So he had been found and brought to a hospital. That was good. He could easily have died out there in the snow; but someone had stumbled over him and brought him in. That was a novelty, that someone had bothered to help him; the treatment he had received in the bar last night—was it last night?—was more typical of the world's attitude toward him. In twenty-nine years he had somehow failed to learn adequate concealment, camouflage, and every day he suffered the consequences. It was so hard for him to remember, he who remembered everything else, that the other people were not like him and hated him for what he was.
Gingerly he felt his side. There didn't seem to be any broken ribs—just bruises. A day or so of rest and they would probably discharge him and let him move on.
A cheerful voice said, "Oh, you're awake, Mr. Niles. Feeling better now? I'll brew some tea."
He looked up and felt a sudden sharp pang. She was a nurse—twenty-two, twenty-three, new at the job perhaps, with a flowing tumble of curling blond hair and wide, clear blue eyes. She was smiling, and it seemed to Niles it was not merely a professional smile. "I'm Miss Carroll, your day nurse. Everything okay?"
"Fine," Niles said hesitantly. "Where am I?"
"Central County General Hospital. You were brought in late last night-apparently you'd been beaten up and left by the road out on Route 32. It's a lucky thing Mark McKenzie was walking his dog, Mr. Niles." She looked at him gravely. "You remember last night, don't you? I mean … the shock … amnesia …"
Niles chuckled. "That's the last ailment in the world I'd be afraid of," he said. "I'm Thomas Richard Niles, and I remember pretty well what happened. How badly am I damaged?"
"Superficial bruises, mild shock and exposure, slight case of frostbite," she summed up. "You'll live. Dr. Hammond'll give you a full checkup a little later, after you've eaten. Let me bring you some tea."
Niles watched the trim figure vanish into the hallway.
She was certainly an attractive girl, he thought, fresh-eyed, alert … alive.
Old cliché: patient falling for his nurse. But she's not for me, I'm afraid.
Abruptly the door opened and the nurse reentered, bearing a little enameled tea tray. "You'll never guess! I have a surprise for you, Mr. Niles. A visitor. Your mother."
"My moth—"
"She saw the little notice about you in the county paper. She's waiting outside, and she told me she hasn't seen you in sixteen years. Would you like me to send her in now?"
"I guess so," Niles said, in a dry, feathery voice.
A second time the nurse departed. My God! Niles thought. If I had known I was this close to home—
I should have stayed out of Ohio altogether.
The last person he wanted to see was his mother, she who had given him life. He began to tremble under the covers. The oldest and most terrible of his memories came bursting up from the dark compartment of his mind where he thought he had imprisoned it forever. The sudden emergence from warmth into coolness, from darkness to light, the jarring slap of a heavy hand on his buttocks, the searing pain of knowing that his security was ended, that from now on he would be … alive—
The memory of the agonized birth-shriek sounded in his mind. He could never forget being born. And his mother was, he thought, the one person of all he could never forgive, since she had given him forth into the life he hated. He dreaded the moment when—
"Hello, Tom. It's been a long time."
Sixteen years had faded her, had carved lines in her face and made the cheeks more baggy, the blue eyes less bright, the brown hair a mousy gray. She was smiling. And to his own astonishment, Niles was able to smile back.
"Mother."
"I read about it in the paper. It said a man of about thirty was found just outside town with papers bearing the name Thomas R. Niles, and he was taken to Central County General Hospital. So I came over, just to make sure—and it was you."
A lie drifted to the surface of his mind, but it was a kind lie, and he said it: "I was on my way back home to see you. Hitchhiking. But I ran into a little trouble en route."
"I'm glad you decided to come back, Tom. It's been so lonely, ever since your father died, and of course Hank was married, and Marian too—it's good to see you again. I thought I never would."
He lay back, perplexed, wondering why the upwelling flood of hatred did not come. He felt only warmth toward her. He was glad to see her.
"How has it been—all these years, Tom? You haven't had it easy. I can see. I see it all over your face."
"It hasn't been easy," he said. "You know why I ran away?"
She nodded. "Because of the way you are. That thing about your mind—never forgetting. I knew. Your grandfather had it too, you know."
"My grandfather—but—"
"You got it from him. I never did tell you, I guess. He didn't get along too well with any of us. He left my mother when I was a little girl and I never knew where he went. So I always knew you'd go away the way he did. Only you came back. Are you married?"
He shook his head.
"Time you got started, then, Tom. You're near thirty."
The room door opened and an efficient-looking doctor appeared. "Afraid your time's up, Mrs. Niles. You'll be able to see him again later. I have to check him over, now that he's up."
"Of course, Doctor." She smiled at him, then at Niles. "I'll see you later, Tom."
"Sure, Mother."
Niles lay back frowning as the doctor poked at him here and there. I didn't hate her. A growing wonderment rose in him, and he realized he should have come home long ago. He had changed, inside, without even knowing it.
Running away was the first stage in growing up, and a necessary one. But coming back came later, and that was the mark of maturity. He was back. And suddenly he saw he had been terribly foolish all his bitter adult life.
He had a gift, a great gift, an awesome gift. It had been too big for him until now. Self-pitying, self-tormented, he had refused to allow for the shortcomings of the forgetful people about him and had paid the price of their hatred. But he couldn't keep running away forever. The time would have to come for him to grow big enough to contain his gift, to learn to live with it instead of moaning in dramatic self-inflicted anguish.
And now was the time. It was long overdue.
His grandfather had had the gift; they had never told him that. So it was genetically transmissible.
He could marry, have children, and they too would never forget.
Or did it skip a generation every time? Or was it sex-linked, like hemophilia, with women as carriers? It didn't matter: the mechanics were something to be learned, like the use of it.
What did count was that his gift would not die with him. Others of his kind, less sensitive, less thin-skinned, would come after, and they too would know how to recall a Beethoven symphony or a decade-old wisp of conversation. For the first time since that fourth birthday party, he felt a hesitant flicker of happiness. The days of running were ended; he was home again. If I learn to live with others, maybe they'll be able to live with me.
He saw the things he yet needed : a wife, a home, children—
"—a couple of days' rest, plenty of hot liquids, and you'll be as good as new, Mr. Niles," the doctor was saying. "Is there anything you'd like me to bring you now?"
"Yes," Niles said, "Just send in the nurse, will you? Miss Carroll, I mean."
The doctor grinned and left. Niles waited expectantly, exulting in his new self. He switched on act 3 of Die Meistersinger as a kind of jubilant backdrop music in his mind and let the warmth sweep up over him. When she entered the room he was smiling and wondering how to begin.
© 1957 by Fantasy House, Inc.
Caught in the Organ Draft, by Robert Silverberg
Look there, Kate, down by the promenade. Two splendid seniors, walking side by side near the water's edge. They radiate power, authority, wealth, assurance. He's a judge, a senator, a corporation president, no doubt, and she's—what?—a professor emeritus o
f international law, let's say. There they go toward the plaza, moving serenely, smiling, nodding graciously to passersby. How the sunlight gleams in their white hair! I can barely stand the brilliance of that reflected aura: it blinds me, it stings my eyes. What are they, eighty, ninety, a hundred years old? At this distance they seem much younger—they hold themselves upright, their backs are straight, they might pass for being only fifty or sixty. But I can tell. Their confidence, their poise, mark them for what they are. And when they were nearer I could see their withered cheeks, their sunken eyes. No cosmetics can hide that. These two are old enough to be our great-grandparents. They were well past sixty before we were even born, Kate. How superbly their bodies function! But why not? We can guess at their medical histories. She's had at least three hearts, he's working on his fourth set of lungs, they apply for new kidneys every five years, their brittle bones are reinforced with hundreds of skeletal snips from the arms and legs of hapless younger folk, their dimming sensory apparatus is aided by countless nerve-grafts obtained the same way, their ancient arteries are freshly sheathed with sleek teflon. Ambulatory assemblages of secondhand human parts, spliced here and there with synthetic or mechanical organ substitutes, that's all they are. And what am I, then, or you? Nineteen years old and vulnerable. In their eyes I'm nothing but a ready stockpile of healthy organs, waiting to serve their needs. Come here, son. What a fine strapping young man you are! Can you spare a kidney for me? A lung? A choice little segment of intestine? Ten centimeters of your ulnar nerve? I need a few pieces of you, lad. You won't deny a distinguished elder like me what I ask, will you? Will you?
· · · · ·
Today my draft notice, a small crisp document, very official-looking, came shooting out of the data slot when I punched for my morning mail. I've been expecting it all spring; no surprise, no shock, actually rather an anticlimax now that it's finally here. In six weeks I am to report to Transplant House for my final physical exam—only a formality; they wouldn't have drafted me if I didn't already rate top marks as organ-reservoir potential—and then I go on call. The average call time is about two months. By autumn they'll be carving me up. Eat, drink, and be merry, for soon comes the surgeon to my door.
· · · · ·
A straggly band of senior citizens is picketing the central headquarters of the League for Bodily Sanctity. It's a counterdemonstration, an anti-anti-transplant protest, the worst kind of political statement, feeding on the ugliest of negative emotions. The demonstrators carry glowing signs that say:
BODILY SANCTITY—OR BODILY SELFISHNESS?
And:
YOU OWE YOUR LEADERS YOUR VERY LIVES
And:
LISTEN TO THE VOICE OF EXPERIENCE
· · · · ·
The picketers are low-echelon seniors, barely across the qualifying line, the ones who can't really be sure of getting transplants. No wonder they're edgy about the League. Some of them are in wheelchairs and some are encased right up to the eyebrows in portable life-support systems. They croak and shout bitter invective and shake their fists. Watching the show from an upper window of the League building, I shiver with fear and dismay. These people don't just want my kidneys or my lungs. They'd take my eyes, my liver, my pancreas, my heart, anything they might happen to need.
· · · · ·
I talked it over with my father. He's forty-five years old—too old to have been personally affected by the organ draft, too young to have needed any transplants yet. That puts him in a neutral position, so to speak, except for one minor factor: his transplant status is 5-G. That's quite high on the eligibility list, not the top-priority class but close enough. If he fell ill tomorrow and the Transplant Board ruled that his life would be endangered if he didn't get a new heart or lung or kidney, he'd be given one practically immediately. Status like that simply has to influence his objectivity on the whole organ issue. Anyway, I told him I was planning to appeal and maybe even to resist. "Be reasonable," he said, "be rational, don't let your emotions run away with you. Is it worth jeopardizing your whole future over a thing like this? After all, not everybody who's drafted loses vital organs."
"Show me the statistics," I said. "Show me."
He didn't know the statistics. It was his impression that only about a quarter or a fifth of the draftees actually got an organ call. That tells you how closely the older generation keeps in touch with the situation—and my father's an educated man, articulate, well-informed. Nobody over the age of thirty-five that I talked to could show me any statistics. So I showed them. Out of a League brochure, it's true, but based on certified National Institute of Health reports. Nobody escapes. They always clip you, once you qualify. The need for young organs inexorably expands to match the pool of available organpower. In the long run they'll get us all and chop us to bits. That's probably what they want, anyway. To rid themselves of the younger members of the species, always so troublesome, by cannibalizing us for spare parts, and recycling us, lung by lung, pancreas by pancreas, through their own deteriorating bodies.
· · · · ·
Fig. 4. On March 23, 1964, this dog's own liver was removed and replaced with the liver of a nonrelated mongrel donor. The animal was treated with azathioprine for 4 months and all therapy then stopped. He remains in perfect health 6-2/3 years after transplantation.
· · · · ·
The war goes on. This is, I think, its fourteenth year. Of course they're beyond the business of killing now. They haven't had any field engagements since '93 or so, certainly none since the organ-draft legislation went into effect. The old ones can't afford to waste precious young bodies on the battlefield. So robots wage our territorial struggles for us, butting heads with a great metallic clank, laying land mines and twitching their sensors at the enemy's mines, digging tunnels beneath his screens, et cetera, et cetera. Plus, of course, the quasi-military activity—economic sanctions, third-power blockades, propaganda telecasts beamed as overrides from merciless orbital satellites, and stuff like that. It's a subtler war than the kind they used to wage: nobody dies. Still, it drains national resources. Taxes are going up again this year, the fifth or sixth year in a row, and they've just slapped a special Peace Surcharge on all metal-containing goods, on account of the copper shortage. There once was a time when we could hope that our crazy old leaders would die off or at least retire for reasons of health, stumbling away to their country villas with ulcers or shingles or scabies or scruples and allowing new young peacemakers to take office. But now they just go on and on, immortal and insane, our senators, our cabinet members, our generals, our planners. And their war goes on and on, too, their absurd, incomprehensible, diabolical, self-gratifying war.
· · · · ·
I know people my age or a little older who have taken asylum in Belgium or Sweden or Paraguay or one of the other countries where Bodily Sanctity laws have been passed. There are about twenty such countries, half of them the most progressive nations in the world and half of them the most reactionary. But what's the sense of running away? I don't want to live in exile. I'll stay here and fight.
· · · · ·
Naturally they don't ask a draftee to give up his heart or his liver or some other organ essential to life, say his medulla oblongata. We haven't yet reached that stage of political enlightenment at which the government feels capable of legislating fatal conscription. Kidneys and lungs, the paired organs, the dispensable organs, are the chief targets so far. But if you study the history of conscription over the ages you see that it can always be projected on a curve rising from rational necessity to absolute lunacy. Give them a fingertip, they'll take an arm. Give them an inch of bowel, they'll take your guts. In another fifty years they'll be drafting hearts and stomachs and maybe even brains, mark my words; let them get the technology of brain transplants together and nobody's skull will be safe. It'll be human sacrifice all over again. The only difference between us and the Aztecs is one of method: we have anesthesia, we have antisepsis and asepsis, we use scalpel
s instead of obsidian blades to cut out the hearts of our victims.
· · · · ·
MEANS OF OVERCOMING THE HOMOGRAFT REACTION
The pathway that has led from the demonstration of the immunological nature of the homograft reaction and its universality to the development of relatively effective but by no means completely satisfactory means of overcoming it for therapeutic purposes is an interesting one that can only be touched upon very briefly. The year 1950 ushered in a new era in transplantation immunobiology in which the discovery of various means of weakening or abrogating a host's response to a homograft—such as sublethal whole body X-irradiation, or treatment with certain adrenal cortico-steroid hormones, notably cortisone—began to influence the direction of the mainstream of research and engender confidence that a workable clinical solution might not be too far off. By the end of the decade, powerful immuno-suppressive drugs, such as 6-mercaptopurine, had been shown to be capable of holding in abeyance the reactivity of dogs to renal homografts, and soon afterward this principle was successfully extended to man.
Anthology of Speculative Fiction, Volume One Page 442