Sector General Omnibus 3 - General Practice (34 page)

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Authors: James White

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O’Mara had joined Sector General shortly before it had been commissioned, as a structural engineer, and the work it had done among the original staff and patients that resulted in its promotion to major and Chief Psychologist was no longer open for study, although there was a rumor that it had once wet-nursed an orphaned infant Hudlar unaided and without benefit either of heavy-lifting machinery or translation devices, but that story Lioren considered to be too wildly improbable to have any basis in fact.
From the words spoken and unspoken it seemed that Lieutenant Braithwaite’s career had begun in the Corps’s Other-Species Communications and Cultural Contact Division, where initially it had shown great promise and an even greater impatience with its superiors. It was enthusiastic, dedicated, self-reliant, and intuitive where its work was concerned, and whether its intuition proved trustworthy, as happened in the majority of cases, or unsafe, the result was deeply stressful to those in authority. Its attempt to expedite the First Contact procedure on Keran by circumventing the philosophically conservative priesthood caused a citywide religious riot in which many Keranni were killed and injured. Thereafter it was disciplined before being transferred to a number of subordinate administrative positions, none of which proved suitable either to Braithwaite or its superiors, before coming to Sector General. For a short time it was attached to the Maintenance Department’s internal-communications section until, in an attempt to rewrite and simplify the multispecies translation program, it knocked down the main computer and left the entire hospital staff and patients unable to do anything but bark, gobble, or cheep unintelligibly at each other for several hours. Colonel Skempton had been less impressed by what Braithwaite had hoped to do than by the havoc it had caused, and was about to banish it to the loneliest and most distant Monitor Corps outpost in the Federation when O’Mara had intervened on its behalf.
Similarly, Cha Thrat’s career had been beset by personal and professional difficulties. It was the first and so far only Sommaradvan female
to qualify and practice as a warrior-surgeon, a position of great eminence in a profession which was otherwise exclusively male. Lioren was unsure of what a warrior-surgeon of that planet was supposed to be or do, but it had been able to treat successfully a member of an off-planet species, an Earth-human Monitor Corps officer very seriously injured in a flier crash, that Cha Thrat had encountered for the first time. Impressed by its surgical skills and flexibility of mind, the Corps had offered it the opportunity of training in multispecies surgery at Sector Twelve General Hospital. Cha Thrat had accepted because, unlike on its home world, the other-species doctors there would judge it on professional merit without caring whether it was male or female.
But the intense dedication and rigorous clinical disciplines of a warrior-surgeon of Sommaradva, which in many respects resembled those of Lioren’s own Tarlan medical fraternity, were not those of Sector General. Cha Thrat did not go into the details of its misdemeanors, suggesting instead that any member of the staff would be eager to satisfy Lioren’s curiosity in the matter, but the impression given was that as a trainee it had exercised its clinical initiative too freely, and too often proved its nominal superiors wrong. After one particular incident during which it had temporarily lost one of its own limbs, no ward in the hospital would accept it for training and it, like Braithwaite, had been transferred to Maintenance until a major act of insubordination warranted by the clinical situation at the time brought about its dismissal. And, again like Braithwaite, it was O’Mara who had kept Cha Thrat from leaving the hospital by recruiting it for the department.
As the conversation that was designed both to inform and to draw him out continued, Lioren felt a growing sympathy for these two entities. Like himself they had been cursed with too much intelligence, individuality, and initiative and had suffered grievously thereby.
Naturally, their crimes were insignificant compared with Lioren’s own, because they were psychologically flawed misfits rather than criminals and not fully responsible for the wrongs they had done. But were they confessing those misdeeds to him in the form of an apparently unimportant exchange of gossip, ostensibly so that he would better understand
them and the situation within the department? Or was it an attempt to assuage their own guilt by trying to help him? He could not be sure because they were concealing their true feelings, unlike himself, by talking too much rather than by remaining silent. The thought that they might not be suffering at all, that their efforts to help Lioren and their other department duties made them forget their past misdeeds came to trouble him, but he dismissed the idea as ridiculous. One could no more forget a past crime than one’s own name.
“Lioren,” Braithwaite said suddenly. “You are not eating and neither are you talking to us. Would you prefer to return to the office?”
“No,” Lioren said, “not immediately. It is clear to me that this visit to the dining hall was a psychological test and that my words and behavior have been closely observed. You have also, almost certainly as part of the test, been answering questions about yourselves without my having to ask them, some of them personal questions which I would have considered it most impolite to ask. Now I will ask one question directly of you. As a result of these observations, what are your conclusions?”
Braithwaite remained silent, but with a small movement of its head indicated that Cha Thrat was to answer.
“You have heard and will understand,” the Sommaradvan said, “that I am a warrior-surgeon forbidden to practice my true art and am not yet a fully-qualified wizard. For this reason the spells that I cast lack subtlety, as your words have already shown, and are quite transparent. There is a risk that my observations and conclusions, too, may be oversimplified and inaccurate. They are that my spell aimed at bringing you out of the seclusion of the office and your quarters to the dining hall was unsuccessful in that you reacted calmly and with no apparent emotional distress to the entities who approached you. It was unsuccessful in that it did not overcome your unwillingness to reveal personal feelings, which was another and more important purpose of the test. My conclusion is that any future visits to the dining hall should be unaccompanied unless the accompaniment be for social rather than therapeutic reasons.”
Braithwaite nodded its head in the Earth-human gesture of silent agreement. “As the subject of this partially successful test, Lioren, what are your own conclusions about it? Express your feelings about that, at least, freely as would a Kelgian, and do not spare ours.”
Lioren was silent for a moment, then said, “I feel curious as to why, in this age of advanced medicine and technology, Cha Thrat considers itself to be a wizard, unqualified or otherwise. I also feel surprise and concern regarding the personal information you have revealed to me. At the risk of being grossly offensive, I can only conclude that … Is the Psychology Department staffed with insubordinate misfits and entities with a history of emotional disturbance?”
Cha Thrat made an untranslatable sound and the Earth-human barked softly.
“Without exception,” Braithwaite said.
N
ever in all his long years as a student on Tarla and during his advanced training at Sector General had Lioren been given such a woolly-minded and imprecise set of instructions.
Surely Major O’Mara, who was reputed to possess one of the finest and most analytical minds in the hospital, should not be capable of issuing such instructions. Not for the first time Lioren wondered if the Chief Psychologist, charged as it was with the heavy responsibility of maintaining the mental health of close on ten thousand medical and maintenance staff belonging to sixty-odd different species, had been affected by one of the nonphysical physical maladies it was expected to treat. Or was it simply that Lioren, as the department’s most recent and least knowledgeable recruit, had misunderstood the other’s words?
“For my own mental clarification and to reduce the possibility of misunderstanding,” Lioren said carefully, “may I repeat my instructions aloud?”
“If you think it necessary,” the Chief Psychologist replied. From Lioren’s growing experience of reading Earth-human voice sounds and the expressions on their flabby, yellow-pink faces, he knew that O’Mara was losing patience.
Ignoring the nonverbal content of the response, Lioren said, “I am to observe Senior Physician Seldal, for as long and as often as the subject’s
duty schedule and my other work allows, without drawing attention to the fact that it is under observation. I am to look for evidence of abnormal or uncharacteristic behavior even though you are aware that, to a Tarlan BRLH like myself, normal and characteristic behavior in a Nallajim of physiological classification LSVO would appear equally strange to me. I am to do this without any prior indication of what it is that I am to look for or, indeed, if there is anything to look for in the first place. If I am able to detect such behavior, I should try, covertly, to discover the reason for it, and my report should include suggestions for remedial treatment.
“But what,” he went on when it was clear that the other was not going to speak, “if I cannot detect any abnormality?”
“Negative evidence,” O’Mara said, “can also be valuable.”
“Is it your intention that I proceed in complete ignorance,” Lioren asked, anger making him forget for a moment the deference due to a nominal superior, “or will I be allowed to study the subject’s psych file?”
“You may study it to your heart’s content,” O’Mara said. “And if you have no further questions, Charge Nurse Kursenneth is waiting.”
“I have an observation and a question,” Lioren said quickly. “This seems to me to be a particularly imprecise method of briefing a trainee on his first case. Surely I should be given some indication of what is wrong with Seldal. I mean, what did the Senior Physician do to arouse your suspicions in the first place?”
O’Mara exhaled noisily. “You have been assigned the Seldal case, and you have not been told what to do because I don’t know what to do with it, either.”
Lioren made a surprised sound which did not translate and said, “Does the possibility exist that the most experienced other-species psychologist in the hospital is faced with a case that it is incapable of solving?”
“Other possibilities you might consider,” O’Mara said, leaning back into its chair, “is that the problem does not exist. Or that it is a minor one and so unimportant that no serious harm will result if it was to be
mishandled by a trainee. It is also possible that more urgent problems are claiming my attention and this is the reason why you have been given this small and nonurgent one.
“For the first time you are being given access to the psych file of a Senior Physician,” it went on before Lioren could reply. “It might also be that, as a trainee, you are expected to discover for yourself what it was that aroused my suspicions, and in the light of your subsequent investigation to decide whether or not they were justified.”
Embarrassed, Lioren allowed his four medial limbs to go limp so that the fingertips touched the floor, the sign that he was defenseless before the just criticism of a superior. O’Mara would understand the significance of the gesture, but the Earth-human chose to ignore it and went on, “The most important part of our work here is to be constantly on the lookout for abnormal or uncharacteristic behavior in each and every member of the staff, whatever the species or circumstances, and ultimately to develop an instinct for detecting the cause of such trouble before it can seriously affect the being concerned, other staff members or patients. Are your objections based on an unwillingness to speak at length, rather than the necessarily brief conversations held in the dining hall, because the subject of your past misdeeds would be sure to come up and this would cause you severe emotional distress?”
“No,” Lioren said firmly. “Any such discomfort would be as nothing compared with the punishment I deserve.”
O’Mara shook its head. “That is not a good response, Lioren, but for now I shall accept it. Send in Kursenneth as you leave.”
The Kelgian Charge Nurse undulated rapidly into the inner office, its silvery fur rippling with impatience, as Lioren closed the door behind him and dropped into his work position with enough force to make the support structure protest audibly. The only other person in the outer office was Braithwaite, whose attention was focused on its visual display. Muttering angrily, he bent over the console to key in his personal ID and departmental authorization with the request for the Seldal material, optioning for the printed rather than the Tarlan audio translation.
“Are you addressing me or yourself?” Braithwaite asked, looking up suddenly from its work and displaying its teeth. “Either speak a little louder so I can hear you, or more quietly so I can’t.”
“I am not addressing anyone,” Lioren said. “I am thinking aloud about O’Mara and its unreasonable expectations of me. Mistakenly I assumed that I was speaking in an undertone, and I apologize for distracting you from your work.”
Braithwaite sat back in its chair, looked at the closely printed sheets that were piling up on Lioren’s desktop and said, “So he gave you the Seldal case. But there is no need to agitate yourself. If you can produce a result at all, you would not be expected to do so overnight. And if you should tire of delving into the not very murky recesses of a Nallajim Senior’s mind, the latest batch of trainee progress reports from Cresk-Sar are on your desk. I would like you to update the relevant personnel files before the end of next shift.”
“Of course,” Lioren said. Braithwaite showed its teeth again and returned to its work.
Senior Physician Cresk-Sar had been his clinical tutor during his first year at the hospital and it was still a person totally impossible to please. Reading its characteristically pessimistic report on the apparent lack of progress of the current intake of student nurses, Lioren wondered for a moment whether he should give priority to the deadly dull but important material from the Senior Tutor or to the more interesting but probably less productive psych file on Seldal. Dutifully, as befitted the most junior member of the department, he decided on the former.
A few moments later, while he was reading the clinical competence appraisal and promotion options for a Kelgian student nurse whose name was familiar to him, he abruptly changed his mind and called up the Seldal file. He began studying it so closely that he scarcely noticed the departure of Kursenneth and the arrival of a Tralthan intern who lumbered into the inner office on its six massive feet. But the noise had caused Braithwaite to look up, and Lioren made a polite, untranslatable sound designed to attract the lieutenant’s attention.
“This is interesting,” he said, “but the only parts that I fully understand
are the LSVO physiological and environmental data. I don’t know enough about Nallajim interpersonal behavior in general and Seldal in particular to be able to detect any abnormality. It would be better if I was to observe Seldal directly for a period, and talk to it if this can be done without arousing its suspicions, so that I will have a clearer idea of the entity I am investigating.”
“It’s your case,” Braithwaite said.
“Then that is what I shall do,” Lioren said, securing the Seldal and Cresk-Sar material and preparing to leave.
“And I agree,” the lieutenant said, returning to its work, “that doing anything else is preferable to wading through Cresk-Sar’s god-awful boring progress reports …”
A quick reference to the senior staff duty roster told Lioren that Seldal would be in the Melfan OR on the seventy-eighth level. Allowing for traffic density in the intervening corridors and a delay while changing into a protective envelope before taking the shortcut through the level of the chlorine-breathing Illensan PVSJs, he should be able to see the Senior Physician before it left for its midday meal.
As yet Lioren had no clear idea of what he would do or say when he was confronted with his first nonsurgical case, and on the way there was no opportunity to think of anything other than avoiding embarrassment or injury by tripping over or colliding violently with staff members.
Theoretically the entities possessing the greater medical seniority had the right of way, but not for the first time he saw a Senior belonging to one of the smaller physiological classifications take hasty evasive action when a six-limbed Hudlarian FROB Charge Nurse with eight times the body mass and an urgent task to perform bore down on it. In such cases it was reassuring to see that the instinct for survival took precedence over rank, although the ensuing contact was verbally rather than physically violent.
With Lioren, however, there was no problem. His trainee’s armband indicated that he had no rank at all and should get out of everyone’s way.
Two crablike Melfan ELNTs and a chlorine-breathing Illensan PVSJ chittered and hissed their displeasure at him as he dodged between them at an intersection; then he jumped aside as a multiply absentminded Tralthan Diagnostician lumbered heavily toward him, and in so doing accidentally jostled a tiny, red-furred Nidian intern, who barked in reproof.
Even though their physiological classifications varied enormously, the majority of the staff were warm-blooded oxygen-breathers like himself. A much greater hazard to navigation were the entities traversing what was to them a foreign level in protective armor. The local protection needed by a TLTU doctor, who breathed superheated steam and whose pressure and gravity requirements were many times greater than the environment of the oxygen levels, was a great, clanking juggernaut which had to be avoided at all costs.
In the PVSJ transfer lock he donned a lightweight envelope and let himself into the yellow, foggy world of the chlorine-breathers. There the corridors were less crowded, and it was the spiny, membranous, and unadorned denizens of Illensa who were in the majority while the Tralthans, Kelgians, and a single Tarlan, himself, wore or in some cases drove protective armor.
The greatly reduced volume of pedestrian traffic gave Lioren a chance to think again about his strangely imprecise assignment, his department, and the work that he had been sentenced to perform.
Even if he was able to prove that O’Mara’s suspicions were unfounded, investigating Seldal would be a unique experience for him. He would take the case very seriously indeed, regardless of its probable minor nature, and if his observations showed that Seldal really had a problem …
Lioren raised his four eyes briefly to offer up a prayer to his light-years-distant God of Tarla, in whose existence he no longer believed, pleading for guidance as to what was or was not abnormal behavior in one of the highly intelligent, three-legged, nonflying birdlike natives of Nallaji. He lowered his eyes in time to flatten himself against the wall as the mobile refrigerated pressure envelope belonging to an ultra-low-temperature
SNLU rolled silently toward him from a side corridor. Irritated at his momentary lapse of attention, Lioren resumed his journey.
Until now the only abnormal and dangerous behavior he had identified, and it was a type all too prevalent in the hospital, was careless driving.

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