"Ye sound like a wee truffle-pig, Sassenach, snortling away back there."

"Oh, indeed," I said, a bit crossly. I touched the tender spot on my tongue. "Well, at least you're awake. How do you feel?"

"Like a pile of moldy tripes."

"Very picturesque," I said. "Can you be a trifle more specific?" I put a hand lightly on his side, and he let his breath out in a sound like a small moan.

"Like a pile of moldy tripes ..." he said, and pausing to breathe heavily, added, "... .with maggots maggots."

"You'd joke on your deathbed, wouldn't you?" Even as I said it, I felt a tremor of unease. He would would, and I hoped this wasn't it.

"Well, I'll try, Sassenach," he murmured, sounding drowsy. "But I'm no really at my best under the circumstances."

"Do you hurt much?"

"No. I'm just ... tired." He sounded as though he were in fact too exhausted to search for the proper word, and had settled for that one by default.

"Little wonder if you are. I'll go and sleep somewhere else, so you can rest." I made to throw back the covers and rise, but he stopped me, raising one hand slightly.

"No. No, dinna leave me." His shoulder fell back toward me, and he tried to lift his head from the pillow. I felt still more uneasy when I realized that he was too weak even to turn over by himself.

"I won't leave you. Maybe I should sleep in the chair, though. I don't want to-"

"I'm cold," he said softly. "I'm verra cold."

I pressed my fingers lightly just under his breastbone, seeking the big abdominal pulse. His heartbeat was rapid, shallower than it should have been. He wasn't feverish. He didn't just feel cold, he was was cold to the touch, his skin chilled and his fingers icy. I found that very alarming. cold to the touch, his skin chilled and his fingers icy. I found that very alarming.

No longer shy, I cuddled close against him, my breasts squashing softly against his back, cheek resting on his shoulder blade. I concentrated as hard as I could on generating body heat, trying to radiate warmth through my skin and into his. So often he had enfolded me in the curve of his body, sheltering me, giving me the warmth of his big body. I wished passionately that I were larger, and could do the same for him now; as it was, I could do no more than cling to him like a small, fierce mustard plaster, and hope I had the same effect.

Very gently, I found the hem of his shirt and pulled it up, then cupped my hands to fit the rounds of his buttocks. They tightened slightly in surprise, then relaxed.

It occurred to me to wonder just why I felt I must lay hands on him, but I didn't trouble my mind with it; I had had the feeling many times before, and had long since given up worrying that it wasn't scientific.

I could feel the faintly pebbled texture of the rash upon his skin, and the thought came unbidden of the lamia. A creature smooth and cool to the touch, a shape-shifter, passionately venomous, its nature infectious. A swift bite and the snake's poison spreading, slowing his heart, chilling his warm blood; I could imagine tiny scales rising under his skin in the dark.

I forcibly repressed the thought, but not the shudder that went with it.

"Claire," he said softly. "Touch me."

I couldn't hear his heartbeat. I could hear mine; a thick, muffled sound in the ear pressed to the pillow.

I slid my hand over the slope of his belly, and more slowly down, fingers parting the coarse curly tangle, dipping low to cup the rounded shapes of him. What heat he had was here.

I stroked him with a thumb and felt him stir. The breath went out of him in a long sigh, and his body seemed to grow heavier, sinking into the mattress as he relaxed. His flesh was like candle wax in my hand, smooth and silky as it warmed.

I felt very odd; no longer frightened, but with all my senses at once preternaturally acute and yet ... peaceful. I was no longer conscious of any sounds save Jamie's breathing and the beating of his heart; the darkness was filled with them. I had no conscious thought, but seemed to act purely by instinct, reaching down and under, seeking the heart of his heat in the center of his being.

Then I was moving-or we were moving together. One hand reached down between us, up between his legs, my fingertips on the spot just behind his testicles. My other hand reached over, around, moving with the same rhythm that flexed my thighs and lifted my hips, thrusting against him from behind.

I could have done it forever, and felt that perhaps I did. I had no sense of time passing, only of a dreamy peace, and that slow, steady rhythm as we moved together in the dark. Somewhere, sometime, I felt a steady pulsing, first in the one hand, then in both. It melded with the beat of his heart.

He sighed, long and deep, and I felt the air rush from my own lungs. We lay silent and passed gently into unconsciousness, together.

I WOKE FEELING utterly peaceful. I lay still, without thought, listening to the thrum of blood through my veins, watching the drift of sunlit particles in the beam of light that fell through the half-opened shutters. Then I remembered, and flung myself over in bed, staring.

His eyes were closed, and his skin was the color of old ivory. His head was turned slightly away from me, so that the cords of his neck stood out, but I couldn't see any pulse in his throat. He was still warm, or at least the bedclothes were still warm. I sniffed the air, urgently. The room was fetid with the scent of onions and honey and fever-sweat, but no stink of sudden death.

I clapped a hand on the center of his chest, and he jerked, startled, and opened his eyes.

"You bastard bastard," I said, so relieved to feel the rise of his chest as he drew breath that my voice trembled. "You tried to die on me, didn't you?"

His chest rose and fell, rose and fell, under my hand, and my own heart jerked and shuddered, as though I had been pulled back at the last moment from an unexpected precipice.

He blinked at me. His eyes were heavy, still clouded with fever.

"It didna take much effort, Sassenach," he said, his voice soft and husky from sleep. "Not dying was harder."

He made no pretense of not understanding me. In the light of day, I saw clearly what exhaustion and the aftereffects of shock had stopped me seeing the night before. His insistence on his own bed. The open shutters, so he could hear the voices of his family below, his tenants outside. And me beside him. He had, very carefully, and without saying a word to me, decided how and where he wanted to die.

"You thought you were dying when we brought you up here, didn't you?" I asked. My voice sounded more bewildered than accusing.

It took him a moment to answer, though he didn't look hesitant. It was more as though he was looking for the proper words.

"Well, I didna ken for sure, no," he said slowly. "Though I did feel verra ill." His eyes closed, slowly, as though he were too tired to keep them open. "I still do," he added, in a detached sort of voice. "Ye needna worry, though-I've made my choice."

"What on earth do you mean by that?"

I groped beneath the covers, and found his wrist. He was was warm; hot again, in fact, and with a pulse that was too fast, too shallow. Still, it was so different from the deathly chill I had felt in him the night before that my first reaction was relief. warm; hot again, in fact, and with a pulse that was too fast, too shallow. Still, it was so different from the deathly chill I had felt in him the night before that my first reaction was relief.

He took a couple of deep breaths, then turned his head and opened his eyes to look at me.

"I mean I could have died last night."

He could, certainly-and yet that wasn't what he meant. He made it sound like a conscious- "What do you mean you've made your choice? You've decided not to die, after all?" I tried to speak lightly, but it wasn't working very well. I remembered all too well that odd sense of timeless stillness that had surrounded us.

"It was verra strange," he said. "And yet it wasna strange at all." He sounded faintly surprised.

"I think," I said carefully, keeping a thumb on his pulse, "you'd better tell me just what happened."

He actually smiled at that, though the smile was more in his eyes than his lips. Those were dry, and painfully cracked in the corners. I touched his lips with a finger, wanting to go and fetch some soothing ointment for him, some water, some tea-but I put aside the impulse, steeling myself to stay and hear.

"I dinna really know, Sassenach-or rather, I do, but I canna think quite how to say it." He still looked tired, but his eyes stayed open. They lingered on my face, a vivid blue in the morning light, with an expression almost of curiosity, as though he hadn't seen me before.

"You are so beautiful," he said, softly. "So verra beautiful, mo chridhe mo chridhe."

My hands were covered with fading blue blotches and overlooked smears of buffalo blood, I could feel my hair clinging in unwashed tangles to my neck, and I could smell everything from the stale-urine odor of dye to the reek of fear-sweat on my body. And yet whatever he saw lit his face as though he were looking at the full moon on a summer night, pure and lovely.

His eyes stayed fixed on my face as he talked, absorbed, moving slightly as they seemed to trace my features.

"I felt verra badly indeed when Arch and Roger Mac brought me up," he said. "Terribly sick, and my leg and my head both throbbing with each heartbeat, so much that I began to dread the next. And so I would listen to the spaces between. Ye wouldna think it," he said, sounded vaguely surprised, "but there is a great deal of time between the beats of a heart."

He had, he said, begun to hope, in those spaces, that the next beat would not come. And slowly, he realized that his heart was indeed slowing-and that the pain was growing remote, something separate from himself.

His skin had grown colder, the fever fading from both body and mind, leaving the latter oddly clear.

"And this is where I canna really say, Sassenach." He pulled his wrist from my grip in the intensity of his story, and curled his fingers over mine. "But I ... saw."

"Saw what?" And yet I already knew that he couldn't tell me. Like any doctor, I had seen sick people make up their minds to die-and I knew that look they sometimes had; eyes wide-fixed on something something in the distance. in the distance.

He hesitated, struggling to find words. I thought of something, and jumped in to try to help.

"There was an elderly woman," I said. "She died in the hospital where I was on staff-all her grown children with her, it was very peaceful." I looked down, my own eyes fixed on his fingers, still red and slightly swollen, interlaced with my own stained and bloody digits.

"She died-she was dead dead, I could see her pulse had stopped, she wasn't breathing. All her children were by her bedside, weeping. And then, quite suddenly, her eyes opened. She wasn't looking at any of them, but she was seeing something something. And she said, quite clearly, 'Oooh!' Just like that-thrilled, like a little girl who's just seen something wonderful. And then she closed her eyes again." I looked up at him, blinking back tears. "Was it-like that?"

He nodded, speechless, and his hand tightened on mine.

"Something like," he said, very softly.

He had felt oddly suspended, in a place he could by no means describe, feeling completely at peace-and seeing very clearly.

"It was as if there was a-it wasna a door, exactly, but a passageway of some kind-before me. And I could go through it, if I wanted. And I did want to," he said, giving me a sideways glance and a shy smile.

He had known what lay behind him, too, and realized that for that moment, he could choose. Go forward-or turn back.

"And that's when you asked me to touch you?"

"I knew ye were the only thing that could bring me back," he said simply. "I didna have the strength, myself."

There was a huge lump in my throat; I couldn't speak, but squeezed his hand very tight.

"Why?" I asked at last. "Why did you ... choose to stay?" My throat was still tight, and my voice was hoarse. He heard it, and his hand tightened on mine; a ghost of his usual firm grip, and yet with the memory of strength within it.

"Because ye need me," he said, very softly.

"Not because you love me?"

He looked up then, with a shadow of a smile.

"Sassenach ... I love ye now, and I will love ye always. Whether I am dead-or you-whether we are together or apart. You know it is true," he said quietly, and touched my face. "I know it of you, and ye know it of me as well."

He bent his head then, the bright hair swinging down across his cheek.

"I didna mean only you, Sassenach. I have work still to do. I thought-for a bit-that perhaps it wasna so; that ye all might manage, with Roger Mac and auld Arch, Joseph and the Beardsleys. But there is war coming, and-for my sins-" he grimaced slightly, "I am a chief."

He shook his head slightly, in resignation.

"God has made me what I am. He has given me the duty-and I must do it, whatever the cost."

"The cost," I echoed uneasily, hearing something harsher than resignation in his voice. He looked at me, then glanced, almost off-handed, toward the foot of the bed.

"My leg's no much worse," he said, matter-of-factly, "but it's no better. I think ye'll have to take it off."

I SAT IN MY SURGERY, staring out the window, trying to think of another way. There had to be something else I could do. Had to.

He was right; the red streaks were still there. They hadn't advanced any further, but they were still there, ugly and threatening. The oral and topical penicillin had evidently had some effect on the infection, but not enough. The maggots were dealing nicely with the small abscesses, but they couldn't affect the underlying bacteremia that was poisoning his blood.

I glanced up at the brown glass bottle; only about a third full. It might help him hold his ground for a little longer, but there wasn't enough-and it wasn't likely to have sufficient effect, administered by mouth-to eradicate whatever deadly bacterium was multiplying in his blood.

"Ten thousand to ten million milligrams," I murmured to myself. Recommended dosage of penicillin for bacteremia or sepsis, according to the Merck Manual Merck Manual, the physician's basic desk reference. I glanced at Daniel Rawlings' casebook, then back at the bottle. With no way of telling what concentration of penicillin I had, administration was likely still more efficacious than the combination of snakeroot and garlic Rawlings advised-but not enough to matter, I was afraid.

The amputation saw was still lying on the counter, where he had left it the day before. I'd given him my word-and he'd given it back.

I clenched my hands, a feeling of unutterable frustration washing over me, so strongly as almost to overwhelm my sense of despair. Why, why, why why hadn't I started more penicillin brewing at once? How could I have been so feckless, so careless-so bloody fucking hadn't I started more penicillin brewing at once? How could I have been so feckless, so careless-so bloody fucking stupid stupid?

Why had I not insisted on going to Charleston, or at least Wilmington, in hopes of finding a glassblower who could make me the barrel and plunger for a hypodermic syringe? Surely I could have improvised something something for a needle. All that difficulty, all that experimentation, to get the precious substance in the first place-and now that I desperately needed it ... for a needle. All that difficulty, all that experimentation, to get the precious substance in the first place-and now that I desperately needed it ...

A tentative movement at the open door made me turn round, struggling to get my face under control. I'd have to tell the household what was happening, and soon. But it would be better to choose my time, and tell them all together.

It was one of the Beardsleys. With their hair grown out and neatly trimmed to the same length by Lizzie, it was increasingly difficult to tell them apart-unless one was close enough to see their thumbs. Once they spoke, of course, it was simple.

"Ma'am?" It was Kezzie.

"Yes?" No doubt I sounded short, but it didn't matter; Kezzie couldn't distinguish nuances of speech.

He was carrying a cloth bag. As he came into the room, I saw the bag twitch and change shape, and a small shudder of revulsion came over me. He saw that, and smiled a little.

"This for Himself," he said, in his loud, slightly flat voice, holding up the bag. "Him-old Aaron-said this works good. A big snake bite you, get you a little 'un, cut his head off, drink his blood." He thrust out the bag, which I very gingerly accepted, holding it as far away from me as I could. The contents of the sack shifted again, making my skin crawl, and a faint buzzing noise issued through the cloth.

"Thank you," I said faintly. "I'll ... ah ... do something with it. Thank you."

Keziah beamed and bowed his way out, leaving me in personal custody of a sack containing what appeared to be a small but highly annoyed rattlesnake. I looked round frantically for some place to put it. I didn't dare throw it out of the window; Jemmy often played in the dooryard near the house.

Finally, I pulled the big clear glass jar of salt over to the edge of the counter, and-holding the bag at arm's length-used my other hand to dump the salt out on the counter. I dropped the bag into the jar and slammed the lid on it, then rushed to the other side of the room and collapsed on a stool, the backs of my knees sweaty with dread.

I didn't really mind snakes in theory; in practice, though ...

Brianna poked her head through the door.

"Mama? How's Da this morning?"

"Not all that well." My face evidently told her just how serious it was, for she came into the room and stood beside me, frowning.

"Really bad?" she asked softly, and I nodded, unable to speak. She let her breath out in a deep sigh.