The international bestselling author of Where the Light Enters presents a remarkable epic about two female doctors in nineteenth-century New York.
The year is 1883, and in New York City, Anna Savard and her cousin Sophie—both graduates of the Woman’s Medical School—treat the city’s most vulnerable, even if doing so puts everything they’ve strived for in jeopardy...
Anna’s work has placed her in the path of four children who have lost everything, just as she herself once had. Faced with their helplessness, Anna must make an unexpected choice between holding on to the pain of her past and letting love into her life.
For Sophie, an obstetrician and the orphaned daughter of free people of color, helping a desperate young mother forces her to grapple with the oath she took as a doctor—and thrusts her and Anna into the orbit of anti-vice crusader Anthony Comstock, a dangerous man who considers himself the enemy of everything indecent and of anyone who dares to defy him.
With its vivid depictions of old New York and its enormously appealing characters, The Gilded Hour is a captivating novel by an author at the height of her powers.
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Sara Donati is the international bestselling author of the Wilderness series, which includes Into the Wilderness, Dawn on a Distant Shore, Lake in the Clouds, Fire Along the Sky, Queen of Swords, and The Endless Forest. The Gilded Hour and Where the Light Enters follow the story of the descendants of the characters from the Wilderness series.
1
1883
EARLY ON A March morning on the cusp of spring, Anna Savard came in from the garden to find a young woman with a message that would test her patience, disrupt her day, and send her off on an unexpected journey: a harbinger of change wearing the nursing habit of the Sisters of Charity, standing in the middle of the kitchen.
Anna passed four eggs, still warm from the nest, into Mrs. Lee’s cupped hands, and then she turned to greet her visitor. The young woman stood with her arms folded at her waist and hands tucked into wide sleeves, all in white, from a severe, unadorned bonnet tied tightly beneath her chin to the wide habit that fell like a tent to the floor. No more than twenty-three by Anna’s estimation, hardly five feet tall and most of that composed of sharp corners: a chin that came to a point and a nose and cheekbones to match, elbows poking out at noncongruent angles. Anna was put in mind of a nervous and underfed chicken wrapped up in a napkin.
“Sister . . .”
“Mary Augustin,” she supplied. She had a clear voice, all polite good manners, and still there was nothing timid in her manner.
Anna said, “Good morning. How can I help you?”
“I was sent to fetch the other Dr. Savard, but it seems she’s not in. Her note said to wait for you.”
People who came so early to the house were almost always looking for Anna’s cousin Sophie, who worked among the poor women and children of the city. For a scant moment Anna thought of lying, but she had never learned the art, and there was the promise she made to Sophie.
“The other Dr. Savard is attending a birth,” Anna said. “She told me you might come and I agreed to take her place.”
The pale forehead creased and then, reluctantly, smoothed. Clearly she had strong opinions, but had been schooled to keep them to herself. She said, “Shall we go?”
“Yes,” Anna said. “But I have to write a note first to say I won’t be in this morning.”
“While you do that,” said Mrs. Lee, “I’m going to feed Sister Mary Augustin. If I don’t, I’ll have to explain myself to Father Graves in confession.” She took in the nun’s hesitance but pointed at a chair. “I know that you wouldn’t want to lead me astray. So sit.”
Fifteen minutes later, finally ready to go, Mrs. Lee took the note to be delivered to the hospital and delivered a statement in return.
“Your cousin Margaret wanted to talk to you about your costume for that ball.” She said that ball as she would have said the fires of hell.
“Margaret should talk to Aunt Quinlan if she’s worried. She’s the one who made all the arrangements for my costume.”
Mrs. Lee’s small round face could produce a tremendous depth and variety of wrinkles when she was irritated, as she was now. “And what is a proper young lady, almost thirty might I add—”
“I’m not yet twenty-eight, and well you know it.”
“—an educated woman of good family, an unmarried lady, a physician and surgeon, what business do you have at a ball on Easter Monday—Easter Monday!—given by that greedy, vainglorious Vanderbilt woman? Why—”
“Mrs. Lee.” Anna interrupted in her sternest tone, tempering it with a smile. “I made Cap a promise. Would you want me to disappoint Cap?”
All the irritation crackling in the air was gone, just that simply. Mrs. Lee loved Cap; everybody did. Muttering, she marched back to the stove.
“You and your auntie with your heads together,” Anna heard her say. “Only the good Lord knows what will come of that. And on Easter Monday.”
• • •
ANNA SET OFF at a brisk pace along Washington Square Park and then, realizing that Sister Mary Augustin was almost running to keep up, stopped.
“Please don’t slow down or we’ll miss the ferry,” she said. “I can run all day.”
“We’ll be there with five minutes to spare, even at this pace.”
A flicker of doubt chased across the angular features. In the sunlight her complexion was like buttermilk, with a scattering of freckles and eyebrows the deep red-brown of chestnuts. Anna tried to remember if she had ever seen nuns wearing bonnets before, and then let the question go.
Sister Mary Augustin was saying, “And may I ask how you know that?”
“I grew up here, and I walk almost everywhere. And I have a clock in my head.”
“A clock,” Sister Mary Augustin echoed.
“A talent for time,” Anna said. “The ability to keep time without a timepiece. It’s a skill a surgeon must develop, you see.”
“Surgeon?” The little nun looked both confused and horrified, as if Anna had claimed to be a bishop. “But I thought—isn’t your cousin—”
“The other Dr. Savard specializes in obstetrics and pediatrics. I’m primarily a surgeon.”
“But who would—” She stopped herself and two spots of red rose in her cheeks. She was pretty, Anna noted, when she forgot to be solemn. She wondered how much information she could supply without causing Sister Mary Augustin to fall down in a faint.
She said, “Women generally prefer a woman, physician or midwife or surgeon, when they are very ill or in labor. If they have a choice.”
“Oh,” Sister Mary Augustin said. “You operate on women only. That makes more sense.”
Anna said, “I am qualified to operate on anyone, but I am on the staff at the New Amsterdam Charity Hospital. Just as the other Dr. Savard, the one you hoped to find, is on staff at the Infant and Children’s Hospital and the Colored Hospital. And yes technically, I am not allowed to operate on men. Or so says the law.”
After a moment Sister Mary Augustin said, “I suppose my training is quite narrow. I’ve never even seen a surgery.”
“Well, then,” Anna said. “You must come by and observe. And we are always in need of trained nurses, if you should ever rethink your”—she paused—“calling.”
For a moment Mary Augustin was struck speechless by such a shocking suggestion. Sister Ignatia would be outraged, as Mary Augustin herself should be outraged, but instead she was struggling with a sudden blossoming of curiosity. She had been in this terrifying, exciting city for less than a year; during all that time questions had piled on top of questions, none of which she could ask.
But here was someone who would not scowl at her if she put one of those questions into words. Someone who would likely even answer. She could ask this Dr. Savard what kind of medicine obstetrics might be, and how it was that a woman could become not just a physician but a surgeon. Hot on the heels of this came the realization that Sister Ignatia was right, it was a mistake to let curiosity run riot. It would drag a person to places best left unexplored.
And she still could not stop watching this very odd and unsettling woman doctor—surgeon, she corrected herself—from the corner of her eye.
It seemed to Mary Augustin at first that Dr. Savard was wearing makeup, and then realized that it was simply vivid coloring that rose and retreated in her cheeks as they walked into the wind. Her mouth was a deep shade of pink, but the full lips were also a little chapped. She wore her dark hair smoothed back and twisted into a coil underneath her very practical...
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