The Fiery Cross - Diana Gabaldon [358]
“The trachea and bronchi,” I replied, tracing the graceful rings of cartilage, “and a bit of a lung. If you’re all right, then can I have the light a little closer here, please?”
Lacking spreaders, I couldn’t wrench the rib cage far enough apart to expose the complete lung on either side, but thought I could see enough to eliminate some possibilities. The surfaces of both lungs were black and grainy; Betty was in her forties, and had lived all her life with open wood fires.
“Anything nasty that you breathe in and don’t cough up again—tobacco smoke, soot, smog, what-have-you—gradually gets shoved out between the lung tissue and the pleura,” I explained, lifting a bit of the thin, half-transparent pleural membrane with the tip of my scalpel. “But the body can’t get rid of it altogether, so it just stays there. A child’s lung would be a nice clean pink.”
“Do mine look like that?” Jamie stifled a small, reflexive cough. “And what is smog?”
“The air in cities like Edinburgh, where you get smoke mixing with fog off the water.” I spoke abstractedly, grunting slightly as I pulled the ribs back, peering into the shadowed cavity. “Yours likely aren’t so bad, since you’ve lived out of doors or in unheated places so much. Clean lungs are one compensation to living without fire.”
“That’s good to know, if ye’ve got no choice about it,” he said. “Given the choice, I expect most folk would rather be warm and cough.”
I didn’t look up, but smiled, slicing through the upper lobe of the right lung.
“They would, and they do.” No indication of hemorrhage in either lung; no blood in the airway; no evidence of pulmonary embolism. No pooling of blood in the chest or abdominal cavity, either, though I was getting some seepage. Blood will clot soon after death, but then gradually reliquefies.
“Hand me a bit more of the wadding, will you, please?” A little spotting of blood on the shroud likely wouldn’t worry anyone, given the spectacular nature of Betty’s demise, but I didn’t want enough to make anyone sufficiently suspicious to check inside.
I leaned across to take the lint from his hand, inadvertently putting a hand on the corpse’s side. The body emitted a low groan and Jamie leaped back with a startled exclamation, the light swinging wildly.
I had jumped, myself, but quickly recovered.
“It’s all right,” I said, though my heart was racing and the sweat on my face had gone suddenly cold. “It’s only trapped gas. Dead bodies often make odd noises.”
“Aye.” Jamie swallowed and nodded, steadying the lantern. “Aye, I’ve seen it often. Takes ye a bit by surprise, though, doesn’t it?” He smiled at me, lopsided, though a pale sheen of sweat gleamed on his forehead.
“It does that.” It occurred to me that he had doubtless dealt with a good many dead bodies, all unembalmed, and was likely at least as familiar with the phenomena of death as I was. I set a cautious hand in the same place, but no further noises resulted, and I resumed my examination.
Another difference between this impromptu autopsy and the modern form was the lack of gloves. My hands were bloody to the wrist, and the organs and membranes had a faint but unpleasant feel of sliminess; cold though it was in the shed, the inexorable process of decomposition had started. I got a hand under the heart and lifted it toward the light, checking for gross discolorations of the surface, or visible ruptures of the great vessels.
“They move, too, now and then,” Jamie said, after a minute. There was an odd tone to his voice, and I glanced up at him, surprised. His eyes were fixed on Betty’s face, but with a remote look that made it plain he was seeing something else.
“Who moves?”
“Corpses.”
Gooseflesh rippled up my forearms. He was right, though I thought he might have kept that particular observation to himself for the moment.
“Yes,” I said, as casually as possible, looking back at my work. “Common postmortem phenomena. Usually just the movement