Retired Characters and NPC Writer.
"I'll certainly do my best to give you actual pay," Jonah assured her, "but it's always a mystery what is going to be offered."
"I'm sure I'll manage." Aoife acknowledged nonchalantly. Material payment was still payment, at any rate, and indeed as she sipped her tea, she thought it rather quaint that a small-town doctor accepted bushels of berries and chicken eggs as payment.
"I do have to wonder at how that will work when there is a proper hospital, with a board of directors and all. While it's not ideal, I know that people give what they can, and I know that Miss Steelegrave won't turn anyone away because of how they choose to pay. Perhaps we'll have to have our own farmer's market every couple of weeks, to convert jams to cash!"
Aoife smiled for a moment in appreciation of Doctor Danforth's humor, but the façade did not last long, and her expression quickly changed to one of mild confusion.
"Who's Miss Steelgrave?" she asked, cocking her head to one side. "In charge of the hospital, I presume?"
"Yes, Miss Lean Steelegrave, the hospital was her idea, as well as the orphanage. She has gathered backers, the funds, done most of the work for it." He chuckled. "I'm just there to offer marginal advice! I honestly don't think she needs anything from anyone. She's the strongest and most determined woman I've ever met. I suppose her family is responsible for that."
She'd find out sooner or later about the Steelgraves, Jonah figured, so there was little harm in elaborating. "Elias, the patriarch, fancies that he owns the town...or should. He's focused and ruthless, but Miss Leah is separating herself from that, to the benefit of the community."
And hopefully, there would be no confrontations, either from Elias, or town citizens who resented Leah merely because of her last name.
Retired Characters and NPC Writer.
"Well, she certainly sounds like quite the good Samaritan." Aoife acknowledged once he was done explaining Miss Steelgrave's personage. Generous benefactors had been sparse through her life so far, and all power to the woman if she wanted to do something with her money.
"Elias, the patriarch, fancies that he owns the town...or should. He's focused and ruthless, but Miss Leah is separating herself from that, to the benefit of the community."
At this, Aoife frowned in her ever-so-typical way. Of course there was a hitch, nothing ever came free and easy.
"Is he causing problems? For the hospital's development, that is." she asked. If he was going to be a hindrance, it would be good to know in advance.
"So far he hasn't caused any trouble, but there's a possibility, since he won't be happy with his daughter defying him." Jonah shrugged then chuckled. "No, it's more likely some of the 'good' citizens who will cause trouble, merely because of the young woman's name. I can't say that I understand politics, but for someone to oppose something that is such a benefit to the whole territory merely because they have preconceived notions based on the name..."
Had it not been for Leah's character and determination, Jonah never would have signed on to such a deal, and even now, he was questioning his judgement...it was far too much work and exposure than he cared for!
Retired Characters and NPC Writer.
"So far he hasn't caused any trouble, but there's a possibility, since he won't be happy with his daughter defying him." said the doctor. That in itself was a positive. Goodness knew that running a hospital would be hard enough without active opposition.
"No, it's more likely some of the 'good' citizens who will cause trouble, merely because of the young woman's name. I can't say that I understand politics, but for someone to oppose something that is such a benefit to the whole territory merely because they have preconceived notions based on the name..."
"The collective human consciousness is an irrational and dangerous thing, Doctor." Aoife said sagely. "I believe it was one of this nation's founding fathers who said that when the sword is once drawn, the passions of men observe no bounds of moderation."
She'd read some of the works of Franklin and Hamilton on the way over from Ireland, and had just been waiting for the opportunity to quote from them. All the better that it was by way of her new employer.
With that, she finished the rest of her tea, placing the mug carefully back on the table, and rising from her seat.
"Enough about all that though." she said, pushing the chair in behind her. "I'm sorry to cut this short, but, well, I've only just arrived in town, and need to get some shopping done. When would you like me to come by? You know, to get started."
"The collective human consciousness is an irrational and dangerous thing, Doctor." Aoife said sagely. "I believe it was one of this nation's founding fathers who said that when the sword is once drawn, the passions of men observe no bounds of moderation."
"One good reason why," Jonah commented wryly, "I have to wonder what the Good Lord was thinking when He decided to primarily put men in charge!" He was impressed, though, that the young lady was well-read and educated, it would make for good conversation, and indicated that she could think rationally.
"Enough about all that though." she said, pushing the chair in behind her. "I'm sorry to cut this short, but, well, I've only just arrived in town, and need to get some shopping done. When would you like me to come by? You know, to get started."
"Tomorrow, the next day?" Jonah suggested. "Whatever is convenient to you. I'm usually up by eight, and Mrs. Towberman is here by then, she'll have breakfast started."
He was about to add more when there was a pounding on the front door, and he glanced at Aoife. "Well, let's see if I need your assistance now."
Rising, he led the way to the front, and when he opened the door, a frantic woman shoved a small boy, who was wailing in panic into his arms, then held an infant to Aoife.
"Doctor! They were eating Nightshade! I know I should had gotten rid of it, but I warned Briton not to play with it, but he was eating it and feeding some to his sister."
Glancing at Aoife, Jonah spun and headed for the nearest exam room.
Retired Characters and NPC Writer.
"Tomorrow, the next day?" Jonah suggested. "Whatever is convenient to you. I'm usually up by eight, and Mrs. Elkins is here by then, she'll have breakfast started."
"Very well, I'll be here tomorrow, if you're sure that isn't too early?" Aoife said, though it would seem that her trial by fire might come prematurely, when his response was interrupted by a banging at the door.
"Well, let's see if I need your assistance now."
She followed Doctor Danforth through to the front, where a burst of crying and wailing presented the source of the ruckus as a mother, boy, and infant. Before she could ask any questions, she found the baby bundled into her arms.
"Doctor! They were eating Nightshade! I know I should had gotten rid of it, but I warned Briton not to play with it, but he was eating it and feeding some to his sister."
Aoife looked down at the child, wailing along with his mother. Well, at least he wasn't comatose or retching yet. The infant, on the other hand, seemed remarkably still. Aoife leaned her head downward to ascertain that she was, in fact still breathing, though inwardly cursing all the while that she hadn't the foresight to tie up her hair. To her relief, she was able to make out airflow, but it was jumpy, as though the child might start puking at any second.
She looked back up, into the Doctor's face, before turning to the woman and her son.
"Come through." was all she said, leading them along behind Jonah.
Once in one of the side rooms, she set the baby down on an examination table, to look over more closely, while leaving the boy to Doctor Danforth. For her part, the infant bore very mild jaundice around the throat, and that shaky breathing she'd heard earlier had more of a bronchial ring to it than gastric. Her eyes bore no tell-tale signs of glaucoma yet, and so Aoife lowered her ear to the baby's chest, there managing to make out a rapid heartbeat, fitting well for atropine poisoning, of Atropa Belladonna.
"I'm thinking atropine." she repeated out loud with a grimace.
She'd never actually treated nightshade poisoning before, given that belladonna grew quite poorly in Ireland, but she'd read of a few remedies. Unfortunately, none of them had been synthesized properly yet, so there would be no miracle injection, rather some retching and fever at the least. That was if she was right. And they had the proper treatment.
"I don't suppose you keep any Manchineel fruit?" she asked the doctor. "Or African Calabar beans?" It was a fairly long shot, but she'd once read quite a promising paper by the toxicologist Robert Christison on their use in neutralizing atropine. There was that more recent piece about the pilocarpus genus being used to treat atropine glaucoma, but given it's publishing date and their present location, Aoife doubted that Jonah had any medically synthesized pilocarpine lying around.
As Jonah set the still-wailing Briton on the exam table, Aoife was right there next to him with little Borcy, assessing the baby's condition without hesitation. She was even giving suggestions, although he could barely hear her, what with Briton's screaming and Mrs. Elkins' incessant babbling.
"Here, now, Mrs. Elkins, please step out." He shooed the mother out of the room and closed the door, reducing the noise in the room by half. "It's going to be all right, Briton, no one is going to harm you." He wasn't very good when it came to comforting children, but at least the boy quieted to just sobs.
"Manchineel or Calabar?" Jonah had heard anecdotal stories about the use of those in nightshade poisoning, and they might be available in hospitals. "No, nothing like that. I have Ipecac, so we can induce vomiting, and charcoal suspension."
Taking a breath, he focused on the boy for a moment. "Briton, how much of the plant did you eat?" He tried to keep his tone even and soft. "Was it just leaves, or flowers?" He managed a grin. "I bet it tastes like chocolate!"
Sniffling, the boy shook his head. "I like chocolate," he sobbed, "it was like medicine! I didn't like it after that!"
Glancing at Aoife, Jonah gave her a slight nod. "Hopefully, they didn't ingest a lot." He crossed to a cabinet and pulled out two bottles, then looked at the nurse again. "Do you think you can get some ipecac into Borcy?" The infant was awfully quiet, and if she wouldn't swallow the medicine, it was no good to her.
He poured a measure into a spoon, his attention back on Briton. "This is some medicine I need you to take, and if you can, I'll make sure you get real chocolate later, all right?"
Retired Characters and NPC Writer.
"Manchineel or Calabar? No, nothing like that. I have Ipecac, so we can induce vomiting, and charcoal suspension." said the doctor. Ah well, the old-fashioned was tried and proven, if a little messy.
She listened with intent as Doctor Danforth assessed Briton, for so frequently these little tidbits of information could be used in treatment. He was encouraging and charismatic with the boy, certainly more so than she would have had the patience to be, and Aoife felt inwardly thankful that she'd been left with the care of a baby, given that there was no expectation of her to make small talk with it.
"Hopefully, they didn't ingest a lot. Do you think you can get some ipecac into Borcy?"
Aoife nodded, taking one of the bottles and a spoon of her own from Jonah before deftly twisting off the top. With steady hands she filled the utensil, and lowered it to where the infant lay, chubby little hands grasping at the air.
The first attempt to get her to swallow was met with about as much resistance as could be expected from a situation such as this. Aoife pulled down on her jaw and coaxed the syrup in, making eye contact, as babies were supposed to like, but no sooner than the first few drops passed the infant's throat did she splutter, sending the remaining ipecac dribbling down her chin.
She began to cry, which might have actually been a good thing; given that it meant she was in control of her faculties, but it was certainly annoying. Aoife filled another spoon, and this time did not bother with the slow method of administration, instead dumping it's contents into the child's wailing mouth. Quickly, Aoife dropped the spoon and held the babe's jaw shut, rubbing her throat until she was sure it had gone down.
Slowly she removed her hand from around the infant's mouth, and lifted her into a sitting position, so that when the retching began she wouldn't choke.
"Er, what about buckets? Where do you keep them?" Aoife asked, though she did not take her eyes off the baby. If they were going to try charcoal binding as well, Borcy here may yet have to deal with another throat-rub.
The pair worked together well, Aoife did a fine job of getting the medicine down the baby's throat without making her gag or choke, causing aspiration, and he almost laughed when he saw her rubbing little Borcy's neck, like one would a dog they were trying to get to swallow bitter medicine. But it worked, and that was what was important.
"Er, what about buckets? Where do you keep them?"
"Here...mind Briton." The boy was sitting quietly now, braving the medicine for the promise of chocolate, at least until he started to look a little green around the edges.
Moving quickly, he yanked two metal basins from a lower cabinet, handed one to Aoife, then went back to Briton, just in time to catch the beginning of copious vomiting that contained fragments of leaves.
"There now, good lad, just like that," he crooned loud enough that the mother waiting anxiously outside the door could hear something positive. He rubbed the boy's back as he glanced at Aoife. "I believe we've averted disaster."