Go Tell the Bees That I Am Gone
- Автор: Гэблдон Диана
- Серия: Outlander #9
- Год: 2021
- Язык: английский
- Год: Delacorte Press
- ISBN: 978-1-473-51900-8
- Жанр: Исторические приключения
Электронная книга - «Go Tell the Bees That I Am Gone». Краткое содержание книги:
The past may seem the safest place to be . . . but it is the most dangerous time to be alive. . . .
Jamie Fraser and Claire Randall were torn apart by the Jacobite Rising in 1746, and it took them twenty years to find each other again. Now the American Revolution threatens to do the same. It is 1779 and Claire and Jamie are at last reunited with their daughter, Brianna, her husband, Roger, and their children on Fraser’s Ridge. Having the family together is a dream the Frasers had thought impossible. Yet even in the North Carolina backcountry, the effects of war are being felt. Tensions in the Colonies are great and local feelings run hot enough to boil Hell’s teakettle. Jamie knows loyalties among his tenants are split and it won’t be long until the war is on his doorstep. Brianna and Roger have their own worry: that the dangers that provoked their escape from the twentieth century might catch up to them. Sometimes they question whether risking the perils of the 1700s—among them disease, starvation, and an impending war—was indeed the safer choice for their family. Not so far away, young William Ransom is still coming to terms with the discovery of his true father’s identity—and thus his own—and Lord John Grey has reconciliations to make, and dangers to meet . . . on his son’s behalf, and his own. Meanwhile, the Revolutionary War creeps ever closer to Fraser’s Ridge. And with the family finally together, Jamie and Claire have more at stake than ever before.
Brianna swallowed another sip, nodding.
“That’s pretty much what it feels like, all right. But you said it’s not dangerous? It’s freaking scary.”
I hesitated, a fraction of a second too long. No one but Jamie was more sensitive to the transparency of my face, and I saw the alarm rise again at the back of her eyes.
“It’s not very dangerous,” I said hastily. “And you’re young and very fit; it’s much less likely.”
“What’s less likely?” She put down the cup, agitated, and glanced involuntarily up at the ceiling; Mandy was back in the children’s room just overhead, loudly singing “Frère Jacques” to her doll Esmeralda.
“Well … stroke. If the atria don’t contract properly for too long—they’re meant to squeeze blood down into the ventricles; the right ventricle pumps blood to the lungs, the left to the rest of the body—” Seeing her ruddy brows draw together, I cut to the chase. “Blood can pool in the atria long enough that it forms a clot. And if so, it might dissolve before it gets out into the body, but if not …”
“Curtains?” She took a much bigger gulp of her drink. She’d been pale as a fish belly after the attack, and looked much the same way now. “Or just being disabled, so I drool and can’t talk and people have to feed me and drag me around and wipe my butt?”
“It’s not likely to happen,” I said, as reassuringly as possible, which under the circumstances was not all that reassuring. I could visualize the hideous possible outcomes as well as she was obviously doing. Somewhat better, in fact, as I’d actually seen a good many people suffering the aftereffects of stroke, including death. I had a momentary absurd impulse to tell her a fascinating fact about men who die of stroke, but this wasn’t the time.
“So what can you do about it?” she asked, straightening up and firming her lips. I saw her eyes turn toward the bulk of the new Merck Manual, and I handed it to her.
“I’m not sure,” I said. “Have a look.” I wasn’t hopeful, given what atrial fibrillation actually was—an intermittent derangement of the heart’s electrical system.
“I mean,” I said, watching her thumb through the book, brows furrowed, “you can stop a severe attack—one that goes on for days—”
“For days?” she blurted, looking up wide-eyed. I patted the air.
“You don’t have that sort of fibrillation,” I assured her. Mind, you can always develop it … “You just have the minor, paroxysmal kind that comes and goes and may just disappear altogether one day.” And God, please, please let it do just that …
“But for a severe attack, the normal treatment in the 1960s was to administer an electric shock to the heart with paddles applied to the chest. That makes the fibrillating stop and the heart start working normally again.” Most of the time …
“Which we plainly can’t do here,” Bree said, looking round the surgery as though estimating its resources.
“No. But I repeat—you don’t have anything as severe as that. You won’t need it.” My mouth had dried at the remembered visions of cardioversion. Even when it worked, I’d seen a patient shocked repeatedly, the poor body seized by electricity and jerked high into the air, to fall back limp and tortured onto the table, only to face another round when the EKG pen fluttered like a seismograph. I gulped the rest of my whisky, coughed, and set down the cup.
“Does it say anything helpful?”
“No,” she said, closing the book. Her tone was deliberately casual, but I could see clearly how shaken she was. “It’s just the same as you said—administration of electric shock. I mean—they do have a medicine that they say works sometimes on some patients, but I’m sure that isn’t anything we can manage here, either. Digitalis?”
I shook my head. Penicillin was one thing—and even that was by no means dependable; I still had no way of producing a standard dosage, or of telling whether a given batch of the stuff was even potent.
“No,” I said regretfully. “I mean—you can extract digitalin from foxglove leaves, and people do. But it’s dreadfully dangerous, because you can’t predict the dosage, and even a bit too much will kill you. And we do have a few things to hand.” I tried to sound brightly helpful. “We’ll make sure to keep a good stock of the white willow tea on hand—it’s the most powerful.” White willow didn’t grow in North Carolina but was reasonably available from city apothecaries, and I had a good stock that Jamie had brought me from Salisbury.
“Tea?” she asked skeptically.
“As a matter of fact, the active principle in willow-bark tea is exactly the same chemical that you find in aspirin. And while people mostly use it for pain relief, it has the interesting side effect of thinning the blood.”
“Oh. So … if my heart starts twitching, I should brew up a cup of willow-bark tea and it will at least keep my blood from clotting?” She was trying to keep her dubious tone, but I could see that a tiny ray of hope had been kindled. Now it was my job to blow on it and try to encourage it to take hold and burn.
“Yes, exactly. Now, the tea won’t do away with the disturbing symptoms, but there are a few sorts of ad hoc things you can try for those.”
“Such as?”
“Well, plunging the face into cold water sometimes works—”
“Or so you’re told? I bet you’ve never seen anybody do that, have you?” She was definitely interested, though.
“In fact, I have. At L’Hôpital des Anges, in Paris.” Plunging various body parts in cold—or sometimes hot—water was a widely prescribed treatment for a lot of different maladies at the hôpital, water being both widely available and cheap. And surprisingly, it often worked, at least in the short term.
“Or—if you happen not to be near any cold water—you can try one of the vagal maneuvers.”
That caught her unaware, and she gave me a cat-eyed look.
“If you mean having sex—”
“Not vaginal maneuvers,” I said, “though I’d think the fibrillating might be too distracting to want to do that, in any case. I said vagal maneuvers—as in, stimulating the vagus nerve. There are a few different ways of doing that, but the simplest—and probably the best—is something called the Valsalva maneuver. That sounds rather grand, but it’s basically just taking a deep breath and holding it, as though you were trying to cure hiccups, then pressing your abdominal muscles down as hard as you can—like trying to force out an uncooperative bowel movement while holding your breath.”
She gave me a long, considering stare, exactly the sort of look Jamie would have given me in receipt of this sort of advice. Deeply suspicious that I was practicing upon him, but inwardly fearful that I wasn’t.
“Well, that should make me very popular at parties,” she said.
37
Maneuvers Beginning with the Letter “v”
NEITHER JAMIE NOR I had said anything to each other regarding Lord John Grey, sexual jealousy, or general pigheadedness since he had stamped off in the midst of our argument—whether to put a stop to the argument or merely in order to muffle the urge to throttle me, I didn’t know.
He’d been perfectly calm and outwardly amiable when he came in for supper, but I bloody knew him. He bloody knew me, too, and we lay down to sleep side by side, wished each other good night and oidhche mhath, respectively, turned our backs on each other, and took turns breathing heavily until we fell asleep, me thinking that whichever sage had urged not letting the sun go down on your wrath obviously didn’t know any Scots.