Outlander - Diana Gabaldon [373]
“You should have fetched me at once,” I said. “Still, never mind. Bring me hot water, raspberry leaves, and Brother Polydore, as quickly as possible.” He left with the assurance that he would see some breakfast was brought for me as well, but I waved such amenities aside, reaching for the pewter jug of water.
By the time Brother Polydore appeared, I had tried the internal application of water, only to have it violently rejected, and was applying it externally instead, soaking the sheets and wrapping them loosely over the hot skin.
Simultaneously, I set the infected hand to soak in fresh-boiled water, as hot as could be stood without burning the skin. Lacking sulfa drugs or modern antibiotics, heat was the only defense against a bacterial infection. The patient’s body was doing its best to supply that heat by means of high fever, but the fever itself posed a serious danger, wasting muscle and damaging brain cells. The trick was to apply sufficient local heat to destroy the infection, while keeping the rest of the body cool enough to prevent damage, and sufficiently hydrated to maintain its normal functions. A bloody three-tier balancing act, I thought bleakly.
Neither Jamie’s state of mind nor his physical discomfort were relevant any longer. It was a straightforward struggle to keep him alive until the infection and the fever ran their course; nothing else mattered.
In the afternoon of the second day, he began to hallucinate. We tied him to the bed with soft rags to prevent his hurling himself to the floor. Finally, as a desperate measure to break the fever, I sent one of the lay brothers out to bring in a bushel basket of snow, which we packed around him. This resulted in a violent shivering fit that left him drained and exhausted, but did briefly bring his temperature down.
Unfortunately, the treatment had to be repeated at hourly intervals. By sunset, the room looked like a swamp, with puddles of melted snow standing on the floor, tussocks of sodden sheeting mounded among them, and steam like marsh gas rising from the brazier in the corner. Brother Polydore and myself were sodden, too, soaked with sweat, chilled with snow water, and near to exhaustion, in spite of the helpful assistance of Anselm and the lay brothers. Febrifuges such as coneflower, goldenseal, catnip, and hyssop had been tried, without effect. Willowbark tea, which might have helped with its content of salicylic acid, could not be consumed in amounts large enough to matter.
In one of his increasingly rare lucid intervals, Jamie asked me to let him die. I answered curtly, as I had the night before, “Damned if I will,” and went on with what I was doing.
As the sun went down, there was a stir of approaching men in the corridor. The door opened and the abbot, Jamie’s uncle Alex, came in, accompanied by Brother Anselm and three other monks, one carrying a small cedarwood box. The abbot came over to me and blessed me briefly, then took one of my hands in his.
“We are going to anoint the lad,” he said, his deep voice kind. “Do not be frightened.”
He turned toward the bed and I looked wildly to Anselm for explanation.
“The sacrament of Extreme Unction,” he explained, moving close so that his low tones would not disturb the monks gathered around the bed. “The Last Anointing.”
“Last Anointing! That’s for people who are dying!”
“Ssh.” He drew me farther away from the bed. “It might more properly be called anointing of the sick, though in fact it is usually reserved for those in danger of death.” The monks had turned Jamie gently onto his back, arranging him tenderly so that he might lie with the least hurt to his raw shoulders.
“The purpose of the sacrament is twofold,” Anselm went on, murmuring in my ear as the preparations went on. “First, it is intended as a sacrament of healing; we pray that the sufferer may be restored to health, if that be God’s will for him. The chrism, the consecrated oil, is used as a symbol of life and healing.”
“And the second purpose?” I asked, already knowing.
Anselm nodded. “If