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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James White

Final Diagnosis

Sector General 10

CHAPTER 1

The ship’s Orligian medical officer did not speak as it escorted him into and along the boarding tube to the hospital entry point, and that was the way Hewlitt wanted it. He did not like extraterrestrials and, on the few occasions when it was necessary, he preferred to discuss his business with them on a long-range communicator that was not fitted with a viewscreen. He did not like this one because the brownish-grey spikes of fur projecting through the gaps in its body covering twitched from time to time, making him itch at the thought of the parasites that might be infesting the creature. He felt a great relief when they left the narrow tube and entered the reception area beyond, because he was able to move farther away from the hairy, unprepossessing entity.

Another extraterrestrial of a type he had never seen before was standing beside an antigravity litter and obviously awaiting their arrival. This one was very large, heavily built, and supported by six thick tentacles, one of which was encircled by a band bearing what was presumably the insignia of rank or identity of the wearer. It wore no other body covering and he was relieved to see that it was hairless, although its personal hygiene was suspect since there were several patches of what looked like dry, flaking paint on the smooth skin of its flanks. He could see two lidless, recessed eyes covered by a hard, transparent material, but no other features apart from a fleshy membrane growing like a cock’s comb from the top of its head, and whose purpose was revealed as an organ of speech when the creature moved closer and vibrated it at him. “I am awaiting the arrival of a DBDG patient,” it said. “You are plainly an Earth-human of the DBDG physiological classification, but you do not appear to be traumatized or displaying any lesser form of distress. Perhaps I have made a mistake and you are not— “No mistake, Nurse,” said the Orligian, breaking in. “I am Surgeon-Lieutenant Turragh-Mar, of the Monitor Corps supply vessel Treevendar, which was requested to convey this patient from its home world to Sector General. But now I must return to my ship without delay. This is Patient Hewlitt, and these are its case notes.”

“Thank you, Doctor,” said the nurse, accepting the tape and slipping it into a recess on the litter’s control panel. “Is there any more recent clinical information that the physician-in-charge should know about?”

Turragh-Mar hesitated, then said, “There has been no change in the patient’s clinical condition since it was transferred from the planetary hospital to Treevendar six days ago. It remained as you see it now, apparently in good health. During that time I formed the opinion that, in spite of its long and complicated case history, there is a psychological component to the patient’s problem.”

“I understand, Doctor,” said the nurse. “But Patient Hewlitt can be assured that, however complicated its problem may turn out to be, we will do our best to solve it.”

Turragh-Mar gave a short bark that came through its translator only as a short bark. It added, “I wish you luck.”

“Patient Hewlitt,” said the nurse as the Orligian disappeared into the boarding tube, “please climb onto the litter and make yourself comfortable. I am taking you to Ward Seven on the twentyninth level, where you will—”

“I am not climbing into anything!” said Hewlitt, anger and uncertainty and an instinctive dislike of this monstrous creature making his voice louder than he had intended. “There is nothing wrong with me right now, especially with my legs. I shall walk.”

“Please believe me, sir,” said the nurse, “you will feel much more comfortable in the litter.

“I would be much more comfortable,” he replied, “if you would not talk about me as if I was a, a thing. On the way here that hairy Orligian apology for a doctor did it when speaking to other ship’s officers, and within seconds of my arrival you were doing it, too. I am a human being, a ‘he’ or a ‘him,’ not an ‘it.’ You will kindly remember that in future, Nurse.”

For a long moment the other neither moved nor spoke. Then it said, “I know that you are human, just as all members of intelligent species think of themselves as being human. From my lectures on other-species anatomy I recognize you as an adult male of the DBDG Earth-human classification, but I must continue to refer to you as an ‘it’ unless some future clinical condition involving the reproductive organs or associated endocrinology requires me to be specific regarding your gender.

“Unfortunately,” the nurse went on, “the identification of an entity’s sex is not always as easy as it is in your case, especially among beings like myself, who are able to change sex several times within a life span, or with species who require more than two sexes for procreation. But it is a sensitive area, Patient Hewlitt, and often a wrong identification can be irritating or even, among some species, grossly insulting to the being wrongly identified. I believe that it will feel more comfortable and natural for you to think of me and any other being who is not of your own species as an ‘it’, just as we do with you. Now will you please board the litter.”

“Is your species hard of hearing, Nurse?” he said very loudly. “I said that I would walk.”

The other did not speak, but it leaned backward slightly so that its enormous weight was balanced on the middle and rear tentacles. The two forelimbs uncurled suddenly, and before he could react, one had wrapped itself around his waist while the other pinioned his legs together at knee level while he was swung high into the air and deposited gently onto the litter. Their grip was firm but not uncomfortable, and he did not try to break free, because the tentacles felt hard, like warm, flexible metal, and immensely strong.

During the brief moment that he was airborne, Hewlitt saw that the limbs encircling him could act as both arms or legs. On the back of each one there was a roughened knuckle on which the creature walked while the more delicate extremity that divided into fingers was curled upward and inward away from the ground. Then the litter’s padded body restraints swung inward to immobilize his upper legs, the vehicle’s transparent canopy rose from each side but did not close at the top, and a hinged backrest unfolded until he was sitting upright. At least he was being allowed to hear as well as see whatever was going on around him.

Remembering the many previous litter rides in Earth hospitals, when there had been nothing to look at but a boring succession of white corridor ceilings and strip lighting fixtures, he appreciated that.

“Whether they are patients or staff,” said the nurse, making no mention of the way it had just manhandled, or somethinghandled, him, “newcomers usually find traveling the corridors of Sector General on foot to be an intimidating experience at first. You may consider yourself fortunate that as a patient you are not allowed to walk.”

“But I am able to walk!” Hewlitt protested as the litter was guided smoothly toward the corridor exit.

“Most of our incoming patients,” said the other, “are in no condition to walk, talk, look around them, or argue with their nurse. It is a general rule that cannot be changed because of one exceptional case.

The door opened at their approach. Hewlitt immediately closed his eyes, and it was several seconds before he could force himself to open them again. All at once he was very glad of the thick, transparent canopy surrounding him.

Creatures out of the worst nightmares he had ever experienced, and a few new ones that he would probably have whenever he next went to sleep, were passing in both directions along the wide corridor, and the occasional human being among them only made the others look worse. Some of them were separated by a few yards, but more often they were clumped together into groups moving at different speeds who jostled past each other. There were massive, multitentacled beings terrifying in their great size and obvious physical strength; others who were horrifying and repugnant in the nauseous growths and slime sheen covering their dreadful, misshapen bodies. Some of the shapes were so ridiculous that he had trouble believing his eyes. One of the creatures was covered with silver fur that rippled and tufted continually as it undulated past the litter on about twenty legs. He remembered seeing a picture of one somewhere, and that their home world was called Kelgia. Gradually he was able to identify a few other familiar shapes from the extraterrestrial menagerie that was passing by.

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