James White: Code Blue Emergency

“Thank you again, Cha Thrat,” the empath said. “Youi learn quickly. And don’t worry. We are your friends and| are wishing for your success.” “Edaneit’s feet were making irregular clicking noises against the floor, a sound that might possibly be indicating impatience. It said, “Please present your patient, Doctor.”

For a moment she looked down at the Earth-human, at the pink, oddly formed alien body that, as a result of the accident, had become so familiar to her. She remembered how it had looked when she first saw it: the bleeding, open wounds and the fractured, protruding bones; the general condition that strongly indicated the immediate use of comforting medication until casualty termination. Even now she could not find the words to explain why she had not ended this Earth-human’s life. She looked up again at the Cinrusskin.

Prilicla did not speak, but she felt as if waves of reassurance and encouragement were emanating from the little empath. That was a ridiculous idea, of course, and probably the result of wishful and not very lucid thinking, but she felt comforted nonetheless.

“This patient,” Cha Thrat said calmly, “was one of three occupants of an aircraft that crashed into a mountain lake. A Sommaradvan pilot and another Earth-human were taken from the wreck before it sank, but they were already dead. The patient was taken ashore and looked at by a healer who was insufficiently qualified, and, knowing that I was spending a recreation period in the area, he sent for me.

“The patient had sustained many incised and lacerated wounds to the limbs and torso caused by violentcontact with the metal of the aircraft,” she went on. “There was continuing blood loss. Differences in the appearance of the limbs on the right and left sides indicated the presence of multiple fractures, one of which was visible where it projected through the tegument of the left leg. There was no evidence of blood coming from the patient’s breathing and speaking orifices, so it was assumed that no serious injuries had been sustained in the lung and abdominal areas. Naturally, very careful consideration had to be given before I agreed to take the case.” “Naturally,” Edanelt said. “You were faced with treating a member of an off-planet species, one possessing a physiology and metabolism of which you had no previous experience. Or had you previous experience? Did you consider sending for same-species medical assistance?”

“I had not seen an Earth-human before that time,” Cha Thrat replied. “I knew that one of their ships was in orbit around Sommaradva and that the process of establishing friendly contact was well advanced. I had heard that they were traveling widely among our principal cities, and that they often used our air transport, presumably to gain some experience of our level of technology. I sent a message to the nearest city hoping that they would relay it to the Earth-humans, but it was unlikely that it would arrive in time. The area is remote, mountainous, heavily forested, and thinly populated. The facilities were limited and time was short.”

“I understand,” Edanelt said. “Describe your procedure.”

Remembering, Cha Thrat looked again at the network of scars and the dark, contused areas where the subder-mal bleeding had not completely dispersed.

“At the time of treatment I was not aware of the fact that native pathogens have no effect on life-forms which evolved on a different planet, and it seemed to me thatthere was a grave danger of infection. It was also thought] that Sommaradvan medication and anesthetics would bel ineffective if not lethal. The only indicated procedur^. was to thoroughly irrigate the wounds, particularly those] associated with the fractures, with distilled water. While j reducing the fractures, some minor repairs were required to damaged blood vessels in the area. The incised, wounds were sutured, covered, and the fractured limbs immobilized. The work was done very quickly because the patient was conscious and …”

“Not for long,” Chiang said in a low voice. “I passed out.”

“… and the pulse seemed weak and irregular,” she went on, “even though I didn’t know the normal rate. The only means available to counteract shock and the effects of blood loss were external heating, provided by wood fires placed downwind so that smoke and ash would not contaminate the operative field, and pure water given intravenously when consciousness was lost. 1 was unsure whether our saline solution would be beneficial or toxic. I realize now that I was being overcautious, but I did not want to risk losing a limb.”

“Naturally,” Edanelt said. “Now describe your postoperative treatment.”

“The patient regained consciousness late that evening,” Cha Thrat went on. “It appeared to be mentally and verbally lucid, although the exact meaning of some words were unclear since they referred to the consigning of the faulty aircraft, the whole current situation, and myself to some hypothetical but extremely unpleasant afterlife. Since the native edible vegetation was likely to prove harmful, only water administered orally could be given. The patient complained of severe discomfort at the site of the wounds. Native pain-relief medication could not be given because it might prove toxic, so thatthe condition could only be treated, however inadequately, by verbal reassurance and encouragement—”

“For three days she never stopped talking,” Chiang said. “Asking questions about my work, and what I would be doing after I returned to active duty, when I was pretty sure that I would be returning in a box. She talked so much, sometimes, that I just fell asleep.”

There was a slight tremor apparent in Prilicla’s limbs. Cha Thrat wondered if the Cinrusskin was sensitive even to the Earth-human’s remembered pain.

She resumed. “In response to several urgent requests, five members of the patient’s species, one of whom was a healer, arrived with supplies of suitable food and supportive medication. Progress toward recovery was rapid thereafter. The Earth-human healer gave advice on diet and medication dosage, and it was free to examine the patient at any time, but I would not allow further surgical intervention. I should explain that on Sommaradva, a surgeon will not share or in any other way avoid personal responsibility for a patient. There was strong criticism, both personal and professional, of my standpoint, particularly from the Earth-human healer. I would not allow the patient to be moved to its ship until eighteen days after the operation, when I was convinced that full recuperation was assured.”

“She watched over me,” Chiang said, barking softly, “like an old mother hen.”

There was silence for what seemed to Cha Thrat to be a very long time, during which everyone looked at the Melfan while it regarded the patient. It was tapping one hard-tipped leg against the floor, but the sound it made was a thoughtful rather than an impatient one.

Finally it said, “Without immediate surgical attention you would undoubtedly have died as a result of your injuries, and you were fortunate indeed to receive thenecessary attention from an entity completely unfamiliar j with your physiological classification. Fortunate, too, in that the entity concerned was not only skilled, resource-, ful, and deeply concerned with your aftercare, but made the proper use of the limited facilities available to it. I can find no serious fault with the surgical work performed here, and the patient is, indeed, wasting the hospital’s time.”

Suddenly they were all looking at her, but it was the empath who spoke first.

“From Edanelt,” Prilicla said, “that is praise indeed.”

THE private office of the Earth-human O’Mara was large, but the floor area was almost entirely covered by a variety of chairs, benches, recliners and frames designed for the use of the entities having business with the Chief Psychologist. Chiang took the indicated Earth-human chair and Cha Thrat chose a low, convoluted cage that looked as if it might not be too uncomfortable, and sat down.