Authors: Patrick O'Brian
'Parted company so soon?' cried Grainger. 'I never knew; nor did Vidal when he spoke to me this morning.' Then recovering himself, 'Mr Martin, of course. Pray give the poor gentleman my kind good-day. We were right moved to hear he had tried to creep on deck to bury our shipmates.'
'Nathaniel Martin,' said Stephen, 'I am sorry to have left you so long untended.'
'Not at all, not at all,' cried Martin. 'That good Padeen has been by, Emily brought me a cup of tea, and I have slept much of the time: I am indeed very much better.'
'So I see,' said Stephen, bringing his lantern down to look into Martin's face. He then turned back the sheet. 'The disorders of the skin,' he observed, gently feeling the ugliest lesion, 'are perhaps the most puzzling in all medicine. Here is a sensible diminution within hours.'
'I slept as I have not slept for - for Heaven knows how long, my body lying peacefully at last: no incessant irritation, no pain from the slightest pressure, no perpetual turning in vain for ease.'
'There is nothing to be done without sleep,' said Stephen, and he continued with his examination. 'Yet,' said he, replacing the sheet, 'I shall be glad to set you on shore. Your skin may well be on the mend, but I am not at all satisfied with your heart or your lungs or your elimination; and from what you tell me the vertigo is as bad as ever, even worse. Firm land under foot may do wonders; and a vegetable diet. The same is to be said for several of our patients.'
'We have so often known it to be the case,' said Martin. 'In parenthesis, may I tell you a strange thing? Some hours ago, as I was coming out of a blessed doze, I thought I heard a sea-lion bark, and my heart lifted with happiness, as it did when I was a boy, or even in New South Wales. How close are we to the shore?'
'I cannot tell, but they said before we parted company - for the Captain is standing to the westward: he leaves you his particular compliments - that the Cordillera was distinctly to be seen from the masthead; and there may well be some rocky islands close at hand where sea-lions live. For my own part I have seen a file of pelicans, and they are not birds to go far from land.'
'Very true. But pray tell me about the present state of the sick-berth. I am afraid you have been cruelly overworked.'
They talked for a while about the recent incised, lacerated, punctured and gun-shot wounds, the fractures simple, compound or comminuted that had come below, and Stephen's success or failure in dealing with them, speaking in an objective, professional manner. In a less detached tone Martin asked after the Captain. 'It is the eye that troubles me,' said Stephen. 'The pike-thrust is healing by first intention; the head-wound, though its stunning effect is still evident to a slight degree, is of no consequence; nor is the loss of blood. But the eye received the wad of the pistol-bullet that tore his scalp, a thick, gritty, partially disintegrated wad. I extracted many fragments and I believe there was no grave scoring of the cornea nor of course any penetration. But there is great and persistent hyperaemia and lachrymation..." He was about to say that 'such a patient was not to be relied upon - would double doses - would swallow them together with any quack panacea - would listen to the first cow-leech he might encounter', but he restrained himself and their conversation returned to the sick-berth as Martin had left it, to their old patients.
'And how are Grant and MacDuff?' asked Martin.
'Those who had the Vienna treatment? Grant died just before the action, and clearly I did not have time to open him: but I strongly suspect the corrosive sublimate. MacDuff is well enough for light duties, though his constitution is much shattered; I doubt his full recovery.'
After a pause, and in an altered voice, Martin said, 'I must tell you that I too took the Vienna treatment.'
'In what dose?"
'I could find nothing in our authorities, so I based myself on the amount we used for our calomel draughts.'
Stephen said nothing. The bolder Austrian physicians might administer a quarter of a grain of the sublimate: the usual dose of calomel was four.
'Perhaps I was rash," said Martin. 'But I was desperate; and the calomel and guaiacum seemed to do no good.'
'They could not cure a disease you did not have,' said Stephen. 'But in any event I shall be glad to have you in hospital, where you can with something like decency and comfort be purged and purged again. We must do everything possible to rid your system of this noxious substance."
'I was desperate,' said Martin, his mind fixed on that dreadful past. 'I was unclean, unclean: rotting alive, as the seamen say. A shameful death. And I think my mind was disturbed. Until you absolutely asserted that these were salt-sores I was wholly convinced that they were of sinful origin: you will admit they were very like. They were very like, were they not?'
'When they had been exacerbated by an immoderate use of mercury, perhaps they were; though I doubt an impartial observer would have been deceived.'
'The wicked fleeth where no man pursueth,' said Martin. 'Dear Marturin, I have been a very wicked fellow. In intention I have been a very wicked fellow.'
'You must spend the night in drinking fresh rainwater,' said Stephen. 'Every time you wake, you must swallow down a glass at least, to get rid of all you can. Padeen will bring you a rack of necessary-bottles and I trust I shall see them filled by morning: but I cannot wait to get you ashore and to start more radical measures; for indeed, colleague, there is not a moment to lose.'
There was not a moment to be lost, and happily the harbour formalities in Callao bay did not take long, the Surprise and her valuable train being so welcome to the agent, who had dealt with her prizes on the outward voyage, and to his brother, the captain of the port: as soon as they were over Stephen went ashore pulled by Jemmy Ducks in his little skiff. Well over on the left hand they passed a remarkable amount of shipping for so small a town: vessels from Chile, Mexico and farther north, and at least two China ships. 'Right on our beam, beyond the yellow schooner, in the dockyard itself, that must be the barque from Liverpool,' said Jemmy. 'They are busy in her tops.'
It was high tide on the dusty strand, and as Stephen walked up it towards an archway in the wall a gritty cloud swept across from the earthquake-shattered ruins of Old Callao. When it had cleared he saw a group of ill-looking men of all colours from black to dirty yellow standing under the shelter. 'Gentlemen,' he said in Spanish, 'pray do me the kindness of pointing out the hospital."
'Your worship will find it next to the Dominican church," said a brown man.
'Sir, sir, it is just before Joselito's warehouse," cried a black.
'Come with me,' said a third. He led Stephen through the tunnel into an immense unpaved square with dust whirling in eddies about it. 'There is the Governor's house,' he said, pointing back to the seaward end of the square. 'It is shut. On the right hand,' he went on, holding out his left, 'your worship has the Viceroy's palace: it too is closed.'
They turned. In the middle of the square three black and white vulturine scavengers with a wingspan of about six feet were disputing the dried remains of a cat. 'What do you call those?' asked Stephen.
'Those?' replied his guide, looking at them with narrowed eyes. 'Those are what we call birds, your worship. And there, before Joselito's warehouse, is the hospital itself.'
Stephen looked at it with some concern, a low building with very small barred windows, the flat mud roof barely a hand's reach from the filthy ground. Prudent, no doubt in a country so subject to earthquakes, but as a hospital it left to be desired.
'The hospital, with a hundred people at the least, lying on beds raised a good span from the ground. And there I see a vile heretic coming out of it, with his countryman.'
'Which? The little small fat yellow-haired gentleman, who staggers so?'
'No, no, no. He is an old and mellow Christian - your honour too is an old and mellow Christian, no doubt?'
'None older; few more mellow.'
'A Christian though English. He is the great lawyer come to lecture the university of Lima on the British constitution. His name is Raleigh, don Curtius Raleigh: you have heard of him. He is drunk. I must run and fetch his coach.'
'He has fallen.'
'Clearly. It is the tall black-haired villain who is picking him up, the surgeon of the Liverpool ship, that is the heretic. I must run.'
'Do not let me detain you, sir. Pray accept this trifle."
'God will repay your worship. Farewell, sir. May no new thing arise.'
'May no new thing arise,' replied Stephen. With his pocket spy-glass he watched the birds for a while, their name hovering on the edge of his mind. Presently, as don Curtius' coach rolled into the square, silent on the dust, they flew off, one carrying the desiccated cat, and the other snatching at it. They flew inland, towards Lima, a splendid-looking white-towered city five or six miles away with an infinitely more splendid series of mountains behind it, rising higher and higher in the distance, their snow at last blending with the white sky and the clouds.
The carriage rolled away, drawn by six mules, don Curtius singing Greensleeves.
Stephen approached the remaining Englishman, took off his hat, and said, 'Francis Geary, a very good day to you, sir.'
'Stephen Maturin! I thought for a moment it looked like you, but my spectacles are covered with dust.' He took them off and peered myopically at his friend. 'What happiness to see you! What joy to find a Christian in this barbarous land!'
'You are just come out of the hospital, I find.'
'Yes, indeed. One of my people - I am surgeon of the Three Graces - has what looks to me very like the marthambles, and I wished to isolate him, under proper care, until it declares itself, rather than infect the whole ship. It is as deadly as measles or the smallpox to islanders, and we have many of them aboard. But no. They would not hear of it. So I went to see Mr Raleigh, who had travelled out with us, and who is a Roman, in case he could persuade them - he lectures on law at the university: an influential man. But no, no and no. They gave him a bottle or two of excellent wine, as I dare say you noticed, but they would not yield. On the way from Lima he told me that he did not expect to succeed, their memory of the buccaneers, the sacking of churches and so on being so very vivid; and he was right, I suppose. At all events they do not choose to have anything to do with me or my patient.'
'Then I am afraid my case is hopeless, for my patient is not only a Protestant but a clergyman too. Come and drink a cup of coffee with me.'
'I should be very happy. But your case would have been hopeless had he been the Pope. The place is so low and airless and fetid, the numbers so great and indiscriminately heaped upon one another, that they would never have left your parson there.'
Geary and Maturin had studied medicine together: they had shared a skeleton and several unclaimed victims of the Liffey or the Seine. Now, as they sat in the shade, drinking coffee, they spoke with the uninhibited directness of medical men. 'My patient,' said Stephen, 'is also my assistant. He was as devoted to natural philosophy as you, particularly to birds, and although he had followed no regular course, attended no lectures, walked no wards, he became a useful surgeon's mate by constant attendance in the sick-berth and frequent dissection; and since he was a well-read, cultivated man, he was also an agreeable companion. Unhappily, he recently came to suspect that he had contracted a venereal disease, and when during an exceptionally long period without fresh water to wash our clothes he developed salt-sores, he thought his suspicions were confirmed: it is true that his mind was very much perturbed at the time for reasons that it would be tedious to relate and almost impossible to convey - the distress of jealousy, imagined ill-usage and homesickness entered into it - and that his lesions were far more important than any I have seen at any time. Yet even so, how a man of his experience could persuade himself that they were syphilitic I cannot tell; but persuaded he was, and he dosed himself privately with calomel and guaiacum. Naturally enough these had no effect; so he took to the corrosive sublimate.'
'Corrosive sublimate?' cried Geary.
'Yes, sir,' said Stephen, 'and in such amounts that I hesitate to name them. He brought himself very low indeed before he told me: our relations were by then far from cordial, though there remained a deep latent affection. Fresh water, the proper lotions and a conviction that he was not diseased have improved the state of his skin remarkably, but the effects of this intolerable deal of sublimate remains. Young gentlewoman," he called towards the dim recesses of the wine-shop, 'be so good as to prepare me a ball of coca-leaves.'
'With lime, sir?'
'By all means; and a trifle of llipta too, if you have it."
'What are the symptoms at this point?' asked Geary.
'Strongly marked vertigo, perhaps aggravated by the loss of an eye some years ago; difficulty in following the sequence of letters; some degree of mental confusion and distress; great physical weakness of course; a most irregular pulse; chaotic defecation. Thank you, my dear' - this to the girl with the coca-leaves.
They carried on with Martin's present state, and when Stephen had said all that occurred to him without reference to his notes Geary asked, 'Is there on the one hand a difficulty in telling right from left, and on the other a certain loss of hair?"
'There is,' said Stephen: he stopped chewing and looked attentively at his friend.
'I have known two similar cases, and in Vienna itself I heard of several more.'
'Did you hear of cures, at all?'
'Certainly. Both my men walked away from the hospital unaided, one quite well, the other with only a slight impediment: though in his case there had been a baldness of the entire person and loss of nails, which Birnbaum cites as the criterion; but the treatment was long and delicate. What do you intend to do with your patient?'
'I am at a loss. My ship is about to be docked, and he cannot remain aboard. I had hoped to find him a room in the hospital until I could arrange for his passage home in a merchantman: we may cruise for a great while, and in any case a privateer is no place for an invalid. Perhaps Lima...' Stephen fell silent.