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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Lioren paused and for a moment the tall, angular body concealed by the narrow cone of its cloak trembled, apparently at the recollection, then grew still.

“In spite of being the hospital padre,” it said, “I have difficulty accepting an event, no matter how inexplicable it may seem, as miraculous. But not knowing then of the existence of this intelligent virus creature, I was almost convinced otherwise. Morredeth’s behavior following its cure was abnormal in that it was almost insane with delight and relief. I had already touched, or rather stroked, the area of damaged fur in an attempt at giving nonverbal reassurance. But it insisted that I share its joy by feeling for myself the mobility of the regenerated fur with one of my medial hands. That was when it must have happened.

“The fur was indeed highly mobile,” Lioren continued, “so much so that long tufts of it wrapped around and became entangled in my digits. For a moment my hand was held tightly against the skin, and I was afraid to pull it free in case I uprooted strands of the newly grown fur. I was aware of my palm being wet but was unsure whether the perspiration was the patient’s or my own, and at the time I had no idea that the sudden presence of moisture was associated with the creature’s mechanism of transfer. Shortly afterward I removed my hand from the fur without difficulty, congratulated Patient Morredeth on its cure, then left to visit other patients.”

“But didn’t you feel anything?” Hewlitt said before anyone else could speak. “Like better, healthier, or at least different? Did you feel anything at all?”

O’Mara frowned at Hewlitt before returning his attention to Lioren. He said, “They would have been my questions, too. Well, Padre?”

“I do not remember any unusual feelings,” Lioren replied, nor was I expecting them. Perhaps my present feeling of being close to another one of the virus creature’s ex-hosts was obscured by my relief and pleasure over Morredeth’s cure. As well, my health is excellent so it would be difficult for me to feel better physically, although I am less certain about the health of my mind. Apparently our virus creature s ability as a healer does not extend to clinical psychology.”

What kind of psychological problem, Hewlitt thought, could be troubling a highly moral and altruistic being whose popularity among the patients and staff was second only to that of Prilicla? He was wondering if he dared ask when the answer was provided by the chief psychologist.

“Padre,” he said, “you were exonerated of all guilt for the deaths of the Cromsaggar, and soon, I hope, your subconscious will also accept that verdict. But while we are on the subject, on Cromsag you were seriously injured and given emergency treatment by a ship’s medic not fully experienced in Tarlan physiology. As a result there was some minor scarring. Are the scars still visible?”

“I don’t know,” said Lioren, “because I rarely look closely at my own body. Narcissism is unknown among Tarlans. Shall I remove my cloak?”

“Please,” said O’Mara.

Two of Lioren’s medial hands emerged from slits in its long, blue cloak and began releasing the fastenings. Feeling vaguely embarrassed, he looked at Prilicla, who was hovering close by, and whispered, “Should I turn my back?”

“No, friend Hewlitt,” the empath replied. “Tarlans do not subscribe to the Earth-human nudity taboos, and the Blue Cloak of Tarla that it wears is a symbol of professional and academic eminence as well as providing a site for many concealed, internal pockets. Look closely. Friend Lioren has turned completely around and, and I see no scars.

“Because there are none,” said Lioren. Its four eyes were turned downward and hanging from each stalk like single, heavy fruit. “The surgery was neat though hurried so that the scars were not obvious, but now they have completely disappeared.”

O’Mara nodded and said, “Apparently our virus has left you its usual visitor’s card, a perfectly healed and healthy body. That is all the confirmation we need that you were a host. Or maybe you still are.” He looked at Prilicla. “Is the virus still in residence?”

“It is not,” the empath replied. “There is only one source of emotional radiation emanating from the Padre and it is its own. At this range, if another intelligence was present I would detect it at once.

“You would detect it without any possibility of error,” asked O’Mara, “regardless of the species of the host?”

“Yes, friend O’Mara,” Prilicla replied. “I could not help but detect it. Emotionally its presence would be obvious, as obvious as if you were to grow a second, thinking head…

O’Mara actually smiled. “In this medical madhouse that might be an advantage.

“I am less certain with a person like friend Conway,” the empath went on, “who thinks he has eight or nine minds. That confuses the emotional radiation and adds an element of doubt.”

“Diagnostician Conway,” said Hewlitt firmly, “is not a former host.”

“I concur,” said Lioren.

“And I’m glad,” Murchison said, laughing. “Having a multiply absentminded husband is bad enough.”

The chief psychologist gave a single, impatient tap on his desktop and said, “We digress. For reasons that are obvious we must treat the discovery of the creature’s present whereabouts as a matter of extreme urgency.

The reasons are not obvious to me, Hewlitt thought, but he was not being given the chance to ask questions.

“To find it we have one empathic detector who can spot its presence provided the host is within conversational distance and is not a diagnostician, and two ex-hosts who can only identify the people who have already been inhabited if they are within visual range. In both cases the exact distance involved has yet to be established. All of these former hosts as well as the current one must be traced without delay. We are fairly sure that Hewlitt’s only contact within the hospital was Patient Morredeth, from whom the Padre received the virus before it moved to another patient…

“With respect,” Lioren broke in, “it might not have been to another patient.”

O’Mara gave a small, irritated nod and said, “Padre, I have not forgotten that your work includes counseling members of the staff as well as patients. You must interview all of them again, identify the one who inherited the virus from you, and, if it is no longer in residence, trace and talk to all of that person’s subsequent contacts until you find the present host. Report the location to this department, request Monitor security assistance and a medical quarantine, and remain with the entity concerned until Dr. Prilicla arrives to confirm the presence of the virus.

“Little friend,” he went on, “if you have no objections I would like you to carry out a simultaneous search, initially of the warmblooded, oxygen-breathing wards, main dining hall, and recreation level. You may well find the creature first. But whoever does find it, regardless of the host species, it must be physically isolated, re strained, and the necessary steps taken to prevent the virus from transferring to another host. You will then try to use you projective empathy to reassure the virus entity until we can devise a better method of communication. But on no account must you operate beyond your limits of physical endurance. We need you as a detector and communicator, not a casualty.”

“I am stronger than I look, friend O’Mara,” said Prilicla. “Well, a little stronger.”

The Earth-humans in the room laughed, including O’Mara, who went on, “There are two reasons why I want Hewlitt and the Padre to operate as a team. One is that I do not fully understand the vague and perhaps untrustworthy feeling of recognition that you have described as existing between former hosts, so that if you act together there would be less chance of both of you missing a contact. The second is that an ex-patient running loose inside the hospital, especially one who has a limited knowledge of its geography or experience of avoiding accidental damage by other life-forms, would very soon be readmitted as a casualty unless he had a, well, guardian angel in attendance. For this reason you have been transferred to accommodation closer to the Padre. Do either of you object to this arrangement?”

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