The Queen’s Doctor
Copyright© 2026 by Megumi Kashuahara
Chapter 11: The Queen’s Doctor
The Queen’s residence blazed with light.
Every lantern in the building had been lit, every brazier filled, and from the far end of the great courtyard it glowed against the dark summer sky like a paper lantern the size of a palace. Court ladies ran along its galleries in clusters, their skirts gathered in their fists, carrying basins and folded linens and steaming jars. Eunuchs stood at every door. And from somewhere deep inside came a sound that So Hee had heard a hundred times in a hundred mud-walled huts in Jeolla, and never once grown used to: a woman’s long, low, exhausted cry of pain, rising and breaking and falling away again into silence.
Chae Won ran ahead of her across the courtyard, barefoot on the warm stones, dragging her by the wrist.
“This way. The side gallery. They won’t be watching it.”
They were watching it. A pair of eunuchs stood at the foot of the side steps, and a senior court lady in green silk stood at the top, and all three of them turned as the princess came hurtling out of the dark with a medical woman in a patched cotton jacket stumbling behind her.
“Your Highness!” The court lady’s face went white with horror. “Your Highness, you can’t be seen like this, in your sleeping robe—”
“Out of my way.”
“Your Highness, the birthing chamber is closed to everyone but the senior medical women, by Senior Uinyeo Baek’s order—”
“I said out of my way!” Chae Won’s voice cracked across the gallery like a whip. So Hee had never heard her sound like that before, and neither, by the look of them, had the eunuchs. “My mother is dying in there, and this is my physician, and if you don’t move aside this instant, I’ll have you sent to scrub the kitchen floors until you’re older than Grand Queen Dowager Sim!”
The court lady moved aside.
They went through the gallery and down a long corridor that smelled of blood and smoke and scorched mugwort, past knots of weeping maids and a row of shuttered doors, until they came to a large inner room divided in two by a tall folding screen of painted silk. On the near side of the screen, three elderly men in the dark robes of royal physicians knelt in a tense, murmuring huddle, one of them holding a long red silk thread that disappeared beneath the edge of the screen. On the far side, lit by a dozen lamps, lay the birthing chamber.
So Hee took one look at the red thread and felt something cold and furious rise in her chest.
She had heard the old stories about the royal physicians who read a Queen’s pulse through a silk thread tied around her wrist, so that no man’s hand would ever touch a royal lady’s skin. She had always thought they were legends. Apparently not.
“Uinyeo!” One of the old physicians looked up, saw her, and half rose in outrage. “Who is this? Who let this person in?”
“She’s mine,” Chae Won snapped, and pulled So Hee straight past him and around the edge of the screen.
The Queen of Joseon lay on a thick pallet of silk quilts in the center of the room, propped against a mound of cushions, her face the color of old candle wax and slick with sweat. Her hair had come loose from its pins and lay in dark, damp coils across the pillows. Her eyes were closed. Her belly rose huge beneath the loose white birthing robe, and around her hips the quilts were soaked through with blood, dark and spreading.
Four medical women knelt around the pallet. Senior Uinyeo Baek knelt at the Queen’s head with her hands pressed to Her Majesty’s temples, and when she looked up and saw So Hee standing in the lamplight, her smooth, composed face did something So Hee had never seen it do before. It cracked.
For just an instant, beneath the mask, So Hee saw raw, naked fear.
Then the mask came back.
“Get out,” Baek said, very quietly.
“Mother.” Chae Won dropped to her knees beside the pallet and seized the Queen’s limp hand. “Mother, I brought her. I brought the one I told you about. The one from the south.”
The Queen’s eyelids fluttered. She did not open them.
“Your Highness,” Baek said, without looking away from So Hee, “you should not be here. And neither should she. Uinyeo So Hee, I told you what would happen if you set foot in this residence.”
“You did, Senior Uinyeo.”
“Then go. Now. And I may yet forget that you came.”
So Hee didn’t move. She was looking past Baek, past the princess, at the great swollen curve of the Queen’s belly beneath the soaked white robe. She looked at the shape of it, the way it rose too wide and too flat across the front instead of peaking in a high, rounded dome. She looked at the blood, and the Queen’s gray face, and the way her whole body clenched and shuddered as another pain seized her, and at how the belly heaved sideways beneath the robe instead of down.
“How long has she been in labor?” So Hee asked.
“That is not your concern—”
“How long?”
A younger medical woman kneeling at the Queen’s feet looked up, her eyes red with exhaustion. “Since sunset,” she whispered. “Six hours. The waters broke at the first watch. But the baby hasn’t come down. It won’t come down. We’ve tried everything—”
“Uinyeo Ji,” Baek said sharply.
“And the bleeding?”
“Since the second watch,” the younger woman whispered. “It’s getting worse.”
So Hee closed her eyes for one heartbeat.
She saw a mud-walled hut in Namgok, and a lamp burning low, and a charcoal burner’s wife writhing on a straw mat with her belly heaving sideways just like this one. She saw her own hands, fourteen years old and shaking so hard she could barely hold them still, and her mother’s voice in her ear, calm and steady as bedrock.
The baby’s lying crosswise, So Hee. It can’t come out like that. It’ll tear her apart trying, and they’ll both die. You have to turn it.
She opened her eyes.
“The baby’s lying across her,” she said. “Sideways. Not head down, not feet down. Across. That’s why it won’t descend, and that’s why she’s bleeding. It’s pressing on the wrong places, and every pain tears her a little more.” She met Baek’s eyes. “It has to be turned. Now. Or they’ll both be dead before sunrise.”
The room went silent. Even the murmuring behind the screen had stopped.
“Turned,” Baek repeated. Her voice was flat. “You want to turn the Queen’s child. With your hands.”
“Yes.”
“Inside her.”
“Yes.”
“The royal physicians have forbidden it. They say the risk is too great. They say we must wait for the child to turn on its own, and give her ginseng to keep up her strength.”
“The child won’t turn on its own. Not now. It’s too late for that.” So Hee stepped forward into the full lamplight. “Senior Uinyeo, I’ve done this before. Nine times. My mother taught me. Seven of the nine mothers lived, and eight of the nine babies. I know how. I know where to put my hands. I know what it should feel like when it turns and what it feels like when something is wrong.” Her voice didn’t waver. “Have you ever done it?”
Baek stared at her. The silence stretched.
“No,” the Senior Uinyeo said at last, very quietly. “I’ve seen it done once, twenty years ago. The woman died.”
“Then let me.”
“If the Queen dies under your hands,” Baek said, “you’ll be executed. Do you understand that? Not flogged. Not sent to the garrisons. Executed. And every medical woman in this room will be punished alongside you for letting you touch her.” Her hands were trembling on the Queen’s temples. “And so will I.”
“And if she dies under yours,” So Hee answered, “she’ll be just as dead.”
For a long moment, Baek Seon-hwa looked at her across the pallet: at the patched cotton jacket, the straw sandals, the plain white mourning ribbon still tied in her hair after four months.
Then a voice spoke from the pillows, so faint that So Hee barely heard it.
“Let her.”
They all turned. The Queen had opened her eyes. They were dark and glazed with pain, sunk deep in her waxen face, but they were looking straight at So Hee, and they were perfectly clear.
“Jungjeon mama,” Baek breathed.
“My daughter,” the Queen whispered, “has talked of nothing but this girl for two months. She has driven me half mad with it.” Something that might have been a smile touched her cracked lips. “Let her try, Seon-hwa. I’m dying anyway. I can feel it.”
“Mama—”
“Let her.”
Baek Seon-hwa bowed her head. When she lifted it again, the fear was still there in her eyes, but beneath it was something else, something hard and resigned, the look of a woman who had spent her whole life climbing a narrow ladder and had just watched someone else step onto the rung above her.
She took her hands from the Queen’s temples and moved aside.
“What do you need?” she said.
“Hot water,” So Hee said. “As hot as can be carried. A whole basin of it. And strong wine, the strongest in the palace. And clean cloth, as much as you have.”
The medical women scattered. So Hee knelt at the foot of the pallet and began untying the sleeves of her jacket, rolling them up past her elbows, while Chae Won stared at her from the Queen’s side.
“What are you doing?”
“Washing.” So Hee took the steaming basin from the first woman to return and set it beside her. “My mother always said that dirty hands in a birthing chamber killed more women than anything else. The fever afterward, the one that comes three days later and burns them from the inside.” She plunged her hands and forearms into the scalding water, gritting her teeth against the heat, and scrubbed with a rough cloth until her skin was scarlet all the way to the elbow. Then she held out her arms. “Wine. Pour it over them. All of it.”
Baek herself took the jar and poured, and the sharp smell of it filled the room as it ran down So Hee’s arms and dripped into the basin.
“More.”
Baek poured more.
So Hee shook her hands dry in the air and knelt forward between the Queen’s knees. She laid one hand flat on the great swollen belly, feeling through the thin white robe for the shape beneath it. There: a hard, round mass pressed against the Queen’s right side. The head. And there, on the left, a softer, knobbier bulge that could only be the rump. The spine lay across the front like a bridge between them.
A pain gripped the Queen, and her whole body clenched and bucked beneath So Hee’s hand, and she cried out, a thin, cracked sound with hardly any strength left in it.
“Wait,” So Hee murmured. “Wait for it to pass. We work between the pains, never during.” She looked up at Chae Won. “Hold her hand. Talk to her. Keep her with us.”
Chae Won gripped her mother’s hand in both of hers and bent close to her ear, whispering, her voice shaking so badly that the words ran together.
The pain passed. The Queen sagged back against the pillows, panting.
“Jungjeon mama,” So Hee said quietly. “I’m going to put my hand inside you now, to find your child and guide it. It will hurt. I’m sorry. I’ll be as quick as I can.”
The Queen’s eyes found hers. “Do it,” she breathed.
So Hee drew one long breath, and did.
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