wouldn’t get ruffled about waiting, to a chair and took the sheriff into the back where he’d set up his exam table and instruments.
The sheriff hoisted his considerable bulk up onto the table. “My belly’s been aching considerable.”
Joshua noted the sheriff’s flushed color and straining suspenders. “And just what have you been putting into that belly of late?”
The sheriff shrugged sheepishly. “You know Ma’s pork chops and creamed corn, and her molasses pie. You had vittles like that waiting at home, you’d eat too much of ‘em, I reckon.”
“Well, roll up your left sleeve.” Joshua picked up the lancet and gave the sheriff the pan to hold. He didn’t hold with bleedi
ng patients for many ailments, but this seemed like one of the times it might help. And most of his patients believed it would, which could make a difference in itself.
When the pan held a sufficient quantity of blood, he took it to throw away later and bandaged the arm. “Take it easy on that pie, now.” He grinned. “You can bring some by my place, to remove temptation.”
The sheriff snorted as he slid off the table and made his way toward the front of the office, swaying a bit as he went. Joshua followed him to make sure he stayed on his feet, then looked around for the blacksmith. But the chair was empty. Just then, his fugitive patient hurried back in. “Sorry, doc. Had to run to the outhouse, like I’ve been doing every few minutes for two days now. Can you fix me up?”
Joshua stroked his chin. “I just might have something that’ll help you.” He fetched a glass jar half full of powder, powder he ground up from the plant that Cherokee medicine man had shown him. The blacksmith watched, his forehead wrinkled and eyebrows lowered.
“What in tarnation is that?”
Joshua laughed. “Darned if I know what it’s called, except in Indian talk. But it works better than anything I can say in English.”
The blacksmith was shaking his big head. Joshua held up a hand, palm out. “Now before you go blustering at me, you should know those folks have some pretty good remedies. Living the way they do, they notice things. Tell me, how many people around here have got milk sickness lately?”
The blacksmith just looked confused. Joshua suppressed a sigh. “I haven’t had a patient with milk sickness since I came to town. And you know why? It’s because a doctor who listened to Indians did some listening when a Shawnee woman told him —” It had actually been a lady doctor, Doctor Anna, but Joshua didn’t think the blacksmith could swallow that idea when just the idea of Indian medicine was sticking in his craw. “This woman told him that milk sickness came from drinking milk or eating meat from an animal that fed on white snakeroot. And that doctor told people, who told people, and now most farmers know to keep their stock away from white snakeroot. Now do you want me to give you something that’ll help you, or would you rather move into the outhouse and try to shoe horses there?”
Joshua made the blacksmith drink down the first glass of water and powder before he left with a pouch holding six more doses. Whether he’d keep taking it, well, that was the blacksmith’s problem, for now anyway.
There was no one waiting, but before Joshua had time to do more than take a book down from the shelf, the door opened and a woman walked in. No, more like sailed in, a proud vessel, a four-master. She took off her coat to reveal a well-tailored dress, fitting snugly on her large, well-upholstered frame. Her graying, wavy hair peeked out from under a truly astonishing hat.
He hadn’t met this woman, but he believed he’d heard about her. Another newcomer to town, from somewhere back east; a widow; and apparently Jewish. That’d make her the first Jew he’d met.
She held out her hand. “Doctor! I’m so pleased to be meeting you. I’m Freida Blum.”
He shook her hand, studying her. He’d never heard her accent before, or not quite. It wasn’t as thick as the accent of that German he’d tended the last year of the war, when he’d turned medic; he could understand her without straining. But “Doctor” ended in a rough, husky sound, and “meeting” sounded more like “meetink.” There was something different about her vowels that he couldn’t put a word to. And her speech had a rhythm and a melody to it, almost like singing, or chanting anyway.
But here he was standing and gawking when he needed to be doctoring. “Please come through to the back and sit up on that table. Then you can tell me what brings you in today.”
She strode after him, passed him, and got on the table with a little jump, the wood creaking as she landed. “Oh, I’ve just had some aches and pains, here and there. And I get tired by afternoon. My age, you don’t expect to feel like a spring chicken. But I thought I’d stop in.”
She was studying him quite as much as he’d studied her. Whatever she’d heard about him, he guessed it was her curiosity more than any medical need that had sent her his way. But he’d check her over. He picked up his stethoscope.
“So young, for a doctor! But that’s just an old woman talking, I suppose.” (He wouldn’t call her old, exactly. Not quite. She might be in her middle fifties or a little older.)
Speaking of talking, she would need to stop. “If you could just take a deep breath, and then another, while I listen to your lungs.”
“Of course, of course. How can you do your job —” (“yure chob”) — “when I’m rattling on like a freight train? Samuel always said to me, Freida, the way you talk, when do you manage to breathe?”
“Mrs. Blum. Please.”
Praise be, she stopped talking and took deep breaths as he commanded. Her lungs sounded good. But she winced as she took the third breath. And she put a hand to her back as if it was paining her. She might have her reasons for being there, at that.
Or she could be lonely. Lonely people without enough to do sometimes felt sicker than they really were. “What do you do during the day, generally?”
The woman beamed at him as if rewarding the question. “I sew for so many people! This dress, I made it. All I have to do is walk around town, it’s as good as putting an ad in the paper. And I’m setting up the social library in the schoolhouse, me and the teacher, such a bright young woman. And my little neighbor, she’s like a daughter to me, I take care of her babies sometimes so she can get her rest.”
Not idle, then.
He pressed the stethoscope to her ample chest, giving thanks once again to the inventor who had spared him the even more awkward necessity of putting his ear there instead. Her heart sounded good — or did it? There might be a faint suggestion of a galloping rhythm.
Laudanum would help her with those aches and pains. He reached for a bottle, but Mrs. Blum stopped him, exclaiming, “Oh, I have that at home! May I come to you for more when I run out?”
Joshua pointed next door. “I get mine from the pharmacist. You can do the same.”
A shade of what might have been disappointment crossed her face. For whatever reason, she apparently found doctors more interesting than druggists. Her next questions suggested as much. “How did you learn so much about medicine? Did you go to one of those new schools?”
He shook his head. “I picked it up during the war, to start with.” And that was all he was going to say about those years of floundering and failing, the lives lost all around him, the suffering he could do little to ease.
The bell on the front door jingled a welcome chance to escape more questioning. Maybe he’d be summoned to some nicely far-off homestead to attend a stolid farmer, someone who had less to say for himself. “Excuse me, Mrs. Blum.” Without waiting for an answer, he stepped back into the front room to see a familiar face, a farmer’s youngest son, shifting his weight from foot to foot, his hands clutched together in front. The boy’s hair was wet — it must have started to rain since Joshua’s sunny morning walk. Good news for the farmers.
“Please, doc, we need you to come see to Paw. He was sharpening the coulter for the plow, and it fell over on his leg. It’s cut something awful.”
Joshua’s lips tightened, and he barely avoided a frown. That’s what wishing brought you. You’d think he’d learn. “I’ll get my bag.”
Chapter 2
The boy had brought a wagon. That meant Nellie-girl could stay dry in her stall at the livery stable. Joshua could have huddled under a tarpaulin, but it wouldn’t cover the boy, and it would have been rude to leave him unprotected. Joshua could cope with rain blowing sideways and sneaking under his poncho and running down his back. It would distract him from what might be waiting.
Arms and legs. He hated hearing that someone had an arm or leg injury. Just the words brought back the heaps of sawn-off limbs piled behind the medical tent. Sometimes he’d be seeing them through rain like this, as they slowly settled deepe
r into the mud.
He’d had to assist, handing over the bone saw, administering chloroform, holding the men down when the drug caused them to thrash about or on those horrible occasions when the surgeon ran out of it. He’d never had to do the cutting. Not then, and not after, not yet. But sooner or later the time would come. He knew fate wasn’t kind enough to keep him from it.
Would it be today?
He had brought his bone saw in its leather case. And his white linen smock, the one he used to save his clothes when he had dirty work in store, and would have Li Chang wash and bleach after. An amputation would be the dirtiest work there was. He remembered the smocks the surgeons wore, layer on layer of red, dried blood darker under fresh red splashes, with the occasional white splinter of bone.
Joshua prayed as he rode, prayed hard and desperately, prayed that the smock in his bag would be clean and white when he turned homeward.
The leg wasn’t as bad as the boy had made it sound. Joshua should have reckoned on that, on a boy’s fear seeing his pa laid low. He’d be able to stitch up the wound and bandage it.
Joshua took the syringe of morphine from his bag, but before he could offer it, the farmer snorted and waved it aside. “I’ll just take the usual, if you have it.”
That was no surprise. Stoicism seemed to come with farming, from what Joshua had seen. He offered his whiskey flask instead. The farmer took only a couple of swallows before pushing it away. “Let’s get this done, then. I have work to do.”
Joshua gave the farmer as stern a look as he could muster. “No you don’t, not today. That’s what your good lads are for. You’ll rest up and let that leg start healing.”
He poured a little whiskey into the cap of the flask and dunked his needle in it, the way one of the camp doctors had always done. His patients didn’t seem to get such bad infections, so whatever made it work, Joshua would follow suit. Then he got to stitching, the farmer grunting a little with each stitch.