Something in the back of Anna’s mind suddenly became clear: they only knew about the deaths that came to the attention of the authorities. There could be many more, women who had gone home to die and been tended to by their own people. That idea so distracted her that she found it hard to shift her attention when they reached the morgue.
Anna steeled herself, but it was no good. No human being could look upon such devastation and remain unmoved. The postmortem would reduce what had happened to this woman to cold observations: tears and puncture wounds to the cervix, uterus, omentum, large intestine, and the body’s frantic response to the invasion of bacteria: infection, exudate, and pus. What had been a well-formed, healthy human body laid waste.
“Have you ever seen such an extreme example of malpractice?” Mayfair asked her.
“I’m sorry to say I have,” Anna answered. “Almost exactly like this. Do you know who did the procedure?”
“No,” said Harrison. “By the time I saw her she was convulsing from the fever. She never regained consciousness.”
“The husband?”
“He’s in shock.”
“I’d like to talk to him, if I may.”
• • •
ANNA FOUND PROFESSOR Svetlov sitting in the main lobby, his hat clamped between his hands, his head lowered. At the sound of her voice a tremor ran through him.
“Professor Svetlov,” Anna repeated. “May I speak with you? I’m Doctor Anna Savard.”
Anna dealt with grieving husbands and fathers, brothers and sons every day. She strove for calm compassion without emotional attachment, but it was a battle that would never be completely won.
When she had introduced herself again and expressed her condolences, she forced herself to look him directly in the eye and ask her question.
“Professor, do you have any idea who she went to for this procedure?”
He shook his head, a single sharp jerk.
“Any information would be useful for the detectives. You don’t know what part of the city she went to? How much money she paid? How she heard about his services?”
His voice came raw and rough. “I don’t know any of that. She went out in the morning. She came back early afternoon, and went straight to bed. She wouldn’t open the door to anybody. This morning when I finally got in to see her—” He pressed the heels of his hands to his eyes and shook his head. “Please, leave me in peace.”
• • •
JACK WAS WORKING the night shift, but there was no end of things to keep Anna busy. She could spend the evening reading journals or marking papers, and she owed Sophie a long letter. She go could visit with Aunt Quinlan and Margaret or spend some time with the little girls. What she couldn’t do was talk to anyone about Irina Svetlova.
Talking to the woman’s husband—trying to talk to him—had been a mistake, and she hadn’t even asked the most important question. It seemed unlikely that a wealthy Russian woman would ever have had occasion to frequent Smithson’s, located as it was in the shadows beneath the elevated train, but she would leave that determination to the honorable detective sergeants. They never presumed to perform surgery, and from now on she would leave the police work to them. Unless, of course, they specifically asked for her help.
With that self-admonishment clear in mind, she finished changing into casual clothes and went downstairs to find mail on the hall table. A letter from her cousin Blue, Aunt Quinlan’s oldest daughter who still lived in Paradise at Uphill House, where Anna had been born. Another from one of the Savard cousins in New Orleans. Sales offers from medical supply companies and publishers, a newsletter from the Women’s Medical Society. And one rough envelope with handwriting that was unfamiliar, rather old-fashioned and stiff.
For a moment she contemplated not opening it at all. If it was another of Comstock’s traps, it would ruin the rest of her evening. But she took it to a window to study it more closely and was able to make out the postmark, just barely. Mailed two days before in Rhode Island.
At the desk she slit the envelope open and found two close-written sheets.
Dear Dr. Savard,
I write to you because Det. Sarg. Maroney gave me your address and asked me to send word about how we are getting on.
Henry and Montgomery and me got here by steamer with no fuss at all, clear skies and calm seas, and found a Mr. Knowles who took us and our bags and boxes in his wagon to the house and wouldn’t take a nickel for his trouble. The boys (Hannes, Markus, Wiese, Günther, as we call them now, and they call us Oma and Opa) were just sitting down to supper made for them by Mrs. Barnes, whose husband sold us the house. There was such a great excitement in the kitchen, Henry with tears rolling down his stubbly cheeks for joy, and Montgomery leaping into the air like a rubber ball, and the boys all pressing together against us like they’d never let go.
They were terrible upset to hear about their mam, which is why I took so long to write this letter. It hit Hannes the hardest, but he is slowly coming back to himself. Today he took the baby on his lap and played with him and made him laugh. It does a body good to hear a baby laugh like that, from deep in the belly.
Last night Markus and Wiese both slept through the night for the first time since we brought the sad news with us from home.
Henry is enjoying the fine weather and the sea just as much as the boys do. You will recall that he is fond of fish, and he has already got into the habit of walking down to the bay when the fishermen come in to buy something for supper. He takes a dollar with him, and is pleased to bring back change.
I count myself very lucky. We needn’t fear sickness for there is a good doctor and an apothecary in town and we can pay them. Hannes will start at the little school in the village in the fall with new shoes and a primer and whatever else children need these days. The boys are my life’s work, now, and I intend to do it proper. Good food and fresh air and a bit of work around the place for each of them (excepting the baby, of course). And a hug and kiss at bedtime, the way their mam would want.
If Henry was clear in his mind he would write himself to thank you and say how much we appreciate the kindness you all showed us in our hour of need. There are good people in the world, after all. We pray every day for our dearest girl, gone forever but never forgot.
Yours truly,
May Steinmauer
Anna tried to remember the last time there had been a mention in the papers about the Campbell boys but could not. It was as if they had used up their portion of the public’s interest and concern and would not get any more attention unless they earned it. In a city where thousands of children lived on the streets, that would be hard to do.
On the desk in front of her she had the draft of a letter she had been meaning to finish and mail since the fruitless meeting with Father McKinnawae. She had revised it multiple times, and had yet to copy it in its final form on to her personal stationery.
Mr. and Mrs. Eamon Mullen
Tottenville, Staten Island, NY
Dear Mr. and Mrs. Mullen,
I am Anna Savard Mezzanotte, of New York city. On May 26th my husband and I met your family very briefly on the beach near Mount Loretto. Your daughter Theresa Ann introduced us to you and her baby brother, you may recall.
We hope you might be willing to grant a favor. May we stop by and visit with you one Saturday or Sunday afternoon, at your convenience? This has to do with a family connection, one I would prefer not to spell out in a letter. I realize this sounds very mysterious, but let me assure you that our designs are friendly, and we mean you only well. In all probability we will visit for less than an hour.
Of course, you may well want to check references before you reply this letter. I provide the following information to that end:
I am physician and surgeon, a graduate of the Woman’s Medical School here in New York, and registered at Sanitary Headquarters, as required by law. I am on
staff at the New Amsterdam Charity Hospital. My husband, Detective Sergeant Giancarlo Mezzanotte, is on the New York City police force and is stationed at Police Headquarters on Mulberry Street. We live at No. 18 Waverly Place.
With very best wishes to you and your family.
I am most sincerely yours,
Dr. Anna Savard
She knew she needed to show the letter to Aunt Quinlan and Jack and maybe even Conrad Belmont and take advice before sending it. Anna asked herself what these people might say, if they would disapprove.
With considerable effort she tried to clear her mind and read the letter as Mrs. Mullen might read it. Would she be affronted, afraid, insulted, or simply curious? The only thing Anna knew for certain was that the situation had to be addressed soon.
She sat for a moment looking at a blank sheet of stationery. Engraved across the top in an elegant typeface was her full name: Dr. Liliane Mathilde Savard. A graduation present from Margaret. Anna had thanked her and then put the box away, only to find that she did have a use for stationery like this. It put a certain distance between herself and the person she was writing to. A private individual requesting a consultation, a colleague asking her to read the draft of a journal article, invitations to conferences and meetings, a request for a contribution to an educational fund: in each case she had to balance interest and concern with the demands on her time and energy.
The house was dim and cool and very quiet. Before she could change her mind, she got out a pen and ink and a fresh sheet of stationery. In a fluid hand she copied out the final version of the letter to the Mullens. While the ink dried she addressed an envelope. She folded the letter neatly, went over the creases with the letter opener, put it in the envelope, and set it aside.
Then she started another, far more pleasant letter, one that would cheer up both Sophie and Cap. This letter she wanted to write. A letter with answers instead of questions. She thought of them sitting on a terrace overlooking mountains and pastures, and she wrote down for them the rest of Janine Campbell’s story.
• • •
SHE DIDN’T REALIZE it, Elise was sure, but with a simple statement Anna had handed her what felt like keys to a vast kingdom.
“There are books and journals enough in the house,” she had said. “You’re free to take any of them to your room. You can start studying now, and you’ll be that much more prepared when classes start.”
The idea of going to medical school still struck Elise as alternately ridiculous and overwhelming, but it was now a fact. She carried the acceptance letter with its offer of a scholarship on her person, folded small and tucked in the waistband of her uniform skirt. As if it were a ticket that once lost, could never be replaced.
She began writing longer passages in her daybook, listing questions that occurred to her while with one patient or another. And now she had the books that would make it possible to start.
Early Monday a surgery was scheduled that she was now determined to watch. As a nurse she had no claim on a spot in the gallery, but as a new medical student she could at least try. Along with every other doctor and medical student in the city, in this case. Dr. Shifra Rosenmeyer would begin with an orotracheal intubation, and then move on to resecting six-year-old Regina Sartore’s retropharyngeal tumor. With surgery the little girl’s chances of survival were poor; without surgery she would be dead in weeks, if not days. But she would have a chance.
Elise gathered a pile of books and sat down on the floor to begin sorting out everything there was to know about the operation to come.
• • •
AT NINE SHE got up to light the lamps and give her eyes a rest. The windows were open to the night breezes and city noises. Slowly she was learning to ignore the most common ones: iron wheels on steel tracks, hoofs on pavement, the huff of steam engines, the shouts of the boys playing stickball or craps in a nearby alley. She had wondered at first how children got any sleep at all, but Rosa and Lia rarely sat still, and by bedtime they never lasted long. When they begged for bedtime stories it was quite safe to agree to a chapter or three. To Elise’s certain knowledge they had yet to get past the first chapter of Little Women.
She was almost alone in the house: the little girls asleep, the older ladies sitting in the garden pergola watching fireflies and slapping at mosquitoes. Chiara had gone to spend the night with Celestina to work on some embroidery project that was giving her fits, and Laura Lee went home every day once supper was on the table.
In the daytime the house was usually overrun with busy people. The exception was Mrs. Quinlan, who spent a good part of the morning in her little study. Mrs. Lee gladly played the dragon before the moat; Chiara swore that even the quietest footsteps passing Mrs. Quinlan’s door would cause Mrs. Lee to appear with a wooden spoon that she tapped into an open palm. But then Chiara was very fond of a good story and believed that facts were there to be bent to the needs of the storyteller.
Elise decided she was thirsty enough to go in search of the cold mint tea Mrs. Lee made by the bucketful. Maybe she would sit in the garden for a little while, if the mosquitoes weren’t too bloodthirsty. She opened her door and stepped into the hallway, where she found Rosa poised for flight, her face pale with shock.
She wore a clean pinafore over a muslin dress and her sturdiest shoes. There was a shawl folded over her arm, half hiding a small basket.
In such a situation Elise would have expected flustered excuses and a quick retreat back into her room, but Rosa stood there without flinching.
She said, “If you stop me now, I’ll go another time. You can’t watch me forever.”
Confused, alarmed, Elise came closer and crouched down until their faces were on the same level. “But where is it you’re going?”
Relief flowed through the little girl, as visible as a storm tide dying out on a beach.
“To Staten Island,” she said with a note of impatience. “To get my little brother. Would you come with me?”
“Sit here with me a minute.” Elise tugged her to the staircase where they sat side by side, speaking in low whispers.
“Why do you think your brother—”
“Vittorio,” Rosa supplied. “The baby.”
“Why do you think he’s on Staten Island?”
From the basket Rosa took a single sheet of paper and held it out. Anna’s handwriting, with much crossing out and many insertions. The letter had not come easily to her.
Rather than take it in hand, Elise said, “Tell me what it says.”
Rosa bit her lip so hard that Elise expected to see blood.
“I have to go now before they come in from the garden. Won’t you come with me?”
“Wait,” Elise said.
“No,” Rosa said, getting up. “I’m not going to wait anymore.”
“Rosa—”
“You can’t stop me. It’s your fault that he got lost in the first place. You lost him, and now they know where he is but they aren’t doing anything about it. Well, I’ll do something.”
She began to run down the stairs.
“Rosa,” Elise said, trying to keep her voice calm. “There’s no ferry at this time of night. You can’t get to Staten Island until morning.” Which might not be strictly true, but she had nothing else to offer.
The girl paused to look over her shoulder. Elise had never seen such an expression on a child’s face, misery and anger and flint-hard determination.
“I’ll hide until morning,” she said. “I’ve done it before.”
Elise saw Jack coming out of the hall from the kitchen. Rosa followed her shifting gaze and then she was dashing for the door.
Before she could even turn the lock, he was there.
Rosa screamed. A scream that would tear a hard man’s heart in two, and Jack was not hard of heart. He picked up a kicking Rosa and held her while she screamed and thrashed. He simply kept her
against his chest, in the circle of his arms.
Jack was talking to her, a low river of sound. When she tried to bite him, he adjusted his grip and kept talking. When Mrs. Quinlan and Mrs. Cooper came rushing into the hall, he kept talking. Rosa was still howling, her mouth a dark hole. She ripped the buttons from Jack’s shirt collar and threw them, her other fist hitting him on the jaw, the cheek, the ear. He never flinched, and he never stopped murmuring to her.
Now she was shouting at him, directing all her anger and frustration into his face in a rushing, tumbling stream of Italian. By his expression it was clear Jack understood her. A kind of calm came over him and seemed to pass into Rosa, who slumped against his shoulder.
A door opened behind Elise. Lia came into the light, sleep-tousled, her thumb firmly in her mouth and tears pouring down her face in a sheet.
“Oh baby,” Elise said. “Come here.” She pulled the little girl close and folded her into her lap, smoothing her hair.
“Shall we go into my room and get into the big bed?”
Lia wound her free hand in Elise’s shirtwaist so tightly that she felt the pull of it at her throat.
“Shall we?”
Her head jerked from side to side: no.
“It will be all right,” Elise whispered to her. “I know this is scary, but it will be all right. We’ll all sit down together and find a way to make Rosa feel better. We can do that, Lia.”
She realized then that Mrs. Cooper had come up the stairs and stood motionless, her hands flat on her waist, arms akimbo. Lia’s eyes, brimming with tears, blinked once, and then she held her arms out.
Elise had had more than one uncharitable thought about Margaret Cooper, and she was embarrassed to remember how quickly she had judged. Her whole person, body and mind, belonged to Lia, who had wrapped her arms and legs around Mrs. Cooper’s neck and slender waist. She murmured to the little girl, soft sounds that might have been words but were meant for no one in the world but Lia. When the door to the girls’ room closed behind them, Elise had to put her forehead down on her knees and let herself be swept away, just in that moment, home to her own mother.