I ached desperately; my head throbbed, my back was stiff and my feet swollen, but none of these was of any significance, compared to the deeper ache that knotted my heart.

Any doctor hates to lose a patient. Death is the enemy, and to lose someone in your care to the clutch of the dark angel is to be vanquished yourself, to feel the rage of betrayal and impotence, beyond the common, human grief of loss and the horror of death’s finality. I had lost twenty-three men between dawn and sunset of this day. Elias was only the first.

Several had died as I sponged their bodies or held their hands; others, alone in their hammocks, had died uncomforted even by a touch, because I could not reach them in time. I thought I had resigned myself to the realities of this time, but knowing—even as I held the twitching body of an eighteen-year-old seaman as his bowels dissolved in blood and water—that penicillin would have saved most of them, and I had none, was galling as an ulcer, eating at my soul.

The box of syringes and ampules had been left behind on the Artemis, in the pocket of my spare skirt. If I had had it, I could not have used it. If I had used it, I could have saved no more than one or two. But even knowing that, I raged at the futility of it all, clenching my teeth until my jaw ached as I went from man to man, armed with nothing but boiled milk and biscuit, and my two empty hands.

My mind followed the same dizzying lines my feet had traveled earlier, seeing faces—faces contorted in anguish or smoothing slowly in the slackness of death, but all of them looking at me. At me. I lifted my futile hand and slammed it hard against the rail. I did it again, and again, scarcely feeling the sting of the blows, in a frenzy of furious rage and grief.

“Stop that!” a voice spoke behind me, and a hand seized my wrist, preventing me from slapping the rail yet again.

“Let go!” I struggled, but his grip was too strong.

“Stop,” he said again, firmly. His other arm came around my waist, and he pulled me back, away from the rail. “You mustn’t do that,” he said. “You’ll hurt yourself.”

“I don’t bloody care!” I wrenched against his grasp, but then slumped, defeated. What did it matter?

He let go of me then, and I turned to find myself facing a man I had never seen before. He wasn’t a sailor; while his clothes were crumpled and stale with long wear, they had originally been very fine; the dove-gray coat and waistcoat had been tailored to flatter his slender frame, and the wilted lace at his throat had come from Brussels.

“Who the hell are you?” I said in astonishment. I brushed at my wet cheeks, sniffed, and made an instinctive effort to smooth down my hair. I hoped the shadows hid my face.

He smiled slightly, and handed me a handkerchief, crumpled, but clean.

“My name is Grey,” he said, with a small, courtly bow. “I expect that you must be the famous Mrs. Malcolm, whose heroism Captain Leonard has been so strongly praising.” I grimaced at that, and he paused.

“I am sorry,” he said. “Have I said something amiss? My apologies, Madame, I had no notion of offering you offense.” He looked anxious at the thought, and I shook my head.

“It is not heroic to watch men die,” I said. My words were thick, and I stopped to blow my nose. “I’m just here, that’s all. Thank you for the handkerchief.” I hesitated, not wanting to hand the used handkerchief back to him, but not wanting simply to pocket it, either. He solved the dilemma with a dismissive wave of his hand.

“Might I do anything else for you?” He hesitated, irresolute. “A cup of water? Some brandy, perhaps?” He fumbled in his coat, drawing out a small silver pocket flask engraved with a coat of arms, which he offered to me.

I took it, with a nod of thanks, and took a swallow deep enough to make me cough. It burned down the back of my throat, but I sipped again, more cautiously this time, and felt it warm me, easing and strengthening. I breathed deeply and drank again. It helped.

“Thank you,” I said, a little hoarsely, handing back the flask. That seemed somewhat abrupt, and I added, “I’d forgotten that brandy is good to drink; I’ve been using it to wash people in the sickbay.” The statement brought back the events of the day to me with crushing vividness, and I sagged back onto the powder box where I had been sitting.

“I take it the plague continues unabated?” he asked quietly. He stood in front of me, the glow of a nearby lantern shining on his dark blond hair.

“Not unabated, no.” I closed my eyes, feeling unutterably bleak. “There was only one new case today. There were four the day before, and six the day before that.”

“That sounds hopeful,” he observed. “As though you are defeating the disease.”

I shook my head slowly. It felt dense and heavy as one of the cannonballs piled in the shallow bins by the guns.

“No. All we’re doing is to stop more men being infected. There isn’t a bloody thing I can do for the ones who already have it.”

“Indeed.” He stooped and picked up one of my hands. Surprised, I let him have it. He ran a thumb lightly over the blister where I had burned myself scalding milk, and touched my knuckles, reddened and cracked from the constant immersion in alcohol.

“You would appear to have been very active, Madame, for someone who is doing nothing,” he said dryly.

“Of course I’m doing something!” I snapped, yanking my hand back. “It doesn’t do any good!”

“I’m sure—” he began.

“It doesn’t!” I slammed my fist on the gun, the noiseless blow seeming to symbolize the pain-filled futility of the day. “Do you know how many men I lost today? Twenty-three! I’ve been on my feet since dawn, elbow-deep in filth and vomit and my clothes stuck to me, and none of it’s been any good! I couldn’t help! Do you hear me? I couldn’t help!”

His face was turned away, in shadow, but his shoulders were stiff.

“I hear you,” he said quietly. “You shame me, Madam. I had kept to my cabin at the Captain’s orders, but I had

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