"I recall that you smiled when I told that story. And now I understand why." McGowan gazed contemplatively, through narrowed eyes. "Do you know why ... ah ... your father left Scotland?"

Shaman saw that McGowan was trying to be discreet. "Yes. He's told me. He got into political trouble. He was almost transported to Australia."

"I remember." McGowan shook his head. "He was held up to us as a warning. Everyone at University College Hospital knew of him. He was Sir William Fergusson's protege, with an unlimited future. And now he's a country doctor. What a pity!"

"There is no need for pity." Shaman wrestled with anger and ended up smiling. "My father is a great man," he said, and with surprise he recognized that it was true. He began telling Barney McGowan about Rob J., about how he'd worked with Oliver Wendell Holmes in Boston, about his trek across the country in lumber camps and as a railroad doctor. He described a day when his father had had to swim his horse across two rivers and a stream to reach the sod house where he delivered a woman of twins. He described the prairie kitchens in which his father had operated, and told of times when Rob J. Cole had performed surgery on a table moved from a dirty house into the clean sunshine. He told of his father being kidnapped by outlaws who had held a gun on him and ordered him to remove a bullet from a man who had been shot. He told of his father riding home on a night when the temperature on the plains was thirty degrees below zero, and saving his own life by slipping from his horse and, clutching the horse's tail, running behind Boss in order to force his blood back into circulation.

Barney McGowan smiled. "You're right," he said. "Your father is a great man. And he is a fortunate father."

"Thank you, sir." Shaman started to move away, but then he stopped. "Dr. McGowan. In one of my father's autopsies, a woman had been killed by eleven stab wounds to the chest, approximately .95 centimeters in width. Made by a pointed instrument, triangular in shape, all three edges ground to sharpness. Do you have any idea what instrument would make that sort of wound?"

The pathologist considered, interested. "It could have been a medical instrument. There is Beer's knife, a three-sided scalpel used to operate for cataracts and to cut out defects of the cornea. But the wounds you describe were too large to have been made by Beer's knife. Perhaps they were made by some kind of bistoury. Were the cutting edges of uniform breadth?"

"No. The instrument, whatever it was, was tapered."

"I know of no such bistoury. Probably the wounds were not made by a medical instrument."

Shaman hesitated. "Could they have been made by an object commonly used by a woman?"

"Knitting needle or some such? It's possible, of course, but neither can I think of a housewife's object that would make such a wound." McGowan smiled. "Let me consider the problem for a time, and we'll discuss it again.

"When you write to your father," he said, "you must give him the best regards of one who came to William Fergusson a few years after he did."

Shaman promised he would do so.

His father's reply didn't arrive in Cincinnati until eight days before the end of the semester, but it came in time to allow Shaman to accept the summer hospital job.

His father didn't remember Dr. McGowan at all but expressed pleasure that Shaman was studying pathology under another Scot who had learned the art and science of dissection from William Fergusson. He asked his son to extend his respects to the professor, as well as his permission for Shaman to work in the hospital.

The letter was warm but brief, and from its lack of chattiness Shaman knew that his father's mood was melancholy. There had been no word of the whereabouts or safety of Alex, and his father revealed that with each new round of fighting, Shaman's mother became more fearful.

48.

THE BOAT RIDE.

It wasn't lost on Rob J. that both Jefferson Davis and Abraham Lincoln had emerged into leadership by helping to destroy the Sauk nation in Black Hawk's War. As a young army lieutenant Davis personally had taken Black Hawk and the medicine man White Cloud down the Mississippi from Fort Crawford to Jefferson Barracks, where they were imprisoned in b.a.l.l.s and chains. Lincoln had fought the Sauks with the militia, both as a private and as a captain. Now each of these men answered when addressed as "Mr. President," and each was leading one half of the American nation against the other half.

Rob J. wanted to be left alone by the gibbering world, but it was too much to expect. The war was six weeks old when Stephen Hume rode to Holden's Crossing to see him. The former congressman was frank to say he had used influence to gain a commission as colonel in the U.S. Army. He had taken leave as the railroad's legal counsel in Rock Island in order to organize the Illinois 102nd Volunteer Regiment, and he'd come to offer Dr. Cole a job as regimental surgeon.

"It's not for me, Stephen."

"Doc, it's all right to object to the idea of war in the abstract. But now we're down to cases, there are good reasons why this war should be fought."

"... I don't think killing a lot of people is going to change anybody's mind about slavery or free trade. Besides, you want someone younger and meaner. I'm a forty-four-year-old man with a thick waist." He had put on weight. Back when escaped slaves came to the secret room, Rob J. had become accustomed to putting food in his pocket as he walked through the kitchen-a baked yam, a piece of fried chicken, a couple of sweet rolls-to help feed the fugitives. Now he continued to take the food, but he ate it himself in the saddle, for comfort.

"Oh, I want you, all right, fat or thin, mean or sweet," Hume said. "What's more, at this moment there are only ninety medical officers in the whole d.a.m.n army. There's going to be great opportunity. You'll go in as captain, be major before you know it. Doctor like you, bound to move way up."

Rob J. shook his head. But he liked Stephen Hume and held out his hand. "I wish you a safe return, Colonel."

Hume smiled wryly and shook his head. A few days later Rob J. heard at the general store that Tom Beckermann had been appointed surgeon of the 102nd.

For three months both sides had been playing at war, but by July it was obvious that a large-scale confrontation was shaping up. Many people were still convinced that the trouble would be over quickly, but that first battle was an epiphany for the nation. Rob J. read the newspaper reports as avidly as any war lover.

More than thirty thousand Union soldiers under General Irvin McDowell faced twenty thousand Confederates under General Pierre G. T. Beauregard at Mana.s.sas, Virginia, twenty-five miles south of Washington. About eleven thousand additional Confederates were in the Shenandoah Valley under General Joseph E. Johnston, squared off before another Union force of fourteen thousand, led by General Robert Patterson. Expecting Patterson to keep Johnston occupied, on July 21 McDowell led his army against the Southerners near Sudley Ford on Bull Run Creek.

It was scarcely a surprise attack.

Just before McDowell charged, Johnston slipped away from Patterson and joined his forces with Beauregard's. The Northern battle plan was so widely known that congressmen and civil servants had streamed out of Washington, carrying their wives and children in traps and buggies to Mana.s.sas, where they ate elaborate picnic meals and prepared to watch the spectacle as though it were a celebrated footrace. Dozens of civilian drivers had been hired by the army to stand by with teams and buckboards to be used as ambulances in case there were wounded. Many of the ambulance drivers brought their own whiskey to the picnic.

While this audience gazed in fascinated pleasure, McDowell's soldiers flung themselves at the combined Confederate force. Most of the men on both sides were untrained new troops, fighting with more zeal than art. The Confederate citizen-soldiers gave a few miles and then held fast, allowing the Northerners to use themselves up in several frenzied a.s.saults. Then Beauregard ordered a counterattack. The exhausted Union troops gave way, and turned. Presently their retreat became a rout.

The battle wasn't what the audience had expected; the combined sounds of the rifle fire and artillery and human noise were terrible, the sights, worse. Instead of athletics, they witnessed the transformation of living men into the disemboweled, the headless, the limbless. The myriad dead. Some of the civilians fainted, others wept. All tried to flee, but a sh.e.l.l blew up a wagon and killed a horse, blocking the main road of retreat. Most of the terrorized civilian ambulance drivers, the drunk and the sober, had driven off with empty buckboards. The few who tried to collect wounded found themselves marooned in a sea of civilian vehicles and rearing horses. The sorely hurt lay on the battlefield where they screamed until they died. It took some of the ambulatory wounded several days to make it into Washington.

In Holden's Crossing the Confederate victory gave new life to Southern sympathizers. Rob J. was more depressed about the criminal neglect of the casualties than about the defeat. By early autumn it became known that Bull Run had produced almost five thousand dead, wounded, or missing, and many lives had been thrown away through lack of care.

One evening, seated in the Coles' kitchen, he and Jay Geiger avoided conversation of the battle. They spoke awkwardly of the news that Lillian Geiger's cousin Judah P. Benjamin had been appointed Secretary of War for the Confederacy. But they were in complete agreement about the cruel idiocy of armies that didn't salvage their own wounded.

"As difficult as it is," Jay said, "we mustn't allow this war to end our friendship."

"No. Of course not!" It might not end it, Rob J. thought, but their friendship already had been strained and spoiled. He was startled when Geiger, departing for home, embraced him like a lover. "I look upon your loved ones as my own," Jay said. "There's nothing I wouldn't do to ensure their happiness."

Next day Rob J. understood Jay's farewell mood when Lillian, sitting dry-eyed in the Coles' kitchen, told them her husband had left for the South at daybreak, to volunteer his services to the forces of the Confederacy.

It seemed to Rob J. the whole world had turned as somber as Confederate gray. Despite all he could do, Julia Blackmer, the minister's wife, coughed herself to death just before the winter air turned thin and cold. In the churchyard the minister wept as he recited the prayers of interment, and as the first shovelful of dirt and stone fell with a thump on Julia's pine box, Sarah squeezed Rob J.'s hand so hard it hurt. The members of Blackmer's flock gathered to support their clergyman in the days that followed, and Sarah organized the women so that Mr. Blackmer never lacked for sympathetic company or a prepared meal. It appeared to Rob J. that the minister should have a little privacy in his grief, but Mr. Blackmer appeared grateful for the good works.

Before Christmas, Mother Miriam Ferocia confided to Rob J. that she'd received a letter from a firm of Frankfurt solicitors, telling her of the death of Ernst Brotknecht, her father. His will had arranged for the sale of the Frankfurt wagonworks and the carriage factory in Munchen, and the letter said that a considerable sum of money was waiting for his daughter, known in her former life as Andrea Brotknecht.

Rob J. expressed his regrets about her father, whom she hadn't seen in years. Then, "Good grief. Mother Miriam, you're rich!"

"No," she said calmly. She had promised to turn all worldly goods over to Holy Mother Church when she took the habit. She had already signed papers giving the inheritance into the jurisdiction of her archbishop.

Rob J. was irked. Over the years, hating to see the nuns suffer, he had made a series of small gifts to their community. He had observed the rigor of their lives, the severe rationing and the lack of anything that might be considered a luxury. "A little money would make such a difference to the sisters of your community. If you couldn't accept for yourself, you might have thought of your nuns."

But she wouldn't allow him to draw her into his anger. "Poverty is an essential part of their lives," she said, and nodded with infuriating Christian forbearance when he said good-bye too abruptly and rode away.

With Jason gone, a lot of warmth went out of Rob's life. He might have continued to make music with Lillian, but the piano and the viola da gamba sounded strangely unsubstantial without the melodious cement of Jay's violin, and they found excuses to avoid playing alone.

The first week of 1862, at a moment when Rob J. felt particularly discontented, he was happy to receive a letter from Harry Loomis in Boston, accompanied by the translation of a paper published in Vienna several years before by a Hungarian doctor named Ignaz Semmelweis. Semmelweis' work, ent.i.tled The Etiology, Concept, and Prophylaxis of Childbirth Fever, essentially b.u.t.tressed the work done in America by Oliver Wendell Holmes. At the Vienna General Hospital, Semmelweis had concluded that childbed fever, which killed twelve mothers out of one hundred, was contagious. Just as Holmes had done decades earlier, he had discovered that doctors themselves spread the disease by not cleaning their hands.

Harry Loomis wrote that he was becoming increasingly interested in ways of preventing infection in wounds and surgical incisions. He wondered whether Rob J. was aware of the research of Dr. Milton Akerson, who worked on these problems at the Hospital of the Mississippi Valley in Cairo, Illinois, which Harry believed was not too far distant from Holden's Crossing.

Rob J. hadn't heard of Dr. Akerson's work, but at once he knew he wanted to visit Cairo and observe it. Opportunity didn't arrive for several months. He rode through the snow and made his calls, but at last things turned quiet, just as the spring rains came. Mother Miriam a.s.sured him that she and her sisters would keep an eye on his patients, and Rob J. announced he was going to Cairo for a brief vacation. On April 9, a Wednesday, he plodded Boss through the rich gumbo on the roads as far as Rock Island, where he boarded the horse in the stable; then, at dusk, he caught a ride on a log raft down the Mississippi. Throughout the night he floated downriver, reasonably snug under the roof of the raft shack, sleeping on the logs next to the cookstove. When he left the raft at Cairo next morning, he was stiff and it was still raining.

Cairo was in awful shape, fields flooded and many of the streets underwater. He made a careful toilet at an inn that also sold him a poor breakfast, then found the hospital. Dr. Akerson was a swarthy, bespectacled little man whose heavy mustaches continued across his cheeks to join his hair at his ears, after the regrettable fashion made popular by Ambrose Burnside, whose brigade had made the first attack against the Confederates at Bull Run.

Dr. Akerson greeted Rob politely and was detectably pleased to hear that his work had gained the attention of colleagues as far away as Boston. The air in his wards was sharp with the odor of hydrochloric acid, which was the agent he believed could fight the infections that so often brought death to the wounded. Rob J. noted that the smell of what Akerson called the "disinfectant" masked some of the disagreeable odors of the ward, but he found it irritating to his nose and his eyes.

He soon saw that the Cairo surgeon had no miraculous cure.

"At times, there definitely seems to be a benefit from treating the wounds with hydrochloric acid. At other times ..." Dr. Akerson shrugged. "Nothing seems to work."

He had experimented with spraying hydrochloric acid into the air of the operating room and the wards, he told Rob, but had discontinued that practice because the fumes made it difficult to see and breathe. Now he contented himself with saturating dressings in the acid and placing them directly on the wounds. He said he believed that gangrene and other infections were caused by pus corpuscles floating in the air as dust, and that the acid-soaked dressings kept these contaminants from the wounds.

An orderly came by bearing a tray laden with the dressings, and one fell from the tray onto the floor. Dr. Akerson picked it up, brushed some dirt from it with his hand, and showed it to Rob. It was an ordinary dressing, made from a cotton rag soaked with hydrochloric. When Rob returned it to Dr. Akerson, the surgeon sighed and put it back on the tray to be used. "A pity we can't determine why sometimes it works and sometimes it doesn't," Akerson said.

Their visit was interrupted by a young physician who informed Dr. Akerson that Mr. Robert Francis, a representative of the United States Sanitary Commission, had asked to see him on "most urgent business."

As Akerson walked Rob J. to the door, they found Mr. Francis waiting anxiously in the corridor. Rob J. knew and approved of the Sanitary Commission, civilian organization established to raise funds and recruit personnel to care for the wounded. Now, speaking hurriedly, Mr. Francis told them there had been a desperate two-day battle at Pittsburg Landing, Tennessee, thirty miles north of Corinth, Mississippi. "There are terrible casualties, many times worse than Bull Run. We've gathered volunteers to serve as nurses, but we're frantically short of physicians."

Dr. Akerson looked pained. "The war has taken most of our doctors. There is no one who could leave here."

Rob J. spoke at once. "I'm a physician, Mr. Francis. I'm able to go."

With three other physicians gathered from nearby towns, and fifteen a.s.sorted civilians who never had nursed anyone before, Rob J. boarded the river packet City of Louisiana at noon and steamed down the wet murk that covered the Ohio River. At five P.M. they reached Paducah, Kentucky, and entered the Tennessee River. It was a long 230 miles down the Tennessee. In the dark of night, unseen and unseeing, they pa.s.sed Fort Henry, which Ulysses S. Grant had captured only a month before. All the next day they chugged past river towns, laden wharves, more flooded fields. It was almost dark again when they reached Pittsburg Landing at five P.M.

Rob J. counted twenty-four steamships there, including two gunboats. When the medical party disembarked, they found the bank and the bluffs had been trodden into mud by a Yankee retreat on Sunday, and they sank halfway to their knees. Rob J. was detailed to go onto the War Hawk, a ship that was laden with 406 wounded soldiers. They were almost finished loading when he boarded, and they got under way without delay. A grim first officer told Rob J. quietly that the enormously high battle casualties had taxed the hospital facilities in communities throughout Tennessee. The War Hawk would have to carry its pa.s.sengers 658 miles, up the Tennessee River to the Ohio, and up the Ohio River to Cincinnati.

Wounded men had been set down on every surface-below, in the officers' and pa.s.sengers' cabins, and all over the open decks under the unceasing rain. Rob J. and an army medical officer from Pennsylvania named Jim Sprague were the only doctors. All the supplies had been dumped in one of the staterooms, and the voyage wasn't two hours old when Rob J. saw that medicinal brandy was being stolen. The military commander of the ship was a young first lieutenant named Crittendon, his eyes still dazed from combat. Rob convinced him that the supplies needed an armed guard, which began at once.

Rob J. hadn't brought his own medical bag with him from Holden's Crossing. There was a surgical kit with the supplies, and he asked that the engineering officer sharpen several of the instruments. He had no desire to use them. "Travel's a rough shock to wounded men," he told Sprague. "I think whenever it's possible, we should postpone surgery until we can get these people to hospitals."

Sprague agreed. "I'm not much for cutting," he said. He hung back, letting Rob J. make the decisions. Rob decided Sprague wasn't much for doctoring either, but he put him in charge of dressing wounds and seeing that the patients received soup and bread.

Rob saw almost at once that some of the men had been badly mangled and required amputation without delay.

The volunteer nurses were eager but green-bookkeepers, teachers, liverymen-all facing blood and pain and kinds of tragedy they had never imagined. Rob gathered several around him to help with the amputations, and set the rest to work under Dr. Sprague, bandaging wounds, changing dressings, bringing water to the thirsty, and sheltering those on deck from the chill rain with whatever blankets and coats could be found.

Rob J. would have liked to go to each of the wounded men in turn, but there wasn't opportunity to do that. Instead, he went to a patient whenever a nurse told him there was a man who was "bad." In theory, none of those who'd been placed on the War Hawk should have been so "bad" that they couldn't survive the trip, but several died almost at once.

Rob J. ordered everyone removed from the second mate's cabin and began to amputate there by the light of four lanterns. That night he took fourteen limbs. Many on board had been amputated before they were placed on the boat, and he examined some of these men, saddened by the poor quality of some of the surgery. A man named Peters, nineteen years old, had lost his right leg at the knee, his left leg at the hip, and all of his right arm. Sometime during the night he began to bleed from his left leg stump, or perhaps he'd been bleeding when brought aboard. He was the first to be discovered dead.

"Poppa, I tried," wept a soldier with long yellow hair and a hole in his back in which his spine gleamed white as a trout's bones. "I tried hard."

"Yes, you did. You're a good son," Rob J. told him, stroking his head.

Some screamed, some wrapped themselves in silence like armor, some wept and babbled. Slowly Rob J. puzzled the battle out of small pieces of their individual pain. Grant had been at Pittsburg Landing with forty-two thousand troops, waiting for General Don Carlos Buell's forces to join up with him. Beauregard and Albert Johnston decided they could defeat Grant before Buell got there, and forty thousand Confederates fell on the bivouacked Union troops. Grant's line was pushed back on both the left and the right, but the center, manned by soldiers from Iowa and Illinois, held through the most savage kind of fighting.

The rebels had taken many prisoners on Sunday. The bulk of the Union force was driven back all the way to the river, into the very water, their backs to the bluff that prevented them from further retreat. But Monday morning, when the Confederates would have mopped up, boats emerged from the morning mist, carrying twenty thousand reinforcements from Buell, and the battle was turned. At the end of that savage day of fighting, the Southerners retreated to Corinth. By nightfall, as far as the eye could see from the Shiloh Church on the battlefield, dead bodies covered the ground. And some of the injured were picked up and placed aboard boats.

In the morning the War Hawk slipped past forests bright with new leaves and thick with mistletoe, and greening fields, and now and then a peach orchard alight with blossom, but Rob J. didn't notice.

The boat captain's plan had been to pull into a river town morning and evening in order to take on wood. At the same time, the volunteers were to go ash.o.r.e and forage whatever water and food they could obtain for their patients. But Rob J. and Dr. Sprague had prevailed upon the boat captain to make a stop each noon as well, and sometimes in the middle of the afternoon, because they found it was easy to run out of water. The afflicted thirsted.

To Rob J.'s despair, the volunteers couldn't begin to maintain hygiene. Many of the soldiers had had dysentery before being hurt. Men defecated and urinated where they lay, and it was impossible to clean them. There were no changes of clothing, and their wastes caked on their bodies as they lay in the cold rain. The nurses spent most of their time distributing hot soup. On the second afternoon, when the rain stopped and a strong sun came out, Rob J. greeted the warmth with great relief. But with the steam that rose from the decks and the people came a magnification of the enormous smell that gripped the War Hawk. The stench became almost palpable. Sometimes when the boat stopped, patriotic civilians came aboard with blankets, water, and food. They blinked, their eyes watered, and they always hurried away without delay. Rob J. found himself wishing that he had a supply of Dr. Akerson's hydrochloric acid.

Men died and were sewn into the dirtiest sheets. He amputated half a dozen times more, the worst cases, and among the thirty-eight dead when they reached their destination were eight of twenty amputees. They reached Cincinnati early on Tuesday morning. He had been without sleep, and almost without food, for three and one-half days. Suddenly no longer responsible, he stood on the pier and watched stupidly as others divided the patients into batches that were sent off to the various hospitals. When a dray was laden with men for the Southwestern Ohio Hospital, Rob J. climbed in and sat on the floor between two stretchers.

When they unloaded the patients, he wandered through the hospital, moving very slowly because the air in Cincinnati seemed thick as pudding. Members of the staff looked askance at the middle-aged, unshaven giant who stank. When an orderly asked him sharply what it was he wanted, he said Shaman's name.

Eventually he was brought to a little balcony overlooking the surgical theater. They had already started operating on the patients from the War Hawk. Four men stood around a table, and he saw that one of them was Shaman. For a brief time he watched them operate, but too soon the warm tide of sleep rose above his head and he drowned in it with perfect ease and eagerness.

He didn't remember being led from the hospital to Shaman's room, or being undressed. The rest of the day and all that night he slept all unknowing in his son's bed. When he awoke it was Wednesday morning, brilliant sunshine outside. While he shaved and took a bath, Shaman's friend, a helpful young man named Cooke, picked up Rob J.'s clothing from the hospital laundry, where it had been boiled and ironed, and went to fetch Shaman.

Shaman was thinner but seemed healthy. "Have you heard anything of Alex?" he asked at once.

"No."

Shaman nodded. He led Rob J. to a restaurant away from the hospital, for privacy. They had a solid meal of eggs and potatoes and side meat, and poor coffee that was mostly parched chicory. Shaman allowed him to take the first hot, sourish swallow of coffee before he began to ask questions, and he absorbed the story of the War Hawk's trip with great attention.

Rob J. asked questions about the medical school, and said how proud he was of Shaman.

"At home," he said, "you know that old blue steel scalpel of mine?"

"The antique, the one you call Rob J.'s knife? Supposed to have been in the family for centuries?"

"That's the one. It has been in the family for centuries. It goes to the first son to become a doctor. It's yours."

Shaman smiled. "Hadn't you best wait until December, when I graduate?"

"I don't know that I'll be able to be here for your graduation. I'm going to become an army doctor."

Shaman's eyes widened. "But you're a pacifist! You hate war."

"I am, and I do," he said in a voice more bitter than the drink. "But you see what they do to one another."

They sat long, sipping renewed cups of bad coffee they didn't want, two large men looking intently into one another's eyes, speaking slowly and quietly, as if they had plenty of time to be together.

But by eleven A.M. they were back in the operating theater. The onslaught of wounded from the War Hawk had taxed the hospital's facilities and surgical staff. Some surgeons had worked all through the night and the morning, and now Robert Jefferson Cole was operating on a young man from Ohio whose skull, shoulders, back, b.u.t.tocks, and legs had taken a shower of small Confederate shrapnel. The procedure was long and painstaking, because each piece of metal had to be dug from the flesh with a minimum of damage to the tissues, and the suturing was equally delicate in order that muscles might hopefully grow together. The small gallery was filled with medical students and several faculty members, observing the kinds of terrible cases doctors must expect from the war. Seated in the front row, Dr. Harold Meigs poked Dr. Barney McGowan and with a motion of his chin indicated a man who stood to one side on the operating floor below, far enough removed so he wasn't in the way, but able to witness. A large, paunchy man with graying hair, he stood with his arms folded and his eyes fixed on the operating table, oblivious of everything else around him. As he observed the steady competence and confidence of the surgeon, he nodded in unconscious approval, and the two professors looked at one another and smiled.

Rob J. went back by train, arriving at the Rock Island depot nine days after he had left Holden's Crossing. In the street beyond the railroad station he met Paul and Roberta Williams, in Rock Island to shop.

"Hey, Doc. You just get off that train?" Williams said. "Heard you been away, little vacation?"

"Yes," Rob J. said.

"Well, you have a good time?"

Rob J. opened his mouth, then closed it again. "Very pleasant, thank you, Paul," he said quietly. Then he went to the stable to get Boss and go home.