“What shall I do without you, my love?” asked Lydia, looking up at Thomas on the morning of his departure. “You have been my strength through all of this.”
“You know I am always here for you,” he said, taking both her hands in his and kissing them tenderly. Her eyes were full of tears and it was all he could do to stem his own. He could not let the moment pass. “If you would be my wife, then we need not be apart again. Will you marry me, my dearest love?”
Lydia gazed at him and smiled. “Yes. Yes, I will,” she whispered, nestling her head on his shoulder and holding his body tight against hers. It was a moment he knew would warm him through the long winter months of separation that now faced him.
Time, they say, is the great physician. Time would heal the wounds inflicted by so many deaths, so many personal tragedies, Thomas was sure of that. For the moment, however, those wounds must remain bandaged, allowed to heal naturally. Sometimes, he mused, the knife of a surgeon can do harm as well as good. Sometimes natural processes must be allowed to do their work away from the intervention of the scalpel and the trocar. Sometimes silent prayer and meditation is what is needed without a show of priestly pomp.
And so it was, in quiet contemplation, that Thomas said his farewells and rode down the drive of Boughton Hall for what he knew would be the last time for many months. It was just as he was passing the churchyard where young Rebecca lay, her grave still decked with fresh flowers, when he heard shouts. He craned his neck to look ’round and saw Will Lovelock, his carrot-colored hair flapping as he ran, calling after him down the drive.
“Dr. Silkstone! Dr. Silkstone,” he cried.
Thomas ordered his horse to halt. “What is it, Will?” he asked as the boy ran alongside him. He was out of breath and gulped down air as fast as he could to relate his message.
“I am to give you this, sir,” he panted, holding out the silver locket that Lydia had once dropped in the stable yard.
Thomas frowned as he took it. “But I told you to return this to her ladyship,” he chided.
“I did, sir,” replied the boy. “Just as you said. But Lady Lydia told me to give it to you, as a keepsake.”
Thomas smiled, thanked the boy, and closed his fingers ’round the pendant before putting it in his breast pocket and riding on. No doctor had ever devised a remedy to ease lovesickness, but during the cold and unforgiving season that lay ahead without his beloved, the token, he told himself, would help warm his aching heart.
Glossary
Chapter 1
rabid dog:
Serious outbreaks of rabies in England from 1759 onward meant that rewards were paid for each dog killed. Rabies broke out in Boston and other North American towns in 1768.
sack:
a style of sherry.
Chapter 2
lymphatics:
Dr. William Hunter and his brother John discovered that the lymphatic flow runs toward the heart. Up until the mid-1700s the opposite was the received wisdom.
decaying flesh:
Spring and autumn were considered the most favorable seasons for operations. A medical guide for surgeons (1712) read: “In the Spring, the blood is revived with greater heat whilst in the Autumn blood is calm. In the Winter the cold locks up the paws, hinders transpiration and the blood has not the vivacity required to animate our bodies.”
miasma:
It was commonly held that diseases such as cholera or the Black Plague were caused by a miasma, a noxious form of “bad air.”
Corporation of Surgeons:
From 1752 the body of any criminal executed in London and Middlesex counties could, if the judge decreed it, be dissected for the purposes of anatomical research at Surgeons’ Hall.
Mr. Garrick:
David Garrick was the most famous actor of the age and managed the Theatre Royal in London’s Drury Lane until 1779.
phthisis:
By the early eighteenth century tuberculosis was recognized as a contagious condition and hospitals started to exclude infected patients.
albino rat:
The first recorded instance of an albino mutant rat being used for laboratory study was in 1828.
black rat:
Black rats are notorious for carrying the fleas widely thought to have been responsible for bringing bubonic plague to Britain. However, more recent researches show that a waterborne intestinal disease may have been responsible.
The Daily Advertiser:
Launched in 1773 in London, with a dependence on advertisements, this is sometimes regarded at the first modern newspaper.
gout:
The eighteenth-century physician George Cheyne singled out the disease for well-fed and hearty types.
goiter:
A condition that used to be common in many areas deficient in iodine in the soil.
laudanum:
From the eighteenth century and well into the nineteenth, laudanum was recommended as the drug for practically every ailment.
The Royal Academy of Arts:
This was founded in 1768 through a personal act of King George III, who wished to promote the arts.
Chapter 3
The Pantheon:
This once stood in Oxford Street and was a place of public entertainment that opened in 1772.
Pump Room:
The social heart of Bath, where spa waters are drunk in a neoclassical salon.
grave wax:
Also known as “adipocere,” this is the insoluble fatty acids left as residue from preexisting fats from decomposing material such as a human cadaver when exposed to moisture. Although its discovery is usually attributed to the Frenchman Fourcroy in the eighteenth century, Sir Thomas Browne describes this substance in 1658.
doxy:
The modern sense of “a sexually promiscuous woman” dates to at least 1450.
French pox:
Venereal disease, the former name of syphilis.
Chapter 4
Their days in India:
By 1765, Britain’s influence in India was in the ascendancy and Bengal was ceded to Clive of India.
ivory:
Artificial noses were usually carved of ivory or made of plated metal and were made to replace original noses, which may have been congenitally absent or deformed, lost through accident or combat, or through a degenerative disease, such as syphilis.
Chapter 5
St. Bartholomew’s Hospital:
Almost always known as Bart’s, this hospital was founded in 1123.
stillborn child:
Infant mortality at this time in both the UK and the U.S. was about 500/1,000 compared with under 7/1,000 in 2000–05.
Chapter 6
cutpurse:
A violent mugger.
muckworm:
One who scrapes together a living by mean labor.
Hanoverians:
The line of kings that began in 1714 with George I and ended in 1837 with William IV. The major opposition to the Hanoverians came from the Jacobites, who supported the restoration of the Stuarts to the throne.
The Sheldonian Theatre:
Built in 1667, it was the first major commission for an aspiring young architect named Christopher Wren.
inglenook:
A medieval-style fireplace, with a large recessed opening.
Christ Church Anatomy School:
Erected in the School Quadrangle in 1766–67 by Henry Keene on the site of the organist’s house, it became the Christ Church science laboratory.
Chapter 8
iodine:
When dissolved in alcohol it was commonly used as an antiseptic in the past.
caries:
The formation of cavities in the teeth by the action of bacteria; tooth decay.
Chapter 10
Great Tom:
The name of the bell from Tom Tower, whose hundred and one peals traditionally signal the closing of the college gates.
fag:
In English public schools, a fag was a young pupil who was tasked with being an older pupil’s servant.
Chapter 12
potager:
A vegetable garden.
jalap:
A medicinal herb.
bunter:
A destitute prostitute.
Chapter 13
hatchments:
A hatchment is a funeral demonstration of honors displayed on a black frame that used to be suspended against the wall of a deceased person’s house. Hatchments have now largely fallen into disuse, but many remain in parish churches throughout England.
chancre:
The primary stage of syphilis is usually marked by the appearance of a single sore (called a chancre).
Chapter 14
the dome:
This was designed by Sir Christopher Wren.
farthing:
A low-value coin.
laurel water:
A distillate of cherry laurel leaves containing hydrocyanic acid that smells like bitter almonds.
retort:
A vessel in which substances are subjected to distillation or decomposition by heat.
Chapter 15
loofah:
Made from a plant called the
Luffa cylindrica
of the gourd family. The fruit is picked when the skin turns a dark orange color and the seeds are removed to leave a spongelike pod, which, when soaked, is ideal for rubbing the skin when bathing.
salve:
A soothing herbal cream.
febrifuge:
A medication that reduces fever.
Chapter 16
attar:
An alcohol-free perfume.
“the smell of bitter almonds”:
Cyanide is found in small amounts in the nuts.
Chapter 17
litmus:
Litmus paper was brought into general use first in the 1600s by Robert Boyle (1627–91). Paper chromatography was, in reality, first developed in Russia by Mikhail Semenovich Tswett in 1903.
Chapter 19
palliasse:
A straw-filled mattress.
Chapter 20
Vesalius:
Andreas Vesalius’s anatomical text
Fabrica
, published in 1543, was a foundation stone upon which all surgical practice was based.
anosmia:
A lack of functioning olfaction, or in other words, an inability to perceive odors. Some people may be anosmic for one particular odor. This is called “specific anosmia” and may be genetically based.
carboys:
Large glass jars that were symbols of pharmacy from the 1600s onward.
Chapter 21
Dr. Samuel Johnson
(1709–1784) was an English author, poet, essayist, moralist, novelist, literary critic, biographer, editor, and lexicographer.
Bedford Coffee House:
A haunt of intellectuals in Covent Garden.
Radcliffe Camera:
The word “camera” means simply “room” and was built 1737–49 with £40,000 bequeathed by Dr. John Radcliffe, the royal physician.
John Friend:
A physician to Queen Caroline, he bequeathed money for the foundation of an anatomy school at Oxford on his death.
Nathan Alcock:
An Oxford physician who died in 1779.
A brace of shiners:
A handful of coins.
The price of a corpse was measured in feet and inches.
Chapter 23
Hogarth:
William Hogarth (1697–1764) was a famous satirist and artist.
paphians and doxies:
Women of ill repute.
Chapter 25
hierophant:
An interpreter of sacred mysteries.
Chapter 26
cinder sifters:
These men made their living off the discarded rubbish of the capital.
costermongers:
Street sellers of fruit and vegetables.
whisket:
A basket.
unguent:
Ointment, salves, or balm for soothing.
didicoy:
A person who lives like a Gypsy but is not a true Romany.
“biting their thumbs at him”:
a huge insult in the seventeenth century.
Chapter 28
Robert Hooke’s Micrographia:
Published in 1665 and famous for its stunning illustrations of microscopic bodies.
Philosophical Transactions of the Royal Society:
First published in 1665.
Chapter 31
feverfew:
A herb believed to ease headaches.
Crown Inn:
A five-hundred-year-old hostelry that still exists.
Amersham:
One of the main towns along the London-to-Oxford coaching route in the Chiltern Hills.
Chapter 33
nosegay:
A posy of medicinal plants and herbs used to disguise bad odors.
Chapter 34
Britain was still in the grip of “the Little Ice Age”—a series of particularly harsh winters in which the River Thames regularly froze over.
wherries:
A wherry was a type of boat traditionally used for carrying cargo or passengers on rivers and canals in England, and is particularly associated with the River Thames.
sack-’em-up men:
Grave robbers who sold corpses to anatomists.
Chapter 35
gallimaufry:
A motley assortment of things.
gallipots:
A gallipot was a small, glazed earthenware jar used by druggists for medicaments.