Just Like Heaven (Smythe-Smith Quartet #1)(48)
“I had to wipe his face,” Honoria put in.
The doctor did not comment. He put his ear back on Marcus’s chest, and his lips moved, almost as if he were counting to himself. Honoria waited for as long as she could stand, then said, “Doctor, er . . .”
“Winters,” her mother supplied.
“Yes, er, Dr. Winters, please tell us, did we give him too much?”
“I don’t think so,” Dr. Winters answered, but he still kept his ear to Marcus’s chest. “The opium suppresses the lungs. That is why his breathing is so shallow.”
Honoria put her hand to her mouth in horror. She hadn’t even realized his breathing was shallow. In fact, she’d thought he sounded better. More peaceful.
The doctor straightened and turned his attention to Marcus’s leg. “It is critical that I have all of the pertinent information,” he said brusquely. “I would be much more worried if I did not know that he’d been given laudanum.”
“You’re not worried?” Honoria asked in disbelief.
Dr. Winters looked at her sharply. “I didn’t say I wasn’t worried.” He returned to Marcus’s leg, examining it closely. “Just that I’d be more worried if he hadn’t had it. If his breathing was this shallow without laudanum, it would indicate a serious infection indeed.”
“This isn’t serious?”
The doctor gave her another annoyed look. He did not appreciate her questions, that much was clear. “Kindly hold your comments until I finish examining him.”
Honoria felt her entire face clench in irritation, but she stepped back. She would be polite to Dr. Winters if it killed her; if anyone had a chance at saving Marcus’s life, it would be he.
“Explain to me exactly what you did to clean the wound,” the doctor demanded, glancing up briefly from his examination of Marcus’s leg. “And I also want to know what it looked like before you started.”
Honoria and her mother took turns telling him what they’d done. He seemed to approve, or at the very least, he didn’t disapprove. When they were done, he turned back to Marcus’s leg, looked at it one more time, and let out a long breath.
Honoria waited for a moment. He looked like he was taking time to think. But bloody hell, he was taking a long time to think. Finally she couldn’t stand it. “What is your opinion?” she blurted out.
Dr. Winters spoke slowly, almost as if he were thinking out loud. “He might keep the leg.”
“Might?” Honoria echoed.
“It’s too soon to tell for sure. But if he does keep it”—he looked at both Honoria and her mother—“it will have been due to your good work.”
Honoria blinked in surprise; she had not expected a commendation. Then she asked the question she dreaded: “But will he live?”
The doctor’s eyes met Honoria’s with frank steadiness. “He will certainly live if we amputate his leg.”
Honoria’s lips trembled. “What do you mean?” she whispered. But she knew exactly what he meant; she just needed to hear him say it.
“I am confident that if I remove his leg at this moment he will live.” He looked back over at Marcus, as if another glance might offer one last clue. “If I do not remove his leg, he may very well recover completely. Or he may die. I cannot predict how the infection will progress.”
Honoria went still. Only her eyes moved, from Dr. Winters’s face, to Marcus’s leg, and then back. “How will we know?” she asked quietly.
Dr. Winters tilted his head to the side in question.
“How will we know when to make the decision?” she clarified, her voice rising in volume.
“There are signs to look for,” the doctor replied. “If you begin to see streaks of red moving up or down his leg, for example, we will know we must amputate.”
“And if that does not happen, does that mean he is healing?”
“Not necessarily,” the doctor admitted, “but at this point, if there is no change in the wound’s appearance, I shall take that as a good sign.”
Honoria nodded slowly, trying to take it all in. “Will you remain here at Fensmore?”
“I cannot,” he told her, turning to pack up his bag. “I must see to another patient, but I will be back this evening. I do not think we will need to make any decision before then.”
“You do not think?” Honoria asked sharply. “Then you are not certain?”
Dr. Winters sighed, and for the first time since he’d entered the room, he looked tired. “One is never certain in medicine, my lady. I would that were not the case.” He looked over at the window, whose curtains were pulled back to reveal the endless green of Fensmore’s south lawn. “Perhaps someday that will change. But not in our lifetime, I fear. Until then, my job remains as much of an art as a science.”
It was not what Honoria had wanted to hear, but she recognized it as the truth, and so she gave him a nod, thanking him for his attentions.
Dr. Winters returned the courtesy with a bow, then gave Honoria and her mother instructions and left, promising that he would return later that night. Lady Winstead escorted him out, leaving Honoria once again alone with Marcus, who lay terrifyingly still on his bed.
For several minutes, she stood motionless in the center of the room, feeling strangely limp and lost. There really wasn’t anything to do. She had been just as scared that morning, but at least then she had been able to concentrate on treating his leg. Now all she could do was wait, and her mind, denied of a specific task, had nothing but fear to fill it.