Hopelessly he searched for an answer, going through the material on gereology available at the time his tapes were donated as well as the painful data associated with his own childhood memories and subsequent medical experience. But there was no answer to be found anywhere in his multiple mind, and the consensus of all of them was that he should increase the dosage of painkilling medication so as to make the patient as comfortable as possible.
While he made the addition to the treatment chart, the Hudlar’s speaking membrane vibrated stiffly, but that organ, too, was deteriorating, and this time the sounds it made were too distorted for his translator to make any sense of them. He murmured reassurances, which they both knew to be empty, and moved to the next cradle.
Its condition was fractionally better than the previous one, and its conversation with him was animated and covered every subject under the Hudlar sun except what ailed it. Conway was not fooled, much less his Hudlarian alter ego, and he knew that this particular FROB was enjoying-although that was scarcely the right word in these circumstances-its last few hours of sanity. The next two patients did not speak to him at all, and the last one was loudly articulate but no longer sane.
Its speaking membrane was vibrating continually inside the wide, cylindrical muffler which had been attached to reduce both the sound and the mental discomfort of those within earshot, but enough was escaping to make Conway feel very uncomfortable indeed. It was in poor physical shape as well. In addition to the breakdown of the absorption system over a large area of the body surface, the incontinence, and the marked deterioration evident in all of the limb extremities, two of the tentacles had lost mobility and resembled nothing so much as a couple of withered tree-trunks.
“Those limbs require urgent surgical attention, Doctor,” the nurse engaged in spraying the patient with nutrient said, having first turned off its translator. In the forthright manner of all Kelgians it added, “Amputation is indicated to prolong the patient’s life, if that is considered desirable.”
In ordinary circumstances the prolongation of the patient’s life was desirable and, in fact, was the prime consideration, and his mind was being flooded with information and suggestions for treating the equivalent condition in Melfans, Kelgians, Tralthans, and Earth-humans. But to the physiological classification FROB the very concept of curative medicine had been unknown until the discovery of Hudlar by the Federation, and to that species any major surgical intervention was hazardous in the extreme. On a heavy gravity, high-pressure world like Hudlar, the internal pressure and metabolic rate of its dominant life-form had to be correspondingly high.
The control of bleeding, both during a procedure and postoperatively, was difficult. And the internal decompression which was an unavoidable side effect of an operation could cause deformation and serious damage to major organs adjacent to the operative field. As a result the Hudlar information in his mind together with Conways own experience of FROB surgery suggested caution, while the other mass of extraterrestrial experience advocated operating without delay. But a double amputation on a geriatric and dangerously weakened patient. . . Angrily he shook his head and turned away.
The Kelgian nurse was watching him closely. It said, “Does that movement of the cranium indicate a yes or a no answer to my question, Doctor?”
“It means that I haven’t yet made up my mind,” Conway said as he turned and escaped thankfully into the infants’ ward.
While it was true that for the greater proportion of their lifetimes the Hudlars were impervious to disease and all but the most severe injuries-which was the primary reason why medicine had been an unknown science on their world-this did not hold during the first and final few years of life. His recent harrowing experience had shown all too clearly the ills to which aged Hudlars were prone, and now he was seeing the other and much less distressing end of the clinical spectrum.
Infant FROBs seemed to catch every Hudlarian pathogen present in their atmospheric soup until, if they were able to survive the first few encounters with them, their bodies built up the natural resistance which lasted for the greater part of their very long lives. Fortunately, the majority of the diseases were spectacular in their symptomology but individually nonfatal. Federation medical science had been able to provide cures for several of them and was working on the others. Unfortunately, while no single disease could be considered fatal in itself, all were potentially lethal because the ailments which the infants contracted were cumulatively weakening, and it was the order in which they were contracted and the number of diseases present at a given time which determined the lethality. A complete solution was not possible until specifics against all of the diseases were produced.