Mind Changer

CHAPTER 31

By the time Priicla had finished telling them everything it knew and they had devised a plan, not for solving the problem but for finding a method of containing it in the hope that an answer might somehow be found, O’Mara was feeling more than usually irascible through lack of sleep. As it was, the partial solution was going to turn a large number of the hospital’s medical, maintenance, and security staff on their collective ear and even the new, self-assured Braithwaite could not be expected to order so many senior staff around without someone telling him exactly where to put his instructions. That was why O’Mara kept the Lieutenant at his side while he made noises like a hospital administrator to the person primarily responsible for the mess.

It was strange, he thought as the long-familiar Earth-human face appeared on his viewscreen, how many of the hospital’s past emergencies had begun by this man either trying to do or often doing the medically impossible.

“Conway,” O’Mara said sourly, “you and your telepathic patient have really landed us in it this time. Arrangements are being made as we speak to isolate Tunneckis from all contact with the medical and maintenance staff. Except for the few minutes spent with it by the bare minimum personnel needed to make its isolation as comfortable as possible, it is not to be approached by any living person. Remote-controlled monitoring and medical-treatment servos and a mobile food dispenser will be provided. Fortunately it has recovered sufficiently to use its own toilet facilities. If you have any other patients on Levels One-Ninety-Nine through Two-ZeroThree, they aren’t there anymore and you’ll probably find them on Two-Eighty-Five. But first I have orders for you which must be obeyed without argument or delay if—”

“Wait? Conway broke in. “You can’t do that. I have three patients in that area and one of them is tricky… Dammit, this isn’t a convenient time for holding a stupid evacuation drill. You should have consulted me first. So forget your bloody orders, O’Mara, and tell me what the hell is going on!”

Listening to such an angry exchange between two of the hospital’s top people was a brand-new experience for Braithwaite, and he was looking very uncomfortable. Before O’Mara could reply, the Lieutenant leaned forward so as to bring his face into visual range of O’Mara’s communicator and tried to pour a little diplomatic oil over a manner that his chief’s fatigue was making more abrasive than usual.

“Sir? he said quietly, with an apologetic glance at O’Mara beside him, “a dangerous situation has arisen which, among other things, has caused us to lose a lot of sleep and caused tempers to fray while we tracked it to its source. Rather than waste time trying to tell you about it in detail, I suggest you speak with Dr. Prilicla, who is now fully informed and who will be able to describe the emergency much better than we can. There is nothing to stop you attending your other patients once their new locations are known, and Administrator O’Mara doesn’t wish to give offense.

“Hah!” said Conway.

… but? Braithwaite continued firmly, “he must still forbid Diagnostician Thornnastor, Senior Physician Prilicla, and yourself physical contact with patient Tunneckis. Security has orders to forbid access to this patient by any sapient life-forms or any approach to within one hundred meters in any direction of its present location, although we expect this distance limit to be reviewed and extended in the light of further reports on the progress of the infection. With respect, sir, you, too, must be bound by these orders.”

“With respect, Lieutenant,” said Conway, “what bloody infection? Tunneckis isn’t infected with anything. I suppose you could best describe the case as a road traffic accident, or maybe as an act of its planetary God. It was just driving home when its ground vehicle was struck by lightning. Tunneckis wasn’t even sick.”

“It is now,” said Braithwaite very seriously. “We have incontrovertible evidence that a form of mental contagion is radiating from Tunneckis’s present location and that, according to Dr. Prilicla, who is charting the rate of expansion for us, it is spreading at an accelerating rate into the adjacent levels of the hospital and beyond. In effect, it seems to strip away the more sensitive layers of consciousness, those which we use to make friends, or to trust rather than fear strangers, and, in short, enable us to behave like civilized individuals. I mentioned earlier to you that Tunneckis might not be telepathically dumb. Now we know that it is producing a loud, incoherent, telepathic shout that is slowly destroying the minds within its increasing range. We don’t know what the final stage will be, almost certainly a condition of rampant xenophobia with possibly a descent into pre-sapience. That is why we cannot allow the hospital’s best medical minds to be affected, because we will need them to find a solution.

“If they can? he added.

“Ignore the Lieutenant’s clumsy attempt at flattery, Conway,” O’Mara joined in suddenly. “According to Prilicla, it was you agreeing to accept and treat the hospital’s first Kerma patient that got us into this mess, so you can use your fine mind to help us get out of it. Right?”

Conway frowned, then nodded.”But it isn’t a medical condition? he said. “It’s a, a state of mind in an emotionally disturbed patient who happens to be a telepath. What is Psychology Department doing about it?”

“All we can? O’Mara replied.

“Of course you are? said Conway. “I’ll talk to Prilicla at once. And Thornnastor, who’s also involved. But if this mental infection is radiating and strengthening as you say, how long before we start transferring patients to another hospital?”

“Or move Tunneckis out of this one?” said O’Mara. “But if its present condition continues to worsen, I doubt whether the Kermi or anyone else will want it. You have to find the answer to this one, Doctor, or you’ll be faced with an interesting and very urgent ethical dilemma.”

Braithwaite cleared his throat and looked back to O’Mara. “It might not be all that urgent, sir? he said. “I didn’t have the opportunity to get your approval, but I used your name freely with the engineering and medical-technology people to put them to work on a temporary solution. They are currently modifying a four-person survival pod I–I mean we-commandeered from one of the Orligian supply ships and are installing Kerma life-support, medical monitoring, and the equipment that will enable the pod to be supplied and serviced by remote-control devices sensitive enough for patient care. That will take them at least three days. They might trim a few hours off that estimate, sir, if you were to speak sternly to them in person.

O’Mara’s immediate reaction should have been to lift the skin off the Lieutenant’s back with a tongue-lashing for using his superior’s name and rank without permission. But it was a good idea that he might have thought of himself given time, and his feelings were too desensitized with fatigue to be hurt.

Instead he just nodded and said, “I’ll do that.”

“With Tunneckis in the pod outside the hospital? Braithwaite went on, turning back to Conway on the screen, “You can maintain the medical treatment necessary at long range while the department tries to provide psychotherapy over the communicator. Dr. Prilicla will tell us if and when the patient has to be moved farther out.”

Conway shook his head, in puzzlement rather than negation, and said, “Well done, Lieutenant; at least that will give us time to think. But how can a case that began as a simple vehicular casualty with suspected brain injuries turn suddenly into something that, without the patient being aware of what it’s doing, is sucking out the higher levels of intelligence and sensitivity from the people around it like some kind of mental black hole? This doesn’t make sense ~

“With respect, sir,” said Braithwaite, “what was the exact nature of its injuries?”

“Apart from minor scorching of the body surface, which was healing well before it was admitted,” said Conway, apparently taking no offense at a mere lieutenant daring to question a senior diagnostician, “I couldn’t find anything serious enough to treat. The problem was an impairment of its telepathic faculty, which we couldn’t cure, accompanied by a major psychological component to the case which we passed to Psychology to see if you people could help.”

“Then the condition may have been present before Tunneckis arrived here,” said Braithwaite, still saying all the things O’Mara was too tired to say, “and you just inherited the problem without knowing it was there.”

“A comforting thought? said Conway, dividing his attention between them, “but as the physician-in-charge I’m looking for answers, not excuses for my negative behavior. First I’m going to contact the Monitor base on Kerm for more details on Tunneckis’s accident, and to find out if anything like this has ever happened there in the past and what, if anything, the Kermi were able to do about it. Even with a triple-A medical-emergency coding, that will take several hours. In the meantime I’ll talk to Priicla and the medical and engineering teams to get a detailed assessment of the extent of this nonmedical contagion and its rate of progression, then call a meeting with the senior staff concerned for this time tomorrow in the administrator’s conference room. That will impress them with the importance we’re placing on this job. Sorry for making free with your offices, sir, but as you know, in an emergency of this kind it is the medic in charge who has the rank?

He smiled faintly and went on, “I wouldn’t presume to give you an order, Administrator O’Mara, but my present medical advice is to stop working and even thinking and catch up on your sleep while you can. For the next few days we’re going to need your fresh, rested, devious, and nasty mind. Yours, too, Lieutenant. Off.”

In the event, O’Mara thought, his stale, partially rested, devious, and nasty mind had very little to contribute during the first two hectic hours of that meeting, and Braithwaite, who always looked fresh and rested, did nothing but listen attentively to the sometimes heated exchanges between the senior engineering and medical staff.

Major Okambi of Engineering reported good progress with the installation of the Kerma VBGM’s life-support and medical monitoring because it was a simple, warm-blooded oxygenbreather, but its small body mass meant that the long-stay furnishings, communicator, and facilities had to be modified to fit its tiny digits, and the fact that it could be approached only by a variety of remotely controlled devices meant that the pod’s entry lock had to be completely rebuilt. Okambi said that his people were doing their best, but the original three-day estimate had been a trifle optimistic and the pod would not be operational for at least five days.

Prilicla, its limbs trembling with the effort of saying something that would cause unpleasant emotional radiation, said, “At its present rate of propagation, friend Okambi, in five days we will have to evacuate eight levels above and below friend Tunneckis’s present location. The inconvenience to patients and staff during the transfer of treatment and catering facilities will be immense, because the levels to be vacated will also include the main dining hall. If the hospital personnel are not to risk their minds as well as their digestive processes, the food-service operation will have to be made from the ward kitchens or to the staff living quarters. Should your estimate overrun by a single day, the hospital’s entire kitchen and food-storage level would have to be evacuated as well. That would add considerably to the already serious disruption.”

The empath’s trembling increased as its words caused an upsurge of unpleasant emotional radiation in the room. Most of it, O’Mara thought as he looked at the faces whose expressions he could read, must be the dark negation of barely controlled fear for the personal safety of themselves and the thousands of beings who were their direct responsibility. It was Okambi who spoke first.

“I know we’re supposed to care for our patients, Doctor.” he said angrily, “but this one is causing trouble out of all proportion to its individual importance. Why don’t you just chalk it up as one of the few failures and send it home?”

“Sir,” said Braithwaite before the other could reply, “you’re forgetting the nature of the patient’s disease. By the time the ship got back to Kerm, the crew might not have enough of their minds left to land it. And if they did, we would be returning a being that is capable of destroying Kerma minds over a presently unknown but large radius, perhaps even their entire civilization.” Turning to Prilida, he said, “Doctor, is there any possible way to contain this nonmaterial contagion other than by sheer distance? By enclosing it in a modified hush field, perhaps, that deadens mental rather than sound radiation?”

“That was the first thing we tried, Lieutenant,” said Okambi impatiently. “Telepathy uses a delicate, organic transmitter and receiver whose radiation cannot so far be reproduced, much less shielded.” He looked at O’Mara. “You’ve had several sessions by communicator with Dr. Cerdal, the first and so far worst-affected victim, as well as Tunneckis itself. Is there any possibility of a psychiatric solution?”

O’Mara shook his head. “Unfortunately, Dr. Cerdal is a clear case of mind being ruled by emotion rather than reason, and the emotions are those of a frightened child being plagued by the most horrible nightmares, the other-species nightmares all around it who are trying to help. Its xenophobia is extreme. My staff talked to the others who had shorter exposure to Tunneckis. They exhibit the same symptoms in lesser degree depending on their distance and total time of exposure, which appears to be cumulative. Tunneckis itself is emotionally disturbed, completely and utterly despairing as a result of the accident that left it telepathically deaf and dumb. For several minutes at a time it is coherent and communicative, but is so far unresponsive to my attempts at providing therapy. It is totally unaware of the mental havoc it is causing. Unless I can think of a strong therapeutic reason for telling it, I intend not to do so because, well, it feels bad enough already.”

For a moment the personality, feelings, and memories of Marrasarah surged into the forefront of his mind. The loss of fur mobility was the worst thing short of death that could happen to a once-beautiful Kelgian, but Tunneckis’s situation was much worse. He found himself blinking a couple of times to clear a sudden fogginess in his vision, but he tried to conceal the pain and anger in his voice with a thick layer of sarcasm when he spoke.

“It would be a nice change if my psychologists instead of you wonder-working doctors could produce a medical miracle.” he said, dividing his attention between Conway, Thornnastor, and Prilicla, “but the very best we can do is salvage what we can from a mind damaged as a result of the original accident, or by your subsequent surgical intervention, or both. Even if it is successful, the psychotherapy would be palliative, an attempt to help the patient make the best of its sensory impairment, and not curative. Its present condition was the result of physical trauma, the shock of a lightning strike, and the effect that had on its brain or nervous system. So the problem is basically a medical one and the primary responsibility for solving it is yours.

Thornnastor began stamping angrily with its medial feet, while Prilicla’s trembling increased. Conway jumped to his feet, then sat down again and said quietly, “Sir, we’re not trying to shift responsibility here. It is ours and we accept it, but that doesn’t help solve the problem. As the chief psychologist as well as the administrator, what do you suggest we do?”

Of course you’re not trying to shift the responsibility, O’Mara thought wryly, except to make me responsible for finding the answer. Aloud, he said, “The serious postoperative developments in this case may be blinding you to some of the factors of the original causation. Patient Tunneckis’s condition is rare, perhaps unique, and certain)ynothinglike it has occurred in recent Kerma history Why is this? What is there different about the physical circumstances or the surroundings or some other undiscovered factor of Tunneckis’s accident that did not happen, or perhaps could not have happened, in the past?

“Are you sure you have all the facts, Doctors?”

Thornnastor stopped vibrating the floor with its feet. Prilicla’s trembling diminished. Conway was frowning and looking as though he was thinking hard. But O’Mara wasn’t finished with them yet.

“As chief psychologist I’ve probably known what you have been thinking before you knew it yourselves,” he said, looking at each of them in turn, “but as your hospital administrator I’m obliged to make the position and the decisions required of you as clear and unequivocal as possible. Sector General may be faced with the greatest threat in its history, not to its structure but to its personnel and continued existence as the greatest multi-species hospital in the Federation. The duration of this threat is presently unknown and totally dependent on the life expectancy of patient Tunneckis, which is likely to be short and mentally unpleasant if it is condemned to solitary confinement inside a vast, deserted hospital with only robot devices to feed and care for it until they malfunction beyond their ability to self-repair. So we may well be absent from the hospital for only a few months or years.

“We must therefore ask ourselves” he went on, “whether the indeterminate lifetime of one patient is worth the financial and emotional cost and the physical disruption it is causing to the establishment, the staff, and the other patients, some of whom, particularly the water-breathing Chalders and ultra-low-temperature crystalline life-forms, may not survive the necessarily hasty evacuation. There is a very simple, completely sensible option if the answer to this problem isn’t found. It is the easiest answer to our problem, although ethically it is a little tricky, but all of you must have considered it or are considering it now.”

O’Mara paused for a moment, then ended grimly, “Should we assist patient Tunnekis to terminate painlessly without further waste of time?”

Prilicla’s body was shaking in the emotional gale that was sweeping the room. O’Mara looked at it apologetically, knowing that it would know exactly how he was feeling, too. But strangely, the emotional radiation was causing the empath’s quivering body gradually to grow still.

“Friend O’Mara,” it said finally, “there is nobody here or, I believe, anywhere else in the hospital, who will accept that option.”