This is a stellar addition to the wonderful Ambrose Parry historical/medical series set in 1850s Edinburgh, an inspiring blend of fact and fiction, featuring the pioneering, compassionate real life Dr Simpson, and Dr Will Raven and Sarah Fisher that reside with him at 52 Queen Street. It immerses the reader in the grim realities of the city, its stench and poverty, the extreme inequalities, the dismal social norms and attitudes to women, and the hypocrisies, inhumanity and cruelties of the rich and powerful for whom reputation is all, cloaking the darker truths of who they really are. Sarah travels to Paris and Grafenberg with Mina in her quest to see the breaking Elizabeth Blackwell, a female doctor, a goal she is aspiring towards.
However, Sarah has her ambitions crushed, leaving her flailing, stranded and lost, wandering where she goes now and struggling with her sense of identity. The shock on her return of finding Will engaged to be married to Eugenie Todd, the daughter of a prominent physician, pulls her into a deeper despair, jealousy and depression, even though her feelings for Will are laced with ambiguity. Settling on the fact she is alone, she focuses on helping the distraught Christina, the maid, who had been forced to giving up her baby to a woman who has now gone missing. Will is in Leith, helping to deliver twins, when a package is fished out, its contents to be revealed to be the horror of a strangled baby. Eugenie has Will helping a man he disliked, the feckless Gideon, the son of Sir Alastair Douglas, who has been arrested for his father's murder and is facing the hangman's noose.
It is only when Sarah and Will begin working together that their different investigations begin to bear fruit and the connections between them begin to emerge, whilst simultaneously underlining the close relationship the two have with each other. Will's support of her has Sarah finding her old zest and ambitions, with the two of them discussing the truths of what they mean to each other. This is a hard hitting, twisted and dark read, of the nightmare realities and tragedies of baby farming, an inevitable consequence of the conditions poor women faced in a political environment dominated by the inhumanity of monsters like Sir Alastair Douglas, even women from wealthy families were not immune. We are given insights into the legal implications of ' a corruption of blood', and the state of the medical community and the science of the period. I must admit that I cannot wait to see how the Will, Eugenie and Sarah relationships develop in the future!! Highly recommended. Many thanks to the publisher for an ARC.