Star Surgeon sg-2

by James White

  Star Surgeon

  ( Sector General - 2 )

  James White

  Dr. Conway must deal with an unconscious patient, classification ELPH, who may be a cannibal or a demigod, or both. It came from the “other galaxy”, and the species is well known, almost infamous, to the Ians, who are also from another galaxy. It is extremely long-lived, and regularly takes complete rejuvenation treatments, including the brain and memory, to keep itself young. By doing this, it is practically immortal. It, although unconscious, appeared to have the ability to negate the most powerful drugs and resist surgery to cure its skin condition. This later turned out to be the work of the entity’s “doctor”, who is an intelligent, organized collection of microscopic, virus-type cells. Once Doctor Conway realizes this, he uses a wooden stake to make the ELPH’s doctor focus itself in one small location, at which time it is removed from the ELPH, informed regarding the physiology-problems of its patient, and put back in. The patient, whose name is Lonvellin, quickly makes a full recovery, and it leaves to do what it does best: bona fide missions that involve taking backwards planetary cultures and pulling them up “by their bootstraps”. His particular mission, this time, is to cure a diseased planet called Etla, and he recruits Dr. Conway and the “Monitor Corps” to help him. When The Empire that controls the Planet of Etla misinterprets Lonvellin’s efforts as an Act of War, the Empire declares war on the Sector General space hospital.

  Conway helps organise the evacuation of most of the station’s staff and patients, and following the death or injury of more senior staff, becomes the most senior surviving physician. After a brutal series of attacks, and with the hospital on the brink of defeat, a group of Federation and Empire soldiers convince Conway to help in a mutiny against the Federation commander Dermod. The Empire soldiers had been told that the Federation had attacked Etla, rather than trying to help it, but seeing the way all casualties were treated equally on the station, and in particular witnessing Conway breaking down after failing to save the life of an alien Empire soldier, convinced them that they had been lied to.

  James White

  Star Surgeon

  To George L. Charters for lots of reasons

  Sector General 2

  CHAPTER 1

  Far out on the galactic Rim, where star systems were sparse and the darkness nearly absolute, Sector Twelve General Hospital hung in space. In its three hundred and eighty-four levels were reproduced in the environments of all the intelligent life-forms known to the Galactic Federation, a biological spectrum ranging from the ultra-frigid methane life forms through the more normal oxygen- and chlorine-breathing types up to the exotic beings who existed by the direct conversion of hard radiation. Its thousands of view ports were constantly ablaze with light-light in the dazzling variety of color and intensity necessary for the visual equipment of its extra-terrestrial patients and staff-so that to approaching ships the great hospital looked like a tremendous, cylindrical Christmas tree.

  Sector General represented a two-fold miracle of engineering and psychology. Its supply and maintenance was handled by the Monitor Corps — the Federation’s executive and law enforcement arm — who also saw to its administration, but the traditional friction between the military and civilian members of its staff did not occur. Neither were there any serious squabbles among its ten-thousand-odd medical personnel, who were composed of over sixty different life-forms with sixty differing sets of mannerisms, body. odors and ways of looking at life. Perhaps their one and only common denominator was the need of all doctors, regardless of size, shape or number of legs, to cure the sick.

  The staff of Sector General was a dedicated, but not always serious, group of beings who were fanatically tolerant of all forms of intelligent life — had this not been so they would not have been there in the first place. And they prided themselves that no case was too big, too small or too hopeless. Their advice or assistance was sought by medical authorities from all over the Galaxy. Pacifists all, they waged a constant, all — out war against suffering and disease whether it was in individuals or whole planetary populations.

  But there were times when the diagnosis and treatment of a diseased interstellar culture, entailing the surgical removal of deeply-rooted prejudice and insane moral values without either the patient’s cooperation or consent could, despite the pacifism of the doctors concerned, lead to the waging of war. Period.

  The patient being brought into the observation ward was a large specimen — about one thousand pounds mass, Conway estimated — and resembled a giant, upright pear. Five thick, tentacular appendages grew from the narrow head section and a heavy apron of muscle at its base gave evidence of a snail-like, although not necessarily slow, method of locomotion. The whole body surface looked raw and lacerated, as though someone had been trying to take its skin off with a wire brush.

  To Conway there was nothing very unusual about the physical aspect of the patient or its condition, six years in space Sector General Hospital having accustomed him to much more startling sights, so he moved forward to make a preliminary examination. Immediately the Monitor Corps lieutenant who had accompanied the patient’s trolley into the ward moved closer also. Conway tried to ignore the feeling of breath on the back of his neck and took a closer look at the patient.

  Five large mouths were situated below the root of each tentacle, four being plentifully supplied with teeth and the fifth housing the vocal apparatus. The tentacles themselves showed a high degree of specialization at their extremities; three of them were plainly manipulatory, one bore the patient’s visual equipment and the remaining member terminated in a horn-tipped, honey mace. The head was featureless, being simply an osseous dome housing the patient’s brain.

  There wasn’t much else to he seen from a superficial examination. Conway turned to get his deep probe gear, and walked on the Monitor officer’s feet.

  “Have you ever considered taking up medicine seriously, Lieutenant?” he said irritably.

  The lieutenant reddened, his face making a horrible clash of color against the dark green of his uniform collar. He said stiffly, “This patient is a criminal. It was found in circumstances which indicate that it killed and ate the other member of its ship’s crew. It has been unconscious during the trip here, but I’ve been ordered to stand guard on it just in case. I’ll try to stay out of your way, Doctor.”

  Conway swallowed, his eyes going to the vicious-looking, horny bludgeon with which, he had no doubt, the patient’s species had battered their way to the top of their evolutionary tree. He said dryly, “Don’t try too hard, Lieutenant.”

  Using his eyes and a portable X-ray scanner Conway examined his patient thoroughly inside and out. He took several specimens, including sections of the affected skin, and sent them off to Pathology with three closely written pages of covering notes. Then he stood back and scratched his head.

  The patient was warm-blooded, oxygen-breathing, and had fairly normal gravity and pressure requirements which, when considered with the general shape of the beastie, put its physiological classification as EPLH. It seemed to be suffering from a well-developed and widespread epithelioma, the symptoms being so plain that he really should have begun treatment without waiting for the Path report. But a cancerous skin condition did not, ordinarily, render a patient deeply unconscious.

  That could point to psychological complications, he knew, and in that case he would have to call in some specialized help. One of his telepathic colleagues was the obvious choice, if it hadn’t been for the fact that telepaths could only rarely work minds that were not already telepathic and of the same species as themselves. Except for the very odd instance, telepathy had been found to be a strictly closed circuit form of communication. Which left his GLNO friend, the empath
Dr. Prilicla …

  Behind him the Lieutenant coughed gently and said, “When you’ve finished the examination, Doctor, O’Mara would like to see you.”

  Conway nodded. “I’m going to send someone to keep an eye on the patient,” he said, grinning, “guard them as well as you’ve guarded me.”

  Going through to the main ward Conway detailed an Earth-human nurse — a very good-looking Earth-human nurse — to duty in the observation ward. He could have sent in one of the Tralthan FGLIs, who belonged to a species with six legs and so built that beside one of them an Earthly elephant would have seemed a fragile, sylph-like creature, but he felt that he owed the Lieutenant something for his earlier bad manners.

  Twenty minutes later, after three changes of protective armor and a trip through the chlorine section, a corridor belonging to the AUGL water breathers and the ultra-refrigerated wards of the methane life-forms, Conway presented himself at the office of Major O’Mara.

  As Chief Psychologist of a multi-environment hospital hanging in frigid blackness at the Galactic rim, he was responsible for the mental well-being of a Staff of ten thousand entities who were composed of eighty-seven different species. O’Mara was a very important man at Sector General. He was also, on his own admission, the most approachable man in the hospital. O’Mara was fond of saying that he didn’t care who approached him or when, but if they hadn’t a very good reason for pestering him with their silly little problems then they needn’t expect to get away from him again unscathed. To O’Mara the medical staff were patients, and it was the generally held belief that the high level of stability among that variegated and often touchy bunch of e-ts was due to them being too scared of O’Mara to go mad. But today he was in an almost sociable mood.

  “This will take more than five minutes so you’d better sit down, Doctor,” he said sourly when Conway stopped before his desk. “I take it you’ve had a look at our cannibal?”

  Conway nodded and sat down. Briefly he outlined his findings with regard to the EPLH patient, including his suspicion that there might be complications of a psychological nature. Ending, he asked, “Do you have any other information on its background, apart from the cannibalism?”

  “Very little,” said O’Mara. “It was found by a Monitor patrol vessel in a ship which, although undamaged, was broadcasting distress signals. Obviously it became too sick to operate the vessel. There was no other occupant, but because the EPLH was a new species to the rescue party they went over its ship with a fine-tooth comb, and found that there should have been another person aboard. They discovered this through a sort of ship’s log cum personal diary kept on tape by the EPLH, and by study of the airlock tell-tales and similar protective gadgetry the details of which don’t concern us at the moment. However, all the facts point to there being two entities aboard the ship, and the log tape suggests pretty strongly that the other one came to a sticky end at the hands, and teeth, of your patient.”

  O’Mara paused to toss a slim sheaf of papers onto his lap and Conway saw that it was a typescript of the relevant sections of the log. He had time only to discover that the EPLH’s victim had been the ship’s doctor, then O’Mara was talking again.

  “We know nothing about its planet of origin,” he said morosely, “except that it is somewhere in the other galaxy.” However, with only one quarter of our own Galaxy explored, our chances of finding its home world are negligible—”

  “How about the Ians,” said Conway, “maybe they could help?”

  The Ians belonged to a culture originating in the other galaxy which had planted a colony in the same sector of the home galaxy which contained the Hospital. They were an unusual species-classification GKNM — which went into a chrysalis stage at adolescence and metamorphosized from a ten-legged crawler into a beautiful, winged life-form. Conway had had one of them as a patient three months ago. The patient had been long since discharged, but the two GKNM doctors, who had originally come to help Conway with the patient, had remained at Sector General to study and teach.

  “A Galaxy’s a big place,” said O’Mara with an obvious lack of enthusiasm, “but try them by all means. However, to get back to your patient, the biggest problem is going to come after you’ve cured it.

  “You see, Doctor,” he went on, “this particular beastie was found in circumstances which show pretty conclusively that it is guilty of an act which every intelligent species we know of considers a crime. As the Federation’s police force among other things the Monitor Corps is supposed to take certain measures against criminals like this one. They are supposed to be tried, rehabilitated or punished as seems fit. But how can we give this criminal a fair trial when we know nothing at all about its background, a background which just might contain the possibility of extenuating circumstances? At the same time we can’t just let it go free …”

  “Why not?” said Conway. “Why not point it in the general direction from whence it came and administer a judicial kick in the pants?”

  “Or why not let the patient die,” O’Mara replied, smiling, “and save trouble all around?”

  Conway didn’t speak. O’Mara was using an unfair argument and they both knew it, but they also knew that nobody would be able to convince the Monitor enforcement section that curing the sick and punishing the malefactor were not of equal importance in the Scheme of Things.

  “What I want you to do,” O’Mara resumed, “is to find out all you can about the patient and its background after it comes to and during treatment. Knowing how soft-hearted, or soft-headed you are, I expect you will side with the patient during the cure and appoint yourself an unofficial counsel for the defense. Well, I won’t mind that if in so doing you obtain the information which will enable us to summon a jury of its peers. Understood?”

  Conway nodded.

  O’Mara waited precisely three seconds, then said, “If you’ve nothing better to do than laze about in that chair …

  Immediately on leaving O’Mara’s office Conway got in touch with Pathology and asked for the EPLA report to be sent to him before lunch. Then he invited the two Ian GKNMs to lunch and arranged for a consultation with Prilicla regarding the patient shortly afterward. With these arrangements made he felt free to begin his rounds.

  During the two hours which followed Conway had no time to think about his newest patient. He had fifty-three patients currently in his charge together with six doctors in various stages of training and a supporting staff of nurses, the patients and medical staff comprising eleven different physiological types. There were special instruments and procedures for examining these extra-terrestrial patients, and when he was accompanied by a trainee whose pressure and gravity requirements differed both from those of the patient to be examined and himself, then the “routine” of his rounds could become an extraordinarily complicated business.

  But Conway looked at all his patients, even those whose convalescence was well advanced or whose treatment could have been handled by a subordinate. He was well aware that this was a stupid practice which only served to give him a lot of unnecessary work, but the truth was promotion to a resident Senior Physician was still too recent for him to have become used to the large-scale delegation of responsibility. He foolishly kept on trying to do everything himself.

  After rounds he was scheduled to give an initial midwifery lecture to a class of DBLF nurses. The DBLFs were furry, multipedal beings resembling outsize caterpillars and were native to the planet Kelgia. They also breathed the same atmospheric mixture as himself, which meant that he was able to do without a pressure suit. To this purely physical comfort was added the fact that talking about such elementary stuff as the reason for Kelgian females conceiving only once in their lifetime and then producing quads who were invariably divided equally in sex, did not call for great concentration on his part. It left a large section of his mind free to worry about the alleged cannibal in his observation ward.

  CHAPTER 2

  Half an hour later he was with the two Ian doctors in the Hos
pital’s main dining hall — the one which catered for Tralthan, Kelgian, human and the various other warm-blooded, oxygen-breathers on the Staff-eating the inevitable salad. This in itself did not bother Conway unduly, in fact, lettuce was downright appetizing compared with some of the things he had had to eat while playing host to other e-t colleagues, but he did not think that he would ever get used to the gale they created during lunch.

  The GKNM denizens of Ia were a large, delicate, winged life-form who looked something like a dragonfly. To their rod-like but flexible bodies were attached four insectile legs, manipulators, the usual sensory organs and three tremendous sets of wings. Their table manners were not actually unpleasant-it was just that they did not sit down to dine, they hovered. Apparently eating while in flight aided their digestions as well as being pretty much a conditioned reflex with them.

  Conway set the Path report on the table and placed the sugar bowl on top of it to keep it from blowing away. He said, “… You’ll see from what I’ve just been reading to you that this appears to be a fairly simple case. Unusually so, I’d say, because the patient is remarkably clear of harmful bacteria of any type. Its symptoms indicate a form of epithelioma, that and nothing else, which makes its unconsciousness rather puzzling. But maybe some information on its planetary environment, sleeping periods and so on, would clarify things, and that is why I wanted to talk to you.

  “We know that the patient comes from your galaxy. Can you tell me anything at all about its background?”

  The GKNM on Conway’s right drifted a few inches back from the table and said through its Translator, “I’m afraid I have not yet mastered the intricacies of your physiological classification system, Doctor. What does the patient look like?”