LATER IN THE WEEK, I went to the Christies’ cabin, to take the stitches out of Tom’s left hand and explain to him about the ether. His son, Allan, was in the yard, sharpening a knife on a foot-treadled grindstone. He smiled and nodded to me, but didn’t speak, unable to be heard above the rasping whine of the grindstone.
Perhaps it was that sound, I thought, a moment later, that had aroused Tom Christie’s apprehensions.
“I have decided that I shall leave my other hand as it is,” he said stiffly, as I clipped the last stitch and pulled it free.
I set down my tweezers and stared at him.
“Why?”
A dull red rose in his cheeks, and he stood up, lifting his chin and looking over my shoulder, so as not to meet my eye.
“I have prayed about it, and I have come to the conclusion that if this infirmity be God’s will, then it would be wrong to seek to change it.”
I suppressed the strong urge to say “Stuff and nonsense!”, but with great difficulty.
“Sit down,” I said, taking a deep breath. “And tell me, if you would, just why you think God wants you to go about with a twisted hand?”
He did glance at me then, surprised and flustered.
“Why . . . it is not my place to question the Lord’s ways!”
“Oh, isn’t it?” I said mildly. “I rather thought that’s what you were doing last Sunday. Or wasn’t it you I heard, inquiring as to what the Lord thought He was about, letting all these Catholics flourish like the green bay tree?”
The dull red color darkened substantially.
“I am sure you have misunderstood me, Mistress Fraser.” He straightened himself still further, so that he was nearly leaning over backward. “The fact remains that I shall not require your assistance.”
“Is it because I’m a Catholic?” I asked, settling back on the stool and folding my hands on my knee. “You think perhaps I’ll take advantage of you, and baptize you into the church of Rome when you’re off your guard?”
“I have been suitably christened!” he snapped. “And I will thank you to keep your Popish notions to yourself.”
“I have an arrangement with the Pope,” I said, giving him stare for stare. “I issue no bulls on points of doctrine, and he doesn’t do surgery. Now, about your hand—”
“The Lord’s will—” he began stubbornly.
“Was it the Lord’s will that your cow should fall into the gorge and break her leg last month?” I interrupted him. “Because if it was, then you presumably ought to have left her there to die, rather than fetching my husband to help pull her out, and then allowing me to set her leg. How is she, by the way?”
I could see the cow in question through the window, peacefully grazing at the edge of the yard, and evidently untroubled either by her nursing calf, or by the binding I had applied to support her cracked cannon bone.
“She is well, I thank you.” He was beginning to sound a little strangled, though his shirt was loose at the collar. “That is—”
“Well, then,” I said. “Do you think the Lord regards you as less deserving of medical help than your cow? It seems unlikely to me, what with Him regarding sparrows and all that.”
He’d gone a sort of dusky purple round the jowls by this point, and clutched the defective hand with the sound one, as though to keep it safe from me.
“I see that you have heard something of the Bible,” he began, very pompous.
“Actually, I’ve read it for myself,” I said. “I read quite well, you know.”
He brushed this remark aside, a dim light of triumph gleaming in his eye.
“Indeed. Then I am sure you will have read the Letter of St. Paul to Timothy, in which he says, Let a woman be silent—”
I had, in fact, encountered St. Paul and his opinions before, and had a few of my own.
“I expect St. Paul ran into a woman who could outargue him, too,” I said, not without sympathy. “Easier to try to put a stopper on the entire sex than to win his point fairly. I should have expected better of you, though, Mr. Christie.”
“But that’s blasphemy!” he gasped, clearly shocked.
“It is not,” I countered, “unless you’re saying that St. Paul is actually God—and if you are, then I rather think that’s blasphemy. But let’s not quibble,” I said, seeing his eyes begin to bulge. “Let me . . .” I rose from my stool and took a step forward, bringing me within touching distance of him. He backed up so hastily that he bumped into the table and knocked it askew, sending Malva’s workbasket, a pottery jug of milk, and a pewter plate cascading to the floor with a crash.
I bent swiftly and grabbed the workbasket, in time to prevent it being soaked by the flood of milk. Mr. Christie had as swiftly seized a rag from the hearth, and bent to mop up the milk. We narrowly missed bumping heads, but did collide, and I lost my balance, falling heavily against him. He caught hold of my arms by reflex, dropping the rag, then hastily let go and recoiled, leaving me swaying on my knees.
He was on his knees, as well, breathing heavily, but now a safe distance away.
“The truth of it is,” I said severely, pointing a finger at him, “you’re afraid.”
“I am not!”
“Yes, you are.” I got to my feet, replaced the workbasket on the table, and shoved the rag delicately over the puddle of milk with my foot. “You’re afraid that I’ll hurt you—but I won’t,” I assured him. “I have a medicine called ether; it will make you go to sleep, and you won’t feel anything.”
He blinked at that.
“And perhaps you’re afraid that you’ll lose a few fingers, or what use of your hand you have.”
He was still kneeling on the hearth, staring up at me.
“I can’t absolutely guarantee that you won’t,” I said. “I don’t think that will happen—but man proposes, and God disposes, doesn’t He?”
He nodded, very slowly, but didn’t say anything. I took a deep breath, for the moment out of argument.
“I think I can mend your hand,” I said. “I can’t guarantee it. Sometimes things happen. Infections, accidents—something unexpected. But . . .”
I reached out a hand to him, motioning toward the crippled member. Moving like a hypnotized bird trapped in a serpent’s gaze, he extended his arm and let me take it. I grasped his wrist and pulled him to his feet; he rose easily and stood before me, letting me hold his hand.
I took it in both of mine and pressed the gnarled fingers back, rubbing my thumb gently over the thickened palmar aponeurosis that was trapping the tendons. I could feel it clearly, could see in my mind exactly how to approach the problem, where to press with the scalpel, how the calloused skin would part. The length and depth of the Z-shaped incision that would free his hand and make it useful once more.
“I’ve done it before,” I said softly, pressing to feel the submerged bones. “I can do it again, God willing. If you’ll let me?”
He was only a couple of inches taller than I; I held his eyes, as well as his hand. They were a clear, sharp gray, and searched my face with something between fear and suspicion—but with something else at the back of them. I became quite suddenly aware of his breathing, slow and steady, and felt the warmth of his breath on my cheek.
“All right,” he said at last, hoarsely. He pulled his hand away from mine, not abruptly, but almost with reluctance, and stood cradling it in his sound one. “When?”
“Tomorrow,” I said, “if the weather is good. I’ll need good light,” I explained, seeing the startled look in his eyes. “Come in the morning, but don’t eat breakfast.”
I picked up my kit, bobbed an awkward curtsy to him, and left, feeling rather queer.
Allan Christie waved cheerfully to me as I left, and went on with his grinding.
“DO YOU THINK he’ll come?” Breakfast had been eaten, and no sign yet of Thomas Christie. After a night of broken sleep, in which I dreamed repeatedly of ether masks and surgical disasters, I wasn’t sure whether I wanted him to come or not.
“Aye, he’ll come.” Jamie was reading the North Carolina Gazette, four months out of date, while munching the last of Mrs. Bug’s cinnamon toast. “Look, they’ve printed a letter from the Governor to Lord Dartmouth, saying what an unruly lot of seditious, conniving, thieving bastards we all are, and asking General Gage to send him cannon to threaten us back into good behavior. I wonder if MacDonald knows that’s public knowledge?”
“Did they really?” I said absently. I rose, and picked up the ether mask I had been staring at all through breakfast. “Well, if he does come, I suppose I’d best be ready.”
I had the ether mask Bree had made for me and the dropping bottle laid out ready in my surgery, next to the array of instruments I would need for the surgery itself. Unsure, I picked up the bottle, uncorked it, and waved a hand across the neck, wafting fumes toward my nose. The result was a reassuring wave of dizziness that blurred my vision for a moment. When it cleared, I recorked the bottle and set it down, feeling somewhat more confident.
Just in time. I heard voices at the back of the house, and footsteps in the hall.
I turned expectantly, to see Mr. Christie glowering at me from the doorway, his hand curled protectively into his chest.
“I have changed my mind.” Christie lowered his brows still further, to emphasize his position. “I have considered the matter, and prayed upon it, and I shall not allow ye to employ your foul potions upon me.”
“You stupid man,” I said, thoroughly put out. I stood up and glowered back. “What is the matter with you?”
He looked taken aback, as though a snake in the grass at his feet had dared to address him.
“There is nothing whatever the matter with me,” he said, quite gruff. He lifted his chin aggressively, bristling his short beard at me. “What is the matter with you, madam?”
“And I thought it was only Highlanders who were stubborn as rocks!”
He looked quite insulted at this comparison, but before he could take further issue with me, Jamie poked his head into the surgery, drawn by the sounds of altercation.
“Is there some difficulty?” he inquired politely.
“Yes! He refuses—”
“There is. She insists—”
The words collided, and we both broke off, glaring at each other. Jamie glanced from me to Mr. Christie, then at the apparatus on the table. He cast his eyes up to heaven, as though imploring guidance, then rubbed a finger thoughtfully beneath his nose.
“Aye,” he said. “Well. D’ye want your hand mended, Tom?”
Christie went on looking mulish, cradling the crippled hand protectively against his chest. After a moment, though, he nodded slowly.
“Aye,” he said. He gave me a deeply suspicious look. “But I shall not be having any of this Popish nonsense about it!”
“Popish?” Jamie and I spoke at the same time, Jamie sounding merely puzzled, myself deeply exasperated.
“Aye, and ye need not be thinking ye can cod me into it, either, Fraser!”
Jamie shot me an “I told ye so, Sassenach” sort of look, but squared himself to give it a try.
“Well, ye always were an awkward wee bugger, Tom,” he said mildly. “Ye must please yourself about it, to be sure—but I can tell ye from experience that it does hurt a great deal.”
I thought Christie paled a little.
“Tom. Look.” Jamie nodded at the tray of instruments: two scalpels, a probe, scissors, forceps, and two suture needles, already threaded with gut and floating in a jar of alcohol. They gleamed dully in the sunlight. “She means to cut into your hand, aye?”
“I know that,” Christie snapped, though his eyes slid away from the sinister assemblage of sharp edges.
“Aye, ye do. But ye’ve not the slightest notion what it’s like. I have. See here?” He held up his right hand, the back of it toward Christie, and waggled it. In that position, with the morning sun full on it, the thin white scars that laced his fingers were stark against the deep bronze skin.
“That bloody hurt,” he assured Christie. “Ye dinna want to do something like that, and there’s a choice about it—which there is.”
Christie barely glanced at the hand. Of course, I thought, he would be familiar with the look of it; he’d lived with Jamie for three years.
“I have made my choice,” Christie said with dignity. He sat down in the chair and laid his hand palm-up on the napkin. All the color had leached out of his face, and his free hand was clenched so hard that it trembled.
Jamie looked at him under heavy brows for a moment, then sighed.
“Aye. Wait a moment, then.”
Obviously, there was no further point in argument, and I didn’t bother trying. I took down the bottle of medicinal whisky I kept on the shelf and poured a healthy tot into a cup.
“Take a little wine for thy stomach’s sake,” I said, thrusting it firmly into his upturned hand. “Our mutual acquaintance, St. Paul. If it’s all right to drink for the sake of a stomach, surely to goodness you can take a drop for the sake of a hand.”
His mouth, grimly compressed in anticipation, opened in surprise. He glanced from the cup to me, then back. He swallowed, nodded, and raised the cup to his lips.
Before he had finished, though, Jamie came back, holding a small, battered green book, which he thrust unceremoniously into Christie’s hand.
Christie looked surprised, but held the book out, squinting to see what it was. HOLY BIBLE was printed on the warped cover, King James Version.
“Ye’ll take help where ye can, I suppose?” Jamie said a little gruffly.
Christie looked at him sharply, then nodded, a very faint smile passing through his beard like a shadow.
“I thank you, sir,” he said. He took his spectacles out of his coat and put them on, then opened the little book with great care and began to thumb through it, evidently looking for a suitable inspiration for undergoing surgery without anesthetic.
I gave Jamie a long look, to which he responded with the faintest of shrugs. It wasn’t merely a Bible. It was the Bible that had once belonged to Alexander MacGregor.
Jamie had come by it as a very young man, when he was imprisoned in Fort William by Captain Jonathan Randall. Flogged once, and awaiting another, frightened and in pain, he had been left in solitary confinement with no company save his thoughts—and this Bible, given to him by the garrison’s surgeon for what comfort it might offer.
Alex MacGregor had been another young Scottish prisoner—one who had died by his own hand, rather than suffer the further attentions of Captain Randall. His name was written inside the book, in a tidy, rather sprawling hand. The little Bible was no stranger to fear and suffering, and if it wasn’t ether, I hoped it might still possess its own power of anodyne.
Christie had found something that suited him. He cleared his throat, straightened himself in the chair, and laid his hand on the towel, palm up, in such a forthright manner that I wondered whether he had settled on the passage in which the Maccabees willingly present their hands and tongues for amputation at the hands of the heathen king.
A peek over his shoulder indicated that he was somewhere in the Psalms, though.
“At your convenience, then, Mistress Fraser,” Christie said politely.
If he wasn’t to be unconscious, I needed a bit of extra preparation. Manly fortitude was all very well, and so was Biblical inspiration—but there are relatively few people capable of sitting motionless while having their hand sliced into, and I didn’t think Thomas Christie was one of them.
I had a plentiful supply of linen strips for bandaging. I rolled back his sleeve, then used a few of the strips to bind his forearm tightly to the little table, with an additional band holding back the clawed fingers from the site of operation.
Though Christie seemed rather shocked at the notion of drinking liquor while reading the Bible, Jamie—and, just possibly, the sight of the waiting scalpels—had convinced him that circumstances justified it. He had consumed a couple of ounces by the time I had him properly secured and his palm thoroughly swabbed with raw alcohol, and was looking significantly more relaxed than he had upon entering the room.
This sense of relaxation disappeared abruptly when I made the first incision.
His breath rushed out in a high-pitched gasp and he arched upward out of the chair, jerking the table across the floor with a screech. I grabbed his wrist in time to prevent his ripping the bandages away, and Jamie seized him by both shoulders, pressing him back into the chair.
“Now then, now then,” Jamie said, squeezing firmly. “You’ll do, Tom. Aye, you’ll do.”
Sweat had popped out all over Christie’s face, and his eyes were huge behind the lenses of his spectacles. He gulped, swallowed, took a quick look at his hand, which was welling blood, then looked away fast, white as a sheet.
“If you’re going to vomit, Mr. Christie, do it there, will you?” I said, shoving an empty bucket toward him with one foot. I still had one hand on his wrist, the other pressing a wad of sterilized lint hard onto the incision.
Jamie was still talking to him like one settling a panicked horse. Christie was rigid, but breathing hard, and trembling in every limb, including the one I meant to be working on.
“Shall I stop?” I asked Jamie, giving Christie a quick appraisal. I could feel his pulse hammering in the wrist I grasped. He wasn’t in shock—quite—but plainly wasn’t feeling at all well.
Jamie shook his head, eyes on Christie’s face.
“No. Shame to waste that much whisky, aye? And he’ll not want to go through the waiting again. Here, Tom, have another dram; it will do ye good.” He pressed the cup to Christie’s lips, and Christie gulped it without hesitation.
Jamie had let go of Christie’s shoulders as he settled; now he took hold of Christie’s forearm with one hand, gripping firmly. With the other, he picked up the Bible, which had fallen to the floor, and thumbed it open.
“The right hand of the Lord is exalted,” he read, squinting over Christie’s shoulder at the book. “The right hand of the Lord doeth valiantly. Well, that’s appropriate, no?” He glanced down at Christie, who had subsided, his free hand clenched in a fist against his belly.
“Go on,” Christie said, voice hoarse.
“I shall not die, but live, and declare the works of the Lord,” Jamie went on, his voice low but firm. “The Lord hath chastened me sore, but he hath not given me over unto death.”
Christie seemed to find this heartening; his breathing slowed a little.
I couldn’t spare time to look at him, and his arm under Jamie’s grasp was hard as wood. Still, he was beginning to murmur along with Jamie, catching every few words.
“Open to me the gates of righteousness. . . I will praise thee, for thou hast heard me. . . .”
I had the aponeurosis laid bare, and could clearly see the thickening. A flick of the scalpel freed the edge of it; then a ruthless slice, cutting hard down through the fibrous band of tissue . . . the scalpel struck bone, and Christie gasped.
“God is the Lord which has showed us light; bind the sacrifice with cords, even unto the horns of the altar. . . .” I could hear a tinge of amusement in Jamie’s voice as he read that bit, and felt the shift of his body as he glanced toward me.
It did look rather as though I had been sacrificing something; hands don’t bleed as profusely as head wounds, but there are plenty of small vessels in the palm, and I was hastily blotting away the blood with one hand as I worked with the other; discarded wads of bloodstained lint littered the table and the floor around me.
Jamie was flipping to and fro, picking out random bits of Scripture, but Christie was with him now, speaking the words along with him. I stole a hasty glance at him; his color was still bad, and his pulse thundering, but the breathing was better. He was clearly speaking from memory; the lenses of his spectacles were fogged.
I had the hindering tissue fully exposed now, and was trimming away the tiny fibers from the surface of the tendon. The clawed fingers twitched, and the exposed tendons moved suddenly, silver as darting fish. I grabbed the feebly wiggling fingers and squeezed them fiercely.
“You mustn’t move,” I said. “I need both hands; I can’t hold yours.”
I couldn’t look up, but felt him nod, and released his fingers. With the tendons gleaming softly in their beds, I removed the last bits of the aponeurosis, sprayed the wound with a mixture of alcohol and distilled water for disinfection, and set about closing the incisions.
The men’s voices were no more than whispers, a low susurrus to which I had paid no attention, engrossed as I was. As I relaxed my attention and began to suture the wound, though, I became aware of them again.
“The Lord is my shepherd, I shall not want. . . .”
I looked up, wiping perspiration from my forehead with my sleeve, and saw that Thomas Christie now held the small Bible, closed and pressed against his body with his free arm. His chin jammed hard into his chest, his eyes tight closed and face contorted with pain.
Jamie still held the bound arm tight, but had his other hand on Christie’s shoulder, his own head bent near Christie’s; his eyes, too, were closed, as he whispered the words.
“Yea, though I walk through the valley of the shadow of death, I will fear no evil. . . .”
I knotted the last suture, clipped the thread, and in the same movement, cut through the linen bindings with my scissors, and let go the breath I’d been holding. The men’s voices stopped abruptly.
I lifted the hand, wrapped a fresh dressing tightly around it, and pressed the clawed fingers gently back, straightening them.
Christie’s eyes opened, slowly. His pupils were huge and dark behind his lenses, as he blinked at his hand. I smiled at him, and patted it.
“Surely goodness and mercy shall follow me all the days of my life,” I said softly. “And I shall dwell in the house of the Lord forever.”