"Doctor, we can't bring ourselves to take them to the Hospital," the woman said, "they're both over five years old, and they've both been treated more than three times in the Clinic. That means that they'd both have to be sterilized before they could qualify for any legal care at all. And for something like this we just can't let them be mutilated like that."
"Well, I know how you feel. I disagree with the Eugenic Control laws, too, or I wouldn't be here. But the laws are the laws, and you have to make the decision; I can't make it for you. Just for the record, the surgery required for legal qualification for Health Control care can't exactly be called mutilation. A vasectomy for a boy is a simple Clinic procedure that doesn't even involve hospitalization. For the girl, a tubal ligation is a little more complex, and might require an overnight stay in the Hospital, but nothing more."
"But the results are always the same, aren't they? Complete, permanent—"
"That's right. That's what the Eugenics Control laws are all about: the prior sterilization of any individual who requires health care services for any reason—excluding children under five, of course, except in cases of known hereditary disease."
"And that's why you're doing the surgery here instead of in a Hospital," John Merriman said heavily. "As far as we're concerned, sterilization of these children is out of the question. Until those laws are changed, we'll go underground. We understand the extra risk, Doctor, and we've both decided we have to take it."
Doc nodded. "Then we understand each other. YouH have to sign releases, of course, to cover me and my assistants in the event of unexpected trouble." He withdrew two printed forms from his bag and handed them to Merriman. "I'm sorry this is necessary, but it really is," he added gently. "Don't be afraid that I'm going to be anything but scrupulously careful—I'll do the best job I know how. But if you decided for some reason to report me to Health Control authorities, you would only be vulnerable for misdemeanor charges for accepting illegal medical services, whereas I could lose my practice license and go to prison for years. I have to have the protection of a release."
"Yes, we understand." Merriman signed the releases, and handed them to his wife for signature. "Then there's also the matter of the fee," he added. "You told Elsa seven hundred?"
"That's right—seven hundred in markers, or nine hundred on your credit card. The extra is to cover the cost and risk and trouble of feeding the credit card funds into the electronic accounting system without raising questions as to its source."
"Well, we have it in markers."
"Good, we much prefer it that way. Now, then, the little girl is the worrier of the two of them, so I think I'll take her first. You two might keep the boy company in the other room; I'll need my helpers with me."
Throughout this exchange, which he had heard a thousand times before, Billy Gimp had been setting up the kitchen area as an impromptu operating room. After releasing the binder on the first of the surgical packs, he had scrubbed hands and arms in the sink, let them dry in the air, and then gowned and gloved himself. Now, as Doc and Molly scrubbed, he set out the instruments, counted sponges, tested the suction machine and prepared sutures to be opened. As soon as Molly was ready he helped her into gown and gloves. She then took over preparation of the surgeon's tray, and Billy, with an increasing sense of ill-ease, turned his attention to preparing the ether mask and opening the anesthetic. The child, groggy and complacent from the premedication Molly had given her in the bedroom, took her place on the table under the best light in the house and submitted to the sterile drapes Molly attached around her hair and neck. Then, at Doc's signal, Billy did his best to emulate what he had seen Dr. Trautman do so many times in giving ether anesthesia, feeling clumsy in the extreme. "This little gauze cup has a funny smell, Jeannie," he said to the child. "Blow into it and try to blow the smell away. That's the way, blow harder!" The child blew, taking deep breaths of the ether as she did so. Momentarily she began to struggle but was quieted by a few words from Molly, and presently the child relaxed into slow, steady, stertorous breathing. "Reflexes, Billy,"
Doc said sharply, watching him closely throughout. "No, no, corneal—that's right. Okay, give her a little more, two or three more whiffs. Now where's the intubation setup?"
"I. . . don't know."
"What do you mean, you don't know?" Doc snapped. "You get the tube ready before you even start the anesthesia. I can't do this child without intubating her."
"Here it is," Molly said gently. "The pack was set up different from last time."
"Well, tell that supplier of yours to get things straight, Billy, and then check them out yourself. The last thing I need at times like this is a bunch of surprises." Still grumbling, Doc double-checked the surgical tray, then checked the child again and placed the breathing tube in place. "Now then, Billy, keep her stable just like that. Molly? Let's go."
As always, when a procedure was started, he was quick, skillful and thorough. For her part, Molly responded like any good scrub nurse, sensitive to Doc's slightest movement or gesture, moving almost instinctively to place the right instrument in his hand at the right time. The small portable suction machine that had come in the pack functioned poorly, as usual, but they made it do, using sponges wherever possible. Within fifteen minutes Doc nodded and stood back. "I think that's it," he said. "Billy, what the hell are you doing pouring on more of that stuff? You should have eased off five minutes ago when you saw me take the curette."
"I was watching the girl," Billy said sullenly.
"Of course you were watching the girl—but you should also be watching me. We don't want to be here all night waiting for these kids to recover." Gently, Doc took the sleeping child up in his arms and carried her into the bedroom where the mother and father were sitting with the groggy premedicated boy. Placing the girl in bed, Doc positioned her, removed the breathing tube and then waited until she was breathing steadily and beginning to stir in recovery from the anesthetic. Then, after giving the mother specific directions for nursing the recovering child, he led the boy out into the kitchen, where Billy and Molly were waiting with fresh surgical garments and drapes.
The second case was somewhat longer and more difficult for Doc, but Billy's job seemed to go easier and he felt a surge of confidence as Doc watched him, checked the child's depth of anesthesia and then said, "Fine, now, not any lower, just touch it from time to time, and be sure to withdraw the mask at the right time." He and Molly proceeded as Billy watched child and doctor. This time, when Doc finally stepped away from the table, the patient was already stirring, and Doc gave a nod of satisfaction. "Better," he said.
"Yes, it was almost easy that time."
"It's always easy when everything goes right. Nine times out of ten I could give the ether myself and forget about having an anesthetist. It's that one time out of ten that gets you, when you need somebody up there with his wits about him. You'll learn, all right, you've just got to do it a few times."
The children's father had been making coffee, and after the boy was back in bed and the girl, now almost fully recovered, was rechecked, Doc accepted a cup gratefully. At the same time he briefed the parents carefully on the postoperative care program he wanted them to follow. "Miss Barret will stay here with the children until she's confident they're out of danger. If you need to reach me after she's gone, ring the service number I've written down here. The service will contact me by belt radio, and I'll return your call, so stay by the phone. I doubt that you'll need to contact me, but if there's any question, I'd rather you called. Got that? Now as to things to watch for, I have them listed in detail on this instruction sheet. Bleeding is the main threat; let me know at once if there's any bleeding or vomiting of black stuff, any at all. Breathing is the other major concern; let me know if there's any wheezing or croupy coughing. And if I tell you to take either of these kids to a Hospital, take them. We'd far rather bow to the law, if we have to, than have a child in trouble—or dead."
As Doc gave the instructions, Billy busi
ed himself gathering up instruments, cleaning them and returning them to the flight bag, together with disposable drapes, gowns, gloves and other paraphernalia that couldn't be dropped down an apartment house waste chute. As he worked, he remembered Parrot's message about the new patient. "Doc," he interrupted, "I forgot to tell you. You've got another call to make tonight."
Doc frowned. "Who is that?"
"A new patient that Parrot referred."
"Damn," Doc said. "Billy, you know I can't take on any more people."
"He said this was a special case, a very sick kid."
"Sick with what?"
"He didn't say, exactly. Headache, stiff neck, and high fever, was all he said. But Doc, Parrot wouldn't bother you unless he thought it was important, you know that. There's been a lot of Shanghai flu around. Maybe this is a complication."
"Well, maybe," Doc said. "You don't suppose it's another meningitis case, do you? Seems to me there have been a lot of those, lately. Well, did you bring along an infection kit?"
Billy nodded. "Penicillin, Viricidin, even some gamma globulin. The works."
"Okay, then we'd better move." Doc turned to John Merriman. "We're going to have to leave; can you call us a heli-cab?" As the man went to the phone, Doc went into the bedroom to give Molly final instructions and check the children for the last time. "Stay till you're sure they're all right, and then get a cab home. Billy and I have another call to make. I'll check with you at the Hospital in the morning." He hesitated. "And Molly, ask Central Records for a read-out on meningitis cases admitted to the Hospital during the last week, will you? Use my identification key and tell them to leave the read-out in my box. And if they ask, tell then it's urgent."
By the time Doc rejoined Billy, a red signal on the Merriman's TV indicated that a heli-cab was waiting for them on the roof. Billy zipped the flight bag closed and tucked it under his arm. Then, after Doc had given his final instructions to the Merrimans, he and Billy walked in silence to the elevators.
On the roof the landing lights of the little heli-cab were blinking. Doc walked to the landing pad and climbed aboard. It was not until Billy had rounded to the other side of the vehicle that he saw the dark form of a police copter concealed in the shadow of the ventilators. "Doc!" he shouted. "It's a trap! Move, get going—"
At his first shout a blinding light flared from the police copter, flooding the rooftop. Billy ducked back toward the stairwell as the heli-cab blades began to turn and Doc's craft lifted from the roof with Doc aboard. Three uniformed men were charging from the police car now, paying no attention to the fleeing heli-cab. Then, as Billy ran for the stairwell, he stumbled on his bad foot and fell flat, sending the flight bag skidding across the rooftop ahead of him.
One of the police pounced on it while two more moved between Billy and the stairwell. As he struggled to his feet, Billy saw Doc's heli-cab gaining altitude, moving swiftly to the north, with no sign of pursuit. Then a policeman had one of Billy's arms pinned behind his back. "That's all, Buddy," he said. "You'd better come along. We'll worry about your friend there later." His captor pushed Billy forward, and a moment later he was sitting in handcuffs at the rear of the police craft as it lifted from the roof and moved off into the southwestern sky.
It had happened so swiftly and inexplicably that Billy Gimp had had no opportunity to gather his wits. He had moved instinctively, and only when it was all over was there time to sit back and analyze what he had done and what had happened as a consequence. Instinct had told him that the police would have nailed both of them if he had tried to escape with Doc in the heli-cab; only by presenting a moving target on the rooftop had he enabled Doc to break away at all. And instinct had also told him that of the two of them it was Doc's escape that was most imperative. The Department of Health Control could arrest Billy, interrogate him, fine him or harass him in a dozen different ways without creating so much as a ripple of alarm in the complex world of underground medicine; at best the authorities would have apprehended a minor felon who might have his knuckles rapped, but would sooner or later be released to go back unhindered to his felonious pursuits. To apprehend a doctor engaged in illegal practice in the medical underground was quite a different matter. Health Control seldom managed to convict a renegade doctor, but when they did, that doctor's medical career was over for good, as his medical credentials were stripped and he was subjected to fines, criminal prosecution, imprisonment and public disgrace. A captured bladerunner was out of business for a few days at worst; a convicted doctor was out of business permanently, together with any bladerunners and suppliers that might be convicted with him.
Thus Billy's move on the rooftop to allow Doc to escape had not been entirely a selfless sacrifice. Billy had done what had to be done at the time even though it meant his capture. It was only later and in retrospect that it occurred to Billy that there was something decidedly odd about the way the trap had been closed.
For one thing, the arresting police team had seemed totally and exclusively interested in him. Once they had him in the copter he was handcuffed, searched and relieved of the flight bag and his wallet—yet there was no interest expressed about the apartment building, nor did they even question him about where he had been. Granted that questioning would have done them little good, and searching six hundred apartment units under that one roof would have been manifestly impossible, but the total lack of interest struck Billy as surpassingly odd.
Nor was that all, once he stopped to think about it. They had not only ignored the apartment building but the fleeing heli-cab as well. No alert had been radioed, no cab number turned in, nor any kind of alarm set up. The police, in effect, had closed their net swiftly and efficiently on the little fish, and let the big fish slip away right under their noses—and this, it seemed to Billy, was more than passing strange.
At the time, of course, there had been no opportunity to think. The police had muscled him into the rear cab of the big police copter, revved the motors and lifted up, heading a few miles southwest to the heavily built-up business section of Trenton Sector. They settled down again on the rooftop pad of a central police precinct station, and the procedure, once inside, was standard police procedure, up to a point. Billy was fingerprinted and photographed, then taken into a room to be stripped and searched by a beefy and ungentle police sergeant. He objected to removing the shoe from his bad foot, but the sergeant insisted, duly noting the clubfoot deformity down on his report sheet. Finally he was allowed to dress again—but at that point the procedure veered from what Billy had expected. There was no formal booking such as he had experienced on previous arrests, no police interrogation, no threats or blandishments. Instead he was taken to another room, a small cubicle with a single high window, an intercom, a computer console, a bright overhead light, a magazine rack, two chairs and a table, and there he was left to wait.
He waited, uneasy and irritable. On the magazine rack he found a Book of Mormon with the covers torn off, two comic books and a superannuated issue of the Police Gazette. He leafed through the latter, reading the details of an obscure axe murder, then tossed it aside and paced. Outside he could hear the normal commotion of people coming and going in the station, but nobody came near the door. Then finally, after a wait that seemed hours long, the door opened and a heavy-set man came in, wearing a gray business suit and carrying a briefcase. On his lapel was a small Department of Health Control emblem.
"It's about time," Billy said.
The man gave him a sour look and sat down at the computer console. From the briefcase came a pile of report sheets, together with Billy's wallet. The man punched at the computer controls for a moment, glancing now and then at the print-out sheet. Finally he dumped Billy's wallet out on the table, sifting, with pudgy fingers, through half a dozen phony ID cards.
"Interesting," the man said finally. "Just for the hell of it, what is your name?"
"Billy."
"Billy what? You've got seven cards here with a different name and ID number on eac
h one." When Billy didn't answer, the man looked up at him sharply. "Look, we can dig it out with the computer if we have to, but why sit around here for six or eight hours playing games? What's your real name?"
Billy squirmed and shrugged his shoulders. "I don't know," he said finally.
"You don't know your own name?"
"Well, if you'd rattled around foster homes for ten years, you wouldn't know yours either," Billy retorted. "One place listed me as William Beckingham III, but they could have made it up for all I know."
"What about your folks?"
"Both gone, killed in the Health Riots when I was a baby. My pop must have been a doctor or a scientist or something. I never did know."
"But your friends call you Billy Gimp," the man said. "What'? this with the foot, anyway?" He glanced at the computer print-out. "The record says you had first-stage repair of a clubfoot at age two, but the second and third stages were postponed. Under-age for consent, I suppose. But you're old enough now. Why haven't you had it fixed?"
"Try and guess," Billy said.
"Well, it's your foot."
"Let's say I don't like the price of free health care too much."
"But you seem to be up to your neck in illegal health care."
Billy just looked at him.
The man sighed, picked up a police report sheet. "At eleven thirty-one p.m. suspect was apprehended emerging from Apartment Complex Eight Sixty-one, Trenton Sector," he read. "Suspect had in his possession a flight bag containing the following items: one baggage locker key; six disposable surgical gowns; three surgical masks; two sets of used surgical drapes; one portable suction apparatus; one quarter liter of vinyl ether; two ether masks; assorted scalpels, hemostats, needle holders and sutures; two tonsil curettes—" He looked up. "Do I really have to go on with this?"
Alan E. Nourse - The Bladerunner Page 4
