White, James – Sector General 04 – Ambulance Ship

Prilicla drifted slightly ahead of the party, a vague insect shape inside the silvery bubble of its suit, twitching occasionally to the bursts of emotional radiation in the area. Conway knew from past experience that it was not the casualty or the curious AUGL patients who were responsible for this reaction, but the feelings of the transfer team maneuvering the litter past the sleeping frames, equipment and artificial flora of the ward and the stretch of water-filled corridor beyond it. The drying and cooling units in the team’s issue lightweight suits did not operate at peak efficiency in the warm water of the AUGL level, and when strenuous physical effort was called for in that environment, the tempers shortened in direct proportion to the temperature rise.

The Observation Ward for the new patient had been part of the Casualty Department’s initial treatment area for warm-blooded oxygen-breathers before that facility had been moved to Level 33 and extended. The intention had been to fit the original room as an additional AUGL operating theater as soon as the engineering section could get around to it, but at the present time it was still a large, square-sided bubble of air and light inside the watery vastness of the Chalder wards and service units. At the center of the room was an examination table, adjustable to the body configurations of a wide variety of physiological classifications and with provision for conversion to either an operating table or a bed. Ranged along opposing walls of the ward was the similarly non-specialized and complex equipment required for the life-support and intensive care of patients whose life processes were, at times, a partly open book.

Although large, the room was overcrowded-mostly with people who had no business being there and no reason other than professional curiosity. Conway could see one of the scaly, membranous Illensan PVSJs, its loose protective suit transparent except for the faint yellow fog of chlorine it contained, and there was even a TLTU encased in a pressure sphere mounted on caterpillar tracks, which was the only way a being who breathed superheated steam at high pressure could associate professionally with patients and colleagues with less exotic metabolisms. The remainder were warmblooded oxygen-breathers-Melfans, Kelgians, Nidians and one Hudlar-with one thing in common besides their curiosity: the gold or gold-edged ID badges of Diagnosticians or senior physicians.

Rarely had Conway seen so much medical talent concentrated in such a small area.

They all stayed well clear of the transfer team as the patient was moved from the litter onto the examination table, supervised by Thornnastor itself. The litter was left unsealed and moved back to the ward entrance so as to be out of the way; then everyone began edging closer.

Murchison and Naydrad were watching on the Rhabwar’s screen, Conway knew, as Thornnastor began the preliminary examination, which was in all respects identical to the one carried out by Murchison and Conway on the ambulance ship-a careful check of the vital signs, even though at this stage nobody could be quite sure what was or was not a normal pulse, respiration or blood pressure reading for a DBPK-followed by deep and detailed scanning and gentle probing for physical injury or deformation. While it worked, Thornnastor described in detail everything it did, saw or deduced for the many medics who were observing on the teaching channels. Occasionally it paused to ask questions of Murchison on the ambulance ship or of Conway in the ward regarding the patient’s condition immediately following its rescue, and for any comments that might be helpful.

Thornnastor had reached its unrivaled eminence in e-t pathology by asking questions and pondering the answers, not by listening to itself pontificate.

Finally, Thornnastor’s examination was complete. It brought its massive body fully erect so that the osseous dome housing its brain was almost hidden by the curves of its massive triple shoulders. Its four extensible eyes regarded, simultaneously, the patient, the medics ranged around the examination table and the vision pickups through which the Rhabwar and the other non-present observers were viewing the proceedings. Then it spoke.

The most serious damage had been sustained by the patient’s lungs, where decompression effects had ruptured tissue and caused widespread bleeding. Thornnastor proposed relieving this situation by withdrawing the unwanted fluid via a minor surgical intervention through the pleural cavity and into the trachea for the purpose of assisting the patient’s breathing by positive pressure ventilation of the lungs with pure oxygen. There was a wide range of tissueregenerative medication available for warm-blooded oxygenbreathers, but the tests that would be carried out on the DBPK cadavers to find one harmless to the DBPK species would be exhaustive and would require two days at least, by which time a safe anesthetic would also be available. Without immediate surgical intervention the patient would not live for more than a few hours. Neither of the proposed procedures was lengthy, the associated pain was minimal, and as Prilicla reported, the patient was too deeply unconscious to be aware of pain, so Thornnastor, assisted by a Melfan senior physician and a Kelgian theater nurse, would operate at once.

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