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Iain Pears: An instance of the fingerpost (1999, Berkley Books)

This book is set in the 1660's, and tells the story of Sarah Blundy who …

It had been a complicated case and the town was by no means convinced of her guilt. She had killed a man whom she said had raped her, but the jury judged this a lie because she had fallen pregnant, which cannot occur without the woman taking pleasure in the act. Normally her condition would have spared her the gallows, but she had lost the child and also any defense against the hangman. An unfortunate outcome, which those who believed in her guilt considered divine providence.

Lower assured me his attendance was necessary; a hanging is a detestable sight, but one of his many fascinations was when exactly the moment of death occurs. This related directly to our experiments with the dove in the air pump. Most of those hanged asphyxiate slowly at the end of the rope and it was a matter of some considerable interest to him—and to physick in general—how long it takes for the soul to depart. He was, he assured me, a considerable expert in the matter. For this reason, he positioned himself next to the tree to take notes.

He also got his corpse, once he had tipped the officials and paid a pound to the family. He had it carried to an apothecary of his acquaintance and, after he prayed in his fashion and I in mine, we began work. Some anatomization we performed there—I took the heart while he cracked open the skull and drew some delightful sketches of the brain—then we jointed the rest and placed the portions in several large vats of spirit which the apothecary undertook to deliver to Crosse's shop. He also wrote a letter to Boyle telling them the vats were on their way and should on no account be opened.

"I don't know that he will be so very pleased," he said, once he had washed his hands and we had retired to the inn for food and drink. "But where else could I send them? My college refuses to have corpses on the premises for any length of time, and if I sent it to anyone else they might well practice on it before I returned. Some people have no shame in these matters.”

As for the rest of our trip, there is little point in going into details. The patients came in thick and fast once we had established ourselves in the various inns on our route and I returned ten days later sixty-five shillings the richer. The average fee was four pence, nobody ever paid more than one and sixpence, and when I was paid in kind I had to sell the various geese and ducks and hens at a discount to local traders (we ate one goose, but I could hardly return to Oxford with a farmyard menagerie trailing behind me). All this should give an idea of how many patients I treated.

That morning I extracted four teeth, drained several gallons of blood (fancy notions about therapeutic efficacy get you nowhere in the country; they wanted their blood let and that was what they were determined to have), bound wounds, tasted piss, applied salves and took in seven shillings. A brief pause for lunch and then we were off again; lancing sores, wiping pus, setting joints and taking in eleven shillings and eight pence. Throughout, all of Lower's grand theories about the new medicine were abandoned. The patients were not interested in the benefits of iatrochemical potions and were disdainful of innovation. So, instead of prescribing careful concoctions of mercury and antimony, we rebalanced humors like the most hidebound of Galenists, and consulted the stars with a fervor worthy of Paracelsus himself. Anything which might work, for we had not the leisure to consider novel approaches, nor the reputation to apply them.

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