Ian McGuire - The North Water

Anna is laying another poultice on the priest’s belly. She gives him a fierce look but he ignores it. He goes to the medicine chest and takes out a large bottle of ether, a wad of lint, and a lancet. He spends a few minutes sharpening the lancet to an edge with a whetstone. Then he clears the remaining books off the table and wipes it clean with a damp rag. He walks over to the bed and looks down at the priest. The elder man’s skin is waxen and damp, and his eyes are filled with pain. Sumner places his hand on his forehead and then peers into his mouth for a moment.

“Your cecum is abscessed,” he tells him, “or possibly ulcerated — the difference is unimportant. If we had any amount of opium in the medicine chest, that would help, but since we have none at all, the best thing to do is make a cut in your belly here to allow the diseased matter to flow out of you.”

“How do you know such things?”

“Because I’m a surgeon.”

Since he is in too much pain to comment or express surprise, the priest merely nods. He closes his eyes a moment to think, then opens them again.

“So you’ve done the thing before?” he asks.

Sumner shakes his head.

“I’ve neither done it myself nor seen it done. I read about it being performed by a man named Hancock in the Charing Cross hospital in London some years ago. On that occasion, the patient lived.”

“We’re a good way from London,” the priest says.

Sumner nods.

“I’ll do all I can in these conditions, but we’ll need a large amount of luck.”

“You do your best,” the priest says, “and I expect the Lord will take care of the remainder.”

Sumner asks Anna to fetch her brother in from the igloo and, when the brother arrives, he tips some of the ether onto the wad of lint and places it over the priest’s nose and mouth. They remove his clothes, then lift his naked, lolling body off the cot and lay it out on the table. Sumner lights an extra candle and places it on the windowsill to illuminate his work. Anna starts praying and rapidly crossing herself, but Sumner interrupts her pieties and instructs her to stand at the end of the table and apply more ether whenever the priest shows any sign of reviving. The brother, who is tall and has a genial, oafish air, is given a metal bucket and a towel, and told to stand by Sumner’s shoulder and stay alert.

He palpates the abdomen again, feeling its lines of hardness and give. He wonders for a moment if he has made a mistake, if this is a hernia or a tumor rather than an abscess, but then reminds himself why that can’t be true. He tests the sharpness of the lancet against his thumb, then presses the blade’s edge down into the priest’s flesh and makes a lateral cut from the top of his hip bone, halfway to the navel. It takes him several attempts to penetrate the layers of sheath, muscle, and fat and get into the abdomen proper. As he presses deeper, blood wells up and he wipes it away with a cloth and continues cutting. As soon as he pierces the cavity wall, a pint or more of foul and flocculent pus, turbid and pinkish gray, squirts unhindered out of the newly made breach, spattering across the table and coating Sumner’s hands and forearms. The roaring stench of excrement and decay instantly fills the cabin. Anna yelps out in horror and her brother drops the metal bucket. Sumner gasps and jolts backwards. The discharge is fibrinous, bloody, and thick as Cornish cream; it pulses out from the narrow opening like the last twitching apogee of a monstrous ejaculation. Sumner, squinting against the reek, curses, spits onto the floor, then, breathing through his mouth, cleans the muck from his hands and arms, and tells the brother to wipe the table down and throw the soiled rags into the stove. The three of them, working together, tip the priest over onto his side to further speed the drainage. He makes a low moan as they move him. Anna, with shaking hands, reapplies the etherized lint to his face until he settles. Sumner presses down on the skin and muscle around the edges of the wound with his fingertips, pushing out as much of the remaining foulness as he can. It is hard to believe that the priest’s body could contain such an abundance of pus. He is not tall, and, stripped naked as he now is, he appears slight, bony, and almost boyish, yet it gurgles out of him like water from a rock. Sumner presses down and the brother wipes up the outflowings. They press and wipe, press and wipe, until eventually the stinking stream slows, then ceases altogether.

They carry the priest back to the bed and cover him over with blankets and a sheet. Sumner cleans and puts a dressing on the wound, then washes his hands with oil soap and opens the window. The air that rushes in is flecked with snow, odorless and starkly cold. It is dark outside and the wind is whistling in the eaves. He doubts the priest will live more than a day. With an abscess that severe, there is almost certain to be some form of perforation in the gut, he thinks, and once the shit starts leaking out, that is generally the end of it. He gathers the few medicines they have that might relieve or moderate the pain and instructs Anna how and when to use them. He lights his pipe and goes outside to smoke it.

That night, asleep in his own bed, he dreams he is afloat again on the iceless reaches of the North Water. He is alone and drifting in his pal Tommy Gallagher’s leaky old currach, its hull patched and its thwarts smoothed and worn to a shine by usage. He has no oars that he can see, and there is no sign of another vessel, but he doesn’t feel afraid. He spots an iceberg on his larboard side and standing, perched high on one of its ledges, clad in a green tweed suit and brown felt hat from Dames of Temple Bar, is William Harper the surgeon, the man who found him and took him in. He is smiling and waving. When Sumner calls out for him to come down, he laughs as if the very thought of swapping the majestic iceberg for the pathos of the currach is absurd. William Harper’s face appears quite normal, Sumner notices, and he is moving his right arm freely enough. There is no sign of paralysis or injury, no evidence of the hunting accident that drove him to the drink. He has been wholly restored, it seems, and now he is perfect again, entire. Sumner wishes, more than anything, to ask him how this remarkable feat was achieved, what methods were used, but the currach has drifted too far away, he realizes, and his voice is too weak to carry across the water.

In the morning, to his surprise, the priest is still breathing and he looks no worse than he did before. “You’re a tough old fucker, you are,” Sumner says to himself, as he removes the dressing and inspects the wound. “For a man who puts his faith in the life everlasting, it appears you’re awful keen to linger on amidst the toil and strife of this one.” He wipes around the incision with a rag, sniffs the seepage, then throws the old dressing into the bucket to be washed and makes up a new one. As he works, the priest opens his eyes a crack and looks up at him.

“What did you find inside me?” he asks. The voice is grainy and faint, and Sumner has to lean down to hear it.

“Nothing good,” he answers.

“Then best be rid of it, I’d say.”

Sumner nods.

“You try to get your rest now,” he tells him. “And if you need help, just call out for it or raise your hand. I’ll be seated at the table.”

“You’ll be watching over me, will you?”

Sumner shrugs.

“There’s precious little else to do around here until the spring arrives,” he says.

“I thought you might be off hunting seal with your new spear and anorak.”

“I’m not a seal hunter. I don’t have the patience for it.”

The priest smiles, nods, then closes his eyes. He seems to be drifting back to sleep, but then, a minute later, he opens his eyes again and looks up as if remembering something else.