Fever and Ague in the West (Plus, a giveaway!)

 

While researching what kind of disease might wipe out an entire town, sending the gunslingers of Red Ridge in a reluctant truce with the new town doctor one didn’t really trust, I was reminded of fever and ague. 

I was just a little girl when I first read about fever and ague, and it was in a Little House on the Prairie book. Perhaps you remember the story? The entire family came down with an illness. First, intense chills, and then a fever and body aches.

Pa Ingalls thought it came from night air. Others thought it was the watermelons growing nearby. No one realized that fever and ague was actually malaria, and came from mosquitoes.

Fever and ague was a common but also debilitating illness in the 1800s, particularly in the United States. In the 1830s in Oregon, two Native American tribes, the Kalapuya of the Willamette Valley and the Chinookan people along the Columbia River were nearly wiped out, losing an estimated 80-95% of their peoples. One estimate I saw said they went from 14,000 lives to just over 1,000. Can you imagine? There wouldn’t have been any family spared the devastation of loss. 

Chinook people in a canoe on the Columbia River. Library of Congress

While today, we understand fever and ague to be malaria, in the early 1800s that wasn’t known. There was speculation about how it started but one thing was certain. It was deadly once it struck. 

The only effective treatment (other than time and luck) was quinine, which came from the bark of the South American Cinchona tree. It was scarce, expensive, and ground up, but it was also incredibly bitter. However, it saved many lives. 

Science Museum Group. Quinine sulphate bottle. A664060 Science Museum Group Collection Online. Accessed 3 November 2025. https://collection.sciencemuseumgroup.org.uk/objects/co189273/quinine-sulphate-bottle.%5B/caption%5D

 

It was sobering to write parts of The Doctor. When it comes to medicines and doctors and the fears of what might happen, I sometimes have trouble because it’s rather close to home. Many of you know that I have a child with a chronic illness and a suppressed immune system, and we spend a lot of time in the children’s hospital. Just recently, because his body, even after three months of antibiotics, can’t fight off a skin infection, he had to have a surgery to remove it, in hopes that it will finally respond to the medicine, and avoid the placement of a PICC line in him. Though it’s been scary and hard and there’s been so, so much stress, I can’t help but feel grateful that today, we have tools and knowledge and medicines to help. Back in the 1800s, so many towns didn’t have doctors, and they didn’t have medicines. When something like fever and ague raced through a town, there was little more than false hope that could be given, if there wasn’t a way to treat it. That’s something that the doctor in this book has to grapple with, and I pray none of us ever do. 

Thankfully, this is fiction, where HEAs exist, but tears still might pop up.

If you’d like a chance to read The Doctor, it releases later this month in ebook, paperback, and large print. 

Today, one of you is going to win an ebook from this series. You can choose if you’d like book 1, book 2, book 3, or…if you’ve already read those, if you’d like me to send you book 4 when it releases. (I promise, I won’t forget!) 

You can click right here, to see the books to choose from. 

To have a chance at winning, just tell me: Based on this blurb, how do you think the doctor will get the medicine he needs to treat the town?

Nora Madison returns to Red Ridge seeking a decision about her future, but when her overprotective brother tries to tell her what she can and can’t do, Nora resists; especially as a spark ignites between her and the enigmatic physician. Something is drawing her closer, and she’d like to find out what it is.

Dr. Aiden Rycroft’s plan is simple: practice medicine in a town far from his troubles, ignore the town’s drama (especially the possessive gunslinger), and leave when his contract ends. Yet, the more Billy Madison tries to keep him away from his intriguing sister, Nora, the more their paths seem destined to cross.

When a mysterious illness sweeps through the town, Aiden and Billy find their paths intertwined in a reluctant truce. The stakes become deeply personal when Nora falls victim to the very illness Aiden’s been unable to get medicine for. Now, any hope for their future faces its ultimate test as Aiden fights not only to save her life but also to prove his own worth, to himself and to the woman who sees beyond his guarded exterior.

Margaret Borland: Rancher, Survivor, Trail Driver

I’m constantly amazed at the larger-than-life men and women who settled the western states and Texas. Men and women who, despite great personal sacrifice, became a strong symbol of extraordinary strength and courage. The ghosts of those people hover around us to this day with a reminder to keep carrying the torch they lit for us long ago.

One such woman gave her all and scrawled her name across the land – Margaret Heffernan Borland. It’s fair to say that life dealt Margaret a poor hand, but she didn’t stand around crying and moaning. She anted-up and made things happen each time adversity came calling. I admire this woman’s tenacity and pure grit so much.

Margaret was five years old when she arrived on the first ship bringing Irish colonists to Texas in 1829. Her family settled on the wild prairies around San Patricio, but her father died in an Indian attack a few years after they put down roots. Then they found themselves in the crosshairs of the Texas Revolution. Margaret’s mother fled with her children to the fort at Goliad. When the Mexican army won the battle of Goliad, it’s said they escaped the massacre by speaking Spanish so fluently that the officers believed them to be native Mexicans. After the war, the Heffernan family returned to San Patricio where nineteen-year-old Margaret met and married Harrison Dunbar. Shortly after the birth of a daughter, Harrison was killed in a pistol duel on the streets of Victoria. Margaret found herself a widow and single parent at the age of twenty.

A year later, she married again, this time to Milton Hardy and they settled down to ranch on 2,912 acres of land. Margaret gave birth to a son and three daughters, one of whom died in infancy. Again, tragedy struck and her second husband along with her young son succumbed to cholera. She was left with one daughter.

In the four years that followed, she worked the ranch near Victoria and raised her children. Then she met Alexander Borland. He was one of the richest ranchers in South Texas. After a short courtship, she married him and bore this husband four children. In 1860, Alexander and Margaret Borland owned 8,000 head of cattle and they began to hear about trail drives from Texas to Missouri and beyond. They dreamed of together taking a herd to northern markets. But before they could realize their dream, Alexander died in a yellow fever epidemic. Despite Margaret’s best efforts, she was unable to halt the terrible toll yellow fever took on her family. Before it was over, in addition to her husband, she buried three of her daughters, a son, and an infant grandson. Only three children out of nine survived. I’m sure this rocked the very foundation of her soul. She’d given Texas almost everything she had.

After the devastating loss, she threw herself into running the ranch and managing the huge herd of livestock alone. Yet, tragedy again struck. A great blizzard swept down upon the plains during the winter of 1871-1872 and tens of thousands of Texas cattle froze to death, their carcasses dotting the landscape. The storm took a huge toll on Margaret’s herd. When early spring rolled around, Margaret weighed her options. In April 1873, she concluded that her only choice was to drive 2,500 head of the cattle that weathered the blizzard up the famed Chisholm Trail where she could get $23.80 per head compared to $8.00 in San Antonio. But no woman had ever driven a herd up the trail by herself.

Although Margaret was 49 years old, she never backed down from a challenge or doing what she felt in her gut she must. She gathered her three remaining children (aged sixteen, fourteen and eight,) a six-year-old granddaughter, her 25 year-old-nephew, and with a handful of hired drovers embarked on the long, grueling trip. It took them two months to reach Wichita, Kansas. Upon arriving, Margaret and the children took a room at a boardinghouse, The Planter House. Word quickly spread through town of the amazing feat she’d accomplished. The newspaper wrote articles about her saying she had “pluck and business tact far superior to many male trail drivers.” One article remarked that she had “become endeared to many in town on account of her lady-like character.”

Before Margaret was able to complete the sale of her cattle, she took ill. On July 5, 1873, the woman who’d spent her entire lifetime staring down the barrel of calamity and misfortune died in her room at The Planter House in Wichita. Speculation quickly spread that she died from “brain congestion” and “trail driving fever.” Whatever that was. It sounds like something quickly made up by men who envied her accomplishment. Cause of death was never determined but doctors today think she contracted meningitis. Here’s a map of the trail and you can see it went right across dangerous Indian Territory.

Compliments of artist Jose Cisneros

The nephew was saddled with the difficult task of getting her body home in addition to the children. She’s buried in the Evergreen Cemetery in Victoria, Texas.

The woman who’d once single-handedly managed over 10,000 head of cattle, and did it quite expertly, became a legend up and down the Chisholm Trail. She overcame such adversity and is revered to this day for her courage and strength to take what life handed her and make the best of it.

I always love when I find little gold nuggets like this that add depth and emotion to my books. History is full of these remarkable pioneers who did the impossible and etched their stories in the sands of time. They’re just waiting for us to stumble across the indelible marks they left.

I ran across Margaret’s story when I researched for  THE HEART OF A TEXAS COWBOY about cattle drives. CLICK HERE The story revolves around Houston Legend and his attempt to take two thousand head of longhorns up the Great Western Trail to Dodge City. I reference Margaret Borland in this book and her fame provides Houston’s new wife, Lara, ammunition in attempts to convince him to let her go along. He does but soon regrets it, when two days out, he discovers three shadowy riders trailing them. Soon, their very survival is left in question. This was one of my favorite stories to write but please note, this is not a sweet romance. There are a few love scenes.

I’m giving away an ebook copy only of my current book, Cade’s Quest to two commenters. Just tell me if Margaret Borland’s story touched you in any way. Would you have attempted what she did?

 

Petticoats & Pistols