The Healing Season

But unto you that fear my name shall the sun of righteousness arise with healing in his wings.

—
Malachi
4:2

Chapter One

Chapter Two

Chapter Three

Chapter Four

Chapter Five

Chapter Six

Chapter Seven

Chapter Eight

Chapter Nine

Chapter Ten

Chapter Eleven

Chapter Twelve

Chapter Thirteen

Chapter Fourteen

Chapter Fifteen

Chapter Sixteen

Chapter Seventeen

Chapter Eighteen

Chapter Nineteen

Chapter Twenty

Chapter Twenty-One

Epilogue

Questions for Discussion

Author’s Note

London, 1817

T
he sight that greeted Ian Russell as he stood in the doorway of the dark, malodorous room gave him that sense of helplessness he hated. It was in stark contrast to those times when he was setting a bone or stitching up a wound, knowing he was actively assisting a person in his recovery.

This situation was the kind where he knew his pitifully small store of skills would be of little use.

Here, only God’s grace could save the pathetically young woman lying on the iron bed in front of him, her life ebbing from her like the tide in the Thames, leaving exposed the muddy rocks and embankments on each side.

Blood soaked the covers all around the lower half of
the bed. Ian crossed the small room in a few strides and set down his square, black case at the foot of the bed.

The women were always young: fourteen, fifteen, twenty, sometimes even thirty—if they lived that long. Women in their prime, their lives snuffed out by the life growing within them. This one didn’t appear to be more than seventeen or eighteen.

As he began drawing back the bedclothes, he looked at the only other occupant of the dim room—a young woman sitting beside the bed.

“Will…will she be all right?” she asked fearfully. He spared her another glance and found himself caught by her breathtaking loveliness. Large, long-lashed eyes appealed to him for reassurance. Strands of light-colored hair framed delicately etched features as if an artist’s finest brush had been used to trace the slim nose, the fragile curve of her cheek, the pert bow of her lips.

He blinked, realizing he’d been staring. “I don’t know,” he answered honestly before clearing his mind of everything but saving the life of the pale girl lying on the sodden bed.

“Can you tell me what happened?” he asked, attempting to determine whether it was a miscarriage by nature, or a young woman’s attempt to abort an unwanted life.

As he lifted the girl’s skirts and measured the extent of dilation, he listened to the other woman’s low, hesitant account.

“She had…tried to drink something…several things, I think…but nothing worked. I think she grew desperate and tried to get rid of it herself.” She raised her hand and showed him the knitting needle. “I found this beside her.”

It didn’t bode well. Blood poisoning could already have set in. If the girl contracted a severe case of fever, she’d be dead in a few days. He prayed she hadn’t punctured anything but the membranes.

Sending a plea heavenward, Ian set to work to stop the bleeding.

“Can you remove her stays?” he asked the young woman sitting by the bed. Would she be able to handle what was in store, or was she too squeamish?

The young woman stood and gingerly approached him. As she hesitated, he repressed an impatient sigh. Pretty and useless. Probably a lightskirt, he decided, like the one lying unconscious. His heart raged with the familiar frustration at how easily a young woman’s virtue was lost in this part of London.

But he had no one else to assist him. It was two in the morning, and he’d been summoned from his bed, with no idea what he would find when he arrived at his destination.

The edges of the young woman’s sleeves were stained with blood as if she’d already tried to help her friend. At his bidding now, she leaned over the bed and began to
lift the girl’s dress higher. Her hands were shaking so much they fumbled on the lacings of the corset.

“Here, let me,” he said, barely concealing his annoyance. He took one of the scalpels from his case and slit the corset up its length.

It was a wonder the girl hadn’t already miscarried, the way she was bound so tightly. She was further along than he’d supposed.

He addressed his reluctant assistant. “It’s important that we stop the bleeding. In order to do that, I’m going to have to remove the unborn child. Do you think you’ll be up to this? You’re not going to faint on me?”

The woman stared at him, her pupils wide black pools within silvery irises. She bit her lip. “I’ll…I’ll try not to.”

“You’ve got to do better than that.” He tried for the note of encouragement he used with students around the dissecting table for the first time, but his mind was more concerned with the young girl bleeding to death. They had a long night ahead of them.

Dawn was lighting the interior of the room when Ian straightened to massage the kinks out of his lower back.

He glanced at his young assistant. Her pretty frock was ruined, the front and sleeves spattered with blood.

She hadn’t fainted, he’d give her that, although many times he thought she’d be sick. She’d clasped her hand
over her mouth more than once. Now she wiped the perspiration from her forehead with her sleeve, pushing back the damp golden strands of hair that had fallen from their knot.

“The bleeding has abated and her pulse, though weak, is regular. We’ve done all we can for now.” He turned away from the bed to the basin of water to wash his hands.

After dumping it out the window and pouring some fresh water to wash off his instruments, he asked, “Can you see if there are any fresh linens for the bed?”

She started, then glanced around the dingy surroundings. “I don’t know if she would have anything.”

“Perhaps the woman who let me in earlier. Can you ask her?”

She pressed her lips together. “I doubt she would be so obliging.”

“I suggest you find out. Bribe her if you have to. Your friend can’t lie in that bloody mess.” He nodded curtly toward the soiled linens.

The young woman straightened her back and gave him a look that told him the words had stung. It was the first hint of anything other than fear he’d seen in her all night. He’d rarely had such a jittery nurse. He was surprised a woman her age—at least twenty, he’d judge—hadn’t been around a delivery room before.

She left the room without a word.

Ian forgot her as he dumped cranioclast, regular forceps, crochet and hooks into the basin. The water immediately clouded red.

He had little hope the girl on the bed would survive. If the loss of blood didn’t kill her, childbed fever likely would.

The other woman returned as he was drying the instruments.

“You had some success,” he said, noting the folded linens she carried in her arms.

“Not with the landlady.” She laid the gray sheets down on the vacated chair and eyed the bed. “The neighbor upstairs whose boy went to fetch you last night gave me what little she could spare.”

As she continued standing there, he approached the bed. “Here, I’ll show you how.” He began to strip the soiled sheets from under the patient, again amazed at the woman’s ignorance in changing a bed for an invalid. “If you can procure some fresh ticking for this bed later today, it would help.”

She nodded, taking hold of the sheet on the other side of the bed. After they had done the best they could with the limited supplies available, Ian took up the bucket with the remains of the night’s work.

“I’m going to see about a burial.”

Once again the young woman looked queasy. She averted her eyes from the bucket and nodded.

Ian found the lad who’d brought him the night before and had him fetch a shovel.

Out in the small, refuse-filled yard, he dug a hole deep enough to keep stray animals from uncovering it, dumped the remains into it, and filled it with the dirt.

Dear God,
he began, then stopped, not quite knowing what more to say. A poor half-formed child, destined for a miserable existence if it had come to term. And yet, he felt the familiar sense of defeat over every lost life, life that hadn’t yet had a chance to live.

Thank You for sparing the mother,
he finally continued.
I pray You’ll watch over her in the coming days that she might heal. Bless this infant. Welcome him into Your kingdom.

He gave a final pat with the back of the shovel to the unmarked grave and returned it to the boy. “Thank you.”

“Sorry for getting you up in the middle of the night. Mum and I ’eard the screams. ’Twas awful. Sounded like she was dying.” He sniffed. “Mum’d ’eard as ’ow you don’t charge people wot ’aven’t got ’ny blunt.”

He nodded. “You did the right thing.”

Ian trudged back upstairs. He reentered the room and gathered his things to depart. Ignoring the other woman, he bent over his patient and felt her forehead. If fever didn’t develop over the next twenty-four hours, she had a fighting chance.

Lord, grant her Thy healing, if it be Thy will. Show her Thy mercy and grace.

He straightened and turned to the young woman who had been sitting by the bedside. Once again he was struck with her beauty. Ethereal and fragile…how deceiving looks could be.

In another few years she’d probably be poxed and coming around to St. Thomas’s to be treated, like so many of the women he saw.

“I’ll be by later in the morning to check on her,” he told the young woman. “There isn’t much you can do for her now, except keep her warm and give her some water to sip if she wakes.” He handed her a small parcel from his satchel. “This is ergot. If you stir a little in water, it will help stop the bleeding.”

She took it gingerly. He tried to give some words of encouragement, but didn’t want to get her hopes too high. “Try to get some rest yourself,” he said simply.

She made no reply, so he gave a last look toward the girl on the bed. What she needed was divine intervention, and he was too exhausted to pray.

Ian departed the room as silently as he’d come.

Eleanor woke to the sound of low voices. Her maid knew better than to disturb her before noon.

Her eyelids protested as she forced them open. Two men stood by the bed. Frightened, she sat up, finding
herself in a chair. She didn’t remember falling asleep here. Why wasn’t she in her bed?

Betsy! Recollection came back in a heap of nightmarish images. Her friend had been bleeding to death when Eleanor had found her.

Aching muscles in her neck and back shrieked in outrage as she looked toward the bed. The tall, young doctor who’d arrived in the wee hours of the night was standing at Betsy’s bedside now, another man beside him.

He’d come back as he’d promised.

Had Betsy made it? Eleanor couldn’t see past the two men.

Standing, she winced at the pins and needles shooting through her feet. What time could it be? It was difficult to judge from the overcast day visible through the small, dirty window. Had she really been able to fall asleep after all she’d seen last night? Eleanor shook her head as she walked softly toward the bed.

Hearing her approach, the doctor turned. “I’m sorry to disturb your slumber.”

She passed both her hands down the sides of her head, trying to smooth her hair. She must look a fright.

“How is she?” she asked, made even more self-conscious under the doctor’s steady gaze, which seemed to miss nothing from her tangled locks to her rumpled, bloodstained dress.

“About the same,” he answered, turning his attention back to Betsy. “That’s good news, actually,” he added, his tone gentler than it had been the previous evening when he’d barked orders like a ship’s commander. Last night she’d put up with it only because she was so desperately frightened for Betsy’s life. The doctor had seemed so competent, never hesitating in his rapid actions, his hands skillful and steady.

But this morning was a different story. Betsy was out of the woods, it appeared, and the doctor didn’t look quite so fierce.

Eleanor wet her lips, considering how to play this scene. The grateful friend…the composed nurse…the weary toiler…

She studied the doctor a few seconds before turning a questioning glance in the other man’s direction.

The doctor answered the unspoken question in her eyes. “This is my apprentice, Mr. Beverly.” The man was only a youth from what she could see.

“Pleased to meet you, Mr. Beverly,” she said graciously, extending her hand. “Excuse my appearance. Dr.…?” She raised an eyebrow to the dark-haired doctor.

“
Mr.
Russell,” he supplied for her. “I’m a surgeon,” he added, explaining the lack of title.

She nodded and addressed herself to the youth. “Mr. Russell can tell you how we spent our evening. I haven’t had a chance to go home and change my garments.”

The boy was blushing furiously and stammering protestations.

“I would introduce you,” the surgeon said, “but as we didn’t have time for the niceties last night, I am afraid I am still ignorant of your identity.”

“Eleanor Neville.” She never tired of the sound of the stage name she’d given herself. It had the ring of quality. The syllables rolled off her tongue with self-assurance.

“Mrs. Neville,” the youth stammered. “It’s an honor to meet you.”

“Thank you.” She gave a demure smile. It was obvious he recognized the name.

The surgeon made no sign that her name meant anything to him. “Has she awakened at all?” he asked her.

“Once,” she replied. “She was thirsty and I gave her a few sips of water as you suggested with the powder. That was all she could manage.”

He nodded. “Yes, it’s to be expected.”

“I haven’t had time to go home yet. I wanted to ask you—can she be moved? It would be much easier to take care of her in my own house.”

“I’m afraid she has lost too much blood to be moved this soon.”

Eleanor frowned. “I don’t know how often I will be able to stop in to see her. Perhaps you could recommend a nurse. I could pay her.” She turned an apologetic smile toward the younger man. “I must be at work most afternoons and evenings.”

As he nodded in understanding, she turned to find the surgeon’s eyes on her. They held a censure that made her wonder what she had said that was so wrong.

In the light of day she saw that his dark hair was actually auburn, its coppery shade deepened to chocolate-brown in the eyes focused on her. Before she could speak, his attention shifted to his apprentice.

The two men spent the next couple of minutes discussing Betsy’s case. Eleanor heard words like
erysipelas, necrosis,
and
blood poisoning.
Mr. Russell took the woman’s temperature, felt her pulse and finally said to Eleanor, “Continue giving her the ergot. Also, comfrey tea. It will help bring down any inflammation and stanch the bleeding. I’ll be by tomorrow, but if she takes a turn for the worse, send the boy around again.”