Outlander - Diana Gabaldon [350]
The compound fracture of the middle finger was the worst to contemplate. The finger would have to be pulled straight, drawing the protruding bone back through the torn flesh. I had seen this done before—under general anesthesia, with the guidance of X rays.
To this point, it had been more a mechanical problem than a real one, deciding how to reconstruct a smashed, disembodied hand. I was now smack up against the reason that physicians seldom treat members of their own families. Some jobs in medicine require a certain ruthlessness to complete successfully; detachment is necessary to inflict pain in the process of effecting a healing.
Quietly, Sir Marcus had brought up a stool by the side of the bed. He settled his bulk comfortably as I finished the strapping, and gripped Jamie’s good hand with his own.
“Squeeze all ye like, lad,” he said.
Divested of the bearskin, and with his grizzled locks neatly clubbed and laced back, MacRannoch was no longer the intimidating wildman of the forest, but appeared as a soberly clad man of late middle age, with a neatly trimmed spade-beard and a military bearing. Nervous at what I was about to attempt, I found his solid presence comforting.
I drew a deep breath and prayed for detachment.
* * *
It was a long, horrible, nerve-wracking job, though not without its fascination. Some parts, such as the splinting of the two fingers with simple fractures, went quite easily. Others did not. Jamie did scream—loudly—when I set his middle finger, exerting the considerable force necessary to draw the ends of splintered bone back through the skin. I hesitated for an instant, unnerved, but “Go on, lass!” Sir Marcus said with quiet urgency.
I remembered suddenly what Jamie had said to me, the night Jenny’s baby was born: I can bear pain, myself, but I could not bear yours. That would take more strength than I have. He was right; it did take strength; I hoped that each of us had enough.
Jamie’s face was turned away from me, but I could see the jaw muscles bunch as he clenched his teeth harder on the leather strip. I clenched my own teeth and did go on; the sharp bone end slowly disappeared back through the skin and the finger straightened with agonizing reluctance, leaving us both trembling.
As I worked, I began to lose consciousness of anything outside the job I was doing. Jamie groaned occasionally, and we had to stop twice briefly in order for him to be sick, retching up mostly whisky, as he had taken little food in prison. For the most part, though, he kept up a low, constant muttering in Gaelic, forehead pressed hard against Sir Marcus’s knees. I couldn’t tell through the leather gag whether he was cursing or praying.
All five fingers eventually lay straight as new pins, stiff as sticks in their bandaged splints. I was afraid of infection, particularly from the torn middle finger, but otherwise was fairly sure they would heal well. By good luck, only the one joint had been badly damaged. It would likely leave him with a stiff ring finger, but the others might function normally—in time. There was nothing I could do about the cracked metacarpal bones or the puncture wound except apply an antiseptic wash and a poultice and pray against a tetanus infection. I stepped back, shaking in every limb from the strain of the night, my bodice soaked with sweat from the fire’s heat at my back.
Lady Annabelle was at my side at once, guiding me to a chair and pressing a cup of tea, laced with whisky, into my shaking hands. Sir Marcus, as good an operating-room assistant as any physician could have, was unfastening Jamie’s captive arm and rubbing the marks where the strap had bitten deep into straining flesh. The older man’s hand was red, I saw, where Jamie had gripped it.
I was not aware of having nodded off, but suddenly jerked, my head snapping on my neck. Lady Annabelle was urging me upward, soft hand under my elbow. “Come along, my dear. You’re all in; you must have your own hurts seen to, and sleep a bit.