Anne Perry - Funeral in Blue

The operating room was silent except for the deep, regular breathing of the gaunt young woman who lay on the table, the immense bulge of her stomach laid bare.

Hester stared across at Kristian Beck. It was the first operation of the day, and there was no blood on his white shirt yet. The chloroform sponge had done its miraculous work and was set aside. Kristian picked up the scalpel and touched the point to the young womans flesh. She did not flinch; her eyelids did not move. He pressed deeper, and a thin, red line appeared.

Hester looked up and met his eyes, dark, luminous with intelligence. They both knew the risk, even with anesthesia, that they could do little to help. A growth this size was probably fatal, but without surgery the woman would die anyway.

Kristian lowered his eyes and continued cutting. The blood spread. Hester swabbed it up. The woman lay motionless except for her breathing, her face waxen pale, cheeks sunken, shadows around the sockets of her eyes. Her wrists were so thin the shape of the bones poked through the skin. It was Hester who had walked beside her from the ward along the corridor, half supporting her weight, trying to ease the anxiety which had seemed to torment her every time she had been to the hospital over the last two months. Her pain seemed as much in her mind as in her body.

Kristian had insisted on surgery, against the wishes of Fermin Thorpe, the chairman of the Hospital Governors. Thorpe was a cautious man who enjoyed authority, but he had no courage to step outside the known order of things he could defend if anyone in power were to question him. He loved rules; they were safe. If you followed the rules you could justify anything.

Kristian was from Bohemia, and in Thorpes mind he did not belong in the Hampstead Hospital in London with his imaginative ways and his foreign accent, however slight, and his disregard for the way things should be done. He should not risk the hospitals reputation by performing an operation whose chances of success were so slight. But Kristian had an answer, an argument, for everything. And, of course, Lady Callandra Daviot had taken his side; she always did.

Kristian smiled at the memory, not looking up at Hester but down at his hands as they explored the wound he had made, looking for the thing that had caused the obstruction, the wasting, the nausea and the huge swelling.

Hester mopped away more blood and glanced at the womans face. It was still perfectly calm. Hester would have given anything she could think of to have had chloroform on the battlefield in the Crimea five years ago, or even at Manassas, in America, three months back.

Ah! Kristian let out a grunt of satisfaction and pulled back, gently easing out of the cavity something that looked like a dark, semiporous sponge such as one might use to scrub ones back, or even a saucepan. It was about the size of a large domestic cat.

Hester was too astounded to speak. She stared at it, then at Kristian.

Trichobezoar, he said softly. Then he met her gaze of incredulity. Hair, he explained. Sometimes when people have certain temperamental disorders, nervous anxiety and depression, they feel compelled to pull out their own hair and eat it. It is beyond their power to stop, without help.

Hester stared at the stiff, repellent mass lying in the dish and felt her own throat contract and her stomach gag at the thought of such a thing inside anyone.

Swab, Kristian directed. Needle.

Oh! She moved to obey just as the door opened and Callandra came in, closing it softly behind her. She looked at Kristian first, a softness in her eyes she disguised only as he turned to her. He gestured to the dish and smiled.

Callandra looked startled, then she turned to Hester. What is it?

Hair, Hester replied, swabbing the blood away again as Kristian worked.

Will she be all right? Callandra asked.

Theres a chance, Kristian answered. Suddenly he smiled, extraordinarily sweetly, but there was a sharp and profound satisfaction in his eyes. You can go and tell Thorpe it was a trichobezoar, not a tumor, if you like.

Oh, yes, Id like, she answered, her face melting into something almost like laughter, and without waiting she turned and went off on the errand.

Hester glanced across at Kristian, then bent to the work again, mopping blood and keeping the wound clean, as the needle pierced the skin and drew the sides together, and finally it was bandaged.

Shell feel a great deal of pain when she wakens, Kristian warned. She mustnt move too much.

Ill stay with her, Hester promised. Laudanum?

Yes, but only for the first day, he warned. Ill be here if you need me. Are you going to stay? Youve watched her all through, havent you?

Yes. Hester was not a nurse at the hospital. She came on a voluntary basis, like Callandra, who was a military surgeons widow, a generation older than Hester, but they had been the closest of friends now for five years. Hester was probably the only one who knew how deeply Callandra loved Kristian, and that only this week she had finally declined an offer of marriage from a dear friend because she could not settle for honorable companionship and close forever the door on dreams of immeasurably more. But they were only dreams. Kristian was married, and that ended all possibility of anything more than the loyalty and the passion for healing and justice that held them now, and perhaps the shared laughter now and then, the small victories and the understanding.

Hester, recently married herself, and knowing the depth and the sweep of love, ached for Callandra that she sacrificed so much. And yet loving her husband as she did, for all his faults and vulnerabilities, Hester, too, would rather have been alone than accept anyone else.

It was late afternoon when Hester left the hospital and took the public omnibus down Hampstead High Street to Haverstock Hill, and then to Euston Road. A newsboy shouted something about five hundred American soldiers surrendering in New Mexico. The papers carried the latest word on the Civil War, but the anxiety was far deeper over the looming cotton famine in Lancashire because of the blockading of the Confederate States.

She hurried past him and walked the last few yards to Fitzray Street. It was early September and still mild, but growing dark, and the lamplighter was well on his rounds. When she approached her front door she saw a tall, slender man waiting impatiently outside. He was immaculately dressed in high wing collar, black frock coat and striped trousers, as one would expect of a City gentleman, but his whole attitude betrayed agitation and deep unhappiness. It was not until he heard her footsteps and turned so the lamplight caught his face that she recognized her brother, Charles Latterly.

Hester! He moved towards her swiftly, then stopped. How. . how are you?

Im very well, she answered truthfully. It was several months since she had seen him, and for someone as rigidly controlled and conventional as Charles, it was extraordinary to find him waiting in the street like this. Presumably, Monk was not there yet or he would have gone inside.

She opened the door and Charles followed her in. The gas lamp burned very low in the hall, and she turned it up and led the way to the front room, which was where Monk received prospective clients who came with their terrors and anxieties for him to attempt to solve. Since they had both been out all day, there was a fire laid but not lit. A bowl of tawny chrysanthemums and scarlet nasturtiums gave some light and an illusion of warmth.

She turned and looked at Charles. As always, he was meticulously polite. Im sorry to intrude. You must be tired. I suppose you have been nursing someone all day?

Yes, but I think she may get better. At least, the operation was a success.