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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“Very well,” Conway said. “If the team is ready we will go in. Doctor Seldal, I’d be obliged if you would open.”

The instruments required for the macroprocedure, the drills and cutters and suction tubes so massive that some of them had to be individually manned, hung in position all around them. The preparations, Lioren had thought, more closely resembled those for a mining operation than a surgical procedure. But the Diagnostician’s words were another example of an oblique verbal pleasantry, because the operating team was ready and waiting, and Seldal had already been thoroughly briefed on its part at every stage of the operation.

Politeness was a lubricant, Lioren thought, that reduced friction but wasted time.

Even though Hellishomar was a member of a macrospecies with a head that was large in proportion to its enormous body, the sheer size of the operative field came as a shock to Lioren. The area of the flap of tegument that was excised and drawn back to reveal the underlying bone structure was larger than any of the decorative rugs scattered around his living quarters.

“Doctor Seldal is controlling the subdermal bleeding by clamping off the incised capilliaries,” Conway was saying, “which in this patient more closely resemble major blood vessels, while I drill vertically through the cranium to the upper surface of the meningeal layer. The drill is tipped with a vision sensor linked to the main monitor, which will show us when it reaches the surface of the membrane … We’re there.

“The drill has been withdrawn and replaced by a high-speed saw of identical length,” the Diagnostician continued a few minutes later. “This is being used to extend the original borehole laterally until a circular opening has been made in the cranium of sufficient diameter so that, when the resulting plug of osseous material is removed, the surgeons will be able to enter the wound and work freely. That’s it. The plug is being removed now and will be kept under moderate refrigeration pending its replacement. How is the patient?”

“Friend Hellishomar’s emotional radiation,” Prilicla said quickly, “suggests feelings of mild discomfort, or more severe discomfort that is under firm control. Feelings of uncertainty and anxiety normal to the situation are also present.”

“A reply from me,” Hellishomar said, opening the eye nearest to the display screen, “seems unnecessary.”

“For the moment, yes,” Conway said. “But later I will need the kind of help which only you will be able to give. Try not to worry, Hellishomar, you are doing fine. Seldal, climb aboard.”

Lioren wished suddenly that he could find something reassuring to say to the patient, because he, having convinced O’Mara and Conway and finally Hellishomar itself of the necessity for the operation, bore the responsibility for what was to happen here. But he could not excuse breaking into the operating team’s conversation without invitation, and the private communication channel was closed to him until or unless Hellishomar spoke his name, so he remained silent and watchful.

Looking like a pink-flecked, shaven log of a large tree, the bony plug was lifted clear while Seldal, its three spindly legs strapped together so as to minimize bodily projections, was being lifted into Conway’s backpack so that only its long, flexible neck, head, and beak were uncovered. A similar pack containing the instruments and inflatable equipment that both surgeons would use was strapped tightly to Conway’s chest and abdomen. The Diagnostician’s legs were not strapped together, but the sharp contours of its feet were encased in thick padding, and a white, frictionless overgarment was drawn over the limbs and fastened at the shoulders so that only the arms and head were uncovered. A transparent helmet that was free of external projections and large enough to accommodate the necessary lighting and communications equipment was added. Seldal, whose upper body was naturally streamlined, kept its head and beak pressed firmly against the back of Conway’s helmet. The Nal-lajim wore only eye protection and an attachment for the thin air line running into the corner of its mouth.

“Zero gravity in the operative field,” Conway said. “Ready, Seldal? We will now enter the wound.”

A tractor beam seized their weightless bodies in its immaterial grasp, deftly upended them, and lowered them heads first into the narrow opening. The thick cable loom comprising their air supply, suction and specimen extraction hoses, and the emergency rescue line unreeled like a multicolored tail behind them. Conway’s helmet lighting showed the smooth, gray walls of the organic well they had created moving past them, and an enlarged and enhanced image was reproduced on the external display.

“We are at the base of the entry well,” Conway said, “level with the internal surface of the cranium, and have encountered what is probably the equivalent of the protective meningeal sheath. The membrane responds to firm hand pressure, in a way which suggests the presence of underlying fluid, and what appears to be the outer surface of the brain itself lies just beyond. A precise estimate of the distance is difficult because either the membrane or the fluid, or perhaps both, are not completely transparent. A small test incision is being made through the membrane. That’s strange.”

A moment later the Diagnostician went on, “The incision has been extended and opened, but there is still no apparent loss of fluid. Oh, so that’s it …”

Conway’s voice sounded pleased and excited as it went on to explain that, unlike in other species of its experience, the cere-brospinal fluid, which helped protect the brain structure from shocks by acting as a lubricant between the inner cranium and brain, was not in the Groalterri species a fluid. It was instead a transparent, semisolid lubricant with the consistency of a thin jelly. When a small piece of the jelly was cut away for closer examination and then replaced, it immediately rejoined the main body without any trace of the earlier incision. This was fortunate since it enabled them to go through the meninges without having to worry about controlling fluid losses, and they could move laterally with minimal resistance and loss of time between the brain surface and the meningeal layer to the first objective, a deep fissure between two convolutions in the area suspected of housing the Groalterri telepathic faculty.

“Before we proceed,” Conway said, “is the patient aware of any unusual physical sensations or psychological effects?”

“No,” Hellishomar said.

For a few moments the main screen gave glimpses of Con-way’s hands and Seldal’s beak, brightly lit by the helmet lamp, as they pushed themselves carefully through the clear jelly between the smooth inner meninges and the massively wrinkled outer surface of the cortex and into the narrow crevice.

“As closely as we can estimate,” Conway went on, “this fissure extends about twenty yards on each side of our entry point and the average depth is three yards. On the upper brain surface the division between adjoining convolutions is clearly evident, but with depth the walls begin to press together. The pressure is not sufficient to be life-threatening, and the effort required to push the surfaces apart is minimal and does not reduce our mobility, but it would seriously hamper any surgical procedure that may become necessary and quickly cause disabling levels of fatigue. Soon we will have to deploy the rings.”

Hellishomar had not spoken directly to Lioren, even on the open channel, so that he had no way of knowing what was going through the patient’s mind. But Prilicla’s gauzy wings were beating slowly, and the stability of its hovering flight made it plain that there was no source of unpleasant emotional radiation in the area.

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