Alien Emergencies - James White [259]
“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 Conway’s 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.
As Conway entered and looked around the furiously busy ward, the Hudlar material in his mind suggested that mass immunization was not the proper solution. There was a strong feeling that protecting the FROB children in that way would ultimately lead to a weakening of the species as a whole. But the Hudlar who had donated his tape had not been a member of the medical profession, there being no such profession on Hudlar, and had instead been a strange combination of philosopher, psychiatrist, and teacher. Even so, the feeling bothered Conway until a six-legged, half-ton infant came charging down on him shouting that it wanted to play,