Star Healer

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 problems, 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 …”

Conway nearly choked at the understatement, and it was a moment before he was able to speak.

“Must all verbal communication cease while it is eating?” said Thornnastor impatiently, using the mouth closest to Murchison. “Why wasn’t your species foresighted enough to evolve at least one additional orifice for the ingestion of food?”

“Pardon me,” Conway said, smiling. “I would be delighted to have any assistance and advice you can give me. The Protectors of the Unborn are the most untreatable life-form we’ve encountered, and I don’t think we have discovered all the problems yet, much less found solutions to them. In fact, I would be most grateful if your commitments would allow you to be present during the birth.”

“I thought you’d never ask, Conway,” Thornnastor rumbled.

“There are several problems,” Conway said, rubbing his middle gently and wondering if one of them was going to be an attack of indigestion through eating his food too quickly. Apologetically, he went on. “But right now my mind is still sensitized to the Hudlar material and the questions which have arisen as a result of my recent experiences in the Hudlar OR and Geriatric wards. The questions are psychological as well as physiological, and so insistent that I find it very difficult to clear my mind for consideration of the Protector case. This is ridiculous!”

“But understandable, considering your recent total involvement with FROB life-forms,” Thornnastor said. “But if you have unresolved problems regarding these Hudlars, the simplest way of clearing your mind of this troublesome material is to ask the questions at once and obtain as many answers as possible, even though they may be unsatisfactory or incomplete answers, so that you will have taken the matter as far as it is possible to go with it at the present time. Your mind will accept this and allow you to think of other things, including your perpetually pregnant Protector.

“Your particular mental quirk is far from rare, Conway,” the Tralthan went on, slipping into its lecturing voice. “There must be a very good reason why your mind doesn’t want to leave the subject. Perhaps it is close to drawing significant conclusions, and if the question is shelved now the pertinent data might fade and be lost. I realize that I am beginning to sound like a psychologist, but one cannot practice medicine without acquiring some knowledge in that field. I can, of course, help you with the physiological questions on the Hudlar life-form, but I suspect that it is the psychological aspect which is crucial. In which case you should consult the Chief Psychologist without delay.”

“You mean,” Conway said faintly, “call O’Mara right now?”

“Theoretically,” the Tralthan replied, “a Diagnostician may request the assistance of any member of the hospital staff at any time, and vice versa.”

Conway looked at Murchison, who smiled sympathetically and said, “Call him. On the intercom he can only indulge in verbal violence.”

“That,” Conway said as he reached for the communicator, “doesn’t reassure me at all.”

A few seconds later the scowling features of the Chief Psychologist filled the tiny screen, making it impossible to tell how or if he was fully dressed. O’Mara said coldly, “I can tell from the background noise and the fact that you are still masticating that you are calling from the main dining hall. I would point out that I am in the middle of my rest period. I do rest occasionally, you know, just to fool you people into thinking that I’m only human. Presumably there is a good reason for your making this call, or are you complaining about the food?”

Conway opened his mouth, but the combination of facing an angry O’Mara and a mind which was still too busily engaged in formulating his questions kept any words from coming out.

“Conway,” O’Mara said with exaggerated patience, “what the blazes do you want?”

“Information,” he replied angrily. Then he softened his tone and went on. “I need information which might help in the Hudlar geriatric work. Diagnostician Thornnastor, Pathologist Murchison, and I are presently in consultation regarding …

“Which means,” O’Mara said sourly, “that you’ve dreamed up some harebrained scheme over lunch.”

… A proposed method of treating their condition,” Conway went on. “Regrettably, little can be done for the present occupants of the ward, since the degenerative condition is too far advanced in them. But early preventive treatment might be possible provided my idea has physiological and psychological support. Thornnastor and Murchison can give me detailed information on the former, but the key to their treatment, and any hope of its ultimate success, depends on the behavior under stress, adaptive ability, and potential for reeducation in aged but pregeriatric FROBs. I have not yet discussed the clinical problems which would be encountered, because to do so would be a waste of time if the answers you give me preclude further investigation.”

“Go on,” O’Mara said, no longer sounding half-asleep.

Conway hesitated, thinking that his period of intensive Hudlar surgery, the visits to the FROB geriatric and infant wards, some old memories from his early childhood, and possibly material from his other-species mind partners had all contributed to an idea which was very likely unworkable, ethically questionable, and so ridiculous that O’Mara might well have second thoughts regarding his suitability as a future Diagnostician. But it was too late now to hold back.

“From my FROB tape and lectures at various times on Hudlar pathology,” he went on, nodding in acknowledgment toward Thornnastor, “it is clear that the various painful and incurable conditions to which the aged of that species are prey are traceable to a common cause. The loss of function in the limbs and the abnormal degree of calcification and fissuring at the extremities can be ascribed to the simple deterioration in circulation which is common to the aged of any species.

“This is not a new idea,” Conway said, glancing quickly toward Thornnastor and Murchison. “However, as a result of working on a large number of Hudlar limb and organ replacement operations from the Menelden accident, it occurred to me that the deterioration I observed in the organs of absorption and evacuation among the aged FROBs was very similar to the temporary condition which occurred during the replacement of a heart, although at the time I was too busy to note the signs consciously. In short, the problems of the FROB geriatrics are due to circulatory impairment or madequacy.

“If the idea isn’t new,” O’Mara said with a flash of his characteristic sarcasm, “why am I listening to it?”

Murchison was watching him in silence. Thornnastor continued to watch its food, Murchison, O’Mara, and Conway, also without speaking.

“The Hudlars are a very energy-hungry species,” Conway went on. “They have an extremely high metabolic rate which requires a virtually continuous supply of nutrient via their organs of absorption. The food thus metabolized serves the major organs, such as the two hearts, the absorption organs themselves, the womb when the entity is in gravid female mode, and, of course, the limbs.

“I had learned from the pathology lectures,” he continued, “that these six immensely strong limbs are the most energy-hungry system of the body, and demand close to eighty percent of the nutrient metabolized. But it was not until the recent Hudlar experience that my mind was drawn forcibly to this data, and to the fact which is also widely recognized, that it is the ultrahigh metabolic rate and excessive food requirement which enables the adult Hudlar to be so fantastically resistant to injury and disease.”

O’Mara was getting ready to interrupt again, and Conway went on quickly. “With the onset of old age their troubles invariably begin in the limbs, which demand an even greater proportion of the body’s available resources to fight it. This places increasing stress on the twin hearts, absorption, and evacuation organs, all of which require their share of and are interdependent on the circulatory system’s nutrient content. As a result these systems go into partial failure, which further reduces the blood supply to the limbs, and the body as a whole slides into a degenerative spiral.”

“Conway,” O’Mara said firmly, “I assume this lengthy but no doubt oversimplified clinical picture is for the benefit of the poor, ignorant psychologist so that he will understand the psychological questions when they come, if they ever come.

Continuing with its meal, Thornnastor said, “The clinical picture is oversimplified, I agree, but essentially correct, although your method of describing it suggests a new approach to the problem. I, too, am impatient to know what it is that you intend.”

Conway took a deep breath and said, “Very well. It seems to me that the drain on the age-reduced resources of these Hudlars, represented by the irreversible limb conditions, can be alleviated before onset. With reduced stress and a greater share of the available nutrient supply, the hearts and organs of absorption and elimination could maintain their functions for an additional several years while keeping up optimum levels of circulation to the remaining limb or limbs.”

All at once it seemed that O’Mara’s face in the screen had become a still picture; Murchison was staring at him with a shocked expression, and all four of Thornnastor’s eyes had turned to regard him.

“Naturally the procedure would be one of elective surgery, Conway went on, “and would not take place except at the request and the expressed permission of the entity concerned. The surgical problems involved in the removal of four or five limbs are relatively simple. It is the psychological preparation and aftereffects which are paramount and which would determine whether or not the procedure should be tried.”

O’Mara exhaled loudly through his nose, then said, “So you want me to tell you if it is possible to sell the pregeriatric Hudlars on the idea of voluntary multiple limb amputations?”

“The procedure,” Thornnastor said, “does seem, well, radical.”

“I realize that,” Conway said. “But from the Hudlar material available to me it is obvious that there is a general and abject fear of growing old among that species, caused by the quite appalling clinical picture of the average geriatric FROB. The fear is increased by the knowledge that the minds of the aging Hudlars remain clear and active, although there is the tendency common to all aging entities to want to live in the past. But it is the situation of a normal mind being trapped inside a rapidly degenerating and often painracked body which causes the greatest distress. It is possible that the Hudlars may not have a lot of sales resistance to the idea, and may even welcome it.

“But my information is purely subjective,” he went on, “and comes from recent personal experience and from the feelings of the Hudlar who donated my tape, so my thinking may not be completely trustworthy. It requires the objective viewpoint of a psychologist with extraterrestrial experience, including that of the FROB life-form, to decide whether or not my idea has merit.”

O’Mara was silent for a long time; then he nodded and said, “What can you offer these close-to-limbless Hudlars, Conway? What could they do which would make their extended, less painful lives worth living?”

“I have had time to consider only a few of the possibilities,” he replied. “Their situation would be similar to that of the Hudlar amputees we will be sending home in a few weeks’ time. They will have limited mobility on prosthetics, one or two of their forelimbs will remain fully functioning, and they should remain mentally and physically effective until shortly before termination. I shall have to discuss the physiological details with Thornnastor before I can be certain of this, but—”

“It is a fair assumption, Conway,” the Tralthan broke in. “I have no doubt that you are right.”

“Thank you, sir,” Conway said, feeling his face growing warm at the compliment. To O’Mara he went on, “On Hudlar medical science is in the early stages and for some time it will be primarily concerned with the treatment of diseases in the very young, since the adult members of the species do not take sick. These pediatric cases, although ill, remain very active and require only minimal restraint and supervision while the administered medication is doing its work. Our aged amputees will still be physically capable of withstanding without injury the enthusiasm and playfulness of the halfton Hudlar toddlers, and we are already training the first of a line of FROB pediatric nurses who will be able to instruct them …

Mention of that very personable female-mode nurse had excited his Hudlar mind-partner, so Conway had to spend a few seconds telling it to behave itself. But when he tried to return his mind to what he had been about to say, memories of his extremely aged but alert great-grandmother and, at the time, only friend welled up in his mind. That touched off a sudden, intensely strong feeling of sorrow from Khone over the loss of parental physical contact, which was so necessary for the maintenance of mental coherency in Cogleskan society, and which occurred at a very early age. He felt with Khone the past loss of that love and warmth and the expectation of future loss when its offspring would be born and remain close all too briefly before it departed. And strangely, although Khone’s presence had been reacting against nearly all of the material being thrown up by Conway and his other mind-partners, the little Cogleskan was able to consider the sight and sounds and memories of Conway’s incredibly old and fragile first friend without the slightest hint of distress.

This was important, he knew, because there were indications that the Gogleskan’s mind was not entirely repelled by the thought of the geriatric FROBs, either. A bridge was being built between Khone and the other species, and Conway began blinking rapidly because his tear ducts seemed suddenly to have developed a leak.

He felt Murchison’s hand squeezing his arm as she said urgently, “What’s wrong?”

“Conway,” O’Mara said, sounding concerned, “are you still with us?”

“Sorry, my mind went off at a tangent,” he said, clearing his throat. “I’m all right. In fact, I feel very well indeed.”

“I see,” O’Mara said. “But I would like to discuss the reasons for and the content of your tangential thinking at a more convenient time. Continue.”

“In common with elderly members of the majority of the intelligent species,” Conway resumed, “the very old Hudlars have a close affinity with the very young, and a great deal of benefit can be derived from this relationship by both parties if they are placed together. The aged entities are at the stage loosely described as second childhood, when the memories and feelings of their own younger days are thrown into prominence, and they have nothing much to do with their remaining time. The children would have an adult playmate who understands them, who enjoys their company, and who is not, like the younger adults and parents, perhaps too deeply concerned with the day-to-day business of life to have enough time to spend with them.

“Provided the geriatric amputee idea is acceptable to them,” he continued, “I think they would be prime candidates for pediatric nursing training. The less elderly, whose mental age would be significantly greater, could be trained as teachers of older children and preadolescents. They might also be usefully engaged in supervising automated production processes, or on watch-keeping duty on the weather control stations, or as- “Enough!” O’Mara said, holding up one hand. He went on caustically. “Leave me something to do, Conway, to justify my existence. At least, your uncharacteristic behavior of a few minutes ago is no longer a mystery. The childhood material in your psych file and your suggestion regarding the geriatric Hudlars fully explain your temporary loss of control.

“Regarding your original question,” O’Mara went on, “I cannot give you a quick answer, but I shall call up my Hudlar material at once and start work on it. You’ve given me too much to think about for me to be able to go back to sleep now.”

“I’m sorry,” Conway said, but the Chief Psychologist’s face had already gone from the screen.

“And I’m sorry for the delay as well,” he said to Thornnastor. “But now at last we can talk about the Protector …

He broke off as the blue “Vacate” light began flashing on their table, indicating that they had remained for longer than was necessary to consume the food which had been ordered, and that they should move away so as to release the table for other would-be diners, of which there was a large number waiting.

“Your office or mine?” Thornnastor said.