James White - Final Diagnosis

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Final Diagnosis is a 1997 science fiction novel by author James White and is part of the Sector General series.
A man suffering from multiple mysterious illnesses and allergic reactions is labelled a hypochondriac. Finally he is sent to Sector General as a last resort. He befriends his fellow alien patients, telling them his life history. Rather than dismissing his complaints, the attentive hospital doctors develop a theory, and bring him back to his home planet. At the scene of a childhood accident that seems to have started it all, explanations are found.

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“That was why the Etlan war fleet attacked the hospital,” he continued, “to capture rather than destroy it in the hope of finding more addresses. That information had to be concealed for as long as possible, which was the reason why Sector General’s patients and all of the medical and maintenance staff with any knowledge of astrogation had been evacuated, leaving only a few hundred volunteers on duty…”

An unforeseen result of the staff shortage was that the battle casualties from both sides were treated in the hospital, it being impossible to tell the difference between Earth-human and Etlan wounded, and the medics refused to make the distinction anyway. The casualties overflowed the wards and corridors not blasted open to space, so that patients who had been enemies found themselves recovering in adjacent beds with, in the Etlan case, visually horrifying monsters caring for them. The opposing sets of patients continued fighting with the only weapons left to them: words. It was a bitter, bloodless battle in which the Etlans learned the truth about what was happening on their Plague Planet. The end result was that the two highest-ranking patients, each representing one side, brought the external hostilities to an end.

The Etlan war fleet re-formed and left to visit every world in the empire to spread newly discovered truth and to offer their help in removing the emperor, his hereditary representatives, and the private armies they maintained.

“It was the biggest and most widespread rebellion in known history,” Stillman went on, “but the Etlans were proud as well as angry. They told us that it was a family fight and to stay away from all of the worlds called Etla, with one exception, until they had settled the matter for themselves. And it was here, in this area, that the war on Etla the Sick began and ended. It began when Teltrenn launched a nuclear missile at Lonvellin’s ship; there is a crater marking the spot about ten miles to the west. The end came when the inhabitants, supported by the locally recruited personnel who had captured some armored vehicles, fought the climactic battle that led to the surrender of Teltrenn’s army. But the natives are still a little ashamed about what they did, even though they had every reason to do it. That was why Shech-Rar didn’t want you blundering around on a nonspecified investigation and in your ignorance trampling on some very sensitive feelings.”

He looked at one of Prilicla’s delicate limbs, which was hanging within a few inches of his head, and added, “I don’t think the colonel has anything to worry about.

“Thank you, friend Stillman,” said the empath.

The monitor officer gave a long, satisfied sigh and went on, “Before he left Sector General, the Etlan fleet commander, who had firsthand experience of Federation medical science as practiced in Sector General, asked us to please return to Etla the Sick and complete the work interrupted by the war. We did that and, as you have seen for yourselves, the xenophobia has disappeared along with all the other diseases imported by the late emperor. This is no longer a sick planet.”

There was a long silence that was broken by Murchison, who said, “I like happy endings, too, and I don’t want to spoil yours. But how sure are you that this place is clean? I know cross-species infection is supposed to be impossible, but with the large number of artificially created diseases that were released here, could one of them have evolved or mutated to the stage where it was able to cross the species barrier? Or let us suppose that Teltrenn, feeling angry and frightened and spiteful, launched a biological weapon against his formerly loyal and docile charges. There was a malfunction and the weapon did no harm except possibly to infect the Hewlitt child…

She was interrupted by the humming silence of a speaker that is active but not yet in use. There was the sound of an Earth-human throat being cleared followed by the voice of Captain Fletcher.

“Doctors,” he said, “I have completed the examination of your chemical weapon and I think you are all on the wrong track. The missile has many of the characteristics of a biological weapon, but our reconstruction of the course elements programmed into the guidance system, which was damaged by close proximity to a nuclear detonation, indicates that the original target was sixty miles northwest of here, which is a deserted, mountainous, and heavily wooded area that would not normally be settled for a very long time. Surely an odd place to target a biological weapon. As well, the missile is not a product of Etlan technology. It is a modified Federation device.

“There is more,” he went on, anticipating the questions they were about to ask. “The payload was enclosed in a thin-walled, plastic container that was strong enough to withstand the shock of a parachute landing, but not the impact and continuing pressure of a heavy object. Pathologist Murchison has already reported that the inner surface of the container fragments was coated with nutrient, and my investigation of the shape, size, and placement of the pieces indicates an impact by a large body, soft rather than hardedged like a rock or other solid debris, that is consistent with the mass of a small child falling from a tall tree and dropping onto it.”

They were all staring at the wall speaker in complete silence, and the only movement on the casualty deck came from Naydrad’s fur. Fletcher cleared his throat again and went on, “Another interesting datum is that the actuator mechanism that should have opened the payload container is a very precise atomic clock set for a little over one hundred years.”

Hewlitt did not understand the implications of everything the captain had been saying, but one thing was clear. After a lifetime of being treated in error as an overimaginative hypochondriac, it was impossible for him to keep quiet.

“Now you have to believe me,” he said, and laughed. “I don’t know why I’m laughing about it, but I did catch something here when I was a child and nobody would…

He broke off because Prilicla had dropped to the deck again, its wings and body trembling, and Murchison was directing accusing looks at everyone in turn. Hewlitt had already noticed that she often went into what Naydrad called maternal mode when someone’s unguarded emotional radiation was upsetting her superior.

“Whoever is responsible for this,” she burst out, “control your feelings, dammit!”

Prilicla’s trembling subsided, but not entirely. It said, “Calm yourself, friend Murchison, the loss of emotional control is my own. I was thinking about Lonvellin, and friend Hewlitt’s loose tooth, and feeling very, very stupid. But now, hopefully, I am recovering the use of my mind. Friend Fletcher.”

“Doctor,” said the captain.

“We must return to Sector General at once,” it went on. “Power Room, prepare to lift off as soon as the captain and Danalta are back on board. Communications, notify the hospital of the presence of a possible cross-species infection involving a wide range of nonspecific allergic reactions and originating with Patients Hewlitt and Morredeth, who are required for further clinical examination. Advise that all medical staff or patients who had physical contact with the named patients are to quarantine themselves in lightweight environmental-protection envelopes, which they will wear at all times when on duty or they themselves are under treatment. If minor injury or work-stress-related discomfort occurs among these staff members, such as headaches or muscular fatigue, they must not self-administer or be given sedative or painkilling medication. Patients under treatment are not to be given new medication of any type or in any form. Further instructions will follow when Patient Hewlitt’s test results are available.

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