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James White: Final Diagnosis

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James White Final Diagnosis

Final Diagnosis: краткое содержание, описание и аннотация

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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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“Sometimes,” the nurse went on, “we concentrate too deeply on what we are doing and forget our next meal spray. When that happens we grow weak from the effects of accelerated malnutrition wherever we happen to be, and the first member of the medical or maintenance staff to come along, or even an ambulatory patient like yourself, revives us with a quick respray. There are racks of Hudlar food tanks in most of the main corridors and wards, including the one on the wall beside the nurses’ station. The sprayer mechanism is very easy to use, although I hope you will never have to use one on me.

“It disrupts the routine to have a Hudlar collapsing in the middle of a ward,” it continued, “and the nutrient makes a mess on the floor or nearby beds. That would severely irritate Charge Nurse Leethveeschi, and we would not want that to happen.”

“No, we wouldn’t,” he said, unable to imagine a severely irritated chlorine-breather but agreeing anyway. “But, but meals painted on from the outside… that’s terrible. I thought I had problems.”

“I am not the patient here, Patient Hewlitt,” said the nurse, “and your sensors are registering a high level of fatigue and I am being selfish by keeping you awake. Are you ready to go to sleep now?”

The thought of being left alone again, his dimly lit bed like a raft surrounded by a dark sea peopled with fearful alien monsters, with this one monstrous exception, brought the fear that had been held in check by their conversation to come rushing back. Hewlitt did not want to go to sleep, so he answered indirectly in the negative by asking another question.

“I don’t see how it could happen,” he said, “but do you people have the equivalent of stomach ache? Or do you ever take sick?”

“Never,” said the nurse. “You must try to sleep, Patient Hewlitt.”

“If you don’t take sick,” he persisted, fighting a conversational rearguard action, “why do Hudlars need doctors and nurses?”

“As very young children,” the other replied, “we are subject to a wide variety of diseases, but by puberty we develop a complete immunity to them which lasts until a few years before termination, when age-related psychological and physiological degeneration takes place. Diagnostician Conway is heading a project to train Hudlar medical staff who will alleviate the more distressing aspects of the condition, which responds only to major surgery, but the work has many years to go before the aged population as a whole will benefit.”

“Is this the work you are training to do?” Hewlitt asked. “To care for the Hudlar aged?”

The nurse had no features that he could read, because it had no face and the rest of its smooth, hard body was as expressionless as an inflated balloon. But when it replied it spoke quickly, giving him the feeling that it might be embarrassed or ashamed of its answer.

“No,” it said. “I am studying general other-species medicine and surgery. Within the Galactic Federation we Hudlars are a unique species. Because of the nature of our body tegument we are able to live and work in a great many hostile environments. We can survive pressure variations ranging from the very dense down to the vacuum of space, and we do not need an atmosphere in order to absorb our nutrient paint. Hudlars are greatly in demand for work in conditions where other species would be severely hampered by their environmental-protection equipment, and especially on space construction projects. A Hudlar medic with Sector General qualifications, who would be able to bring medical assistance to space construction workers of many different species without the timeconsuming necessity for donning protective garments, would be a valuable asset on-site.

“Ours has never been a rich planet,” it added. “No mineral resources, no fabricated items to trade, no scenery to attract visitors. It has nothing that anybody wants, except its immensely strong, tireless people who can work anywhere and are very well rewarded by the other Federation species for doing so.”

“And after you have achieved fame and fortune in space,” said Hewlitt, “I suppose you will settle down at home and have a large family?”

The nurse still seemed to be bothered about something. He wondered if it could be feeling ashamed for leaving home and training for a well-paid job in space and thereby ducking the responsibility for looking after an aged and sick relative. He should not have asked that question.

“I will have half of a large family,” it said.

“Again,” he said, “I do not understand you.”

“Patient Hewlitt,” it said, “you are not very well informed about Hudlars. I was born and currently remain in female mode, and I intend to continue in this form until I choose to mate for the purpose of procreation rather than pleasure. That is when the gravid female, myself, because of the physiological necessity for avoiding further sexual contact with my life-mate, changes gradually into male mode and, concurrently, my mate slowly becomes female. A Hudlar year after parturition, the changes to both are complete, the offspring requires diminishing attention, and the mother-that-was is ready to become a father-to-be and the father-that-was has the opportunity of bearing the next child. The process continues until the desired number of offspring is reached, usually an even number so that the childbearing is equally divided, after which the lifemates decide together on which one will remain in male or female mode for the rest of their lives.

“It is a very simple, balanced, and emotionally satisfying arrangement,” it went on. “I am surprised that the other intelligent species have not evolved this system.”

“Yes, Nurse,” said Hewlitt.

He could think of nothing else to say.

CHAPTER 5

Hewlitt had been lying awake or, more accurately, trying hard to stay awake because of the completely alien and unknown living nightmares sharing the ward with him as patients and medical staff. But now he was wondering if it was extreme fatigue that was dulling his emotional reactions and causing him to relax, because he could not imagine anything more alien than the spaceproof skin, weird eating habits, and routine sex changes of this friendly monstrosity, and it was no longer unknown.

“Nurse,” he said, “thank you for talking to me for so long. I think I can sleep now.”

“No,” said the Hudlar firmly. “I would advise against that, Patient Hewlitt. The day staff will be coming on duty in twenty minutes and they will be waking everyone so that they can be washed before the first meal is served. We have three other ambulatory patients here, and you may prefer not to share the washroom facilities with them on your first morning in the ward, so it might be more comfortable for you if you get in there and finish first.”

“Yes, indeed,” said Hewlitt without hesitation. “But I’m tired, Nurse. Can I wash later?”

“Bearing in mind your uneasiness in the close proximity of other species,” said the nurse, “I will not accompany you. Instead I will remain close by the washroom in case your personal monitor, which you must not remove while cleansing yourself, should signal an emergency condition or you request help because of unfamiliarity with the equipment.

“If a very high level of mental and physical fatigue is present,” it went on, “you have the option of taking a blanket bath. This operation would be carried out by our three junior trainees, a Melfan and two Kelgians, who would be pleased at the chance to gain more experience in handling and bathing a nontraumatized Earthhuman like yourself. I know that they are particularly anxious to master the technique of scraping away the fur bristles that grow overnight on DBDG faces, and they would be pleased to perform this service for you.

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