James White - The Genocidal Healer

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The dejected Surgeon-Captain Lioren is disappointed that his Court-martial has rejected the death penalty for him, and instead has assigned him to O’Mara at Sector General. He is plagued with guilt, because he is responsible for the genocide of an entire race. At moments during his new tasks, he ponders the individual events that led up to the alien deaths.
First contact with the Cromsag planet was quickly followed by the discovery that their entire population was wasting away from some unidentified disease. They were starving, and their birth rate was absymal. Additionally, they were continually in hand-to-hand combat with each other, presumably competing for food.
The Sector General ships hurriedly provided food to malnourished people everywhere, along with medical aid for combat injuries, and tried to determine the cause of the mysterious disease. Despite their best efforts, deaths from the plague continued to increase. Lioren grew frustrated with the slow process of sending samples back to Sector General and awaiting diagnostics and full tests to ensure the effectiveness of potential cures. In his arrogance, he administered a treatment to the entire population… and they rose up and slaughtered each other, wiping out their own race.
Interspersed with recalling these events, he shares some of his story with people at Sector General. Lioren speaks to the terminally ill Dr. Mannen, eventually reviving Mannen’s interest in life. Lioren also offers encouragement to the isolated alien Khone (see Star Healer.) Next he is asked to speak to a gigantic Groalterri, whose race is so advanced they have until now refused all contact with the federated planets. The humans are desperate to make any sort of progress with this race, but the Groalterri patient won’t communicate with anyone. Bit by bit, Lioren shares his own guilty history and talks the suicidal alien into lowering its emotional barriers. From its story he manages to figure out the Groalterri’s hitherto unknown injury and arrange surgery that will change its life. Finally, at the end, Lioren meets with the handful of Cromsag survivors.

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“Are you addressing me or yourself?” Braithwaite asked, looking up suddenly from its work and displaying its teeth. “Either speak a little louder so I can hear you, or more quietly so I can’t.”

“I am not addressing anyone,” Lioren said. “I am thinking aloud about O’Mara and its unreasonable expectations of me. Mistakenly I assumed that I was speaking in an undertone, and I apologize for distracting you from your work.”

Braithwaite sat back in its chair, looked at the closely printed sheets that were piling up on Lioren’s desktop and said, “So he gave you the Seldal case. But there is no need to agitate yourself. If you can produce a result at all, you would not be expected to do so overnight. And if you should tire of delving into the not very murky recesses of a Nallajim Senior’s mind, the latest batch of trainee progress reports from Cresk-Sar are on your desk. I would like you to update the relevant personnel files before the end of next shift.”

“Of course,” Lioren said. Braithwaite showed its teeth again and returned to its work.

Senior Physician Cresk-Sar had been his clinical tutor during his first year at the hospital and it was still a person totally impossible to please. Reading its characteristically pessimistic report on the apparent lack of progress of the current intake of student nurses, Lioren wondered for a moment whether he should give priority to the deadly dull but important material from the Senior Tutor or to the more interesting but probably less productive psych file on Seldal. Dutifully, as befitted the most junior member of the department, he decided on the former.

A few moments later, while he was reading the clinical competence appraisal and promotion options for a Kelgian student nurse whose name was familiar to him, he abruptly changed his mind and called up the Seldal file. He began studying it so closely that he scarcely noticed the departure of Kursenneth and the arrival of a Tralthan intern who lumbered into the inner office on its six massive feet. But the noise had caused Braithwaite to look up, and Lioren made a polite, untranslatable sound designed to attract the lieutenant’s attention.

“This is interesting,” he said, “but the only parts that I fully understand are the LSVO physiological and environmental data. I don’t know enough about Nallajim interpersonal behavior in general and Seldal in particular to be able to detect any abnormality. It would be better if I was to observe Seldal directly for a period, and talk to it if this can be done without arousing its suspicions, so that I will have a clearer idea of the entity I am investigating.”

“It’s your case,” Braithwaite said.

“Then that is what I shall do,” Lioren said, securing the Seldal and Cresk-Sar material and preparing to leave.

“And I agree,” the lieutenant said, returning to its work, “that doing anything else is preferable to wading through Cresk-Sar’s god-awful boring progress reports …”

A quick reference to the senior staff duty roster told Lioren that Seldal would be in the Melfan OR on the seventy-eighth level. Allowing for traffic density in the intervening corridors and a delay while changing into a protective envelope before taking the shortcut through the level of the chlorine-breathing Illensan PVSJs, he should be able to see the Senior Physician before it left for its midday meal.

As yet Lioren had no clear idea of what he would do or say when he was confronted with his first nonsurgical case, and on the way there was no opportunity to think of anything other than avoiding embarrassment or injury by tripping over or colliding violently with staff members.

Theoretically the entities possessing the greater medical seniority had the right of way, but not for the first time he saw a Senior belonging to one of the smaller physiological classifications take hasty evasive action when a six-limbed Hudlarian FROB Charge Nurse with eight times the body mass and an urgent task to perform bore down on it. In such cases it was reassuring to see that the instinct for survival took precedence over rank, although the ensuing contact was verbally rather than physically violent.

With Lioren, however, there was no problem. His trainee’s armband indicated that he had no rank at all and should get out of everyone’s way.

Two crablike Melfan ELNTs and a chlorine-breathing Illen san PVSJ chittered and hissed their displeasure at him as he dodged between them at an intersection; then he jumped aside as a multiply absentminded Tralthan Diagnostician lumbered heavily toward him, and in so doing accidentally jostled a tiny, red-furred Nidian intern, who barked in reproof.

Even though their physiological classifications varied enormously, the majority of the staff were warm-blooded oxygen-breathers like himself. A much greater hazard to navigation were the entities traversing what was to them a foreign level in protective armor. The local protection needed by a TLTU doctor, who breathed superheated steam and whose pressure and gravity requirements were many times greater than the environment of the oxygen levels, was a great, clanking juggernaut which had to be avoided at all costs.

In the PVSJ transfer lock he donned a lightweight envelope and let himself into the yellow, foggy world of the chlorine-breathers. There the corridors were less crowded, and it was the spiny, membranous, and unadorned denizens of Illensa who were in the majority while the Tralthans, Kelgians, and a single Tarlan, himself, wore or in some cases drove protective armor.

The greatly reduced volume of pedestrian traffic gave Lioren a chance to think again about his strangely imprecise assignment, his department, and the work that he had been sentenced to perform.

Even if he was able to prove that O’Mara’s suspicions were unfounded, investigating Seldal would be a unique experience for him. He would take the case very seriously indeed, regardless of its probable minor nature, and if his observations showed that Seldal really had a problem …

Lioren raised his four eyes briefly to offer up a prayer to his light-years-distant God of Tarla, in whose existence he no longer believed, pleading for guidance as to what was or was not abnormal behavior in one of the highly intelligent, three-legged, nonflying birdlike natives of Nallaji. He lowered his eyes in time to flatten himself against the wall as the mobile refrigerated pressure envelope belonging to an ultra-low-temperature SNLU rolled silently toward him from a side corridor. Irritated at his momentary lapse of attention, Lioren resumed his journey.

Until now the only abnormal and dangerous behavior he had identified, and it was a type all too prevalent in the hospital, was careless driving.

CHAPTER 8

LIOREN moved along the Melfan surgical ward at a pace which suggested that he knew where he was going and what he intended doing when he got there. The Illensan Charge Nurse on duty looked up from its desk, stirred restively within its protective envelope, but otherwise ignored him, and the other nurses were too busy attending to the post-op ELNTs even to notice his passing. But as he walked between the double line of padded support frames which were the Melfan equivalent of surgical beds it became clear that Senior Physician Seldal, in spite of its name appearing on the ward’s staff-on-duty board, was not present. Neither was Student Nurse Tarsedth.

Among the Illensan, Kelgian, and Tralthan nurses working all around him a Nallajim would have been hard to miss, which meant that it must still be in the operating theater adjoining the ward. Lioren climbed the ascending ramp to the observation gallery — a large number of the medical staff were physiologically incapable of mounting stairs — and saw that he had guessed right. He also discovered that there were two other observers in the gallery. As he had hoped and half expected, one of them was Tarsedth, the Kelgian DBLF who had spoken to him during his first visit to the dining hall several days earlier.

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