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“Do you have pain now?” she asked.

“Not now.”

She judged that to be only a half-truth. “When did you last eat?”

He looked puzzled.

“If you don’t remember, it was too long ago.” She studied his arm where it lay across his chest. She must never let him know she had seen the terror in him. He would not forgive her that. She must examine him intimately also-at least his belly, to see if it was swollen or perhaps if his bowel was obstructed. He might never forgive her that, either, if his castration was untidy-a bad mutilation. She had heard that they varied a great deal. Some eunuchs had had all organs removed and needed to insert a tube to pass water.

She hesitated. She was taking a terrible risk; it was an intrusion from which there was no return. Yet her medical duty to him forbade that she withhold any treatment she believed could help. She had no choice.

Gently she took the skin of his arm between her thumb and finger. It was slack, loose on the underlying flesh. “Bring me water,” she told the servant still waiting at the door. “And get the juice of pomegranates, preferably not quite ripe, if you have them. Bring it to me in a jug. One jugful will do to start with.” She handed the servant the honey and spikenard and told him the proportions to add. Constantine’s body was drained of fluids.

“Have you vomited?” she asked him.

He winced. “Yes. Only once.”

She knew from the feel of his skin and his sunken eyes that he had lost far too much fluid from his body.

“Perhaps it was unintentional,” she told him, “but you have starved yourself, and drunk too little.”

“I was working with the poor,” he answered weakly. His eyes avoided hers, but she did not think it was because he was lying. She suspected that he loathed the intrusion of anyone seeing him like this.

“What is wrong with me?” he asked. “Is it a sin unto death?”

She was stunned. The fear was deep and raw in him, indecently exposed. How could she answer him with honesty that was true both to medicine and to faith?

“It is not only guilt which afflicts,” she said gently. “Anger can also, and sometimes grief. You have spent too much of your strength in ministering to others and have neglected yourself. And yes, perhaps that is a sin. God gave you your body to use in His service, not to ill-treat it. That is an ungrateful thing to do. Maybe you need to repent of that.”

He stared at her, grasping at what she had said, turning it over and weighing it. Gradually some of the fear eased away, as if miraculously she had not said what he dreaded. His hand gripping the sheet loosed a little.

She smiled. “Take better thought for yourself in future. You cannot serve either God or man in this state.”

He breathed in deeply and let out a sigh.

“You must drink,” she told him. “I have brought herbs which will cleanse and strengthen you. You must eat, but with care. Bread that has been well kneaded, hens’ eggs lightly boiled, not goose or duck eggs. You may eat lightly boiled meat of partridge or francolin, or young kid, not older animals. A little stewed apple with honey would be good, but avoid nuts. Then when you are ready, in two or three days, take a little fish; gray mullet is good. Mostly you must drink water with juice mixed in. Have your servant wash you and bring you clean linen. Have him help you so you do not fall. You are weak. I shall give him a list of what other food to buy.”

She saw in his face that he wished to ask more. Afraid it would be questions she could not answer without causing him confusion or distress, she gave him no time, bidding him good-bye and promising to return soon.

Early the following morning, she went to check his progress. He looked gaunt in the full daylight, his cheeks sunken, his skin colorless, papery; oddly like a very large old woman. His pale hands on the bedcover seemed enormous, his arms fleshy. She was moved with a wave of intense pity for him but was careful that he should not see it in her eyes.

“The people are praying for you,” she told him. “Philippos, Maria, and Angelos stopped me when they heard I had called on you. They are very concerned.”

He smiled, the light returning to his eyes. “Really?”

Did he fear she was saying it to please him? “Yes, some even fast and keep vigil. They love you, and I think also they are very afraid of facing the future without you.”

“Tell them I need their support, Anastasius. Thank them for me.”

“I will,” she promised, embarrassed by his need for so much reassurance. When he was better, would he remember this and hate her for having seen too much?

The following day, Manuel once again opened the door to Anna. His eyes went immediately to the basket she was carrying: strengthening foods prepared by Simonis for the ailing bishop.

“Food for the bishop,” she explained. “How is he?”

“Much better,” Manuel replied. “The pain is less, but he is still very weak indeed.”

“It will take time, but he will recover.” She passed him the soup with instructions to heat it and left the bread on the table. She went through to Constantine’s bedroom, knocking on the door and waiting for his answer before she went in.

While he was sitting up in bed, he still looked hollow-eyed and pale. A whole man would have been stubble-chinned by now, but Constantine’s face looked curiously soft.

“How are you?” she asked.

“Improved,” he replied, but she could see he was tired.

She felt his brow, then his pulse, then gently pinched the skin on his forearm again. He was still clammy and his flesh slack, but his pulse was steadier. She made a few more inquiries about his pain, by which time Manuel arrived with the soup and bread. She sat beside Constantine, steadying his hand as he ate, gently helping him, steeling herself to ask the questions.

“Please eat,” she encouraged. “We need you to be strong. I do not wish to be governed by Rome. It will destroy a great deal of what I believe to be true, and of infinite value. It is a tragedy that Bessarion Comnenos was murdered.” She hesitated. “Do you think that could have been prompted by Rome?”

His eyes widened and his hand stopped with the spoon in the air. The thought had not occurred to him. She could see him searching for the answer he wanted to give.

“I had not considered it,” he admitted finally. “Perhaps I should have.”

“Would it not have served their interest?” she pressed. “Bessarion was passionately against union. He was of imperial blood. Might he have led a resurgence of faith among the people that would have made union impossible?”

He was still staring at her, the last of the soup temporarily forgotten. “Have you heard anyone say so?” he asked, his voice low and with a sudden, sharp note of fear in it.

“If I were of the Roman faith, perhaps hoping to assist the union myself, either for religious reasons or ambition, I would not want a leader such as Bessarion alive and well,” she said urgently.

A curious look passed over Constantine’s face, a mixture of surprise and wariness.

She plunged on. “Might Justinian Lascaris have been in the pay of Rome, do you suppose?”

“Never,” he said instantly. Then he stopped, as if he had committed himself too quickly. “At least, he is the last man I would have thought it of.”

She could not let this opportunity slip by. “What other reason do you think Justinian could have had for killing Bessarion? Did he hate him? Was there a rivalry between them? Or money?”

“No,” he said quickly, pushing aside the tray that held his food. “There was no rivalry or hate, at least on Justinian’s part. And no money. Justinian was a wealthy man, and prospering more each year. Every reason I know of says he would wish Bessarion alive. He was profoundly against the union and supported Bessarion in his work against it. At times I thought he did the more work of the two.”