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“Light a lamp,” Anson ordered without looking up.

“What is it? What’s happened?” came Mary Lansdowne’s strained voice.

“It’s Louisa. She’s sick.”

“Louisa?”

“I need light,” Anson said, not waiting even to see his concern mirrored in another’s face. “And my case. In my room. On the dresser.”

The footsteps started again, climbed, and crossed the ceiling. They were like a pulse. The child moaned but did not open her eyes. In the darkness Anson could barely discern her features, but she was like a live coal to his touch.

There were more footsteps, then Mary’s voice and fluttering descent in the sizzling spread of light.

“Dear God, dear God, what’s happened to her?” Mary’s hand descended to Louisa’s brow. “Doctor? She’s burning with fever.”

“Yes.” Anson sent Mary away for a cool cloth. The girl’s pulse in his fingers was quick and slippery as rain.

Henry Lansdowne appeared. He stood still as a piling.

“I don’t understand. How is it that the child’s here, doctor?”

“The piano, of course. You and your brother wouldn’t take it into the house.”

Angrily, Anson grabbed his case and opened it. The oil light fell and splashed on his instruments.

“The piano?”

“She’s been coming out at night to play it. And obviously she hasn’t been looking after herself. Just look at how she’s dressed.”

Anson noted the man’s incomprehension: it was like a block of lead dropped on the floor. To keep himself from losing his temper completely, he said, “You’d better notify the child’s parents. The danger’s not immediate, but it is grave.”

“Oh, poor Edney,” said Mary Lansdowne and placed the cloth in Anson’s hand. “Hurry, Father. You must hurry.”

Once Henry Lansdowne had gone, his wife knelt beside Anson. Her voice was hushed, her white face framed by grey braids.

“Is it the scarlet fever, doctor?”

“I don’t believe so. But I can’t say with certainty.” He placed the cloth gently on the child’s brow and turned to the window at the sound of hooves striking the ground. At least the man appreciates the gravity, he thought.

Mary Lansdowne, however, took Anson’s turning for something more ominous.

“What do you suspect? Not…”

The child moaned, her eyes opened wide, with that seeing that sees more than the surroundings. Then the eyes flickered and shut again.

“It could be any number of illnesses.” Anson read the pale face for answers he suspected that time alone would provide. And yet, he had a suspicion. The high fever, the periodic moans, the look of delirium: these symptoms pointed to typhoid fever. If the girl, on waking, complained of headaches or stomach pain… yet she had been strong enough to come across the fields and slough to play the piano. The mother, no doubt, could provide some useful information.

Anson cursed beneath his breath. For now, there was little he could do. Treating disease, even during the war, had the effect of reminding him of how little his skill and knowledge mattered. At least a shotgun wound, for instance, required immediate action of a most absorbing kind. For the sake of his sanity, a man could not feel hopeless or powerless as he sawed through flesh into a bone.

Mary Lansdowne, who had slipped quietly away, returned with a blanket. But as she laid it over the still form on the ottoman, the girl suddenly rose up, her eyes wild, and the blanket slid off.

“Louisa, dear, it’s Aunt Mary. Your mother’s on her way. Oh, child.”

The girl’s dark eyes flared, then rolled back. She opened her mouth, but no sound came.

Anson sent Mary away with the cloth, which was already warm and damp. Lightly he touched the girl’s brow. The fever was very high. The blanket on the floor might have been a skin shed by fire. Seconds accumulated very slowly, heavily. Mary returned. Anson placed the cloth on Louisa’s burning brow. Then he listened to the pulse again until the rapid hoof beats struck the ground outside and the child’s mother rushed into the parlour, a whirling descent of black in the yellow light, her long hair loose, her eyes almost as wild as her daughter’s. She smelled thickly of rain and mud. Her skirt bottom was drenched and splattered from the half-mile ride along the slough bank. Anson rose and withdrew a few steps to give Edney a clear path to her child’s side. In a silence much more disturbing than cries would have been, she threw herself on the girl’s breast. Anson watched Edney’s shoulders shake violently and a sense of horror rose in him. Why didn’t she cry out? Why didn’t she speak the child’s name? She looked like some animal feeding off its kill. Anson fought to quell the gruesome image.

“Edney. Oh, Edney, please,” Mary Lansdowne moaned.

Anson turned and saw that Mary’s hands were at her mouth. Where was the girl’s father? It would be his duty to lift the mother from the girl. Anson could hardly bring himself to consider doing so, but if the woman didn’t raise herself soon…

Henry Lansdowne entered the room and spoke softly in his wife’s ear.

“Not back?” Mary said, then lowered her head at her husband’s stern look.

The two returned quietly into the shadows.

Anson could no longer abide the mother’s terrible, almost silent grief.

“Madam, compose yourself.”

But even as he spoke, he felt foolish and very far removed. It was as if he stood above a woman slowly transforming into an open grave. He almost expected the floor to give way and all of them to be swallowed by the earth. Some terrible moment was at hand, more than illness, more than a human death. Now Anson did not want the woman to rise. Any change would trigger the greater death he could not even imagine.

Then Henry Lansdowne emerged from the shadows and brusquely took Edney by the shoulders and lifted her. “Mary,” he said to his wife, who then supported Edney on the other side. Together, they sought to remove her from the parlour, turned her slumped figure doorward.

Anson tried not to see, but it was as if his eyelids were pinned up. The mother’s face floated into the dim light like something dead that had been trapped a long time on the bottom of the sea, yet as it rose it seemed, inch by inch, to be shocked back into sentience by a grinning blackness whose silent mirth trembled all around them. But the thought and feeling that flooded into the eyes were blank in their fathomless searchings. Anson, though he had witnessed similar suffering before, had never become immured to it. The sense of an intense misery just withheld was almost too much to bear, especially here, when he had already imagined himself on the way back to Antietam. The room was like a surface of water out of which, at any instant, a powerful force must explode. If there was skin on the mother’s face, Anson couldn’t see it. If there was a woman in the features, it was a woman Anson had never encountered, not even in a nightmare. Yet the grief was human. That was the most awful part of it. Fifty thousand dying men, fifty thousand grieving mothers, were screaming without sound in the brief bone frame that hung before his eyes, eyes that he could not close.

Then she was gone and Anson stood alone above the child’s fitful fire, wondering if even the music of Chopin could ever wash that screaming from his sight.

They moved the child to an upstairs room, the uncle cradling her and walking slowly, as if leading a procession. But Anson alone attended the move, for the mother remained bone-white and trembling in a chair, with her sister-in-law dutifully at her side. Alone with Henry Lansdowne, Anson waited for the man’s questions: What illness? How serious? What about quarantine? But even now the Englishman remained mostly mute. He did thank Anson for his help, but implied in his manner and tone was a criticism—no doubt he suspected Anson of knowing more about his niece’s piano playing than he was admitting to.