4. Snake bite
I’VE NEVER SEEN ANYTHING like that in my entire life.” I leaned
closer, peering. “That is absolutely bizarre.”
“And you a healer half your life,” Jamie muttered crossly. “Ye canna tell
me they’ve no got snakes in your time.”
“They haven’t got many in downtown Boston. Besides, they wouldn’t
call out a surgeon to deal with a case of snakebite. Closest I came was
when a keeper at the zoo was bitten by a king cobra—a friend of mine did
the autopsy, and invited me to come and watch.”
I refrained from saying that Jamie looked a lot worse at present than the
subject of the autopsy had.
I set a hand gingerly on his ankle. The skin was puffy, hot and dry under
my hand. It was also red. Bright red. The brilliant color extended from his
feet up nearly to his rib cage; he looked as though he’d been dipped in
boiling water.
His face, ears, and neck were also flushed the color of a plum tomato;
only the pale skin of his chest had escaped, and even that was dotted with
pinpricks of red. Beyond the lobsterlike coloration, the skin was peeling
from his feet and hands, hanging in wispy shreds like Spanish moss.
I peered closely at his hip. Here, I could see that the redness was caused
by a denser version of the rash on his chest; the stipple of tiny dots showed
up clearly on the stretched skin over the ilial crest.
“You look like you’ve been roasted over a slow fire,” I said, rubbing a
finger over the rash in fascination. “I’ve never seen anything so red in my
life.” Not raised; I couldn’t feel the individual spots, though I could see
them at close range. Not a rash as such; I thought it must be petechiae,
pinpoint hemorrhages under the skin. But so many of them . . .
“I shouldna say ye’ve much room to criticize, Sassenach,” he said. Too
weak to nod, he cut his eyes at my fingers—stained with huge blotches of
yellow and blue.
<snip>
“I think he’ll be all right,” I assured her, suppressing my own fears. “He
feels dreadful, and looks worse—I’ve never seen anyone look like that in
all my born days—but if the wound doesn’t get infected . . .” I crossed my
sore fingers in superstitious prophylaxis.
“Ah, he’ll do,” Marsali said confidently. “Fergus said as they thought he
was dead when they found him and Roger Mac, but by the time they
crossed the second ridge, he was makin’ terrible jokes about the snake, so
they didna worry anymore.”
I wasn’t quite so sanguine myself, having seen the state of his injured
leg, but I smiled reassuringly.
“Yes, I think he’ll be fine. I’m just going to make an onion poultice and
clean out the wound a bit. Go and see him, why don’t you, while I fetch
the onions?”
Luckily there were plenty of onions; I had pulled them two weeks
before, when the first frost came, and dozens of knobbly braided strings
hung in the pantry, fragrant and crackling when I brushed against them. I
broke off six large onions and brought them into the kitchen to slice. My
fingers were tingling, half-burned and stiff from handling the boiling
clothes, and I worked slowly, not wanting to slice off a finger accidentally.
“Here, I’ll do that, a leannan.” Mrs. Bug took the knife out of my hand
and dealt briskly with the onions. “Is it a poultice? Aye, that’ll be the
thing. A good onion poultice will mend anything.” Still, a worried frown
puckered her forehead as she glanced toward the surgery.
“Can I help, Mama?” Bree came in from the hallway, also looking
worried. “Da looks awful; is he all right?”
“Ganda full?” Jem popped into the kitchen after his mother, less worried
about his grandfather than interested in the knife Mrs. Bug was using. He
dragged his little stool toward her, face purposeful under his coppery
fringe. “Me do!”
I brushed the hair out of my face with the back of my hand, eyes
watering fiercely from the onions.
“I think so.” I sniffed and blotted my eyes. “How’s Roger?”
“Roger’s good.” I could hear the small note of pride in her voice; Jamie
had told her Roger had saved his life. Possibly he had. I just hoped it
stayed saved.
“He’s asleep,” she added. Her mouth curved slightly as she met my
eyes, with complete understanding. If a man was in bed, at least you knew
where he was. And that he was safe, for the moment.
“Jem! You leave Mrs. Bug alone!” She scooped him off his stool and
whirled him away from the chopping board, feet kicking in protest. “Do
you need anything, Mama?”
I rubbed a finger between my brows, considering.
“Yes, can you try to find me some maggots? I’ll need them for Jamie’s
leg.” I frowned, glancing out the window at the bright autumn day. “I’m
afraid the frost has killed all the flies; I haven’t seen one in days. Try the
paddock, though; they’ll lay eggs in the warm dung.”
She made a brief face of distaste, but nodded, setting Jemmy down on
the floor.
“Come on, pal, let’s go find ickies for Grannie.”
“Icky-icky-icky-icky!” Jemmy scampered after her, enchanted at the
prospect.
I dropped the sliced onions into a bowl made from a hollowed gourd
and scooped a little of the hot water from the cauldron into it. Then I left
the onions to stew, and went back to the surgery. In the center of the room
was a sturdy pine table, serving as examination table, dentist’s chair, drug
preparation surface, or auxiliary dining table, depending on medical
exigencies and the number of dinner guests. At the moment, it was
supporting the supine form of Jamie, scarcely visible under his heap of
quilts and blankets. Marsali stood close to the table, head bent toward him
as she held a cup of water for him to sip.
“You’re sure you’re all right, Da?” she said. One hand stole toward him,
but she stopped, clearly afraid to touch him in his present condition.
“Oh, aye, I’ll do.” I could hear the deep fatigue in his voice, but a big
hand rose slowly out from under the quilts to touch her cheek.
“Fergus did braw work,” he said. “Kept the men together through the
night, found me and Roger Mac in the morning, brought everyone home
safe across the mountain. He’s a fine sense of direction.”
Marsali’s head was still bent, but I saw her cheek curve in a smile.
“I did tell him so. He’ll no give over berating himself for lettin’ the
beasts get away, though. Just one would ha’ fed the whole Ridge for the
winter, he said.”
Jamie gave a small grunt of dismissal.
“Och, we’ll manage.”
It was plainly an effort for him to speak, but I didn’t try to send Marsali
away. Roger told me Jamie had been vomiting blood as they brought him
back; I couldn’t give him brandy or whisky to ease the pain, and I hadn’t
any laudanum. Marsali’s presence might help to distract him from his
wretchedness.
I opened the cupboard quietly and brought out the big lidded bowl
where I kept my leeches. The pottery was cold, soothing to my scalded
hands. I had a dozen or so big ones; somnolent black blobs, half-floating in
their murky brew of water and cattail roots. I scooped three into a smaller
bowl full of clear water, and set it by the brazier to warm.
“Wake up, lads,” I said. “Time to earn your keep.”
I laid out the other things I would need, listening to the murmured
conversation behind me—Germain, baby Joan, a porcupine in the trees
near Marsali and Fergus’s cabin.
Coarse gauze for the onion poultice, the corked bottle with its mixture
of alcohol and sterile water, the stoneware jars of dried goldenseal,
coneflower, and comfrey. And the bottle of penicillin broth. I cursed
silently, looking at the label on it. It was nearly a month old; caught up in
the bear hunt and the autumn chores upon our return, I had not made a
fresh batch for weeks.
It would have to do. Pressing my lips together, I rubbed the herbs
between my hands, into the beechwood brewing cup, and with no more
than a faint sense of self-consciousness, silently said the blessing of Bride
over it. I’d take all the help I could get.
<snip>
I opened the medical chest and frowned into the tray that held saws and
scalpels. I took out the small, curve-bladed scalpel, its handle cool under
my fingers. I would have to debride the wound—clean away the dead
tissue, the shreds of skin and bits of leaf and cloth and dirt; the men had
plastered his leg with mud and wrapped it with a filthy neckerchief. Then I
could sprinkle the penicillin solution over the exposed surfaces; I hoped
that would help.
<snip>
I bit my lip, looking at the other blades. The biggest was a folding saw,
meant for field amputation, with a blade nearly eight inches long; I hadn’t
used it since Alamance. The thought of using it now made cold sweat
spring out under my arms and inch down my sides—but I’d seen his leg.
<snip>
I could feel the steps of the process of amputation, echoing in the
muscles of my hands and forearms; the tensile severing of skin and
muscle, the grate of bone, the snap of tendon, and the slippery, rubbery,
blood-squirting vessels, sliding away into the severed flesh like . . . snakes.
I swallowed. No. It wouldn’t come to that. Surely not.
<snip>
I turned round, swearing silently to myself once more. I’d thought so,
but had hoped I was wrong. Three babies in four years! And a one-handed
husband, who couldn’t manage the man’s work of a homestead and
wouldn’t do the “women’s work” of baby-minding and mash-brewing that
he could handle.
<snip>
I was biting my tongue hard enough to taste blood. Did the tansy oil and
vinegar mixture I’d given her not work? Or the dauco seeds? Or, as I
strongly suspected, had she just not bothered to use either one regularly?
Well, too late for questions or reproaches. I caught her eye as she glanced
up, and managed—I hoped—to look encouraging.
“Och,” she said with a feeble smile. “We’ll manage.”
The leeches were stirring, bodies stretching slowly like animated rubber
bands. I turned back the quilt over Jamie’s leg, and pressed the leeches
gently onto the swollen flesh near the wound.
“It looks nastier than it is,” I said reassuringly, hearing Marsali’s
unguarded gasp at the sight. That was true, but the reality was nasty
enough. The slashmarks were crusted black at the edges, but still gaped.
Instead of the sealing and granulation of normal healing, they were
beginning to erode, the exposed tissues oozing pus. The flesh around the
wounds was hugely swollen, black and mottled with sinister reddish
streaks.
I bit my lip, frowning as I considered the situation. I didn’t know what
kind of snake had bitten him—not that it made much difference, with no
antivenin for treatment—but it had plainly had a powerful hemolytic toxin.
Tiny blood vessels had ruptured and bled all over his body—internally, as
well as externally—and larger ones, near the site of the wound.
The foot and ankle on the injured side were still warm and pink—or
rather, red. That was a good sign, insofar as it meant the deeper circulation
was intact. The problem was to improve circulation near the wound,
enough to prevent a massive die-off and sloughing of tissue. The red
streaks bothered me very much indeed, though; they could be only part of
the hemorrhagic process, but it was more likely that they were the early
signs of septicemia—blood poisoning.
Roger hadn’t told me much of their night on the mountain, but he hadn’t
had to; I’d seen men before who’d sat through the dark with death beside
them. If Jamie had lived a night and a day since then, chances were he
would go on surviving—if I could control the infection. But in what
condition?
I hadn’t treated snakebite injuries before, but I’d seen sufficient
textbook illustrations. The poisoned tissue would die and rot; Jamie could
easily lose most of the muscle of his calf, which would cripple him
permanently—or worse, the wound could turn gangrenous.
I stole a look at him under my lashes. He was covered with quilts and so
ill he could barely move—and yet the lines of his body were drawn with
grace and the promise of strength. I couldn’t bear the thought of mutilating
him—and yet I would do it if I must. To cripple Jamie . . . to leave him
halt and half-limbed . . . the thought made my stomach clench and sweat
break out on my blue-blotched palms.
Would he wish that himself?
I reached for the cup of water by Jamie’s head and drained it myself. I
wouldn’t ask him. The choice was his by right—but he was mine, and I
had made my choice. I wouldn’t give him up, no matter what I had to do to
keep him.
“You’re sure you’re all right, Da?” Marsali had been watching my face.
Her eyes darted from me to Jamie and back, looking scared. I hastily tried
to rearrange my features into a look of competent assurance.
Jamie had been watching me, too. One corner of his mouth turned up.
“Aye, well, I did think so. Now I’m none so sure, though.”
“What’s the matter? Do you feel worse?” I asked anxiously.
“No, I feel fine,” he assured me—lying through his teeth. “It’s only,
when I’ve hurt myself, but it’s all right, ye always scold like a magpie—
but if I’m desperate bad, ye’re tender as milk. Now, ye havena called me
wicked names or uttered a word of reproach since I came home,
Sassenach. Does that mean ye think I’m dyin’?”
One eyebrow rose in irony, but I could see a true hint of worry in his
eyes. There were no vipers in Scotland; he couldn’t know what was
happening to his leg.
I took a deep breath and laid my hands lightly on his shoulders.
“Bloody man. Stepping on a snake! Couldn’t you have looked where
you were going?”
“Not whilst chasing a thousand-weight of meat downhill,” he said,
smiling. I felt a tiny relaxation in the muscles under my hands, and
repressed the urge to smile back. I glared down at him instead.
“You scared bloody hell out of me!” That at least was sincere.
The eyebrow went up again.
“Maybe ye think I wasna frightened, too?”
“You’re not allowed,” I said firmly. “Only one of us can be scared at a
time, and it’s my turn.”
That made him laugh, though the laughter was quickly succeeded by
coughing and a shaking chill.
“Fetch me a hot stone for his feet,” I said to Marsali, quickly tucking in
the quilts around him. “And fill the teapot with boiling water and bring
that, too.”
She darted hastily toward the kitchen. I glanced toward the window,
wondering whether Brianna was having any luck in finding maggots. They
had no equal in cleaning pustulant wounds without damage to the healthy
flesh nearby. If I was to save his leg as well as his life, I needed more help
than Saint Bride’s.
Wondering vaguely if there were a patron saint of maggots, I lifted the
edge of the quilt and stole a quick look at my other invertebrate assistants.
Good; I let out a small sigh of relief. The leeches worked fast; they were
already swelling into plumpness, sucking away the blood that was flooding
the tissues of his leg from ruptured capillaries. Without that pressure,
healthy circulation might be restored in time to keep skin and muscle alive.
I could see his hand clenched on the edge of the table, and could feel the
shuddering of his chill through my thighs, pressed against the wood.
I took his head between my hands; the skin of his cheeks was burning
hot.
“You are not going to die!” I hissed. “You’re not! I won’t let you!”
“People keep sayin’ that to me,” he muttered, eyes closed and sunken
with exhaustion. “Am I not allowed my own opinion?”
“No,” I said. “You’re not. Here, drink this.”
I held the cup of penicillin broth to his lips, steadying it while he drank.
He made faces, squinching his eyes shut, but swallowed it obediently
enough.
Marsali had brought the teapot, brimful of boiling water. I poured most
of it over the waiting herbs, and left them to steep, while I poured him a
cup of cold water to wash away the taste of the penicillin.
He swallowed the water, eyes still shut, then lay back on the pillow.
“What is that?” he asked. “It tastes of iron.”
“Water,” I replied. “Everything tastes of iron; your gums are bleeding.”
I handed the empty water jug to Marsali and asked her to bring more. “Put
honey in it,” I said. “About one part honey to four parts water.”
“Beef tea is what he needs,” she said, pausing to look at him, brow
furrowed with concern. “That’s what my Mam did swear by, and her Mam
before her. When a body’s lost a deal o’ blood, there’s naught like beef
tea.”
I thought Marsali must be seriously worried; she seldom mentioned her
mother in my hearing, out of a natural sense of tact. For once, though,
bloody Laoghaire was right; beef tea would be an excellent thing—if we
happened to have any fresh beef, which we didn’t.
“Honey water,” I said briefly, shooing her out of the room. I went to
fetch reinforcements from the leech department, pausing to check on
Brianna’s progress through the front window.
She was out by the paddock, barefoot, skirts kilted up above the knee,
shaking bits of horse dung from one foot. No luck so far, then. She saw me
at the window and waved, then motioned to the ax that stood nearby, then
to the edge of the wood. I nodded and waved back; a rotted log might be a
possibility.
Jemmy was on the ground nearby, his leading-strings securely tied to
the paddock fence. He certainly didn’t need them to help him stay upright,
but they did keep him from escaping while his mother was busy. He was
industriously engaged in pulling down the remains of a dried gourd-vine
that had grown up over the fence, crowing with delight as bits of crumbled
leaf and the dried remains of frostbitten gourds showered over his flaming
hair. His round face bore a look of determined intent, as he set about the
task of getting a gourd the size of his head into his mouth.
A movement caught the corner of my eye; Marsali, bringing up water
from the spring, to fill the crusted cauldron. No, she wasn’t showing at all
yet—Jamie was right, she was much too thin—but now that I knew, I
could see the pallor in her face, and the shadows under her eyes.
I thought Marsali must be seriously worried; she seldom mentioned her
mother in my hearing, out of a natural sense of tact. For once, though,
bloody Laoghaire was right; beef tea would be an excellent thing—if we
happened to have any fresh beef, which we didn’t.
Damn. Another glimpse of movement; Bree’s long pale legs, flashing
under her kilted skirts in the shadow of the big blue spruce. And was she
using the tansy oil? She was still nursing Jemmy, but that was no
guarantee, not at his age . . .
I swung around at a sound behind me, to find Jamie climbing slowly
back into his nest of quilts, looking like a great crimson sloth, my
amputation saw in one hand.
“What the hell are you doing?”
He eased himself down, grimacing, and lay back on the pillow,
breathing in long, deep gasps. The folded saw was clasped to his chest.
“I repeat,” I said, standing menacingly over him, hands on my hips,
“what the hell . . .”
He opened his eyes and lifted the saw an inch or so.
“No,” he said positively. “I ken what ye’re thinking, Sassenach, and I
willna have it.”
I took a deep breath, to keep my voice from quivering.
“You know I wouldn’t, not unless I absolutely had to.”
“No,” he said again, and gave me a familiar look of obstinacy. No
surprise at all that he never wondered who Jemmy looked like, I thought
with sour amusement.
“You don’t know what may happen—”
“I ken what’s happening to my leg better than you do, Sassenach,” he
interrupted, then paused to breathe some more. “I dinna care.”
“Maybe you don’t, but I do!”
“I’m no going to die,” he said firmly, “and I dinna wish to live with half
a leg. I’ve a horror of it.”
“Well, I’m not very keen on it myself. But if it’s a choice between your
leg and your life?”
“It’s not.”
“It damn well may be!”
“It won’t.” Age made not the slightest difference, I thought. Two years
or fifty, a Fraser was a Fraser, and no rock was more stubborn. I rubbed a
hand through my hair.
“All. Right,” I said, between clenched teeth. “Give me the bloody thing
and I’ll put it away.”
“Your word.”
“My what?” I stared at him.
“Your word,” he repeated, giving me back the stare, with interest. “I
may be fevered and lose my wits. I dinna want ye to take my leg if I’m in
no state to stop it.”
“If you’re in that sort of state, I’ll have no choice!”
“Perhaps ye don’t,” he said evenly, “but I do. I’ve made it. Your word,
Sassenach.”
“You bloody, unspeakable, infuriating—”
His smile was startling, a white grin in the ruddy face. “If ye call me a
Scot, Sassenach, then I know I’m going to live.”
<snip>
“They’re nearly finished with the butchering,” I said, coming to lay a
hand on his head. Still flushed and blazing. “Brianna’s done a wonderful
job of it,” I added, to distract both of us.
“Has she?” His eyes were half-open, but fixed in a fever-stare; that
dream-soaked daze where shadows writhe in the wavering hot air over a
fire. As I spoke, though, he came slowly back from wherever he had been,
and his eyes met mine, heavy-lidded but clear, and he smiled faintly.
“That’s good.”
<snip>
“Are you hungry, Jamie?” I asked. I was starving myself; though I
hadn’t realized it ’til I smelled food. I closed my eyes and inhaled, buoyed
up by the hearty scent of liver and onions.
“No,” he said, sounding drowsy. “I dinna fancy anything.”
“You should eat a bit of soup, if you can, before you fall asleep.” I
turned and smoothed the hair off his face, frowning a little as I looked at
him. The flush had faded a bit, I thought—hard to tell for sure in the
uncertain light of fire and candle. We had got enough honey-water and
herb tea into him so that his eyes were no longer sunken with dehydration,
but the bones of cheek and jaw were still prominent; he hadn’t eaten in
more than forty-eight hours, and the fever was consuming an immense
amount of energy, consuming his tissues.
<snip>
“Congratulations, Da,” Brianna said, moving to Jamie’s side. He opened
one eye, which passed with a marked lack of enthusiasm down Brianna’s
figure. Stripped to a knee-length shift for butchering, she was splotched
from head to toe with gouts of dark blood, and the muslin had stuck to her
in random patches.
“Oh, aye?” he said. “For what?”
“The maggots. You did it,” she explained. She opened her other hand,
revealing a misshapen blob of metal—a squashed rifle-ball. “The maggots
were in a wound in the hindquarters—I dug this out of the hole behind
them.”
I laughed, as much from relief as from amusement.
“Jamie! You shot it in the arse?”
Jamie’s mouth twitched a little.
“I didna think I’d hit it at all,” he said. “I was only trying to turn the
herd toward Fergus.” He reached up a slow hand and took the ball, rolling
it gently between his fingers.
“Maybe you should keep it for good luck,” Brianna said. She spoke
lightly, but I could see the furrow between her invisible brows. “Or to bite
on while Mama’s working on your leg.”
“Too late,” he said, with a very faint smile.
It was then she caught sight of the small leather strip that lay on the
table near his head, marked with overlapping crescents—the deep imprints
of Jamie’s teeth. She glanced at me, appalled. I lifted one shoulder slightly.
I had spent more than an hour cleaning the wound in his leg, and it hadn’t
been easy on either of us.
I cleared my throat, and turned back to the maggots. From the corner of
my eye, I saw Bree lay the back of her hand gently against Jamie’s cheek.
He turned his head and kissed her knuckles, blood notwithstanding.
“Dinna fash, lassie,” he said. His voice was faint, but steady. “I’m fine.”
I opened my mouth to say something, but caught sight of Bree’s face
and bit my tongue instead. She’d been working hard, and still had Jemmy
and Roger to care for; she needn’t worry for Jamie, too—not yet.
I dropped the maggots into a small bowl of sterile water and swished
them rapidly round, then dumped them back on the bed of wet leaves.
“It won’t hurt,” I said to Jamie, trying to reassure myself as much as
him.
“Oh, aye,” he said, with an unbecoming cynicism. “I’ve heard that one
before.”
“Actually, she’s right,” said a soft, rasping voice behind me. Roger had
already had a quick wash; his dark hair lay damp against his collar, and his
clothes were clean. Jemmy, half asleep, lay against his father’s shoulder,
dreamily sucking his thumb. Roger came over to the table to look down at
Jamie.
“How is it, man?” he said quietly.
Jamie moved his head on the pillow, dismissive of discomfort.
“I’ll do.”
“That’s good.” To my surprise, Roger grasped Jamie’s shoulder in a
brief gesture of comfort. I’d never seen him do that before, and once more
I wondered just what had passed between them on the mountain.
“Marsali’s bringing up some beef tea—or rather, buffalo tea—for him,”
Roger said, frowning slightly as he looked at me. “Maybe you’d best be
having some, too.”
“Good idea,” I said. I closed my eyes briefly and took a deep breath.
Only when I sat down did I realize that I had been on my feet since the
early morning. Pain outlined every bone in my feet and legs, and I could
feel the ache where I had broken my left tibia, a few years before. Duty
called, though.
“Well, time and tide wait for no maggot,” I said, struggling back to my
feet. “Best get on with it.”
Jamie gave a small snort and stretched, then relaxed, his long body
reluctantly readying itself. He watched with resignation while I fetched the
plate of maggots and my forceps, then reached for the leather strip by his
head.
“You’ll not need that,” Roger said. He pulled up another stool and sat
down. “It’s true what she said, the wee beasts don’t hurt.”
Jamie snorted again, and Roger grinned at him.
“Mind,” he said, “they tickle something fierce. That’s only if ye think
about it, though. If ye can keep all thought of them out of your mind, why,
there’s nothing to it.”
Jamie eyed him.
“Ye’re a great comfort, MacKenzie,” he said.
“Thanks,” said Roger, with a husk of a laugh. “Here, I brought ye
something.” He leaned forward and deposited a drowsy Jemmy into
Jamie’s arms. The little boy uttered a small squawk of surprise, then
relaxed as Jamie’s arms tightened about him in reflex. One chubby hand
swung free, seeking anchorage, then found it.
“Hot,” he murmured, smiling beatifically. Fist twined in Jamie’s ruddy
hair, he sighed deeply and went soundly to sleep on his grandfather’s
fever-warm chest.
Jamie narrowed his eyes at me as I picked up the forceps. Then he gave
a slight shrug, laid his stubbled cheek gently against Jemmy’s silk-bright
hair, and closed his own eyes, though the tenseness in his features was a
marked contrast to the rounded peace of Jemmy’s.
It couldn’t have been easier; I simply lifted away the fresh onion
poultice, and tucked the maggots one by one into the ulcerated slashmarks
on Jamie’s calf. Roger circled behind me to watch.
“It looks almost like a leg again,” he said, sounding surprised. “I never
thought it would.”
I smiled, though I didn’t look round at him, too intent on my delicate
work. “Leeches are very effective,” I said. “Though your rather crude
knifework may have been useful, too—you left big enough holes that the
pus and fluid were able to drain; that helped.”
It was true; while the limb was still hot and grossly discolored, the
swelling had subsided markedly. The long stretch of shinbone and the
delicate arch of foot and ankle were once more visible. I was under no
illusion about the dangers still remaining—infection, gangrene, sloughing
—but nonetheless, my heart grew lighter. It was recognizably Jamie’s leg.
I pinched another maggot just behind the head with my forceps, careful
not to crush it. I lifted the edge of the skin with the slender probe I held in
my other hand, and deftly inserted the tiny, wiggling thing into the small
pocket thus provided—trying to ignore the nastily spongy feel of the flesh
under my fingers, and my memory of Aaron Beardsley’s foot.
“Done,” I said, a moment later, and gently replaced the poultice. Stewed
onion and garlic wrapped in muslin and soaked with penicillin broth would
keep the wounds moist and draining. Renewed every hour or so, I hoped
that the warmth of the poultices would also encourage circulation in the
leg. And then a dressing of honey, to prevent any further bacterial
invasions.
Concentration alone had kept my hands steady. Now it was done, and
there was nothing more to do but wait. The saucer of wet leaves rattled
against the counter as I set it down.
I didn’t think I had ever been so tired before.
BETWEEN THEM, Roger and Mr. Bug got Jamie up to our bedroom. I
hadn’t wanted to disturb his leg by moving him from the surgery, but he
insisted.
“I dinna want ye to be sleeping on the floor down here, Sassenach,” he
said, when I protested. He smiled at me. “Ye should be in your bed—but I
ken ye willna leave me alone, and so that means I must go and be in it, too,
aye?”
I would have argued further, but in all truth, I was so tired that I
wouldn’t have complained much if he had insisted we both sleep in the
barn.
Once he was settled, though, my doubts returned.
“I’ll joggle your leg,” I said, hanging up my gown on one of the pegs.
“I’ll just make up a pallet by the fire here, and—”
“You will not,” he said definitely. “Ye’ll sleep wi’ me.” He lay back on
the pillows, eyes closed, his hair an auburn tumble against the linen. His
skin had begun to fade; it wasn’t quite so red. It was, however, alarmingly
pale where the tiny hemorrhages didn’t stain it.
“You would argue on your deathbed,” I said crossly. “You don’t have to
be constantly in charge, you know. You could lie still and let other people
take care of things, for once. What do you think would happen, if—”
He opened his eyes and gave me a dark blue look.
“Sassenach,” he said softly.
“What?”
“I would like ye to touch me . . . without hurting me. Just once before I
sleep. Would ye mind much?”
I stopped and drew breath, terribly disconcerted at the realization that he
was right. Caught up in the emergency and worry of his condition,
everything I had done to him during the day had been painful, intrusive, or
both. Marsali, Brianna, Roger, Jemmy—all of them had touched him in
gentleness, offering sympathy and comfort.
And I—I had been so terrified at the possibility of what might happen,
of what I might be forced to do, that I had taken no time, allowed no room
for gentleness. I looked away for a moment, blinking until the tears
retreated. Then I stood and walked over to the bed, bent, and kissed him,
very softly.
I stroked the hair back from his forehead, smoothed his brows with my
thumb. Arch Bug had shaved him; the skin of his cheek was smooth, hot
against the side of my hand. His bones were hard under his skin, framing
his strength—and yet he seemed suddenly fragile. I felt fragile, too.
“I want ye to sleep beside me, Sassenach,” he whispered.
“All right.” I smiled at him, my lips trembling only a little. “Let me
brush out my hair.”
I sat down in my shift, shook out my hair, and took up the brush. He
watched me, not speaking, but with a faint smile on his lips, as I worked.
He liked to watch me brush my hair; I hoped it was as soothing to him as it
was to me.
There were noises downstairs, but they were muffled, safely distant. The
shutters were ajar; firelight flickered against the glass of the window from
the dying bonfire in the yard. I glanced at the window, wondering if I
ought to close the shutters.
“Leave them, Sassenach,” he murmured from the bed. “I like to hear the
talk.” The sound of voices from outside was comforting, rising and falling,
with small bursts of laughter.
The sound of the brush was soft and regular, like surf on sand, and I felt
the stress of the day lessen slowly, as though I could brush all the anxieties
and dreads out of my hair as easily as tangles and bits of pumpkin vine.
When at last I put down the brush and rose, Jamie’s eyes were closed.
I knelt to smoor the fire, rose to blow out the candle, and went at last to
bed.
I eased myself gently into the bed beside him, not to jostle. He lay
turned away from me, on his side, and I turned toward him, echoing the
curve of his body with my own, careful not to touch him.
I lay very quietly, listening. All the house sounds had settled to their
night-time rhythm; the hiss of the fire and the rumble of wind in the flue,
the sudden startling crack! of the stairs, as though some unwary foot had
stepped upon a riser. Mr. Wemyss’s adenoidal snoring reached me,
reduced to a soothing buzz by the thickness of the intervening doors.
There were still voices outside, muffled by distance, disjointed with
drink and the lateness of the hour. All jovial, though; no sound of hostility
or incipient violence. I didn’t really care, though. The inhabitants of the
Ridge could hammer each other senseless and dance on the remains, for all
I cared. All my attention was focused on Jamie.
His breathing was shallow but even, his shoulders relaxed. I didn’t want
to disturb him; he needed rest above all things. At the same time, I ached
to touch him. I wanted to reassure myself that he was here, alive beside me
—but I also needed badly to know how things went with him.
Was he feverish? Had the incipient infection in his leg blossomed in
spite of the penicillin, spreading poison through his blood?
I moved my head cautiously, bringing my face within an inch of his
shirt-covered back, and breathed in, slow and deep. I could feel the
warmth of him on my face, but couldn’t tell through the linen nightshirt
just how hot he really was.
He smelt faintly of the woods, more strongly of blood. The onions in the
dressing gave off a bitter tang; so did his sweat.
I inhaled again, testing the air. No scent of pus. Too early for the smell
of gangrene, even if the rot was beginning, invisible under the bandages. I
thought there was a strange scent about his skin, though; something I
hadn’t smelled before. Necrosis of the tissue? Some breakdown product of
the snake’s venom? I blew a short breath through my nose and took in a
fresh one, deeper.
“Do I stink verra badly?” he inquired.
“Uk!” I said, startled into biting my tongue, and he quivered slightly, in
what I took to be suppressed amusement.
“Ye sound like a wee truffle-pig, Sassenach, snortling away back there.”
“Oh, indeed,” I said, a bit crossly. I touched the tender spot on my
tongue. “Well, at least you’re awake. How do you feel?”
“Like a pile of moldy tripes.”
“Very picturesque,” I said. “Can you be a trifle more specific?” I put a
hand lightly on his side, and he let his breath out in a sound like a small
moan.
“Like a pile of moldy tripes . . .” he said, and pausing to breathe heavily,
added, “. . . .with maggots.”
“You’d joke on your deathbed, wouldn’t you?” Even as I said it, I felt a
tremor of unease. He would, and I hoped this wasn’t it.
“Well, I’ll try, Sassenach,” he murmured, sounding drowsy. “But I’m no
really at my best under the circumstances.”
“Do you hurt much?”
“No. I’m just . . . tired.” He sounded as though he were in fact too
exhausted to search for the proper word, and had settled for that one by
default.
“Little wonder if you are. I’ll go and sleep somewhere else, so you can
rest.” I made to throw back the covers and rise, but he stopped me, raising
one hand slightly.
“No. No, dinna leave me.” His shoulder fell back toward me, and he
tried to lift his head from the pillow. I felt still more uneasy when I
realized that he was too weak even to turn over by himself.
“I won’t leave you. Maybe I should sleep in the chair, though. I don’t
want to—”
“I’m cold,” he said softly. “I’m verra cold.”
I pressed my fingers lightly just under his breastbone, seeking the big
abdominal pulse. His heartbeat was rapid, shallower than it should have
been. He wasn’t feverish. He didn’t just feel cold, he was cold to the touch,
his skin chilled and his fingers icy. I found that very alarming.
No longer shy, I cuddled close against him, my breasts squashing softly
against his back, cheek resting on his shoulder blade. I concentrated as
hard as I could on generating body heat, trying to radiate warmth through
my skin and into his. So often he had enfolded me in the curve of his body,
sheltering me, giving me the warmth of his big body. I wished passionately
that I were larger, and could do the same for him now; as it was, I could do
no more than cling to him like a small, fierce mustard plaster, and hope I
had the same effect.
Very gently, I found the hem of his shirt and pulled it up, then cupped
my hands to fit the rounds of his buttocks. They tightened slightly in
surprise, then relaxed.
It occurred to me to wonder just why I felt I must lay hands on him, but
I didn’t trouble my mind with it; I had had the feeling many times before,
and had long since given up worrying that it wasn’t scientific.
I could feel the faintly pebbled texture of the rash upon his skin, and the
thought came unbidden of the lamia. A creature smooth and cool to the
touch, a shape-shifter, passionately venomous, its nature infectious. A
swift bite and the snake’s poison spreading, slowing his heart, chilling his
warm blood; I could imagine tiny scales rising under his skin in the dark.
I forcibly repressed the thought, but not the shudder that went with it.
“Claire,” he said softly. “Touch me.”
I couldn’t hear his heartbeat. I could hear mine; a thick, muffled sound
in the ear pressed to the pillow.
I slid my hand over the slope of his belly, and more slowly down,
fingers parting the coarse curly tangle, dipping low to cup the rounded
shapes of him. What heat he had was here.
I stroked him with a thumb and felt him stir. The breath went out of him
in a long sigh, and his body seemed to grow heavier, sinking into the
mattress as he relaxed. His flesh was like candle wax in my hand, smooth
and silky as it warmed.
I felt very odd; no longer frightened, but with all my senses at once
preternaturally acute and yet . . . peaceful. I was no longer conscious of
any sounds save Jamie’s breathing and the beating of his heart; the
darkness was filled with them. I had no conscious thought, but seemed to
act purely by instinct, reaching down and under, seeking the heart of his
heat in the center of his being.
Then I was moving—or we were moving together. One hand reached
down between us, up between his legs, my fingertips on the spot just
behind his testicles. My other hand reached over, around, moving with the
same rhythm that flexed my thighs and lifted my hips, thrusting against
him from behind.
I could have done it forever, and felt that perhaps I did. I had no sense of
time passing, only of a dreamy peace, and that slow, steady rhythm as we
moved together in the dark. Somewhere, sometime, I felt a steady pulsing,
first in the one hand, then in both. It melded with the beat of his heart.
He sighed, long and deep, and I felt the air rush from my own lungs. We
lay silent and passed gently into unconsciousness, together.
I WOKE FEELING utterly peaceful. I lay still, without thought, listening
to the thrum of blood through my veins, watching the drift of sunlit
particles in the beam of light that fell through the half-opened shutters.
Then I remembered, and flung myself over in bed, staring.
His eyes were closed, and his skin was the color of old ivory. His head
was turned slightly away from me, so that the cords of his neck stood out,
but I couldn’t see any pulse in his throat. He was still warm, or at least the
bedclothes were still warm. I sniffed the air, urgently. The room was fetid
with the scent of onions and honey and fever-sweat, but no stink of sudden
death.
I clapped a hand on the center of his chest, and he jerked, startled, and
opened his eyes.
“You bastard,” I said, so relieved to feel the rise of his chest as he drew
breath that my voice trembled. “You tried to die on me, didn’t you?”
His chest rose and fell, rose and fell, under my hand, and my own heart
jerked and shuddered, as though I had been pulled back at the last moment
from an unexpected precipice.
He blinked at me. His eyes were heavy, still clouded with fever.
“It didna take much effort, Sassenach,” he said, his voice soft and husky
from sleep. “Not dying was harder.”
He made no pretense of not understanding me. In the light of day, I saw
clearly what exhaustion and the aftereffects of shock had stopped me
seeing the night before. His insistence on his own bed. The open shutters,
so he could hear the voices of his family below, his tenants outside. And
me beside him. He had, very carefully, and without saying a word to me,
decided how and where he wanted to die.
“You thought you were dying when we brought you up here, didn’t
you?” I asked. My voice sounded more bewildered than accusing.
It took him a moment to answer, though he didn’t look hesitant. It was
more as though he was looking for the proper words.
“Well, I didna ken for sure, no,” he said slowly. “Though I did feel verra
ill.” His eyes closed, slowly, as though he were too tired to keep them
open. “I still do,” he added, in a detached sort of voice. “Ye needna worry,
though—I’ve made my choice.”
“What on earth do you mean by that?”
I groped beneath the covers, and found his wrist. He was warm; hot
again, in fact, and with a pulse that was too fast, too shallow. Still, it was
so different from the deathly chill I had felt in him the night before that my
first reaction was relief.
He took a couple of deep breaths, then turned his head and opened his
eyes to look at me.
“I mean I could have died last night.”
He could, certainly—and yet that wasn’t what he meant. He made it
sound like a conscious—
“What do you mean you’ve made your choice? You’ve decided not to
die, after all?” I tried to speak lightly, but it wasn’t working very well. I
remembered all too well that odd sense of timeless stillness that had
surrounded us.
“It was verra strange,” he said. “And yet it wasna strange at all.” He
sounded faintly surprised.
<snip>
“It was as if there was a—it wasna a door, exactly, but a passageway of
some kind—before me. And I could go through it, if I wanted. And I did
want to,” he said, giving me a sideways glance and a shy smile.
He had known what lay behind him, too, and realized that for that
moment, he could choose. Go forward—or turn back.
“And that’s when you asked me to touch you?”
“I knew ye were the only thing that could bring me back,” he said
simply. “I didna have the strength, myself.”
There was a huge lump in my throat; I couldn’t speak, but squeezed his
hand very tight.
“Why?” I asked at last. “Why did you . . . choose to stay?” My throat
was still tight, and my voice was hoarse. He heard it, and his hand
tightened on mine; a ghost of his usual firm grip, and yet with the memory
of strength within it.
“Because ye need me,” he said, very softly.
“Not because you love me?”
He looked up then, with a shadow of a smile.
“Sassenach . . . I love ye now, and I will love ye always. Whether I am
dead—or you—whether we are together or apart. You know it is true,” he
said quietly, and touched my face. “I know it of you, and ye know it of me
as well.”
He bent his head then, the bright hair swinging down across his cheek.
“I didna mean only you, Sassenach. I have work still to do. I thought—
for a bit—that perhaps it wasna so; that ye all might manage, with Roger
Mac and auld Arch, Joseph and the Beardsleys. But there is war coming,
and—for my sins—” he grimaced slightly, “I am a chief.”
He shook his head slightly, in resignation.
“God has made me what I am. He has given me the duty—and I must do
it, whatever the cost.”
“The cost,” I echoed uneasily, hearing something harsher than
resignation in his voice. He looked at me, then glanced, almost off-handed,
toward the foot of the bed.
“My leg’s no much worse,” he said, matter-of-factly, “but it’s no better.
I think ye’ll have to take it off.”
<snip>
IT WAS JUST AFTER DARK when I made my way upstairs, carrying my
tray of potions and implements, feeling a mixture of excitement and
trepidation.
Jamie was propped on his pillows, surrounded by visitors. People had
been coming by the house all day to see him and wish him well; a good
many of them had simply stayed, and a host of anxious faces turned
toward me as I came in, glimmering in the light of the candles.
He looked very ill, flushed and drawn, and I wondered whether I ought
to have chased the visitors away. I saw Murdo Lindsay take his hand,
though, and squeeze it tight, and realized that the distraction and support of
his company through the day was probably much more helpful to him than
the rest that he wouldn’t have taken in any case.
“Well, then,” Jamie said, with a good assumption of casualness, “we’re
ready, I suppose.” He stretched his legs, flexing his toes hard under the
blanket. Given the state of his leg, it must have hurt dreadfully, but I
recognized that he was taking what he thought would be the last
opportunity to move the limb, and bit the inside of my lip.
“Well, we’re ready to have a go at something,” I said, smiling at him
with an attempt at confident reassurance. “And anyone who would like to
pray about it, please do.”
A rustle of surprise replaced the air of dread that had been sprung up at
my appearance, and I saw Marsali, who was holding a sleeping Joan with
one hand, grope hastily in her pocket with the other to pull out her rosary.
There was a rush to clear the bedside table, which was littered with
books, papers, candle-stubs, various treats brought up to tempt Jamie’s
appetite—all untouched—and, for some unfathomable reason, the fretboard
of a dulcimer and a half-tanned groundhog hide. I set down the tray,
and Brianna, who had come up with me, stepped forward, her invention
carefully held in both hands, like an acolyte presenting bread to a priest.
“What in the name of Christ is that?” Jamie frowned at the object, then
up at me.
“It’s sort of a do-it-yourself rattlesnake,” Brianna told him.
Everyone murmured with interest, craning their necks to see—though
the interest was diverted almost at once as I turned back the quilt and
began to unwrap his leg, to a chorus of shocked murmurs and sympathetic
exclamations at sight of it.
Lizzie and Marsali had been faithfully applying fresh, hot onion and
flaxseed poultices to it all day, and wisps of steam rose from the wrappings
as I put them aside. The flesh of his leg was bright red to the knee, at least
in those parts that weren’t black or seeping with pus. We had removed the
maggots temporarily, afraid the heat would kill them; they were presently
downstairs on a plate in my surgery, happily occupied with some of the
nastier bits of the Bugs’ gleanings. If I succeeded in saving the leg, they
could help with the tidying-up, later.
I had carefully gone through the detritus bit by bit, examining the blue
molds with my microscope, and putting aside everything that could be
identified as bearing Penicillium into a large bowl. Over this
miscellaneous collection I had poured the fermented corn liquor, allowing
the whole to steep during the day—and with luck, to dissolve any actual
raw penicillin from the garbage into the alcoholic liquid.
Meanwhile, I had made a selection of those herbs with a reputation for
the internal treatment of suppurative conditions, and made a stiff decoction
of them, steeped in boiling water for several hours. I poured a cup of this
highly aromatic solution, and handed it to Roger, carefully averting my
nose.
“Make him drink it,” I said. “All of it,” I added pointedly, fixing Jamie
with a look.
Jamie sniffed the proffered cup, and gave me the look back—but
obediently sipped, making exaggerated faces for the entertainment of his
company, who giggled appreciatively. The mood thus lightened, I
proceeded to the main event, turning to take the makeshift hypodermic
from Bree.
The Beardsley twins, standing shoulder-to-shoulder in the corner,
pressed forward to see, swelling with pride. They had gone out at once at
Bree’s request, coming back in mid-afternoon with a fine rattlesnake,
nearly three feet long—and fortunately dead, having been cut nearly in
half with an ax, so as to preserve the valuable head.
I had dissected out the poison sacs with great caution, detaching the
fangs, and then had put Mrs. Bug to the task of rinsing the fangs repeatedly
with alcohol, to eradicate any lingering traces of venom.
Bree had taken the oiled silk that had been used to wrap the astrolabe,
and stitched part of it into a small tube, gathering one end of this with a
draw-stitch, like a purse-string. She had cut a thick segment from a
turkey’s wing-quill, softened with hot water, and used this to join the
gathered end of the silk tube to the fang. Melted beeswax had sealed the
joints of tube, quill, and fang, and been spread carefully along the line of
the stitching, to prevent leakage. It was a nice, neat job—but it did look
quite like a small, fat snake with one enormous curved fang, and
occasioned no little comment from the spectators.
Murdo Lindsay was still holding one of Jamie’s hands. As I motioned to
Fergus to hold the candle for me, I saw Jamie reach out the other toward
Roger. Roger looked momentarily startled, but grabbed the hand and knelt
down by the bed, holding on tight.
I ran my fingers lightly over the leg, selected a good spot, clear of major
blood vessels, swabbed it with pure alcohol, and jabbed the fang in, as
deeply as I could. There was a gasp from the spectators, and a sharp intake
of breath from Jamie, but he didn’t move.
“All right.” I nodded at Brianna, who was standing by with the bottle of
strained corn-alcohol. Teeth sunk in her lower lip, she poured carefully,
filling the silk tube as I supported it. I folded the open top tightly over, and
with thumb and forefinger, firmly pressed downward, forcing the liquid
out through the fang and into the tissues of the leg.
Jamie made a small, breathless noise, and both Murdo and Roger leaned
inward instinctively, their shoulders pressing against his, holding on.
I didn’t dare go too fast, for fear of cracking the wax seals by exerting
too much pressure, though we had a second syringe, made with the other
fang, just in case. I worked my way up and down the leg, with Bree
refilling the syringe with each injection, and blood rose glistening from the
holes as I withdrew the fang, rolling in tiny rivulets down the side of his
leg. Without being asked, Lizzie picked up a cloth and blotted it clean,
eyes intent on the job.
The room was silent, but I felt everyone’s breath held as I chose a new
spot, let out in a sigh as the stab was made—and then the unconscious
leaning toward the bed as I squeezed the stinging alcohol deep into the
infected tissues. The muscles stood out in knots on Jamie’s forearms, and
sweat ran down his face like rain, but neither he, nor Murdo, nor Roger
made a sound or moved.
From the corner of my eye, I saw Joseph Wemyss stroke back the hair
from Jamie’s forehead, and wipe away the sweat from his face and neck
with a towel.
“Because ye need me,” he’d said. And I realized then that it wasn’t only
me that he’d meant.
It didn’t take a long time. When it was done, I spread honey carefully
over all the open wounds, and rubbed oil of wintergreen into the skin of
foot and calf.
“That’s a nice job of basting, Sassenach. D’ye reckon it’s ready for the
oven yet?” Jamie asked, and wiggled his toes, causing the tension in the
room to relax into laughter.
Everyone did leave, then, patting Jamie’s shoulder or kissing his cheek
in farewell, with gruff wishes of good luck. He smiled and nodded, lifting
his hand in farewell, exchanging goodbyes, making small jokes.
When the door closed behind the last of them, he lay back on the pillow
and closed his eyes, letting all his breath out in a long, deep sigh. I set
about tidying my tray, setting the syringe to soak in alcohol, corking
bottles, folding bandages. Then I sat down beside him, and he reached out
a hand to me, not opening his eyes.
His skin was warm and dry, the hand reddened from Murdo’s fierce
grip. I traced his knuckles gently with my thumb, listening to the rumble
and clatter of the house below, subdued but lively.
“It will work,” I said softly, after a minute. “I know it will.”
“I know,” he said. He took a deep breath, and at last, began to weep.