Sector General Omnibus 2 - Alien Emergencies (73 page)

“If the time and place are of my choice,” Conway said slowly, his mind still on the future troubles of FROB-Forty-three, “it can’t be too urgent. What about Three and Ten?”

“They, too, are urgently in need of reassurance,” Edanelt replied. “Three was the responsibility of Yarrence, who did some delicate and quite brilliant work relieving its depressed cranial fracture and underlying repairs, but no replacement surgery was necessary. Visually, Three will not be an aesthetically pleasing entity to its fellows, but unlike Ten and Forty-three, neither will it be a permanent exile from its home world and people.

“Ten will have the same long-term problems as Forty-three,” the Melfan went on. “The procedures for the multiple limb and absorption organ replacements went well, and the prognosis is for a full recovery under the usual strict regimen of suppressants. Since you are short of time, perhaps I should talk to one of them while you speak to the other?

“I am a Senior Physician, Conway,” it added, “and not a fledgling Diagnostician like you. But I would not want to keep Thornnastor waiting too long.”

“Thank you,” Conway said, “and I’ll talk to Ten.”

Unlike Forty-three, Ten was in male mode and would not be susceptible to emotional manipulation and arguments as the previous patient. He hoped that Thornnastor was being its usual impatient self and not really in a hurry to see him…

When it was over he felt in much worse mental shape than the patient, who seemed to have taken the first steps toward the acceptance of its lot without too much emotional distress, probably because it did not have a life-mate. Conway desperately wanted to clear his mind of all things pertaining to the Hudlar life-form, but it was proving extremely difficult to do so.

“Surely it is theoretically possible for two suppressees, living away from their home planet, to meet without endangering each other?” he asked Edanelt when they were out of earshot of the Hudlar patients. “If both had their immune systems suppressed, they should be free of own-species pathogens which would otherwise infect each other. It might be possible to arrange periodic meetings of such exiles which would benefit—”

“A nice, softhearted, and, may I say, softheaded idea,” Edanelt
broke in. “But if one of these suppressees had an inherited immunity to a pathogen not directly involved with the rejection process, to which the other members of this group had no immunity, they would be in serious danger. But try the idea on Thornnastor, who is the recognized authority on—”

“Thornnastor!” Conway burst out. “I’d forgotten. Has it been?…”

“No,” Edanelt said. “But O’Mara came in to see if you needed help talking to the replacement patients. It advised me regarding my approach to Three’s problems, but said that you did not need help and seemed to be enjoying yourselves too much to be disturbed. Was that a remark denoting approval, or not? From my experience of working among Earth-human DBDGs I assume this was one of those occasions when incorrect verbal data is passed on in the belief that the listener will assume the opposite meaning to be true, but I do not understand this concept you call sarcasm.”

“One never knows whether O’Mara is approving or otherwise,” Conway said dryly, “because he is invariably uncomplimentary and sarcastic.”

Nevertheless it gave him a warm feeling to think that the Chief Psychologist had thought enough of his handling of the postoperative interview with Ten not to interfere. Or maybe he had thought Conway was making such an unholy mess of things that O’Mara was unable, for reasons of discipline, to tell a probationary Diagnostician how abysmally wrong he was in front of junior members of the staff.

But the doubt Conway felt was being swamped by a feeling which was even stronger, a physical need which was being reinforced by the sudden realization that he had had nothing but a sandwich to eat during the past ten hours. He turned quickly to the ward terminal and called up the on- and off-duty rosters of the warm-blooded, oxygen-breathing members of the Senior Staff. He was in luck, their duty rosters coincided.

“Would you contact Thornnastor, please,” Conway said as he turned to leave the ward, “and tell it that I will meet it in thirty minutes in the dining hall.”

Conway knew the Diagnostician-in-Charge of Pathology well enough to tell it apart from all the other Tralthans using the dining hall, and he was pleasantly surprised to see Murchison at the same table. Thornnastor, as was its wont, was purveying some interspecies gossip to its assistant, and so engrossed in it were they that they did not notice his approach.

“…One would not think it likely or even possible,” the Tralthan was rumbling pedantically through its translator, “for the urge toward indiscriminate procreative activity to be strong in a life-form which is only a few degrees above absolute zero. But believe me, a fractional elevation in body temperature, even when it is accidentally produced by the treatment, can cause acute embarrassment among the other SNLU genders present. Four genders in one species tends to be confusing anyway, even when one is carrying the SNLU tape, and a certain Melfan Senior, you know who I mean, was sufficiently disturbed emotionally to use its external manipulators to signal its readiness to—”

“Frankly, sir, my trouble is somewhat different…” Murchison began.

“I realize that,” Thornnastor replied. “But really, there does not appear to be any great emotional, physical, or psychological problem. Naturally, the mechanics of this particular mating process are distasteful to me personally, but I am willing to consider the matter clinically and give what advice I can.”

“My difficulty,” Murchison said, “is the distinct feeling I expe
rienced while it was happening that I was being unfaithful five times over.”

They’re talking about us!
Conway thought, feeling his face beginning to redden. But they were still too deeply engrossed to notice either him or his embarrassment.

“I will gladly discuss this matter with my fellow Diagnosticians,” Thornnastor resumed ponderously. “Some of them may have encountered similar difficulties. Not myself, of course, because the FGLI species indulges in this activity during a very small proportion of the Tralthan year, and during that period the activity is, well, frenetic and not subject to subtle self-analysis.” All of its eyes took on faraway looks for a moment, then it went on. “However, a brief reference to my Earth-human component suggests that you do not concern yourself with minor and unnecessary emotional hair-splitting, and just relax and enjoy the process. In spite of the subtle differences which you mentioned earlier, the process
is
enjoyable?…Oh, hello, Conway.”

Thornnastor had raised the eye which had been regarding its food to look at him. It said, “We were just talking about you. You seem to be adapting very well to your multiple tape problems, and now Murchison tells me that—”

“Yes,” Conway said quickly. He looked appealingly into the Tralthan’s one and Murchison’s two eyes and went on. “Please, I would greatly appreciate it if you would not discuss this very personal matter with anyone else.”

“I don’t see why not,” Thornnastor said, bringing another eye to bear on him. “Surely the matter is of intrinsic interest, and would no doubt prove enlightening to colleagues who have faced or are about to face similar problems. Sometimes your reactions are difficult to understand, Conway.”

He glared at Murchison, who, he felt, had been far too free in talking about her intrinsically interesting problems with her Chief. But she smiled sweetly back at him, then said to Thornnastor, “You’ll have to excuse him, sir. I think he is hungry, and hunger affects his sensorium as well as his blood sugar levels and sometimes makes him behave with a degree of irrationality.”

“Ah, yes,” the Tralthan said, returning the eye to its plate. “It has the same effect on me.”

Murchison was already tapping instructions into the food console for one of his visually noncontroversial sandwiches. He said, “Make it three, please.”

He was attacking the first one as Thornnastor, who had the advantage of being able to speak with all four of its mouths, went on. “It seems I must compliment you on the way you are adapting to operative procedures requiring other-species surgical data. Not only were you calling up this data with little or no delay; the indications are that you were initiating new procedures derived from a combination of different entities’ experiences. The OR Seniors were most impressed, I have been told.”

Chewing furiously, Conway swallowed and said, “It was the Seniors who did all the real work.”

“That isn’t the way Hossantir and Edanelt tell it,” Thornnastor said. “But I suppose it is in the nature of things that Seniors do most of the work and the Diagnostician-in-Charge gets most of the credit, or all of the discredit if things go wrong. And speaking of cases which might not go well, I would like to discuss your plans for the birth of your Unborn. The endocrinology of its parent and Protector is quite complex, and I am most interested in this one. However, I can foresee a few purely physical problems which…”

Conway nearly choked at the understatement, and it was a moment before he was able to speak.

“Must all verbal communication cease while it is eating?” said Thornnastor impatiently, using the mouth closest to Murchison. “Why wasn’t your species foresighted enough to evolve at least one additional orifice for the ingestion of food?”

“Pardon me,” Conway said, smiling. “I would be delighted to have any assistance and advice you can give me. The Protectors of the Unborn are the most untreatable life-form we’ve encountered, and I don’t think we have discovered all the problems yet, much less found solutions to them. In fact, I would be most grateful if your commitments would allow you to be present during the birth.”

“I thought you’d never ask, Conway,” Thornnastor rumbled.

“There are several problems,” Conway said, rubbing his middle gently and wondering if one of them was going to be an attack of indigestion through eating his food too quickly. Apologetically, he went on. “But right now my mind is still sensitized to the Hudlar
material and the questions which have arisen as a result of my recent experiences in the Hudlar OR and Geriatric wards. The questions are psychological as well as physiological, and so insistent that I find it very difficult to clear my mind for consideration of the Protector case. This is ridiculous!”

“But understandable, considering your recent total involvement with FROB life-forms,” Thornnastor said. “But if you have unresolved problems regarding these Hudlars, the simplest way of clearing your mind of this troublesome material is to ask the questions at once and obtain as many answers as possible, even though they may be unsatisfactory or incomplete answers, so that you will have taken the matter as far as it is possible to go with it at the present time. Your mind will accept this and allow you to think of other things, including your perpetually pregnant Protector.

“Your particular mental quirk is far from rare, Conway,” the Tralthan went on, slipping into its lecturing voice. “There must be a very good reason why your mind doesn’t want to leave the subject. Perhaps it is close to drawing significant conclusions, and if the question is shelved now the pertinent data might fade and be lost. I realize that I am beginning to sound like a psychologist, but one cannot practice medicine without acquiring some knowledge in that field. I can, of course, help you with the physiological questions on the Hudlar life-form, but I suspect that it is the psychological aspect which is crucial. In which case you should consult the Chief Psychologist without delay.”

“You mean,” Conway said faintly, “call O’Mara right now?”

“Theoretically,” the Tralthan replied, “a Diagnostician may request the assistance of any member of the hospital staff at any time, and vice versa.”

Conway looked at Murchison, who smiled sympathetically and said, “Call him. On the intercom he can only indulge in verbal violence.”

“That,” Conway said as he reached for the communicator, “doesn’t reassure me at all.”

A few seconds later the scowling features of the Chief Psychologist filled the tiny screen, making it impossible to tell how or if he was fully dressed. O’Mara said coldly, “I can tell from the background noise and the fact that you are still masticating that you are
calling from the main dining hall. I would point out that I am in the middle of my rest period. I do rest occasionally, you know, just to fool you people into thinking that I’m only human. Presumably there is a good reason for your making this call, or are you complaining about the food?”

Conway opened his mouth, but the combination of facing an angry O’Mara and a mind which was still too busily engaged in formulating his questions kept any words from coming out.

“Conway,” O’Mara said with exaggerated patience, “what the blazes do you want?”

“Information,” he replied angrily. Then he softened his tone and went on. “I need information which might help in the Hudlar geriatric work. Diagnostician Thornnastor, Pathologist Murchison, and I are presently in consultation regarding…”

“Which means,” O’Mara said sourly, “that you’ve dreamed up some harebrained scheme over lunch.”

“…A proposed method of treating their condition,” Conway went on. “Regrettably, little can be done for the present occupants of the ward, since the degenerative condition is too far advanced in them. But early preventive treatment might be possible provided my idea has physiological and psychological support. Thornnastor and Murchison can give me detailed information on the former, but the key to their treatment, and any hope of its ultimate success, depends on the behavior under stress, adaptive ability, and potential for reeducation in aged but pregeriatric FROBs. I have not yet discussed the clinical problems which would be encountered, because to do so would be a waste of time if the answers you give me preclude further investigation.”

“Go on,” O’Mara said, no longer sounding half-asleep.

Conway hesitated, thinking that his period of intensive Hudlar surgery, the visits to the FROB geriatric and infant wards, some old memories from his early childhood, and possibly material from his other-species mind partners had all contributed to an idea which was very likely unworkable, ethically questionable, and so ridiculous that O’Mara might well have second thoughts regarding his suitability as a future Diagnostician. But it was too late now to hold back.

“From my FROB tape and lectures at various times on Hudlar
pathology,” he went on, nodding in acknowledgment toward Thornnastor, “it is clear that the various painful and incurable conditions to which the aged of that species are prey are traceable to a common cause. The loss of function in the limbs and the abnormal degree of calcification and fissuring at the extremities can be ascribed to the simple deterioration in circulation which is common to the aged of any species.

“This is not a new idea,” Conway said, glancing quickly toward Thornnastor and Murchison. “However, as a result of working on a large number of Hudlar limb and organ replacement operations from the Menelden accident, it occurred to me that the deterioration I observed in the organs of absorption and evacuation among the aged FROBs was very similar to the temporary condition which occurred during the replacement of a heart, although at the time I was too busy to note the signs consciously. In short, the problems of the FROB geriatrics are due to circulatory impairment or inadequacy.”

“If the idea isn’t new,” O’Mara said with a flash of his characteristic sarcasm, “why am I listening to it?”

Murchison was watching him in silence. Thornnastor continued to watch its food, Murchison, O’Mara, and Conway, also without speaking.

“The Hudlars are a very energy-hungry species,” Conway went on. “They have an extremely high metabolic rate which requires a virtually continuous supply of nutrient via their organs of absorption. The food thus metabolized serves the major organs, such as the two hearts, the absorption organs themselves, the womb when the entity is in gravid female mode, and, of course, the limbs.

“I had learned from the pathology lectures,” he continued, “that these six immensely strong limbs are the most energy-hungry system of the body, and demand close to eighty percent of the nutrient metabolized. But it was not until the recent Hudlar experience that my mind was drawn forcibly to this data, and to the fact which is also widely recognized, that it is the ultrahigh metabolic rate and excessive food requirement which enables the adult Hudlar to be so fantastically resistant to injury and disease.”

O’Mara was getting ready to interrupt again, and Conway went on quickly. “With the onset of old age their troubles invariably begin
in the limbs, which demand an even greater proportion of the body’s available resources to fight it. This places increasing stress on the twin hearts, absorption, and evacuation organs, all of which require their share of and are interdependent on the circulatory system’s nutrient content. As a result these systems go into partial failure, which further reduces the blood supply to the limbs, and the body as a whole slides into a degenerative spiral.”

“Conway,” O’Mara said firmly, “I assume this lengthy but no doubt oversimplified clinical picture is for the benefit of the poor, ignorant psychologist so that he will understand the psychological questions when they come, if they ever come.”

Continuing with its meal, Thornnastor said, “The clinical picture is oversimplified, I agree, but essentially correct, although your method of describing it suggests a new approach to the problem. I, too, am impatient to know what it is that you intend.”

Conway took a deep breath and said, “Very well. It seems to me that the drain on the age-reduced resources of these Hudlars, represented by the irreversible limb conditions, can be alleviated before onset. With reduced stress and a greater share of the available nutrient supply, the hearts and organs of absorption and elimination could maintain their functions for an additional several years while keeping up optimum levels of circulation to the remaining limb or limbs.”

All at once it seemed that O’Mara’s face in the screen had become a still picture; Murchison was staring at him with a shocked expression, and all four of Thornnastor’s eyes had turned to regard him.

“Naturally the procedure would be one of elective surgery,” Conway went on, “and would not take place except at the request and the expressed permission of the entity concerned. The surgical problems involved in the removal of four or five limbs are relatively simple. It is the psychological preparation and aftereffects which are paramount and which would determine whether or not the procedure should be tried.”