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“Yea, his soul draweth near unto the grave, and his life to the destroyers.” Not so good, but the next bit was more heartening. “If there be a messenger with him, an interpreter, one among a thousand, to shew unto man his uprightness: Then he is gracious unto him, and saith, Deliver him from going down to the pit: I have found a ransom. His flesh shall be fresher than a child’s: he shall return to the days of his youth.” And what was the ransom, then, that would buy a man’s soul, and deliver my darling from the power of the dog?

I closed the book and my eyes. The words muddled together, blurring with my urgent need. An overriding misery struck me when I spoke Jamie’s name. And yet there was some small peace there, a lessening of tension when I said, as I did over and over again, “O Lord, into thy hands I commend the soul of your servant James.”

The thought came to me that perhaps Jamie would be better off dead; he had said he wanted to die. I was morally sure that if I left him as he wished, he would be dead soon, whether from the aftereffects of torture and illness, from hanging, or in some battle. And I was in no doubt that he knew it as well. Ought I to do as he said? Damned if I will, I said to myself. Damned if I will, I said fiercely to the sunburst on the altar and opened the book again.

It was some time before I became aware that my thread of petition was no longer a monologue. In fact, I knew it only when I realized that I had just answered a question I had no memory of asking. In my trance of sleepless misery, something had been asked of me, I wasn’t sure just what, and I had answered without thinking, “Yes, I will.”

I stopped all thought abruptly, listening to the ringing silence. And then, more cautiously, repeated, voiceless, “Yes. Yes, I will,” and thought fleetingly, The conditions of sin are these: first, you must give your full consent to it… And the conditions of grace as well, came an echo of Anselm’s quiet voice.

There was a feeling, not sudden, but complete, as though I had been given a small object to hold unseen in my hands. Precious as opal, smooth as jade, weighty as a river stone, more fragile than a bird’s egg. Infinitely still, live as the root of Creation. Not a gift, but a trust. Fiercely to cherish, softly to guard. The words spoke themselves and disappeared into the groined shadows of the roof.

I genuflected to the Presence then, and left the chapel, never doubting, in the eternity of the moment when time stops, that I had an answer, but having no idea what that answer was. I knew only that what I held was a human soul; my own or another’s, I could not tell.

It did not appear to be an answer to prayer, when I woke to the resumption of ordinary time in the morning to find a lay brother standing over me, telling me that Jamie was burning with fever.

“How long has he been like this?” I asked, laying a practiced hand on brow and back, armpit and groin. No trace of relieving sweat; only the dry stretched skin of persistent parching, fiery with heat. He was awake, but heavy-eyed and groggy. The source of the fever was plain. The shattered right hand was puffy, with a foul-smelling ooze soaking the bandages. Ominous red streaks ran up the wrist. A bloody infection, I thought to myself. A filthy, suppurating, blood poisoning, life-threatening infection.

“I found him so when I came to look in on him after Matins,” replied the serving brother who had come to fetch me. “I gave him water, but he began to vomit just after dawn.”

“You should have fetched me at once,” I said. “Still, never mind. Bring me hot water, raspberry leaves, and Brother Polydore, as quickly as possible.” He left with the assurance that he would see some breakfast was brought for me as well, but I waved such amenities aside, reaching for the pewter jug of water.

By the time Brother Polydore appeared, I had tried the internal application of water, only to have it violently rejected, and was applying it externally instead, soaking the sheets and wrapping them loosely over the hot skin.

Simultaneously, I set the infected hand to soak in fresh-boiled water, as hot as could be stood without burning the skin. Lacking sulfa drugs or modern antibiotics, heat was the only defense against a bacterial infection. The patient’s body was doing its best to supply that heat by means of high fever, but the fever itself posed a serious danger, wasting muscle and damaging brain cells. The trick was to apply sufficient local heat to destroy the infection, while keeping the rest of the body cool enough to prevent damage, and sufficiently hydrated to maintain its normal functions. A bloody three-tier balancing act, I thought bleakly.

Neither Jamie’s state of mind nor his physical discomfort were relevant any longer. It was a straightforward struggle to keep him alive until the infection and the fever ran their course; nothing else mattered.

In the afternoon of the second day, he began to hallucinate. We tied him to the bed with soft rags to prevent his hurling himself to the floor. Finally, as a desperate measure to break the fever, I sent one of the lay brothers out to bring in a bushel basket of snow, which we packed around him. This resulted in a violent shivering fit that left him drained and exhausted, but did briefly bring his temperature down.

Unfortunately, the treatment had to be repeated at hourly intervals. By sunset, the room looked like a swamp, with puddles of melted snow standing on the floor, tussocks of sodden sheeting mounded among them, and steam like marsh gas rising from the brazier in the corner. Brother Polydore and myself were sodden, too, soaked with sweat, chilled with snow water, and near to exhaustion, in spite of the helpful assistance of Anselm and the lay brothers. Febrifuges such as coneflower, goldenseal, catnip, and hyssop had been tried, without effect. Willowbark tea, which might have helped with its content of salicylic acid, could not be consumed in amounts large enough to matter.

In one of his increasingly rare lucid intervals, Jamie asked me to let him die. I answered curtly, as I had the night before, “Damned if I will,” and went on with what I was doing.

As the sun went down, there was a stir of approaching men in the corridor. The door opened and the abbot, Jamie’s uncle Alex, came in, accompanied by Brother Anselm and three other monks, one carrying a small cedarwood box. The abbot came over to me and blessed me briefly, then took one of my hands in his.

“We are going to anoint the lad,” he said, his deep voice kind. “Do not be frightened.”

He turned toward the bed and I looked wildly to Anselm for explanation.

“The sacrament of Extreme Unction,” he explained, moving close so that his low tones would not disturb the monks gathered around the bed. “The Last Anointing.”

“Last Anointing! That’s for people who are dying!”

“Ssh.” He drew me farther away from the bed. “It might more properly be called anointing of the sick, though in fact it is usually reserved for those in danger of death.” The monks had turned Jamie gently onto his back, arranging him tenderly so that he might lie with the least hurt to his raw shoulders.

“The purpose of the sacrament is twofold,” Anselm went on, murmuring in my ear as the preparations went on. “First, it is intended as a sacrament of healing; we pray that the sufferer may be restored to health, if that be God’s will for him. The chrism, the consecrated oil, is used as a symbol of life and healing.”

“And the second purpose?” I asked, already knowing.

Anselm nodded. “If it is not God’s will that he should recover, then he is given absolution of sins, and we commend him to God, that his soul may depart in peace.” He saw me tighten in protest, and laid a warning hand on my arm.

“These are the last rites of the Church. He is entitled to them, and to whatever peace they may bring him.”