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One day in mid-January, when the wind drove the waves high up the beach, and stinging hail came sleeting almost horizontally off the sea, the old man and his young passenger arrived at Miss Harding’s place to find an agitated Tom Foster waiting for them—in fact waiting for Jamieson.

The old man had bumped into Foster once or twice before in the Sailor’s Rest, and had found him a surly, bearded, weatherbeaten brute with a gravelly voice and a habit of slamming his empty mug on the bar by way of catching the barman’s attention and ordering another drink. He had few friends among the other fishermen and was as much a loner as any man Jamieson had ever known. Yet now, today, he was in need of a friend—or rather, in need of a doctor.

The village spinster, Miss Julia Harding, had kept Foster waiting in the small conservatory that fronted her cottage; he wasn’t the sort of person she would allow in the house proper. But Foster, still shaking rain from his lank hair, and pacing to and fro—a few paces each way, which was all the conservatory allowed—pounced on Jamieson as soon as the old man was ushered into view by Miss Harding.

“It’s the boy,” he rasped, grabbing Jamieson’s arm. “Can’t get no sleep, the way um itches. I know’d you’d be comin’ with the lass fer the teachin’, and so I waited. But I do wish you’d come see the boy. I’d consider it a real favour, and Tom Foster dun’t forget um that does um a favour. But it’s more fer young Geoff’n fer me. Um’s skin be raw from scratchin’, so it be. And I got no car fer gettin’ um inter the city…beside which, um dun’t want no big city doctor. But um won’t fuss any with you, if you’ll come see um.”

“I don’t any longer practice…” The old man appeared at a loss what to do or say.

But Anne took his other arm. “Please go,” she said. “Oh do please go and see Geoff! And I’ll go with you.”

Miss Harding wagged her finger at Anne, and said, “Oh? And what of your lesson, young lady?” But then, looking for support from Tom Foster and Jamieson, and seeing none, she immediately shook her head in self denial. “No, no—whatever was I thinking? If something ails that poor lad, it’s surely more important than a piano lesson. It must be, for Mr. Foster here, well, he’s hardly one to get himself all stirred up on a mere whim—nor for anything much else, except maybe his fishing—and not even that on a bad day!”

“That I’m not,” growled Foster, either ignoring or failing to recognize the spinster’s jibe for what it really was. And to Jamieson: “Will you come?”

“Well,” the old man sighed, “I don’t suppose it can do any harm to see the boy, and I always carry my old medicine bag in the back of the car…not that there’s a lot of medicine in it these days. But—” He threw up his hands, took Anne and Foster back out to his car, and drove them to the latter’s house where it stood facing the sea across the harbour wall in Fore Street.

Tom Foster’s wife, a small, black-haired, dark-complexioned woman, but not nearly as gnarled or surly as her husband, wiped her hands on her apron to clasp Jamieson’s hand as she let them into the house. She said nothing but simply indicated a bedroom door where it stood ajar.

Geoff was inside, a bulky shape under a coarse blanket, and the room bore the unmistakable odour of fish—but then, so did the entire house. Wrinkling his nose, Jamieson glanced at Anne, but she didn’t seem to have noticed the fish stink; all she was interested in was Geoff’s welfare. As she approached the bed so its occupant seemed to sense her presence; the youth’s bulbous, ugly head came out from under the blanket, and he stared at her with luminous green eyes. But:

“No, no, lass!” Tom Foster grunted. “I knows you be friends but you can’t be in ’ere. Um’s naked under that blanket, and um ain’t nice ter look at what wi’ um’s scratchin’ and all. So out you goes and Ma Foster’ll see ter you in the front.” And coarse brute of a man that he was, he gentled her out of the room.

As Foster closed the door behind her, so Jamieson drew up a chair close to the bed, and said, “Now then, young man, try not to be alarmed. I’m here to see what the trouble is.” With which he began to turn back the blanket. A squat hand, short-fingered and thickly webbed, at once grasped the top edge of the blanket and held it fast. The old man saw blood under the sharp fingernails, the trembling of the unfortunate’s entire body under the blanket, and the terror in his huge, moist, oh-so-deep eyes.

Foster immediately stepped forward. “Now, dun’t you take on so, lad,” he said. “This un’s a doctor, um be. A friend ter the lass and ’er Ma. If you let um, um’ll see ter your scratchin’.”

The thing called Geoff (for close up he was scarcely human) opened his mouth and Jamieson saw his teeth, small but as sharp as needles. There was no threat in it, however—just a popping of those pouty lips, a soundless pleading almost—as the hand slowly relaxed its grip, allowing the old man to turn back the cover without further hindrance.

Despite that Foster was hovering over the old man, watching him closely, he saw no evidence of shock at what was uncovered: that scaly body—which even five years ago a specialist in St. Austell had called the worst case of ichthyosis he’d ever seen, now twice as bad at least—that body under a heavily wattled neck and sloping but powerful shoulders, and the raw, red areas on the forearms and under the ribcage where the rough grey skin had been torn. And as the old man opened his bag and called for hot water and a clean towel, Foster nodded his satisfaction. He had done the right thing sure enough, and Jamieson was a doctor good and true who would care for a life even if it were such as this one under the blanket.

But as Foster turned away to answer Jamieson’s request, the old man took his arm and said, “Tom, do you care for him?”

“Eh?” Foster grunted. “Why, me and my old girl, we’ve cared fer um fer fifteen years! And in fifteen years you can get used ter things, even them things that never gets no better but only worse. And as fer folks—even poorly made ’uns such as the boy—why, in time you can even get fond of ’em, so you can!”

Jamieson nodded and said, “Then look after him better.” And he let Foster go…

• • •

Anne saw the wet, pink-splotched towels when Mrs Foster brought them out of Geoff’s room. And then Tom Foster allowed her in.

The old man was putting his things back into his bag as she hurried to the bedside. There was a clean white sheet under the blanket now, and it was tucked up under Geoff’s blob of a chin. The youth’s neck was bandaged to hold a dressing under his left ear; his right arm lay on top of the blanket, the forearm bandaged where a red stain was evidence of some small seepage.

“What was it?” Anne snatched a breath, touching her hand to her lips and staring at Jamieson wide-eyed, her face drawn and pale, even paler than usual. “Oh, what was it?”

“A skin disorder,” he told her. “Something parasitic—like lice or scabies—but I think I got all of it. No need to worry about it, however. It must have been uncomfortable for him, but it certainly wasn’t deadly. Geoff will recover, I assure you.”

And Tom Foster said, “Anythin’ I can do fer you, Mr. Jamieson, sir, jus’ you ask. I dun’t forget um who’s done me or mine a favour—no, not never.”

“Well, Tom,” Jamieson answered, “I might come to you for a nice piece of fish some time, and that would be payment enough for what little I’ve done here. Right now, though, we’ve other things to talk about.” He turned to the girl. “Anne, if you’ll wait in the car?”

Anne had sat down in the chair by the bed. She was holding Geoff’s hand and they were looking at each other, and Jamieson couldn’t help noticing a striking similarity in the deep green colour of their eyes…but only in their colour. It was true that Anne’s eyes were slightly, almost unnoticeably protuberant, but as for the other’s…