I had to undergo later. He pulled aside a large mosquito-net which
guarded the entrance of the inner room of this hut. In the hammock
we found a middle-aged woman; a native of Cearã. Her face was not
unattractive but terribly emaciated, and she was evidently very
sick. She showed us an arm bound up in rags, and the part exposed
was wasted and dark red. It was explained that three weeks before,
an accident had forced a wooden splinter into her thumb and she had
neglected the inflammation that followed. I asked her to undo the
wrappings, a thing which I should never have done, and the sight
we saw was most discouraging. The hand was swollen until it would
not have been recognised as a hand, and there was an immense lesion
extending from the palm to the middle of the forearm. The latter was in
a terrible condition, the flesh having been eaten away to the bone. It
was plainly a case of gangrene of a particularly vicious character.

Suddenly it dawned upon me that they all took me for a doctor; and the
questions they asked as to what should be done, plainly indicated that
they looked to me for assistance. I explained that I had no knowledge
of surgery, but that in spite of this I was sure that if something
were not done immediately the woman would have little time to live.

I asked if there was not a doctor that could be reached within a few
days' journey. We discussed sending the woman to Remate de Males by
canoe, but this idea was abandoned, for the journey even undertaken by
the most skilful paddlers could not be made in less than eighteen days,
and by that time the gangrene would surely have killed the patient.

Coronel da Silva was called in. He said that the woman was the wife
of the chief of the _caucheros_ and that her life must be saved if
possible. I explained my own incapacity in this field once more, but