A Breath of Snow and Ashes - Diana Gabaldon [211]
The homestead was in good order, I saw, but showing certain signs of dilapidation; a few shingles had blown off the roof, one corner of the stoop was sagging, and the oiled parchment over the single window had split partway up, the flaw hastily mended with rag stuffed through the hole. Small things, but things that should be dealt with before the snow came—and it was coming; I could feel the touch of it in the air, the brilliant blue sky of late autumn fading into the hazy gray of oncoming winter.
No one rushed out to meet me, but I knew they were home; there was a cloud of smoke and sparks from the chimney, and I thought tartly that at least Fergus seemed able to provide enough wood for the hearth. I called out a cheery “hallooo!” and pushed open the door.
I had the feeling at once. I didn’t trust most of my feelings at the moment, but that one went bone-deep. It’s the feeling you have, as a doctor, when you walk into an examination room and know that something’s very wrong. Before you ask the first question, before you’ve taken the first vital sign. It doesn’t happen often, and you’d rather it never did—but there it is. You know, and there’s no way round it.
It was the children that told me, as much as anything else. Marsali sat by the window, sewing, the two girls playing quietly close by her feet. Germain—uncharacteristically indoors—sat swinging his legs at the table, frowning at a ragged but treasured picture book Jamie had brought him from Cross Creek. They knew, too.
Marsali looked up when I came in, and I saw her face tighten in shock at sight of mine—though it was much better than it had been.
“I’m fine,” I said briskly, stopping her exclamation. “Only bruises. How are you, though?”
I set down my bag and cupped my hands round her face, turning it gently to the light. One cheek and ear were badly bruised, and there was a fading knot on her forehead—but she wasn’t cut, and her eyes looked back at me, clear and healthy. A good color to her skin, no jaundice, no faint scent of kidney dysfunction.
She’s all right. It’s the baby, I thought, and dropped my hands to her middle without asking. My heart felt cold as I cupped the bulge and lifted gently. I nearly bit my tongue in surprise when a small knee shifted in answer to my touch.
I was terribly heartened at that; I had thought the child might be dead. A quick glance at Marsali’s face muted my relief. She was strained between hope and fear, hoping that I would tell her that what she knew to be true wasn’t.
“Has the baby moved very much, these last few days?” I asked, keeping my voice calm as I went about fetching out my stethoscope. I’d had it made by a pewtersmith in Wilmington—a small bell with a flat end piece; primitive, but effective.
“Not so much as he did,” Marsali answered, leaning back to let me listen to her stomach. “But they don’t, do they, when they’re nearly ready to come? Joanie lay like the de—like a millstone, all the night before the waters broke.”
“Well, yes, often they do do that,” I agreed, ignoring what she’d nearly said. “Resting up, I suppose.” She smiled in response, but the smile vanished like a snowflake on a griddle as I leaned close and put my ear to the flattened end of the flared metal tube, the wide, bell-shaped opening over her stomach.
It took some time to pick up the heartbeat, and when I did, it was unusually slow. It was also skipping beats; the hair on my arms rippled with gooseflesh when I heard it.
I went on with the examination, asking questions, making small jokes, pausing to answer questions from the other children, who were crowding round, stepping on each other’s feet and getting in the way—and all the time, my mind was racing, envisioning possibilities, all bad.
The child was moving—but wrong. Heartbeat was there—but wrong. Everything about that belly felt wrong to me. What was it, though? Umbilical cord around the neck was thoroughly possible, and quite dangerous.
I pushed the smock further back, trying for a better listen, and saw the heavy bruising—ugly splotches of healing green and yellow, a few still