"No," Khone replied. "But your close approach of yesterday, and in particular your physical contact with a Gogleskan, appeared to be a threat. The reaction and emission of the distress call was instinctive, not logical."
Helplessly, Conway said, "If we knew exactly what was responsible for what is clearly a species-wide panic reaction, we could try to negate it. But what is this bogeyman of yours?"
The lengthy silence which followed was broken by Wainright clearing his throat. Hesitantly, he said, "Considering the vague description, the speed and silence of its approach, and the fact that it rends and engulfs its prey, could it have been a large, airborne predator?"
Conway thought about that while he charted the nerve connections between the thin, shining tendrils lying in the coarser hair and the small, mineral-rich lobe at the center of the brain where they originated. He said, "Is there fossil evidence for such a creature? And isn’t it possible, if this memory goes back to presapient times to the period when the FOKTs were sea-dwellers, that the predator was a swimmer rather than a flyer?"
The communicator was silent for a moment; then Wainright said, "I found no evidence of large avians on the few sites I examined, Doctor. But if we are going really far back to the time when all Gogleskan life was in the oceans, then some of it was very large indeed. There is an area of seabed which was thrown up fairly recently, in geological terms, about twenty miles south of here. I deepprobed a fossil-rich section which was once a deep subsea valley, meaning to work up a computer reconstruction whenever I had a few hours to spare. It made a very confusing picture, because a large number of the fossil remains are damaged or incomplete."
"Distortion due to seismic activity, do you think?" Conway asked.
"It’s possible," the Lieutenant said doubtfully. "But my guess would be that it was inflicted by a contemporary agency. But the tape is in my room, Doctor. Shall I fetch it and see if the pictures, confusing as they are to me, jog our friend’s racial memory?"
"Yes, please," Conway said. To Khone he went on. "If the recollection is not too distressing, can you tell me the number of times you have joined with other adults in response to a real or imagined threat? And can you describe the physical, mental, and emotional stages before, during, and subsequent to a joining? I do not wish to cause you pain, but it is important that this process be studied and understood if an answer to the problem is to be found."
It was obvious that the recollection was causing discomfort to Khone, and equally plain that the healer was going to cooperate to the best of its ability. Before yesterday, it told Conway, there had been three previous joinings. The sequence of events was, firstly, the accident or sudden surprise or physical threat which caused the being endangered to emit an audible distress signal which drew all of its fellows within hearing to it as well as placing them in the same emotional state. If one being was threatened then everyone within audible range was threatened and was under the same compulsion to react, to join and overcome the threat. Khone indicated the organ which produced the signal, a membrane which could be made to vibrate independent of the respiratory system.
The thought occurred to Conway that the membrane would have been even more effective under water, but he was too busy listening to interrupt.
Khone went on to describe the sense of increased safety as the body hair of the beings wove them together, and the pleasant, exciting feeling of increased intellect and awareness as the first few Gogleskans joined and shared minds. But that feeling died as more and more beings linked up and mentation became progressively more difficult and confused until it was submerged by the one, overwhelming need to protect the group by attacking anything and everything in the vicinity. Coherent thought at the individual level was impossible.
"...When the threat has been neutralized," Khone went on, or the incident which initiated the fusion is over and even to the dim understanding of the group-entity no longer poses a threat, the group slowly breaks up. For a time the individuals feel mentally confused, physically tired, and ashamed of themselves and of the destruction they have caused. To survive as an intelligent race, every Gogleskan must strive to be a lonely person.
Conway did not reply. His mind was still trying to adjust to the sudden realization that the Gogleskans had telepathy.
CHAPTER 6
The telepathic faculty had limitations, because the distress signal which triggered the joining was an audible rather than a mental one. It had to be telepathy by touch, then. He thought of the fine tendrils concealed by the coarse cranial hair. There were eight of them, which was more than enough to make contact with those of the beings pressed tightly around during a linkup.
He must have been thinking aloud, because Khone announced very firmly that such contact with another Gogleskan was acutely painful, and that the tendrils lay alongside those of the other group members but did not touch. Apparently the tendrils were organic transmitting and receiving antennae which operated by simple induction.
But the problem with telepathic races-and there were several of them in the Galactic Federation-was that the faculty worked only between members of the same species; with other races whose telepathic equipment operated on different frequencies or who did not possess the faculty, it worked rarely if at all. Conway had had a few experiences with projective telepaths-it was thought that Earth-humans had a latent ability but had evolved away from it- and the images he had received had been of short duration and accompanied by prior mental discomfort. It was also thought that races possessing a spoken and written language rather than a mental one tended to progress further and faster in the physical sciences.
The Gogleskans possessed both, and for some reason had been stopped dead in their cultural tracks.
"Is it agreed," Conway asked, very impersonally and carefully because he was about to suggest something unpleasant, "that it is the instinctive linkup, when there is no longer a major threat to make it necessary, which is the basis of your problem? Is it further agreed that the tendrils, which are almost certainly the mechanism which initiates and maintains the group as a single entity, require close and detailed study if the problem is to be solved? However, a visual examination is not sufficient, and tests requiring direct contact would be necessary. These would include nerve conductivity measurements, the withdrawal of minute tissue samples for analysis, the introduction of external stimuli to ascertain if. . . Khone! None of these tests are painful!"
In spite of his hasty reassurance the Gogleskan was displaying signs of growing panic.
"I know that the thought of any kind of physical contact is distressing," Conway went on quickly as he thought of a new approach, beautiful in its simplicity provided the personal dangers were ignored, "because there is an instinctive reaction to anyone or anything which might be a threat. But if it were demonstrated, on the instinctive as well as the cerebral level, that I am not a threat, then it might be possible for you to overcome this instinctive reaction.
"What I propose is this..
Wainright returned while he was talking. The Lieutenant stood listening, the tape gripped tightly in his hand, until Conway had finished. Then he said in a frightened voice, "Doctor, you’re mad."
It took a much longer time to obtain the Lieutenant’s agreement than to get Khone’s, but finally Conway had his way. Wainright drew a litter from stores and the Doctor was placed on it and securely restrained with straps around the feet, legs, arms and body-the restraints had a quick-release capability which could be remotely operated by the Lieutenant; Wainright had insisted on that-and he was moved into Khone’s half of the observation compartment. The litter was set at a comfortable height for the Gogleskan healer to work, if it was able.
The idea was that if he could not physically examine Khone then the Gogleskan would examine Conway, while he was utterly helpless and incapable of any threatening behavior. It would accus torn the healer to the idea of physical examination and investigation against the time when it would be Conway’s turn. But that time, it soon became obvious, would be long delayed.
Khone approached him closely without too much distress and, under Conway’s direction, used the scanner with a fair degree of skill. But it was the instrument which touched him, not Khone itself. Conway remained absolutely still on the litter, moving only his eyes to watch Khone’s hesitant movements, or the Lieutenant, who was projecting his tape onto the big screen.
Suddenly he felt a touch, so light that it might have been a feather falling onto the back of his hand and then sliding off again. Then the touch was repeated, more firmly this time.
He tried not to move even his eyes lest Khone shy away, so he was aware from his peripheral vision of an expanse of stiff, Gogleskan hair and three of Khone’s manipulators, two of which were holding the scanner, moving along the side of his head. He felt another light touch in the area of the temporal artery; then very gently, the tip of a manipulator began exploring the convolutions of his ear.
Abruptly Khone withdrew, its membrane vibrating softly in muted distress.
Conway thought of the strength of the conditioning Khone had been fighting just to touch him the first time, and he felt an admiration for the dumpy little creature so great, and concern for its species as a whole so intense, that he found it difficult to speak for a few minutes.
"Apologies for the mental distress," Conway said finally, "but it should lessen as the contacts are repeated. But audible distress signals are being generated even though you know that I have neither the wish nor the ability to endanger you. With your agreement the external door of this compartment should be closed lest members of your species within audible range think that you are being threatened and come to join with you."
"There is understanding," Khone said without hesitation, "and agreement."
On the big screen the Lieutenant was playing back the tape which showed the dense mass of fossilized remains revealed by his deep probes, rotating the viewpoint and overlaying a scale grid so that a true idea of the shapes and sizes could be shown. Khone paid little attention to the display because, Conway realized, a species with such a primitive level of technology would not immediately comprehend the solid reality represented by a few thin lines on a dark screen. It was much more interested in the three-dimensional reality of the Doctor and it was approaching him again.
Conway, however, was intensely interested in the images on the screen.
He kept his eyes on it while two of Khone’s manipulators gently parted the hair on his scalp. To the Lieutenant, he said, "Those incomplete fossils look as if they have been torn apart, and I wouldn’t mind betting that if you ask that computer to reconstruct one of them using the data available from the Khone physiological material, you will have a recognizable presapient FOKT. But what is that.. . that overgrown vegetable hanging in the middle of them?"
Wainright laughed. "I was hoping you would tell me, Doctor. It looks like a deformed, stemless rose, with spikes or teeth growing from the edges of some of the petals, and it’s big."
"The shape doesn’t make sense," Conway said quietly as the Gogleskan shifted its attention to one of his hands. "As a mobile sea-dweller it should have fins rather than limbs, but there is no sign of streamlining along its direction of motion, or even a basic symmetry about its center of..
He broke off to answer a question from Khone regarding the hair on his wrist, and he took the opportunity of weakening the other’s conditioning a little more by suggesting that it perform a simple surgical procedure on him. It would involve removing a small area of hair, and using a fine needle in conjunction with the scanner to withdraw a small quantity of blood from a minor vein at the back of Conway’s hand. He assured Khone that the procedure would be painless and no harm would be done even if the needle were not positioned with complete accuracy.
He explained that it was the kind of test which was done countless times every day at Sector General on a wide variety of patients, and later analysis of the sample taken revealed a great deal about the condition of these patients, and in many cases, the data obtained was instrumental in curing them.
There would be very little direct physical contact involved in taking the sample, because Khone would be using the scanner, swab, scissors, and a hypodermic, he added encouragingly. Just as there would be minimal body contact if or when Conway performed similar tests on the Gogleskan.
For a moment Conway thought that he had rushed things too much, because Khone had backed away until it was pressing against the inside of the closed external door. It remained there, its hair twitching while it fought another battle with its conditioning, then it slowly returned to the litter. While he waited for it to speak, Conway took a quick look at the amazingly lifelike picture which was taking form on Wainright’s screen.
The Lieutenant had incorporated in the display all of the FOKT data as well as information he had gleaned earlier on the subsea vegetation of prehistoric times. The fossil remains, which the computer had reconstructed as slightly smaller versions of present-day Gogleskans, lay singly and in small, linked groups among the gently waving marine vegetation, lit by bright, greenish yellow sunlight which filtered down from the wave-wrinkled surface above. Only in the enormous, roselike object which lay in the center of the picture was there a lack of detail. An idea about it began to take shape at the back of Conway’s mind, but Khone spoke suddenly before it could form.
The Gogleskan was still not taking any interest in the screen.
"If this test were to cause pain," Khone asked, "what would be the procedure then? And would it be preferable, in the present circumstances, for the blood sample to be taken by and from oneself?"
A helpful but cautious entity, this Khone, Conway thought, trying not to laugh. He said, "If a procedure is expected to cause discomfort, a quantity of the material contained in one of the phials colored in yellow and black diagonal bands is withdrawn and injected into the site. The quantity required is dependent on the period and degree of discomfort which one is expecting to cause.
"The material concerned is a painkiller for my species," he went on, "as well as a muscle relaxant. But it is not required in this instance . .
While he continued to give the directions for withdrawing the blood sample, he told Khone that it was much easier to perform such work on a subject other than oneself. He did not, at that time, make any mention of the fact that if he was to obtain a specimen of FOKT blood from Khone, the first thing he would have wanted to discover was if the yellow and black marked medication, or one of the other similar preparations in his supply, was suited to the Gogleskan metabolism. If one of them was suitable and there was an opportunity of injecting it, Khone would be left in such a painfree, relaxed, and massively tranquilized state that subsequent and more revealing tests would have been no problem at all.
A muscle relaxed, he thought, his eyes going back to Wainright’s display, as opposed to a muscle in spasm!...
The large object centering the screen lacked the symmetry and structural repetition of a vegetable-it looked like a sheet of paper which had been crushed and twisted into a loose ball. But if that idea was correct, the predator must have pulled itself into that shape. Conway shivered in spite of himself.
That Gogleskan venom was potent stuff.
To Wainright, he said quickly, "How does this sound? The FOKT fossils were those beings who did not survive the initial attack of the creature, and some of them are linked, indicating that they were part of a larger group. This FOKT group-entity attacked or defended itself against the predator with its stings, all of them. The quantity of venom injected must have sent the beastie into multiple muscular spasm, and it must have literally tied itself into a knot as it died. Can you get your computer to unravel that knot?"
Wainright nodded, and soon the twisted, convoluted shape at the center of the screen was surrounded by a fainter image of itself which was slowly unfolding. This had to be the answer for that weird shape, Conway thought, because nothing else made sense. Occasionally he asked for expanded views of the enormous fossil’s skeletal structure, and each one supported his theory. But the Lieutenant was forced to reduce the size several times as the ghostly, unfolding image overran the edges of the screen.
"It’s beginning to look like a bird," Wainright said. "Parts of the wing are very fragile. In fact, it seems to be all wing."
"That’s because the fossil remains are of the skeleton and skin only," Conway replied. "There must have been almost total wastage of muscle and soft tissue which was attached to that bone structure. In the areas where you are indicating the wing. . . Now you’ve got me thinking of it as a bird. . . The wing thickness should be increased by a factor of five or six. But with that bone structure the wing could not have been rigid. I’d say that it undulated rapidly rather than flapping, and propelled the beastie forward at great speed. And that lateral split in the wing inboard leading edges is interesting. It reminds me of the engine intakes of the old jet aircraft, except that these intakes have teeth . .
He broke off because Khone was jabbing hesitantly at the back of his hand with the hypo. For the first time Conway understood what a patient had to go through at the hands of a trainee medical technician.
"The jointing at the base of the wings," he went on when the Gogleskan had found the proper vein, "suggests that the mouths on the wing leading edges opened and closed as it swam, eating everything that got in its way and passing the food through two alimentary canals to the stomach housed in that cylindrical bulge along the center line. The tegument was thicker along the leading edges, and probably sting-proof, and the stomach was probably capable of dealing with the FOKT venom even though it is lethal when injected through softer areas of tegument into the bloodstream.
"The only defense the FOKTs could offer was to link up and present themselves as a solid wall in its path," he continued excitedly. "Quite a few of them would die before the group entity folded around the predator and stung it to death. The incomplete fossil remains indicate that. But I hate to think of what it must have been like for the group-members as a whole while they were mentally linked to their dying friends..
He cringed inwardly as he thought of how they all must have suffered, and died, every time one of their group did so. And they would have done so many times if the predator’s attacks were a regular occurrence. What was worse, prior to an attack they all knew what was ahead of them through the minds of previous survivors- all the fear and pain and multiple dying by proxy.
At last he understood the severity of the racial psychosis which gripped the whole Gogleskan species. As individuals they feared and hated a joining, or any close physical or mental contact or cooperation which might lead to the possibility of a linkup. Subconsciously to join was to suffer remembered pain, pain which could only be assuaged by a blind, berserker rage which in turn blotted out the capacity to think or to control their actions. Their fear of that particular species of predator must have been extreme, and even though their old enemy was extinct or was still a sea-dweller, they had not been able to forget it or develop a less self-defeating method of self-defense.
The main trouble was that the defense mechanism was so hypersensitive, even after the elapsed millennia since it was needed, that it could be triggered by an imagined or potential threat as well as an actual one.
Khone had finally completed withdrawing the blood sample. The back of Conway’s hand felt like a pincushion, but he said highly complimentary things about the FOKT healer’s first off-planet surgical procedure, and meant every word of them. While the other was carefully transferring the contents of the syringe into a sterile phial, he returned his attention to the screen.
The creature was completely unfolded now, and the Lieutenant had reduced the image again so that it would fit within the limits of the screen. Wainright had also added all the available data and theory on coloration, probable method of locomotion, and the wing-synchronized mouth and teeth movements. It moved slowly in the center of the big screen, a vast, dark gray, dreadful shape more than eighty meters across, undulating and flapping ponderously like an enormous, Earthly stingray, sucking in, tearing apart, and eating everything in its path.
This was the Gogleskan nightmare from their prehistoric past, and the figures of the reconstructed FOKT fossils were tiny blobs of color near the lower edge of the screen.
"Wainright!" Conway said urgently. "Kill that picture!..
But he was too late. Khone, its work completed, had turned to look at the screen-and was confronted with the three-dimensional picture of a moving and seemingly living creature which up until then had inhabited only its subconscious. In the confined space of the compartment its distress call was deafening.
Conway cursed his own stupidity as the panic-stricken Gogleskan stumbled about the floor within a few feet of his litter. Khone had shown little interest in the display when it had been a collection of fine lines, since it lacked the experience to appreciate the three-dimensional reality which they represented. But the Lieutenant’s final picture was much too realistic for any Gogleskan to view and remain wholly sane.
He saw the FOKTs dumpy body come toward him, then lurch past. Its multicolor hair was standing on end and twitching, its four stings were fully extended, dropletes of venom oozing from the tips, but the sound coming from its membranes seemed fractionally less deafening. Conway lay rigid, not even swiveling his eyes as the being moved away and then came back again.
The reduction in the volume of its distress call made it obvious that Khone was fighting its conditioning and Conway had to help it in the only way possible, by remaining absolutely motionless. Out of the corner of his eye he saw the Gogleskan stop, one of its stings only inches away from the side of his face and the stiff, bristling hair touching his coveralls. He could feel its breath puffing gently across his forehead and smell the faint, peppermint smell which seemed to be its body odor. Khone was trembling, whether with fear at the Lieutenant’s display or in indecision over whether or not to attack, Conway did not know.
If he stayed absolutely still, he told himself desperately, he should not represent a threat. If he moved, however, he knew with a dreadful certainty that the Gogleskan would sting him, instinctively, without thinking. But there was another aspect of the FOKT behavior pattern which he had forgotten.
They blindly attacked enemies, but any being who was not a threat and had managed to remain in such close physical proximity as Conway had done had to be a friend.
At times like this, friends linked up.
Conway was suddenly aware of the stiff bristles scratching against his clothing and trying to weave themselves into the fabric of his coveralls in the area of his neck and shoulder. The sting was still too close to the side of his face for comfort, but somehow it seemed to be less threatening. He held absolutely still, anyway. Then he saw, clearly because it was moving just two inches above his eyes, one of the long, fine tendrils. He felt it fall, feather-light, across his forehead.
A Gogleskan joining was mental as well as physical, Conway knew, but he did not foresee any more success for the telepathic linkup than for the physical one.
He was wrong.
It began as a deep, unlocalized itch inside his skull, and if his hands and arms had not been immobilized he would have been poking desperately at his ears with his fingers. He was aware, too, of a maddening confusion of sounds, pictures, and feelings which were not his own. He had experienced the same sensation many times, after taking extraterrestrial physiology tapes at the hospital, but on those occasions the alien impressions had been coherent and orderly. He felt now as if he were watching a tri-di show with sensory augmentation when the channel selector control was malfunctioning. The bright but chaotic images and impressions became more intense, and he wanted to close his eyes in the hope that they would go away, but he dared not even blink.
Suddenly the picture held steady and the feelings were sharp and clear, and for a few seconds Conway knew what it was like to be the intensely lonely and intellectually frustrated entity that was an adult Gogleskan. The breadth of intelligence and sensitivity of Khone’s mind awed him, and he was aware of the many ways in which the Gogleskan healer had used that mind, long before the Monitor Corps or Conway had arrived on Goglesk, to fight and circumvent the mind-destroying conditioning which their evolution had imposed on them.
He was sure, because he was in Khone’s mind and the healer was sure, that its mind was nothing extraordinary so far as FOKT mental capacity was concerned. But their high intelligence could not be shared except by the slow, impersonal, and imprecise spoken language, and a true meeting of minds was possible only during the brief period between the initial linkup and the coarsening and confusion of intellect which immediately followed it. His admiration for this individual member of a race of intensely reluctant individualists was great indeed.
There is no coarsening or loss of definition in the thoughts we are exchanging.
The words which appeared in Conway’s mind were overlaid by feelings of pleasure, gratitude, curiosity. . . and hope.
The process of establishing the mental linkup between your people must trigger an area of your endocrine system which desensitizes the entire cerebral process, probably to reduce the pain which was suffered in prehistoric times following a linkup and during the predator attack. But I am not a Gogleskan, so the desensitizing mechanism is absent. However, a precise study of the endocrinology involved should be undertaken without delay and the gland isolated, and if surgical intervention is indicated.
Too late he realized where that line of thought was taking him and the wide-and to Khone frightening-surgical associations it opened up. With a tremendous mental effort the Gogleskan had adapted to the close presence and physical contact with an offworlder, and Conway knew precisely how much of an effort that had been. But now the healer was sharing Conway’s mind, sharing his thoughts and feelings and experience of entities who staffed or were being cured at Sector General and who made the seagoing nightmare from Goglesk’s past seem like a domestic pet by comparison.
Khone could not take it, and its distress signal, which had grown quieter over the past few minutes, roared out again at full, frantic intensity. But the little being was maintaining contact in spite of the alien nightmare its thought tendril was receiving, and Conway was suffering with it.
He tried to think reassuring thoughts, tried to make the Gogleskan’s mind as well as his own change the mental subject. He had blinked several times but had otherwise remained still, and he thought, or rather he hoped, that Khone would continue to treat him as an immobile and helpless nonthreat. But was it his imagination or had Khone’s appearance changed suddenly?
The stiff, multicolor hair was more clearly defined and the nearest sting had developed new highlights. For a moment his fear became even greater than Khone’s as he realized what was happening.
"No, don’t’ he began, as loudly as he could without moving his lips. But the Gogleskan membrane was vibrating too loudly for Wainright to hear him.
"I’ve opened the outer door, Doctor," the Lieutenant shouted, the communicator volume turned high so that he would be heard over the noise Khone was making. "I’m cutting your restraints, now. Get out of there!"
"I’m not in danger," Conway called, but his voice was drowned out by that earsplitting distress signal and the overamplified Wainright. And he was lying anyway, because when the straps dropped away he was in terrible danger.
He was potentially mobile again, no longer helpless, and had therefore become a threat.
In the instant before the tendril was withdrawn Conway knew that Khone did not want to sting him, but that made no difference at all to what was a purely reflex action. As he rolled desperately onto the floor, he felt the jab of the blunt point of the sting thudding into his shoulder. One of his ankles was entangled in the foot restraints as he tried to crawl away, and another jab tore his coveralls and scratched his thigh. Again he tried to crawl toward the outer entrance, but first his arm and then his leg doubled up in muscular spasm, and he toppled onto his side, unable to move and facing the transparent partition. The two affected limbs seemed to be on fire.
The muscles in his neck and in the area of the scapula were knotting in cramp, and the fire was spreading from the hip puncture to the abdominal muscles. He wondered if the venom would affect the involuntary muscle systems as well, specifically those operating his heart and lungs. If it did then he had not long to live. The pain was so intense that the thought did not frighten him as badly as it should have. Desperately he tried to think of something he should do before he passed out.
"Wainright he began weakly.
Khone’s distress call had reduced in volume, and the healer had not tried to sting him again-obviously he was no longer a threat. The Gogleskan stood a few feet from him, its hair agitated by its stings lying flat against its head, looking like a harmless multicolored haystack. He tried again.
"Wainright," he said slowly and painfully. "The yellow and black phial. Inject all of it..
But the Lieutenant was not at the other side of the partition, and the connecting door was still closed. Maybe Wainright intended coming around to the external door to drag Conway out, but he could not move himself around to see. It was becoming difficult to see anything.
Before he passed out, Conway was aware of regular fluctuations in the lighting which reminded him of something. A heavy power drain, he thought weakly, of the kind required to punch a signal through hyperspace...
CHAPTER 9
He seemed to be attached to every sensor and monitoring device in the unit, Conway thought as he looked up at the displays from the unfamiliar viewpoint of a patient, and luxuriated in the feeling of his limbs stretched to full extension and free of the excruciating cramp. He moved his eyes to see Prilicla regarding him from its position on the ceiling and the figures of Murchison and Naydrad at one side of his bed, also looking down at him. Between them was a large eye supported by a long tubular appendage which had been extruded by Danalta with the same purpose in mind. Conway moistened his lips.
"What happened?" he said.
"That," Murchison said, "is supposed to be the second question. The first is ‘Where am I?’
"I know where I am, dammit. On the casualty deck of Rhabwar. And why am I still wired up to that thing? Surely you can see that the biosensors are indicating optimum levels on all vital functions. What I want to know is how I got here."
The pathologist breathed gently through her nose. "Mentation and memory seem unimpaired, and you are your usual shorttempered self. But you must rest. The Gogleskan venom has been neutralized, and in spite of what the displays are showing, there is marked physical debility and the likelihood of delayed shock as a result of severe mental trauma. Massive rest is indicated, at least until we return to the hospital and you are given a thorough checkout.
"And don’t think you can pull your Senior Physician’s rank on me to get up," she said sweetly as Conway opened his mouth to do just that. "In this instance you are the patient and not the doctor, Doctor."
"This is a good time," Prilicla broke in at that moment, "for us to withdraw and so enable you to get the rest you require, friend Conway. We are all feeling pleased and relieved that you are recovering, and I think it would be less exhausting for you if we left and allowed friend Murchison to answer your questions.
Prilicla scuttled across the ceiling toward the entrance, Naydrad growled something which did not translate and followed the empath, and Danalta withdrew its eye support limb, stabilized as a dark green, lumpy ball, and rolled after them. Murchison began removing the unnecessary biosensors and switching off the monitors, silently and with more concentration than the work warranted.
"What did happen?" he asked quietly. When there was no response he went on. "That venom, I was trying to tie myself into knots. I wanted Wainright to inject the muscle relaxant, but he wasn’t there. Then I seem to remember the lights dimming, and I knew he was using the hyperspace radio. But I didn’t expect to wake up on Rhabwar..
Or wake up ever again, he finished silently.
Still without looking at him she explained that the ambulance ship had been testing new equipment just beyond the Jump distance from Sector General, and with the full medical team on board. Because they knew the exact coordinates of Goglesk when the Lieutenant’s hypersignal came in, they were able to emerge close to the planet, with their lander ready to launch, and they had been able to reach him in just under four hours.
They had found him still trying to tie himself in knots, but the muscular spasm had been reduced significantly by a massive dose of the relaxant DM82, so the knots were loose enough for him not to have broken any bones or torn any muscles or tendons. He had been very lucky.
Conway nodded and said seriously, "So the Lieutenant was able to get to me with the muscle relaxant in time. I’d say with seconds to spare.
Murchison shook her head. "It was the native Gogleskan, Khone, who administered the DM82. After damn well nearly killing you, it saves your life! It kept asking if you would be all right when we were taking you away, shouting at us until the entry port was sealed. You make some peculiar friends, Doctor."
"It had to make a tremendous mental effort to give me that shot," Conway said, "a bigger effort, perhaps, than I could have made in similar circumstances. How close did it come while you were transferring me to the lander?"
Murchison thought for a moment, then said, "When Lieutenant Haslam, who was piloting, and I met Wainright at the lock, it came to within twenty meters. When Naydrad, Prilicla, and Danalta came out with the litter, it became nervous and moved back to about twice that distance. Wainright told us what had happened between it and you, but we did not act or say anything which could be construed as hostile even though, personally, I would have liked to give it a quick kick in whatever it uses as a gluteus maximus for what it did to you. Maybe it simply feared retribution."
"Knowing its feelings as I do," Conway said seriously, "I think it would have welcomed retribution."
Murchison breathed through her nose once again and sat down on the edge of the litter, twisting around so as to face him and placing her hands on the pillow beside his shoulders. Her face lost its cool, clinical expression and she said shakily, "Damn you, Doctor, you nearly got yourself killed."
Suddenly her arms were around him and her face was close to his. Conway moved his head away quickly, without thinking. She straightened up, looking surprised.
"I’m m not feeling like myself today," he said. Again without thinking he had used the stock phrase which, at Sector General, was the acceptable excuse for strange or uncharacteristic behavior.
"You mean," she said furiously, "that you’ve an Educator tape riding you, and O’Mara sent you to Goglesk without erasing it? What are you carrying, a Tralthan, a Melfan? I know both of those species consider the Earth-human female body to be something less than desirable. Or did you volunteer to take an Educator tape on vacation? Some vacation!"
Conway shook his head. "It isn’t a physiology tape, and O’Mara had nothing to do with it. There was a very close, and quite intense, telepathic contact with Khone. It was unexpected, an accident, but the Gogleskan FOKT classification has some remarkable behavior characteristics which include . .
Before Conway could stop himself he was describing the whole Gogleskan situation and his experience with the town-wrecking group entity and with Khone as an individual. As one of the hospital’s leading pathologists, second only to the great Thornnastor itself, her professional interest should have been aroused, and it would be, in time. But right then it was obvious that she was not thinking about anything except the state in which she had found Conway a few hours earlier.
"The important thing," she said, trying to smile, "is that you don’t want anyone to come close to you, unless it looks like a multicolor haystack. As an excuse it certainly beats having a headache."
Conway smiled back. "Not at all. Bodily contact can be made without initiating a Joining, at any time, provided the intention is associated with reproduction." He reached up with one hand, and with the palm pressed gently against the back of her neck he pulled her face down toward his. "Would you like to rerun that last bit again?"
"You are severely debilitated," she said, looking relieved and trying to duck from under his hand-but not working very hard at it. Conway spread his fingers through her hair and did not let go even when their faces were only a few inches apart. She went on softly. "You’re making an awful mess of my hair."
Conway slipped his other hand around her waist and said, "Don’t worry. It makes you look much more like a desirable haystack. .
He had no discomfort and he did not feel particularly debilitated, but suddenly he began to shake as the delayed shock from the Khone incident hit him, and with it the memory of those excruciating muscle spasms and the knowledge of just how close to death he had been. She held him tightly until the shaking had stopped, and for a long time afterward.
They both knew that the gentle and understanding Prilicla, from its quarters two decks above them, was aware of the emotional radiation of every being in the ship. The telepath would ensure that nobody interrupted them until curative therapy was concluded.
It was ten hours later-Rhabwar had not needed to break any records on the return trip-that they locked on to the Casualty Admission Port on Level 103. Charge Nurse Naydrad, who could be fanatical at times about the regulations, insisted on bringing him into the observation ward on the litter. Conway was equally insistent about sliding back the canopy and sitting up during the transfer, to reassure the Earth-human and extraterrestrial colleagues who were waiting inside the entry port to inquire worriedly about his condition. Murchison had left him to make her report to Thornnastor, and Prilicla had gone on ahead to escape the somewhat turbulent emotional radiation being generated in the vicinity of Conway’s litter.
But it took less than an hour in the observation ward for the Physician-in-Charge and its staff to complete their examination and agree with Conway’s self-diagnosis that he was in all respects physically fit.
An hour later he was in the office of Major O’Mara, who was not overly concerned with things physical.
"This is not the usual Educator tape impression," the Chief Psychologist said when Conway had described his experiences with Khone. "Normally a tape contains the complete mind record of the being who donated it, and in spite of the psychological tricks which the recipient plays on himself or itself, the taped-in personality of that of the being receiving the tape is completely distinct. The recording is not subject to alteration. For this reason an erasure can be performed without any ill-effects on the recipient’s personality or mental state. But you, Doctor, had a full, two-way exchange with this Khone character, which means that you have assimilated a fairly large body of memories, feelings, and thought processes into the Conway mind matrix and, God help its future sanity, Khone has been impressed with quite a lot of your material, and the minds of both parties were aware of and were modified by the process. For this reason I cannot see any way that we can selectively remove the Gogleskan material without the risk of personality damage. In psychological terms there has been feedback from both minds.
"There is a possibility, a small one," O’Mara went on gruffly, "that if Khone could be persuaded to come here and donate its own Educator tape for study, something could be tried which-"
"It wouldn’t come," Conway said.
"Judging by what you’ve told me, I’m inclined to agree," the Chief Psychologist said, a tinge of sympathy creeping into his tone. "This means that you are stuck with your Gogleskan alter ego, Conway. Is it.. . bad?"
Conway shook his head. "It is no more alien than a Melfan tape, except that there are times when I’m not sure whether it is Khone or myself reacting to a given situation. I think I can handle it without psychiatric assistance."
"Good," O’Mara said dryly, and added, "You’re afraid the treatment might be worse than the condition, and you’re probably right."
"It isn’t good," Conway said firmly. "The Gogleskan business, I mean. Their whole species is being held back by what amounts to a racial conditioned reflex! We will have to do something about that berserker group-entity problem."
"You will have to do something about it," O’Mara said, "between a few other jobs we have lined up for you. After all, you are the Senior Physician with the most knowledge of the Gogleskan situation, so why should I assign anyone else? But first, I assume you found a little time between wrecking Gogleskan towns and being stung nearly to death by your FOKT colleague to decide whether or not you want to try for Diagnostician? And that you discussed some of the, er, ramifications with your personal pathologist?"
Conway nodded. "We’ve discussed it, and I’ll give it a try. But these other jobs you mentioned, I’m not sure that I’m able to-"
The Chief Psychologist held up a hand. "Of course you are able. Both Senior Physician Prilicla and Pathologist Murchison have pronounced you in all respects psychologically and physically fit." He looked steadily at Conway’s reddening face for a moment, then added, "She did not go into detail, just said that she was satisfied. You have another question?"
Warily, Conway asked, "How many other jobs?"
"Several," O’Mara replied. "They are detailed in the tape which you can pick up from the outer office. Oh, yes, Doctor, I expected you to decide as you have done. But now you will have to accept a greater measure of responsibility for your diagnoses, decisions, and treatment directives than you have been accustomed to as a Senior Physician, and for patients which only your subordinates will see unless something goes badly amiss. Naturally, you will be allowed to seek the help and advice of colleagues at Diagnostician or any other level, but only if you can satisfy me, and yourself, that you can no longer proceed without such assistance.
"Knowing you, Doctor," he added sourly, "it would be difficult to say which of us would be harder to satisfy on that point."
Conway nodded. It was not the first time that O’Mara had criticized him for being too professionally proud, or pigheaded. But he had been able to avoid serious trouble by also being right on most of the occasions. He cleared his throat.
"I understand," he said quietly. "But it still seems to me that the Gogleskan situation requires early attention."
"So does the problem in the FROB geriatric unit," O’Mara said. "Not to mention the urgent need to design accommodation for a pregnant Protector and its offspring, as well as sundry teaching duties, lectures in theater, and any odd jobs which may come up and for which your peculiar qualities suit you. Some of these problems have been with us for a long time, although not, of course, for as many thousands of years as those of your Gogleskan friends. As a would-be Diagnostician you also have the responsibility for deciding which case or cases should be given priority. After due consideration, of course."
Conway nodded. His vocal chords seemed to have severed communications with his brain while it tried to absorb all the implications of a multiple assignment the individual sections of which were just this side of impossible. He knew of some of those problems and the Diagnosticians who had worked on them, and the hospital grapevine had carried some bloodcurdling accounts of some of the failures. And now, for the period of assessment as acting Diagnostician, the problems were his.
"Don’t sit there gaping at me," O’Mara said. "I’m sure you can find something else to do."
CHAPTER 10
It was an unusual meeting for Conway in that he was the only medic present-the others were exclusively Monitor Corps officers charged with the responsibilities for various aspects of hospital maintenance and supply, and Major Fletcher, the Captain of the Rhabwar. It was doubly unusual in that Conway, wearing his goldedged acting Diagnostician’s armband with a nonchalance he did not feel, was solely and completely himself.
There were no Educator tapes which could help him with this problem, only the experience of Major Fletcher and himself.
"The initial requirement," he began formally, "is for accommodation, food supply, and treatment facilities for a gravid FSOJ life-form better known to some of us as one of the Protectors of the Unborn. It is an extremely dangerous being, nonintelligent in the adult stage, which on its home planet is continuously under attack from the time it is born until it dies, usually at the tentacles and teeth of its last-born. Captain, if you please .
Fletcher tapped buttons on his console, and the briefing screen lit with the picture of an adult Protector taken during one of Rhabwar’s rescue missions, followed by material on other FSOJs collected on their home world. But it was the way that the Protector’s snapping teeth and flailing tentacles warped and dented the ambulance ship’s internal plating which caused the watchers to grunt in disbelief.
"As you can see, Conway resumed, "the FSOJ is a large, immensely strong, oxygen-breathing life-form with a slitted carapace from which protrude those four heavy tentacles and a tail and head. The tentacles and tail have large, osseous terminations resembling organic spiked clubs, and the principal features of the head are the recessed and heavily protected eyes, and the jaws. You will also note that the four stubby legs which project from the underside of the carapace possess bony spurs which make these limbs additional weapons of offense. On their planet of origin all of these weapons are needed.
"Their young remain in the womb until physical development is sufficiently advanced for them to survive birth into their incredibly savage environment, and during the embryo stage they are telepathic. But this aspect of the problem is not in your area.
"Constant and savage conflict is such a vital part of their lives," Conway went on, "that they sicken and die without it. For that reason the preparation of accommodation for this life-form will be much more difficult than any you have been asked to provide hitherto. The compartment will have to be structurally robust. Captain Fletcher, here, will be able to give you information on the beastie’s physical strength and degree of mobility, and if he sounds as if he is exaggerating, believe me, he is not. The cargo chamber on Rhabwar had to be completely rebuilt after the FSOJ had been confined in it during an eleven-hour trip to the hospital."
"My tibia needed repairing, too," Fletcher said dryly.
Before Conway could go on there was another interruption. Colonel Hardin, who was the hospital’s Dietician-in-Chief, said, "I get the impression that your FSOJ fights and eats its food, Doctor. Now, you must be aware of the rule here that live food is never provided, only synthesized animal tissue or imported vegetation if the synthesizers can’t handle it. Some of the food animals used in the Federation bear a close resemblance to other sentient Galactic citizens, many of whom find the eating of nonvegetable matter repugnant and-"
"No problem, Colonel," Conway broke in. "The FSOJ will eat anything. Your biggest headache will be the accommodation, which is going to resemble more closely a medieval torture chamber than a hospital ward."
"Are we to be given information regarding the purpose of this project?" asked an officer whom Conway had not seen before. He wore the yellow tabs of a maintenance specialist and the insignia of a major. He smiled as he went on. "It would help guide us in the initial design work, as well as satisfying our curiosity."
"The work is not secret," Conway replied, "and the only reason I would not like it to be discussed widely is that we may fall short of our expectations. This, considering the fact that I have been given charge of the project, could cause personal embarrassment, no more than that.
"Continuous conception takes place within every member of this species," he went on briskly, "and the intention is to closely study this process with the ultimate aim of inhibiting the effects of the mechanism which destroys the sentient and telepathic portion of the embryo’s brain prior to its birth. If a newly born Protector retained its sentience and telepathic faculty, it could in time communicate with its own Unborn and, hopefully, establish a bond which would make it impossible for them to harm each other. We will also be trying to gradually reduce the violence of the environmental beating they take and stimulate, medically rather than physically, the release of the complex secretions which are triggered by this activity. That way they should gradually get out of the habit of trying to kill and eat everything they see. Also, the answers we find must enable the FSOJs to continue to survive on their frightful planet, and help them escape from the evolutionary trap which has rendered impossible any chance of the species’ developing a civilized culture."
They have a lot in common with the Gogleskans, he thought. Smiling, he added, "But this is one of my problems. Another is making sure that you fully understand yours."
There followed a long and at times overheated discussion at the end of which they understood all of the problems-including the need for urgency. Their captive Protector could not be held indefinitely in the old Tralthan Observation Ward on Level 202 with a couple of FROB maintenance engineers taking turns at beating it with metal bars. The two Hudlars, despite their immense strength and fearsome aspect, were kindly souls, and the work-in spite of constant reassurances that the activity was necessary for the Protector’s well-being-was causing them serious psychological discomfort.
Everybody had problems, Conway thought. But his own most immediate one, hunger, was easily solved.
He had timed his visit to the dining hall to coincide with the meal schedule of Rhabwar’s medical team, primarily to see Murchison, and he found Prilicla, Naydrad, and Danalta with her at a table designed for Melfan ELNTs. The pathologist did not speak until he had finished tapping out his food selection, an enormous steak with double the usual accessories.
"Obviously you are still yourself," she said, looking enviously at his plate, "or your alter egos are nonvegetarian. Synthetics are still fattening, you know. Why is it you don’t grow an abdomen like a pregnant Crepellian?"
"It’s my psychological approach to eating which is responsible," Conway said with a grin as he initiated major surgery on the steak. "Food is simply a fuel which has to be burned up. It must be obvious to you all that I am not enjoying this."
Naydrad made an untranslatable Kelgian noise and continued eating. Prilicla maintained its stable hover above the table without comment, and Danalta was in the process of growing a pair of Melfan manipulators while the rest of its body resembled a lumpy green pyramid with a single eye on top.
"I’m still myself," he said to Murchison, "with just a shade of Gogleskan FOKT. I’ve been given the Protector case, among others, and that is what I wanted to talk to you about. Temporarily I’m an acting Diagnostician, with full responsibility and authority regarding treatment, and may call on any assistance I require. I do need help, badly, but I don’t know exactly what kind as yet. Neither do I want to pester other Diagnosticians, even politely, and certainly not the Diagnostician-in-Charge of Pathology. So I shall have to be devious and approach Thornnastor through you, its chief assistant, to get the sort of advice I need."
Murchison watched his refueling operation for a moment without speaking, then she said seriously, "You don’t have to be circumspect with Thornnastor, you know. It badly wants to be involved in the Protector case, and would have been placed in charge if it hadn’t been for the fact that you were the Senior with firsthand experience of the beastie, and you were already being considered for Diagnostician status. Thorny will be happy to assist you in every way possible.
"In fact, if you don’t ask for its help," she ended, smiling, "our Chief of Pathology will walk all over you with its six outsize feet."
"I, too, would like to assist you, friend Conway," Prilicla joined in. "But considering the massive musculature of the patient, my cooperation will not be close."
"And I," Danalta said.
"And I," Naydrad said, looking up from the green mess which its Kelgian taste buds were finding so delectable, "will continue doing as I’m told."
Conway laughed. "Thank you, friends." To Murchison, he said, "I’ll go back to Pathology with you and talk to Thornnastor. And I’m not proud. If I were to mention the Gogleskan problem, and the FROB geriatrics, and the other odds and ends which-"
"Thornnastor," Murchison said firmly, "likes to know, and stick its outsize olfactory sensor into everything."
He felt much better after the meeting with the Chief of Pathology which, because the Tralthan’s waking and sleeping cycle was much longer than that of an Earth-human, took the remainder of his duty period. Thornnastor was the biggest gossip in the hospital; it just could not keep any of its mouths shut, but its information on virtually every aspect of extraterrestrial pathology, as well as in many areas not considered to be within its specialty, was completely dependable.
Thornnastor wanted to know everything, and it was certainly not reticent, about anything.
"As you are already aware, Conway," it said ponderously as he was about to leave, "we Diagnosticians are generally held in high regard among the members of our profession, and the respect shown us, insofar as it can be shown in a madhouse like this, is tempered by pity for the psychological discomfort we experience, and an almost lighthearted acceptance of the medical miracles we produce.
"We are Diagnosticians and, as such, medical miracles are expected of us," the Tralthan went on. "But the production of true medical miracles, or radical surgical procedures, or the successful culmination of a line of xenobiological research, can be personally unsatisfying to certain types of doctor. I refer to those practitioners who, although able and intelligent and highly dedicated to their art, require a fair apportionment of credit for the work they do."
Conway swallowed. He had never before heard the Diagnosticianin-Chief of Pathology talk to him like this, and the words would have been more suited to a lecture on his personal shortcomings from the Chief Psychologist. Was Thornnastor, knowing of his fondness for reaching solutions and initiating treatments with the minimum of consultation, suggesting that he was a grandstander and was therefore unsuitable material for a Diagnostician? But apparently not.
"As a Diagnostician one rarely obtains complete satisfaction from producing good work," the Tralthan went on, "because one can never be wholly sure that the work performed or the ideas originated are one’s own. Admittedly the Educator tapes furnish other-species memory records only, but purely imaginary personality involvement with the tape donor leaves one feeling that any credit due for new work should be shared. If the doctor concerned is in possession of three, five, perhaps ten, Educator tapes, well, the credit is spread very thinly."
"But nobody in the hospital," Conway protested, "would dream of withholding the credit due a Diagnostician who had-"
"Of course not," Thornnastor broke in. "But it is the Diagnostician itself who withholds the credit, not its colleagues. Unnecessarily, of course, but that is one of the personal problems of being a Diagnostician. There are others, for the circumvention of which you will have to devise your own methods."
All four of the Tralthan’s eyes had turned to regard Conway, a rare occurrence and proof that Thornnastor’s vast mind was concentrating exclusively on his particular case. Conway laughed nervously.
"Then it is high time I visited O’Mara to take a few of those tapes," he said, "so that I will have a better idea of what my problems will be. I think initially a Hudlar tape, then a Melf and a Kelgian. When I’m accustomed, if I ever become accustomed to them, I’ll request some of the more exotic...
"Some of the mental stratagems used by my colleagues," Thornnastor continued ponderously, ignoring the interruption, "are such that they might conceivably tell their life-mates about them, but certainly no person with a lesser relationship. In spite of my overwhelming curiosity regarding these matters, they have not confided in me, and the Chief Psychologist will not open its files."
Two of its eyes curved away to regard Murchison and it went on. "A few hours’ or even days’ delay in taking the tapes is not important. Pathologist Murchison is free to go, and I suggest that you take full advantage of each other while you are still able to do so without otherspecies psychological complications."
As they were leaving, Thornnastor added, "It is the Earthhuman taped component of my mind which has suggested this..
CHAPTER 11
The theory is that if you are to accustom yourself to the confusion of alien thought patterns," O’Mara growled at him as Conway was still rubbing the sleep out of his eyes, "it is better in the long run to confuse you a lot rather than a little at a time. You have been given the tapes during four hours of light sedation, during which you snored like a demented Hudlar, and you are now a fiveway rugged individualist.
"If you have problems," the Chief Psychologist went on, "I don’t want to know about them until you’re absolutely sure they’re insoluble. Be careful how you go and don’t trip over your own feet. In spite of what your alter egos tell you to the contrary, you only have two of them."
The corridor outside O’Mara’s office was one of the busiest in the hospital, with medical and maintenance staff belonging to a large variety of physiological classifications walking, crawling, wriggling, or driving past in both directions. Seeing his Diagnostician’s armband and realizing, rightly in his case, that a certain amount of mental confusion and physical uncoordination might be present, they gave him as wide a berth as possible. Even the TLTU inside a pressure sphere mounted on heavy caterpillar treads passed him with more than a meter to spare.
A few seconds later a Tralthan Senior he knew passed by, but the big FGLI was not known to Conway’s other selves, so his reaction time was slowed. When he swiveled his head to return the Tralthan’s greeting, he was overcome suddenly by vertigo, because the Hudlar and Melf components of his mind were of beings whose heads did not swivel. Instinctively he reached toward the corridor wall to steady himself. But instead of a hard, tapering Hudlar tentacle or a shiny black Melfan pincer, the member supporting him was a flaccid pink object with five lumpy digits. By the time he had steadied himself both physically and mentally, he had become aware of an Earth-human DBDG in Monitor green waiting patiently to be noticed.
"You were looking for me, Lieutenant?" Conway asked.
"For the past couple of hours, Doctor," the officer replied. "But you were with the Chief Psychologist on a taping session and could not be disturbed."
Conway nodded. "What’s the trouble?"
"Problems with the Protector," the Lieutenant said, and went on quickly. "The Exercise Room-that’s what we’re calling it now even though it still looks like a torture chamber-is underpowered. Tapping into the main power line for the section would necessitate going through four levels, only one of which is inhabited by warmblooded oxygen-breathers. The structural alterations in the other three areas would be very time-consuming because of our having to guard against atmosphere contamination, especially where the Illensan chlorine-breathers are concerned. The answer would be a small power source sited within the Exercise Room. But if the Protector broke free, the shielding around the power unit might not survive, and if the shielding went, the radiation hazard would necessitate five levels’-above and below the area-being evacuated, and a lot more time would be wasted cleaning the-"
"The room is close to the outer hull," Conway said, feeling that a lot of time was being wasted right now by asking a medical man’s advice on purely technical questions, and fairly simple ones at that. "Surely you can set up a small reactor on the outer hull, safe from the Protector, and run a line into-"
"That was the answer I came up with, too," the Lieutenant broke in, "but it gave rise to other problems, administrative rather than technical. There are regulations regarding what structures can and cannot be placed on the outer hull, and a reactor there, where one had never been before, might necessitate alterations in the hospital’s external traffic flow patterns. In short, there is a major tangle of red tape which I can unravel given time, and if I asked all of the people concerned nicely and in triplicate. But you, Doctor, considering the urgency of your project, could tell them what you need."
Conway was silent for a moment. He was remembering one of the Chief Psychologist’s remarks prior to the taping session and just before the sedation had taken effect. O’Mara had smiled sourly and said, "You have the rank now, Conway, even though it may turn out to be temporary. Go out and use it, or even abuse it. Just let me see you doing something with it."
Striving to make his tone that of a Diagnostician to whom nobody in the hospital would say no, Conway said, "I understand, Lieutenant. I’m on my way to Hudlar Geriatric, but I’ll deal with it at the first communicator I pass. You have another problem?"
"Of course I have problems," the Lieutenant replied. "Every time you bring a new patient to the hospital, the whole maintenance division grows ulcers! Levitating brontosaurs, Drambon rollers, and now a patient who hasn’t even been born yet inside a... a berserker!"
Conway looked at the other in surprise. Usually the Monitor Corps officers were faultless in matters of discipline and respect toward their superiors, whether military or medical. Dryly, he said, "We can treat ulcers."
"My apologies, Doctor," the other said stiffly. "I’ve been in charge of a squad of Kelgians for the past two years, and I’ve forgotten how to be polite."
"I see." Conway laughed. Since he was carrying a Kelgian tape himself right then, the Lieutenant had his sympathy. "That problem I cannot help you with. Are there others?"
"Oh, yes," the other replied. "They are insoluble, but minor. The two Hudlars are still objecting to their continuous beating of the Protector. I asked O’Mara if he could find someone else for the job, someone who would suffer less mental distress while carrying it out. O’Mara told me that if such a person had escaped his screening and was currently working in the hospital, he would resign forthwith. So I’m stuck with the Hudlars, and their damn music, until the new accommodation is ready.
"They insist that it helps keep their minds off what they’re doing, but have you ever had to listen to Hudlar music, continuously, day after day?"
Conway admitted that he had not had that experience, that a few minutes of it had been more than enough for him.
They had arrived at the interlevel lock, and he began climbing into one of the lightweight suits for the journey through the foggy yellow levels of the Illensan chlorine-breathers and the water-filled wards of the aquatic denizens of Chalderescol which lay between him and the Hudlar wards. He double-checked all the fastenings and reread the checklist, even though he had donned such pieces of hospital equipment thousands of times and could do it with his eyes shut. But he was not entirely himself just then, and the regulations stated that all medical personnel carrying Educator tapes, and as a consequence laboring under a degree of mental confusion, must use the checklist with their eyes wide open.
The Lieutenant was still standing patiently beside him. Conway said, "There’s more?"
The officer nodded. "A fairly easy one, Doctor. Hardin, the Dietician-in-Chief, is asking about the consistency of the Protector’s food. He says he can reproduce a synthetic mush tailored to fit its dietary requirements in all respects, but that there is a psychological aspect to the ingestion of food which may be important to the overall well-being of this particular patient. You had a brief telepathic contact with one of them and so have firsthand information on the subject. He would like advice."
"I’ll talk to him later," Conway said, pausing before pulling the helmet over his head. "But in the meantime you can tell him that it rarely eats vegetation, and the food that it does eat is usually wrapped in a thick hide or exoskeleton and is fighting back. I suggest that he encases the food in long, hollow tubes with edible walls. The tubes can be incorporated into the exercise machinery and used to beat the patient in the interests of greater environmental realism. Its mandibles are capable of denting steel plating, and Hardin is right. It would not be happy eating the equivalent of thin, milky cereal."
He laughed again and added, "We wouldn’t want to risk rotting its teeth."
The Hudlar Geriatric Ward was a comparatively new addition to Sector General’s facilities, and it was the closest the hospital came to providing treatment for psychologically disturbed patients, and even then the treatment was available to only a statistically chosen few. This was because the solution to the problem, if one could be found, would have to be put into effect on a planet-wide scale on Hudlar itself.
The ward’s artificial gravity had been set at the Hudlar normal of nearly four Earth-Gs, and the atmospheric pressure was a compromise which caused the minimum of inconvenience to both patients and nursing staff. There were three Kelgian nurses on duty, their fur twitching restlessly under their lightweight suits and gravity neutralizer harnesses as they sprayed nutrient paint onto three of the five patients. Conway buckled on a C-neutralizer suited to his Earth-human mass, signaled that he did not require a nurse to attend him, and moved toward the nearest unoccupied patient.
Immediately the Hudlarian component of his mind came surging up, almost obliterating the Melfan, Tralthan, Kelgian, and Gogleskan material and threatening to engulf Conway’s own mind in a great wave of pity and helpless anger at the patient’s condition.
"How are you today?" Conway asked ritually.
"Fine, thank you, Doctor," the patient replied, as he knew it would. Like the majority of other life-forms possessing immense strength, the Hudlarian FROBs were a gentle, inoffensive, and selfeffacing race, none of whom would dream of suggesting that his medical ability was somehow lacking by saying that it was not well.
It was immediately obvious that the aging Hudlar was not at all well. Its six great tentacles, which normally supported its heavy trunk in an upright position for the whole of its waking and sleeping life, and which served as both manipulatory and ambulatory appendages, hung limply over the sides of its supporting cradle. The hard patches of callus, the knuckles on which it walked while its digits were curled inward to protect them against contact with the ground, were discolored and cracking. The digits themselves, usually so strong, rock-steady, and precise in their movements, were twitching continually into spasm.
The Hudlars lived in a heavy-gravity, high-pressure environment whose superdense air teemed with so much airborne vegetable and microanimal life-forms that it resembled a thick soup, which the inhabitants absorbed directly through the tegument of the back and flanks. But the absorption mechanism of the patient had begun to fail, so large areas of the skin were caked with discolored nutrient paint which would have to be washed off before the next meal could be sprayed on. But the condition was worsening, the patient’s ability to absorb nourishment was diminishing, and that, in turn, was accelerating the deterioration in the skin condition.
Chemical changes caused by the incomplete absorption process caused the residual nutrient to smell. But even worse was the odor from the waste elimination area, no longer under voluntary control, whose discharge formed like milky perspiration on the patient’s underside before dripping into the cradle’s suction pan. Conway could not really smell anything at all, because his suit had its own air supply. But the FROB personality sharing his mind had experienced this situation many times in its life, and psychosomatic smells were, if anything, worse than the real kind.
The patient’s mind was still clear, however, and there would be no physical deterioration in the brain structure until a few minutes after its double heart stopped beating, and therein lay the real tragedy. Rare indeed was the Hudlar mind that could remain stable inside a great body which was disintegrating painfully all around it, especially when the mind was fully and intensely aware of the process.
Hopelessly he searched for an answer, going through the material on gereology available at the time his tapes were donated as well as the painful data associated with his own childhood memories and subsequent medical experience. But there was no answer to be found anywhere in his multiple mind, and the consensus of all of them was that he should increase the dosage of painkilling medication so as to make the patient as comfortable as possible.
While he made the addition to the treatment chart, the Hudlar’s speaking membrane vibrated stiffly, but that organ, too, was deteriorating, and this time the sounds it made were too distorted for his translator to make any sense of them. He murmured reassurances, which they both knew to be empty, and moved to the next cradle.
Its condition was fractionally better than the previous one, and its conversation with him was animated and covered every subject under the Hudlar sun except what ailed it. Conway was not fooled, much less his Hudlarian alter ego, and he knew that this particular FROB was enjoying-although that was scarcely the right word in these circumstances-its last few hours of sanity. The next two patients did not speak to him at all, and the last one was loudly articulate but no longer sane.
Its speaking membrane was vibrating continually inside the wide, cylindrical muffler which had been attached to reduce both the sound and the mental discomfort of those within earshot, but enough was escaping to make Conway feel very uncomfortable indeed. It was in poor physical shape as well. In addition to the breakdown of the absorption system over a large area of the body surface, the incontinence, and the marked deterioration evident in all of the limb extremities, two of the tentacles had lost mobility and resembled nothing so much as a couple of withered tree-trunks.
"Those limbs require urgent surgical attention, Doctor," the nurse engaged in spraying the patient with nutrient said, having first turned off its translator. In the forthright manner of all Kelgians it added, "Amputation is indicated to prolong the patient’s life, if that is considered desirable."
In ordinary circumstances the prolongation of the patient’s life was desirable and, in fact, was the prime consideration, and his mind was being flooded with information and suggestions for treating the equivalent condition in Melfans, Kelgians, Tralthans, and Earth-humans. But to the physiological classification FROB the very concept of curative medicine had been unknown until the discovery of Hudlar by the Federation, and to that species any major surgical intervention was hazardous in the extreme. On a heavy gravity, high-pressure world like Hudlar, the internal pressure and metabolic rate of its dominant life-form had to be correspondingly high.
The control of bleeding, both during a procedure and postoperatively, was difficult. And the internal decompression which was an unavoidable side effect of an operation could cause deformation and serious damage to major organs adjacent to the operative field. As a result the Hudlar information in his mind together with Conways own experience of FROB surgery suggested caution, while the other mass of extraterrestrial experience advocated operating without delay. But a double amputation on a geriatric and dangerously weakened patient. . . Angrily he shook his head and turned away.
The Kelgian nurse was watching him closely. It said, "Does that movement of the cranium indicate a yes or a no answer to my question, Doctor?"
"It means that I haven’t yet made up my mind," Conway said as he turned and escaped thankfully into the infants’ ward.
While it was true that for the greater proportion of their lifetimes the Hudlars were impervious to disease and all but the most severe injuries-which was the primary reason why medicine had been an unknown science on their world-this did not hold during the first and final few years of life. His recent harrowing experience had shown all too clearly the ills to which aged Hudlars were prone, and now he was seeing the other and much less distressing end of the clinical spectrum.
Infant FROBs seemed to catch every Hudlarian pathogen present in their atmospheric soup until, if they were able to survive the first few encounters with them, their bodies built up the natural resistance which lasted for the greater part of their very long lives. Fortunately, the majority of the diseases were spectacular in their symptomology but individually nonfatal. Federation medical science had been able to provide cures for several of them and was working on the others. Unfortunately, while no single disease could be considered fatal in itself, all were potentially lethal because the ailments which the infants contracted were cumulatively weakening, and it was the order in which they were contracted and the number of diseases present at a given time which determined the lethality. A complete solution was not possible until specifics against all of the diseases were produced.
As Conway entered and looked around the furiously busy ward, the Hudlar material in his mind suggested that mass immunization was not the proper solution. There was a strong feeling that protecting the FROB children in that way would ultimately lead to a weakening of the species as a whole. But the Hudlar who had donated his tape had not been a member of the medical profession, there being no such profession on Hudlar, and had instead been a strange combination of philosopher, psychiatrist, and teacher. Even so, the feeling bothered Conway until a six-legged, half-ton infant came charging down on him shouting that it wanted to play, and drove everything from his mind but the need to take urgent evasive action.
He set his gravity controls to one-quarter G and jumped straight upward to the rail of the observation catwalk, barely two seconds before the young Hudlar hit the wall with a crash which must have severely tested both the ward’s soundproofing and its structure. From his elevated viewpoint Conway could see that there were fewer than twenty patients in the ward, and in spite of the four Cs at floor level, they were all moving so fast that there seemed to be at least three times that number. When they occasionally stopped to change direction, he could see that the majority of them were displaying a variety of horrifying skin conditions.
An adult Hudlar with nutrient tanks strapped to its back finished spraying an infant it had cornered and immobilized at the far end of the ward, then turned and moved ponderously toward him.
It bore the insignia of a nurse-in-training, and it was, on this duty at least, little more than a baby-minder. But Conway knew that it was one of three FROBs undergoing medical training at Sector General, and the first members of that species chosen to introduce to their world the concepts of preventive and curative medicine. It was in female mode a remarkably handsome specimen and, unlike the Kelgian nurse in the geriatrics section, very polite and respectful.
"May I help you, Doctor?" it said, looking up at him. A sudden rush of memories from his alter ego’s life on Hudlar invaded his mind so that he could not speak.
"Patient Seven, young Metiglesh, the one who wanted to play with you," it went on, "is responding well to the new treatment devised by Diagnostician Thornnastor. I can quite easily immobilize it for you if you wish to make a scanner examination."
It would be easy, Conway thought wryly, for a Hudlar nurse. That was the reason why an FROB trainee was in charge there-it knew exactly how much force to use on the little terrors, while equally or higher-qualified nurses of other species would be afraid to use the amount of force required in case they might injure the patients.
Young Hudlars were incredibly tough, and some of the adults were unbelievably beautiful.
"I’m just passing through, Nurse," he managed to say finally.
"You seem to have everything under control here."
As Conway stared down at the being, his own knowledge of the FROB classification was being augmented by data on what it actually felt like to be a Hudlar in the male mode, as the donor had been at the time of making its tape, and he had memories only slightly less intense of being a female. He could remember the arrival of a recent offspring and how the birth process had drastically altered the hormone balance so that he became a male again. On Hudlar they were uniquely fortunate in that both life-mates were enabled to have their children in turn.
"Many life-forms carrying the Hudlar physiology tape visit here from the geriatric section," the nurse went on, unaware of the mental havoc it was causing him. His Hudlar alter ego was bringing up data, memories, experiences, wish-fulfillment fantasies of courtship, love-play, and of gargantuan couplings which made his Earthhuman mind recoil in horror. But it was not Conway’s mind that had control just then.
He tried desperately to regain possession, to fight against the overwhelming waves of raw instinct which were making it impossible for him to think. He tried to look only at his thinly gloved, non-Hudlar digits as they gripped the guardrail while the nurse went on. "It is distressing for a Hudlar, or for an entity bearing the Hudlar tape, to visit the geriatric section. I myself would not enter unless requested to do so, and I have the greatest respect and admiration for those of you who do so purely out of a sense of professional duty. Coming in here, it is said, frequently helps the overly distressed mind to think of something more pleasant.
"You are, of course, at liberty to remain as long as you deem necessary, Doctor. For whatever reason," it added sympathetically. "And if there is anything I can do to help you, you have only to ask."
His Hudlar component was doing its equivalent of baying at the moon. Conway croaked something which his translator was probably unable to handle and began moving along the catwalk toward the exit at a near run.
For Heaven’s sake get control of yourself he raged silently at himself. It’s six times bigger than you are!. .
CHAPTER 12
The Menelden system was no stranger to catastrophe. It had been discovered some sixty years earlier by a Monitor Corps scoutship whose Captain had exercised the traditional right to name it because there were no indications that the system harbored indigenous intelligent life with its own name for the world. If such life had been present in the distant past, then all traces of it had been obliterated when a large, planet-size chunk of metal ore entered the system, colliding with the largest outer planet and causing havoc and ultimately further collision with the others, all in tight orbits around their primary.
When the system eventually restabilized itself, Menelde was an aging yellow sun tightly surrounded by a rapidly spinning cloud of asteroids, a large proportion of which were solid metal. Immediately following its discovery, life came to the Menelden system in the shape of mining and metal processing complexes and their operating crews from all over the Federation, and in that cosmic illustration of the Brownian movement of gases, accidents occurred.
The details of one did not become known until many weeks later, nor was the final responsibility for it ever determined.
An enormous multispecies accommodation module for housing mining and metal-processing workers was being moved by tugs from an exhausted area to a fresh one, and was ponderously following a path between the slowly moving or relatively motionless asteroids and the other mining traffic which was engaged in similar delicate exercises in three-dimensional navigation.
One of the vessels, whose course would take it safely but uncomfortably close to the accommodation module and its tugs, was a carrier fully loaded with finished metal girders and sheets. Between the thrusters aft and the tiny control module forward the structure of the carrier was completely open to facilitate the loading and unloading of its cargo. This meant that the clearly visible mass of metal held, apparently none too securely, to its lashing points was exerting undue psychological pressure on the senior tug Captain, who told the carrier Captain to sheer off.
The carrier Captain demurred, insisting that they would pass in perfect safety, while his ship and the vast accommodation module crept ponderously toward each other. The senior tug Captain, who was charged with the safety of a structure incapable of independent maneuver and containing more than one thousand people, as opposed to the carrier with its three-man crew, had the last word.
Very slowly, because of the tremendous weight and inertia of its cargo, the carrier began to swing broadside-on to the module, intending to use its main thrusters to drive it clear long before their paths could intersect. The two vessels were closing, but slowly. There was plenty of time.
It was at that point that the accommodation module’s supervisor, although not really worried, decided that it would be a very good time to hold an emergency drill.
The urgent flashing of hazard lights and the braying of alarm sirens, heard in the background while he was in communication with the module, must have had an unsettling effect on the senior tug Captain. He decided that the carrier was turning too slowly and despatched two of his tugs to assist the process with their pressor beams. In spite of the caustic reassurances from the carrier Captain that there was ample time for the maneuver and that everything was under control, the carrier was quickly pushed broadside-on to the approaching module-the position from which a brief burn on its thrusters would take it clear within a few seconds.
The thrusters did not fire.
Whether the failure was due to the effect of the hastily focused pressor beams on the carrier’s uncovered control linkages which ran between the crew pod and the thrusters astern-they may well have been warped into immobility-or Fate had decreed that the system would malfunction at precisely that moment would never be known. But there were still a few minutes remaining before the collision would occur.
Ignoring the orderly confusion on board the module, where the supervisor was trying desperately to make his people realize that the practice emergency drill had suddenly become a real one, the carrier used its attitude control jets at maximum overload in an attempt to return the vessel to its original and safe heading. But the tremendous weight of a ship fully laden with a cargo of dense metal was too much for them, and slowly, almost gently, the stern of the carrier made contact with the forward section of the accommodation module.
The carrier, whose structure had been designed to withstand loadings only in the vertical plane, broke up when subjected to the sudden, lateral shock. Gigantic lengths of metal tore free from their lashing points, the metal retaining bands snapping like so much thread, and the long, open racks which held the sheet metal disintegrated with the collapse of the ship’s main structure, sending their contents spinning toward the accommodation module’s side like a slow-moving flight of throwing-knives. And mixed with the spinning metal plates and beams and pieces of the carrier’s structure was the radioactive material of its power pile.
Many of the plates struck the module edge-on, inflicting long, deep incisions several hundred meters long in the hull before bouncing away again. The metal beams smashed against the already weakened hull, opening dozens of compartments to space, or drove deep into the module’s interior like enormous javelins. The collision abruptly checked the structure’s forward motion and left it a slowly spinning half-wreck, which presented in turn a flank which was unmarked and another which showed a scene of utter devastation.
One of the tugs took off after the expanding cloud of metal which had been the carrier and its cargo, to chart its course for later retrieval and to search for possible survivors among its crew. The remaining tugs checked the spin on the accommodation module, then gave what help they could until the emergency teams from nearby mining installations, and ultimately Rhabwar, arrived.
Except for a few Hudlars who were not inconvenienced by vacuum conditions, and a number of Tralthans who could also survive airlessness for short periods by going into hibernation mode and sealing all their body orifices, nobody along the stricken side of the module had survived. Even the immensely strong and toughskinned Hudlars and Tralthans could not live in zero pressure when their bodies had been traumatically opened to space, and massive explosive decompression was not a condition which could be cured, even in Sector General.
The Hudlar and Tralthan quarters had suffered worst in the collision. Elsewhere the structure had retained its air even though the emergency drill condition meant that the occupants were in spacesuits anyway, so a pressure drop would not have been a problem. But in these areas it was the sudden deceleration and spin following the collision which had caused the casualties-hundreds of them which, because of the protection given by the suits, were serious rather than critical. When the module’s artificial gravity was restored, the majority of these were treated by the Menelden complex’s same-species medics and held in makeshift wards to await transfer to their home planets for further treatment or recuperation.
Only the really serious cases were sent to Sector General.
News of the Menelden accident had reached the hospital just in time to allow Conway to avoid having to face another serious problem, although regarding a major accident as a handy excuse for postponing a particularly worrying meeting was, he thought, neither admirable nor unselfish.
His Educator tapes were becoming so well established that it was difficult to tell when a set of feelings and reactions were his own or those of one or all of the Others. So much so that the next meeting with Murchison, when they would be together in their quarters in circumstances which would inevitably lead to physical intimacy, was something he had been dreading with increasing intensity as their next off-duty period drew closer. He just did not know how he would react to her, how much if any control he would have of the situation, and, most important of all, how she would react to his reactions.
Then suddenly Rhabwar was despatched to the Menelden system to coordinate the rescue operation and bring back the more serious casualties, and Murchison, a key member of its medical team, was on board.
Conway was greatly relieved, at first. But as the ship’s former medical team leader he was aware of the danger she was in, from the kind of accident which could so easily occur during a large-scale rescue mission, and he began to worry. Instead of being glad that he would not have to see her for a day or so, he found himself heading for the casualty reception lock just before the ambulance ship was due to dock after its first return trip.
He spotted Naydrad and Danalta standing by the transfer lock and keeping well clear of the casualty reception team, who needed no help at all in doing their job.
"Where is Pathologist Murchison?" Conway asked as a litter containing what looked like a Tralthan multiple traumatic amputation went past. The FGLI tape material in his mind was pushing to the fore, urgently suggesting methods of treatment for this patient. Conway shook his head in an instinctive attempt to clear it, and said more firmly, "I want to see Murchison."
Beside the uncharacteristically silent Naydrad, Danalta began to assume the bodily contours of an Earth-human female similar in shape and size to that of the pathologist. Then, sensing Conway’s disapproval, it slumped back into shapelessness.
"Is she on board?" Conway asked sharply.
The nurse’s fur was rippling and pulling itself into irregular patterns of tufting in a manner which, to his Kelgian alter ego, indicated an extreme reluctance to answer combined with the expectation of unpleasantness.
"I have a Kelgian tape," he said quietly, pointing at the other’s telltale fur. "What’s bothering you, Nurse?"
"Pathologist Murchison chose to remain at the disaster site," Naydrad replied finally, "to assist Doctor Prilicla with the triage."
"The triage!" Conway burst out. "Prilicla shouldn’t be subjecting itself to . . . Dammit, I’d better go out there and help. There are more than enough doctors here to treat the casualties and if... You have an objection?"
Naydrad’s fur was tufting and undulating in a new and more urgent sequence.
"Doctor Prilicla is the leader of the medical team," the Kelgian said. "Its proper place is at the disaster site, coordinating the rescue operation and disposition of casualties, regardless of the physical or mental trauma which might result. The presence of a former team leader could be considered as an implied criticism of its professional handling of the situation, which up until now has been exemplary."
Watching the movements of that expressive Kelgian fur, Conway was not really surprised at the strength of feeling that was being shown toward a superior who had been in the job for only a few days. By the nature of things, superiors were respected, sometimes feared, and usually obeyed with reluctance by their subordinates. But Prilicla had proved that it was possible to lead and instill absolute loyalty by making subordinates obey through another kind of fear, that of hurting the boss’s feelings.
When Conway did not reply, Naydrad went on. "Your offer of assistance was foreseen, which is the reason why Pathologist Murchison remained to help Prilicla. The Cinrusskin’s empathic faculty does not, as you well know, require that it work in close proximity to the injured, so it can remain in comparative safety while Murchison moves among the casualties as you would have done if you’d gone out there."
"Doctor," Danalta said, breaking its long silence, "Pathologist Murchison is in turn being assisted by several large, heavily muscled entities of its own and other species who are trained in heavy rescue techniques. These entities are charged with the responsibility for removing casualties from the wreckage at the Pathologist’s direction, and for seeing that the same wreckage does not endanger Murchison.
"I mention this, Doctor," Danalta added, "so as to reassure you regarding the safety of your life-mate."
The polite and respectful tone of Danalta sounded almost obsequious after that of the more blunt-spoken Naydrad. But the TOBS, too, had developed a measure of empathy as a necessary adjunct to their species’ faculty for defensive and offensive protective mimicry, and respectfulness made a nice change whether it was real or simulated.
"Thank you, Danalta. That is considerate of you," Conway said, but then turned to Naydrad. "But Prilicla, on triage’
The thought of it was enough to make Conway, and anyone else who knew the little empath, cringe.
The range and sensitivity of the Cinrusskin’s empathic faculty had been invaluable when the empath had been a member of Rhabwar’s medical team, and now that Prilicla was heading that team the same circumstances would apply. The empath could feel among the casualties of a wrecked ship, especially those who were physically motionless, grievously injured and apparently lifeless, and state with absolute accuracy which protective suits held cadavers and which still-living survivors. It did so by attuning itself to the residual emotional radiation of the casualty’s often deeply unconscious brain, and by feeling what the survivor’s unconscious mind felt and analyzing the results, it could decide whether there was any hope of reviving the spark of life which remained. Space accidents had to be dealt with quickly if there was to be anyone left alive to rescue, and on countless occasions Prilicla’s empathic faculty had saved vital time and a great many lives.
A high price had to be paid for this ability, because Prilicla had in many cases to suffer with each of the casualties, for a short or a lengthy period, before such diagnoses or assessments could be made. But triaging the Menelden accident would mean encountering emotional distress of a whole new order of magnitude, so far as Prilicla was concerned. Fortunately, Murchison’s feelings toward the little empath could only be described as fanatically maternal, and she would ensure that the storm of emotional radiation-the pain and panic and grief of the injured and their bereaved friends-which raged within that devastated accommodation module was experienced by the empath at the longest possible range, and for the shortest possible duration.
Triage called for the presence of a Senior Surgeon at the disaster site. Prilicla was one of the hospital’s finest surgeons, and it was being assisted by a pathologist who was second only to those of Diagnostician rank. Together they should be able to do that particularly harrowing job of casualty assessment without delay or indecision.
They would be following procedures laid down in the distant past to cover large-scale medical emergencies, from the time when air attacks, bombardments, terrorist bombings, and similar effects of the interracial mass psychosis called war had added unnecessarily to the death tolls of purely natural disasters. At times like these, medical resources could not be wasted, or time and effort devoted to hopeless cases. That had been the thinking behind triage.
Casualties were assessed and placed into three groups. The first contained the superficially or nonfatally injured, those suffering from psychological trauma, the people who would not die should treatment be delayed and who could wait until transportation was available to their home-planet hospitals. The second group comprised those beings who were so seriously injured that their condition would prove fatal no matter what was done for them, and who could only be made as comfortable as possible until they terminated. The third and most important of the groups contained those whose injuries were grievous, but who stood a fair chance of survival if the indicated treatment could be given without delay.
It was the Group Three injuries which were being sent to Sector General, Conway thought as he watched another litter go by with its pressure envelope inflated and its organic contents so hidden by life-support equipment that it was difficult even to be sure of its physiological classification. His own opinion was that this was a borderline case between Groups Two and Three.
"That is the last casualty on this trip, Doctor," said Naydrad quickly. "We must leave at once to bring back another batch."
The Kelgian turned and began undulating towards Rhabwar’s boarding tube. Danalta’s shape became that of a dark green ball again, featureless except for an eye and a mouth which regarded him and spoke.
"You will already have noticed, Doctor," it said, "that Senior Physician Prilicla has a very high regard for the surgical ability of its colleagues and it is, moreover, extremely averse to placing any of the casualties in the hopeless category."
The mouth smoothed out and the eye withdrew as the TOBS rolled quickly away in Naydrad’s wake.
CHAPTER 13
He learned of the return of Rhabwar with its last batch of Menelden casualties as he was about to attend his first Meeting of Diagnosticians. As he was the most recent probationary member, his sudden withdrawal for the purpose of exchanging a few words with Murchison would most certainly be considered impolite and downright insubordinate, and so their next meeting would again be delayed. His feelings about that were mostly of relief, and of shame at feeling relieved. He took his place, not expecting to make any important contribution to such august proceedings.
Nervously he looked across at O’Mara, the only other nonDiagnostician present, who sat dwarfed by the massive Thornnastor on one side and the coldly radiating spherical pressure envelope of Semlic, the SNLU methane-breathing Diagnostician from the cold levels. The Chief Psychologist stared back at him without expression. The features of the other Diagnosticians ranged around the room, sitting, crouching, hanging from or otherwise occupying the furniture designed for their bodily comfort, were likewise unreadable even though several of them were watching him.
Ergandhir, one of the Melfan ELNTs present, spoke first. "Before we discuss the Menelden casualties to be assigned to us, work which of necessity has the greatest priority, are there any less urgent matters requiring general discussion and guidance? Conway, as the most recent recruit to the ranks of the voluntary insane, you must be encountering a few problems."
"A few," Conway agreed. Hesitantly, he added, "At present they are mechanical, temporarily beyond my scope, or completely insoluble."
"Please specify," an unidentified entity said at the other side of the room. It could have been one of the Kelgians, whose speaking orifices barely moved during a conversation. "It is to be hoped that all of these problems are temporarily insoluble."
For a moment Conway felt like a junior intern again, being criticized by a senior tutor for loose and emotional thinking, and the criticism was well deserved. He had to get a grip on himself and start thinking straight, with all five of his minds.
He said clearly, "The mechanical problems arise from the necessity of providing a suitable environment and treatment facilities for the Protector of the Unborn, before it gives birth and-"
"Pardon the interruption, Conway," Semlic broke in, "but it is unlikely that we can help directly with this problem. You were instrumental in rescuing the being from its wrecked ship, you had brief telepathic communication with the intelligent embryo, and you are therefore the only entity with sufficient firsthand knowledge to solve it. May I say, with sympathy, that you are welcome to this problem."
"While I cannot help you directly," Ergandhir joined in, "I can make available physiological and behavioral data on a similar Melfan life-form which, like the young Protector, is born fully formed and capable of defending itself. Birth takes place only once in the parent’s lifetime, and there are invariably four young as a result. They attack and endeavor to eat the parent, who usually manages to defend itself sufficiently well if not to survive, then at least to kill one or two of its offspring, who sometimes try to kill one another. Were this not so they would long since have overrun my planet. The species is not sentient ..
"Thank heaven for that," O’Mara murmured.
"...Or ever likely to become so," Ergandhir went on. "I have studied your reports on the Protector with great interest, Conway, and shall be pleased to discuss this material with you if you think it might be helpful. But you mentioned other problems."
Conway nodded as the Melfan material in his mind surfaced with pictures of the tiny, lizardlike creatures which infested the foodgrowing areas of Melf, and which had survived in spite of the most large-scale and sophisticated efforts at extermination. He could see the parallels between them and the Protectors, and would certainly talk to the Melfan Diagnostician as soon as the opportunity arose.
He went on. "The apparently insoluble problem is Goglesk. This is not an urgent problem, except to me, because there is personal involvement. For this reason I should not waste your time by-"
"I was not aware," one of the two Illensan PVSJs present said, twitching restively inside its chlorine envelope, "that a Gogleskan tape was available."
Conway had forgotten for a moment that "personal involvement" was one of the phrases used by Diagnosticians and tapebearing Senior Physicians to inform each other that their minds were carrying the memory-record of a member of the species under discussion. Before he could reply, O’Mara spoke quickly.
"There is no tape available," he said. "The memory transfer was accidental and involuntary, and occurred when Conway was visiting the planet. He may wish to discuss the details with you at some future date, but I agree with him that such a discussion now would be time-consuming and inconclusive."
They were all staring at him, but it was Semlic, who had changed lenses on its external vision pickup so as to see him more closely, who asked the question first.
"Am I to understand that you possess a memory record which cannot be erased, Conway?" it said. "This is a most disquieting thought for me. I myself am gravely troubled by my overcrowded mind and have seriously considered returning to Senior Physician status by drastically reducing the number of my tapes. But my alter egos are guests who can always be forced to leave should their presence become unbearable. But one memory record in permanent residence, without the possibility of erasure, is more than enough. None of your colleagues would think any less highly of you if you were to do as I am about to do and have the other tapes erased..
"Semlic has been about to do that," O’Mara said quietly, with his translator switched off so that only Conway could hear him, "every few days for the past sixteen years. But it is right. If there are serious problems as a result of the Gogleskan presence reacting against the others, erase them. There would be no discredit attached, no inadequacy of personality implied, and it would, in fact, be the sensible course. But then, nobody could describe you as being sensible."
..... And among my mind-guests," Semlic was saying when Conway returned his attention to the SNLU, "are a number of entities who have had, well, very interesting and unorthodox lives. With all this nonmedical experience available I may be able to advise you should you encounter personal problems with Pathologist Murchison-"
"With Murchjson’ Conway said, incredulously.
"It is possible," Semlic replied, missing or ignoring the overtones. "All here have the greatest respect for its professional competence and its personal disposition, and I, personally, would not like to think that it would suffer any emotional trauma because I had omitted to advise you, Conway. You are fortunate indeed to have such an entity as your life-mate. Naturally, I have no personal physical interest in this being. .
"I’m relieved to hear that," Conway said, looking frantically to O’Mara for help. It was beginning to sound as if the SNLU Diagnostician was going out of its super-cooled, crystalline mind. But the Chief Psychologist ignored him.
"...My enthusiasm stems from the DBDG Earth-human tape which has been occupying an undue portion of my mind since I began talking to you," the SNLU went on, "and which belonged to a very fine surgeon who was inordinately fond of activities associated with reproduction. For this reason I find your DBDG female most disturbing. It possesses the ability to communicate nonverbally, and perhaps unconsciously, during ambulation, and the mammary area is particularly-"
"With me," Conway broke in hastily, "it is that Hudlar trainee in the FROB infants’ ward."
It turned out that several of the Diagnosticians present were carrying Hudlar physiology tapes and were not averse to discussing the nurse’s professional competence and physical attributes at length, but the SNLU cut them short.
"This discussion must be giving Conway the wrong impression about us," Semlic said, its external vision pickups swiveling to include everyone in the room. "It might conceivably lower the high opinion Conway has of Diagnosticians, whose deliberations it would expect to be on a more rarefied professional level. Let me reassure it on your behalf that we are simply showing our latest potential member that the majority of its problems are not new and have been solved, in one way or another, and usually with the help of colleagues who are more than willing to assist it at any time."
"Thank you," Conway said.
"Judging by the continued silence of the Chief Psychologist," Semlic went on, "you must be coping fairly well up to now. But there is some small assistance I may be able to render you, and it is environmental rather than personal. You may visit my levels at any time, the only proviso being that you remain in the observation gallery.
"Few, indeed, are the warm-blooded, oxygen-breathers who take a professional interest in my patients," the SNLU added, "but if you should be the exception, then special arrangements will have to be made."
"No, thank you," Conway said. "I could not make any useful contribution to subzero crystalline medicine just now, if ever."
"Nevertheless," the methane-breather went on, "should you visit us, be sure to increase your audio sensitivity and switch off your translator, then listen. A number of your warm-blooded colleagues have derived a certain amount of comfort from the result."
"Cold comfort," O’Mara said dryly, and added, "We are devoting an unfair proportion of our time to Conway’s personal problems rather than to those of his patients."
Conway looked around at the others, wondering how many of them were carrying FROB physiology tapes. He said, "There is the Hudlar geriatric problem. Specifically, the decision whether to involve the patient in a dangerous multiple amputation procedure which, if successful, will prolong life for a comparatively short time, or to allow nature to take its course. In the former event the quality of the prolonged life leaves much to be desired."
Ergandhir’s beautifully marked exoskeletal body moved forward in its frame, and the lower mandible moved in time with its translated words. "That is a situation I have run against many times, as have we all, and with species other than the Hudlars. The result in my own case has been, to use a Melfan metaphor, a badly chipped carapace. Essentially it is an ethical decision, Conway."
"Of course it is!" one of the Kelgians said before Conway could reply. "The decision will be a close and personal one. However, from my knowledge of the Doctor concerned the probability is that Conway will opt for surgical intervention rather than a clinical observation of the patient to the terminal phase."
"I am inclined to agree," Thornnastor said, speaking for the first time. "If a situation is inherently hopeless, it is better to do something rather than nothing. And with an operating environment making it difficult for other species to work effectively, an experienced Earth-human surgeon might expect good results."
"Earth-human DBDGs are not the best surgeons in the Galaxy," the Kelgian joined in again, its rippling fur indicating to those carrying DBLF tapes the feelings which were concealed by its unsubtle mode of speech. "The Tralthans, Melfans, Cinrusskins, we Kelgians are more surgically adept in certain circumstances. But there are situations where this dexterity cannot be brought to bear because of environmental conditions...
"The operating theater must suit the patient," a voice broke in, "and not the Doctor."
"...Or physiological factors in the surgeon," the Kelgian went on. "Protective garments or vehicles required to work in hostile environments inhibit the finer movements of manipulatory appendages and digits, and remotely controlled manipulators lack precision or are subject to malfunction at the most critical times. The DBDG hand, however, can be protected against a large number of hostile environments by a ridiculously thin glove which does not inhibit digital movements, and the supporting musculature is such that they can operate with minimal loss of efficiency in the presence of elevated pressure and gravity. The hands remain operational even when projecting a short distance beyond the field of the gravity nullifiers. Although crudely formed and comparatively restricted in their movements, the DBDG hands can go anywhere, surgically speaking, and-"
"Not everywhere, Conway," Semlic broke in. "I’ll thank you to keep your superheated hands off my patients."
"Diagnostician Kursedth is being diplomatic, for a Kelgian," Ergandhir said. "It is complimenting you while explaining why you are likely to get more than your share of the nasty jobs."
"I guessed as much," Conway said, laughing.
"Very well," Thornnastor said. "We shall now consider the urgent matter of the Menelden casualties. If you will kindly regard your displays, we will discuss their present clinical condition, projected treatment and the assignments of surgical responsibility. .
The polite inquiries, sympathy, and advice which, Conway now realized, had cloaked a searching examination of his feelings and professional attitudes, were over for the time being. Thornnastor, the hospital’s most experienced and senior Diagnostician, had taken charge of the meeting.
"...You can see that the majority of the cases," the Tralthan went on, "have been assigned to Senior Physicians of various physiological classifications whose capabilities are more than equal to the tasks. Should unforeseen difficulties arise, one of ourselves will be called on to assist. A much smaller number of casualties, the really nasty cases, will be our direct responsibility. Some of you have been given only one of these patients, for reasons which will become obvious when you study the case notes, and others have been given more. Before you begin organizing your surgical teams and planning the procedures in detail, are there any comments?"
For the first few minutes they were all too busy studying the details of the cases assigned to them to have anything useful to say, and the initial comments were more in the nature of complaints.
"These two cases you’ve given me, Thornnastor," Ergandhir said, tapping one of its hard, sharply tapered pincers against its display screen. "They have so many compound and comminuted fractures between them that if they survive at all, they will be carrying so much wiring, pins, and plating that induction will elevate their body temperatures every time they approach a power generator. And what were two Orligian DBDGs doing there anyway?"
"Wreckage subsistence casualties," the pathologist replied. "They were members of the rescue team from the nearby Orligian processing plant. You are always complaining that you never get enough DBDG surgical experience."
"You’ve given me just one case," Diagnostician Vosan said. The Crepellian octopod turned to regard Thornnastor, then it made a noise which did not translate before adding, "Rarely have I seen such a discouraging clinical picture, and I shall certainly have my hands full, all eight of them, with this one."
"It was the number and dexterity of your manipulatory appendages," Thornnastor replied, "which impelled me to assign the case to you in the first place. But the time for discussion grows short. Are there any other comments before we move to procedures?"
Ergandhir said quickly, "During the intercranial work, on one of my patients in particular, emotional radiation monitoring would be distinctly advantageous."
"And I," Vosan said, "would find it useful during the preoperative phase to check on the level of unconsciousness and required anesthesia."
"And I! And I!" clamored several of the others, and for a moment there were too many voices talking at once for the translators to handle them. Thornnastor gestured for silence.
"It seems," the Tralthan said, "that the Chief Psychologist must remind you once again of the physiological and psychological capabilities of our one and only medically qualified empath. Major?"
O’Mara cleared his throat and said dryly, "I have no doubt that Doctor Prilicla would be willing and anxious to help all of you, but as a Senior Physician who is being considered for elevation to Diagnostician status, it is in the best position to judge where and when its empathy can be used to best effect. There is also the fact that while it is useful to have an empathic sensitive constantly monitoring the condition of a deeply unconscious patient during an operation, the patient does not really require it and the only benefit lies in the mental comfort and reassurance of the surgeon.
"There is also the fact," the Chief Psychologist went on, ignoring the untranslatable sounds of protest from around the table, "that our empath functions best when among people who like and fully understand it. This being so, it should be clear to you that Prilicla is allowed a wide degree of latitude in its choice, not only in the cases it takes but in the surgeons it agrees to assist. And so, if the person who has worked with Senior Physician Prilicla since it joined us as a junior intern, and who helped it during its early medical training, if this Doctor requested the assistance of Prilicla during an operation, it would not be refused. Isn’t that so, Conway?"
"I, yes, I expect so," Conway stammered. He had not been listening closely for the past few minutes, because his mind had been on his cases, his close to hopeless cases, and on thoughts of open professional rebellion.
"Do you need Prilicla?" O’Mara asked quietly. "You have first refusal. If you do not need, as opposed to merely want, the assistance of your empathic friend, say so. A line of your colleagues who do need Prilicla will form rapidly on the left."
Conway thought for a moment, trying to coordinate and evaluate the input from his other mind components. Even the friendly and perpetually frightened Khone was radiating sympathy for his cases, and previously the mere sight of an uninjured Hudlar was sufficient to throw it into a panic reaction. Finally, he said, "I do not think that an empath would be of much help to these cases. Prilicla cannot work miracles, and at least three separate acts of supernatural intervention would be needed if these cases are to make it. And even then, well, I very much doubt that the patients or their close relatives will thank us."
"You can refuse the cases," O’Mara said quietly, "but you will have to give us a better reason than that they appear to be hopeless. As we have mentioned before, as a Diagnostician on probationary status you will be given what seems like an unfair share of such cases. This is to accustom you to the idea that the hospital must deal with partial successes and failures as well as nice, tidy, and complete cures. Up until now you have never had to concern yourself with problems of aftercare, have you, Conway?"
"I realize that," he replied angrily, because it sounded as though he was being criticized for past successes, or being accused of grandstanding in some obscure fashion. And then he began to wonder if his anger was due to there being a certain amount of truth in the accusation. More quietly, he went on, "Perhaps I’ve been lucky.. ."
"As well as surgically adept," Thornnastor interjected.
..... In the past with cases which could only be complete successes or utter failures," he went on. "But these patients . . . Even with the life-support systems in continuous operation it seems to me that they are only technically alive, and I would need Prilicla’s empathic faculty simply to verify that fact."
"Prilicla sent these casualties to us," one of the Kelgians said who had not previously spoken. "Clearly, it did not consider them hopeless. Are you in difficulties deciding on procedure, Conway?"
"Certainly not!" Conway said sharply. He went on. "I know Prilicla and Cinrusskins tend to be incurable optimists. Unpleasant ideas like the thought of failure with a patient, or a case that is hopeless from the start, are utterly foreign to it. There have been times when it shamed me into feeling the same way. But now I am being realistic. It appears to me that two, perhaps three of these four cases are little more than not quite dead specimens for investigation by Pathology."
"At last you are showing signs of accepting your situation, Conway," Thornnastor said in its slow, ponderous voice. "You may never again be able to concentrate your entire mind and capabilities on a single patient, and you must learn to accept failure and make your failures contribute to your future successes. It is possible that you will lose all four of your patients, or you may save all of them. But no matter what procedure and treatment you decide upon, and the good or bad results which ensue, you will use your multiply augmented mind to learn whether or not that same mind is stable enough to endure and maintain control over your procedures, whether personally performed or delegated.
"You will also bear constantly in mind," the senior Diagnostician went on, "the fact that while treating your four cases from the Menelden emergency list, you have other concerns. The FROB geriatric problem, our presently unsatisfactory organ replacement postoperative difficulties, the approaching parturition of your Protector, and even, if its presence suggests a new viewpoint or procedure on any of these problems, the data provided by the nonerasable mind of your Gogleskan friend. And if you are bearing all these things in mind, and my own Earth-human mind partner is unhappy with that phrase because it is what your DBDGs call a pun, you have already realized that FROB replacement surgery will play a vital part in the treatment of your four cases, and any failure could provide ready access to the organs needed to ensure the success of a not quite so hopeless case.
"We all find it difficult to accept failure, Conway," Thornnastor continued, "and your past record will make it less easy for you. But these cases are not being assigned to you for psychological reasons. Your level of competence as a surgeon warrants-"
"What our overtalkative colleague is saying, once again," one of the Kelgians broke in, its fur tufting with impatience, "is that good Doctors are given the worst patients. And now, may I discuss my two cases before they both terminate, from old age?"
CHAPTER 14
The first three hours were spent on preparatory work, tidying up the traumatic amputations performed by flying metal at the accident site, charting the extent of the internal injuries, checking on the readiness of the operating teams, and, in spite of the cooling unit in his suit, sweating.
At this stage in the proceedings his work was chiefly supervisory, so his increased output of perspiration was unconnected with physical activity and was what O’Mara referred to as psychosomatic sweating, a condition which the Chief Psychologist would tolerate only on rare occasions.
When one of the patients died preoperatively, Conway’s feelings lacked the intensity he had been expecting in that situation. The prognosis on that particular Hudlar had been very poor in any event, so when the sensors indicated termination it was not a surprise. The Melfan, Illensan, Kelgian, Tralthan, and Gogleskan components of his mind registered low-key professional regret at the loss; the Hudlar alter ego felt more strongly, but its sorrow was tinged with relief because it knew how drastically curtailed would have been the patient’s quality of life had it survived, and because the other three cases were occupying so much of his attention, Conway’s own reaction lay somewhere in between.
He maintained the cadaver’s respiration and cardiac functions so that its undamaged organs and limbs, what few of them remained, would be in optimum condition for transplantation. A small part of his mind wondered if the Hudlar’s parts were used for replacement surgery on its more fortunate colleagues, could it truly be considered to be dead? Which led, inevitably, to a minor conflict within his multiple mind between the Hudlar component and the others regarding the treatment of the physical remains after death.
For reasons which were not fully understood even by the members of the species themselves, the Hudlars, although in all other respects a race of highly intelligent, sensitive, and philosophically advanced beings, were unique in that they did not honor or show the slightest degree of respect for their recently deceased. The memory of the person while alive was treasured by its friends, and commemorated in various fashions, but these records invariably omitted any reference to the fact that the being concerned had died. The life and accomplishments of the entity were remembered; the death was studiously ignored, and the deceased disposed of quickly and without ceremony, as if it was a piece of unsightly litter.
In this case the Hudlar idiosyncrasy was a distinct advantage, because it removed the often time-consuming necessity for obtaining the consent of the next of kin for organ removal and transplant.
Realizing suddenly that he was mentally sidetracking himself and wasting time, Conway gave the signal to begin.
He joined the operating frame around FROB-Three, who was the patient with the fractionally better chance of making it, taking the observer’s position beside Senior Physician Yarrence, the Kelgian surgeon who had charge of the team. His original intention had been to head the team on the recently deceased FROB-Eighteen’s operation, but that patient’s demise meant that he could now keep a close watch on the three operations, all of which were urgent and critical enough to require simultaneous rather than consecutive performance. The members of his original team had been divided up between Yarrence, Senior Physician Edanelt, the Melfan in charge of FROB-Ten, and the Tralthan Senior Hossantir who had taken FROB-Forty-three.
Even though the FROB life-form was capable of living and working in gravity-free and airless conditions, this was only possible when the immensely tough and flexible tegument remained intact. When the skin had been pierced and the underlying blood vessels and organs exposed, as had occurred in several areas with this patient, deep surgery was impossible unless the natural gravity and pressure environment was reproduced. To do otherwise was to invite massive hemorrhaging and organ displacement due to the high pressure of the internal fluids. For this reason the OR staff were forced to wear gravity repulsors set to four Gs and heavy-duty protective suits whose gauntlets had been replaced by tight-fitting operating membranes designed to minimize the effects of the high external pressure.
They clustered around the patient like a shoal of ungainly fish, Conway thought, about to begin their surgical nibbling.
"The rear limbs have escaped with superficial damage and will heal naturally," Yarrence said, more for the benefit of his recorders than for Conway. "The two midlimbs and left forelimb have been lost, and the stumps will require surgical trimming and capping in preparation for the fitting of prosthetics. The right forelimb is still attached but has been so badly crushed that in spite of efforts to reestablish circulation to the affected areas, necrosis has taken place. This limb will also require removal and capping. .
The FROB in his mind stirred restively and seemed to be raising objections, but Conway did not speak because he had no clear idea of what it was objecting to.
Of the stump," the Kelgian Senior went on. "There is a metal splinter which has been driven into the right thoracic area with associated damage to a major vein, the bleeding from which has been incompletely controlled by the application of external pressure. This situation must be rectified urgently. There is also cranial damage, a large depressed fracture which is compressing the main nerve trunk and affecting mobility in the rear limbs. Subject to approval". . . Yarrence glanced briefly in Conway’s direction we shall remove the damaged forelimb, which will allow easier access for the teammembers working in the cranial area, and prepare the stumps for-"
"No," Conway said firmly. He could not see anything but the Kelgian’s conical head inside the heavy protective garment, but he could imagine the silvery fur tufting in anger as he went on. Do not cap the forelimb stumps, but prepare them instead for a transfer and transplant of the rear limbs. Otherwise your procedure as outlined is approved."
"The risk to the patient is increased," Yarrence said sharply, "and the operational time will be extended by at least twenty percent. Is this desirable?"
Conway was silent for a moment, thinking about the quality of life of the patient following the success of the simple as opposed to the more complex operation. Compared with the immensely strong and precisely controlled forelimbs possessed by a normal FROB, the telescoping, hinged, and swiveling prosthetic was ridiculously weak and inefficient. As well, Hudlar amputees found them aesthetically displeasing and distressing when the forelimbs-which were the members most conveniently placed to the eyes and used for the more delicate physical manipulations, including the long and involved preliminaries to mating-were artificial. Transplanting the rear limbs forward, although risky considering the weakened state of the patient, was infinitely preferable, because if the operation were successful, it would provide the FROB with forelimbs which would be only fractionally less sensitive and precise than the originals. Since the limbs would be coming from the same entity, there would be no immune system involvement or tissue rejection problems.
The Hudlar material in Conway’s mind was insisting that he disregard the risks, while his own mind was trying desperately to find ways of reducing them.
He said, "Leave the forelimb transplant until the cranial and abdominal work is successfully completed; otherwise the transplant would be wasted effort. Don’t forget to clean the tegument frequently and respray with anesthetic. In cases like this the absorption mechanism is affected by the general condition of-"
"I know that," Yarrence said.
"Of course you do," Conway went on. "You have the Hudlar tape, too, probably the same one as I have. The operation carries a strong element of risk, but it is well within your capabilities, and if the patient were conscious I have no doubt that-"
"It would want to take the risk, too," Yarrence broke in again. "But if the Hudlar in my mind feels that way, I, as the surgeon, feel obliged to express caution on its behalf. But I agree, Conway, the operation is desirable."
Conway detached himself from the operating frame, paying Yarrence the compliment of not watching the opening stages of the operation. In any case, incising an FROB’s ultratough tegument required the tools of an engineering workshop rather than an operating theater, because the cauterization effects of using fine laser cutters, which were so necessary during internal surgery, seriously inhibited healing along the faces of tegument incisions. The blades which had to be used were two-handed Kelgian Six scalpels, and they required a lot of physical effort as well as a high degree of mental concentration in use, and frequently the medic was in greater danger from the blade than the patient. It was a good time to remove all unnecessary distractions from Yarrence, which included the presence of a would-be Diagnostician, and move to FROB-Ten.
It was obvious from the first look that this patient would never again see its home planet. Five of the six limbs had either been traumatically severed during the accident or damaged beyond the possibility of surgical reconstruction. In addition there was a deep incised wound in the left flank which had penetrated to and destroyed the function of the absorption organ on that side. Decompression, brief as it had been before the victim’s self-sealing safety bubble had deployed inside its room, had damaged the organ’s twin on the right side because of the sudden rush of body fluid toward the area which had been opened to zero pressure. As a result FROBTen was able to receive barely enough sustenance to continue living, providing that it did not exert itself in any way.
An FROB perpetually at rest was difficult to imagine. If such a thing were possible, it would certainly be a very unhappy Hudlar.
"A multiple replacement job," Senior Physician Edanelt said, curling an eye to regard Conway as he approached. "If we have to replace a major internal organ, there is no point in fitting prosthetic limbs rather than real ones. But it bothers me, Conway. My Hudlar alter ego suggests that we don’t try too hard with this one, while my own purely selfish Melfan mind is concerned chiefly with gaining more other-species surgical experience."
"You are being too harsh with yourself," Conway said, then added thoughtfully, "At the same time, I’m very glad that the hospital discourages visits from patients’ relatives. The postoperative talk with the patient, especially in a case like this one, is bad enough."
"If the prospect causes you serious mental distress," Edanelt said quickly, "I would willingly relieve you of it."
"Thank you, no," Conway said, feeling tempted. "It is supposed to be my job." He was, after all, the acting Diagnostician-in-Charge.
"Of course," said Edanelt. "Presumably the replacements are immediately available?"
"Patient Eighteen terminated a few minutes ago," Conway said. "The absorption and food-processing organs are intact, and there are three usable limbs. Thornnastor will let you have more as and when you need them. This was one accident which left us with no shortage of spare parts."
As he finished speaking, Conway attached himself to the operating frame beside Edanelt and began discussing the special problems which would be encountered with this case, and in particular the necessity for performing three major operations concurrently.
Because of the nature of FROB-Ten’s injuries there was less than fifty percent of the patient’s absorption system functioning, and that situation was being maintained with difficulty and with no certainty that there would not be further deterioration within the next few hours. The absorption mechanism could be used to assimilate the anesthetic or food, but not both, so it was essential that the patient’s period under anesthesia be as short as possible. And while the limb replacements were relatively simple microsurgical procedures, removing the damaged organ from Ten and the healthy one from the deceased Eighteen was going to be tricky and only fractionally less difficult than resiting the donor organ in the receiving patient.
The organs of absorption of the physiological classification FROB were unique among the warm-blooded oxygen-breathing lifeforms known to the Galactic Federation-even though, properly speaking, the Hudlars did not breathe. Situated under the skin of each flank, the organs were large semicircular and extraordinarily complex structures covering more than one-sixth of the body area and separated along their upper edges by the spinal column. The organs were integral with the skin, which was pitted in those areas by several thousands of tiny slits whose opening and closure was controlled by a network of voluntary muscles, and extended deeply into the body to a depth which varied between nine and sixteen inches.
Serving as it did the functions of both stomach and lungs, the combination of nutrition and air which was the dense, souplike atmosphere of Hudlar was taken in by the two large organs, and in a remarkably short period of time, the usable content of the gaseous liquid and solid mixture was abstracted and the residue passed into a single smaller and biologically less complex organ sited on the underside where the wastes were evacuated as a milky liquid.
The two hearts, situated in tandem between the organs of absorption and protected by the central vertebrae, circulated the blood at a rate and pressure which had made the early attempts at Hudlar surgery extremely hazardous for the patients. Now, however, much FROB surgical experience had been amassed since the planet’s inception into the Federation, and what was more important, a Hudlar was very hard to kill.
Unless, as in this case, it was more than half-dead already.
The team’s one big advantage was that all of the procedures, the multiple replacements of limbs and organs of absorption, would be open surgery. There would be no delving and cutting and suturing in tiny, restricted interorgan spaces. More than one surgeon could enter the operative field when required, and Conway knew with certainty that the operating frame around FROB-Ten would shortly be the busiest place in the hospital.
Edanelt was giving final directions regarding the presentation of the patient to its nurses when Conway left to visit FROB-Forty-three. He was beginning to feel that he was in the way again, a feeling to which he had become increasingly accustomed as his growing seniority in recent years had necessitated greater delegation of authority and responsibility. But he knew that Edanelt, as one of the hospital’s foremost Senior Physicians, was itself too responsible a Doctor to hesitate about calling for Conway’s assistance should it get into trouble.
A superficial examination of FROB-Forty-three would have suggested that there was not very much wrong with the patient. All six of the limbs were present and clearly in an undamaged condition, the porous tegument covering its organs of absorption was intact, and it was apparent that the cranial casing and spine had retained their structural integrity in spite of this particular Hudlar having been in a section of the wrecked accommodation module which had sustained the heaviest casualties. The case notes made brief mention of the fact that it had been shielded by the body of another FROB who had little chance of survival.
But the sacrifice on the part of Forty-three’s companion-in all probability its life-mate-could have been wasted. Just inside the midlimb on the right underside there was a pressure cap and temporary dressing which concealed the opening of a deep, punctured wound made by a length of bar metal which had penetrated the tegument like a blunt spear. It had torn the side of the womb-the patient had been in Hudlar female mode at the time of the accident-and while it had missed the major blood vessels in the area, it had stopped within a fraction of an inch of the rearmost heart.
The fetus seemed to be in good condition in spite of the metal bar having passed within a few inches of its spine. While the heart itself had not been damaged, the blunt end of the metal bar had pinched off the circulation to the heart muscles on that side to the point where irreversible deterioration had taken place. Cardiac activity was being maintained by the life-support system, but even with that assistance the heart was in imminent danger of arrest, and replacement was strongly indicated. Conway sighed, foreseeing yet another emotionally painful postoperative experience for himself.
"A replacement is available from Eighteen," he said to Hossantir, the Tralthan Senior in charge of Forty-three’s surgery. "We are already taking its absorption organ and all of its undamaged limbs, so donating a heart as well should not worry it."
Hossantir turned one of its four eyes to regard Conway and said, "Since Eighteen and Forty-three were life-mates, you are almost certainly correct."
"I didn’t know that," Conway said uncomfortably, sensing an implied criticism of his flippancy by the Tralthan whose species, unlike the Hudlars, held their recently deceased in high reverence. He went on. "How will you proceed?"
Hossantir’s intention was to leave the section of metal bar still present in the wound in place. It had been cut where it passed beneath the skin by the rescuers to facilitate movement of the casualty, but they had wisely not removed the entire bar in case they might complicate the injuries. Since the inner end of the bar was performing a useful function in controlling some of the deeper hemorrhaging, the prior suturing of the tear in the womb would mean that the instruments necessary for the later heart replacement procedure would be able to pass it without risk of endangering the fetus.
The external wound was not in the position Hossantir would have chosen for a heart replacement operation, but it was close enough for the purpose following surgical enlargement-a course which would avoid subjecting the patient to the additional trauma of another deep incision.
When the Tralthan had finished speaking, Conway looked around the operating frame and at the surgical team drifting weightlessly nearby. There was a Melfan, two Orligians, and another Tralthan who were all junior surgeons, and five Kelgian and two Ian nurses, all of whom were watching him silently. He knew that Senior Physicians could be very touchy about seeming infringements of their authority, and especially when they were ordered to do something as a result of a simple omission on their own part. His Kelgian alter ego wanted him to come straight to the point, while the Tralthan component of his mind advised a more diplomatic approach.