He was breathing well. The little abdomen rose and fell slightly under my hand, and I could feel the muscles relaxing by the moment, everything except the tense, distended belly, the visible ribs arching high above it as he breathed. I had the sudden illusion that I could push my hand straight through the wall of his abdomen and touch the swollen appendix, could see it in my mind, throbbing malignantly in the dark security of its sealed world. Time, then.

Mrs. McCallum made a small sound when I took up the scalpel, a louder one when I pressed it down into the pale flesh, still gleaming wet with the alcohol I’d swabbed it with, like a fish’s belly yielding to the gutting knife.

The skin parted easily, blood welling in that odd, magical way, seeming to appear from nowhere. He had almost no fat beneath it; the muscles were right there, dark red, resilient to the touch. There were other people in the room; I felt them vaguely. I had no attention to spare, though. Every sense I had was focused on the small body under my hands. Someone stood at my shoulder, though—Bree?

“Give me a retractor—yes, that thing.” Yes, it was Bree; a long-fingered hand, wet with disinfectant, picked up the claw-shaped thing and put it in my waiting left hand. I missed the services of a good surgical nurse, but we’d manage.

“Hold that, just there.” I nosed the blade between the muscle fibers, splitting them easily, and then pinched up the thick soft gleam of the peritoneum, lifted it and sliced it.

His innards were very warm, sucking wet around two probing fingers. Soft squish of intestine, small half-firm lumps of matter felt through their walls, the brush of bone against my knuckle—he was so small, there wasn’t much room to feel around. I had my eyes closed, concentrating on touch alone. The cecum had to be right under my fingers, that was the curve of the large intestine I could feel, inert but live, like a sleeping snake. Behind? Below? I probed carefully, opened my eyes, and peered closely into the wound. He wasn’t bleeding badly, but the wound was still awash. Ought I take the time to cauterize the small bleeders? I glanced at Malva; she was frowning in concentration, her lips moving silently, counting—and she had one hand on the pulse in his neck, keeping track.

“Cautery iron—a small one.” A moment’s pause; with the flammability of ether in mind, I had doused the hearth and put the brazier across the hall, in Jamie’s study. Bree was quick, though; I had it in my hand in seconds. A wisp of smoke rose from his belly and the sizzle of seared flesh struck into the thick warm smell of blood. I glanced up to hand the iron back to Bree, and saw Mrs. McCallum’s face, all eyes, staring.

I blotted away the blood with a handful of lint, looked again—my fingers were still holding what I thought … all right.

“All right,” I said out loud, triumphant. “Got you!” Very carefully, I hooked a finger under the curve of the cecum and pulled a section of it up through the wound, the inflamed appendix sticking out from it like an angry fat worm, purple with inflammation.

“Ligature.”

I had it now. I could see the membrane down the side of the appendix and the blood vessels feeding it. Those had to be tied off first; then I could tie off the appendix itself and cut it away. Difficult only because of the small size, but no real problem …

The room was so still, I could hear the tiny hisses and pops from the charcoal in the brazier across the hall. Sweat was running down behind my ears, between my breasts, and I became dimly aware that my teeth were sunk in my lower lip.

“Forceps.” I pulled the purse-string stitch tight, and taking the forceps, poked the tied-off stump of the appendix neatly up into the cecum. I pressed this firmly back into his belly and took a breath.

“How long, Malva?”

“A bit more than ten minutes, ma’am. He’s all right.” She took her eyes off the ether mask long enough to dart a quick smile at me, then took up the dropping bottle, lips resuming her silent count.

Closing up was quick. I painted the sutured wound with a thick layer of honey, wrapped a bandage tightly round his body, tucked warm blankets over him and breathed.

“Take off the mask,” I said to Malva, straightening up. She made no reply, and I looked at her. She had raised the mask, was holding it in both hands before her, like a shield. But she wasn’t watching Aidan anymore; her eyes were fixed on her father, standing rigid in the doorway.



TOM CHRISTIE looked back and forth from the small naked body on the table to his daughter. She took an uncertain step back, still clutching the ether mask. His head twisted, piercing me with a fierce gray look.

“What’s to do here?” he demanded. “What are ye doing to that child?”

“Saving his life,” I replied tartly. I was still vibrating from the intensity of the surgery, and in no mood for rannygazoo. “Did you want something?”

Christie’s thin lips pressed tight, but before he could reply, his son, Allan, pushed his way past into the room, and reaching his sister in a couple of strides, grabbed her by the wrist.

“Come away, ye wee gomerel,” he said roughly, jerking at her. “Ye’ve no business here.”

“Let go of her.” Roger spoke sharply, and took hold of Allan’s shoulder, to pull him away. Allan whirled on his heel and punched Roger in the stomach, short and sharp. Roger made a hollow crowing noise, but didn’t crumple. Instead, he slugged Allan Christie in the jaw. Allan reeled backward, knocking over the little table of instruments—blades and retractors clattered over the floor in a swash of falling metal, and the jar of catgut ligatures in alcohol smashed on the boards, spraying glass and liquid everywhere.

A soft thump from the floor made me look down. Amy McCallum, overcome by ether fumes and emotion, had passed out.

I hadn’t time to do anything about that; Allan bounced back with a wild swing, Roger ducked, caught the rush of the younger Christie’s body, and the two of them staggered backward, hit the sill, and fell out of the open window, entangled.

Tom Christie made a low growling noise and hurried toward the window. Malva, seizing her chance, ran out the door; I heard her footsteps pattering hastily down the hall toward the kitchen—and, presumably, the back door.

“What on earth … ?” Bree said, looking at me.

“Don’t look at me,” I said, shaking my head. “I have no idea.” Which was true; I did, however, have a sinking feeling that my involving Malva in the operation had a lot to do with it. Tom Christie and I had reached something like rapprochement, following my operation on his hand—but that didn’t mean he had altered his views on the ungodliness of ether.

Bree drew herself abruptly upright, stiffening. A certain amount of grunting, gasping, and incoherent half-insults outside indicated that the fight was continuing—but Allan Christie’s raised voice had just called Roger an adulterer.

Brianna glanced sharply at the huddled form of Amy McCallum, and I said a very bad word to myself. I’d heard a few sidelong remarks about Roger’s visits to the McCallums—and Jamie had come close to saying something to Roger about it, but I had dissuaded him from interfering, telling him that I’d take up the matter tactfully with Bree. I hadn’t had the chance, though, and now—

With a last unfriendly look at Amy McCallum, Bree strode out the door, plainly intending to take a hand in the fight. I clutched my brow and must have moaned, for Tom Christie turned sharply from the window.

“Are ye ill, mistress?”

“No,” I said, a little wanly. “Just … look, Tom. I’m sorry if I’ve caused trouble, asking Malva to help me. She has a real gift for healing, I think—but I didn’t mean to persuade her into doing something you didn’t approve of.”

He gave me a bleak look, which he then transferred to Aidan’s slack body. The look sharpened suddenly.