To Mend the Broken-Hearted

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Backlist spotlight on To Mend the Broken-Hearted

The ebook of To Mend the Broken-Hearted is set to Free at all retailers for the month of March, starting now. In fact, since the first in series, To Wed a Proper Lady, is only 99c, and the other two novels are $3.99, you can buy all four novels in the series for under $10, and add the 2 novellas and 1 set of vignettes in Paradise Triptych, plus the novella Melting Matilda, for less than $3 more. That’s a lot of reading!

To Mend the Broken-Hearted

Ruth is a healer, not a social gadfly. She’s glad to leave the foreign world of the ton to run an errand for her sister-in-law. She doesn’t expect to be caught up in a smallpox epidemic, nor to meet the man of her dreams.

War and betrayal have wounded Val beyond bearing. The woman who arrives at his retreat with patients who need shelter says she’s a healer. But he is beyond healing. Isn’t he?

Book links at Books2Read https://books2read.com/Broken-Hearted
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Tea without a scandalmonger

I have an excerpt post for you today–and no, I haven’t made a mistake in the title. In the new novel, To Mend the Broken Hearted, Eleanor Haverford does not have tea with Lady Ashbury, although she pours herself a cup after the widow leaves.

The widow was not one of Eleanor Haverford’s usual circle. She was too young to be one of the titled ladies with whom the duchess had ruled Society for more than thirty years, and too old to be one of their daughters.

That was not the real reason Eleanor barely knew her, of course, as Eleanor admitted to herself. The real reason was that Eleanor liked cats only when they had whiskers and four paws. Lady Ashbury was a cat of the human kind: one for whom the less influential members of Society were mice to hunt and torment.

If an innocent action could be given a vicious interpretation, Lady Ashbury would find it and the sycophants who clustered around her would spread it. And woe betide the person, lady or gentleman, who made a misstep in negotiating the silly rules that governed the lives of the ton. It would be magnified a thousandfold if Eleanor and her own allies were not in time to mitigate the damage.

Lady Ashbury sat in Eleanor’s formal drawing room, a striking beauty still, though she was in her late thirties. She should look colourless in her light blue walking dress and white spencer, with white-blonde hair drawn into fashionable ringlets that did not dare to do anything so indecorous as bounce, delicately darkened brows arching over ice-blue eyes. Instead, in the sumptuous splendour of the room, she drew the eye, like a diamond centrepiece that outshone the splendour of an ornate collar of gold and gems.

“How kind of you to invite me, Your Grace,” she purred. “I have long wished to be better acquainted. I admire you so much, and feel for you. I understand what it is like to be married to a man who is persistently unfaithful. My husband, too…” She trailed off.

Eleanor smiled, a baring of teeth containing little amusement. If this upstart thought the Duchess of Haverford was going to be manipulated to play her game of insinuation and scandal, she could think again.

“You were invited for one reason only, Lady Ashbury. I understand you are taking some notice of Lady Ruth Winderfield, the daughter of the Duke of Winshire.”

Lady Ashbury dropped her lashes to veil her eyes. “You have an interest in the matter, of course. The feud between Winshire and Haverford is well known to me, Your Grace.”

Eleanor allowed none of her disgust to show. “Your motivation, of course, is your brother-in-law, whose name you have chosen to couple with that of Lady Ruth.”

The woman looked up, a flash of spite in her eyes. “They connected their own names, Your Grace, when she stayed with him, unchaperoned.”

Eleanor could argue that Ruth had her companion with her, as well as a bevy of armed retainers, a maid, and six children; that she was taking refuge during a smallpox epidemic; that she was providing medical care for several people, including Lady Ashbury’s own daughter. But Lady Ashbury was not interested in facts, but in fixing her claws into the weak. This time, she had chosen the wrong targets.

Eleanor showed her own claws. “I would take it amiss, Lady Ashbury, if these rumours continue to circulate. Very amiss.”

An expression at last. Alarm, quickly concealed. Lady Ashbury’s tinkling laugh was unamused. “You jest, duchess. Haverford hates the chit’s father.”

Eleanor raised a brow. “I have not invited you to address me as an intimate, young woman. Nor will I.”

Colour flooded Lady Ashbury’s face. “Your Grace. My apologies, Your Grace.”

“You have miscalculated, Lady Ashbury. His Grace of Haverford cannot abide scandal-mongering women.” A slight exaggeration, but his pride, which would see an insult to his wife as an insult to him, would ensure that he supported Eleanor, at least in public, which was all that mattered.

“In addition, I am dearest friends with Lady Ruth’s aunt. I must thank you, however, for drawing my attention to the Earl of Ashbury. I had not noticed his absence from society since his brother’s death. I intend to amend that oversight. Your brother-in-law shall be presented to the Regent under my sponsorship and that of His Grace, the Duke of Haverford. I suggest you make yourself least in sight for the remainder of the little season. A sojourn in the country might be good for your health, Lady Ashbury.”

Lady Ashbury sat, as pale as her spencer, her mouth open.

Her Grace stood and pulled the bell chain. “My footman shall show you out,” she said.

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Book blurbs in WIP Wednesday

My work in progress is making great progress! I’ve finished taking in the copy edits from the lovely Reina, given it a final proof, and made some changes to the cover. (It now says The Return of the Mountain King as the series title, for one thing.)

I’ve also rewritten the blurb, and that’s my excerpt for today. Next step, finalise the layout files and put them up in the retailers! Launch date is only a fortnight away.

Ruth Winderfield is miserable in London’s ballrooms, where her family’s wealth and questions over her birth make her a target for the unscrupulous and a pariah to the high-sticklers. Trained as a healer, she is happiest in a sickroom. When a smallpox epidemic traps her at the remote manor of a reclusive lord, the last thing she expects is to find her heart’s desire.

Valentine, Earl of Ashbury, was carried home from war three years ago, unconscious, a broken man. He woke to find his family in ruins, his faithless wife and treacherous brother dead, his family’s two girl children exiled to school. He becomes a near recluse while he spends his days trying to restore the estate, or at least prevent further crumbling.

When an impertinent, bossy female turns up with several sick children, including the two girls, he reluctantly gives them shelter. Unable to stand by and watch the suffering, he begins to help with the nursing, while he falls irrevocably for both girls and the lovely Ruth.

The epidemic over, Ruth and Val part ways, each reluctant to share how they feel without a sign from the other. Ruth returns to her family and the ton. Val begins to build a new life centred on his girls. But danger to Ruth is a clarion call Val cannot ignore. If they can stop the villains determined to destroy them, perhaps the hermit and the healer can mend one another’s hearts.

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Spotlight on To Mend the Broken-Hearted

Novel 2 in the Mountain King series is on preorder, and will be published on 23 March, in just 16 days. My copy editor calls it ‘a wonderful, emotional, engaging read’. Two of the beta readers said it is the best yet. I can’t wait to find out what you think! If you’re on my ARC team, expect an email in the next four days letting you know it’s ready. If you’re not, you can preorder To Mend the Broken Hearted here.

To Mend the Broken-Hearted

Ruth Winderfield is miserable in London’s ballrooms, where the wealth of her family and the question over her birth make her a target for the unscrupulous and a pariah to the high-sticklers. Trained as a healer, she is happiest in a sickroom. When she’s caught up in a smallpox epidemic and finds herself quarantined at the remote manor of a reclusive lord, the last thing she expects is to find her heart’s desire. A pity he does not feel the same.

Valentine, Earl of Ashbury, hasn’t seen his daughter—if she is his daughter—in three years. She and her cousin, his niece, remind him of his faithless wife and treacherous brother, whose deaths three years ago will never set him free. Val spends his days trying to restore the estate, or at least prevent further crumbling. When an impertinent bossy female turns up with several sick children, including the girls he is responsible for, he reluctantly gives them shelter. Even more reluctantly, he helps with the nursing. The sooner they leave again the better, even if Ruth has wormed her way into his heart. She is better off without him.

Danger to Ruth brings him out of seclusion, and into a future he had not been able to imagine.

And here is an early meeting between them

Something out of place alerted the sentinel in Ruth’s brain developed when she and Zyba had been in the guard squads assigned by her father to escort caravans through bandit country in the mountains and deserts of her homeland. Simpler days, those, with the enemies hidden behind rocks rather than smiles and lies.

There it was again. A metallic scrape. Silently, she uncurled from her chair, reaching through the slit in her skirt for the dagger in the sheath strapped to her thigh. Against the grey of the night, a blacker shape climbed onto the window sill, pausing there to whisper. “Lady Ruth?”

Assassins do not usually announce themselves. She could probably acquit the intruder of malicious intent, which meant he was more in danger from the illness than she and her charges where from him.

“Go away,” she told him. “This room is in quarantine. We have four cases of smallpox.”

The man moved, coming fully into the room so she could see hints of detail in the far reaches of the candle light. He was tall, with broad shoulders. A determined chin caught the light as he pulled something from his pocket and sat on a chair by the window. The light also glinted off a head of close-cut fair hair. Lord Ashbury.

“I am aware. Four patients, one of them my responsibility. One exhausted doctor. You need help.” As he spoke, he lifted one bare foot after the other, rolling a stocking on each and then tucking the long elegant foot into a soft indoor shoe taken from his pocket. He was deft with his single hand.

“I don’t need more patients,” Ruth objected, less forcefully than she might if he had not moved closer so that the light touched half of his face, making the rest seem darker by contrast. Dark eyes glinted in the shadows cast by firmly arched brows. His gaze was intent on hers.

“I have had the smallpox, my lady, and I am not leaving, so you might as well make use of me. I’m no doctor, but I can follow instructions. You need sleep if you’re to avoid illness yourself.”

Her tired brain caught up with the comment about his responsibility. “You cannot think to nurse the girls.”

“What prevents me?” Ashbury demanded. “My amputation? I have one more hand than you can muster on your own. Their modesty? You and the maids can manage their bathing and other personal matters. I can free you up to look after them in that way by lifting and carrying for you. My dignity? I work my own fields, my lady. I am not too exalted to fetch and carry for the woman who intends to save my niece’s life.”

Ruth turned, then, and looked straight at him, and he moved so the lamp shone directly on his face. “You are not qualified,” she told him.

Ashbury shrugged. “True. I daresay half the world is better qualified than I. But I have done some battlefield nursing and I am here.”

“You cannot stay. I am an unmarried woman. You are a man.” A ridiculous statement. Here, isolated from the foolish scandal-loving world of the ton, who was to know? Besides, she would never put something as ephemeral as ‘reputation’ ahead of the needs of her patients.

He took another meaning from her objection, spreading his remaining hand to show it empty, and saying gravely. “I will do you no harm. I give you my word.”

Of course, he wouldn’t. Even if he were so inclined, he would not get close enough to try. Something of her thought must have shown in her face, because one corner of his mouth kicked up.

“I suppose you are a warrior after the fashion of that fierce maiden you have guarding the quarantine. You are three-times safe then, my lady, with my honour backed by your prowess and reinforced by the knowledge that any missteps on my part will anger your champions.”

Her spurt of irritation was prompted by Lord Ashbury’s amusement, not by the unexpected physical effect of his desert anchorite’s face lightened by that flash of humour. “I was more concerned about the impact on our lives if it is known we’ve been effectively unchaperoned for perhaps several weeks.”

He raised his brows at that and the amusement disappeared. “My servants are discreet and yours would die for you. Besides, you have your maid with you at all times, do you not? And I have my—” he hesitated over a word; “my charges,” he finished.

His niece and his daughter, Ruth thought, wondering what story explained his reluctance to say the words. No matter. He was determined. He was also right; she needed someone else to share the nursing, and now she had a volunteer. Her attraction to him was undoubtedly amplified by her tiredness. She would ignore it, and it would go away.

At the realisation she could finally hand her watch over to someone else, her exhaustion crashed in on her, and it was all she could do to draw herself together and say, “Come. I will show you what you need to do, and explain what to watch for.”

 

 

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Gossip and scandal on WIP Wednesday

 

Yes, I know I’ve said it again. But Regency romance set in high society does lend itself to the kind of ruthless gossip-mongering that today finds its expression through mean girls at high school and in the darker corners of social media. This week, I’m sharing an episode that shows how scandal can be wielded by a villain (or, in this case, two villains and a villainess). It’s from To Mend a Proper Lady. If you have an excerpt to share, please put it in the comments.

Because they were not socialising, Ruth didn’t notice people acting in a peculiar fashion until Rosemary pointed it out to her. “I wonder what the problem is,” she commented, as they rode home one morning from an early outing to Hyde Park. “Three times today, people coming towards us turned aside onto a different path. I didn’t say anything yesterday, when we took our niece and nephews to play in the square, but Mrs Wilmington collected her children and left, and so did two nursemaids with their charges.”

“You think they were avoiding us?” That had been the norm for a few months during the worst of last year’s feud with the Duke of Haverford, when he was challenging their legitimacy in a complaint to the Committee for Privileges. But their father’s evidence had swung the Committee their way, and most people in Society accepted them now.

Rosemary frowned. “I thought they might be avoiding Zahara’s children, but she and the little ones are not with us today.”

After that, Ruth watched, and soon concluded something was going on. No one was overtly rude, but a very few people directly approached them, and a number went to some lengths to avoid a casual meeting. Either that, or most of the people they came across while out walking were afflicted with a sudden need to cross the street or leave when the Winderfield family came into sight.

Or, more specifically, when Ruth appeared. Her brothers mentioned conversations that left no doubt that they were being treated as normal, and Sophia and Rosemary both had encounters with friends when Ruth was not with them.

It came to a head in Brown’s Emporium, where the ladies of the family had taken Zahara to purchase English cotton and lace, and perhaps an English porcelain tea set. Ruth had grown bored with discussing the relative merits of shawls, and had wandered over to some rolls of heavy fabric that might do for curtaining.

The others where within earshot, so she heard when a lady address Sophia. “Lady Sutton! I had no idea you were in London.”

“Lady Ashbury.”

The name captured Ruth’s attention, and she turned to watch. From the tip of her fashionable hat to her dainty leather-shod feet, the lady was an exquisite doll; the epitome of the English fashionable beauty, fair-haired, pale-skinned and blue-eyed. So this was Val’s sister-in-law?

Ruth stepped closer. The illusion of youth evaporated under closer examinations. Fine lines in the corners of the eyes, around the mouth, spoke of temper and a sour disposition, and those clear eyes were hard as she accepted an introduction to Rosemary and Zahara with a condescending nod.

Sophia turned to hold out her hand to Ruth, beckoning her closer. “And this is my sister Lady Ruth,” she said. “Ruth, Lady Ashbury is related to…”

In one sweep of her eyes, Lady Ashbury had examined Ruth from head to toe, sniffed, and turned her back. “Lady Sutton, I advise you to distance yourself from this female.” She pitched her voice to be heard throughout the cavernous building. “She may have hoped to keep secret her dalliance with my monstrous brother-in-law, but the people near his lands were rightfully scandalised, and have taken steps to ensure the truth is known.”

Sophia, bless her, showed no reaction to the accusation beyond raised eyebrows, and spoke so that the riveted onlookers could hear her reply. “Have you been spreading lying gossip again, Lady Ashbury? My sister was fully chaperoned at all times while nursing your daughter through smallpox. She has the full support of His Grace my father-in-law and all of her family and friends.”

She then turned to the rest of their party. “Ladies, let us come back another time. I find the company here today… malodorous, and I owe you an apology for condescending to make the introduction.”

Ruth was swept along in Sophia’s wake, but looked back as they exited the warehouse. Lady Ashbury remained where they’d left her, staring after them with narrowed eyes. Several of the other customers were already converging on her. This was not over.

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After the Kiss on WIP Wednesday

We can tell a lot about the people in the books we read by how they behave after a kiss. Are they embarrassed, happy, nonchalant? What are they thinking? Do their thoughts match or are they each believe different things about what just happened. I’d love you to show me an excerpt in the comments. Mine is from next month’s release, To Mend the Broken Hearted.

“Ruth…” he said her name on a groan, then again, this time more sharply, turning his head as her mouth followed his and tried to reconnect. “Ruth. Sweetness. We have to stop.”

Yes. Yes, they did. Heavens! Jeyhun and Zyba were somewhere nearby, perhaps just around the corner, and she was draped over the Earl of Ashbury like a tavern slattern. She jerked away from him, the heat rising in her face. Whatever did he think?

“I beg your pardon,” she murmured.

“I am the one that should apologise, but I find it hard to be sorry. That kiss…!” Val’s voice still sounded strained, as if he was in pain. Her doctor’s mind registered a point from her reading: extreme tumescence could be painful, and when she had been on his lap she had felt his… If her face got any hotter, it would melt.

She opened her mouth to make some sort of an excuse for her behaviour, or to change the subject to something innocuous. But what came out just added to her embarrassment. “I have never been kissed before. Was it…?” She wasn’t sure what she was asking. Was it exceptional? Was it meaningful to you? Was it something we could do again? Perhaps all of them.

Val, who had dropped his arms when she shifted away, lifted his good hand to cup her cheek and lift her face so that he could gaze into her eyes. “I have never had a kiss like that in my life. Ruth, you are an exceptional woman, and make me wish with all my heart I was a better man.”

She leaned into his hand. “You are a good man, Valentine Monforte,”

A burst of dialogue came from just beyond the hedge that shielded them. Jeyhun and Zyba were returning.

Val caressed her lips with his thumb before standing, allowing his fingers to trail over her cheek as he dropped his hand and stepped away. He was just in time. Jeyhun and Zyba rounded the turn in the path, and their stolen moment together was over.

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Unusual skills on WIP Wednesday

What sets your hero or heroine apart from the ordinary? Share an excerpt in the comments! Here’s an excerpt from To Mend a Proper Lady, which is due to be published the month after next. My hero is admiring the skill of his beloved and her best friend.

“Join me,” Ruth suggested. “A little sword work will soon loosen your muscles.”

Val hoped he was successful in hiding the anguish twisting his gut, but he didn’t attempt to speak; just held up the arm that ended at the wrist.

“That?” Ruth waved away his maiming as if it was a trivial detail. “You can hold a sword in the other hand, can you not?”

Nettled, he followed her into the room. She had had it cleared of furniture, apart from a table against one wall. On it, a number of edged weapons lay—foils, sabres, swords both curiously curved and straight, and daggers of various lengths.

Val was torn between admiration for their quality and nausea at the thought of displaying his incompetence. “I have never fought with my left hand,” he commented.

Ruth was picking weapons up and then putting them down again. “We are not going to fight.” She handed him a large sword. “Here, this looks to be about your size. The weapons act as a weight to force your muscles to work harder. And, of course, the practice steps I use are useful in an actual fight, training the body to particular movements. Like the exercises that we teach our horses. They ensure the fitness of the horse and rider, but also can be used in battle.”

Bemused, Val took the sabre and performed a couple of practice swipes. It felt heavy and ungainly, and he missed his former skill with a deep ache.

Zyba entered the room. Dressed like her friend, she held one of the curving swords in one hand and a long dagger in the other. A slight widening of the eyes was her only reaction to Val’s presence. She inclined her head in a graceful greeting. “Princess, Lord Ashbury.”

“Val is joining us today, Zyba. Val, why not stand in front of me so you can copy what I do.”

Val was slow, that first day. The two women took him through a series of movements of body and sword that left his muscles trembling, and then suggested he rest. He watched, awed, as they moved into a sequence as fluid as a dance, one facing the other, on opposite sides of the room as they continued to honour the quarantine.

They started slow, but the graceful movements of feet and arms sped up gradually, until they were moving with blinding speed, each swing of a weapon enough to eviscerate anyone unfortunate enough to be in reach.

They took it in turns to call out, at frequent intervals, a single word he didn’t know, but whose meaning he guessed at something like ‘swap’ or ‘change’. “Caly,” the one whose turn it was would shout, tossing both sword and dagger in the air and snatching them back again, but with the opposite hands. The game seemed to be for the other dancer—for it was a dance, though without music, fluid and beautiful—to react so quickly that the two sets of weapons rose and fell in unison.

Val could not tell whether his deepest yearning was for the skill they showed, the hand whose loss had robbed him of his own skill, or Ruth, whose movements mesmerised him. Sore though he would be once his muscles caught up with the strain he’d put them under, he would be here tomorrow, too, if they allowed him. Even if his reasons for that were as confused as his desires.

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Loyal servants or friends on WIP Wednesday

We come to know our characters by the way they behave with those around them. Here’s my hero Val with his valet/butler and his senior tenant. Please feel free to share a work-in-progress excerpt of your own in the comments.

Val heard Crick before he saw him. “My lord, my lord,” the man was shouting, his voice high with barely suppressed panic. Val excused himself from a discussion about clearing a blockage in a stream that was threatening to flood the young barley, and took a few paces to meet Crick as the butler came hurtling across the field, careless of the new shoots.

“My lord, we’re under attack. They’ve captured the house, my lord.”

Val took the man’s arm and led him to the side of the field. “Take a deep breath, Crick,” he soothed. “All is well. We are in England. For us, the war is over.”

Crick pulled his arm free and so far forgot himself as to seize Val’s shoulders. “No, sir, you don’t understand. Soldiers on horseback. A lady with a sword. Another lady in the carriage. I tried to stop them, sir, but they forced their way into the house. They made Mrs Minnich take them to the family wing. We have to marshal the tenants, my lord, and rescue the servants.”

Being addressed as ‘my lord’ gave Val pause. Usually, when Crick had one of his episodes, he reverted to Val’s former rank. Always, in fact. When Crick called Val ‘major’, the whole household knew to hide anything that could be used as a weapon.

Barrow and his gangly young son had followed and were listening. Val met Barrow’s concerned eyes. “A carriage and some horsemen went down the lane a while back,” Barrow disclosed. The lane was out of sight from here, but Barrow explained his knowledge by fetching his son a clip across the ear. “The boy here saw them when he went to fetch the axe, but didn’t say nothin’”

Young Barrow’s observation suggested some truth to Crick’s fantasy, but it couldn’t possibly be the invasion Crick imagined. What would be the point? “I’ll investigate,” Val decided.

Crick and Barrow protested him going alone. “Five men, my lord,” Crick insisted. “Foreigners, they were, and the lady, too.”

Val’s troops were a half-mad butler, plus a burly tenant farmer, and his fifteen-year-old son. Val would do better alone. “You shall be my back-up,” he told them. “Stay at the edge of the woods where you can see the house. If I don’t come out within thirty minutes and signal that everything is safe, ride to the village for help.”

Crick argued, but Val was adamant. Still, as he crossed the open ground to the house, his skin prickled with the old familiar sense of walking into enemy territory.

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Tea with the father of the lady in the latest scandal

Brighton, August, 1813

The owner of the inn ushered James into the private parlour Eleanor had rented for this meeting.

“Is this the gentleman, my lady?” His question was perfunctory, and the way he looked at Eleanor could best be described as a leer. She didn’t bother to correct his form of address, but merely nodded her reply. “Thank you. That will be all.”

The leer broadened. “There’s a key in the lock, but you won’t be disturbed. I’ve given orders.”

James held the door open, and his frown must have penetrated the foolish man’s thick skin, for the innkeeper left with no further comments. James shut and looked the door behind him, then faced Eleanor with a shrug and a smile. “Small-minded fool.”

Now that they were alone, Eleanor lifted her veil. “James. It is good to see you.” They had crossed paths at the Pavilion the previous evening, but she had been with Haverford, and even the mere nod she gave him in passing had fetched a fifteen minute rant from her husband that ended only when the Prince Regent summoned him.

James bowed over her hand. “I am pleased to see you, my dear. You are looking well.”

Her fingers tingled where he touched them, and she allowed herself the momentary indulgence of the wish that the innkeeper’s assumptions were true. But she was a married woman and her honour would not allow her an affair. Not that James had ever hinted at desiring such a thing. He was still in love with his dead wife, and if he desired a bed partner, England abounded in younger and lovelier women than her, and many of them would be delighted to accommodate a handsome duke, with or without a ring on their finger.

“Shall we sit?” James prompted.

Eleanor shook off her thoughts, and took the chair by the tea tray she had ordered. Or should that be coffee and tea tray? James had returned from the East with a taste for thick black coffee, and she poured it for him just the way she had learned he liked it, then prepared her own cup of the gentler beverage.

As she carried out the ritual, they exchanged family news, while she wondered how to introduce the subject that had prompted her request for this meeting.

He gave her an opening when he mentioned his daughter Ruth. “She has been in quarantine in the north—a trip to a school that Sutton’s wife sponsors turned into a battle with smallpox. But all appears to be well, and young Drew has gone to escort her back to the family.”

“I had heard, James. And what I heard concerns me. Unkind gossip is insisting that she has been staying unchaperoned in the home of a widower with a fearsome reputation–a monster who killed his own wife and who is shunned by the entire county for his ravages amongst their women.”

James could summon a fearsome scowl when he chose, but he had never before turned that ducal glare on her. “Lies!”

“Of course, and I am happy to play my part in saying so. But it would help to know what small modicum of truth the lies are built on, so I can more effectively demolish them.”

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Medicine: a woman’s place

For my current work-in-progress, I’ve been looking at women physicians in history. My heroine is a doctor, informally trained as an apprentice to other doctors and through private tutorials. Most of this learning took place in her parents own kingdom in the Central Asian mountains of Kopet Dag, or in nearby Iran. This was certainly the path to knowledge for most female practitioners of medicine in Western history. Was it feasible for my Ruth?

In short words, yes. Looked at from the point of view of gender politics, the history of medicine in most cultures has been depressingly similar. Women have done most of the work and got the blame for things going wrong, while men have got the education, the pay and the glory. That might seem quite a large claim, but think about it. Women were responsible for the management of a household, which included care of the sick and treatment of minor injuries. Even today, who usually puts band aids on the cuts and kisses the bruises better? On a community level, someone usually had a greater interest in and better knowledge of herbs and their effects than others, and that person would pass on her knowledge. When home care failed, those who couldn’t afford a university educated doctor or even a surgeon-barber would see the local herb-wife.

A particularly successful healer might find herself something of a threat both to those doctors and to the local religious authorities, who, in many cultures, ran the universities and licensed the doctors. So women’s knowledge was downplayed or discredited. The only part of medicine that women were encouraged to practice was midwifery, until men began to take that over, too.  Until recently, the contribution of women has been largely ignored in medicine, as in other fields.

“How amazing is this [that patients are cured at all], considering that they hand over their lives to senile old women! For most people, at the onset of illness, use as their physicians either their wives, mothers or aunts, or some [other] member of their family or one of their neighbours. He [the patient] acquiesces to whatever extravagant measure she might order, consumes whatever she prepares for him, and listens to what she says and obeys her commands more than he obeys the physician.” Sā’id ibn al-Hasan (died 1072)

Nonetheless, the tradition of female physicians and healers goes back to ancient times. There’s a story of a woman in Greece around 2400 years ago who went to Alexandria to train, since the Egyptians had female doctors, and was so successful when she got back to Athens that she was arrested for breaking the law. Her female patients mobbed the court and they had to let her go. (In another version of the story, she trained privately with a sympathetic doctor, and practiced disguised as a man. Other doctors, jealous of her popularity with female patients, accused her of sleeping with them. In court, she stripped off to show she was female.) Be that as it may, we know that Greece had women practicing medicine, as did the Romans.

Most cultures have left traces of elite women who practice medicine–women who are born into a physician family and grow up as apprentices in the trade, or who have access to the wealth and education to defy the norms.

In Britain, we know of at least one woman who attended university as a man and practiced medicine for more than 50 years. She was identified as a man after she died in 1865. Other women were accepted (reluctantly) into the profession because they had qualified in universities overseas. One woman was harassed and abused right through her medical course at Edinburgh university and was awarded a Certificate of Proficiency when she completed the course, rather than the degree given to her male counterparts. She went to Berne, and then to Dublin, and returned with a qualification that allowed her to be registered as a doctor.

In the Ottoman empire, men had several recognised roles in medicine: physician, surgeon, ophthamologist. Women did not have access to formal training or formal recognition, and female medical practitioners were all called midwifes, whatever form of medical care they offered. But nonetheless, women practiced medicine, learning from family or other mentors and private tutors. Indeed, given the strict segregation at the highest level of Ottoman society, female physicians must have been essential on the women’s side of any great house.

My interest, though, is in Iran and its sphere of influence, the Turkmen tribes to the north and east. Did the same apply there? It certainly did in medieval times. I’m still trying to track specific sources for the late eighteenth and early nineteenth century, but meanwhile I’m following the usual cultural pattern in my Ruth’s training.

Ashbury pursed his lips and she waited for him to lecture her on her presumption, but he surprised her with a question. “Minnich tells me you are a physician. Where did you train, Lady Ruth? In the same place as you acquired your warlike attendants? Somewhere in the East, I assume?”

She inclined her head in agreement. “I apprenticed with several healers, including a physician who trained at a teaching hospital in Baghdad. I have also studied with Western physicians, though not since my family arrived in England.” She sighed. “I am well qualified to attend your niece, my lord, even though I am a woman.” And you have no one else, she wanted to tell him.

His eyebrows jerked upwards in response. “That’s not — I am not questioning your abilities, my lady.” His short laugh held no amusement. “I cannot afford to, after all. I have no alternative to offer.”