by James White
“Your life-mate donated its undamaged limbs and one lobe of its nutrient absorption organ to the patient you can see at the other side of the ward,” Conway went on. “That patient, like you, will continue to live in a state of perfect physical health, except for some irksome restrictions regarding environment and own-species group activities. And in addition to its protecting you and your unborn child during the accident, you are both continuing to live because one of your hearts was also donated by your life-mate.”
“While its presence is gone from you except as a memory, Conway added quietly, “it would not be completely true to say that it had died.”
He watched closely to see how Forty-three was taking this blatantly emotional onslaught, but the tegument of the body was too hard and featureless to give any indication of its feelings.
“It tried very hard to keep you alive,” he went on, “and so I think you owe it to your life-mate’s memory to continue trying very hard to stay alive, although there will be times when this will not be easy.
And now for the bad news, Conway thought.
Gently, he went on to describe the effects of knocking out the FROB immune system-the aseptic environment which the patient would require, the specially prepared and treated food, and the barrier nursing and isolation ward procedures needed to guard against the possibility of any FROB infection invading the body which had been rendered utterly defenseless. Even the infant would have to be removed from the parent immediately after birth. Only visual contact with it would be possible, because the child would be normal in all respects and would therefore be a health hazard to the defenseless parent.
Conway knew that the child would be raised and well cared for on Hudlar-the FROB family and social structures were both highly complex and flexible, and the concept of “orphan” was completely unknown to them. The infant would be deprived of nothing.
“If you yourself were to return to your home world,” Conway said in a firmer tone, “the same protective measures would be necessary to keep you alive, and at home your friends would not have the facilities and experience possessed by this hospital. You would be confined to your own quarters, you would have no physical contact with another Hudlar, and the normal range of exercise and work activities would be forbidden. There would also be the constant worry that your protective envelope would be breached or your nutrient infected and, with no natural defense against disease, you would die.”
The native Hudlars were not yet medically advanced enough to maintain such a sophisticated facility, so its death would be certain.
The patient had been watching him steadily while he was speaking. Suddenly its membrane began to vibrate in reply.
“In the situation you describe,” it said, “I might not worry too much about dying.”
Conway’s first inclination was to remind Forty-three of all the work that had gone into keeping it alive, the implication being that it was displaying a lack of gratitude. But the Hudlar component of his mind was making comparisons with the normal FROB life-style and that which Conway was offering it. From the patient’s viewpoint he might not have done it a favor, other than by saving the life of its child-to-be. Conway sighed.
“There is an alternative,” he said, trying to put some enthusiasm into his tone. “There is a way in which you could lead an active working life, without physical constraints on your movements. In fact, you could travel all over the Federation, return to asteroid mining if you like, or do anything else you have a mind to do so far as your working life is concerned, provided that you do not return to Hudlar.”
The patient’s membrane vibrated briefly, but the translator was silent. Probably it was a sound of surprise.
Conway had to spend the next few minutes explaining the basic tenets of multispecies medicine to the patient, and how disease and infection was transmissible only among the members of a species with a common evolutionary history and environment. An Ian or a Melfan or a member of any other species would be quite safe with an Earth-human with the most contagious and virulent Earthly diseases, because the victim’s pathogens were ineffective against-in fact they would completely ignore and be ignored by-the tissues of any other off-planet species. An ailment could, therefore, only be contracted from a being’s own world or people.
“You can see what this means,” Conway went on quickly. “After your wounds are healed and the child is born, you will be discharged from the hospital. But instead of confining you to an aseptic prison on your home world and severely restricting your activities, you could elect to go to another planet, where your lack of resistance to Hudlar diseases would be unimportant, because the pathogens on that world would have no interest in you.
“Your nutrient would be synthesized locally and would not be a source of infection,” he continued. “However, immunity suppressant medication will be required periodically to ensure that your immune system does not restart and begin to reject your artificial organs. This will be administered by a medic from the nearest Monitor Corps office, which will be given full instructions regarding your case. The Corps medic will also warn you of impending visits by members of your own species. When this happens you must not go anywhere near them. Do not occupy the same building as they do or, if possible, even the same town.”
Unlike the transplant patients of many other species, who could accept donor organs with no rejection problems after a short time on suppressants, the Hudlar immune system had to be permanently neutralized. But this was not the time, Conway thought, to add another misfortune to the list.
“Exchanges of news between you and your friends at home should be by communicator only,” Conway went on. “I must stress this point. A visitor of your own species, or even a package sent from home, would harbor the only kind of pathogens capable of infecting and killing you, and they would do so very quickly.”
Conway paused to allow the full meaning of his words to sink
in. The patient continued to regard him for a long time, its membrane showing no indication of it wanting to speak. This was a Hudlar in full female mode, and its present major concern would be for the safe delivery and future health and happiness of its offspring.
When the birth was successfully accomplished, as it would be, the deceased male-mode life-mate should have been present to take care of the child and to slip gradually into female mode. Because of the death of its partner, that function would be taken over by close relatives. Immediately following the birth, however, this patient would begin the inevitable changeover to full male mode, and in that condition the absence of its life-mate would be particularly distressing.
People of many intelligent species had lost life-mates before now. They had learned to live with it or they had gone out and found another who would accept them. The trouble here was that FROB-Forty-three would not be able to make physical contact with any other member of its species, and would therefore remain in full male mode for the remainder of its life. That, for a young adult Hudlar, would be an intensely frustrating and unhappy condition to be in.
Through the torrent of sex-related Hudlar material which was flooding his mind, a purely Earth-human thought rose to the surface. What would it be like to be forever separated from Murchison and every other member of his species? If he could have Murchison he would not mind having only a bunch of extraterrestrials to talk to and work with-that was the everyday situation at Sector General. But to be cut off from the one form of warm, human, intimate, and mentally as well as physically stimulating contact which he had been taking for granted for so many years-he did not know what he would be able to do about that. The question was unanswerable because the situation was unthinkable.
“I understand,” the patient said suddenly, “and thank you, Doctor.”
His first thought was to refuse its thanks and instead apologize to it. He had the taped insight which made him in effect another Hudlar, and he wanted to tell how truly sorry he was for subjecting it to the trauma of this highly complex and professionally demanding ope
ration which would give it so many more years of mental suffering. But he knew that his mind was oversensitized to the Hudlar material right now, and a Doctor should not speak to his patient in such a maudlin and unprofessional fashion.
Instead he said reassuringly, “Your species is very adaptable regarding working environments, and much in demand throughout the Federation on planetary and space projects, and your recovery will be complete. With certain personal restrictions, which will require a high order of mental discipline to negate, you can look forward to leading a very active and useful life.”
He did not say a happy life, because he was not that big a liar.
“Thank you, Doctor,” the patient said again.
“Please excuse me,” Conway said, and escaped.
But not for long. The rapid, irregular tapping of six hard-tipped Melfan legs signaled the approach of Senior Physician Edanelt.
“That was well done, Conway,” the Senior said. “A nice blend of clinical fact, sympathy, and encouragement, although you did spend a lot more time with the patient than is usual for a Diagnostician. However, there was a message for you from Thornnastor requesting a meeting as soon and wherever is convenient for you. It did not specify other than saying that it concerned your Protector and that it was urgent.”
“If the time and place are of my choice,” Conway said slowly, his mind still on the future troubles of FROB-Forty-three, “it can’t be too urgent. What about Three and Ten?”
“They, too, are urgently in need of reassurance,” Edanelt replied. “Three was the responsibility of Yarrence, who did some delicate and quite brilliant work relieving its depressed cranial fracture and underlying repairs, but no replacement surgery was necessary. Visually, Three will not be an aesthetically pleasing entity to its fellows, but unlike Ten and Forty-three, neither will it be a permanent exile from its home world and people.
“Ten will have the same long-term problems as Forty-three,” the Melfan went on. The procedures for the multiple limb and absorption organ replacements went well, and the prognosis is for a full recovery under the usual strict regimen of suppressants. Since you are short of time, perhaps I should talk to one of them while you speak to the other?
“I am a Senior Physician, Conway,” it added, “and not a fledgling Diagnostician like you. But I would not want to keep Thornnastor waiting too long.”
“Thank you,” Conway said, “and I’ll talk to Ten.”
Unlike Forty-three, Ten was in male mode and would not be susceptible to emotional manipulation and arguments as the previous patient. He hoped that Thornnastor was being its usual impatient self and not really in a hurry to see him …
When it was over he felt in much worse mental shape than the patient, who seemed to have taken the first steps toward the acceptance of its lot without too much emotional distress, probably because it did not have a life-mate. Conway desperately wanted to clear his mind of all things pertaining to the Hudlar life-form, but it was proving extremely difficult to do so.
“Surely it is theoretically possible for two suppressees, living away from their home planet, to meet without endangering each other?” he asked Edanelt when they were out of earshot of the Hudlar patients. “If both had their immune systems suppressed, they should be free of own-species pathogens which would otherwise infect each other. It might be possible to arrange periodic meetings of such exiles which would benefit—”
“A nice, softhearted, and, may I say, softheaded idea,” Edanelt broke in. “But if one of these suppressees had an inherited immunity to a pathogen not directly involved with the rejection process, to which the other members of this group had no immunity, they would be in serious danger. But try the idea on Thornnastor, who is the recognized authority on—”
“Thornnastor!” Conway burst out. “I’d forgotten. Has it been?”
“No,” Edanelt said. “But O’Mara came in to see if you needed help talking to the replacement patients. It advised me regarding my approach to Three’s problems, but said that you did not need help and seemed to be enjoying yourselves too much to be disturbed. Was that a remark denoting approval, or not? From my experience of working among Earth-human DBDGs I assume this was one of those occasions when incorrect verbal data is passed on in the belief that the listener will assume the opposite meaning to be true, but I do not understand this concept you call sarcasm.
“One never knows whether O’Mara is approving or otherwise,” Conway said dryly, “because he is invariably uncomplimentary and sarcastic.”
Nevertheless it gave him a warm feeling to think that the Chief Psychologist had thought enough of his handling of the postoperative interview with Ten not to interfere. Or maybe he had thought Conway was making such an unholy mess of things that O’Mara was unable, for reasons of discipline, to tell a probationary Diagnostician how abysmally wrong he was in front of junior members of the staff.
But the doubt Conway felt was being swamped by a feeling which was even stronger, a physical need which was being reinforced by the sudden realization that he had had nothing but a sandwich to eat during the past ten hours. He turned quickly to the ward terminal and called up the on- and off-duty rosters of the warmblooded, oxygen-breathing members of the Senior Staff. He was in luck, their duty rosters coincided.
“Would you contact Thornnastor, please,” Conway said as he turned to leave the ward, “and tell it that I will meet it in thirty minutes in the dining hall.”
CHAPTER 18
Conway knew the Diagnostician-in-Charge of Pathology well enough to tell it apart from all the other Tralthans using the dining hall, and he was pleasantly surprised to see Murchison at the same table. Thornnastor, as was its wont, was purveying some interspecies gossip to its assistant, and so engrossed in it were they that they did not notice his approach.
… One would not think it likely or even possible,” the Tralthan was rumbling pedantically through its translator, “for the urge toward indiscriminate procreative activity to be strong in a life-form which is only a few degrees above absolute zero. But believe me, a fractional elevation in body temperature, even when it is accidentally produced by the treatment, can cause acute embarrassment among the other SNLU genders present. Four genders in one species tends to be confusing anyway, even when one is carrying the SNLU tape, and a certain Melfan Senior, you know who I mean, was sufficiently disturbed emotionally to use its external manipulators to signal its readiness to—”
“Frankly, sir, my trouble is somewhat different Murchison began.
“I realize that,” Thornnastor replied. “But really, there does not appear to be any great emotional, physical, or psychological problem. Naturally, the mechanics of this particular mating process are distasteful to me personally, but I am willing to consider the matter clinically and give what advice I can.”
“My difficulty,” Murchison said, “is the distinct feeling I experienced while it was happening that I was being unfaithful five times over.
They’re talking about us! Conway thought, feeling his face beginning to redden. But they were still too deeply engrossed to notice either him or his embarrassment.
“I will gladly discuss this matter with my fellow Diagnosticians,” Thornnastor resumed ponderously. “Some of them may have encountered similar difficulties. Not myself, of course, because the FGLI species indulges in this activity during a very small proportion of the Tralthan year, and during that period the activity is, well, frenetic and not subject to subtle self-analysis.” All of its eyes took on faraway looks for a moment, then it went on. “However, a brief reference to my Earth-human component suggests that you do not concern yourself with minor and unnecessary emotional hairsplitting, and just relax and enjoy the process. In spite of the subtle differences which you mentioned earlier, the process is enjoyable? … Oh, hello, Conway.”
Thornnastor had raised the eye which had been regarding its food to look at him. It said, “We were just talking about you. You seem to be adapting very well to your multiple tape pro
blems, and now Murchison tells me that—”
“Yes,” Conway said quickly. He looked appealingly into the Tralthan’s one and Murchison’s two eyes and went on. “Please, I would greatly appreciate it if you would not discuss this very personal matter with anyone else.”
“I don’t see why not,” Thornnastor said, bringing another eye to bear on him. “Surely the matter is of intrinsic interest, and would no doubt prove enlightening to colleagues who have faced or are about to face similar problems. Sometimes your reactions are difficult to understand, Conway.”
He glared at Murchison, who, he felt, had been far too free in talking about her intrinsically interesting problems with her Chief. But she smiled sweetly back at him, then said to Thornnastor, “You’ll have to excuse him, sir. I think he is hungry, and hunger affects his sensorium as well as his blood sugar levels and sometimes makes him behave with a degree of irrationality.”
“Ah, yes,” the Tralthan said, returning the eye to its plate. “It has the same effect on me.”
Murchison was already tapping instructions into the food console for one of his visually noncontroversial sandwiches. He said, “Make it three, please.”
He was attacking the first one as Thornnastor, who had the advantage of being able to speak with all four of its mouths, went on. “It seems I must compliment you on the way you are adapting to operative procedures requiring other-species surgical data. Not only were you calling up this data with little or no delay; the indications are that you were initiating new procedures derived from a combination of different entities’ experiences. The OR Seniors were most impressed, I have been told.”
Chewing furiously, Conway swallowed and said, “It was the Seniors who did all the real work.”
“That isn’t the way Hossantir and Edanelt tell it,” Thornnastor said. “But I suppose it is in the nature of things that Seniors do most of the work and the Diagnostician-in-Charge gets most of the credit, or all of the discredit if things go wrong. And speaking of cases which might not go well, I would like to discuss your plans for the birth of your Unborn. The endocrinology of its parent and Protector is quite complex, and I am most interested in this one. However, I can foresee a few purely physical problems which …”