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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“I doubt whether such an entity exists,” Lioren said. “But you spoke of having verbal as well as physiological evidence. These people absolutely refuse to give information about themselves. How was it obtained?”

“A large proportion of the cases you sent us were young or, as we now know, not yet physically mature,” Murchison replied. “The adult patients remain completely uncooperative, but O’Mara was able to open dialogue with a few non-adults, who were much less reticent about themselves. Because of this immature viewpoint, adult motivations still remain unclear, and the picture of the Cromsaggar culture that is emerging is confusing and fraught with—”

“Pathologist Murchison,” Lioren interrupted, “my interest is in the clinical rather than the cultural picture, so please confine yourself to that. My reason for asking Rhabwar to transfer so many young or not so young patients to the hospital was that they were among the large numbers left parentless or without adults to care for them. As well as suffering from undernourishment or exposure, conditions which are treatable, they displayed symptoms of respiratory distress associated with elevated temperature, or a wasting disease affecting the peripheral vascular and nervous systems. If Thornnastor’s investigation into the plague is showing no results, what of these other and, I would think, clinically less complex conditions which seem to affect only the young?”

“Surgeon-Captain Lioren,” the pathologist said, using Lioren’s name and rank for the first time, “I did not say that no progress is being made.

“All of the non-adult cases are being investigated and significant progress is being made,” it went on quickly. “In one of them, the condition presenting respiratory distress symptoms, there has been a minor but positive response to treatment. But the main effort is being directed toward finding a specific for the adult condition, because it has become evident that if the massive debilitation and growth-retarding effects of the plague were removed, the diseases currently afflicting the pre-adult Cromsaggar would be countered by their bodies’ natural defense mechanisms and would no longer be life-threatening.”

If that much was known, Lioren thought, then progress was indeed being made.

“The trials conducted so far,” Murchison continued, “have been inconclusive. Initially the medication was introduced in trace quantities and the patients’ condition monitored routinely for fifty standard hours before the dosage was increased, until on the ninth day, within a few moments of the injection being given, both patients lost consciousness.”

It paused for a moment to look at Prilicla then, seeming to receive a signal undetectable by Lioren, resumed. “Both patients were placed in isolation some distance from the others and each other. This was done so as to minimize same-species interference in their emotional radiation. Doctor Prilicla reported that the level of unconsciousness was extraordinarily deep, but that there was no sign of the subconscious distress that would have been present had they been drifting into termination. It suggested that the unconsciousness might be recuperative since it had many of the characteristics of sleep following a lengthy period of physical stress and that nutrient should be given intravenously. A few days after this was done there was a minor remission of symptoms in both cases, and evidence of slight tissue regeneration, although both patients remained deeply unconscious and in a critical condition.”

“Surely that means—!” Lioren began, and broke off as Mur-chison held up one hand as if it and not himself had the rank. But suddenly he was too excited to verbally tear its insubordinate head off as he should.

“It means, Surgeon-Captain,” Murchison said, “that we must proceed very carefully and, if the first two test subjects regain consciousness rather than drifting into termination, we must closely monitor their clinical and psychological condition before the trial is extended to the other patients. Diagnostician Thornnastor and everyone in its department believes, and Doctor Prilicla feels sure, that we are on the way to finding the cure. But until we are certain we must exercise patience for a time until—”

“How much time?” Lioren demanded harshly.

Prilicla’s fragile body was shaking as if a strong wind was blowing through the casualty deck, but Lioren could no more have controlled the emotional storm of impatience, eagerness, and excitement that raged within him than he could have flown on the empath’s fragile wings. He would apologize to Prilicla later, but now all that he could think of was the steadily dwindling number of Cromsaggar who still clung to life on this plague world, and who might now have a chance to remain alive. More quietly, he asked, “How long must I wait?”

“I don’t know, sir,” the pathologist said. “I only know that Tenelphi has been ordered to remain at flight readiness at Sector General until the medication has been approved for general use, so as to bring you the first production batch without delay.”

CHAPTER 4

RHABWAR departed with its casualty deck filled principally with non-adult Cromsaggar. There were many adult cases in Vespasian’s sick bay — and in the widely dispersed medical stations that Lioren visited every day — who were in a much more serious condition, but the future survival of any species lay with its young, and those fortunate enough to be under the care of Thornnastor would be the first to be cured.

He ignored the polite but increasingly sarcastic messages from Colonel Skempton, the administrative head of Sector General, reminding him that the hospital was unable to accept the entire Cromsag population, depleted though it might be, for hospital-ization, and that they had already received more than enough members of that species for the purposes of clinical investigation. The entire Rhabwar crew would have been aware of Skempton’s uncoded messages and the pressure on ward accommodation that had prompted them, but Prilicla had raised no objections to transporting the additional twenty patients.

Prilicla must be the least objectionable entity in the known galaxy, Lioren thought, unlike the Cromsaggar, who were his patients but who would never be his friends — unless there was a species-wide personality reconstruction by the Galactic Federation’s many deities, of whose existence he had the gravest doubts.

Nevertheless, he spent all of his time, when he was not engaged in eating or sleeping, visiting the worst of his massively unlikable patients or encouraging the two hundred Corps medics and food technicians scattered across the continent who were trying, not always with success, to keep them alive. Always he hoped for a change of attitude, a willingness to talk to him and give information that would enable him to help them or that a tiny crack would show in their impenetrable wall of noncoop- eration, but in vain. The Cromsaggar, adult and young alike, continued dying at a steadily increasing rate because, like Sector General, he did not have the facilities to feed intravenously the entire population.

Occasionally, and in spite of the surface and orbital surveillance, they managed to die at each others’ hands.

It had happened while he had been flying over one of the forest settlements that had long since been searched and declared empty of intelligent life, but that must have been because the occupants had taken to the trees to elude the searchers. Lioren spotted the small-scale war being waged by six of them in a grassy clearing between two buildings. By the time the flier, which would have carried a crew of four Nidians had it not been for his long Tarlan legs, had circled back to land and Dracht-Yur had helped him extricate himself from the tiny vessel’s seating, the hand-to-hand fighting was over and four Cromsaggar lay still on the ground.

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