A Dangerous Mourning (16 page)

Monk pulled his coat collar a little higher against the cold rain blowing down the pavement as he turned into Leadenhall Street and walked up towards Comhill. Was he anything like Myles Kellard? He had seen few signs of compassion in the records he had found of himself. His judgments were sharp. Were they equally cynical? It was a frightening thought. He would be an empty man inside if it were so. In the months since he had awoken in the hospital, he had found no one who cared for him deeply, no one who felt gratitude or love for him, except his sister, Beth, and her love was born of loyalty, memory rather than knowledge. Was there no one else? No

woman? Where were his relationships, the debts and the dependencies, the trusts, the memories?

He hailed a hansom and told the driver to take him back to Queen Anne Street, then sat back and tried to put his own life out of his mind and think of the footman Percival—and the possibility of a stupid physical flirtation that had ran out of control and ended in violence.

He arrived and entered by the kitchen door again, and asked to speak to Percival. He faced him in the housekeeper's sitting room this time. The footman was pale-faced now, feeling the net closing around him, cold and a great deal tighter. He stood stiffly, his muscles shaking a little under his livery, his hands knotted in front of him, a fine beading of sweat on his brow and lip. He stared at Monk with fixed eyes, waiting for the attack so he could parry it.

The moment Monk spoke, he knew he would find no way to frame a question that would be subtle. Percival had already guessed the line of his thought and leaped ahead.

"There's a great deal you don't know about this house," he said with a harsh, jittery voice. "Ask Mr. Kellard about his relationship with Mrs. Haslett."

"What was it, Percival?" Monk asked quietly. "All I have heard suggests they were not particularly agreeable."

"Not openly, no." There was a slight sneer in Percival's thin mouth. "She never did like him much, but he lusted after her-"

"Indeed?" Monk said with raised brows. "They seem to have hidden it remarkably well. Do you think Mr. Kellard tried to force his attentions on her, and when she refused, he became violent and killed her? There was no struggle."

Percival looked at him with withering disgust.

"No I don't. I think he lusted after her, and even if he never did anything about it at all, Mrs. Kellard still discovered it— and boiled with the kind of jealousy that only a spurned woman can. She hated her sister enough to kill her." He saw the widening of Monk's eyes and the tightening of his hands. He knew he had startled the policeman and at least for a time confused him.

A tiny smile touched the corner of Percival’s mouth.

"Will that be all, sir?"

"Yes—yes it will," Monk said after a hesitation. "For the moment."

"Thank you, sir." And Percival turned and walked out, a lift in his step now and a slight swing in his shoulders.

Chapter 5

Hester did not find the infirmary any easier to bear as days went by. The outcome of the trial had given her a sense of bitter struggle and achievement. She had been brought face-to-face again with a dramatic adversarial conflict, and for all its darkness and the pain she knew accompanied it, she had been on the side which had won. She had seen Fabia Grey's terrible face as she left the courtroom, and she knew the hate that now shriveled her life. But she also had seen the new freedom in Lovel Grey, as if ghosts had faded forever, leaving a beginning of light. And she chose to believe that Menard would make a life for himself in Australia, a land about which she knew almost nothing, but insofar as it was not England, there would be hope for him; and it was the best for which they could have striven.

She was not sure whether she liked Oliver Rathbone or not, but he was unquestionably exhilarating. She had tasted battle again, and it had whetted her appetite for more. She found Pomeroy even harder to endure than previously, his insufferable complacency, the smug excuses with which he accepted losses as inevitable, when she was convinced that with greater effort and attention and more courage, better nurses, more initiative by juniors, they need not have been lost at all. But whether that was true or not—he should fight. To be beaten was one thing, to surrender was another—and intolerable.

At least John Airdrie had been operated on, and now as she stood in the ward on a dark, wet November morning she could

see him asleep in his cot at the far end, breathing fitfully. She walked down closer to him to find if he was feverish. She straightened his blankets and moved her lamp to look at his face. It was flushed and, when she touched it, it was hot. This was to be expected after an operation, and yet it was what she dreaded. It might be just the normal reaction, or it might be the first stage of infection, for which they knew no cure. They could only hope the body's own strength would outlast the disease.

Hester had met French surgeons in the Crimea and learned of treatments practiced in the Napoleonic Wars a generation earlier. In 1640 the wife of the governor of Peru had been cured of fever by the administration of a distillation from tree bark, first known as Poudre de la Comtesse, then Poudre de Jesuites. Now it was known as loxa quinine. It was possible Pomeroy might prescribe such a thing for the child, but he might not; he was extremely conservative—and he was also not due to make his rounds for another five hours.

The child stirred again. She leaned over and touched him gently, to soothe as much as anything. But he did not regain his senses, rather he seemed on the border of falling into delirium.

She made up her mind without hesitation. This was a battle she would not surrender. Since the Crimea she had carried a few basic medicines herself, things she thought she would be unable to obtain readily in England. A mixture of theriac, loxa quinine and Hoffman's liquor was among them. She kept them in a small leather case with an excellent lock which she left with her cloak and bonnet in a small outer room provided for such a purpose.

Now, the decision made, she glanced around the ward one more time to make sure no one was in distress, and when all seemed well, she hurried out and along the passage to the outer room, and pulled her case from where it was half hidden under the folds of her cloak. She fished for the key on its chain from her pocket and put it in the lock. It turned easily and she opened the lid. Under the clean apron and two freshly laundered linen caps were the medicines. The theriac and quinine mixture was easy to see. She took it out and slipped it into her pocket, then closed and locked the case again, sliding it back under her cloak.

Back in the ward she found a bottle of the ale the nurses frequently drank. The mixer was supposed to be Bordeaux wine, but since she had none, this would have to serve. She poured a little into a cup and added a very small dose of the quinine, stirring it thoroughly. She knew the taste was extremely bitter.

She went over to the bed and lifted the child gently, resting his head against her. She gave him two teaspoonfuls, putting them gently between his lips. He seemed unaware of what was happening, and swallowed only in reaction. She wiped his mouth with a napkin and laid him back again, smoothing the hair off his brow and covering him with the sheet.

Two hours later she gave him two more teaspoonfiils, and then a third time just before Pomeroy came.

"Very pleasing," he said, looking closely at the boy, his freckled face full of satisfaction. "He seems to be doing remarkably well, Miss Latterly. You see I was quite right to leave the operation till I did. There was no such urgency as you supposed." He looked at her with a tight smile. "You panic too easily." And he straightened up and went to the next bed.

Hester refrained from comment with difficulty. But if she told him of the fever the boy had been sinking into only five hours ago, she would also have to tell him of the medication she had given. His reaction to that she could only guess at, but it would not be agreeable. She would tell him, if she had to, when the child was recovered. Perhaps discretion would be best.

However circumstances did not permit her such latitude. By the middle of the week John Aiidrie was sitting up with no hectic color in his cheeks and taking with pleasure a little light food. But the woman three beds along who had had an operation on her abdomen was sinking rapidly, and Pomeroy was looking at her with grave anxiety and recommending ice and frequent cool baths. There was no hope in his voice, only resignation and pity.

Hester could not keep silent. She looked at the woman's pain-suffused face, and spoke.

"Dr. Pomeroy, have you considered the possibility of giving her loxa quinine in a mixture of wine, theriac and Hoffman's mineral liquor? It might ease her fever."

He looked at her with incredulity turning slowly into anger

as he realized exactly what she had said, his face pink, his beard bristling.

"Miss Latterly, I have had occasion to speak to you before about your attempts to practice an art for which you have no training and no mandate. I will give Mrs. Begley what is best for her, and you will obey my instructions. Is that understood?"

Hester swallowed hard. “Is that your instruction, Dr. Pom-eroy, that I give Mrs. Begley some loxa quinine to ease her fever?"

"No it is not!" he snapped. "That is for tropical fevers, not for the normal recovery from an operation. It would do no good. We will have none of that foreign rubbish here!"

Part of Hester's mind still struggled with the decision, but her tongue was already embarked on the course her conscience would inevitably choose.

“I have seen it given with success by a French surgeon, sir, for fever following amputation, and it is recorded as far back as the Napoleonic campaigns before Waterloo."

His face darkened with angry color. "I do not take my instructions from the French, Miss Latterly! They are a dirty and ignorant race who only a short time ago were bent on conquering these islands and subjecting them, along with the rest of Europe! And I would remind you, since you seem apt to forget it, that you take your instructions from me—and from me alone!" He turned to leave the unfortunate woman, and Hester stepped almost in front of him.

"She is delirious, Doctor! We cannot leave her! Please permit me to try a little quinine; it cannot harm and it may help. I will give only a teaspoonful at a time, every two or three hours, and if it does not ease her I will desist.''

"And where do you propose I obtain such a medication, were I disposed to do as you say ? "

She took a deep breath and only just avoided betraying herself.

“From the fever hospital, sir. We could send a hansom over. I will go myself, if you wish.''

His face was bright pink.

"Miss Latterly! I thought I had already made myself clear on the subject—nurses keep patients clean and cool from excessive temperature, they administer ice at the doctor's directions and drinks as have been prescribed.'' His voice was rising and getting louder, and he stood on the balls of his feet, rocking a little. "They fetch and carry and pass bandages and instruments as required. They keep the ward clean and tidy, they stoke fires and serve food. They empty and dispose of waste and attend to the bodily requirements of patients.''

He thrust his hands into his pockets and rocked on his feet a little more rapidly. "They keep order and lift the spirits. That is all! Do you understand me, Miss Latterly? They are unskilled in medicine, except of the most rudimentary sort. They do not in any circumstances whatever exercise their own judgment!"

"But if you are not present!" she protested.

"Then you wait!" His voice was getting increasingly shrill.

She could not swallow her anger. "But patients may die! Or at best become sufficiently worse that they cannot easily be saved!"

"Then you will send forme urgently! But you will do nothing beyond your remit, and when I come I will decide what is best to do. That is all."

“But if I know what to do—''

"You do not know!" His hands flew out of his pockets into the air. "For God's sake, woman, you are not medically trained! You know nothing but bits of gossip and practical experience you have picked up from foreigners in some campaign hospital in the Crimea! You are not a physician and never will be!"

"All medicine is only a matter of learning and observation!" Her voice was rising considerably now, and even the farther patients were beginning to take notice. "There are no rules except that if it works it is good, and if it does not then try something else." She was exasperated almost beyond endurance with his stubborn stupidity. "If we never experiment we will never discover anything better than we have now, and people will go on dying when perhaps we could have cured them!"

"And far more probably killed them with our ignorance!" he retaliated with finality. "You have no right to conduct experiments. You are an unskilled and willful woman, and if there is one more word of insubordination out of you, you will be dismissed. Do you understand me?"

She hesitated a moment, meeting his eyes. There was no uncertainty in them, no slightest flexibility in his determination. If she kept silent now there was just the possibility he might come back later, when she was off duty, and give Mrs. Begley the quinine.

"Yes, I understand." She forced the words out, her hands clenched in the folds of her apron and skirt at her sides.

But once again he could not leave well enough alone even after he had seemingly won.

"Quinine does not work for postoperative fever infections, Miss Latterly," he went on with mounting condescension. "It is for tropical fevers. And even then it is not always successful. You will dose the patient with ice and wash her regularly in cool water."

Hester breathed in and out very slowly. His complacency was insufferable.

"Do you hear me?" he demanded.

Before she could reply this time, one of the patients on the far side of the ward sat up, his face twisted in concentration.

"She gave something to that child at the end when he had a fever after his operation," he said clearly. "He was in a bad way, like to go into delirium. And after she did it four or five times he recovered. He's cool as you like now. She knows what she's doing—she's right."

There was a moment's awful silence. He had no idea what he had done.

Pomeroy was stunned.

"You gave loxa quinine to John Airdrie!" he accused, realization flooding into him.”You did it behind my back!'' His voice rose, shrill with outrage and betrayal, not only by her but, even worse, by the patient.

Then a new thought struck him.

"Where did you get it from? Answer me, Miss Latterly! I demand you tell me where you obtained it! Did you have the audacity to send to the fever hospital in my name?"

"No, Dr. Pomeroy. I have some quinine of my own—a very small amount," she added hastily, "against fever. I gave him some of that."

He was trembling with rage. "You are dismissed, Miss Latterly. You have been a troublemaker since you arrived. You were employed on the recommendation of a lady who no doubt owed some favor to your family and had little knowledge of your irresponsible and willful nature. You will leave this establishment today! Whatever possessions you have here, take them with you. And there is no purpose in your asking for a recommendation. I can give you none!"

There was silence in the ward. Someone rustled bedclothes.

"But she cured the boy!" the patient protested. "She was right! 'E's alive because of 'er!'' The man's voice was thick with distress, at last understanding what he had done. He looked at Pomeroy, then at Hester. "She was right!" he said again.

Hester could at last afford the luxury of ceasing to care in the slightest what Pomeroy thought of her. She had nothing to lose now.

"Of course I shall go," she acknowledged. "But don't let your pride prevent you from helping Mrs. Begley. She doesn't deserve to die to save your face because a nurse told you what to do." She took a deep breath. "And since everyone in this room is aware of it, you will find it difficult to excuse."

"Why you—you—!" Pomeroy spluttered, scarlet in the fece but lost for words violent enough to satisfy his outrage and at the same time not expose his weakness. "You—"

Hester gave him one withering look, then turned away and went over to the patient who had defended her, now sitting with the bedclothes in a heap around him and a pale face full of shame.

“There is no need to blame yourself,'' she said to him very gently, but clearly enough for everyone else in the ward to hear her. He needed his excusing to be known. "It was bound to happen that one day I should fall out with Dr. Pomeroy sufficiently for this to happen. At least you have spoken up for what you know, and perhaps you will have saved Mrs. Begley a great deal of pain, maybe even her life. Please do not criticize yourself for it or feel you have done me a disfavor. You have done no more than choose the time for what was inevitable."