Dragonfly in Amber - Diana Gabaldon [125]
Aside from the nuns themselves, the medical staff changed almost daily, depending upon who found themselves without paying patients that day, or who had a new technique that needed trial. Still, most of the free-lance medicos came often enough that I learned to recognize the regulars in short order.
One of the most interesting was the tall, gaunt man whom I had seen amputating a leg on my first visit to the Hôpital. Upon inquiry, I determined that his name was Monsieur Forez. Primarily a bonesetter, occasionally he would attempt the trickier types of amputation, particularly when a whole limb, rather than a joint, was involved. The nuns and orderlies seemed a bit in awe of Monsieur Forez; they never chaffed him or exchanged rude jokes, as they did with most of the other volunteer medical help.
Monsieur Forez was at work today. I approached quietly, to see what he was doing. The patient, a young workman, lay white-faced and gasping on a pallet. He had fallen from the scaffolding on the cathedral—always under construction—and broken both an arm and a leg. I could see that the arm was no particular challenge to a professional bonesetter—only a simple fracture of the radius. The leg, though, was something else; an impressive double compound fracture, involving both the mid-femur and the tibia. Sharp bone fragments protruded through the skin of both thigh and shin, and the lacerated flesh was blue with traumatic bruising over most of the upper aspect of the leg.
I didn’t wish to distract the bonesetter’s attention to his case, but Monsieur Forez appeared sunk in thought, slowly circling the patient, sidling back and forth like a large carrion crow, cautious lest the victim not be really dead yet. He did look rather like a crow, I thought, with that prominent beak of a nose, and the smooth black hair that he wore unpowdered, slicked back to a wispy knot at the nape of his neck. His clothes, too, were black and somber, though of good quality—evidently he had a profitable practice outside the Hôpital.
At last deciding on his course of action, Monsieur Forez lifted his chin from his hand and glanced around for assistance. His eye lighted on me, and he beckoned me forward. I was dressed in a coarse linen novice’s gown, and lost in his concentration, he did not notice that I didn’t wear the wimple and veil of a nursing sister.
“Here, ma soeur,” he directed, taking hold of the patient’s ankle. “Grasp it tightly just behind the heel. Do not apply pressure until I tell you, but when I give the word, draw the foot directly toward you. Pull very slowly, but with force—it will take considerable strength, you understand.”
“I understand.” I grasped the foot as directed, while Monsieur Forez made his slow and gangling way toward the other end of the pallet, glancing contemplatively at the fractured leg.
“I have a stimulant here to assist,” he said, drawing a small vial out of his coat pocket and setting it beside the patient’s head. “It constricts the blood vessels of the surface skin, and drives the blood inward, where it may be of more use to our young friend.” So speaking, he grasped the patient by the hair and thrust the vial into the young man’s mouth, skillfully decanting the medicine down his throat without spilling a drop.
“Ah,” he said approvingly as the man gulped and breathed deeply. “That will help. Now, as to the pain—yes, it is better if we can numb the leg, so he will be less inclined to resist our efforts as we straighten it.”
He reached into his capacious pocket once more, this time coming out with a small brass pin, some three inches in length, with a wide, flat head. One bony, thick-jointed hand tenderly explored the inside of the patient’s thigh near the groin, following the thin blue line of a large vein beneath the skin. The groping fingers hesitated, paused, palpated in a small circle, then settled on