Voyager - Diana Gabaldon [469]
I tied a clean pad of cloth over the closed eye with a bandage round the head, and sat back, reasonably pleased with my first foray into tropical medicine.
“Fine,” I said, pushing back my hair. “Where’s the other one?”
The next patient was in a shed outside the kitchen, dead. I squatted next to the body, that of a middle-aged man with grizzled hair, feeling both pity and outrage.
The cause of death was more than obvious: a strangulated hernia. The loop of twisted, gangrenous bowel protruded from one side of the belly, the stretched skin over it already tinged with green, though the body itself was still nearly as warm as life. An expression of agony was fixed on the broad features, and the limbs were still contorted, giving an unfortunately accurate witness to just what sort of death it had been.
“Why did you wait?” I stood up, glaring at Geilie. “For God’s sake, you kept me drinking tea and chatting, while this was going on? He’s been dead less than an hour, but he must have been in trouble a long time since—days! Why didn’t you bring me out here at once?”
“He seemed pretty far gone this morning,” she said, not at all disturbed by my agitation. She shrugged. “I’ve seen them so before; I didna think you could do anything much. It didna seem worth hurrying.”
I choked back further recrimination. She was right; I could have operated, had I come sooner, but the chances of it doing any good were slim to nonexistent. The hernia repair was something I might have managed, even with such difficult conditions; after all, that was nothing more than pushing back the bowel protrusion and pulling the ruptured layers of abdominal muscle back together with sutures; infection was the only real danger. But once the loop of escaped intestine had twisted, so that the blood supply was cut off and the contents began to putrefy, the man was doomed.
But to allow the man to die here in this stuffy shed, alone…well, perhaps he would not have found the presence of one white woman more or less a comfort, in any case. Still, I felt an obscure sense of failure; the same I always felt in the presence of death. I wiped my hands slowly on a brandy-soaked cloth, mastering my feelings.
One to the good, one to the bad—and Ian still to be found.
“Since I’m here now, perhaps I’d best have a look at the rest of your slaves,” I suggested. “An ounce of prevention, you know.”
“Oh, they’re well enough.” Geilie waved a careless hand. “Still, if ye want to take the time, you’re welcome. Later, though; I’ve a visitor coming this afternoon, and I want to talk more with ye, first. Come back to the house, now—someone will take care o’ this.” A brief nod disposed of “this,” the slave’s contorted body. She linked her arm in mine, urging me out of the shed and back toward the kitchen with soft thrustings of her weight.
In the kitchen, I detached myself, motioning toward the pregnant slave, now on her hands and knees, scrubbing the hearthstones.
“You go along; I want to have a quick look at this girl. She looks a bit toxic to me—you don’t want her to miscarry.”
Geilie gave me a curious glance, but then shrugged.
“She’s foaled twice with no trouble, but you’re the doctor. Aye, if that’s your notion of fun, go ahead. Don’t take too long, though; that parson said he’d come at four o’clock.”
I made some pretense of examining the bewildered woman, until Geilie’s draperies had disappeared into the breezeway.
“Look,” I said. “I’m looking for a young white boy named Ian; I’m his aunt. Do you know where he might be?”
The girl—she couldn’t be more than seventeen or eighteen—looked startled. She blinked, and darted a glance at one of the older women, who had quit her own work and come across the room to see what was going on.
“No, ma’am,” the older woman said, shaking her head. “No white boys here. None at all.”
“No, ma’am,” the girl obediently echoed. “We don’ know nothin’ ’bout your boy.” But she hadn’t said that at first, and her eyes