“She helps women deliver babies,” said Bingwen.
“Yes,” said Grandfather. “She knows things about medicine.”
“Not enough,” said Bingwen. He took the digital device from the pouch and approached Mazer. Everyone was crowding around the travois. The old woman’s husband was holding a lantern.
“Back up,” the old woman said. “I need space.” She bent down, pulled the lantern close, and poked around, lifting the corner of the bandage and looking at the many wounds. “This is bad. Very bad. More than I can do. I can’t help him.”
“You have to,” said Bingwen.
“Boy, you did a brave thing to bring this man back, but he is beyond help. He won’t live to see morning. He’s lost too much blood. His wounds are too many.”
“Then we’ll give him a blood transfusion. We’ll find a match among one of us and give him blood.”
The old woman laughed. “And how do you propose we do that?”
“With this,” said Bingwen, holding up the device. He turned on the screen and selected BLOOD EXAM. It asked him if he wanted instructions. Bingwen selected YES. The machine started to talk in English. It startled everyone.
“What is that?” said the old woman.
“A medical device to tell you how to treat someone.”
“That sounds like English,” said the teenage girl.
“It is,” said Bingwen. “I know English. I can walk us through the steps.” He didn’t wait for them to object. He listened to the recorded voice. It was female, calm and soothing, the kind of voice you would want to hear in a traumatic situation. The device told Bingwen to pull certain items from the med kit. Bingwen obeyed. He used the tiny tube he found to extract a drop of blood from Mazer. He put the drop on the corner of the device’s screen where it indicated.
“Type O positive,” the device said. “This blood is only compatible with types O positive and O negative.”
“What is it saying?” asked Grandfather.
“I need to prick my finger,” said Bingwen. He dug through the supplies until he found another thin straw and finger pricker.
“Test mine,” said Grandfather, offering his hand. “You’re too small to give blood.”
“You’re too weak,” said Bingwen.
“I know my strength better than you do, boy. Prick my finger.”
Bingwen wiped Grandfather’s finger with the gauze, pricked it, and tested the blood. When the results came back he said, “It’s a match.”
Grandfather nodded, pleased with himself, as if he had accomplished something. “Then let’s get a move on.”
“We need to stitch him up first and remove the shrapnel,” said the old woman. “But I think it’s a waste of time. This man isn’t going to live. You’ll lose blood for nothing, blood you have no business losing at your age.”
Grandfather frowned. “My grandson risked his life to bring this man to us. And this man risked his life to save us. We are going to save his life and you are going to help.”
The old woman’s husband stepped forward. “Watch your tongue, old man. You don’t command my wife.”
“I’m doing it because you’re not,” said Grandfather. “She’s duty-bound. She owes this man. We all do. And if Bingwen says we can save him, then we can.” He turned to the old woman. “You’ve stitched up women before. This is no different.”
“This is plenty different,” said the old woman. “The shrapnel wounds are simple enough. It’s the man’s stomach that I can’t fix. I don’t know what’s injured inside. His organs could be all cut up. It looks deep. I’m not a doctor.”
“The device will tell us,” said Bingwen, not knowing if it were true. “Let’s at least try.”
The old woman hesitated, looked into the face of her husband, then sighed. “Fine. What do we do first?”
Bingwen wasn’t sure. There was a button for help. He pushed it.
“State the problem,” said the device.
“His stomach is cut and was bleeding a lot. Maybe his organs are cut, too. We’re not sure.”
“Have you stopped the bleeding?” asked the device.
“Yes.”
“Have you washed and sanitized the wound and your hands?”
“No.”
“Let’s do that first. Do you know how?”
Bingwen knew how to wash his hands certainly, but there might be special instructions so he said, “No.”
There were special instructions. There were chemicals to use and gloves to wear and sterile gauze to unwrap. Bingwen and the woman did what they were told. They cleaned the wound and stanched the blood. They wiped down and sterilized the device as well.
“Now I need to scan the wound,” said the device.
Bingwen held the device over the wound for several seconds.
“I detect serious trauma,” said the device. “A portion of the small intestines has been severed. This requires immediate surgery. Is there a qualified doctor available who can perform a small bowel resection?”
“No,” said Bingwen.
“What’s it saying?” said the old woman.
“Let the boy listen,” said Grandfather.
“Can you transport the patient to a hospital where a qualified doctor can be found?” the device asked.
“No,” said Bingwen.
“Can you notify a doctor and have one come to you?”
“There are no doctors anywhere. We can’t move him.”
“Is there someone present who is willing to attempt the surgery?”
Bingwen looked into their faces. “What will happen if we don’t?”
“The small intestine is part of the body’s digestive tract. When severed it will release harmful waste into the body. If not repaired immediately, and if the wound isn’t properly cleaned, the patient will not survive.”
“Nobody here has ever done something like this before.”
“I will walk you through the steps. You will need the following items from the med kit.”
A long list of supplies appeared on the screen.
“What will we have to do exactly?” asked Bingwen.
“The damaged section of the intestines will have to be cut off and removed. The bowel will then need to be stitched back together to reestablish the continuity of the digestive tract. The wound must be properly cleansed and treated for infection. The abdominal wound must then be stapled and treated for infection as well. The patient will need to be under general anesthetic the entire time. I can help watch the patient’s vitals and coach you through the process.”
“How long will it take, knowing that we’re completely untrained and have no idea what we’re doing?”
“Anywhere from four to twelve hours.”
Bingwen was quiet.
“Well?” said the old woman. “What did it say? Is this something we can do?”
Bingwen looked at them. They were ready to give up. He could see it in their faces.
“Yes,” he said. “We can absolutely do this. It won’t be hard at all.”
* * *
Kim hated status meetings. They felt like a complete waste of time. She had gone to school to be a doctor, to help people, to save lives, not to sit around a conference room and look at spreadsheets and due dates and discuss the minutiae of every project. That was an administrator’s job. That’s what managers did. Doctors got their hands dirty. Doctors rushed to bedsides, giving comfort, cheating death. Meetings like this were death, slow and painful and mind-numbingly boring.
“Kim? Are you with us?”
She looked up. Everyone around the table was staring at her. She had been doodling on her holopad, making swirls all over the spreadsheet. She blinked and sat upright. “Yes. Sorry. Go on.”
The group went back to it, chattering away about some production issue: the manufacturers in China who were assembling the most recent round of Med-Assists weren’t going to meet their deadline; the workers weren’t coming into the plant.
“Can you blame them?” said K
im. “There is a war on. Alien civilization. People dying. I wouldn’t want to go into work either.”
“Business must go on, Kim,” said one of the project managers. “There’s no telling how big this could get. The military might deploy troops. If New Zealand gets in this fight, we need to be ready with the Med-Assist.”
He was right, Kim knew. She had seen all the statistical reports; the Med-Assist reduced combat casualties by as much as sixty percent in some studies. Yet even so, it struck Kim as absurd that they would sit here and discuss something as frivolous as labor disputes while thousands of civilians died in rural China. There were aliens out there, for crying out loud. Malicious, highly advanced aliens. The world had changed overnight. They were fretting over a burning tree while the forest blazed all around them.
But she said none of this aloud. Instead she smiled politely and pretended to listen as the meeting continued and the discussion moved on to other production issues.
This had never been in the job description, she told herself. They had said nothing about her helping to manage logistical concerns or labor disputes. And yet here she was, enduring another mindless meeting on those very subjects.
She had tried to get out of them, she had pled to upper management that they excuse her from all management duties, yet her request had been denied. She knew every function of the Med-Assist. An issue in another department might affect what she was doing. She needed to stay in the loop, she needed to be aware.
For the hundredth time she questioned if coming to New Zealand had been the right decision. They had promised her that she would be helping more people through the device, and technically that was true. But now those words felt like a misleading promise. She was helping more people, yes, but she never got to see any of them; she never got to give their hands a reassuring squeeze before surgery, or watch their faces light up when she told them all would be well. They were numbers, not names. All the humanity and thrill and reward of being a doctor were missing. It was the work of saving lives, but the work felt lifeless.
Mazer had made it tolerable. When they were together she had ignored the doubts about the job. All the mindless meetings and administrative crap was bearable if it meant having him at her side.
But now even that was gone.
Mazer. She couldn’t think of him without four different emotions assaulting her at once. She was angry still, of course. Furious even. How could he think that what they had could be snipped in two and so easily ended? Had it meant so little to him? Then there was the sorrow and the empty loneliness of it all, the vacant feeling she couldn’t seem to shake.
But most of all was the worry. The fear that he was dead somewhere in China. He was right at the center of it. Of all the places in the world to go, the Formics had landed there. And not just one lander, but all three.
She had seen him pull the boy from the mud. The press was still playing it over and over again. When she heard that the Formics had landed in China, it was as if her heart had dropped out of her chest. She had glued herself to the feeds, hoping to see something that would reassure her that he was all right.
And then there he was. Right on the screen. Right in front of her. Right there in the mud and thick of it, right at the epicenter. And she had burst into tears.
That had been twelve hours ago, and since then no word. She wasn’t sure what she expected. A call from him? A message of some sort, reassuring her that he was all right?
Her wrist pad vibrated. She was getting a call, and for an instant she thought it might be him. Then she looked at the photo and saw that it was the front desk. She considered letting it go to her message box, but then she realized it was her ticket out of the meeting. She got to her feet, smiled apologetically, and left the room.
Outside in the hall she put in her earbud and tapped it. “Dr. Arnsbrach,” she said.
The voice on the line said, “Sorry to bother you, Doctor. It’s Marnie at the front desk. I’ve got another one of those misdirects on the line. It sounds urgent. What should I do?”
Kim sighed. Misdirects were calls intended for doctors but which were misdirected to company headquarters instead. Early versions of the Med-Assist device were to blame. They had included a feature that the company couldn’t sustain: If the Med-Assist saw that it needed outside help for a procedure, it would make a sat call to a switchboard. That switchboard would then connect the Med-Assist to a real doctor within the Med-Assist network. The doctor would then stay on the line with the soldier who had the device and help him complete whatever dicey medical procedure he was trying to perform.
The problem was, the contracts to build the network of doctors had fallen through at the last minute. So there were no doctors taking live calls. There was nobody.
The company had removed the sat-call feature from subsequent releases of the device, and an update of the software had erased that feature on those devices that had originally had it. Yet every so often an old Med-Assist device surfaced that hadn’t been updated. And when it tried to contact the nonexistent network, it failed and called headquarters instead.
“Where’s the device?” asked Kim.
“The boy says he’s in China.”
Great, thought Kim. China. That meant it was probably a device that had made its way to the black market. The company didn’t have a contract with the Chinese military. What else could it be?
“Should I tell him we don’t offer that service? He’s a kid. He’s clearly not military.”
“No,” said Kim. “I’ll take the call. Patch him through.”
Technically she had no responsibility for whoever was on the line, and there were all kinds of shaky legal issues here. But it was a living, breathing person who needed help. And wasn’t that what she was missing?
“Hello?” said a small voice.
“Hello. I’m Dr. Kim Arnsbrach. Who I am speaking with?”
“My name is Bingwen.”
“You have a Med-Assist, Bingwen?”
“Yes. I found it. You have to help me. My friend is hurt. We’ve been following the instructions, but we had a problem and it called you.”
“How old is your friend, Bingwen?” If the patient was a child, Kim would alert one of the pediatricians on staff and get them involved.
“I don’t know,” said the boy. “Does it matter?”
“Is there an adult there I can speak with?”
“I’m the only one who speaks English.”
“Where are you?”
“In a farmhouse. South of Dawanzhen.”
That meant nothing to her. “Okay, Bingwen. Maybe I can help you.” She was moving back to her office. “I’m going to talk to the device now for a minute, all right? I’m going to download some information from it and see what the problem is. Stay with the device. I’ll be with you in a minute. Can you do that?”
“Yes. But hurry. He’s hurt bad. No one thinks he’s going to live.”
Kim’s fast walk became a jog. This was more serious than she thought. She reached her office and put her wrist pad on the holodesk. All of the information from the Med-Assist appeared in front of her. Images, video, steps completed.
It was a small bowel resection. Kim swore. She had expected a skinned knee or a broken bone perhaps. A child’s injury. This was full-on invasive surgery. How old was this kid? He didn’t sound older than seven or eight. It was lunacy. She waved her hand through the holofield and made a call. A man’s head appeared. “Itzak,” said Kim, “I need you up in my office immediately.”
He didn’t ask questions. “On my way.”
He was the best gastroenterologist they had on staff and a brilliant surgeon. He was in her office less than a minute later. He quickly scanned the information in the air in front of him. “They’re halfway through the surgery,” he said. “Who are these people?”
“Not soldiers,” said Kim. “The kid’s the only one who speaks English. None of them has any medical training.” She had read the boy’s responses to all the questions t
he device had asked. “Can we do a shadow surgery?”
He looked unsure. “Maybe. I don’t know their skill level.”
“They have no skill level. But they’re already halfway through it. We have to try.” Kim took the line off mute. “Bingwen, can you hear me?”
“Yes. I’m here. I thought I had lost you.” He sounded afraid.
“No, Bingwen. I’m here. I have another doctor with me. We’re going to try something. It’s called a shadow surgery. Dr. Mendelsohn and I are going to show you exactly what to do. We’ll have a holo of your friend here in front of us. We’ll perform the rest of the surgery step by step and the person on your end just has to mimic everything we do. You’re very close. You’ve been doing wonderfully.”
“The woman here who’s doing it wants to give up. She doesn’t think she can finish. She’s been going for hours.”
“She can do it, Bingwen,” said Kim. “You have to convince her to keep going.”
“I’m trying. She’s not listening.”
Itzak spoke quietly. “I need a visual.”
“Bingwen,” said Kim. “I need you to point the pad over the wound for me and hold it there.”
“Okay.”
Itzak moved his hands through the holofield, and a holo of a man’s midsection appeared on the table. Kim had never gotten used to this part: performing surgery this way, without scrubbing up first, without a wall of equipment and monitoring devices around you.
“Good, Bingwen. We can see your friend now,” said Kim. “What’s the name of the woman who’s helping you?”
“Mingzhu.”
“Is Mingzhu ready to begin?”
She heard him speak in Chinese. A woman answered. Kim could here the stress in the woman’s voice.
“She says she can’t go on.” The boy sounded panicked.
“We need to get moving on this,” Itzak whispered. “There’s some light hemorrhaging here.”
“Bingwen,” said Kim. “Listen to me. We need to do this right now. Do you understand? Tell Mingzhu that if she doesn’t act now your friend is going to die.”
She heard Bingwen speak in Chinese again. But this time, he said a word that Kim did recognize, not a Chinese word, a name. It froze her heart.
Earth Afire (The First Formic War) Page 29