by James White
“Listen, don’t speak!” the Earth-human said sharply. The patient seemed to be drifting closer. “My depart-mep^has tried to get to the root causes of One Sixteen’s hypochondria, but I was not required to solve its problem so it remained unsolved. This sounds like an excuse,and it is. But you must understand that Sector General is not and can never be a psychiatric hospital. Can you imagine a place like this where a large proportion of the multispecies patients, the mere sight of which gives sane people nightmares, are physically fit and mentally disturbed? Can you imagine the problems of other-species treatment and restraint? It is difficult enough to be responsible for the mental well-being of the staff without adding disturbed patients, even a harmlessly disturbed patient like One Sixteen, to my load. When a medically ill patient displays signs of mental instability it is kept under close observation, restrained if necessary, and returned to its own people for the appropriate treatment as soon as it is physically well enough to be discharged.”
“I understand,” Cha Thrat said. “The explanation excuses you.”
The Earth-human grew pinker in the face, then said, “Listen carefully, Cha Thrat, this is important. The Chalders are one of the few intelligent species whose personal names are used only between mates, members of the immediate family, or very special friends. Yet you, an other-species stranger, have been told, and have spoken aloud, One Sixteen’s personal name. Have you done this in ignorance? Do you realize that this exchange of names means that anything you may have said to it, or any future action you may have promised, is as binding as the most solemn promise given before the highest imaginable physical or metaphysical authority?”
“Do you realize now how serious this is?” O’Mara went on in a tone of quiet urgency. “Why did it tell you its name? What, exactly, was said between you?”
She could not speak for a moment because the patient had moved very close, so close that she could see the individual points of its six rows of teeth. A strangely detached and uncaring portion of her mind wonderedwhat evolutionary imperative had caused the upper three rows to be longer than the lower set. Then the jaw snapped shut with a boney crash that was muffled by the surrounding water, and the caring part of her mind wondered what it would sound like if a limb or her torso were between those teeth.
“Have you fallen asleep?” O’Mara snapped. “No,” she said, wondering why an intelligent being had asked such a stupid question. “We talked because it was lonely and unhappy. The other nurses were busy with a post-op patient and I was not. I told it about Som-maradva and the circumstances that led to me coming here, and some of the things I would be able to do if I qualified for Sector General. It said that I was brave and resourceful, not sick and old and increasingly fearful likeitself.
“It said that many times it dreamed of swimming free in the warm ocean of Chalderescol,” she went on, “instead of this aseptic, water-filled box with its plastic, inedible vegetation. It could talk about the home world to other AUGL patients, but much of their post-op recovery time was spent under sedation. The medical staff were pleasant to it and would talk, on the rare occasions when they had time to do so. It said that it would never escape from the hospital, that it was too old and frightened and sick.”
“Escape?” O’Mara said. “If our permanent patient has begun to regard the hospital as a prison, that is a very healthy sign, psychologically. But go on, what were you saying to it?”
“We spoke of general subjects,” she replied. “Our worlds, our work, our past experiences, our friends and families, our opinions—”
“Yes, yes,” the Earth-human said impatiently, looking at One Sixteen, who was edging closer. “I’m not inter-ested in the small talk. What did you say that might have brought on this trouble?”
Cha Thrat tried to choose the words that would describe the situation concisely, accurately, and briefly as she replied, “It told me about the space accident and injuries that brought it here originally, and the continuing but irregular episodes of pain that keep it here, and of its deep unhappiness with its existence generally.
“I was uncertain of its exact status on Chalderescol,” she went on, “but from the way it had described its work I judged it to be an upper-level warrior, at least, if not a ruler. By that time we had exchanged names, so I decided to tell it that the treatment being provided by the hospital was palliative rather than curative, and it was being treated for the wrong sickness. I said that its malady was not unknown to me and, although I was not qualified to treat the condition, there were wizards on Sommaradva capable of doing so. I suggested, on several occasions, that it was becoming institutionalized and that it might be happier if it returned home.”
The patient was very close to them now. Its massive mouth was closed but not still, because there was a regular chewing motion that suggested that the teeth were grinding together. The movement was accompanied by a high-pitched, bubbling moan that was both frightening and strangely pitiful.
“Go on,” O’Mara said softly, “but be very careful what you say.”
“There is little more to tell,” Cha Thrat said. “During our last meeting I told it that I was leaving for a two-day rest period. It would speak only of the wizards, and wanted to know if they could cure its fear as well as the pains. It asked me as a friend to treat it, or send for one of our Sommaradvan brothers who would be able to cureit. I told it that I had some knowledge of the spells of the wizards, but not enough to risk treating it, and that I lacked the status and authority to summon a wizard to the hospital.”
“What was the response to that?” O’Mara asked.
“None,” Cha Thrat said. “It would not speak to methereafter.”
Abruptly they were looking into the AUGL’s open mouth, but it was keeping its uncomfortably short distance as it said, “You were not like the others, who did nothing and promised nothing. You held out the hope of a cure by your wizards, then withdrew it. You cause me pain that is many times worse than that which keeps me here. Go away, Cha Thrat. For your own safety, goaway.”
The jaws crashed shut and it swept around them and headed for the other end of the ward. They could not see clearly but, judging by the voices coming from the Nurses’ Station, it seemed intent on wrecking the place.
“My patients!” Charge Nurse Hredlichli burst out. “My new treatment frames and medication cabinets …”
“According to the monitors,” Cresk-Sar broke in, “the patients are still all right, but they’ve been lucky. I’m sending in the transfer team now to knock out One Sixteen. It will be a bit tricky. Both of you get back here,quickly.”
“No, wait,” O’Mara said. “We’ll try talking to it again. This is not a violent patient and I don’t believe that we are in any real danger.” On Cha Thrat’s frequency it added, “But there is always a first time for being wrong.”
For some reason a picture from Cha Thrat’s childhood rose suddenly to the surface of her adult mind. She saw again the tiny, many-colored fish that had been herfavorite pet, as it circled and butted desperately and hopelessly against the glass walls of its bowl. Beyond those walls, too, lay an environment in which it would quickly asphyxiate and die. But that small fish, like this overlarge one, was not thinking of that.
“When One Sixteen gave you its name,” O’Mara said with quiet urgency, “it placed a binding obligation on both of you to help the other in every way possible, as would a life-mate or a member of your family. When you mentioned the possibility of a cure by your Sommarad-van wizards, regardless of the efficacy of such other-species treatment, you were expected to provide the wizard regardless of any effort, cost, or personal danger to yourself.”
There were noises of tearing metal and the complaining voices of the other AUGLs being transmitted through the green water, and Hredlichli sounded very agitated. O’Mara ignored them and went on. “You must keep faith with it, Cha Thrat, even though your wizards might not be able to help One Sixteen any more than we can. And I realize that you haven’t the authority to call in
one of your wizards. But if Sector General and the Monitor Corps were to put their combined weight behind you—”
“They wouldn’t come to this place,” Cha Thrat said. “Wizards are notoriously unstable people, but they are not stupid— It’s coming back!”
This time One Sixteen was coming at them more slowly and deliberately, but still too fast for them to swim to safety, nor could the transfer team with their anesthetic darts reach them in time to do any good. There was no sound from the patients in the ward and the beings watching from the Nurses’ Station. As the AUGL loomed closer she could see that its eyes had theferal, manic look of a wounded predator, and slowly it was opening its mouth.
“Use its name, dammit!” O’Mara said urgently. “Mu-Muromeshomon,” she stammered. “My — my friend, we are here to help you.”
The anger in its eyes seemed to dim a little so that they reflected more of its pain. The mouth closed slowly and opened again, but only to speak.
“Friend, you are in great and immediate danger,” the AUGL said. “You have spoken my name and told me that the hospital cannot cure me with its medicines and machines, and it no longer tries, and you will not help me even though you have said that a cure is possible. If our positions were reversed I would not act, or refuse to act, as you have done. You are an unequal friend, without honor, and I am disappointed and angry with you. Go away, quickly, and protect your life. I am beyond help.”
“No!” Cha Thrat said fiercely. The mouth was opening wider, the eyes were showing a manic gleam once more, and she realized that when the AUGL attacked, she would be its first victim. Desperately she went on. “It is true that I cannot help you. Your sickness does not respond to the healer’s herbs or the surgeon’s knife, because it is a ruler’s disease that requires the spells of a wizard. A Sommaradvan wizard might cure you but, since you are not yourself a Sommaradvan, there is no certainty. Here there is the Earth-human, O’Mara, a wizard with experience of treating rulers of many different life-forms. I would have approached it about your case at once but, being a trainee and unsure of the procedure, I was about to request a meeting for another, an unimportant, reason during which I would have spoken of you in detail …”
The AUGL had closed its mouth but was moving its jaws in a way that could be indicating anger or impatience. She went on quickly. “In the hospital I have heard many people speak of O’Mara and his great powers of wizardry—”
“I’m the Chief Psychologist, dammit,” O’Mara broke in, “not a wizard. Let’s try to be factual about this and not make more promises we can’t possibly keep!”
“You are not a psychologist!” Cha Thrat said. She was so angry with this Earth-human who would not accept the obvious that for a moment she almost forgot about the threat from One Sixteen. Not for the first time she wondered what obscure and undefined ruler’s disease it was that made beings who possessed high intelligence, and The Power in great measure, behave so stupidly at times. Less vehemently, she went on. “On Sommaradva a psychologist is a being, neither servile-healer nor warrior-surgeon, who tries to be a scientist by measuring brain impulses or bodily changes caused by physical and mental stress, or by making detailed observations of behavior. A psychologist tries to impose immutable laws in an area of spells and nightmares and changing realities, and tries to make a science of what has always been an art, an art practiced only by wizards.”
They were both watching her, eyes unblinking, motionless. The patient’s expression had not changed but the Earth-human’s face had gone a much deeper shade of pink.
“A wizard will use or ignore the instruments and tabulations of the psychologist,” she continued, “to cast spells that influence the complex, insubstantial structures of the mind. A wizard uses words, silences, minute observation, and intuition to compare and graduallychange the sick, internal reality of the patient to the external reality of the world. That is the difference between a psychologist and a wizard.”
The Earth-human’s face was still unnaturally dark. In a voice that was both quiet and harsh it said, “Thank you for reminding me.”
Formally Cha Thrat said, “No thanks are required for that which needs to be done. Please, may I remain here to watch? Before now I have never had the chance to see £ wizard at work.”
“What,” the AUGL asked suddenly, “will the wizard do to me?”
It sounded curious and anxious rather than angry, and for the first time since entering the ward she began to feel safe.
“Nothing,” O’Mara said surprisingly. “I shall do nothing at all …”
Even on Sommaradva the wizards were full of surprises, unpredictable behavior and words that began by sounding irrelevant, ill chosen, or stupid. What little of the literature that was available to one of the warrior-surgeon level, she had read and reread. So she composed herself and, with great anticipation, watched and listened while the Earth-human wizard did nothing at all.
The spell began very subtly with words, spoken in a manner that was anything but subtle, describing the arrival of AUGL-One Sixteen at the hospital as the commanding officer and sole survivor of its ship. The vessels of water-breathing species, and especially those of the outsize denizens of Chalderescol, were notoriously unwieldy and unsafe, and it had been exonerated of all blame for the accident both by the Monitor Corps investigators and the authorities on Chalderescol — but not by itself. This was realized when the patient’s physical inju-ries had healed and it continued to complain of severe psychosomatic discomfort whenever the subject of returning home was discussed.
Many attempts were made to make the patient realize that it was punishing itself, cutting itself off from its home and friends, for a crime that was very probably imaginary, but without success — it would not con-, sciously admit that it had committed a crime, so telling it that it was not guilty had no effect. A Chalder’s most prized possession was its personal integrity, and as an authority that integrity was unassailable. AUGL-One Sixteen was a sensitive, intelligent, and highly qualified being who, outwardly, was a submissive and cooperative patient. But where its particular delusion was concerned it was as susceptible to influence as the orbit of a major planet.
And so Sector General had acquired a permanent patient, an AUGL specimen in perfect health and a continuing and strictly unofficial challenge to its Department of Psychology, because only in the hospital could it be pain-free and relatively happy.
Silently Cha Thrat apologized to the Earth-human for thinking that it had been negligent, and listened in admiration as the speil took positive form.
“And now,” O’Mara went on, “due to a combination of circumstances, a significant change has occurred. The talks with transient AUGL patients have made you increasingly homesick. Your anger over your neglect by the medical staff has been growing because, subconsciously, you yourself were beginning to suspect that you were not sick and their attention was unnecessary. And then there was the unwarranted, but for you fortunate, interference by Trainee Cha Thrat, who confirmed your suspicion that you were not being treated as a patient. “You have much in common with our outspokentrainee,” it continued. “Both of you have reasons, real or imaginary, for not wanting to go home. On Sommaradva as on Chalderescol, personal integrity and public honor are held in high regard. But the trainee is woefully ignorant of the customs of other species and, when you took the unprecedented step of saying your name to a non-Chalder, it disappointed and hurt you grievously by continuing to act toward you as had the other members of the staff. You were driven to react violently but, because of the constraints imposed by your personality type, the violence was directed at inanimate objects.
“But,” the Earth-human went on, “the simple act of giving your name to this sympathetic and untutored Sommaradvan, whom you had known only a few days, is the clearest possible indication of how badly you wanted help to get away from the hospital. You do still want to go home?”
AUGL-One Sixteen replied with another high-pitched, bubbling sound that did not translate.
Its eyes watched only the Earth-human, and the muscles around its closed jaws were no longer clenched into iron rigidity.
“It was a stupid question,” O’Mara said. “Of course you want to go home. The trouble is, you are afraid and also want to stay here. A dilemma, obviously. But let me try to solve it by telling you that you are once again a patient here, subject to the hospital regimen and my own special and continuing treatment, and until I pronounce you cured you will not go home …”
On the surface the situation had not changed, Cha Thrat thought admiringly. The hospital still retained its permanent AUGL patient, but now there was doubt about the permanency of the arrangement. Now it fully understood its position and had been given a choice, to stay or leave, and its departure date was unspecified so as to relieve its natural fears about leaving. But it was nolonger completely satisfied with its life in the hospital, and already the Earth-human wizard was altering its internal reality by gently stressing the rehabilitative aspects of the therapy. Material would be provided by the Monitor Corps on the changes that had occurred on the home world in its absence, which would be useful if it decided to leave and informative should it stay, and there would be regular and frequent visits by O’Mara itself and other persons it would specify.
Oh, yes, she thought as it talked on, this Earth-human wizard was good.
The transfer team and their anesthetic dart guns had long since left the Nurses’ Station, which meant that Cresk-Sar and Hredlichli must have decided that the danger from AUGL-One Sixteen had passed. Looking at the passive and distress-free patient who was hanging on O’Mara’s every word, she was in entire agreement with them.
“… And you should now realize,” the Earth-human was saying, “that if you want to go, and can convince me that you are able to adapt to home-planet life, I shall with great pleasure and reluctance kick you out. You have been a patient for a very long time and, among many members of the senior staff, our professional concern has developed into the personal variety. But the best thing that a hospital can do for a friend is to send it away, as quickly as possible, cured.