“You,” Tarsedth broke in, its fur spiking with irritation, “are beginning to sound like Cresk-Sar.”
“I’m sorry,” the Hudlar said. “I only meant to explain what Seldal was doing, not bring back unpleasant memories of our tutor.”
“Do not trouble yourself,” Lioren said. The Hudlar FROBs were acknowledged to be the physically strongest life-forms of the Galactic Federation and with the least-pervious body tegument, but emotionally their skins were extremely thin. He added, “Please continue, so long as you don’t ask questions afterward.”
The Hudlar’s membrane vibrated with an untranslatable sound. “I won’t. But I was trying to explain why speed is so important during Melfan surgery. The major internal organs float in a shock-absorbent fluid and are only tethered loosely to the interior walls of the carapace and underside. When the fluid is removed temporarily prior to surgery, the organs are no longer supported and they sink onto each other with consequent compression and deformation effects which include restriction of the blood supply. Irreversible changes take place which could result in termination of the patient if the situation is allowed to continue for more than a few minutes.”
With an intensity that shocked his sensorium like a traumatic injury, Lioren found himself wishing suddenly for the impossible, for a recent past that had taken a different turning and would have allowed him to share this trainee’s enthusiasm for other-species surgery rather than a demeaning and probably unproductive interest in the surgeon’s mind. The thought that the pain, no matter how severe or often it came, would always be less than he deserved brought little comfort.
“Normally an ELNT surgical procedure requires a large operative field and many assistants,” the Hudlar went on, “whose principal purpose is to support these no-longer-floating organs on specially shaped pans while the surgeon-in-charge performs the operation proper. This procedure has the disadvantages of requiring an unnecessarily large opening in the carapace to allow entry of the supporting instruments, and the healing of such a wound is slow and sometimes leads to unsightly scarring and discoloration where the section of carapace was temporarily removed. This can lead to severe emotional trauma in the patient because the carapace, the richness and graduations of its color and individuality in pattern, plays an important part in the courtship process. With a single Nallajim operating, however, the greater speed of this procedure combined with the smaller entry wound reduces both the size and the possibility of a disfigurement occurring postoperatively.”
“A good thing, too,” Tarsedth said, its fur rippling in vehement sympathy. Kelgian DBLFs had the same feelings about their mobile, silvery fur as the Melfan ELNTs about their beautifully marked carapaces. “But would you look at the way it is pecking at the operative field, sometimes with its naked beak, like a bloody astigmatic vulture!”
Seldal’s instrument rack was suspended vertically just beyond the operative field, within easy reach of the surgeon’s beak. Each recess contained specialized instruments with hollow, conical grips that enabled the Nallajim’s upper, lower, or entire beak to enter and grasp, use, replace, or discard them with bewildering rapidity. Occasionally Seldal went in with nothing but the two, long, cylindrical lenses that extended from its tiny eyes almost to the tip of its beak—which had been strapped in position for the duration of the operation—to correct its avian tendency for long-sightedness. Its three claws were wrapped tightly around the perch attached to the operating frame, and the stubby wings fluttered constantly to give it additional stability when it jabbed with its beak.
“In early times,” the Hudlar said, “both the eggs and the egg-laying insects which had to be removed from the patients were edible, and it was considered proper for the surgeon to ingest them. Melfan tissue would not be harmful to a Nallajim, and you will remember from basic training that any ELNT pathogens it contained would not affect or infect an entity who had evolved on a different world. But in a multispecies hospital like Sector General eating parts of a patient, however small, can be emotionally disturbing to onlookers, so you will note that all such material is discarded.
“The operation,” the Hudlar went on, “is to remove—”
“It surprises me,” Lioren broke in, again trying to guide the conversation back to the surgeon rather than its work, “that a same-species surgeon, Senior Physician Edanelt, for example, was not assigned to the case instead of a life-form who requires a Melfan Educator tape to—”