The Little Black Bag by C. M. Kornbluth

moved at night, in motorcades of battered cars supplied by friends and relatives, with furniture lashed to the tops, swearing and drinking until the small hours. It explained why she had stopped him: she did not yet know he was old Dr. Full, a drunken reprobate whom nobody would trust. The little black bag had been his guarantee, outweighing his whiskey face and stained black suit. He was looking down on a three-year-old girl who had, he rather suspected, just been placed in the mathematical center of a freshly changed double bed. God knew what sour and dirty mattress she usually slept on. He seemed to recognize her as he noted a crusted bandage on her right hand. Two dollars, he thought. An ugly flush had spread up her pipe-stem arm. He poked a finger into the socket of her elbow, and felt little spheres like marbles under the skin and ligaments roll apart. The child began to squall thinly; beside him, the woman gasped and began to weep herself. “Out,” he gestured briskly at her, and she thudded away, still sobbing. Two dollars, he thought. Give her some mumbo jumbo, take the money and tell her to go to a clinic. Strep, I guess, from that stinking alley. It’s a wonder any of them grow up. He put down the little black bag and forgetfully fumbled for his key, then remembered and touched the lock. It flew open, and he selected a bandage shears, with a blunt wafer for the lower jaw. He fitted the lower jaw under the bandage, trying not to hurt the kid by its pressure on the infection, and began to cut. It was amazing how easily and swiftly the shining shears snipped through the crusty rag around the wound. He hardly seemed to be driving the shears with fingers at all. It almost seemed as though the shears were driving his fingers instead as they scissored a clean, light line through the bandage. Certainly have forged ahead since my time, he thought-sharper than a microtome knife. He replaced the shears in their ioop on the extraordinarily big board that the little black bag turned into when it unfolded, and leaned over the wound. He whistled at the ugly gash, and the violent infection which had taken immediate root in the sickly child’s thin body. Now what can he do with a thing like that? He pawed over the contents of the little black bag, nervously. If he lanced it and let some of the pus out, the old woman would think he’d done something for her and he’d get the two dollars. But at the clinic they’d want to know who did it and if they got sore enough they might send a cop around. Maybe there was something in the kit- He ran down the left edge of the card to “lymphatic” and read across to the column under “infection.” It didn’t sound right at all to him; he checked again, but it still said that. In the square to which the line and the column led were the symbols: “IV-g-3cc.” He couldn’t find any bottles marked with Roman numerals, and then noticed that that was how the hypodermic needles were designated. He lifted number IV from its loop, noting that it was fitted with a needle already and even seemed to be charged. What a way to carry those things around! So- three cc. of whatever was in hypo number IV ought to do something or other about infections settled in the lymphatic system-which, God knows, this one was. What did the lower-case “g” mean, though? He studied the glass hypo and saw

letters engraved on what looked like a rotating disk at the top of the barrel. They ran from “a” to “i,” and there was an index line engraved on the barrel on the opposite side from the calibrations. Shrugging, old Dr. Full turned the disk until “g” coincided with the index line, and lifted the hypo to eye level. As he pressed in the plunger he did not see the tiny thread of fluid squirt from the tip of the needle. There was a sort of dark mist for a moment about the tip. A closer inspection showed that the needle was not even pierced at the tip. It had the usual slanting cut across the bias of the shaft, but the cut did not expose an oval hole. Baffled, he tried pressing the plunger again. Again something appeared around the tip and vanished. “We’ll settle this,” said the doctor. He slipped the needle into the skin of his forearm. He thought at first that he had missed-that the point had glided over the top of his skin instead of catching and slipping under it. But he saw a tiny blood-spot and realized that somehow he just hadn’t felt the puncture. Whatever was in the barrel, he decided, couldn’t do him any harm if it lived up to its billing-and if it could ever come out through a needle that had no hole. He gave himself three cc. and twitched the needle out. There was the swelling-painless, but otherwise typical. Dr. Full decided it was his eyes or something, and gave three cc. of “g” from hypodermic IV to the feverish child. There was no interruption to her wailing as the needle went in and the swelling rose. But a long instant later, she gave a final gasp and was silent. Well, he told himself, cold with horror, you did it that time. You killed her with that stuff. Then the child sat up and said: “Where’s my mommy?” Incredulously, the doctor seized her arm and palpated the elbow. The gland infection was zero, and the temperature seemed normal. The blood-congested tissues surrounding the wound were subsiding as he watched. The child’s pulse. was stronger and no faster than a child’s should be. In the sudden silence of the room he could hear the little girl’s mother sobbing in her kitchen, outside. And he also heard a girl’s insinuating voice: “She gonna be OK, doc?” He turned and saw a gaunt-faced, dirty-blond sloven of perhaps eighteen leaning in the doorway and eyeing him with amused contempt. She continued: “I heard about you, Doc-tor Full. So don’t go try and put the bite on the old lady. You couldn’t doctor up a sick cat.” “Indeed?” he rumbled. This young person was going to get a lesson she richly deserved. “Perhaps you would care to look at my patient?” “Where’s my mommy?” insisted the little girl, and the blond’s jaw fell. She went to the bed and cautiously asked: “You OK now, Teresa? You all fixed up?” “Where’s my mommy?” demanded Teresa. Then, accusingly, she gestured with her wounded hand at the doctor. “You poke me!” she complained, and giggled pointlessly.

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