Joseph knew that if his father were here right now, he would deal swiftly enough with the problems of these three—do something about the infected thigh, set the broken arm, arrive at an explanation of the third one’s pain and cope with its cause. At home he had many times seen Martin, in the course of his circuits around the estate, handle cases far more challenging than these seemed to be. His father’s matagava was a powerful thing, yes: or, to put it another way, it was his father’s responsibility to look after the lives and welfare of all those who lived on the lands of House Keilloran and he accepted that responsibility fully, and so he had taken the trouble to learn at least certain basic techniques of medicine in order that he could meet an emergency in the fields.
But Joseph was not the lord of House Keilloran, and he had had no formal medical training. He was only a boy of fifteen, who might one day inherit his father’s title and his father’s responsibilities, and he was a long way just now from being prepared to undertake any sort of adult tasks. Did the Ardardin not realize how young he was? Probably not. Indigenes might be no better able to distinguish an adolescent human from an adult one than humans were when it came to distinguishing a male Indigene from a female one. The Ardardin perceived him as a human, that was all, and very likely as a full-grown one. His height and the new beard he had grown would help in fostering that belief. And humans had great matagava; this Joseph Master Keilloran who had come among them was a human; therefore—
“Will you do it?” the Ardardin said, using not just the supplicatory tense but a form that Joseph thought might be known to grammarians as the intensive supplicatory. The Indigene—the chieftain, the high priest—was begging him.
He could not bear to disappoint them. He hated doing anything under false pretenses, and he did not want to arouse any false hopes, either. But he could not resist an abject plea, either. These people had willingly taken him in, and they had cared for him these two days past, and they had promised to transport him to Ludbrek House when he was strong enough to leave their village. Now they wanted something from him in return. And he did have at least some common-sense notions of first aid. There was no way he could refuse this request.
“Can you raise them up a little higher?” he asked. “I’m not able to bend, because of my leg.”
The Ardardin gestured, and several Indigenes piled up a tall stack of furs and placed the one with the wound in its thigh on top. Bending forward a little, Joseph inspected the cut. It was three or four inches long, perhaps half an inch wide, fairly shallow. There was swelling all around, and reddening of the bronze-colored skin. Hesitantly Joseph placed his fingertips against the ragged edges of the opening. The texture of the alien skin was smooth, unyielding, almost slippery, oddly unreal. A small sighing sound came from the Indigene at Joseph’s touch, but nothing more. That did not sound like an indicator of severe pain. Gently Joseph drew the sides of the wound apart and peered in.
He saw pus, plenty of it. But the wound was filthy, besides, covered with a myriad of black spots, the dirt of whatever object had caused it. Joseph doubted that it had ever been cleaned. Did these people not even have enough sense to wash a gash like this out?
“I need a bowl of hot water,” Joseph said. “And clean cloth of the kind I used for bandaging my leg.”
This was like being an actor in a play, he thought. He was playing the role of The Doctor.
But that was no actor lying on the pile of furs before him, and that wound was no artifact of stage makeup. He felt a little queasy as he swabbed it clean. The Indigene stirred, moaned a little, made a small shuddering movement.
“The juice that you gave me, to make my fever go down: give some of that to him too.”
“To her,” someone behind him corrected.
“To her,” said Joseph, searching for and not finding any indication that his patient was female. Doubtless the Indigenes did have two sexes, because there were both male and female pronouns in their language, but all of them, male and female both, had the same kind of narrow transverse slit at the base of the abdomen, and whatever sort of transformation came over that slit during the sexual process, what organs of intromission or reception might emerge at that time, was not anything that the Indigenes had ever thought necessary to explain to any human.
He cleaned the wound of as much superficial dirt as he could, and expressed a good deal of pus, and laved the opening several times with warm water. The queasiness he had felt at first while handling the wound quickly vanished. He grew very calm, almost detached: after a while all that mattered to him was the task itself, the process of undoing the damage that neglect and infection had caused. Not only was he able to steel himself against whatever incidental pain he might be causing the patient in the course of the work, but he realized a little while further on that he was concentrating so profoundly on the enterprise that he had begun to forget to notice the pain of his own injury.
He wished he had some kind of antiseptic ointment to apply, but his command of the Indigene language did not extend as far as any word for antisepsis, and when he asked if their herbal remedies included anything for reducing the inflammation of an open wound, they did not seem to understand what he was saying. No antisepsis, then. He hoped that the Indigene’s natural healing processes were up to the task of fighting off such infection as had already taken hold.
When he had done all that he could to clean the wound Joseph instructed Ulvas in the art of bandaging it to hold it closed. He did not want to experiment with using the device from his utility case that seemed to be designed for stitching wounds, partly because he was not certain that that was what it was for, and partly because he doubted that he had cleaned the wound sufficiently to make stitching it up at this point a wise thing to do. Later, he thought, he would ask Ulvas to bring him a chunk of raw meat and he would practice using the device to close an incision, and then, perhaps, he could wash the wound out a second time and close it. But he dared not attempt to use the instrument now, not with everyone watching.
Dealing with the broken arm was a more straightforward business. The field-hands of House Keilloran broke limbs all the time, and it was a routine thing for them to be brought to his father for repairs. Joseph had watched the process often enough. A compound fracture would have been beyond him, but this looked like nothing more than a simple break. What you did, he knew, was manipulate the limb to make the fractured bone drop back into its proper alignment, and bind it up to keep the broken ends from moving around, and do what was necessary to reduce inflammation. Time would take care of the rest. At least, that was how it worked with Folkish fractures. But there was no reason to think that Indigene bones were very different in basic physiology.
Joseph wanted to be gentle as he went about the work. But what he discovered very quickly was that in working on an unanaesthetized patient the key lay in getting the job over with as fast as possible, rather than moving with tiny circumspect steps in an attempt to avoid inflicting pain. That would only draw things out and make it worse. You had to take hold, pull, push, hope for the best. The patient—this one was male, they told him—made one sharp grunting sound as Joseph, acting out an imitation of the things he had seen his father do, grasped his limply dangling forearm with one hand and the upper part of his arm with the other and exerted sudden swift inward pressure. After the grunt came a gasp, and then a sigh, and then a kind of exhalation that seemed to be entirely one of relief.
There, Joseph thought, with a hot burst of satisfaction. He had done it. Matagava, indeed! “Bind the arm the way you bound my leg,” he told Ulvas, no supplication this time, simple instruction, and moved to the next patient.