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On the morning of the exam, Hazel decides not to disguise herself in George’s clothes and wears a new dress instead: “The bodice was bloodred silk, with puffs of white linen at her shoulders. The neckline reached her chin, a reminder to keep it high” (383). In the city, she passes “a man in a tall hat wheeling a veiled figure in a chair” towards the Anatomists’ Society (284). Recalling Munro’s words, Hazel wonders if she should follow the man or focus on the exam. She wishes that Jack was there to advise her and then uses the secret entrance Jack showed her months ago to follow the mysterious figure.
Hazel follows the secret passage to the surgical theater, where she sees Baron Walford, the man in the tall hat, the figure in the wheelchair, and a doctor wearing unusual headgear that makes him look like “a distorted cyclops with a round glass eye set in brass” (291). The man in the top hat removes the veil, revealing a terrified blond boy. The doctor sedates both the boy and the baron with ethereum, then transplants the boy’s eye into the baron’s empty eye socket. The doctor pours a drop from a vial of golden liquid into the transplanted eye. Hazel considers interrupting the dreadful operation, running for help, or even hurrying to the exam, but fear freezes her in place. The doctor tells his associate in the top hat, Jones, to dispose of the boy if he bleeds to death and claim he died of the Roman fever. The doctor removes his headgear, revealing that he is Beecham. When Jones compliments his work, Beecham replies, “Well, I did try [....] After all, we had an audience today” (295).
Jones seizes Hazel and brings her to Beecham. Because she isn’t sitting for the exam, the doctor takes this to mean that she has forfeited their wager. Still, he is ecstatic at Hazel’s presence, believing her to be one of the few people who can appreciate his groundbreaking scientific advancements. He has successfully transplanted a uterus and believes that he will soon be able to transplant a heart. Beecham grows angry when she accuses him of murdering the poor and is more concerned with the dying boy than his achievements. Hazel tries to appeal to Beecham’s humanity by reminding him of the ideals in Dr. Beecham’s Treatise, but he retorts that the treatise was written by a “young fool who had yet to live” (300).
Two of Beecham’s accomplices carry Jack into the surgical theater. At the sight of Jack, Hazel struggles to free herself from Jones, prompting Beecham to realize that she is emotionally attached to the resurrection man. The doctor tells her that attachments bring only pain and that “strength comes in the ability to overcome those human impulses” (302). He intends to drive the lesson home by transplanting Jack’s heart into the now dead blond boy. He makes an incision in Jack’s chest, but Jack wrests the ethereum from Beecham and uses it to render the doctor unconscious. Hazel stabs Jones with a quill and then wheels Jack outside. She spots Bernard in the street, and he helps her transport the wounded resurrection man to Almont House. The cut is deep but missed everything vital, and Hazel sews it shut. Jeanette, who works as a maid for the Almonts, is shocked to see her friend injured, but she takes comfort in knowing that he’s under Hazel’s care. Unbeknownst to Hazel, Bernard sees her tenderly touching Jack’s face. Hiding his smoldering anger, he listens to her account of Dr. Beecham’s crimes and agrees to contact the police.
Two days later, Hazel brings Jack to Hawthornden. A week later, he’s able to walk, and he goes to Le Grand Leon to retrieve his things. He moves as if to kiss Hazel goodbye before reconsidering. At the theater, the constable who came to Hawthornden, the magistrate, and two guards arrest Jack. They accuse him of murdering several people, including Penelope Harkness, whose body Davey and Munro unearthed in the Prologue. Bernard is the one who told the officers that Jack is a killer. When Jack asks them to contact Hazel to learn the truth, the constable strikes him and tells him not to “blacken the name of one of [his] social betters” (314).
The December 22, 1817, edition of the Edinburgh Evening Courant gives details of Jack’s trial. Dr. Beecham and Bernard testify against him, and Dr. Straine is also indicted for illegally purchasing bodies.
On Christmas Day, Hazel walks from Hawthornden to the Anatomists’ Society and confronts the so-called Dr. Beecham III, having realized that he is the only Dr. Beecham and that he pretended to be his own grandson. Dr. Beecham removes his ever-present black gloves, revealing fingers that are “mottled and dead, ten fingers from ten different hands” (319). Beecham sought the key to eternal life because he feared death and believed he was destined for “something greater than the tannery where [his] father worked, where he expected [him] to work” (320). He shows Hazel the golden tonic that he created to attain immortality but declines to share the details of its composition. Beecham recalls losing his wife, Eloise, and his three children and tells Hazel that love is agony.
Beecham says he asked Eloise to drink the tonic, but she refused. He offers the tonic to Hazel, believing that her brilliant mind will allow her to make excellent use of immortality and that women doctors will be accepted in the future. Dr. Beecham expresses his plans to go to America and proposes a toast to her engagement. Hazel no longer cares about retaining her social status or what her family thinks. She has rejected Bernard. She accepts the tonic not for herself but because she hopes it will save Jack from death. Looking like a shadow, Beecham quietly affirms that the tonic will prevent death by a broken neck or strangulation.
Jack is sentenced to death, and Dr. Straine loses his medical license. Hazel bribes a guard to let her see Jack and explains to him that Beecham found the secret to immortality. She urges him to drink the tonic so they can run away and start a new life together. Jack laughs, and the sound contains “all the joy and hurt and love he’d felt for Hazel in his brief time knowing her” (328). Hazel finds herself laughing and crying in response. Jack doesn’t want to subject Hazel to a life on the run, nor does he want to live forever while she grows old and dies, so he doesn’t know whether he should take the tonic. He promises Hazel that his heart is hers forever, “[b]eating or still” (330). Jack is hanged the next morning, and his body is taken to the university hospital.
In the spring, Charles and Iona are married and leave Hawthornden. Hazel’s family members are still abroad, and she lives in the castle alone except for her patients. The wortflower has kept the patients with the Roman fever alive, and she plans to work on an inoculation soon. After Jack’s execution, Betelgeuse goes missing. Hazel often imagines Jack sailing for the Continent or the Americas, “the boy who would remain young and beautiful forever, the boy she had taught how to ride and whom she’d kissed in a grave” (333). Despite her heartache, Hazel carries on with her work as a healer.
A battered, unsigned letter with a stamp from New York City arrives, promising Hazel, “My beating heart is still yours [...] and I’ll be waiting for you” (335).
The extent of Beecham’s crimes and accomplishments come to light, and Jack and Hazel are forced to make impossible decisions about life and death in the novel’s suspenseful final section. Chapter 32 brings important developments for the theme of Ambition and Opportunity. Hazel’s disguise serves as a motif for the theme, because dressing in George’s clothes opens opportunities usually barred to women in Hazel’s time. On the day of the exam, she decides to wear a dress. The bold red of the bodice indicates her refusal to hide, and the high neckline that reminds her to keep her head held high reflects the protagonist’s increased confidence in herself. Later in the chapter, the reappearance of the man with the top hat forces Hazel to make a crucial decision. Ultimately, her ethics prove stronger than even her ambition. Rather than condemn a stranger to an uncertain fate, she opts not to take the exam, which she has long considered her opportunity to create the future of her dreams. As Hazel likely would have made a different call at the start of the novel, this scene is one of the most significant examples of the protagonist’s characterization and development.
The revelation of Dr. Beecham’s villainy advances the theme of The Brutality of Corruption. Baron Walford, an exceptionally wealthy and powerful man, purchases the eye of a poor boy, and the involuntary donor does not survive. In addition, Beecham boastfully reveals that he gave Jeanette’s uterus to Mrs. Caldwater. Despite the deaths and pain he’s caused, Dr. Beecham denies Hazel’s accusations that he is a killer. From his corrupt and arrogant perspective, lower-class individuals are condemned to toil and suffering, and his experiments give meaning to otherwise empty lives. He claims, “All progress requires human sacrifice. They were the poor and the destitute. The city had already killed them, and I was just using every piece of the animal” (323). Because of their shared ambition, Beecham expects Hazel to appreciate his accomplishments and welcome the opportunity to work alongside him. However, Hazel has other values to counterbalance her ambition and prevent it from corrupting her as it has corrupted Beecham. Her love for Jack and her respect for human life set her in opposition to the antagonist.
Bernard’s actions also demonstrate The Brutality of Corruption. In Chapter 35, he avenges himself on Hazel and Jack by falsely accusing the resurrection man of murder. Regardless of everything Jack and Hazel have experienced together, Edinburgh’s social hierarchy dictates that they should have nothing to do with one another, and the officers who arrest Jack will never believe a resurrectionist over the son of a viscount.
In Chapter 36, Hazel’s final conversation with Dr. Beecham develops the theme of The Duality of Life and Death. As foreshadowed throughout the novel, there is only one Dr. Beecham, and he has achieved immortality. Death motivated him to develop the tonic that grants him eternal life: “If you’re asking how I came to discover it, I suppose the only answer is fear. Fear of death. Fear of being forgotten” (320). Although he achieved his greatest ambition and conquered death, Dr. Beecham suffers from loneliness. His grief over his wife and children leads him to see attachments as pain, yet he longs for Hazel to join him in immortality so that he can at last have an equal with whom to share his work and his endless life. Beecham is the novel’s main antagonist, but his final impression is that of a tragic figure, not a triumphant villain. His quiet certainty that the tonic will prevent death by hanging strongly implies that he has tried to take his own life. When Hazel takes her leave of Dr. Beecham, he looks “less like a man and more like a shadow” (325).
Although Dr. Beecham attempted to kill Jack in Chapter 34, his tonic becomes the sole hope for Jack’s survival. Jack weighs The Duality of Life and Death in Chapter 37. He wants more than a life on the run for Hazel, and she wants more than death for him. Jack’s indecision causes the novel’s suspense to skyrocket. Neither Hazel nor the reader knows for certain whether he drank the tonic, which sets the stage for the cliffhanger ending. Although she fears that her love may be dead, Hazel continues to pursue her ambitions and work to preserve life. The wortflower that Jack introduced her to proves to be a viable treatment for the Roman fever. The novel’s final chapter and Epilogue offer hope that Jack may have survived. For example, Jack learned to ride the black stallion, and the animal’s disappearance suggests that he took the horse as part of his flight from Edinburgh. The letter from New York references his farewell to Hazel in Chapter 37, in which he promised that his heart would be hers “[f]orever. Beating or still” (33). However, there is a possibility that the letter is from Beecham. The doctor expressed his intent to relocate to America, and he earnestly desires a fellow “scientific mind to keep [him] company” (324). The novel ends on a cliffhanger, leaving it up to the sequel to determine whether the lovers will find one another again.
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