The stab wound was bad, he saw-a deep thrust and then an upward, raking movement. And closing the wound, slowing the heavy bleeding, was severely compromised by the ribs fractured-three or four of them-on the same side. A shortness of breath-that was expected. The lung might well have fallen against the ribs. It might or might not kill. Rustem was astonished to learn that the charioteer had walked here through the streets with these injuries. Carefully he observed the man's breathing on the table, desperately shallow, as if he were belatedly acknowledging the pain.
Rustem set to work. A sedative from his travelling bag, towels, hot water, clean linens, vinegar on a sponge to clean out the wound (painfully), kitchen ingredients he instructed the servants to mix and boil for a temporary dressing: once Rustem was engaged, by the light of the lanterns they'd lit for him, he stopped thinking of implications. The charioteer cried out twice, once with the vinegar (Rustem would have used wine which was easier, if less efficacious, but had judged this man could cope with the pain), and then again, beads of sweat pouring down his face, when Rustem attempted to determine the extent and inward penetration of the broken ribs around the wound. After that he was silent, though breathing very rapidly. The sedative might have helped, but he never lost consciousness.
They controlled the bleeding eventually with lint in the wound. Afterwards, Rustem carefully removed all the packing (following Galinus in this much, at least) and inserted a tube for drainage. That, too, would have hurt. A steady flow of blood-coloured liquid ensued. More than he liked. The man didn't even move. Eventually it slowed. Rustem looked at the household skewers and pins they'd brought him-all he had for fibulae to close the wound. He decided to leave it open for now. With that much liquid he might need to drain again. He wanted to watch the lungs, the breathing.
He applied the household's quickly made poultice (adequately done, with good texture, he noted) and wrapped linens loosely as a first bandage. He wanted a better wound dressing, was inclined to use cinnabar- in modest proportions-for a wound of this sort, knowing it to be poisonous if overemployed. He would try to find proper ingredients somewhere in the morning.
He needed more drainage tubes as well. The ribs required a firmer support but the wound needed to be reachable and observed during the first few days. Merovius's famous quartet of danger signs: redness and swelling with heat and pain. Among the first things a physician learned, east or west.
They moved the charioteer upstairs on the plank of the table. Some bleeding started again when they did so, but that too was to be expected. Rustem mixed a heavier dose of his usual sedative and sat by the man's bed until he saw him sleep.
Just before he did so, his eyes already closed, the charioteer murmured softly in a flat, distant voice that nonetheless suggested he was trying to explain something, "She was closeted with her family, you see."
It was not uncommon for the sedative to cause men to say nonsensical things. Rustem set one of the servants to watch with instructions to summon him immediately if anything at all untoward took place, then he went to bed. Elita was already there-he had told her she should retire to his room. The bed was comfortable, warm with her presence. He fell asleep almost immediately. Physicians needed to know how to do that, among other things.
The girl was no longer with him when he woke in the morning, but the fire was freshly built up and a basin of water lay on the hearth to warm, with linen beside it and his clothing on a rack, also near the flames. Rustem lay still a moment, orienting himself, then made his first gesture with his right arm towards the east, murmuring the name of the Lady.
There came a knocking. Three times. First significant sound. The sound and the number benign omens for the day. The steward entered to his call. The man seemed anxious and disconcerted. Not surprisingly, given the events of the night before.
But there was more to it than that, evidently.
It seemed that Rustem had people attending upon him already. A number of them, and some were distinguished. It had not taken any time at all after the wedding yesterday for word to spread of the arrival in the City of a Bassanid physician and teacher, temporarily residing in a city home of the Master of the Senate. And whereas drunken young Hippodrome partisans might be viciously abusive of all foreigners, those afflicted in body and soul had a differing view of the arcane wisdoms of the east.
Rustem had not given this possibility any thought at all, but it was hardly an unwelcome development. And might prove useful. Sitting up in bed he stroked his beard, thinking quickly, and instructed the steward-whose manner had visibly gained in deference since last night-to have the patients return after midday. He also told him to advise them frankly that Rustem's fees were very high and to be prepared for that. Let them all decide he was no more than a greedy Bassanid, simple in his purposes here.
What he wanted was high-born or wealthy patients. The ones who could pay those fees. The ones who might possibly know things that mattered, and might confide them to a doctor. People did that, everywhere, and he was here for a reason, after all. He asked after his patient, and the steward reported that the wounded man was still asleep. He gave instructions to have someone look in on the fellow at intervals and report- discreetly-when he woke. No one was supposed to know that the man was here. It was still a source of some amusement to Rustem, how utterly overwhelmed the very dour, proper steward had been last night by the arrival of a mere athlete, a person from the games.
"Jad of the blessed Sun!" he had cried out when the charioteer had been helped across the threshold. His hand had shaped a religious sign, his tone had suggested he was seeing the named deity, not merely invoking him.
Holy men and charioteers, that is who they honour in Sarantium. An old saying. It appeared to be true. Divertingly.
After washing and dressing himself and taking a light morning meal downstairs, Rustem had the servants set about rearranging two of the main-floor rooms into examination chambers and fetching certain necessary things. The steward proved to be efficient and composed. They might be spying on him, but Bonosus's people were well trained, and by the time the sun was high on what had become a mild and beneficent day in early spring, Rustem had rooms and implements sufficient to his needs. He formally entered the two chambers, left foot first on each threshold, invoking Perun and the Lady. He bowed to the four corners, beginning with the east, looked around, and pronounced himself satisfied.
A little before midday the boy, the Senator's son who had brought the athlete to them last night, had appeared again, his face tinged a greyish-white with strain. It seemed unlikely he'd had any sleep. Rustem had briskly sent him off to buy linens and certain items for the wound dressing. Tasks were what the boy needed. It was actually necessary to remind himself now that this was the person who'd killed Nishik yesterday morning. Things changed swiftly here, it seemed.
The lad looked grateful and frightened at the same time. "Um, if you please…? My father won't know I was the one who… brought him here? Please?"
That had been said last night, as well. It appeared the boy had been abroad without permission. Well, of course: he had killed someone in the morning. Rustem had nodded then and did so again now. The growing web of secrecy might also be useful, he had decided. People in his debt. The day was beginning well.
He would want a student or two eventually, for the proper tone and gravity, but they could come later. For now, he had Elita dress herself in a long, dark green tunic and showed her how to present patients to him in the inner chamber while others waited in the second room. He explained that she was to remain with him if the patient was female. Physicians were vulnerable to wild, inflammatory allegations and a second woman was a necessary precaution if there were no students available.