The external wound was not in the position Hossantir would have chosen for a heart replacement operation, but it was close enough for the purpose following surgical enlargement-a course which would avoid subjecting the patient to the additional trauma of another deep incision.
When the Tralthan had finished speaking, Conway looked around the operating frame and at the surgical team drifting weightlessly nearby. There was a Melfan, two Orligians, and another Tralthan who were all junior surgeons, and five Kelgian and two Ian nurses, all of whom were watching him silently. He knew that Senior Physicians could be very touchy about seeming infringements of their authority, and especially when they were ordered to do something as a result of a simple omission on their own part. His Kelgian alter ego wanted him to come straight to the point, while the Tralthan component of his mind advised a more diplomatic approach.
“Even with surgical enlargement of the wound,” he said carefully, “access to the operative field will be restricted.”
“Naturally,” Hossantir replied. Conway tried a more direct approach.
“No more than two surgeons will be able to operate at any given time,” he went on, “so there will be a high degree of team redundancy.”
“Of course,” Hossantir said.
“Senior Physician Edanelt,” Conway said firmly, “needs help.”
Two of Hossantir’s eyes curled around to regard the preparations going on around Edanelt’s frame, then it quickly detailed his two Orligian and the Tralthan medics to help the other Senior with instructions to call on whatever nursing support as and when needed.
“That was unforgivably selfish and thoughtless of me,” Hossantir went on to Conway. “I thank you for the tactful way in which you reminded me of the transgression in the presence of my subordinates. But please be more direct in future. I carry permanently a Kelgian Educator tape and will not take offense over any seeming infringement of my authority. Frankly, I am greatly reassured by your presence, Conway, since my experience of deep Hudlar surgery is not extensive.”
If I were to detail my own experience of Hudlar surgery, Conway thought wryly, you might not frel reassured at all.
Then he smiled suddenly, remembered how O’Mara had sardonically described the function of a Diagnostician in an operating theater as being largely psychological-the being was there principally to worry and accept the responsibilities its subordinates might not be able to carry.
As he moved between the three patients, Conway recalled his first few years after promotion to Senior Physician and of how he had accepted, and at times jealously guarded, his responsibilities. While working under supervision he had attempted to show that the Diagnostician concerned was redundant. In time he had been successful, because the supervision had become minimal and at times nonexistent. But there had also been a few times when Thornnastor or one of the other Diagnosticians who had been breathing down his neck and causing an irritating distraction during surgery had stepped in and saved a patient’s life as well as the professional career of a very new Senior Physician whose enthusiasm verged on the irresponsible.
How those Diagnosticians had been able to watch without intervening, or suggesting alternative procedures, or giving step-bystep instructions at every stage, Conway did not know, because he himself was finding it just barely possible to do so.
He managed to continue doing the near-impossible while the hours slid past, dividing his attention between the operating stations of Yarrence, Edanelt, and Hossantir as well as the activity around the deceased Eighteen, where the surgery required to withdraw the donor organs and limbs was as painstaking and precise as that being performed on the recipients. There were several aspects of the work he could have commented upon, although not in overly critical terms, so he remained silent and gave advice only when it was requested. But while the three Seniors were doing very well and he was careful to divide his time equally among them, the one he watched most carefully was Hossantir. If any of the patients were going to cause problems, it would be FROB-Forty-three.
It happened in the fifth hour of the operations. The depressed cranial fracture and arterial repair on Three had gone well, and the less critical work of limb replacement was proceeding in satisfactory fashion. On FROB-Ten the absorption organ replacement work was completed and the decompression damage had been repaired so that it, too, had only the time-consuming microsurgical work on the limbs to undergo. It was natural, therefore, for Conway to hook himself to Forty-three’s frame to watch Hossantir performing the highly delicate initial stages of reconnecting the replacement heart.
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