Outlander - Diana Gabaldon [66]
I rubbed my hands against my apron, considering. I had inventoried almost everything now—except the wooden chest against the wall. I flung back the lid, and recoiled at once from the stench that gusted out.
The chest was the repository of the surgical side of Beaton’s practice. Within were a number of sinister-looking saws, knives, chisels, and other tools looking more suited to building construction than to use on delicate human tissues. The stench apparently derived from the fact that Davie Beaton had seen no particular benefit to cleaning his instruments between uses. I grimaced in distaste at the sight of the dark stains on some of the blades, and slammed shut the lid.
I dragged the chest toward the door, intending to tell Mrs. Fitz that the instruments, once safely boiled, should be distributed to the castle carpenter, if there were such a personage.
A stir behind alerted me, in time to avoid crashing into the person who had just come in. I turned to see two young men, one supporting the other, who was hopping on one foot. The lame foot was bound up in an untidy bundle of rags, stained with fresh blood.
I glanced around, then gestured at the chest, for lack of anything else. “Sit down,” I said. Apparently the new physician of Castle Leoch was now in practice.
8
AN EVENING’S ENTERTAINMENT
I lay on my bed feeling altogether exhausted. Oddly enough, I had quite enjoyed the rummage through the memorabilia of the late Beaton, and treating those few patients, with however meager a resource, had made me feel truly solid and useful once more. Feeling flesh and bone beneath my fingers, taking pulses, inspecting tongues and eyeballs, all the familiar routine, had done much to settle the feeling of hollow panic that had been with me since my fall through the rock. However strange my circumstances, and however out of place I might be, it was somehow very comforting to realize that these were truly other people. Warm-fleshed and hairy, with hearts that could be felt beating and lungs that breathed audibly. Bad-smelling, louse-ridden, and filthy, some of them, but that was nothing new to me. Certainly no worse than conditions in a field hospital, and the injuries were so far reassuringly minor. It was immensely satisfying to be able once again to relieve a pain, reset a joint, repair damage. To take responsibility for the welfare of others made me feel less victimized by the whims of whatever impossible fate had brought me here, and I was grateful to Colum for suggesting it.
Colum MacKenzie. Now there was a strange man. A cultured man, courteous to a fault, and thoughtful as well, with a reserve that all but hid the steely core within. The steel was much more evident in his brother Dougal. A warrior born, that one. And yet, to see them together, it was clear which was the stronger. Colum was a chieftain, twisted legs and all.
Toulouse-Lautrec syndrome. I had never seen a case before, but I had heard it described. Named for its most famous sufferer (who did not yet exist, I reminded myself), it was a degenerative disease of bone and connective tissue. Victims often appeared normal, if sickly, until their early teens, when the long bones of the legs, under the stress of bearing a body upright, began to crumble and collapse upon themselves.
The pasty skin, with its premature wrinkling, was another outward effect of the poor circulation that characterized the disease. Likewise the dryness and pronounced callusing of fingers and toes that I had already noticed. As the legs twisted and bowed, the spine was put under stress, and often twisted as well, causing immense discomfort to the victim. I mentally read back the textbook description to myself, idly smoothing out the tangles of my hair with my fingers. Low white-cell count, increased susceptibility to infection, liable to early arthritis. Because of the poor circulation and the degeneration of connective tissue, victims were invariably sterile, and often impotent as well.
I stopped suddenly, thinking of Hamish. My son, Colum had said, proudly introducing