suturing, tweezers, a razor, a binaural stethoscope, hand soap, a notebook and pencil, finger splints and a bandage roll, cotton pads, and five small cobalt blue bottles containing common medicines like pepsin and aconite tincture that had wide application. Almost as an afterthought, he’d added a saw and anesthetic vaporizer from his surgical bag. It never once occurred to him that he’d need any of his obstetrical instruments. “It’ll have to do,” he told his patient. “I’ll have to make it do.”
Cole heard Will leave the house. Almost immediately there was a volley of expletives leveled at Will’s head. Cole ignored Judah’s colorful curses and accusations, confident the deputy could handle it, and began preparing his patient for a thorough examination by first removing the clothes that he could easily and cutting away the rest. The rest included the wide strips of linen wound around her chest like swaddling cloths. Cole’s only response to making this discovery was to shake his head.
He carefully removed the bloody wadding from between her thighs and pushed a pillow under her hips to keep her pelvis on an incline. He covered her with a clean sheet.
The lack of good light in the room frustrated him. Drawing back the curtains revealed another window in need of a thorough scrubbing. Cole propped it open and examined the wadding. There appeared to be little new blood; most of it was in some stage of drying. This was borne out when he raised the sheet and glanced at the pillow under her buttocks. He was encouraged to see that bright crimson stains were minimal.
Cole tossed out water from the basin on the washstand and poured fresh from the pitcher. He found a stack of linen towels folded in the cupboard and removed one. Taking the soap from his bag, he made a good lather and washed his hands before he applied himself to the further care of his patient.
He retrieved his thermometer and slipped it under Runt’s armpit, then he removed his pocket watch and observed her respiration for a full minute. After recording it, he checked her pulse. It was stronger than it had been when he’d first come upon her but not as steady as he would have liked. Cole took out his stethoscope and fixed the ivory earpieces in place. He lowered the sheet to uncover Runt’s left breast and rested the ebonized wood bell over her heart. He listened carefully to the rhythmic contractions of the chambers, the rush of blood, and its smooth passage through the valves.
Runt stirred, moaned, and offered a modicum of resistance when he turned her on her side to listen to her lungs. After assuring himself that they were clear, Cole allowed her to lie on her back. He removed the thermometer from her armpit and read it. She had a slight fever. He set the thermometer on the washstand and recorded the temperature in his book as 100.4°
Cole put away his stethoscope and turned down Runt’s sheet to the level of her waist. He tapped on her abdomen, carefully avoiding the welts, then pressed harder in the areas of the major organs, watching her face all the while for some reaction. None of her distress seemed to be associated with anything other than her pelvic region. He covered her up to her neck with the sheet and relocated himself closer to the foot of the bed.
Cole raised Runt’s knees and pushed the hem of the sheet over them. He separated her thighs and pressed her heels into the feather tick until they found purchase. It was a stretch to reach the basin and towels, but he managed it and set them on the bed beside him. In order to learn the extent of her beating, he wiped away every vestige of blood. The labia majora were bruised and there were thin lacerations on the inner lips. Without a vaginal speculum, Cole could not make as complete an examination as he would have liked. He probed her vagina gently with two fingers, feeling for tearing and abrasions and believed he found both, suggesting the insertion of a foreign object.
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