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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Without waiting for a reply, the Chief Psychologist went on. “The suggestion that you should be the only contact with the patient is a valid one. Hellishomar will be isolated from all other visual and verbal contact during surgery, and I shall certainly not contact it. At least, not directly.

“You have been doing very well,” O’Mara continued. “But you lack my professional experience or, as Cha Thrat insists on describing it, my knowledge of the subtler spells. You do not know everything, Lioren, even though you often act as if you do. For example, there are several well-tried methods of reestablishing communication and friendly relations with an other-species patient who has broken off contact for emotional reasons—”

O’Mara stopped and, with its eyes still directed toward Lioren, one hand moved to the desk communicator. “Braith-waite, reschedule today’s appointments for this evening or tomorrow. Be diplomatic; Edanelt, Cresk-Sar, and Nestrommli are Seniors, after all. For the next three hours I am not here.

“And now, Lioren,” it went on, “you will listen and I shall talk …”

CHAPTER 24

THE modifications to the ward structure necessary for the performance of this operation will be completed within the hour,” Diagnostician Conway said, loudly enough to be heard above the din of shouting voices and the metallic clangor of massive equipment being moved into position and given its final operational checks, “and the surgical team is already standing by. But any cranial investigation involving a newly discovered intelligent species, especially of a macro life-form like yourself, must of necessity be exploratory and with a high element of risk. For anatomical and clinical reasons, the sheer body mass combined with our present ignorance regarding the metabolism involved makes any estimate of the quantity of medication required sheer guesswork, so that the procedure will have to be carried out without benefit of anesthetic.

“Such a procedure is completely contrary to normal practice,” Conway went on, in a voice which was less than steady, “so that it is the psychological rather than the clinical preparations which Chief Psychologist O’Mara and I must satisfy ourselves are complete.”

Hellishomar did not speak. It was probable, thought Lioren, that the Groalterri knew nothing of the tiresome Earth-human habit of asking questions in the form of statements.

Conway looked quickly at the large openings that had been cut in the deck, walls, and ceiling all around them, and at the heavily braced structural supports for the tractor- and pressor-beam installations projecting from them before going on. “It is imperative that you do not move during the procedure, and you have told us several times that you will remain still. But, with respect, that is too much to expect from a fully-conscious patient when the degree of pain being inflicted is unknown, and there is a risk of our instruments stimulating the locomotor network and causing involuntary body movements. Total restraint and immobility will therefore be imposed by use of wide-focus tractor and pressor beams even though we may not, as you have assured us, require them.”

Hellishomar remained silent for a moment; then it said, “Surgery under anesthesia is not practiced by Groalterri Cutters, so I would not consider your procedure abnormal or the discomfort associated with the entry wound of major importance. As well, you will remember that Seldal, Lioren, and yourself have assured me that, in the majority of life-forms of your clinical experience, deep cranial surgery can be undertaken without discomfort since the protection afforded by the thickness of the cranium obviates the necessity for pain sensors within the brain itself.”

“That is true,” Conway said. “But the Groalterri life-form is like no other in the hospital’s experience, so it is not a certainty.

“Another and more important reason for the absence of anesthesia,” the Diagnostician continued before Hellishomar could reply, “is that we will be forced to call on you from time to time for a report on the subjective effects of our surgery while the operation is in progress. The high intensity of scanner radiation required to penetrate and chart the cranial contents, although harmless in itself, would almost certainly affect the local nerve networks and cause—”

“All this has been explained to me,” Hellishomar said suddenly, “by Lioren.”

“And it is being explained again by me,” Conway said, “because I am performing the operation and must be absolutely sure that the patient is fully aware of the risks. Are you?”

“I am,” Hellishomar said.

“Very well,” Conway said. “Is there anything else you would like to know about the procedure? Or anything that you would like to do or say, up to and including changing your mind and canceling the operation entirely? This can still be done without any loss of self-respect. In fact I, personally, would consider it to be an intelligent decision.”

“I have two requests,” Hellishomar said promptly. “Shortly I will be experiencing the first cranial surgery to be performed on a member of my species. As a Cutter as well as the patient I am deeply interested in the procedure and would appreciate a translated description of, and the reasons for, your actions while the operation is in progress. During the operation I might need to talk with the entity Lioren on another channel, but privately. If this conversation becomes necessary, no other entity in the hospital is to overhear our words. That is my second and more important requirement.”

Both the Diagnostician and the Chief Psychologist turned to look at Lioren. He had already warned them that Hellishoraar would make such a request and that it would not accept a negative answer.

Reassuringly, Conway said, “My intention is to talk through the procedure and record it in sound and vision for staff-training purposes, so there is no reason why you should not overhear the original. We can also arrange for a second communications channel, but you will not be able to operate it yourself because your manipulatory appendages are too massive for the control mechanism. I suggest that both channels be controlled by Lioren, and any private words you have for Lioren be prefixed by its name so that all others can be switched out of the conversation. Would that be satisfactory?”

Hellishomar did not reply.

“We understand that privacy at such times is of great importance to you,” O’Mara said suddenly, staring at one of the patient’s enormous, closed eyes. “As Chief Psychologist of this establishment I possess the authority of a Parent. I can assure you, Hellishomar, that your second communication channel will be private and secure.”

The Chief Psychologist’s curiosity regarding the words that had and would pass between Hellishomar and Lioren was personal, professional, and intense. But if there was disappointment in O’Mara’s voice, it was lost in translation.

“Then I would like you to proceed with minimum delay,” Hellishomar said, “lest I take Diagnostician Conway’s good advice and change my mind.”

“Doctor Prilicla?” Conway said quietly.

“Friend Hellishomar’s emotional radiation fully supports its decision to proceed,” the empath said, joining the conversation for the first time. “The feeling of impatience is natural in the circumstances, and the expression of self-doubt may be considered as an oblique verbal pleasantry rather than indecision. The patient is ready.”

A great wave of relief, so intense that he could see Prilicla shaking with it as well, burst over Lioren’s mind. But the em-path’s trembling was slow and regular, like the movements of a stately dance, and indicated the presence of emotional radiation that was pleasant rather than painful. Even with O’Mara advising him at every stage, it had taken five days and nearly as many nights of argument, closely reasoned at times but at others purely emotional, to obtain Hellishomar’s agreement to the operation. It was only now that he knew they had succeeded.

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