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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“Instead of anger,” it ended, “you should be feeling relieved and complimented. And perhaps a little incredulous.”

Hewlitt laughed. “Thank you for the incredible information,” he said. “But seriously, I have another question, the one I asked you earlier. What are you all hiding from me?”

“My previous answer was designed to change the subject by giving you something else to think about,” Lioren said. “We are approaching the AUGL ward. Can you swim?”

CHAPTER 28

In the outer robing compartment, Lioren checked the helmet seals and air supply of his protective suit, a process that was repeated by Charge Nurse Hredlichli in the water-filled nurses’ station, before he was allowed into the ward. Hewlitt wondered if Illensans had a medical monopoly on the senior nursing positions; the two wards he had experienced so far had both been in the charge of chlorine-breathers. Considering the fact that they were separated by the fabric of two protective suits and a few meters of intervening water, the distinctive chlorine smell was probably due to his imagination.

“The patient I am visiting is AUGL Two-Thirty-Three,” said Lioren. “That is the physiological classification for this waterbreathing species, and the case number is used because they do not exchange names other than with members of their family. They are visually frightening, extroverted, and, unless you forbid it, playful in the company of smaller beings, but they will never deliberately harm another sapient creature.”

The Padre began swimming toward the ward entrance, its awkward, twelve-limbed, pyramidal body looking almost graceful underwater. It went on, “Most people feel a certain trepidation at their first sight of a Chalder, and it will not be considered as a lack of emotional fortitude if you are unable to make close physical contact. This is not a dare, so take your time and go out and talk to them only when or if you feel ready.”

For what seemed a longtime, Hewlitt stared through the transparent wall of the nurses’ station into a dim, green world whose outlines were softened by what seemed to be drifting masses of decorative vegetation although, he thought, the larger pieces might have been patients. Hredlichli and a Kelgian nurse were concentrating on their monitors and ignoring him, so without further hesitation he swam slowly into the ward.

The nurses’ station was less than ten meters behind him when, at the limit of visibility, one of the indistinct, dark-green shadows lying in the angle between wall and floor detached itself and came rushing silently toward him like a great, organic torpedo, taking on a terrifying, three-dimensional solidity the closer it came. As it slowed abruptly to a stop, the pressure wave and turbulence from its close approach and the rapid beating of its many fins sent him spinning end over end.

One of the massive fins swept up to lie for an instant along his back, feeling like a soft, firm mattress as it steadied him. Then it withdrew for a short distance to begin circling him, almost nose to tail, like a gigantic, open-ended doughnut that had to be at least twenty meters long. He was free to swim up or downward, but for some reason his arms, legs, and voice refused to work.

At close range he could see that the creature resembled an enormous, armored fish with a heavy, knife-edged tail, a seemingly haphazard arrangement of stubby fins and a collar of thick, ribbon tentacles projecting from gaps in its body armor. When it was in motion the tentacles streamed backward to lie flat along its sides, but they were long enough to reach forward beyond the thick, blunt wedge of the head when it was at rest. The nearer of its two lidless eyes, looking to be about the size and shape of an upturned soup dish, watched him as it circled closer. Suddenly the head divided to reveal a vast, pink cavern of a mouth edged with a triple row of triangular white teeth. The mouth opened even wider.

“Hello,” it said. “Are you the new trainee nurse? We were expecting a Kelgian.”

Hewlitt opened his own mouth, but it was a moment before he found his voice. “N-no,” he said. “I’m not a medic, just a layperson visiting the Chalder ward for the first time.”

“Oh,” said the Chalder. “I hope my approach did not frighten you. Please accept my apologies if it did, but you did not react like a first-time visitor. I am Patient AUGL Two-Eleven. If you give me the case number of the person you wish to visit, I would be pleased to take you to it.”

He was about to introduce himself when he remembered in time that the Chalders did not exchange names, and avoided serious embarrassment for them both. The other’s compliment must have made him him foolhardy, because he found himself saying, “Thank you. But I do not wish to speak to one particular person. Would it be possible to meet and spend a short time with all the patients?”

Patient Two-Eleven closed and opened its mouth several times. Hewlitt wondered if it was about to object when it said, “That would be possible, even desirable, especially to the three patients like myself who are overdue for discharge and are growing bored. But time is limited. The main meal of the day will be released in less than an hour. The food is synthesized, naturally, but highly mobile and lifelike, and smaller beings like yourself are required to vacate the ward during meals in case of an accidental ingestion.”

“Don’t worry,” said Hewlitt, “I shall certainly leave before then.

“That is sensible,” said the Chalder. “May I make an observation and a suggestion that may possibly offend you?”

Hewlitt looked again at the massive, armored body and size of its teeth, then said, “No offense will be taken.”

“Thank you,” it said, moving closer and slightly past him so that only one enormous eye, a side view of the mouth, and a stiffly projecting fin were visible. “Earth-humans are not very efficient in water; you move slowly and must expend much energy to do so. If you would grip the base of the fin that is close to you and hold on tightly with both hands, we can move between the patients in a fraction of the time you would otherwise require.”

Hewlitt hesitated. “The fin looks, well, fragile. Are you sure I won’t damage you?”

“Not at all,” said Two-Eleven. “Admittedly I have been unwell, but I am much stronger than I look.”

Unable to think of a suitable reply, Hewlitt grasped the base of the fin whose thick, red-veined stem sprouted from a gap in the scaly armor like an enormous, translucent rhubarb leaf. He tightened his grip as he felt an invisible something trying to pull him loose, then realized that it was increasing water pressure caused by their motion and that the whole ward, its decorative foliage, the massive figures of the patients, and the diminuitive medical staff were slipping past at speed.

There were no beds in the ward, he saw at once, and realized that that should not have surprised him considering the environment. What appeared to be the equivalent of bedridden patients were tethered loosely to the insides of open-ended treatment frames that looked like uncovered box kites. One of these patients, whose entire body surface was cracked and discolored by either age or disease, was being attended by Lioren. The majority of the others were floating without restraints close to their personal, marked-out areas of wall or ceiling, their eyes fixed on illuminated viewscreens and presumably being entertained. At the far end of the ward, which was apparently their destination, two Chalders were drifting motionless nose to nose. When Two-Eleven and Hewlitt approached, their massive tails flicked and they swung into a ponderous turn to face them, their vast mouths already gaping open.

“You may dismount now,” said Two-Eleven, bringing forward a ribbon tentacle to point. “These are Patients One-NinetyThree and Two-Twenty-One. And this is an Earth-human visitor who would like to talk with us.”

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