Materia Medica (GoT/ASOIAF x LotR SurgicalSteel)

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Arriving in Westeros after a storm, a stranger is drawn into the politics of the land at a time when no sane man wishes to be. His skills are unique, making for a useful asset, but the ruler has gone mad, trusts no one, and is burning people alive. This, for the MasterHealer, feels far too familiar.
(GoT / LotR SurgicalSteel)
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In my head
This is a crossover between Game of Thrones and a Lord of the Rings fanfiction, specifically Surgicalsteel's House of Healing stories. I am borrowing one of the SurgicalSteel characters, but have not been able to contact the author for permission after trying for several months. These may receive a re-write or be removed if they contact me and request it.

No offense is intended, this is entirely meant as a homage to a fanfic series I have loved for many years. You can find SurgicalSteel's stories on LiveJournal here: http://SurgicalSteelfic on LiveJournal: Timeline for the fic

CAUTION FOR DETAILED MEDICAL CONTENT.

I expect this to be told in a non-linear form, dipping in and out of the timeline.

This post reserved for a Chronological Timeline
 
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283 Seas off Blackwater Rush
283 Seas off Blackwater Rush

"You, earn your keep!" the cog's master shouted over the thunder of catapults behind them. Their passenger looked up from the torn sail he was pulling in. Raising full sail in these seas was asking for trouble, but reefing them would be worse. The warship that chased them could have run them down regardless, but they'd been faster than the cargo ship. It had turned aside for now., but if they were not lost against the horizon when it was done... Winds were less of a threat than the arrows and cannon-fire. The grape-shot would dismast them in a hit. "Here!" The cog's master shouted again.

Wiping his hands on his trous, the pasesenger stood up and gripped firm to the rail, making his way along the deck in long strides. For a second he saw the city burning behind him, smoke rising from within the walls, and then.he caught the top of the wheelhouse door as the ship topped the wave and fell. His feet lifted from the deck, but the master caught his sleeve and jerked him in.

"You say you're a healer. Heal." He didn't need to ask what, dropping to his knees by the boy on the floor. The arrow was sticking out of the boy's torso, pinning his jerkin to him, but its full penetration was hidden by the curve of the boy's body. The pulse was racing, breaths frantic and shallow. Clammy skin and pale lips told of shock, or something worse. Peering at what he could see of the arrow, between a finger's length or a hand's was inside the victim. While that was survivable the shaft was sticky with something. He sniffed his fingers and cursed.

"Horse manure on the arrow. Stay still." He cut through the thick jerkin, slicing it round the shaft where the material had been driven into the wound. There wasn't much blood, but he couldn't tell if it was a broad-head or bodkin. "Arrow between the second and third ribs," he said, as if he was teaching apprentices. Wren was new, but should be paying attention. "Hit from above." Most likely then the boy - the young man - had been raising the sail for their escape. "What's his name?"

"Geb," the cog's master said. He hardly heard it, feeling for what he could around the wound. He would bet the arrow was hung up on a rib. The child gasped, braced down by the master's grip as the ship rocked and raced. "Can't you just push it through?"

"Through his lung? You'd kill him." And smear horse manure through the chest cavity, an excellent idea. "Fire your stove. Get me a bucket of water and soap." The boy gasped again, and the healer swapped hands to keep his dirty fingers from the wound. Under the unbroken skin as he probed he felt the curve of metal, dropping away to a point. A broadhead, meant to be difficult to remove, but if it had just struck in, how would it hook behind the rib? He looked at the cog's master.

"Did you try to force this through?" he demanded. The master was unashamed.

"Aye. it wasn't going."

"No, you lodged it in the bone." Idiot. Two bones, the tip point-first in one rib, the side carved into the upper. If they were lucky it was clear of the lung, but it was trying to work its way deeper with each breath.

"Wren, my kit." Wiping the shit from the arrow with a rag to keep more from getting into the wound, he hoped they had been lucky. The jerkin had wrapped the arrow, maybe kept the contaiment from getting into the wound. There was a thump as his bag hit the wood behind him, and he glared. "Be gentle with that!" It wasn't Wren, just another sailor.

"The boy's stitching the sail," the cog's master told him, and he should have asked the man's name but there'd been no time, just time to throw him gold and promise more if they got out before the city burned. He washed his hands in the harsh ship's soap and drew out his surgical roll. The master drew in a breath, and he could only hope the promise of gold kept the man loyal.

"We've no spoiled wine." He bit back a comment of the stupidity of treating wounds with vinegar and drew out a vial of ethanol. On a ship running ahead of a barricade there was no time for ether, no chance to ask them to slow so he wasn't operating on a surface that bucked like a horse.

"I've no poppy. Hold him." Widening the wound carefully, he found the outline of the arrow head. The metal at the tip and side had sliced the leather jerkin, but the arrow shaft was wrapped in the leather. With a scalpel he worked carefully round the edges of the tip where it was embedded in the bone, trying to ignore the boy's gasps and cries. To yank it free would cause more harm, drive the barbs back through the leather that covered them. Prying it loose, he took two thick-bladed knives, pressed them to the sides of the arrow and drew it out in one smooth movement, ignorng the little voice in him that whispered this was butchery, not surgery, and he should be ashamed. With it gone he cleaned the wound as best he could with ethanol, stitched it rough and ready for his hands were steady and the ship wasn't, muscle layer, and then skin, and then he was done.

"Keep it clean," he stressed, washing his hands again and wrapping a bandage over and around it. The boy nodded shakily with a look the healer knew too well, turned his head, and the healer shoved a bucket under his mouth as he threw up. "I'll be checking this daily. No work until I say, or you'll ruin the shoulder."

"Then we're a man down," the cog's master said, but he was more friendly now. No wonder, the healer thought, for the boy bore a striking resemblence to the man. So many of these small ships were family crews.

"I used to sale at - at home." The healer's voice caught slightly. "I can fill in until we reach Dorne."

"So you're not deadweight then." The cog's master smiled, held out a forearm to clasp. "I'm Grig."

"Irimon," he lied.


But that is not where the story starts...
 
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273 Castlely Rock
Castlely Rock, 273

"She cannot survive, My Lord." Pycelle broke the news as carefully as he could, privately cursing the Maester who had left him in this mess. Tywin glared.

"She had better."

"My Lord, even the ArchMaester of Healing himself could not save her," Pycelle protested.

"He is not here. You are," Tywin said, icily. "You have silver links."

"My Lord, this happens to women." He moderated his tone quickly, less lecture and more sympathy. The glint in Tywin's eye promised death if his wife died and Pycelle suspected his position would not save him. "No healer in Westeros can heal this condition once it starts - or in Essos," he added hastily. "Once the signs show-"

"How long have you known my wife was going to die?" His Lordship's voice came from a place beyond anger, a place where children screamed as they drowned. Pycelle swallowed, cursing Valorick because the answer had he been even part-competant, was months. If saving his own life meant throwing the other Maester to the dragons, he'd make the sacrifice gladly.

"My Lord-" He began to protest that he had but barely arrived, and stopped. Tywin's hand was on his belt-knife for all his voice was horribly calm.

"This will happen, Pycelle. You will return to that room. When my wife's labour truly starts, you will tend to her. You will greet me with a healthy baby and my living wife. Anything else-?" His face was utterly still, and while the words went unsaid Pycelle heard them all too clearly. The Grand Maester backed towards the door. If Tywin threw the knife... "- I shall find another Maester." The Lord Paramount finished. He was still for a time, Pycelle not daring to move, and then Tywin snapped.

"Guards! To Lannisport. Round up healers and midwives. There has to be someone who can do better than this hack!" Pycelle flinched. He had seen the thick red tissue across the mouth of the womb, just as Valorick had, but instead of advising moon tea early on, the Lannister's Maester had dithered, hoping it would resolve itself rather than give Tywin Lannister bad news.

Valorick had pompously told Pycelle that he had prayed daily for it to retreat before her time came. It had not, it had thickened, and he had never had the nerve to tell the Lady or the Lord. And now he was conveniently away with Lady Gemma and her husband and Pycelle was the Maester here when he was meant to be handling the politics of alliances with the Hand, not losing Tywin's wife and child in childbed because of decisions made before he ever got here!

"My Lord," one of the guards spoke up, most unwisely as Tywin turned on him. "There's a foreign man in Lanisport. Saved these two good fingers, and gave Jehan his sight again."

"Then fetch him!" Tywin roared. The guards fled, and Pycelle followed, fleeing to Joanna's room. Seven knows what Tywin would do if he found him anywhere else.
+​

Pycelle stood back, his weighty chains of office discarded and rich velvets swapped for linen and satin under-robes. The messiness and complication of childbirth would destroy rich robes, and the chains would be in the way. He had examined the thick red barrier in all its horror as the midwife helpfully probed it. When labour truly began it would rip. Within minutes the wound would empty her body and the babe's of blood and for the child to have a chance to live he must cut in before her corpse was cold. To be sure the child would live, he must cut before the event, but the mother did not survive the procedure and to cut into Tywin Lannister's wife while she still lived would see Pycelle disembowelled himself.

Once more he cursed Valorick, giving Lady Joanna another dose of poppy to ease the pain. The initial pangs of childbirth had been enough to start the bleeding, and her raised belly had grown rigid and purpled. Whatever blood was seeping out, far more was leaking within. He steeled himself. Lady Joanna was going to die, and only by sacrificing Valorick could he escape this room with his own life.

He heard running feet, a ruckus in the corridor, and irritably turned towards the door. This disruption to his concentration was the last thing he needed but, if he could blame Joanna's inevitable death upon it,it might yet save him.

"I am told my patient is here?" An unfamilar voice, oddly accented, asked.

"My wife is dying-" That was Lord Tywin, and before he could finish:

"Then get out of the way and let me treat her!" the voice snapped acerbically in a tone no one took with Tywin Lannister and lived, and the door banged opened sharply. A stranger stepped in, Tywin still half-turned behind him having been sidestepped neatly to get into the room. As the man dumped his bags hastily on the floor, Tywin's eyes narrowed, but he held up a hand to stop the guards.

After that entrance, Pycelle considered that the healer had better be able to save her, or Tywin wouldn't be merciful enough to only have him hanged. The guards were hurrying in behind, carrying a glass carboy with some clear fluid within it. putting it down upon a table near Joanna's bed and turning it carefully so the tap was forward. Another, that Pycelle recognised as the one who had spoken to Lord Tywin, was bringing in a basin of steaming water and soap. This must be the 'foreign' healer, then.

If he didn't already know he was a fraud, the Grand Maester would have pitied him - frauds were always foreigners, usually from Ulthos or Asshai or the Far West, and they always brought the secrets of Old Valyria and magic herbs. Joanna stirred weakly and moaned as another contraction hit, and Pycelle hurried to sooth her with a little more poppy. They had little time left, but the man had arrived in time to serve as a scapegoat, to save Pycelle's own throat. The man was stripping off his gloves, looking to the guards.

"How long have you have pains?" he asked, in an accent Pycelle could not place and suspected he had invented. Joanna was beyond answering, but the midwife spoke for her.

"Since last morn, Healer." The man was removing his travel clothes as he spoke, changing them for a clean tunic in finer cloth, and drew a plain bar of soap from his bag as he went to the basin.

"I will need beef or chicken broth, plain and strong." To request hospitality at such a time was impudent indeed, but one of the guards had left, and at speed without asking Tywn's permission. Pycelle drew a breath to snap about staying out of his better's way, and reconsidered. The guards certainly accorded the stranger some respect and to give him the lead meant the blame could slide more freely from Pycelle's shoulders.

"You are a Maester? Your diagnosis?" the stranger asked, and that accent still eluded him. The man was washing his hands methodically, with a technique that Pycelle did not know. Fingertips back towards the elbow, and his hands elevated, so it did not run back. It seemed somewhat familiar, so for now neutrality seemed wise.

"The childbed occludes the womb-mouth completely." The man's lips tightened and Pycelle felt a faint sympathy. Whoever he was, he had knowledge enough to know that the condition was bad. A shame that when Tywin lost his wife, they would both be lost with her unless Pycelle could save himself.

"Bring clean sheets, we'll need them. And more hot water." The stranger bent to examine Lady Joanna in a way only a husband should do, hissing a curse in a strange tongue. He grabbed a clean cloth, damped it and began to wipe. "Who checked her with dirty hands?" With an excuse to spread blame, Pycelle rounded on the midwife, who cowered back and chastened went to scrub her hands. Over the healer's shoulder, he could see the blood flow more clearly now, not yet the gushing flood of a haemmorage. The man was mutterring odd words to himself "...Accreta...previa...occluda...inevitable abrupta..." He felt gently over her rigid belly, and Joanna grimaced and whimpered. The healer abruptly turned his head from the patient, looking at Pycelle.

"She is bleeding into the womb. Fetal response is weak." Fetal, Pycelle guessed, was the baby.

"Then we have no time." Pycelle said, neutrally. When Joanna passed Tywin would rage, and without Valorick to offer as sacrifice, Pycelle would have to make do. A shame.

"No. When I deliver the child, we will have two patients. You will tend the baby. I will tend the mother." Pycelle nodded swiftly. He would far rather be the one who gave Tywin a live son than a dead wife.

Moving with measured haste, the healer cleaned his hands again to get rid of the blood. Uncaring of the things on Joanna's dresser he pushed them back, clearing space and fetched out a case of small glass vials from his bag. They were well made, equal to the finest of Myrish glass.

"I need sugar, boiled and dried. Move the carboy table by the bed." Two guard did so immediately, turning the carboy as directed so the tap was forward. The healer was piling some device of metal and tubes by it for what reason Pycelle could only guess.

"Sugar is a folk remedy," the Grand Maester commented, a little disappointed.

"It draws out fluid. Maester, do you have poppy, yarrow, and blue cohosh here? I may not have brought enough."

"Poppy and yarrow I know, but not cohosh."

"It may have a different name here." He added a bottle to the row he was setting out, and unfolded a second cloth roll. Surgical tools glittered in the light, not steel but silver and to Pycelle's expert eye finely made. A barber-surgeon, he decided, and one of some experience. He had the height for it, and the strength.

"I thought to cut," the Grand Maester said, to what he now saw as a colleague, but he spoke too loud. Tywin's snarl was audible, but the healer ignored it, picking out wool pads and soaking each with some of the yarrow vial. Yarrow was good to control bleeding, but it would do nothing for a wound such as this. "The child will live, but but the mother would not survive."

"Of course they can. I've done two in town." That, Pycelle knew was a false boast, for no woman survived disembowlment but with Tywin listening it was not the time to disagree. The healer was gently pushing the sheets back, looked at Joanna's belly, and sucked in a sharp breath. Pycelle flinched, for the skin was the dark purple of a dead thing.

"Whether we cut or deliver, when the pressure releases-" the Grand Maester instructed.

"-she will bleed out. Unless the bleeding is managed." The man grimaced, reaching up between Joanna's legs. The poppy kept her quiet as he probed, but her belly shuddered with another contraction. The healer swore abruptly, and then his eyes widened as he looked down and felt something.

"I shall deliver the child now. Clamp the cord." Pycelle moved behind him, peering down. The healer's hand was inside the patient as if he were a common midwife, and he was staring down intently as he focused on what he could feel with his finger tips. With a sharp indawn breath he twisted and pulled, and suddenly a rim of red flesh was visible, protruding. Blood rushed over his wrist. Joanna's belly visibly loosened, tightened as another contraction hit. His hand worked in, passed it, hooked on something and as Pycelle saw the grey loop of the child's cord he grabbed it up, looping it into a knot for he dare not cut yet. The healer paid it no mind, and a mess of red flesh and grey ropes spiled out, Joanna shrieked and there was the child's head and shoulder, the healer's finger hooked under the arm. Brutally fast, blood-covered, hardly moving, the child slithered out, into Pycelle's hands.

"The cohosh vial, now," the healer ordered, and a maid hurried to it. "No, the next vial, make her drink it." His hand still within her, he stretched out a long arm to snatch up some of the wool pads he had soaked and press them against a wound that must be within her.

Pycelle cut the cord sharply, pulling the child back from the mess on the bed and wiping its nose and mouth clear. It, he, was hardly moving, not protesting his abrupt and brutal birth. Pycelle hooked his little finger into the tiny mouth, pulled out a blood clot. The babe still wasn't breathing and he swung it up, smacking its back to dislodge whatever it had swallowed. Bloody fluid gushed from its nose and mouth. It coughed, and then the baby boy took a look at the world and screamed.

Pycelle breathed for what felt like the first time since the child had entered the world. Looking over the newest arrival, he noted a slight disproportion to the limbs, that could be merely down to the manner of his birth, but otherwise saw a healty baby boy. He handed him to the cowering midwife to clean and swaddle, turning to speak to Lord Tywin and decided against. The Lord was ignoring his son completely, his gaze upon his wife. Which was where Pycelle must be, if he was to stay within the Lord's favour.

The healer's hand was still inside the mother. Lady Joanna's skin was deathly pale. She was still bleeding, round his wrist where he must be keeping the wool pressed against the wound inside.

"She's lost too much blood," Pycelle advised, as he peered, though he stayed clear of the sheets she had fouled.

"Not yet. Wash your damn hands and help me!" In such straits, Pycelle wasn't going to argue an excuse to wash, for his hands and robes were covered in vileness from the babe. The linen would have to be burned, for it was beyond recovery.

"I am not some apprentice," Pycelle complained, as he scrubbed his hands in soap in the basin. The water turned red.

"Sorry," The healer's mind was obviously elsewhere. "Get the second cohosh vial, by the gap, and give it to her. Apprentices always go from the dissection theatre to the midwifery," Pycelle picked up the vial, guessing it was correct from the label and remains of the empty one and unstoppered it. As the healer nodded, he tipped it gently down Joanna's throat, massaging until she swallowed it. "and they never-"

"-wash their damn hands!" They said it in unison, and Pycelle recognised a fellow instructor. Helpfully, for it was good to been seen as helpful even if the cause was lost, Pycelle added. "What do you need?"

"Torn vein. I can't release it. I need to clamp or ligate." A foreign word, as the healer passed another piece of wool up with his free hand. "She's contracting. Good."

"Good - the afterbirth?" Pycelle said. The healer glanced at the mess between Joanna's legs.

"Came out first. Get it away, don't dispose of it. I need to make sure it is complete. How's her pulse?"

"Not regular." Pycelle pressed his hand to her throat, noting the pallor on her cheeks and lips. There was the faintest flicker of a pulse beneath his fingers, "I can hardly feel it." The servants hurried in to pull the soiled birthng sheet away as the healer hissed at them to be careful, and swore as he adjusted his grip.

"The bleeding is slowing, but I cannot release the pressure."

"I fear she has lost too much blood already," Pycelle said again, as much for Tywin's ears as the healer's. "Valorick should have-"

"Can you perform a saline transfusion?"

"No, I do not-" His wordy answer was better for his station than 'a what?' and brought a swift intake of breath from the healer before he could finish.

"Damn. Then I will need both hands. Take over here."

"What must I do?" His interest sparked, Pycelle came to the healer's side, rolling his sleeves up and giving his hands another quick scrub. For all that surgery and midwifery were filthy and common forms of healing, Pycelle would do whatever was necessary to appear blameless to Lord Tywin.

"Get a fresh wool pad and add tincture of yarrow. Now slide your hand up next to mine, - feel the wool - Ah you have it." The muscle wall was tight, but Pycelle could feel the woollen pad, sodden through. He pressed down with two fingers to keep it in place as the healer slipped his hand out and picked up a needle and thread. "Part your fingers slightly." As Pycelle did, he felt the bloodflow increase. The healer reached between his fingers and with difficulty did something with the thread and tied a knot, pushing it down with his fingers and not his thumb like any sensible man. The bleeding against Pycelle's fingers slowed.

"There is still blood," Pycelle said, and the healer pushed tighter, and secured the knot tight. "Now it has stopped." It was too late, the bed was as soaked as a knight's with a lance wound through the thigh, and that had been a fast death. Cutting the thread, the healer dropped the soiled needle aside and washed his hands again, with that strange motion from the fingertips back. He went to the carboy, untangling the tubes and metal into a system of valves and needles.

"If this is not clean, it will kill her," he warned. "but, if we do not do it, she will die." Pycelle barely reacted, concentrating on holding the wool in place.

"What is it?" the Maester asked. The healer bent to somehow attach the device to the taps and swore, discarding it.

"Blood is made of plasma and platelets - " He stalled and huffed as his vocabulary failed him. "Blood is of ...of...of red and of water. This replaces the lost water." He picked up a strange cylindrical device, like an artist's syringe but with a finer needle and drew it full of the fluid. Wrapping a strap round her shockingly pale arm, he tapped at the skin until a vividly blue vein rose. To Pycelle's shock the healer slid the needle into Joanna's arm, ridging the skin upwards as it went into the vein. Satisfied, he depressing the plunger steadily until it was nearly empty. Joanna mumured, and moved as Tywin started forward.

"Healer-" Pycelle began.

"It's cold," the healer said, sliding the needle out and returning to the carboy, "they always jerk." He was drawing up another tubeful of the fluid, and repeated the procedure.

"She looks no better."

"She has lost the - red," the healer explained, with evident distaste at his lack of the right vocabulary. "Adding the water prevents the veins closing - like river that goes to low and sides fall in," he said in a rush, giving up on finding the right words as he finished a third administration. "Pulse?" Pycelle reached for Joanna's wrist with his other hand and counted.

"Faint but regular. Could you not give this before she bled?"

"Give too much, blood not clot," he said absently, checking the placenta on the floor, picking through it with a scalpel. Did the man never stop moving? "Where's the broth?" Never mind his bloody stomach, Pycelle thought, as his hand cramped. Could he not see Tywin's stare from the door?

"How do you replace the red?" the Maester asked the most important question.

"Broth. Strong plain broth helps patient...make more. Not sure all bits here." Under stress his Westerosi slipped, Pycelle noted, which spoke of him being an actual foreigner to Westeros. As the healer stood up, Tywin was snapping orders to the guards. "How the bleeding?"

"Slowing." It had almost stopped entirely, but Pycelle couldn't tell old blood from new anymore.

"Let me check. When broth comes, feed her, and wash -"

"-your damn hands." They both chuckled, as Pycelle let the healer take over and gratefully went to wash his hands. There was less space than there had been as the womb contracted, and the healer nodded as he felt round with a finger. Gently he began to remove the wool pieces one at a time, discarding them onto the soiled sheet on the floor with the afterbirth. Then he exclaimed suddenly, and poked at something that made Joanna cry out. He shushed her gently, moved a finger again, and pulled out a small piece of red proud flesh. "More wool." he said, and Pycelle prepared a fresh piece for him.

"We're out of yarrow."

"Get more." The healer was staring at the wall, seeing nothing, all his attention in his fingers. "And get that damn broth."

"It's here, milord," a maid said with a quick bow and went towards Lady Joanna holding a steaming bowl.

"Stop right there," the healer snarled, in a tone no commoner should think to use in front of Lord Tywi'n. She stopped short, terrified and nearly tripping over her feet. He held out his arm. "Put two drops on my wrist. "

"Milord?"

"Lift. the. spoon. out. and. let. two. drops. fall on my wrist." The healer was focused on something else and Pycelle didn't envy him. He cut in with the maid as she dithered.

"Test the temperature, girl!" The Grand Maester took the spoon up, tested it himself, and swore on the Seven. "That's boiling! You'd burn her."

"Set it aside to cool," the healer said, and then tried to turn his head but couldn't see far enough. "Half the carboy is left is it not? We will likely need more. There is another in Lannisport in my shop. Mikal, the keys are in my coat - " The guard started rifling through the man's things before Tywin even gave an order. Pycelle took note that somehow the stranger was on firstname terms with the Lannister House guards. Should he come through this alive, he would make a point to learn more of this healer.

"Is there no more you can do?" Pycelle asked, for Tywin's sake and for his own curiosity. Joanna was still corpse pale.

"Get a saucer. The broth cools faster. Soak a rag and drip it gently into her mouth. Don't let her choke." The healer didn't react to Tywin's soft word as a maid jumped to obey.

"But is there no better way to replace the red-?"

"If she is stable, I'd not risk it," the man said, and Pycelle would have demanded why not, before the man glanced at him. "Many times it can kill the patient. It is best used as a last resort when death is otherwise certain."

"Lady Joanna will live?" Pycelle asked, hiding his surprise and quickly turning his question into a statement, as the healer raised an eyebrow and looked at him. The fresh sheets between her legs were barely stained.

"Too early to be sure," the healer said. "If she survives the week..." Tywin had not moved from the doorway, stepping aside only when the cot was brought in. Mindful of the statue that watched them, Pycelle cleared his throat and offered a new set of wool balls to the healer. The man thouht for a moment and shook his head.

"I believe the bleeding has stopped. Do you concur?" he asked. Pycelle looked over his shoulder as best he could, seeing that the blood flow was now more what one would expect from the newly post-partem, and noted the smaller size of the womb entrance where it had contracted.

"I believe you are correct. Though I would consider it best to observe her in case it restarts."

"I agree." Slowly, the man eased his hand out and stood up. "She's still at risk. I'd give it three days, at least before I would be happy she was out of immediate risk."

"Further observation then?"

"I completely agree. She can't be left alone. I suggest setting a cot up in here and we sleep in shifts. We keep her warm, fed, and clean." Pycelle's affront that a commoner, however interesting, would presume to instruct the Grand Maester was crushed by his political pragmatism. Tywin was watching in the doorway, and for Pycelle's own sake it was best to be seen to go above all that the Lord could ask for. "Do you have anyone else you would trust with her?"

"No," Pycelle said, because if she lived he wanted no one else to share credit. If she died, Tywin was a just man, and it would be easier to divert Tywin's wrath onto the absent Valorick than the two exhausted healers who had done everything they could. "I would be honoured to see to the tending of her, but should the bleeding restart-"

"Then wake me immediately. The cohosh will aid the womb to contract, but it takes time to work. For now, that is all I can do," he said, and he sounded tired. "Have you anything I have missed, or would suggest, Maester?"

"No," Pycelle said, considering it. The stranger had managed things he had not considered possible. An hour ago he would not have believed Joanna Lannister would still be for this world. "I believe now her fate is in the hands of the Seven." Servants were bustling round, removing the soiled sheets and straw, and the healer rounded on them when they tried to slide new sheets under Joanna and moved her more than he evidently liked. His devotion to his patients was impossible to fault, making him a useful way to avert Tywin's wrath. "If she were to crash, is there anyhing that can be prepared for your last resort?"

"Yes. She would need a healthy family member, blood family, here who is willing to donate. Are there any?"

"She has two children-" Pycelle began, as Tywin said, "I am her cousin."

"Absolutely not!" the healer snapped at Pycelle, then to Tywin who had moved surprisingly quietly and was now at Joanna's other side. "It may be close enough. Siblings or parents work better."

"You would take blood from one and put it in another?" Pycelle gaped. The Essosi had tried such and it killed the patient within days. The healer nodded, still holding Joanna's wrist and watching like a hawl as the maid dripped broth between Joanna's lips. The concept seemed simple enough, but Pycelle knew for there must be more to it. The old works from Asshai spoke of sharing blood between brothers, only for both to die. "That kills-"

"If the blood is close enough it supports and the patient lives. If it is not, it fights and they die." The healer wasn't fighting for the right words as closely as he may, showing no frustration at his speech for his attention was entirely on his patient. Satisfied she was not bleeding, the healer stepped away from the bed and went to wash his hands again. Pycelle couldn't blame him for stripping off the soiled tunic and washing off the blood from his arms and face before replacing it with cleaner clothes. He wished he had as many changes of robes, but the tunics seemed a practical choice of garb for a healer-surgeon. "Which brings us to the important point. How the hell did you miss this?"

"I didn't," Pycelle said, and if the stranger was going to give him such a chance to clear himself in Tywin's eyes he'd take it. "I arrived from Kings Landing two weeks ago. The Maester here was overseeing her pregnancy, and told no one."

"So why the hell didn't he treat it, dammit? Moon tea early, or..." If he hadn't been thinking the same thing, Pycelle might have found the man insolent, but as a convenient proxy to ask the questions Tywin would, it was ideal.

"Apparently," the Grand Maester said, heavily, as the healer belted his new tunic, "he thought if he ignored it, the problem would go away."

"He thought-" The healer pinched the bridge of his nose with the same exasperation Pycelle felt. "It goes away when it kills the mother! Do you want to take turns yelling at him, or do we take an ear each?" It was likely Lord Tywin would take his head first, Pycelle thought privately, but he was too relieved. Too relieved and, now that his life was at less risk, too angry at the situation Valorick had left him in not to agree.

"Together, I think. The Maester needs further instruction. If you would care to assist?"

"Oh yes. Definitely." The man's sharp smile was the one the Grand Maester used when dealing with apprentices, and Pycelle found himself liking him: he was skilled, he had got the Grand Maester out of a problem, and he was - best of all - convenient. The stranger held a hand out, and Pychlle grasped his forearm.

"I am Grand Maester Pycelle." The stranger's eyes narrowed, but he didn't flnch. "I don't believe I caught your name?"

"Talagan, Master Healer from the Houses of Healing in Gondor."


But that is not where the story starts....
 
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267 The Sunset Sea
267 The Sunset Sea

Rickard screamed a warning, lost in the thunder as the crew grabbed onto what they could. The bow hadn't turned full-on to face the wave. Now the Clever Lann slewed sideways, bow sliding down from the wave crest as the wave tried to turn her. The tiller wouldn't hold his weight, he snatched at the cleats, and then the ship dropped stern-first, thirty-feet into the void. His grip slipped, the ship fell away from under him, and the mast cracked painfully across his back, carrying him downwards with the ship.

The stern went under. His eyes shut. The water hit like a wall, and then he was underwater, wood beneath him, the ship a black tower that threatened to fall back on him before she teetered and followed the back of the wave down, righting herself in a groan of wood. He was scooped from the water as the stern rose, barely above the waves. Timbers shifted under him as she wallowed, already lifting again as the next wave came.

Rickard pushed the tiller hard over, lashed it with a loop of rope and clung to the cleats, legs locked on the mooring ropes. The boat lifted whole, as if a giant's hand lifted it from below. Jon slid down the deck, tangled in the nets. The ship would not come round, its bow too far from true, and the wave was on them.

With a shock of dread, Rickard saw the inevitable. The rudder could not save them, and he shouted at the crew to breath, to grab anything, as the bow hit the base of the wave and the ship turned side-on. It did not climb, it rolled as it rose, turning as the keel came level with the now-vertical deck. Its whole starboard side was under the wave crest as half the hull came out of the sea. He took a gasping breath, drew in all the air he could. With a wrenching tear he felt through the wood, the mast struck the sea and snapped away. The wave crested. The Lann capsized. It fell on them, pushing Rickard under, driving breath from his lungs. He was trapped, clawing at wood above him, trying to get to air, and then she rose again, turning not quite rightwards as the trailing mast pulled her down.

Jon was pointing, shouting something the wind drowned. His whole face was black with blood. Rickard lifted his head for air, scanning the waves for whatever Jon had spotted, glimpsing a dark shape as the Lann crested a wave, and then the boat drove him under again. The Clever Lann could not right herself, too awash with water, could not fully capsize as the snapped mast caught on the deck rail. All she could do was founder and sink.

Rickard pulled his belt knife, sawing at the nearest rope holding the mast to them. Cut it free, he thought, cut it free enough to be a sea-anchor and they could right her, turn her-

The wave smashed down, left the knife dangling from its thong at his wrist. He gasped for air, clung to the cleets as the boat rose again. The dark shape was nearer, a tiny drowning thing among the spray. Rickard could see it now, in no better shape than themselves though the mast still stood tall. A light on the mast still burned and tossed in the cataclysm, a single figure clinging on, or dead and tied.

His shout went unheard. Drawing a breath, Rickard raised himself, waving his arms in frantic caution. The figure saw him; the man waved back, before the wave took the ship down again. Stay clear and the seven-damned seas might not take them both, Rickard prayed, as blood on his hands as he found the sharp edge of the blade. Then he was sawing at the mast ropes in water that brushed his face, the Lann lying half-submerged, lower, as the wave lifted them again. The small boat was on the peak ahead, throwing-

The rope hit the bow. Jon grabbed it, looped it round the prow. Fucker would bring both ships down! Rickard shouted furious and unheard. The other boat dropped into the trough of the wave and the rope carved through the wave crest ahead of them. The bow turned.

Rickard parted the rope he sawed on. The mast slipped from the deck with a terrific wrench, anchored still at the fore-sail and the mid, and the Lann met the wave head on. As she lifted, water poured from the cabin door, and the hold, in a torrent that washed him, choking, to the stern. She topped the wave, not true yet, but better, and this time she slid down safely, prow first.

Rickard clawed down the deck, swearing, for that fucking moronic bastard hadn't cut the front sail free. Locking legs round the rail, he sawed at it, praying their rescuer's rope wouldn't part yet. Threads split and unravelled under his knife and finally the mast and its debris pulled free. The two ropes tangled at the mid would hold it as a sea-anchor, if the other boat didn't hit it.

The rope between the boats, impossibly fine, was still holding. The two boats were riding the same wave now, and the great, gaping, hole in the other's rail wasn't something that mattered when he was trying to bail out the Lann and Jon wasn't helping. Jon didn't have a nose. Or a face.

The Lann dropped again, and the man on the other ship was reeling in the rope, fast as he dared. Idiot. The storm could drop one ship on top of the other. Rickard bailed with one hand, clung with the other, too weak to get the hatch closed and seal air below. The flailing end of a rope smacked him painfully. The other ship was dropping back. It would hit the storm anchor. Their problem.

As the Lann fell and the other rose the line went slack. Fucking thing would fall on him and break both ships! He cowered.

The thump was smaller. A man rolled down the deck, lashed by a bundle of rope to the tow-line between the ships. He crouched, threw the coils round his waist tight round a cleat and untied himself from the tow-line. The rope slid apart as if it had never been tied at all. The Lann rose again, the smaller ship falling back towards the storm anchor, and Rickard found another bucket at work on the bailing. He yelled, pointing at the hatch, words taken by the storm but the man was sailor enough to know his meaning. He reached for the catches by him as the ship rose, freeing the hatch to swing. As the Lann fell, Rickard cursed to all hells as water flooded from the hold, as the hold door missed his hand by inches as it fell shut, and the ship was level and he shot the bolts.

Air sealed below, bow to the waves, now they had a chance. The sailor was hauling the sodden nets to the side, roping them to join the mass of their sea anchor. Just get them off the fucking ship, Rickard didn't care. She was rolling with the water in the hold and there was no way to get that out. The boxes of fishing tackle went over the side - those the storm hadn't claimed - and he grabbed the bucket to bail the cabin clear as each wave left it awash. The sailor was tying lines now, stopping the loose ends that flailed and whipped across the deck. The waxed and sealed boxes of the catch were opened, tipped and resealed, lashed as floats to the rails to keep her upright and afloat as she wallowed. And then there was no more to do but cling and pray beside his new best friend. The howling wind drowned words, even from inches apart, and then at last the sky began to lighten. The next wave came and the deck rose less, and with the next it was less and each from then a little less. Rickard looked up at the sun with a whoop. The sailor was a practical type, already on his feet and grabbing a bailing bucket as he hauled open the hold and set to work. Rickard went for the wheelhouse, untangling the leather and brass pump from the storm debris. He shoved it at the man in passing and went to the rudder. It moved too freely. He lowered himself over the back, looking into the water. Where he could see it, the top of the rudder's blade was frayed and ragged. There was little more than a pole left, sticking below the waterline. Rickard kicked the Lann's side in disgust and went to check the cabin for nails and anything else he could use to patch it up.

No mast, no rudder, and damn, the Lann was too big to row. There was nothing onboard to serve as a mast, and nothing useful in the hold. The sailor was still at the pump, and the water level was dropping. They weren't holed, but below there wasn't wood to repair the mast. There was only one way to fix this. Rickard climbed out, giving a tired nod to the sailor. He got a nod back, the man saving his breath for the pump.

Hand over hand, Rickard pulled in the lines to the storm-anchor, until he was close enough to get a hand on the wood. Well shit. They weren't going to be using the other boat to escape. The hole in the rail went down to the waterline and below, and she was listing sideways badly. Her mast was up, but the sails were shreds and spars had smashed to splinters. He cursed the sky and set to fishing out enough planks from smashed barrels and crates to fix the rudder.

Behind him he heard the creak of wood. Finished with the hold, its door now firmly battened down, the sailor was hauling in the Lann's fallen mast and cutting the main spar free from the ropes. Rickard took a mouthful of nails and left him to it as he set to nailing planks together to make a passable rudder. Then he got the lovely job of sticking his head in the water to nail his fix in place and rope it and make sure the cursed thing still turned and wouldn't snap what was left. By the time Rickard had the rudder fixed and working, and untangled from those thrice-damned nets that had somehow found their way under the boat, the man had the spar aboard and had hauled it into position by the stump of the mainmast.

Rickard fetched the trailing ropes through the sail pulleys on the rail, and between them they hauled it upright and into place by main force. Rickard stooped to bind it, rope coils binding the new mast to the stump of the old as the man steadied it with difficulty. He was a tall bastard, Rickard would give him that, dark-haired and grey-eyed like one of those Northerners that came to the fish fairs. His face and hands were chapped and cracked like someone too long at sea.

With the mast secured, the Northerner went to the prow of the boat. As Rickard pulled in a sail from the sea anchor, wringing what water he could from it, he watched the man bend over Jon, checking his face. Nothing to be done there but take the body home. Lashed up a crosspiece and they could get a crude square rig up. They'd be home, slowly.

He reached into the water for a second spar, shimmying up the 'mast' to tie it on. Once it was finally in place the sun was setting. Jon's face had been wiped clean, wrapped in clean-ish sailcloth, and the man was wiping blood from his hands. It was a nice touch for the family, but if Jon began to stink, he'd be over the side before they got home.

Rickard slipped down to the deck, utterly spent, too tired to think of sailing. His new friend flopped down beside him, just as sent, offering a fresh waterskin from below. Rickard took a deep draft and offered it back.

"We beat it!" He punched the air, too tired to stand. The sailor said something, looked puzzled. Rickard didn't catch the words and didn't care. "I'm Rickard."

"Ni-na Talagan." Strange name for a man, but if he had two names he was probably a noble. Fitted with the clothes, and what had been a damn fine boat before it was holed.

"So where are you from, Ninah?" The man was looking at him oddly. Nobles were so bloody touchy, wasn't coming through a storm enough to use a first name or something? Rickard scowled, but the sailor seemed worried, not angry.

"Ki-bitha Adûnâyê?" he asked. What in the Seven's name was that? Some first man tongue from the North or something?

"Don't you speak Common?" Rickard meant it as a jest, but the man was actually concerned.

"Pedil edhellen?" Rickard shook his head furiously.

"I. only. speak. Common."

"Ma quetil Eldarin?" The sailor offered hopefully and Rickard shook his head. The man slumped, staring at the sky. "Ki-bitha Westron. Ki-sâphdi ni?" Rickard blinked.

"Com. Mon," he said, exaggeratedly. The man looked at him and shook his head. Now that Rickard understood completely. He knew exactly what the words the man said next meant too and, helpfully, he added his own version. "Well.... Shit."

And that is where it begins...
 
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267 A small Westerlands village south of Lannisport
267 A small Westerlands village south of Lannisport

The Clever Lann limped into port, the small cove of the fishing village something Rickard knew like the back of his hand. He wasn't daft enough to try braving the dragon's spine shoals that guarded it when he was sailing a square-rigged wreck. A few too many Iron-born had died that way; a few to few 'cos a handful made it ashore to get knifed.

The shout rose on shore as he hailed them again, and a few folk came to the dock, then more, running and pointing.

"Stop fucking staring and send us a damn boat!" he hollered.

"Can you not row?" The harbourmaster was a smart-mouthed old shit, and it showed.

"Shut your mouth and get yer lazy arse in a boat!" Rickard cupped his hands round his mouth to make sure his voice carried. "We need a tow!" With that, the dock finally got the message. With haste, and the usual exchange of abuse, the row boats were launched, taking the tow lines Rickard threw and pulling the Lann through the shoals to moor. The little shell of Talagan's boat drifted behind them, hull fothered as best they could but still awash.

"Get Gammy Jen here, Jon's hurt." Rickard bellowed, as the Lann beached on the sands of the cove, and forgot everything as his arms were full of his wife, clinging and gabbling and Rickard buried his face in her hair and squashed her tight. He lifted his head again for air, gripped her hair firmly in his hands and kissed her thoroughly to a chorus of hoots and hollers.

"Guess what you're doing tonight," someone said.

"You shut your face, Alys Fairfale," his wife replied, breathlessly.

"He's shut yours, Meg" Alys retorted, to laughter.

"Long as she doesn't shut her legs, he's fine," some lackwit called, and the crowd erupted. Rickard put his arm round Meg's waist, enjoying the soft curves nestled against him.

"Where's the others?" he asked, and Harbourmaster Georg spat at the waves.

"Heard nothing since the storm. They could've run ahead of it." Not welcome news. Rickard nuzzled his wife. He was home and they weren't and Smith help the village if the Lann was the only boat to come back. Talagan was helping Jon over the side, into the arms of the crowd to get him down to the beach. His bandaged face drew cringes, but that was a man bloody pleased to see his wife again. The bandages hid a mess, his nose was gone, smashed flat to his face and in his gaping mouth there were no upper teeth. Wiped clean of blood, he didn't look so bad with a scarf over it, but Maiden and Mother his wife was going to have to wear a blindfold at nights...

"Leave it, Saman, you little shit!" Rickard bellowed, loud enough to make the crowd turn. The lanky lad wading out to Talagan's boat jumped guiltily.

"Just going to draw it up for you," Saman wheedled. Shame for him that Rickard wasn't born yesterday.

"Then yer an idiot. She's fothered. Get the logs and cradle under her before the tide turns."

"So you got some salvage for us." Georg worried a nail, thoughtfully, obviously weighing the boat's value in coin.

"No, that's his boat." Rickard gripped Talagan by the shoulder, pulling him forward on deck. The northerner was suddenly the focus of all eyes, but he took it well with a smile and a shrug. "This is Talagan."

"Nice to metchya." Georg held out his hand, and Talagan clasped it as Rickard had shown him. "Tall one, ain't ya?"

"Nakhatûn 'nNê kalâma." Georg's jaw dropped and Rickard burst out laughing.

"The fuck-" Georg said, and Rickard thumped his thigh.

"He doesn't speak common," Rickard chortled, as Georg stared. "Bloody good sailor though. Used his ship as an anchor when the Lann turned side on to the waves. Saved our lives." Most of the crowd seemed happy with that, if not bloody ecstatic, but Rickard caught the low voice at the back.

"If he doesn't understand us, just cut his throat and take his boat." One of Saman's friends. Rickard was over the side in a bound, burying his fist in the boy's midriff.

"Shut yer mouth you bleeding scrote." As the boy measured his length in the sand, Rickard delivered a kick to follow up. "He saved my life. Saved Jon's. Poor payment to take man's boat and life for that." he kicked the lad once more, and ground his face in the sand. "We're not blood and be-damned Iron-born." He spat on the boy, before he turned on his heel and vaulting back into the boat. Talagan was staring, tense and uncomprehending, but his hand was on his belt-knife.

"It's his boat," Georg said, seated on the prow of the Lann like the ugliest figurehead in history, "but we've not the gold to mend it. If he can't pay the mooring fees, it's salvage and ours."

"He'll be helping me with the Lann," Rickard said, "and he's staying under my roof."

"I'll take him for a night," Alys offered, prettily. "He don't need words for the sounds I want him to make."

"Don't think he wants the pox either," Old Gammy Jen cackled from the back. Alys pouted, folding her arms under her breasts deliberately to give everyone onboard an eyeful. Rickard paid it no mind. His wife's were closer.

"He comes home with me," Rickard said firmly, "We've room enough under the roof."

"He'd better have gold in the morning." Georg rattled on, single-minded. "Tax farmers come at the end of season and we've no fish to pay them. No gold neither."

"When his skiff's made good, he pays the debt in fish or in its use?" Rickard offered. Georg spat on his hand, Rickard did the same, and the deal was sealed.

"Let's have a look at her then," Georg said. Rickard gripped Talagan by the arm, seeing the northerner's utter confusion.

"Come with me." He moved his hand in a beckoning gesture, one of the first dumb plays they had worked out. His wife sat on the side, swinging her legs over and dropping to the sand. Talagan followed her onto the sands, then stopped.

"Get the logs and wait for the tide, Georg," Rickard advised. "She's holed." He started making his way up the beach, but Talagan hadn't followed, looking back at his skiff. "It'll be fine. Com'ere dammit." Talagan stepped away from him, looking round like his wits had left him.

"Ki-bitha Adûnâyê? Ki-sâphdi ni?" No one answered, but the foreigner held up a hand as Rickard went to grab his arm impatiently.

"Looks like they've heard of your cooking in foreign parts, Meg!" Bess called, and Meg laughed.

"Everyone's heard of the foreign parts in your cooking, Bess!"

"Wouldn't mind a bit of foreign in my parts," Alys added, to titters.

"Ni-zêri...?" Talagan frowned, lifting his hands towards Rickard in the 'wait' signal they'd agreed at sea. He waded out to the skiff, and pulled himself on board.

"Limber, ain't he?" Bess grinned, broken teeth showing beneath her pox marks.

"He going to try and sail that?" Georg blinked at Rickard. "He'll not make the shoals." Rickard cursed stupid foreigners and waded out himself. He was knee-deep when Talagan re-appeared, loaded with enough bags to make a pack-mule jealous.

"He's rich," Saman muttered enviously.

"Keep your thieving eyes to yourself or I'll black them for you!" Georg roared before Rickard could. "We bartered fair for the boat, and what's on it is his. I'll be talking to your Da, ye speak like a Greyjoy's get."

"It's blankets, Saman, you simpleton!" Rickard shouted, as he took one of the bundles across his own shoulder. He could feel the heavy lump wrapped inside it, and if it was gold he wasn't telling the layabout.

"A good strong back and his own blankets," Gammy Jen wheezed and it set the women off again as Talagan waded ashore.

"You ready now?" Rickard asked, over a fresh wave of laughter, and pointed up the beach firmly. The foreigner looked at his hand and then at him uncertainly.

"Du-yâda nê?"

To a fresh wave of chuckles, Rickard trudged down the beach, took the man firmly by the arm and trudged back up the beach towing the foreigner firmly behind him. Seven, this was going to drive him mad.

Translations:
Nakhatûn 'nNê *kalâma = Pleased to meet you
Ki-bitha Adûnâyê? Ki-sâphdi ni? = Do you speak Aduniac? Does anyone understand me?
Ni Zeri... = I want/need to... (gives up)
Du-yâda nê? = Do we go/Where are we going?
 
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267 A small Westerlands village south of Lannisport II
267 A small Westerlands village south of Lannisport II

Rickard slung the bedroll onto the floorboards by the wood-and-mud wall of the house. The floorboards creaked, shifting under the weight. Whatever was in there weighed as much as the Rock's gold or the Smith's own tools, he reckoned. Talagan unloaded his own bags on top of it, looking round with interest at the lage firestone by the wall, the wooden floor and walls, and the cramped bed and table with two chairs.

"You sneer at my bloody house," Rickard threatened. Talagan looked puzzled at his tone, and Meg chuckled as she bent to the embers, fanning it into a blaze.

"Don't tease him, you know he can't understand you."

"Good." Rickard grunted. He pointed round the walls and the house, then to himself and his wife. How to get it across? He gave up on anything complex, and kicked a space by the wall clear. He pointed to himself and his wife and then to the bed, then to Talagan, the blanket roll, and the space on the floor. The foreigner smiled and nodded.

"Zadân anKi zadân anNi." There wasn't any disdain at all, which was good. When Rickard had dumped the blanket roll down so he could crap in the stream like any normal person, Talagan's utter horror had been comical. What was he used to, servants taking it out in a gold chamber pot? Odd, 'cos Northerners were all barbarians, or so Rickard had heard. Still, the foreigner was laying out the bedroll without complaint, so he must be used to it.

Out of the roll, Talagan set aside a small chest, burying it under a pile of bags. Rickard moved him aside and pointed.

"What's that?" Talagan shook his head dismissively, flicking a corner of the roll over it. Rickard flipped it back and nudged the box again with his foot. If the man had gold, then he could pay for repairs. Rickard might have been too quick to barter the boat's use. Talagan shrugged him off again, and checked his bags for water damage. Saying something that had to be a curse, he lifted an utterly sodden book up, letting the water run off it. Rickard swallowed, mouth suddenly dry. The man had a book.

"Are there coins in there?" Rickard pointed at the chest, and hurriedly went through his pouch for a copper and held it up to Talagan. Talagan looked up, frowning, and went back to separating the pages of the book. He'd slit the stitching without a second thought! Rickard made a faint choking sound. He grabbed the box up and shoved it in Talagan's face. "Is this" he held up the copper coin, "in that?" He shook the box. Talagan snatched the box away protectively, and pushed the hand with the coin back at Rickard.

"Ba! Ni-zêri ha." Putting the chest beside him, he went back to separating pages with his knife, peeling them apart as if the book could be saved, and what in the name of the Seven did Ba Ni mean? he pushed the coin forward again.

"Coin."

"Ba." Talagan pushed it back, irritated. Good, Rickard reckoned, because so was he. The foreigner pointed to the box, and then to himself and nodded, and then to the coin and Rickard and nodded. Then he pointed to the coin and himself and shook his head, and the box and Rickard and shook his head.

"I'm not trying to buy it, you thrice poxed-" Rickard glared. Talagan glared back. Rickard pointed at the box, and then reached passed Talagan and rattled the lock. It was absolutely tight, but the other man tensed. Then Rickard tapped the box and pointed to a salted fish, then taped and to his belt knife, then tapped and pointed to his coin. Talagan pinched the bride of his nose between finger and thumb, like a man with a headache coming on.

"Ba-"

"-Yeah, yeah, I know." Rickard waved him off with the arm flailing they'd used on the boat to mean they didn't have a fucking clue what they were trying to say. Getting through to the thick foreigner wasn't easy.

He grabbed his tackle box, tipped the weights out, and shut it.

"Box." He tapped it, and then Talagan's. "Box." Talagan's eyes lit up.

"Bocks," he repeated. Rickard held up a fishing weight.

"Weight."

"Wayt," Talagan said, then paused, holding up a hand. "Weit?" Rickard put it in the box and closed the lid.

"Weight in Box."

"Weyt in Boks." The man's full attention was on him, which was good. Rickard held up the coin.

"Coin."

"Coyn."

"Coin in Box." He tipped the weight out and put the coin in.

"Coyn in Boks." Talagan repeated obediently. Rickard tapped Talagan's box.

"In box?" he asked with exaggerated confusion. "Coin in Box? Weight in Box?" Talagan smiled broadly now and looked round the house. He pointed to the ceiling where Meg's herbs were drying.

"In bucks," he said, delighted.

"Herbs?" Rickard asked. "There are herbs in the box?"

"Herbs," Talagan said firmly. "Herbs in Bux." He grinned. Rickard grinned back. It was a small enough trunk, but they'd be strange herbs to be worth all the fuss. He stretched and yawned. This teaching thing was hard work. Talagan looked at him, waiting for more words.

"Rickard in bed," he said, and gave an exaggerated snore. Talagan laughed.

"Talagan in bed," he agreed and Rickard frowned.

"Talagan in bedroll," he said, firmly, and pointed. Talagan repeated it obediently then raised an eyebrow.

"Rickard in bed," he said, and snored. "Rickard. Meg. In bed. Talagan-" he pointed to the door and mimed walking out. "Rickard Meg in bed. Snore." He mimed walking in and pointed to the bedroll. "Talagan in bedroll," and snored. Rickard grinned. The man knew what mattered in life, and it was good of him to offer a bit of time alone with his wife.

Meg came back in with a bucket, and topped off the stew brewing above the fire. Rickard sat down, scooping a bowl out and tucking in. Talagan's smile vanished as he stared at it in dismay. What was the man's problem? Rickard had shat downstream of his house hadn't he? Rickard slurped the bowl noisily and smirked at the faintly sick look on the man's face. He'd lose those noble airs quick enough or starve. Meg put a generous bowl of stew in front of Talagan, but the foreigner was looking anywhere but at it.

"Meg," he said, and she looked round. He pointed at the wet pages of his book, and then at her drying herbs. "Bouk, Herbs?"

"What does he want?" Meg asked, baffled. Rickard downed the last of his stew with a satisfied grunt.

"Stranger knows," Rickard said, waving his hands to show he didn't get it. Talagan stood up, having to stoop slightly under the low roof, and held one of the pages up against her herb drying line.

"Wants to fix his book, like he didn't just rip it up," Rickard suggested. Meg fetched out her clothes pegs and offered them. Talagan clipped the page up triumphantly.

"Its pretty, all dot and curves," Meg said, as she peered at it. She untied her herbs bunch by bunch, setting them aside as Talagan clipped the pages up to dry. While they were distracted Rickard switched his stew bowl with Talagan's. He'd no problems with second helpings. Talagan saw him and said nothing, so he downed it all while they were busy. There were more pages than pegs, but with a bit of ingenuity, they were all pegged up of laid out to dry by the time he'd finished.

Rickard did his bit, stacking the stew bowls so Meg wouldn't see he'd had both. Damn that woman's tongue could be a sharp one, so life was easier if she just didn't know. Strange thing for a man to look relieved he wasn't fed, and rather insulting, but that left morre for him.

Meg wiped her brow and whisked the bowls away, drawing three mugs of ale from her casks. As she put them down, standing by with her own, Rickard humphed. He'd not sneak the man's ale out from under her eye without getting the edge of her tongue. Talagan sipped it cautiously and then enthusiastically, with a word to Meg that was obviously a compliment. She blushed happily as he raised the tankard to her, and Rickard snorted.

"Don't forget who you're married to woman," he warned from his chair. She draped her arms over his shoulders and kissed the top of his balding head.

"After four bairns, how could I?" She bent over to take his tankard and Rickard enjoyed the view as she leaned down to refill it.

"He's turned enough heads," Rickard grumbled, taking the beer. "Damn fishwives'll throw themselves at anyone with all his own teeth and his own boat."

"Tall, broad-shouldered..." Meg teased, ruffling what was left of his hair and sat herself on his lap. "How large was his boat?" Scowling he dumped her on the floor.

"You shameless hussy!" he scolded. She giggled. It set him off, and that made her giggling worse, until they were both collapsed laughing on the floor. Talagan was watching, smiling even if he didn't get the joke. Rickard stood up, and pulled Meg up by the hand. She smoothed her skirts and sat on the bed with her own mug for a drink.

Talagan downed the last of his drink in one and stood up. Rickard scowled. Seven, let the man not drink any more of their beer. Luckily the foreigner didn't ask for a refill, pulling his chair out, looking at Meg and sweeping a hand to the seat in invitation. Why in the Stranger's name would a man offer his seat to a woman? Meg didn't seem to mind as she gave a mock curtsy and took the seat.

"Courtly manners too," she teased. "If you weren't my husband..." Rickard snorted.

"Well I am, woman, and you mind that!" As he glowered the small fishing weight box was put down firmly on the table between them, and they both looked up as Talagan added the dropped weights beside it.

"Looks like he's got something in mind." Meg poked at a weight and Talagan picked one up and put it in the box.

"Weyt in Bucks," he said. Rickard glowered. They'd done this one. How daft was the foreigner?

"Weight in Box," Meg corrected.

"Wayht in Boox," he repeated, and lifted the weight out. "Wayht. Boox." He pointed to each seperatedly. "Ba Wayt in Bux."

"Weight out of box," Rickard said at the same time as Meg said: "Weight not in box". Talagan looked between them, and Rickard shook his fist at his wife playfully. "Don't speak over me, woman!"

"I think Ba means not," Meg said. "Let me try." She put the weight in the box and said the phrase again. Then she put it on the table. "Weight - Not - in box." She put it in her pocket. "Weight - Not - in box." She put it on the bed "Weight Not in box." Talagan nodded and Rickard thumped the table. This was his foreigner and he was going to teach him.

"Weight out of Box," Rickard said firmly.

"Weyt Utof Boks." Talagan picked up the penny and matched words to his actions. "Cayn in Box. Cayn Utoff Boks."

"Coin," Meg corrected. "Coin in box, Coin out of box." Talagan repeated it obediently, then picked up the weight and another two. "Weyt. Wayt. Wayght." He pointed to each, then put them one by one in the box.

"Wayt in Boks. Wayt Wayt In Box. Wayt Wayt Wayt in Box." Meg grinned as Rickard laughed and picked up two more weights as Meg emptied the box.

"One weight in box," Meg said, and dropped the first one in. "Two weights in box. Three weights in box." She went up to five, as Talagan watched and waited, and dd the same. Rickard clapped. Funny watching a grown man learn to count as it he were a babe.

"Weight." Talagan held up two weights. "Weight-suh?" He pointed to the coin. "Won coin. Too Coin-suh." Then to the box on the table. "Wun bux. Two box-sah."

"Box-Es." Rickard corrected with a laugh. Talagan frowned and pointed to the piled herbs.

"Herb. Herb-sah." Meg grinned encouragingly, and he moved on to one word they had got on the boat. "Fish. Fish-suh?"

"Fish-es." Rickard corrected and Talagan slumped. Meg reached out, taking his hand sympathetically. Rickard glared as Talagan smiled back at her. She blushed.

"Oi!" Rickard gripped Meg's wrist, making them both jump. "Rickard in Meg!" he snapped, as Talagan's eyes went wide. "Talagan Not in Meg. Talagan Out of Meg. Talagan in Meg, Talagan in -" Rickard looked around for anything to get his point across. "Fish. Talagan in Meg, Talagan in Fish!" His wife collapsed on the table in gales of helpless laughter as Talagan waved his arms, gabbling something incomprehensible. Slowing down, the sailor waved his arms in their wait signal, and got the small box out of his bedroll again, working the latch. Rickard peered over his shoulder as the lid lifted. Neat rows of lids showed, wood and glass vials nestled in their padding, each carefully labeled in the same curving script on the pages. Meg gasped, pressing her hand to her mouth.

"Them's not herbs," she murmured as Rickard cursed the distraction of the perfect glass-work. "Them's spices. A king's ransom in spices. And glass!" Rickard's hand went to his belt knife. One stab and he'd be rich, rich. He'd never have to work again. He cursed. The tax farmers would take it all, and come back for more the next season. Fisherfolk didn't keep money, that was for lords and ladies.

Talagan drew something out, something tiny that glittered like gold. The workmanship was the finest Rickard had ever seen, and the gold looked pure.

"Don't you dare bite that, husband mine." Meg glared, reading his mind. The tiny trinket clicked as it opened, showing two tiny portraits, exquisitely detailed. One was obviously the man holding it, if a little younger. The other was a woman with the same misty, grey, eyes and dark hair. Both were finely dressed.

"Rickard, Meg," Talagan said, pointing to them both, and then, softly: "Talagan, Calaineth." Rickard whistled and Meg elbowed him.

"He sounds sad."

"I'd be sad if I had that waiting at home and I was stuck somewhere strange," Rickard jested, relieved and jealous all at the same time, and then his senses came back as he heard voices outside. "Locket in box. Box in bedroll." He gestured to Talagan fast. The man wasn't entirely stupid, clicking the locket closed and hiding the box away quickly as he caught Rickard's urgency. Rickard grabbed extra sheets and piled them on the bedroll. "No one knows he's got that." He hissed to Meg. She nodded, paling rapidly.

"A rich noble here-"

"- he's not a noble, he's a smuggler," Rickard spoke over her. The pieces fitted. Single-man boat, great sailor, a stranger, valuable cargo, had to be. It was a better story than lost noble and it wouldn't get his throat slit as fast.

"You in there?" Georg called gruffly, and pushed the door open without knocking. The Harbourmaster stepped inside, staring at the pages dangling from the roof lines, and peered at one closely.

"Ceri-cin ped Sindarin?" Talagan asked, hopefully.

"Sorry son, it's pretty enough but it's nothing to me." His reply brought a slump to the stranger's shoulders. "Arric sailed round Essos, could ask him when he gets back."

"He might be Myrish," Rickard said. There was enough glass in the chest to fill Myr itself, he reckoned.

"Could be. Think he's more likely Northern," Georg said, and sat. Rickard drew beers for them all, and damn he'd better get a good fish haul, or he'd be out before month's end.

"Not in Skagos. They've got some unholy mewl they speak there," Meg added, and shivered.

"And unholy appetites." Rickard tensed as he spoke. Talagan had hated the stew. Could the man be one of the flesh-eaters of Skagos? A cannibal? He hadn't eaten Rickard or Jon, but what about Rickard's juicy helpless bairns?

"You weren't looking at these." Georg pointed to another page. The diagram of the arm was beautifully detailed and opened up from wrist to elbow.

"Oh Seven." Rickard heard Meg mutter. Rickard dropped a hand to his knife, the beers buzzing in his head. Maybe they only ate people when they were hungry, but Talagan hadn't eaten the stew. He stood up, grabbing a bowlful of the pottage, and took a swig.

"Stew." He pointed at the pot and took a mouthful. "Rickard eat stew." He took another mouthful, seeing Talagan's barely concealed alarm. He thumped the bowl down in front of Talagan. "Talagan eat stew." The man looked at the bowl, then at him and Georg and Meg.

"He ate his stew," Meg said.

"Shut up, woman." Talagan was steeling himself, picking up the spoon. Meg frowned, storm clouds gathering.

"Rickard of the Lann, husband mine, did you eat-?"

Shut up, woman!" Talagan lifted the spoon with the air of a man putting his hand into shit to find a copper. Rickard pulled the stew back, glowering.

"Talagan eat?" Riskard asked, waving his arm round the hut. Seven help him if he pointed at them!

"Talagan eat fish-suh. Talagan eat hirrbs." That was a prompt answer, and Rickard sniffed.

"Fish in Stew." He'd caught the man out, he thought, until the man went to the dried fish on their rack.

"Fish-suh," he insisted and Rickard relaxed a little. Talagan could be lying, but he wasn't smart enough.

"Talagan not eat Rickard?" The man froze, but the look of incredulous concern on his face could not be faked. Talagan looked quite conspicuously at the door, and started sidling towards it.

"Talagan eat fish," he said, with emphasis. "Talagan Not eat Rickard. Rickard Not eat Talagan. Rickard eat Rickard stew..." Georg laughed as Meg buried her face in her hands to muffle the cackles.

"You scared him," Georg said, not helpfully, and Rickard bristled. Why were they all laughing at him? A man had to protect his family didn't he?

"Fish in stew. Herbs in stew," Meg managed, muffled. "Rickard not in stew. Georg not in stew. Talagan not in stew." She glowered at Rickard. "Stew not in Talagan. Two stews in Rickard." Oh he was in for it now. Talagan frowned and pointed at the bowl Rickard held.

"Three Stew-suh in Rickard?" Great Seven, did the man have no loyalty? Meg was going to erupt like the Doom. His wife picked up her skirts and stalked to the back, plucking two dried fish off the drying line as she went.

"Fish-es. Stews," she said, setting to work, filleting them and halving a few wild carrots and green leaves.

"That's a mighty fine dish there, Meg," Rickard wheedled, hopefully.

"No," she said, "a man who had three stews doesn't need more."

"Please?"

"No!"

"You're a hard woman, Meg," Georg said, grinning. Talagan had watched it all with a raised eyebrow, and half an eye on the door.

"No?" The foreigner said, and scowled. "Not No?" Rickard blinked. Surely they'd done yes and no on the boat, though thinking back they'd mostly been speaking curses and swears. The nod and headshake had sufficed.

He gave the headshake, saying "No" and nodded, saying "Yes."

"Talagan fish," Meg said, with a beautific smile, sliding the plate in front of him. "Rickard no fish. No!" She rapped his knuckles as he tried to filch a carrot. "Rickard eat Three stew. Rickard eat No fish. Talagan eat No stew. Talagan eat fish." The foreigner actually laughed, damn him, and demolished the dried fish and veg like a man starving.

"He's going to be an expensive one to feed," Georg said, "Better hope he can catch more than he eats."

"We can't go out again until the Lann's fixed," Rickard said. "Less any of the other boats came back short-handed." And if they hadn't the Lann was a bugger to manage with two. She needed four, but two of his crew were gone.

"No word of 'em yet." Georg poked at the fire with his walking stick as Rickard swore. The boats would be home sooner if the storm clipped them, later if it missed them, and not at all if it hit them square. "Can't count on it being in time for the taxes." If they couldn't make the taxes, the bastards would take it all, even the boats. Even when they could, the village only got to keep what they could hide.

"Bloody thieving bastards," he grumbled.

"I had the wright at the Lann." Georg didn't react as Rickard jumped up.

"At my boat and me not there?"

"Hull's fine. Masts and rigging will take a week or more. The rudder looks like a dragon had it." Georg leaned forward. "Now his boat just needs a few planks to the side. Damn good woodwork and it sails in two days. It'll cost. Either he pays now, or we take the boat, or we fix it and he works it off. It'll get taken in a month by the taxes anyway."

"If they know of it," Rickard suggested. No sane man had his boat in port when the levies or the taxes came round. If some bastard with a shiny sword took a liking to it, there'd be an extra tax on the spot, and boat and living were gone.

"Keep it off the lists," Georg said, a cunning look to him. "And him?"

"Foreign trader."

"We keep boat and him gone when they arrive." That was something even a simpleton knew. If it wasn't in the village, it couldn't be taxed. Georg levered himself up and ambled to the door. "But I'm having the boat fixed. He pays the debt or works it off. You best find a way to get that through to him, or I'll have the boat myself. I'd start by teaching him 'bout coin if you haven't."

Translations:
Zadân anNi zadân anKi = Your home is my home.
Ba. = No.
Ba! Ni-zêri ha! = No! I want it/That's mine!
Ceri-cin ped Sindarin? = Do you speak Sindarin (secondary dialect)
 
267 A small Westerlands village south of Lannisport III
267 A small Westerlands village south of Lannisport III

Talagan woke before dawn, listening to the snores from Rickard, Meg, and the others. Three grubby-faced children had trailed in just before sundown, dumped a load of vegetables on the floor, delved into the stew pot, and now were piled like sleeping logs across the floor. His stomach grumbled uncomfortably. He tried to ignore it and failed, wide awake now and aware of just how hungry he was. He couldn't sneak extra food from Meg; it was so obvious these people lived in grinding poverty that would never have been allowed in Gondor.

Sneaking a tiny bit of his scarce soaproot into his hand, he got up, keeping his head ducked munder the low ceiling. There was only a little light here, from the embers of the fire and the edges of the shutters over the glassless window. Edging across the rickety floor with care, he stepped over the sleeping children and unlatched the door. It opened with a creak and he saw Meg's eye open, see him sneaking out and not the children, and close again. He smiled. A mother of three always slept with one eye open, it seemed, no matter the place.

Outside the village was dark, unlit save for a few rickety lanterns, and deathly quiet. He could hear the breeze in the trees, and the waves lapping gently at the shore on the beach below.

His stomach grumbled again, and he doubled over, looking for anywhere to relieve himself. No matter what the locals did, he had too many years as a surgeon-healer to foul the drinking water. Rickard hadn't even cleaned his hands, or washed at all in the entire time Talagan had known him. They didn't even seem to know better.

The Corsairs had better cleanliness than this, and Sauron himself had been wise enough to keep his human servants healthy. If these were a small enclave that had somehow escaped the Corsairs' attention, then he'd been lucky. He'd have to keep his surgical tunics and gear hidden. He couldn't exactly hide Numeanorean blood – he was a head taller than the village folk – but if Morgoth worshippers found him it was a fast path to the alter. In a place like this, he wasn't going to quickly flash gold either.Was this how all the Easterlings under Sauron's influence lived? How all men would have lived if he had won? He had seen the shadow rise above Mordor and be blown away on the wind, visible from Tolfalas, maybe even from here. What would happen here now he was gone?

The people were kind, but Rickard's little slip at dinner had warned him: either they ate people or they knew someone who did. Thankfully, such behaviours were definitely not welcome here, but with what was rumoured of the Haradrim, and what Orcs ate, Talagan wasn't taking chances. Maybe he could pass as a wandering healer once he had enough of the language, and work his way up the coast to take ship home. There were enough smugglers between Harad and Gondor, and he'd bought from more than a few... and he doubled-over as his stomach clenched, reminding him that he had eaten something he shouldn't.

He staggered to the outskirts of the village, looking round desperately as he clutched his stomach. The beer? The damn thing was made with the stream water, he thought, and Eru aid me even Tolfalas has privy pits. Going downstream of the village was fine, he thought, grinding his teeth, as long as there aren't other villages upstream doing the same damn thing! Choosing a helpful bush, he scraped a hole and buried his leavings, feeling better when the worst of the trouble was past. He'd have to watch for dysentry, get them to boil their water. Valar, he'd have been better eating the stew.

More steady, he walked down the path to the shore to wash his hands in the surf. Saltwater was better for washing than raw sewage, and he worked up a light lather with the soaproot, stripping off his tunic and scrubbing his arms and face clean as well. It had been days since he'd been able to wash. Maybe he could ask Meg to borrow a pot to boil...

The sky above was clear, as it could only be after a storm, and the bright moon was in its gibbous phase. It had been nearly to half when he left port. He'd been at sea at least four days, longer if the moon was waning now.

Talagan sighed. He was a surgeon, not a navigator, but the stars placed him east, further east than he had ever been, beyond the shores of Umber and into the hands of the Haradrim and their Morgoth worshippers. The winds were against him, the boat was holed, and he'd only just saved his tools. May Eru have smiled at the crew of the Galad, wherever they were, for the Valar had to hate him.

He wiped water from himself with his hands, glad it wasn't a cold night, and pulled his tunic back on after scrubbing it as best he could. Searching the sky for the seven stars that showed true north, he couldn't find them. Osse's Wrath had thrown him not just east, but far to the south; whether six days travel or twelve, the little boat had been thrown wave to wave faster than it should ever have traveled. Whether it was months of distance travelled in a space of days, or only days and a port he did not know, he could not tell.

Oh to Osse and Unain, let their quarrel be settled and the Galad crew safe. That the Maia should ignite their wrath when the Galad was but a day from the Bay of Belfalas was a disaster. The Captain had tried to outrun it as the crew clung to the sides and hid below. Day turned into night, the great crash as mast splintered in half and speared through the deck, the half-heard order to abandon ship...Tossing what he could into the lifeboat, and the wave that tore it and him from the ship before the crew could finish readying it, the blow that took his senses. Waking, alone in the dark, to violence such as he had never known...

Talagan shook his head, pushing the memories aside. For Osse's Wrath to carry his little lifeboat so far was unheard of. If he could last here until Gondor could send a rescue mission...he laughed at himself. There wouldn't be one. He'd be accounted lost, like the other boats lost to Osse, or sunk with the Galad and its crew if the ship did not survive. Returning would be impossible with only the supplies the Galad's little lifeboat could carry.

He was likely not going home. Barring an act of the Valar, there was no way to even find it, and since an act of the Valar drove him here, he gave not a fig for that chance. What was there for him in Tolfalas, anyway? What was there really? His wife was decades dead, his daughter lost to Osse, his son dead to Denethor's politics, damn the steward's eyes. His foster daughter was well-established, her children safe, and her last letter to him warned that he would be in danger in Minas Tirith, from Denethor's spite, and warned him to stay away.

What did his small house in Tolfalas have, that here did not? He laughed. Running water and sanitation, and he could work at improving those here. A man in exile could make a home as easily in one fishing village as another. The people here were crushingly poor - to a degree he'd have had the Houses complaining to the Steward over when he was Warden - but they were welcoming. No one knew him here, he could go back to healing properly, and fishing, and that was all he'd done in Tolfalas anyway. Wandering healers could usually find a place.

Talagan stretched, dry and more comfortable. He'd learn the language and customs, sell the boat for some local funds, and see if he could make his way as an itinerant healer until he found out whether there was a way home. He might be approaching his first century, but he'd got a few good years left. Rickard and Meg seemed like decent sorts, much like the Breefolk his foster daughter had settled with. They had little, but they were kind with what they had. He'd have to find a way to repay them, and to check on Jon: he already had one patient. The village healer was respected, that was obvious, but either she had failed to beat sanitation into the villagers, or she hadn't seen the need. Neither gave him confidence in her skills.

Talagan smiled to himself and turned back towards Meg and Rickard's house. With another fifty years or so in him, he might as well get a look at this strange land he found himself in. There hadn't been any signs of wolf, bear, or Orc here so it seemed a quiet enough place to settle down. They'd need to find a site for a well...

"Gohotyooo." The shout made him jump. He knew that voice. The lad who Rickard had laid out earlier was walking towards him, lip swollen, cheek bloodied and bruised. Not broken, but that haematoma should have had something cool pressed upon it and treatment to reduce the swelling. The split lip needed cleaning. He raised an eyebrow as the boy swaggered towards him.

"Do you speak Common?" he tried again, holding out absolutely no hope. Two of the boy's friends came round the side of the Lann, and the boy puffed himself up further. Talagan's heart sunk. Muggings were the same in all languages.

"Fick,ayntee!" The boy snorted, stepping forward with a smile Talagan knew well from the Dol Amroth docks. "Juscumere, nicendezee."

It was like watching an Orc trying to offer hospitality. Talagan folded his arms, unimpressed, hiding his worry. Three on one wasn't good odds. The boy was sidling towards him, one hand beckoning and the other behind his back, which had to be holding a knife. Talagan knew he could put the boy on the sand, but no one came off well in a knife fight. Hurting or accidentally killing one of the locals would be a great start. He was a surgeon dammit, he healed people, not knifed them! He stepped back, raising an eyebrow as he would at an errant apprentice.

"Ohfer - Comere!"

"Notzostoopidisee?" One of the hanger's-on echoed. They were spreading out to cut off his escape. This wasn't good. Talagan pointed firmly up the path.

"Rickard. Georg." he reminded them, but the leader's grin widened.

"Notearahrthey?" Talagan braced himself. He was taller and stronger, and the sea was behind him. Three on one wasn't a fight he wanted, but he could outswim them. He took another step back and drew a deep breath. He could outswim thm, but not a thrown knife.

"ThHellwitit." The leader drew his knife, dropping into a fighting crouch, and Talagan cupped his hands to his mouth and bellowed.

"Rickard!"

"Ahfuk!" The leader lunged as Talagan jumped backwards, avoiding the stab.

"Georg! Rickard!" he shouted. The two followers looked at each other, panicking.

"Whatthebluudyell'sgoinonear?" The answering cry came from up the beach, as one of the toughs threw himself at Talagan's legs. He jumped, stumbling over the boy as he landed, and fell. The leader stabbed down and Talagan grabbed his wrist as the third tough delivered a hard boot to his ribs.

"Geroffim!" The leader was yanked backwards by a meaty hand on his collar, and fell on his arse on the sand. "Andya!" The others backed off. Talagan stood up, gingerly feeling hs ribs. Bruised and not broken, he diagnosed. Georg was standing back, watching the four of them, and behind him the shipwright held a belay pin ready. Up the path, there were shouts as the village woke to the commotion and people began to straggle out of their shacks.

"So," the old man said, arms folded, "whattheellisgoinon?" Talagan rubbed his forehead. Rickard's language lessons hadn't got as far as reporting to the watch. The three kids, and now they were acting like kids, were all talking at once, pointing at him and pleading at Georg as Georg nodded along. Talagan tried to follow, but the words were too fast and he didn't know enough of them. When they finished there was silence. Then Georg raised an eyebrow and made an encouraging gesture to him. His turn to speak, obviously, except he couldn't. This would be bad, but at least the crowd weren't instantly taking the side of the locals.

He pointed up to the village, then to himself. He mimed sleeping and waking, then walked two fingers across his palm and pointed to himself and here. He waved at the stars, looking up. Then he pointed to the three, and hoped he had the word right.

"Three.", he said, then pointing to himself, "One." Then to each in turn. "Knife. Knife. Knife. Three Knife-suh." Then to himself. "No Knife. Knife not in-" His vocab failed him and he pointed to his hand.

"Hand?" Georg suggested. Talagan nodded, more confidently.

"Knife, Knife, Knife in Hand. Three Knife. Three hand." and to himself. "Knife Notin hand."

"Weeno," Georg said heavily, and the boys started gabbling again. "Whyreyooear?" Talagn blinked. Georg sighed, and Talagan was glad he wasn't the only one with a headache. Georg pointed to the path and said. "Path," Talagan repeated it, hoping he got it right. Then Georg walked his fingers. "Walk." When they were sure they understood each other Georg finally asked:

"Talagan walk boat?" Either he wanted to know if Talagan was walking to his boat, or taking the boat out.

"No. Talagan not in walk boat. Talagan walk path walk-" Valar, he needed more words.

"Talagan walk..." Georg prompted. Talagan resorted to dumb play, looking at the sky and shading his eyes: I wanted to see the stars. That should be simple enough. The other three were scoffing, and he glowered. Squatting in the sand he marked out a set of bright stars above, pointing from his drawing to the stars. The laughter died away. Rickard said something and elbowed Meg. Encouraged, Talagan marked out the seven stars and looked at Georg. Jon, face thoroughly bandaged, stumbled round to look at it, murmuring something that was unclear. Georg sucked his teeth and shook his head.

"Ntereno. No. Herdoffembuttoofareff." Whatever Rickard and Jon started saying to Jon, Talagan couldn't follow. he pointed again, trying to wave around the sky to indicate searching.

"No," Georg said gently. Talagan shrugged. It would have been nice, but the Valar weren't so kind.

"Owdoezzeesayfaruhway?" Jon asked.

"Ayntdundistensyet," Rickard replied. They looked as frustrated as Talagan felt, so there was definitely something they knew but couldnt say.

"Nuth?"

"Nuff. FarrNuff. Verrifarnuff."

"Nuff?" Talagan asked, trying to get the new word. Both of them drew breath to answer, and froze. Rickard rubbed his nose. Talagan sighed. He knew exactly how they felt.

"Oppsittoosuff,eedeeyot!" the leader of the boys yelled.

"WhtsSuth?" Georg demanded, glaring at him and the boy grinned.

"Oppsittoonuff!" Talagan had trained enough apprentices to catch isolence, and the boy caught the back of Georg's hand on his bruises. A woman protested angrily and Georg's scathing response shut her up. Talagan frowned, trying to put a question together. If the stars were so different then maybe it was safe. And maybe they could try to get him home. He had to trust someone.

"Gondorian," he said, tapping his chest. "Talagan Gondorian. Talagan in Gondor" he pointed out to sea, then to the beach at his feet. "Talagan not in Gondor." Georg grinned, ignoring the mocking of the three kids.

"Westeros," Georg said firmly. "Talagan in Westeros."
 
I appreciate the acknowledgement of a language barrier, but it's incredibly annoying to read and I imagine also to write.

I cannot wait for the inevitable timeskip.
 
Quite fascinating! I like the start! I think the language barrier is pretty realistic and adds quite a dose of realism to the story!!

I'm not familiar with the work that this is based on, but I definitely find it intriguing!
 
Ages and Dates
One of the real issues I had with this fic was fixing two important dates. The first was Talagan's age, so date of birth was needed, and the second was the exact year in both Lord of the Rings and Game of Thrones reckonings that he arrives - necessary for pinning down gossip, respective ages of characters etc.

Talagan's Age:
His date of birth is never given, but we know Talagan is four years older than Aragorn.
Aragorn was born in T.A. 2931, so Talagan was born in 2927.
He was already Chief Surgeon in 2965 aged 38, and became Warden in 2980 aged 53.
He left the post some time between 3002 and 3010.

Now the event, Osse's Wrath, that propels him to Westeros and drives the story. I also needed it to be after certain canon family events for him to make the story work. For this, I needed to refer to the Happy AU as there's no distinct mention of the date of storms in the closer canon timelines as Serinde was not in Dol Amroth. In the Happy AU there's a storm as large as the devastating one of 2965 that hits when she is in Dol Amroth, and happens to be ideal in the timeline. If the storm happened at the same time in canon it would have hit Tolfalas then, which is where Talagan would be...

There's no date for the storm, but one of the stories refers to a SurgicalSteel canon event which happens four years after the end of the War of the Rings (in 3019) and two years before the storm. Puts the storm at T.A. 3025, or Fourth Age 04.

So when Talagan arrives in Westeros he's a spritely 98.

Life Expectancy
Now we have the issue of life expectancy.

Numenoreans live longer than other men. Lord of the Rings says three times, and this had dwindled over the years. Notably Aragorn lived to 210, or the classic "three score years and ten" times three. Unfinished Tales says five times, and Elros reached 500 years, but I'll stay with the more popular Lord of the Rings one; for all we know that's what it dwindled down to!

So even allowing for a common bloodline, as a Numenorean descendent, Talagan has another fifty years or more to go before he dies of old age. It would be hard capped at around 180, as he is not Aragorn. (In Tolkein's work, Numenoreans can choose when to die once they feel they have 'completed' their lives, or when they feel age upon them which doesn't happen until the end of their lifespan.)

That doesn't mean nothing else, like poison, politics, dragons, or the water won't get him first.

It does give plenty of time to write a character who can realistically take part in most of the events from before Robert's rebellion to the present day and beyond with no issue.

With regard to Westeros
273 - When he shows up, he looks older than Tywin.
281-283 By the time of Robert's rebellion, people are started to look oddly.
298 - By the time of the books, there are fingers being counted in certain parts of the court...

Westeros Dates compared to LotR
Here I met a problem, because of a conflict between TV and book. The first major fixed date is Tyrion's birth and this is different in GoT (265 AC) and ASOIAF (273 AC), which matters because in one Tytos is alive and in the other he's not as he dies in 267 in both. I simply noted that Tytos was alive for two years after Tyrion was born and didn't notice the discrepency when I set my dates around 273. So yes, Tytos lives a bit longer in this. My mistake.

The other thing is that Middle Earth changes its calender from Third Age to Fourth Age during this time. This was picked up at different times by different parts of Arda, e.g. 29 September 3021 was the end of the Third Age when Elrond left, but 25 March T.A. 3021 was the official start of the Fourth Age by calendar.

So Talagan treats Joanna in 273, (aged 103 to104).
He arrived roughly five years earlier, in 267 (aged 98) or Middle Earth dates: 3025 Third Age, or Fourth Age 04.

So 273 in Westeros is 3030 T.A. or 09 F.A. Middle Earth.
 
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I think this could easily become my favorite and most anticipated story on SV. The concept is just one I really like and think is awesome.

The informational just makes me look forward to more updates! Is there anywhere that has more chapters of this story already posted?
 
You know, even besides the medical stuff, there's a lot of stuff that Westeros can learn with Gondor

Like "decadent empire" arc Gondor had a standing army of very well armed and armored humans … no mariners like númenor but still be able to while the floor with the peasant levy of westeros
 
The informational just makes me look forward to more updates! Is there anywhere that has more chapters of this story already posted?
Thanks, and no, it was only the Informational Post I hadn't cross-posted.

You know, even besides the medical stuff, there's a lot of stuff that Westeros can learn with Gondor. Like "decadent empire" arc Gondor had a standing army of very well armed and armored humans … no mariners like númenor but still be able to while the floor with the peasant levy of westeros
I think other authors have covered Gonder vs. Westeros in more detail than I will, but yes there's a lot that could be improved in Westeros. Sewers, perhaps? There are other LotR / Westeros uplift fics, but this story will focus on one person, and on all the people who like moving such a useful playing piece around the board.
 
Interesting story, and I for one appreciate the language barrier - especially in the early chapters.

As a suggestion: I think that the first two chapters of the story unfairly paint Talagan as a Mary Sue. Here is the miracle healer, he is so smart and Westeros is so dumb, he will stomp on everyone with his superior knowledge! The vulnerable state he starts out in, in these more recent chapters, makes it clear that this is not the case... but I worry that other readers might have been too put off to continue reading.
 
Medicine: Westeros vs Gondor
Medicine: Westeros vs The Houses of Healing

To give a brief comparison of Westerosi medicine and Surgical Steel, to clear up some questions that have come up about just what the difference is.

First we can look at medicine in Westeros. Now GRRM states that he brought the medicine ahead of the middle ages, but nothing he describes is really ahead of the School of Salerno in real life, which closed at the end of the thirteenth century and was mainly based on Roman practice. In some ways Westeros is behind: wisewomen and healers were prescribing gout-managing treatments that worked in the nineth century (cherries and the "eating of white flesh and eschewing of the red" yeah, my translation is poor). From what I have seen in the books, I would have put it at around the historical 800 A.D. as practiced in the Irish colleges of the time.

So we could be very nice and assume that the most advanced doctor of the age in Westeros is equal to the real-life Guy de Chauliac (Wikipedia) 1300-1367, who actually performed more advanced procedures than are described in Westeros in the books, even though his work was mainly based on Galen (200 A.D.).

SurgicalSteel places the medical knowledge in Gondor around 1800-1850. Specifically, it is based on Dominique Jean Larry (Wikipedia), Napolean's battle-surgeon, inventor of triage, ambulances, multiple medical procedures and respected by all sides during the Napoleanic Wars.

This puts Talagan's medical knowledge between 500 to 1,000 years ahead of Westeros. He knows about hand-washing, but also saline and basic blood transfusions. He has canonical access to ether and can brew his own, as well as the use of medical opiates and distilling and refining drugs, to a level that the Maesters are not familiar with. He would be aware of vaccination (Edward Jenner, 1798) though not necessarily how it can be applied to Westerosi diseases.

The surgical tools of the 1800's are better designed and manufactured - Talagan's replacements cost because he gets them from a silversmith, not a blacksmith - and things like, for example, the bulldog forceps (early 1800's) for surgical clamping simply don't exist in Westeros.

The differences become more obvious with things like chest wounds: de Chauliac would plug the wound with a linen tent, flush it daily with warm wine or a honey and river water mixture, and turn the patient. Larry sealed chest wounds to control haemorrage, then evacuated the old blood through a cannula once the wound had healed.

Childbirth? If the baby is stuck, de Chauliac uses a c-section on the dead or dying mother, who will die, and hopes the baby survives. For Larry, birthing forceps were invented in the 1600's, and caesarion sections were a survivable procedure in the later half of his life.

Anaesthesia? de Chauliac's paractitioners used alcohol, hemlock, or Dwale (a mix of opium, hemlock and more) drunk or on a sponge held under the nose. This was still in use when ether appeared, and there was a very good reason everyone switched: when it comes to serious operations, the former doesn't cut it. Pain tends to snap the patient awake. Robert Liston had to break down a door to recover one 'sedated' patient who ran from the table and hid in the toilet. When ether came along he was one of its first and loudest proponents, performing the first European demonstration in 1846.

Appendicitis? Larry cuts in, applies a silk ligature, removes the organ, curettes the area to remove remaining damage, and sluices with water before closing. Patient recovers over some weeks. de Chauliac? Doesn't know the appendix exists. Literally. His work was based on Galen's studies that did not identify it as seperate from the bowel. You die. After emetics and some palpatations, maybe hot and cold baths and blood-letting to ease the pain.

Cancer treatments? In the Middle Ages and Medieval period, they used herbs. Patients died. They only lived if the cancer naturally went into remission, and whether the herbal treatments helped with that is debatable. The figures suggest results were the same as untreated, 0.1 to 1.6% for the few months they were tracked. In the 1800's patients were treated with surgery, cautery, and injection into tumours. In the London Cancer hospital, of 650 patients so treated, 140 recovered for five years or more. That's a 21% survival rate. Not good by modern standards, but compared to middle ages medicine...

I simply cannot overstate the difference, because of the huge leaps in medical knowledge.

And if it is up to the Maesters, that knowledge won't spread far outside the Citadel because it is simply far too useful to be allowed into common hands.

With regard to the Maesters having magic, Talagan had access to Elvish texts and their crafts, so I'd say it evens out. He also has the advantage that, by the time the story is set, he has been a practising surgeon for over eighty years. Most of the Maesters won't make that age full stop, let alone be hale, hearty, and still practicing. It doesn't all go his way, however. In Westerosi terms, he is a miracle healer. By his own he's working with substandard equipment, foreign drugs and herbs he's not familiar with, and trying to keep surgical wounds clean is the bane of his life.
 
273 Castley Rock II New
273 Castley Rock II​

Eight hours. Eight hours and dawn had not yet broken. Eight hours of Lady Joanna's pale and fitful rest as she hovered between life and death. Eight hours since the cry of a hungry child raised, and Pycelle had heard Tywin's cold, carrying, order that they get that thing out of here before it disturbs my wife! Eight hours and they were finally ending the long and tense night that followed his nightmarish day.

Pycelle sat up on the cot and rubbed his sleepy eyes again. His vision was clearer than it had been when he'd misread the vial labels sometime in the night. The Healer had pushed him onto the cot and insisted he rest for the shift. Pycelle's eyes had shut too fast for him to argue, as sleep smothered him instantly. He stretched, sitting up, to see Talagan was seated at the far end of the cot, his head back against the wall. Tywin was sat by Joanna, holding her hand, in exactly the same position as he had been when Pycelle had collapsed into his sleep.

"Any bleeding?" Pycelle asked, by way of showing he was awake and demonstrating to Tywin's ears that he was focused only on the patient.

"A little. A yarrow-treated poultice has controlled it." Talagan replied, without moving. The healer had been busy; the blood and mess was cleaned away but all it revealed was that Joanna's waxy, clammy, skin, was as pale as the sheets. The healer looked little better, dark shadows showing under his eyes. "There's beef broth ready. I would feed her but the risk of choking..."

"Or vomiting," Pycelle agreed, cautiously unfolding himself to lower his legs to the floor and rub feeling back into them. The sleep had been needed, but the cot was cramped and tiny.. "There is another method..."

"I would not traumatise that area further." Talagan was already shaking his head, somehow still lent back against the wall at the same time. "Moving her to insert the tube must be weighed against risk the bleeding begins, or infection in the wound from overflowing broth. She is stable for now."

Pycelle nodded, stretching the aches out of his arms and back. Any treatment they could try carried that damnable risk of bleeding. It was good to talk with someone familiar with the hard truth of healing; that sometimes all any healer could do was wait.

"Your turn to sleep?" the Grand Maester said, standing up.

"It's needed." The healer shuffled across a little, not bothering to lie down, and stifled a yawn as his eyes closed.

"You seem exhausted." Pycelle kept his voice down to not disturb the sleeping Joanna, or her more dangerous husband. The healer yawned again, not bothering to open his eyes.

"I've been up since dawn," Talagan replied, and that was not something that interested Pycelle, but it was as well to ingratiate himself by showing interest. "A collapsed scaffold by the stonework on the bridge and seven trapped workers." Now that was more intriguing. If they escaped this alive - and their chances of living were greater than Pycelle had expected this morning - the Grand Maester would have questions: who had involved Talagan, and why. Another complication to unravel.

"A long day then?"

"I've had longer ones, but I'm not as young as I was." Observing him, Pycelle would have judged Talagan around Lord Tytos' age or perhaps younger, though without the ravages of drink that had so aged the Lord. Certainly old enough to have experience in his craft, as he had demonstrated. Still before he slept, there were questions to be asked.

"How much poppy has she had?"

"Too much for her blood loss. I'd give no more for another hour. Better to have poppy prepared." The healer kept his voice low. "She'll be in pain, and if she moves she could tear the clot again." His robes brushing the floor quietly, Pycelle checked the vials as Talagan took a moment to recover and refocus. Unless the healer had more, they had perhaps a half-dose of poppy remaining at most, and their yarrow....no, observing the supplies, Pycelle was not best pleased with what few medicines they had left to work with.

"We have little remaining. Do you have more yarrow?" If not, Pycelle would need to obtain some, and they were running out of wool and of bandages.

"Not here. If you have a better styptic...?" Horsetail would suffice, but Pycelle did not recognise it among the healer's supplies and he had not brought any.

"I did not travel with my full supply." This was meant to be a political trip to discuss Essos and the trade situation, not this appalling mess. Valorick hadn't told him anything until he was here, or Pycelle would have brought his supply. Honestly, if he had known, he would have made any excuse he could to stay in King's Landing and keep his hands clean of this whole disaster. "If I may leave the patient in your hands, I will access Maester Valorick's."

"They're probably locked," Talagan said, rather than the Maester may object. The healer cared as much for Maester Valorick's opinion as Pycelle. Obviously a wise man.

"The steward has a key," Pycelle said, and then added with a vague sense of spite, "and if not, the guards can break the door down." Talagan's quiet chuckle made Pycelle smile behind his beard. Tywin would not object, and Tytos would be brought into line by his formidably competent son.

"The Lord might," Talagan said, and paused. "Don't get into trouble."

"Rank has priviledge, Master Healer," Pycelle said, benignly. Talagan's smile matched Pycelle's own as he inclined his head.

"Then I shall defer to your judgment, Grand Maester." Pycelle nodded and hurried out. If he wasn't there, he couldn't be blamed if she died. Unless he was too slow with the medicines, he thought to himself and that lent extra speed to his feet.

"Take me to the Maester's quarters," he ordered the first servant he saw. The man bowed.

"This way, Grand Maester." The servant pointed, beginning to walk unhurriedly in that direction.

"And hurry!" Pycelle instructed, through gritted teeth. Some urgency got through and the fellow led him out into the courtyard and across to the Maester's tower, the Raven's tower, as was usual. Up a few steps to keep the rain out, in a halway that turned away from the wind, the wooden door wasn't locked, and Pycelle would chide Valorick for that later as he pushed it open.

The Maesters' quarters were empty as expected, and dusty which he had not. The few instruments here were cobwebbed and broken or antiquated. There wasn't even a bed and whatever cleaning had been done, avoiding the implements, had not removed the musty smell of neglect.

"Where are Maester Valorick's things?" he demanded. Had Valorick seen the way the wind blew and made for the Citadel at haste?

"Sorry Grand Maester, he moved out of the Maester's quarters and into the Lord's - "

"Never mind, just take me to his work room!" Cursing the idiot, Pycelle followed the now thoroughly-scared servant as the man outright ran into the main courtyard.

Servants hurried passed towards the great hall, rolling barrels ahead of them. Even from here Pycelle could hear laughter and merriment from within. His good-daughter was on her deathbed and Lord Tytos had spent the night getting drunk. Pycelle did not waste another thought on the spendthrift sot, having to quicken his own pace to keep the servant in sight.

Why a Maester should be in the family tower he did not know, and he utterly disapproved of it simply for the look of the thing. Maesters were assigned to a castle, not a family. This foolishness compromised the neutrality that sheltered them all. It was far from the ravens, far from any workroom a Maester could use for his duties, and but two floors down from the Lord's own. A cannier Maester should have refused even if it was the Lord's decree, and Tytos was not a hard Lord to refuse. Taking such a place as much as declared Valorick's interest was in politics not science. Fool indeed.

"The door is locked-"

"Then get the key!" he ordered, and the man ran. Lock-picking was not one of his better skills, but he was not even going to try if a key was available. With all the bustle in the corridor, it would merely waste more time. Finally, far too many heartbeats later, the servant returned with another and a bunch of keys. As the Grand Maester snapped at him to hurry, he found the right key and unlocked it. Pycelle pushed the door back, not listening to the blather about the steward, and ignored the rich trappings and tapestries that had obviously been meant for a Lannister cousin. There were dressers, cabinets within and he went from one to the next throwing the doors open. There were the Maester's alchemical supplies, neatly labelled in their small pouches and bottles.

Yarrow, Yew, Good Queen Aly's leaves, Hemlock, Poppy milk... Much of it was gone, most likely taken with him, damn the man. For all Valorick's silver link, little here was good for healing, more for alchemy, and even his alchemy equipment was dusty. Pycelle searched the small pouches left, in increasing anger. No Arrack, no Feverfew, did Valorick not have any of the herbs a birthing woman may need?

The few pouches he could find, a half-opened Yarrow, and a few of Panay, he checked what little was there for their colours and scents and judged the quality good. Loading the servant with the ones he thought useful, he looked at the dusty healing instruments and discarded the idea immediately. He'd use his own, he knew them better and they were clean. If it gave Lord Tywin another reason to credit Pycelle and blame Valorick, that was so much the better.

"Get those to the birthing room, and send someone else in here for the rest!" There were enough of the basics, he didn't see anything else on that shelf and scanned the rest. The small pouch at the bottom caught his eye, next to the dried mushrooms that gave men odd dreams, and a small bag of poppy milk, dried and not yet brewed. He thrust the poppy out to the nearest servant, and lifted the unnamed pouch cautiously, saw the blackened grains within, and snatched it up. Ergot, dried and prepared more for pleasure than medicine, but he could brew a tincture of it easily enough. Strong, but this was not the time for half-measures.

He hesitated but a breath, slipping the pouch into his robes, and hurried out leaving the steward's man to lock up. He must attend Joanna, but there were ravens to send. Talagan could attend Joanna, but could not send ravens. Tytos was too drunk to ask consent-

Two golden-haired faces stared up at him, both still in their night clothes, blocking the entrance to the courtyard.

"Lord Jaime, Lady Cersei," Pycelle acknowledged, and would have brushed passed them but they did not move.

"Mother's going to die, isn't she?" Cersei asked, accusingly.

"My Lady, I must send ravens." He stepped round them carefully, trying not to give offence, and it was Jaime that stepped back to let him through. As ruled by his sister as Tywin was by Joanna, Pycelle thought, and then: Seven help us if that woman dies. He hurried to the Raven's Loft, snatching up quill and parchment as he went, and why had Valorick moved his quarters so far from the birds?

"Mother's going to die, and you aren't doing anything." Cersei's voice carried. The twins had followed him up the stairs, an unwanted distraction that he could not ignore as he scrawled a letter to the Marbrands, and another to Lady Genna's abode. Let Valorick try to refuse his demand that he rush back. Ser Stefford and Ser Kevan were within range of runners, so no use wasting ravens....

"We are doing what we can," he said, climbing to the steps to the loft itself.

"She's going to die. That's why you're sending ravens isn't it?" the girl accused, peering up through the gap. Even this morning Pycelle would have said yes, but now he did not know. He affixed the letter to the raven's leg and released it before answering her and paused. The girl wasn't crying as a child should be. She was furious.

"We are trying to save her life-" he began, because mollifying a Lannister was always wise.

"Who is we?" Jaime interrupted, blocking the way down as Pycelle quickly fastened the other letters and released the birds.

"My pardon, I have no time to talk with your mother's life in the balance." He hurried down the steps, stepping round the boy to find his sister right behind him. He sidestepped her and rushed onwards.

"You left mother. You left her to die!" Cersei accused, and her rage was terrifyingly like her father's. "Who's looking after her while you're here?"

"Your father's with her, my Lord, my lady." He bowed his head and quickened his pace. They ran after him.

"Father's not a healer!"

"There's a healer with her," he said, hoping to dismiss them.

"But you're better, and you're not there." Cersei's spiteful shout carried her father's capacity for holding grudges. Pycelle did not care for the moment, so long as Joanna Lannister lived, he was safe. He hurried back to the birthing quarters, shouting for a basin and scrubbing his hands and body, discarding the soiled linen robes to remove the dirt from the raven's tower.

"What are you doing?" Jaime demanded. "Get to mother!"

"Dirt in her wounds will kill." Pycelle said, not even thinking as he finished cleaning, and rushed back into the room. The guards could handle the twins. The servant was ahead of him, the pouches dumped on the side in utter confusion and Pycelle would have rebuked the man but instead he took in the scene and would have sworn.

Red stained the sheets, the bed was in disarray and Lord Tywin was holding his wife's shoulders while the healer held another poultice in place. Pycelle shouldered the servant aside, snatching up the last of the healer's yarrow vial.

"What happened?" He was already decanting the yarrow extract onto a wool ball as he spoke.

"Yarrow, now," Talagan said, tersely. The sheets were bright red and soaking as Pycelle passed the poultice across, setting to work on the next and adding the Horsetail. Maybe both would be more effective.

"The bleeding-"

"Aspirated saliva," Talagan said, distracted into unknown words. "Breathed spit and choked. Tore the clot." It was the red of internal blood, the lifeblood of a stab wound. Was the bleeding slowing? Pycelle passed across the large swab and the healer pushed it into place. Pycelle was already setting the dried yarrow to steep, but there wasn't time for it, it was needed now.

"A little Yarrow. We have Horsetail." Pycelle added that to the mix, as the healer cursed and pressed harder.

"Arrack?"

"I have ergot." Pycelle held up the pouch, and the healer looked across frowning. Pycelle didn't bother to explain, shook out a few of the blackened grains and held them up. "From spoiled grain?" Talagan's eyes widened.

"Thank - prepare the extract." Thankful for the newly-boiled water the healer insisted upon, Pycelle found a space upon the table and set to it. Four ounces of water to one to one sixteeneth reagent... he halved the water so make a stronger mix, not trusting her to swallow easily. The little yarrow he had found went into a second bowl with water, and he thrust it at the maid.

"Steep it well, girl. Where I can see!" He had the ergot to work upon, and the poultices to prepare and altogether too few hands.

"She has clots within her, they obstruct the contracting," Talagan said over his shoulder to Pycelle and then: "My Lady, this will hurt, but if I do not you will die. Hold her, ser. She will scream, and for that I am sorry." The healer reached in, did something, and Joanna should have screamed, and she didn't which was far worse. The bright red on the bed was joined by a lump, darker, the size of a lemon, and he did it again, and now the yarrow was ready but weak. Pycelle prepared a second poultice in case, something better than naught, and checked the ergot again. Gritty and warm, but she could swallow it.

"It is ready." He took up the bowl and a rag, moving Tywin aside and dripped what he could slowly into Joana's slack mouth. She was too far gone, he was sure, too much blood lost. Yet she swallowed, with difficulty, and he dripped more in until she'd about a third of the mix. "Healer?"

"I have removed the clots. More bandages." And he was packing the wound again, with bandages and cloth not wool swabs and that was bad. Pycelle set the ergot aside and rushed to make more poultices and now he was certain the bleeding was slowing. She tried to move, crying out faintly as the ergot took effect, and Pycelle restrained her hands gently as Tywin held her shoulders.

Long silent moments passed before Talagan slowly released his grip.

"I think the bleeding has stopped," he said, tiredly.

"The vein." Pycelle hid his disquiet, for to his eye she had lost too much blood. The healer's hawk-like focus on her said that he felt the same.

"Still sealed. Had that ruptured, she would have died." From the pallor and the weakness of her grip Pycelle estimated maybe as much as a third of her blood had left her body, and she hovered now between life and death.

"She may still. She has lost too much blood." There was a faint gasp from the doorway, some guard not disciplined enough for silence. Pycelle gave it no more thought than that.

"I know," Talagan said, and then simultaneously "There is-" with Pycelle's "You said that-"

"Save her!" Tywin's voice cut across them.

"There is no way to," Pycelle said, and Talagan drew a breath.

"The only way that I know has a high chance of killing the patient. It means giving her the blood of another. I have told you the risks." There was another hushed breath and Pycelle looked to the door in annoyance at the guard's poor discipline. The twins had followed him and were standing there, pale-faced.

"And without it, she dies. Do it." Tywin said, bluntly. Talagan looked the Lord square in the face and nodded, leaving the bedside to wash the blood from his hands. He was red to the shoulders.

"You would donate?" he asked, and again he used that unusual scrubbing method from fingers back towards elbows. "You said you were related?"

"I am her cousin."

"How distant?" Talagan was drying his hands off carefully.

"We share grandparents."

"And you are her husband. She has born you children?"

"Obviously," Tywin said dryly. Two examples were standing shocked in the doorway. So long as they did not interfere, Pycelle did not care.

"Good, then you should be a strong match." Talagan's speech hesitated, but his hands kept working. "You understand that when this procedure is done, there is a tossed coin's chance of her surviving, but if it is not, she will die. Grand Maester Pycelle, do you concur?" Pycelle did not have to look at the bed where Joanna Lannister lay in sheet soaked with her own blood, but he did for form's sake.

"My Lord, your Lady is beyond any saving I know of," he said, honestly. "There is no healing art in Westeros that could save her, and should it fail it would not even hasten her demise-"

"Enough." Tywin snapped. "What must I do?"

"Sit down. I shall draw your blood from your arm and pass it to the lady, by use of a syringe." Talagan's breath hissed in exasperation. "My transfusion equipment did not survive the journey. Grand Maester, when I withdraw the needle be ready with a wool swab. Press it to the blood, and when the bleeding has stopped, bandage it tightly in place." Talagan was screwing pieces of a device together, a glass tube and steel or silver fittings, as he spoke. "Ser once the needle is in, do not move. After your blood is drawn, do not stand. You may feel dizzy or faint."

"As a man would after blood-letting," Pycelle opined, moving Tywin's chair closer to the bed and turning it so the healer could reach both arms.

"Exactly." Talagan nodded, and looked to Tywin. "Which is your sword arm, Ser?"

"My right."

"Bare your left." Tywin rolled the sleeve up to his shoulder. Talagan pulled a strap from his kit, fastening it tight about the bicep. Pycelle frowned. Would he not hand Tywin a grip to hold to make his veins rise, like any sensible blood-letting? Talagan did not, securing a similar strap around Lady Joanna's arm in the same place, and going to the table for what he had assembled. There was a clatter and a thump from the door as the healer lifted the device, a horrifyingly larger version of the syringe he used for saline. Talagan didn't even look round.

"Out," he ordered, attention entirely on the cumbersome device as he returned to Tywin. Pycelle glanced round to deal with the disturbance to see Jaime pushed back against the wall by Cersei, her hand clamped over his mouth as she watched wide-eyed. Satisfied they would not interrupt again, he could turn his attention back to this new procedure if it should perhaps work.

Talagan bent over Tywin's offered arm, tapping his fingernail above the elbow as he examined the skin for something. The veins were raised and blue, standing proud, and with a single movement he slid the needle in. There was a single. sharply indrawn. breath from Tywin, but nothing more. Fascinated, Pycelle watched as the tube began to fill with vivid, red, blood. The healer was slowly drawing the plunger back, keeping pace with the blood as it slowly flowed in. It was not so fast as bloodletting, but far more controlled. With such a device, a Maester could measure the exact amount of blood drawn, and assess its results on temperament or condition. And it was far less damaging to the skin than a wooden lancet, or even Pycelle's preferred razor-sharp, toothed, knives.

"Pycelle, ready." The syringe was nearly full, and Pycelle hastened to attend. Pressing a hand to Tywin's upper arm, Talagan slid the needle out from under the Lord's skin. A drop of blood welled immediately, just one, not the gush Pycelle was used to, and he pressed the woollen swab tightly to it. Holding it against the wound, he judged it would clot in but a few moments. This was, he decided, a far better way to let blood than his own for there was so much less chance of the subject bleeding excessively. It would even retain the blood for examination and easy decanting to tubes rather than sampling from a bowl. With his head still bent over the wound, he glanced sideways without moving his head to watch the healer as he approached Lady Joanna.

Below the strap tied about her arm, Talagan examined her elbow closely, tapping at the skin as he had wth Tywin. Lowering the needle, he tried to slide it into the soft skin of her inner elbow, but to withdraw it with a sharply bitten-off breath. Talagan clamped his hand round Joanna's arm tightly below the strap, staring intently at the veins. Now he leaned in, and slowly, more slowly than he had with Tywin, he slid the needle in. Just as slowly, he began to depress the plunger.

Tywin's focus was entirely on Joanna, but Pycelle knew better than to be caught giving the Hand of the King less than his full attention. Without removing the swab, Pycelle reached for a bandage and wrapped Tywin's arm tightly to keep the wool in place. His hands were moving automatically. Such a tiny wound hardly required much of a bandage, though Pycelle could see the wisdom of it. The hole went straight to the vein, and he was not going against the advice of a man more familiar with the procedure.

That task done, Pycelle was finally free to look to the patient, watching for a flush to the cheeks, or a healthy redness spreading down the arm. The syringe plunger was not even half-way depressed yet. He did not dare speak; distracting the healer's concentration would be unwise. It took some minutes before the syringe was nearly empty, and the healer just as carefully withdrew it.

"Done," he said, reaching for a wool swab and pressing it one-handed to Lady Joanna's arm.

"When should it take effect?" Pycelle asked, leaving Tywin's side to take over pressing on the swab to Joanna. It let him examine the more interesting patient.

"It is working already." Talagan stepped back gratefully, holding the syringe up and still studying Joanna Lannister's arm. "We must hope the match is close enough."

"If it is not?"

"Look for a red rash or fever, trouble breathing." Lady Joanna did not seem to be showing those symptoms, Pycelle noted. In fact her breathing seemed more even, if still shallow.

"Will you require more?" Tywin asked, standing up. Pycelle frowned and tutted, at the same time as the healer.

"Do not stand. You have lost significant blood." Unable to move from holding the wool, Pycelle hastily tried to persuade Tywin to sit as the Lord caught the arm of his chair. "You have had blood let before. You must rest."

"She has nearly one pint of your blood." Talagan laid aside the syringe and hurried to Tywin's side. "To take more would harm you. Do you feel nauseous?"

"No," Tywin responded, but for all he did not sway he seemed spent. With some reluctance, the Lord sat, ignoring the healer's offered arm.

"Then when you are up to eating, strong beef broth and dark ale." Talagan turned aside, back to their weaker patient, checking under the blanket again and raising the sheets to preserve her modesty.

"What are you doing?" Cersei's voice piped from the door, fascinated and outraged at once.

"Making sure the bleeding has stopped," Talagan replied, and Pycelle nodded sagely. It was but common sense to make sure the new blood added would not leak out. There was the faintest colour to Joanna's lips, a pink flush displacing the blue as he watched.

"Her colour has improved," Pycelle said, as if he had expected it and it were not a miracle. The healer nodded, lowering the sheet.

"There is no further bleeding. We may have been lucky. Pycelle, watch her breathing." Without complaint the Grand Maester obeyed a order to do exactly what he wished to. The lady's face was indeed a healthier colour, her lips pink not deathly blue, and her breathing had eased. So fast, he marvelled privately. Even if the risks of the procedure were high, to win back a soul Pycelle himself would have deemed lost to the Stranger was a formidable power for any healer. The Sept may have their concerns with such a thing, but in the hands of the Maesters such knowledge would be invaluable.

Talagan was separating the pieces of the device, unscrewing the needle and removing the plunger and its parts, and dropping them into the first bowl of steaming water.

"Will you not need that to draw more?" Pycelle questioned.

"Blood solid, needle clogged," the healer replied tersely, pouring a vial of something clear into the the water. Carefully and thoroughly he began to clean out the glass cylinder. The quality of the piece was exceptionally fine glasswork, Pycelle judged, equal to Myrish but without the tint that so much of the cheaper works had. If the healer knew the making of such glass as well, he would be well worth cultivating even should Lady Joanna die.

"It had already begun to clot?" he asked, checking the patient. The lady's heartbeat was steady, Seven be praised.

"A fine needle clots quickly." Talagan examined the tube again and plunged it back into the water, scrubbing.

"You did not use all of the blood?"

"No. Air in the vein kills." Satisfied with his work, Talagan placed the glass in the second bowl and moved on to the needle. "Better to leave out blood than add air." Pycelle nodded sagely, though the information was new to him. The healer obviously knew what he was about. "She has no rash?"

"No, her colour is much improved, and her breathing is steady."

"Good. Then she may yet live." Talagan was soaking the needle now, alternately lifting it and immersing it to test if the water would run through. It didn't.

"Why didn't you do that first?" Jaime demanded.

"The risk," Talagan said, leaving the needle to soak and moving on to the silvered plunger. "Flip a gold dragon. If the heads lands upwards, the patient dies. Otherwise they live."

"You could have killed mother!" the boy gasped.

"Had we done nothing, she would have died," Pycelle said, kindly because this was Tywin's heir and worth treading carefully around, but his focus was on Lady Joanna. She lived. Impossibly, she still lived. That she was breathing, that she looked nearly healthy, after the sheer number of women he had seen die in such circumstances, stunned him.

"Give her more," Jaime demanded and Talagan shook his head.

"No. Each time it is done, there is a chance it fails. I do not take chances with patients' lives." The healer moved back to the bed, reached down, and gently lifted her eyelid to check the pupils as the lady muttered fitfully and tried to move. He drew a scalpel out of the surgical tools, holding it flat over Joanna's mouth.

"Mist upon the blade," Pycelle said, as he noticed. "A good sign." Talagan nodded and stood up, wiping the scalpel blade clean.

"Ser, if you wish to sit by your wife?" Talagan offered, moving a chair closer. Tywin did not run, but he moved to the offered chair with no wasted movement.

"What more can be done?" Tywin asked, his hand curled lightly round his lady's.

"For now, nothing. She must be left to rest, heal, and grow stronger."

"Will she live?"

"So long as she does not bleed," the healer said, "Ser," and it took Pycelle a heartbeat to realise Talagan was addressing Tywin. "Your wife is recovering, but still gravely ill. If your Lord will pardon your service for a day-"

"Tell Lord Tytos I will be unavailable until my wife recovers," Tywin said, before Talagan could finish. A servant bowed and left at run. The healer blinked, moving away to give Tywin as much privacy as he could. "Grand Maester, if you could aid me with the herbs?" Pycelle nodded, grateful for a chance to finally talk skills, though the healer seemed exhausted.

"Yarrow, Horsetail, and ergot are steeping all ready," the Grand Maester said, and gestured to the pile of pouches from Maester Valorick's stores. "If there is anything else you deem useful?"

"I don't read Westerosi yet." Talagan admitted, not a lie any Westerosi or Essosi fake healer would make: claiming false literacy was easy when patients couldn't check. Pycelle ran along the row, naming each and their function, half his attention on the bed and the short, blonde, head approaching it.

The other healer was faster, getting between her and the bed before disaster could strike. Cersei's rage as she drew herself up faded to shock as the healer dropped to one knee to speak quietly.

"Please keep very quiet. Your mother is extremely weak, and needs quiet to recover. Every moment she can have rest she gets a little stronger. You may sit by her and hold her hand, but be gentle and do not touch her stomach."

"Why not?"

"She has a wound within her. It is the size of that plate." The healer pointed to the beef broth cooling on the table. "For now it has clotted, but if she moves it will tear. As when you graze your knee and move it, it begins to bleed again."

"Why aren't you healing it?"

"You've seen sword wounds. Once they are bandaged, all the healer can do is wait and make it not bleed again. Her injury has been banadged, but she lost much blood."

"And you put my father's in." The sudden slight stiffness in the healer's shoulders caught Pycelle's attention, but he answered easily enough.

"Yes."

"Why didn't the Maester do it?" Cersei jutted her jaw out; Tywin's expression most unbecoming on a child's face. Talagan - most ungraciously, Pycelle felt, - looked to him to answer.

"Because of the risk. It is not a procedure the Maesters perform," he explained.

"But it worked."

"Lady Cersei, we must both devote our time and attention to saving your mother-" Pycelle began, rather than explain again, and was cut short.

"Cersei, Jaime, go to your rooms." That was Tywin, and there was no gainsaying that, even by Cersei. The guards obeyed without even being asked, removing the children before they could protest. Talagan stood up, a little creakily, and rubbed his face with both hands as he blew out a breath. Tywin was already focused on Joanna again, and perhaps wisely Talagan returned to the herbs.

"Fuckaduck," Talagan muttered quietly. "Those were Cersei and Jaime Lannister, were they not?"

"Yes," Pycelle said, surprised.

"And the patient is their mother?"

"Yes. Did they not tell you who she was?"

"No." Talagan pinched the bridge of his nose. "Only 'Labouring mother, bleeding, at the castle.'"

"Would it have changed your treatment?" Pycelle had enough of the measure of the man to predict his answer. It was exactly as he had expected, and useful for ceertain people who were doubtless paying more attention than they seemed.

"Of course not," the healer snapped, irritably. "I treat conditions, not rank."

"We'll need more yarrow," Pycelle said, not acknowledging the comment he had engineered for Tywin's benefit, "and ergot I suspect."

"There's more in my shop, if it hasn't been robbed blind while I was away," Talagan said, "but that's a hour's run there and back."

"Send servants."

"I don't have..." Talagan smiled ruefully. "If you wouldn't mind, Grand Maester?" The acknowledgement of his rank was welcome, and Pycelle inclined his head graciously approaching the guards as Talagan followed.

"Go to the baracks and send two guards to the healer's shop," he ordered and looked at Talagan for further instruction.

"If you can send a servant down there, go in through the front door, cupboard on your right on the wall by the door. Bring everything on the bottom shelf, if it hasn't been robbed while I was away."

"Captain Mikal set two guards on the door," one of the guards said, and Talagan nodded.

"Thank you." He paused. "Jehan, when you go off-duty, could you see if anyone is going to Lannisport? I need someone to tell the Sept I won't be there on the senday. I have a critical case that can't be left. And they should refer my ongoing patients to the apothecary on the corner of Jospen's way and Aegon's Street, by the Twisted Rope Inn. She knows what to do. Tell them if she has any spare poppy or yarrow, or All-heal, come morn we'll need it." Tywin never looked away from Joanna, but his quiet, terse, order cut the room:

"Go." The guard bowed imstantly and left at a run. Pycelle's interest piqued. Talagan knew the guards well enough to know them by name through the closed helmets, and request favours - no, well enough that the Captain did favours unasked. As Talagan yawned again, Pycelle decided it was not the best time to ask.

The Sept was a new complication, and potentially an unwanted rival for the healer's talents. Nothing he could not overcome, he was sure. Now dealing with Valorick, when the man inevitably returned, would be harder. Tywin would be best applied to - and neatly distracted by - that issue. Shuffle a few pieces around and everything would work out exactly to his benefit. He smiled genially, checking the brews he had steeping on the side, and accidentally jostling the healer, who swayed on his feet.

"Your turn to sleep, I believe." As Talagan bridled, and looked to Joanna, Pycelle turned his own words against him. "A tired healer makes mistakes, don't they?"

"I take your point." The healer stumbled as he walked to the cot, neatly demonstrating Pycelle's point for him. As the man nearly passed out as he sat, falling asleep instantly before he even lay down, Pycelle set to work at the vital task of proving to Lord Tywin that there were two miracle healers here.

--
Apologies for the long delay. I have limited computer access at the moment, and real life has been involving too many family members, critical illness, and hospitals for much free time.
 
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I can't make heads or tails of that livejournal page, but this story is much easier to follow, because thankfully it doesn't consist of five alternate timelines, so I can actually tell what's going on.

Oh, and I liked the bit where he learned Westerosi. It lasted just long enough.
 
I can't make heads or tails of that livejournal page, but this story is much easier to follow, because thankfully it doesn't consist of five alternate timelines, so I can actually tell what's going on.
For SurgicalSteel's stories, there are only two sections relevant to this fic:
Start with "Common to Both Timelines" and then go into the "'Canon' Timeline in which Halbarad doesn't live..." for the rest of Serinde's life.

The rest are AUs which to be honest I didn't enjoy as much because it veers so far from Tolkien. Multiple canon characters survive their Lord of the Rings fates (e.g. Talagan marries a still-alive Gilraen).

Pychelle's perspective is so fun to read. Glad to see this back!
He's interesting to write. Thanks, and I'm going to try to get another chapter out in the next few days.
 
Castley Rock, 273 III New
Castley Rock, 273 III

"Grand Maester, Master Healer," the servant whisper-shouted as he stopped breathlessly. As Pycelle glared, he lowered his voice. Joanna was lying peacefully in a doze, and he'd not see her wakened by an idiot. Talagan was curled up on the cot, head back against the wall at the end, but he had had barely minutes of sleep. "Master Valorick has returned."

"Where is he?" Pycelle asked, setting aside the scroll he had been working on as he stood. If Valorick wished to shield himself, he should be coming straight here faster than a servant could and count himself lucky Tywin had gone to deal with his daily ablutions. Should the man be cleaning road dirt off while he learned of the situation, that may be forgivable, though not enough to stop Pycelle throwing him under the cart wheels."Why is he not here himself?"

"He's gone to Lord Tytos, Grand Maester." Pycelle did not express his displeasure, aware he might wake Lady Joanna. The Lady was resting, hardly stirring in her poppy-induced sleep even as the rain thundered against the shutters . No more poppy he decided at glance, for all it was due. She was sleeping peacefully enough and the bitter taste might wake her and then he would have to stay to watch her. Much as he was needed here, and needed to be here, to allow Valorick to control the story and leave the matter of the Castlely Rock Maester between the Lord of the Rock and the Citadel would not be wise. Tywin, Pycelle could be sure of, but Lord Tytos was less reliable and Tywin wasn't here.

There was no choice in the matter. Pycelle shook the healer gently, and Talagan sprang awake. His first gaze was straight to the sleeping Joanna, letting out a relieved breath as he saw her quietly breathing. The Grand Maester did not waste words.

"Maester Valorick has returned. He is with Lord Tytos."

"Go," Talagan said, catching on instantly, and grinned as he rubbed sleep from his eyes. "Shout at him for both of us."

"You can see to the Lady?" Pycelle asked, to reassure himself. Talagan had barely had two hours sleep before the riders had returned with the herbs, and many of those tinctures could not be brewed in the sick room. Pycelle had had to wake the healer to watch her while he brewed them, and then taken the first sleep shift himself as the healer's vigil had largely been done seated.

"I'm good for a few more hours." The healer stood up and stretched, awake enough for Pycelle's comfort. "Be back by then. I know my limits."

"Good." Pycelle lifted his good robes from the chair he'd placed them on what seemed like days before and threw them on over his lighter robes."You, send for Lord Tywin."

"He's in with Lord Tytos, Grand Maester. In the Lord's chamber." The heavy chains of office were hastily placed over his robe and pulled into position. Working with Aerys, abrupt summons were a fact of life. "The young Lord's furious, Grand Maester." the servant added, cowering. The fleeting thought that Tywin would resolve the situation before Pycelle arrived pleased him, but alas, life was not so convenient. Tywin was sadly not the kind to throw Valorick off the battlements himself, though his guards may be so ordered.

He hurried down the stairs and across the courtyard, his head down against the driving rain, finding himself the only person moving towards the Lord's rooms. The servants were hurrying around silently, heads down and trying not to be noticed, and the guards at the door were more than usually statue-like, eyes straight ahead as they tried to make sure they were not caught listening. It was hard not to hear. The dark skies and sheets of rain were doing nothing to quell hot tempers.

The raised voices from the Lord's chamber were not a good sign. Tywin did not shout, he did not need to but when he was angry his voice carried. The opinions it carried about the Maester were polite, curt, and damning. Valorick's own pitiful protest was less comprehensible, the man's higher-pitched voice barely discernible. Grand Maester Pycelle drew himself up, inclining his head to the guards.

"The Lord and the Hand may require my council," he said, graciously and with utter assurance of his rank. The guard nodded and stood aside - Tywin's orders no doubt, the man prepared for everything - and Pycelle entered the lion's den, with a bow to the two nobles present.

"Come now, Tywin, you heard Maester Valorick. There was nothing amiss when he left." Tytos was lounging on his chair as the guard admitted him. Tywin was standing to the side, where he could watch both his father and Maester Valorick. The little balding Maester was standing nearer the Lord Paramount than the door and the mud on his boots had been no more than stamped off. His dripping wet robes were stained with it.

"So little that he prayed in the Sept daily for her. Welcome Grand Maester," Tywin said, dryly, and Pycelle bowed his acknowledgement and moved aside, clear of the door but available should he be needed.

"So he's loyal," Tytos said, refilling his wine mug. The bottle was half-empty, and not his first that day from the slur in his voice.

"That the Lady Joanna's delivery went amiss is not something I could have known," Valorick protested, all innocence on his chubby, open, face. A shame such a talented liar was wasted on so shameless a lie, and on Tywin Lannister.

"Then how did you know?" Tywin asked, and Valorick rallied too slowly to stop Tywin's next sentence. The young Lord turned his piercing glare on the Maester. "Why would you think something went amiss?"

"The servants in the courtyard-"

"The servants told you to attend me immediately, not to tend my wife. Orders you disobeyed."

"I am the Maester of the Rock, I needed to greet my Lord first," Valorick protested, a flimsy cover for running straight to the protection of the castle's too-merciful Lord. Pycelle could not fault his flawless sense of self-preservation, but it was damned inconvenient.

"Before you attended myself or my wife?"

"I didn't know there was anything urgent to attend-" Valorick protested, and Tywin cut him off.

"So you told me Joanna's delivery 'went amiss', yet no one told you it did and you say you had no reason to think it would." Tywin's voice was edged. "Grand Maester?" To please the drunkard Tytos and Valorick or the Hand of the King, Aerys' best friend, and the much more promising next Lord of the Rock was an easy decision. Pycelle would be careful how he did it however, for Tytos was his host and may be needed in the future. No sense to burn a bridge along with a Maester.

"Maester Valorick, you told me before your departure, that you had seen the red flesh encroaching?" He kept his voice questioning, gently confused, and not accusatory in the slightest.

"It happens to bearing women, Grand Maester," Valorick replied pompously. Pycelle did not need to look at Tywin to know the admission had condmned him. Instead he watched Valorick, who had drawn himself up with the statement. Did the fool not even know the jeopardy he was in?

"You hear, Tywin?" Tytos said, jovially. "There was nothing to be done. It happens."

"And what happens to those woman?" Tywin said, hard as stone. Valorick glanced to Pycelle. In his gentle, benign, smile, Pycelle made sure he offered no rescue at all. To give the true answer: they die was a death sentence. To lie and say otherwise, meant Pycelle would benevolently correct him. Seeing no help from the Grand Maester, Valorick looked round, to Tytos, not Tywin as he began to realise his situation.

"It had not fully occluded the womb-mouth," the Maester equivocated, and looked to Tytos for approval and rescue, not even sweating. Did the fool not know who he was making an enemy of?

"And when it does?" Tywin was utterly unmoved, continuing implacably.

"If it does not, they bleed somewhat more than normal..." Valorick said, in a tone one would use to lecture a student, not the one to placate a Lord. He did not finish the sentence as Pycelle inclined his head and drew breath ready to speak, to answer Tywin's question, tell them that 'more than normal' was most often fatal and condemn his colleague.

"You see, Tywin-" Tytos began. Tywin spoke over him.

"And when it does?" he repeated, exactly as before.

"I will not be ignored in my own hall!" Tytos thundered furiously and drunk. "I am the Lord of Castlely Rock!" In the face of Tywin's utter immobility, Tytos' rant failed like waves against the rock. The words hung petulantly in the silence.

"Grand Maester Pycelle," Tywin said, after long heartbeats had passed, not even acknowledging his father's rage. " As the Maester will not answer, what happens to women where it occludes completely?"

"They die, Lord Tywin. Even in cases where it only partial occludes, there is significant risk." Valorick actually relaxed, as though he thought Pycelle was supporting him.

"So you knew this was occurring and you provided no treatment?" Tywin continued, and now there was no doubt he was furious for all he was not shouting.

"There is no treatment, Lord Tywin," Valorick said, condescendingly, and that tone was one he had better cease or Tywin would remove his head.

"And you did not see fit to tell me or any others?"

"There was nothing you could have done, my Lord. Better not to distress you." Valorick actually made it sound as though he was trying to help.

"Nothing save attend my wife. Or find a better healer. Or write to the Grand Maester or the Citadel to consult for aid that may save her. Or tell me so I could be here for her. As you should have done." Tywin raised his voice slightly as Valorick tried to bluster. "And what did you do? Prayed in the Sept and provided no treatment."

"I did what I thought was best-"

"As you did for my mother." Tywin's words dropped into the abrupt silence. Tytos' flagon struck the table with a resounding thud.

"Maester Valorick served your mother faithfully," Tytos roared, and Seven be praised the Lord Paramount looked shocked sober.

"My mother is dead," Tywin replied implacably.

"Your mother died a month after Gerion's birth from fever," Tytos said, and there was little more pitiful than a drunk attempting reason. "Maester Valorick cannot be blamed."

"He did not save her."

"Maester Valorick was not here. He was attending my brother in Lannisport."

"Just as he was attending Genna and not my wife. Absence is an easy way to hide incompetence, is it not?" Valorick saw no mercy in Tywin, no rescue in Pycelle, and took a fast step toards Tytos, his hands out to plead.

"My Lord Tytos, I had no way of knowing your Lady Wife-"

"You said the same about my wife, and we have established that was untrue. Please continue," Tywin said, with cutting cruelty. "Should we lay my mother's fate as well as my wife's at your door?" Valorick said nothing, looking from Pycelle to Tytos in mute appeal. His wise, superior, teacher act had faded, leaving a fat, arrogant, old man who found himself cornered.

"I serve Castlely Rock faithfully, My Lord," he squeaked. "Lord Tytos knows the services I provide him-"

"Cures for his headaches and moon tea for his whore!" Tywin erupted, his temper finally frayed beyond control.

"Tywin!" Tytos' bellow was as loud. "You would insult your own father? I should have you flogged!" Pycelle recalculated quickly. In that one ill-advised outburst they had lost Tytos' support and with it the chance to remove the Maester, but the situation was not yet lost. Days with little sleep, his wife's illness, the blood-letting and dealing with his ineffectual drunk of a father had taken a toll, and even Tywin Lannister was only human.

He didn't seem so even now, simply watching his father with a raised eyebrow. It was an idle threat, for a Lord Paramount to flog the Hand of the King would be an act of war if not treason. The king would wish to know why, and Aerys' involvement was not one any sane person wished. Were Pycelle or Tywin to but tell him the Maester would have let his once-favourite Joanna die, and the Lord Paramount covered for him, Tywin would inherit somewhat sooner than expected. The silence stretched, Tytos waiting for the apology Tywin would not offer, and Valorick, like Pycelle himself, too wise to interrupt.

"You are distressed about Joanna, so I'll forgive the impudence," Tytos said, eventually. Pycelle hid his contempt, for the man was too forgiving by far for a Lord Paramount. Tywin didn't even acknowledge his father's words.

"My wife, Maester Valorick. What have you to say?"

"I am deeply sorry such a tragedy occurred, Lord Tywin, and my condolences on your loss." The Maester didn't even know she lived! Pycelle felt the last shades of the rope fall away from his neck, and though it was not yet tight round Valorick's that was good enough. "I will do whatever is in my power to support you and your family in this trying time." Pycelle studied Tywin's face but it told him absolutely nothing.

"So her death was inevitable?" he said, and Pycelle felt a chill. He said nothing, not wanting to spoil such a splendid trap, or be dragged into it himself.

"There was nothing I could do, my Lord," Valorick said.

"You or anyone else?"

"No, Lord Tywin."

"Nothing at all?"

"None. Once it grows, it will kill." Valorick seemed to think himself safe now. For now he was, though Pycelle reckoned his position, if not his life, would end the breath after Tytos'.

"Grand Maester Pycelle?"

"Ordinarily one would give moon tea when first it was spotted," he said, making himself useful. He let the question of why Valorick had not hang unspoken. Tywin simply watched the Maester, a cat with a rat. Valorick said nothing, he did not even seem to realise there was a question to answer, or that the answers Tywin found in his silence were damning.

"And nothing else, Grand Maester?" Tywin said. His gaze was still upon Valorick, measuring and finding him wanting.

"Not that the mother survives," Pycelle said and added as an afterthought: "Once she has passed, the child may be cut." He stopped short of mentioning the child did not often live, bleeding out with their mother. Whatever was in Tywin's mind was not something he wished aimed at him.

"So why did you not give moon tea?" Tywin asked, and his tone was almost conversational. Valorick, fool that he was, thought he was out of danger.

"It would have killed the child," he said confidently and Tywin inclined his head allowing the point.

"Maester Pycelle, does the child often live?" And damn he'd hoped to avoid that question.

"No. They bleed out during the birth." Valorick looked at Pycelle in shock and betrayal, suddenly seeing the spikes of the trap as they closed round him. Better him than Pycelle.

"So you decided my wife should die to save a child already doomed," Tywin said coldly, and Pycelle tried to ignore the sound of rain beating against the stone outside. "Malice or incompetence?"

"Tywin, you will apologise," Tytos, half-forgotten, spoke up. "Maester Valorick has served us to the best of his abilities for many years."

"The best of his abilities..." Tywin raised an eyebrow. "Incompetence, then."

"Lord Tywin, as Maester Pycelle said, there is nothing that can be done once it occludes," Valorick hastily added, retreating another step towards Tytos and conveniently forgetting the Grand Maester's mention of moon tea. "Your wife's death is not upon me."

"No, it is not." And Tywin's voice was absolutely inscrutable as he met his father's gaze. "No thanks to you. Grand Maester, how fares my wife?" And there was his cue. Pycelle graced Tytos and Valorick with a beneficient gaze and spoke with no malice at all.

"She is sleeping peacefully and should recover well."

"Lady Joanna lives?" Valorick's gaping, horrified, shock condemned him instantly. Tywin's eyes narrowed, and Pycelle knew that whatever should happen the blame had, in the Hand's mind, been settled full on the Maester and not on him. Better to keep Valorick close enough to take the brunt of Tywin's wrath.

"Her son is with his wet nurse and recovering," Pycelle continued serenely, knowing that each word gave Tytos an excuse to do nothing. The ineffectual Lord would take it, no matter how weak it made him seem, and indeed Tytos was already reclining, looking relieved and to his wine.

"Then who tends her?" Valorick demanded.'

"The healer who saved her life," Tywin said, acidly.

"She has been left with a common healer! I must go at once." Valorick lifted his robes and ran from the hall. Pycelle would have commended his rush to duty, if it weren't simply a desperate escape from Tywin's terrible gaze.

"That fool would have killed my wife, father." Tywin's cold fury hurt to hear. "Remove him or I shall."

"I am the Lord here!" Tytos' protest actually sounded petulant to Pycelle's ear. "Remember your place!" Tywin's glare actually cowed his father.

"At the Hand of the King," he said, and the small badge pinned to his tunic glittered in the firelight. He let his father look at it for long enough before he continued. "And as Hand, your Maester is incompetent." Tytos settled into the chair, pulling the wine mug in close to his chest as if it would shelter him from his terrible son.

"Joanna's alive, Tywin. He made a mistake. You must learn to forgive." Tywin's lip curled, as Tytos stared into the wine and wouldn't meet his gaze. "He was your Maester and your brother's and your sisters. Your mother-"

"Mother died did she not? A month after childbirth. Of bleeding." Tytos froze, and Tywin continued, deliberately cruel. "And fever." Tytos swallowed as the measured words hit home. "Such things have signs before they happen." Now Pycelle froze as pieces came together. He bowed swiftly, backing towards the door.

"Forgive me, Lord Tytos, My Lord Hand, I must attend to Lady Joanna."

"Maester Valorick will see to-" Tytos started.

"Go." Tywin's order cut straight over his father's comment. Pycelle obeyed, already moving. He might catch Valorick before the man could do more harm, but if he did not, if Valorick had the guards remove Talagan, everything they had managed could be undone. "Guards, with him!" Tywin's order carried, and the four guards that fell in cleared the way ahead as he ran, nearly slipping on the mkud Valorick's path had left on the stairs.

Rushing into the tower, Pycelle hurried his pace as he heard Valorick's voice raised indignantly from the birthing room, and Talagan's acerbic answer:

"Regardless, Maester, you have road dirt on your hands."

"I am the Maester of this castle-"

"- and the Master Healer is correct." Pycelle pushed passed the guards, who fell back as they saw him. Valorick was halfway into the room, and thank the Seven, Talagan was standing between him and the bed. The Maester barely came up to Talagan's shoulder, but he drew himself up as best he could, his robes still heavy with water and mud.

"Grand Maester, this man will not let me attend the Lady."

"Not with dirty hands," Talagan said, bluntly.

"Master Healer Talagan is quite correct, Maester Valorick." The Maester huffed as Pycelle smiled, keeping to the facts and not his honest desire to strangle Valorick with his own chains. Tywin would do that. "Your hands are unwashed."

"I merely wish to examine the Lady. Who knows what damage this healer has done?"

"Wash your hands," Talagan repeated, "and don't disturb my patient."

"I am the Maester and I will not be spoken to like that!" Valorick didn't keep his voice down. Pycelle drew a sharp breath looking straight to the bed to see Talagan had done the same. The Lady did not seem to have wakened.

"Maester Valorick, you are obviously tired from your journey," Pycelle was the voice of reason. Tywin could hande wrath and vengeance later, he was better at it. "I shall oversee the care of Lady Joanna while you rest."

"Grand Maester, she is in my charge-" he began and Pycelle knew there was something wrong now. To be so territorial about his duties made no sense when Valorick was already relying on Tytos for protection. Was the man so stupid that he thought if something went wrong an examination would exonerate him? Or perhaps some petty grudge was in play.

"I have tended her for two days," Pycelle said, genially. "With techniques you do not know. Retire to your bed and we can discuss this at sunup."

"No. You are the Grand Maester, and your duties are in King's Landing, not Castley Rock." It was a paper-thin sophistry at best and Pycelle felt a chill. The Grand Maester was on the Small Council, and for a mere Maester to disobey him was ridiculous. Any Maester with a silver link knew better then to examine wounds with dirty hands, but if Pycelle called him out, Valorick would claim mere oversight.It was a certainty that if Lady Joanna died of fever, the Maester would blame the Healer and Pycelle may not be here to counter his claims. Pycelle had no facts, just suspicions, but he knew for certain he did not want the Maester to reach that bed. Valorick was stepping towards the patient, Talagan moved to block him, and Valorick turned to the guards.

"Remove this man!" Pycelle drew himself together, ready to order the guards in the name of Lord Tywin to remove the Maester and hope he could smooth out the mess.

"Do not...." The voice was quiet. Pycelle stared at the bed, saw Talagan hurry to his patient, and quickly stepped to Valorick's side to block him from following. Joanna's eyes were open, but she had not sat up. "Maester Valorick...Maester Valorick, you have returned."

"My Lady, I am here. You may have no fear for your care." The man sounded less kindly than obsequious.

"I do not." Her voice was weak, and lacked strength. "You have had a long journey, Maester."

"It is nothing, my Lady," Valorick said, his robes brushing mud through the thick velvet of Pycelle's as the Grand Maester turned and bowed to Lady Joanna, inconveniently obstructing Valorick's step towards the bed.

"It is not. Return to your quarters and sleep." She turned her head a little towards them.

"But I must see to your care!"

"You will exhaust yourself. Guards, take Maester Valorick to his chambers. Ensure he sleeps. He may return in the morn." The guards obeyed instantly, Pycelle considerately moving aside to let them fall in beside the short Maester.

"But who will tend you?" Valorick protested, pitiful and outraged at the same time as the guards closed in.

"I am in good hands, Maester." As the Maester was encouraged out, not overly gently and leaving a trail of mud behind him, Joanna's eyes flickered a little. "I am, am I not?"

"Don't strain yourself," Talagan chided instantly as Pycelle hurried up, "and try not to move."

"The Grand Maester," she said, weakly. "I am honoured. My child?"

"Lives, my Lady." Pycelle reassured her. "A son who is with his wet nurse." She tried to sit up, and Talagan pressed her back immediately.

"You must not move," he reminded her. "You are still very weak."

"You are impertinent," Joanna said, but she did not seem affronted. "Do you not know my title?"

"Your title, my lady, is 'patient'," Talagan said.

"And not Lady Joanna of House Lannister?"

"Once you are back on your feet, then I will bow." She would have earned it, Pycelle considered. "And apologise for whatever indignities it took to get you back on them."

"I shall hold you to that." Joanna relaxed against the pillows, tiring. "And until then...."

"Until then you do what I tell you to get you healed."

"And drink whatever noxious concoctions you insist on." There was good-natured resignation in her soft voice.

"That's no way to describe good beef broth, ma'am," Talagan chided, "and I believe the castle cook makes a excellent lemon cream." Joanna's eyes brightened and he smiled. Pycelle breathed easier, gestured to a servant to go get it without really looking round.

"If that's a healer's orders then..." she slowed, trailing off, and Pycelle plumped the pillows under her head.

"Eat what you can and don't rush, it will still be there when you wake." The healer stepped back from the bed, swaying sightly before he caught himself. Pycelle pulled him away, looking towards the cot.

"You are imprudent to be so familiar with the Lady," Pycelle said quietly so that the guards might hear him but the Lady would not. Lady Joanna's gentle guileless character and soft-spoken nature were known to all at King's Landing, and he'd did not want to distress her.

"When she's strong enough to be angry with me, we'll know she's better," Talagan replied, and yawned.

"The Lady is not of that temperament," Pycelle corrected him, "though her husband may be displeased." He did not add anything about Tywin's character. Everyone knew the song

"I shoved Tywin Lannister over a few nights ago," Talagan said, with a grimace. "If I prescribe Lady Joanna six weeks of slow walks round the castle with her husband, would that distract him long enough for me to run for Dorne?"

"No," Tywin said, and they both jumped.

"My Lord-"

"Ser-Lord Tywin-" Tywin ignored their bluster, examining the healer.

"You are exhausted," he stated. The dark circles below the healer's eyes were shadowed, and Pycelle would freely admit Talagan had done the lion's share of the work. Still it had worked, their heads were free from the block, if Valorick's was not.

"Yes, Lord Tywin. It's been a long week. Don't tire my patient," Talagan said, a little gracelessly, and stifled another yawn."And don't let her sit up."

"I shall not." The Lord brushed passed them, taking the seat by Joanna's bed and her hand in his. The healer was already sitting down on the cot, and where the man had picked up that strange knack of sleeping sitting upright Pycelle didn't know. It was as well, if the cot was short for Pycelle it was positively comical for Talagan.

"My turn to sleep?" Talagan asked. If he didn't remember that, he really was spent.

"Yes. You are sure about the lemon cream?"

"It is easy to swallow and soothing. Not too much." Not too tart, Pycelle reckoned as well. He would sample a little first to ensure that. "You can handle that?" Pycelle nodded, and Talagan closed his eyes. The speed his breath settled to the even rhythm of sleep could not be faked, and nor could just how quickly the man awakened when something went wrong.

The light was too poor to work further on his scroll, and he wasn't fool enough to scribe by candlelight and cloud his eyes before age set in. Instead he sent for a servant to clear the mess of mud and water from the floor where Valorick had trailed it, and another for fresh robes and boots for himself. Once clean again, Pycelle made himself busy tidying the herbs and pouches, measuring fresh yarrow and tinctures of poppy for the Lady's later dose. In such a small room it as inevitable he should overhear some of the whispered conversation between Lord Tywin and his wife, and he was sure the Hand would not hold it against him. It was but a few minutes later that he saw Lord Tywin stand and circle the bed, joining Pycelle at the herb table.

"Grand Maester, your assessment of the healer? Competant?" His voice was measured, now to avoid disturbing not his wife but her healer.

"Formidably so," Pycelle said, "though lacking in certain graces." Even should Talagan be a Westerosi pretender, Pycelle wanted what knowledge he had. By now Pycelle was certain he was not. The small pouches and trays brought from the shop were meticulously labelled in the same flowing script as those in the healer's travelling pouch. Characters repeated and words matched: 'yarrow' was the same on both pouches. A foreign language and alphabet with its own consistent signs, medical knowledge that could only be born of research and training and well-used tools that spoke of experience. The healer, unlikely as it was, was most likely exactly what he had claimed. Tywin nodded, thoughtfully.

"I would have requested he accompany us to King's Landing," he suggested. Pycelle grimaced gently, the expression well-practiced.

"I fear he would be lost there. With no social graces and no head for politics, he would be a casualty of politics. There are better places where such rare knowledge can be recorded and put to use." Tywin, a man of good sense, should now propose himself that the healer go to the Citadel where he could be both protected and to hand. Pycelle would then agree to share the skills he learned and the knowledge with the Lannisters and the Hand, and encourage their agreement by allowing them to suggest he use his influence to replace Valorick with a more skilled healing Maester.

"He is outspoken," Lady Joanna said softly, her voice gentle. "He would be better with those that can... accept such things." Pycelle nodded, pleased by the unexpected support from the woman who all said ruled Tywin

"Indeed my Lady." He stopped as if a thought had just occurred to him. "He would be welcome at the Citadel. The rigors of academic discussion would suit him far better than politics, I believe, and his knowledge of obscure treatments could be shared." Joanna's thin fingers tightened on Tywin's arm, her blue eyes wide and innocent.

"My Lord Husband, we will have more children, will we not?"

"When you are healed and not before."

"Then my Lord Husband," she said quietly, and Tywin leaned closer, still holding her hand. "You once promised that if I were to ask you for something, you would get it for me if it were in your power..."

"Ask." She turned her head slowly, towards the sleeping healer on the cot. Tywin followed her gaze.

"I think I should feel safer..." She smiled, weakly, gently, up at her husband. "...if he were in our service." Tywin did not smile, Tywin never smiled. He nodded, just once, and brushed her sweat-damp hair clear of her forehead.

"As would I."

Pycelle straightened the herb pouches with great care, and just as carefully did not glare at the dreadfully gentle and gently dreadful Lady Joanna, who had just neatly placed her formidable husband straight in the way of Pycelle's plans. His prepared objections went unspoken as Joanna smiled up at Tywin with the open, guileless, innocence of a woman who had survived years in King's Landing, been the favourite of Aerys and lived, and married the King's Hand in jewels gifted by the Queen.

He may have underestimated her.
 
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Fuck yes. Pycelle is fun because he is a political animal but also at the same time extremely well educated and read, and then Joanna outmaneouvers him while basically half unconscious.
 
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