Star Healer

CHAPTER 17

“You have been very fortunate,” Conway said, “very fortunate indeed that neither the baby nor you have suffered permanent damage.”

Medically that was quite true, Conway told himself. But the Hudlar in his mind thought otherwise, as did the members of the recovery ward staff who had withdrawn to a discreet distance to enable the patient and its physician to talk privately.

“Having said that,” Conway went on, “I regret to tell you that you, personally, have not escaped the long-term and perhaps emotionally distressing effects of your injuries.”

He knew that he was not being very subtle in his approach, but in many ways the FROB life-form was as direct and forthright as the Kelgians, although much more polite.

“The reason for this is that organ replacement surgery was necessary to keep both of you alive,” he continued, appealing to the patient’s maternal instincts in the hope that the good news about the young Hudlar would in some measure diminish the misfortune which would shortly befall the older one. “Your offspring will be born without complications, will be healthy, and will be fully capable of leading a normal life on or off its home planet. You, regrettably, will not.”

The Hudlar’s speaking membrane vibrated with the expected question.

Conway thought for a moment before replying, not wanting to pitch the explanation at too elementary a level. This Hudlar was a mining specialist and highly intelligent; otherwise it and its life-mate would not have been working the Menelden asteroids. So he told Forty-three that while infant Hudlars sometimes fell seriously ill and a few might even die, adults were never sick, nor were they anything but physically perfect until the advent of senility. The reason for this was that they developed an immunity to their home planet’s pathogens which was as complete and perfect as any purely biochemical system could be, and no other species known to Federation medical science could match it. The FROB immune system was such that it would not allow foreign biological material of any kind to attach itself to their bodies without instantly initiating the process of rejection. Fortunately, their superefficient immune system could be neutralized when necessary, and one of these occasions was when vital organs or limbs from a donor were used as surgical replacements.

He had been trying to make the explanation as simple and accurate as possible, but it was apparent that Forty-three’s mind was going its own way.

“What about my life-mate?” it said, as if Conway had not been speaking.

Momentarily a mind picture of Eighteen’s devastated body took form between the patient and himself, his own medical knowledge combining with that of his Hudlar component to suddenly involve his emotions. He cleared his throat and said, “I am deeply sorry, but your life-mate was so seriously injured that we were unable to maintain life, much less undertake curative surgery.”

“It tried to shield us with its body. Did you know that?” the Hudlar said.

Conway nodded sympathetically, then realized that the small movement of an Earth-human head meant nothing to an FROB. His next words were chosen carefully, because he was sure that Forty-three-weakened by the recent major surgery, gravid, close to delivering its offspring, and in its ultimate female mode-would be susceptible to an emotional approach. His Hudlar alter ego was of the opinion that, at worst, some temporary psychological distress might result, while his own experience with other life-forms in similar situations suggested that he might do some good. But the situation was unique so far as this patient was concerned, and he could not be sure of anything.

Of one thing he was very sure. Somehow he had to keep the patient from becoming too deeply introspective regarding its own situation, so that it would be thinking of its unborn rather than itself when the really bad news had to be faced. But the idea of deliberately manipulating the other’s emotions in this fashion was making him feel like a very low form of life indeed, somewhere on the level of an Earthly louse.

He wondered why he had not thought of discussing the case with O’Mara before proceeding further-it was potentially serious enough for the Chief Psychologist to be consulted. He might still need to if he made a mess of things now.

“We are all aware,” Conway said finally, “of the action of your life-mate in trying to protect you. This type of behavior is common among the members of the more highly intelligent species, especially when the entity concerned is sacrificing itself to save the life of a loved one or a child. In this instance it was able to do both, and what is more, it was instrumental in giving life and unimpaired mobility to two very seriously injured survivors, one of whom is you, who would otherwise have died in spite of its earlier sacrifice.”

This time, he thought, the patient is paying attention.

“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 operation 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.”