Executive orders - Tom Clancy [512]
Then a telex machine started chattering. An Army Spec-5 walked over to it.
FLASH-traffic from State, from Ambassador Williams in India, he announced.
Let's see. Ryan walked over, too. It wasn't good news. Neither was the next one from Taipei.
THE PHYSICIANS WERE working four-hour shifts. For every young resident there was a senior staff member. They were largely doing nurses' work, and though they mainly were doing it well, they also knew that it wouldn't matter all that much.
It was Cathy's first time in a space suit. She'd operated on thirty or so AIDS patients for eye complications of their disease, but that hadn't been terribly difficult. You used regular gloves, and the only real worry was the number of hands allowed in the surgical field, and for ophthalmic surgery that wasn't nearly the problem it was for thoracic. You went a little slower, were a little more careful in your movements, but that was it, really. Not now. Now she was in a big, thick plastic bag, wearing a helmet whose clear faceplate often fogged from her breath, looking at patients who were going to die despite the attention of professor-rank physicians.
But they had to try anyway. She was looking down at the local Index Case, the Winnebago dealer whose wife was in the next room. There were two IVs running, one of fluids and electrolytes and morphine, the other of whole blood, both held rigidly in place so as not to damage the steel-vein interface. The only thing they could do was to support. It had once been thought that interferon might help, but that hadn't worked. Antibiotics didn't touch viral diseases, a fact which was not widely appreciated. There was nothing else, though a hundred people were now examining options in their labs. No one had ever taken the time with Ebola. CDC, the Army, and a few other labs across the world had done some work, but there hadn't been the effort devoted to other diseases that raged through civilized countries. In America and Europe research priority went to diseases that killed many, or which attracted a lot of political attention, because the allocation of government research money was a political act, and for private funding it tracked with what rich or prominent person had been unlucky. Myasthenia gravis had killed Aristotle Onassis, and the resultant funding, while not fast enough to help the shipping magnate, had made significant progress almost overnight-largely luck, Dr. Ryan knew, but true even so, and a blessing to other victims. The same principle extended to oncology, where the funding for breast cancer, which attacked roughly one woman in ten, far outstripped research in prostate cancer, which afflicted roughly half of the male population. A huge amount went into childhood cancers, which were statistically quite rare-only twelve cases a year per hundred thousand kids-but what was more valuable than a child? Nobody objected to that; certainly she did not. It came down to minuscule funding for Ebola and other tropical diseases because they didn't have a high profile in the countries which spent the money. That would change now, but not soon enough for the patients filling up the hospital.
The patient started gagging and turned to his right. Cathy grabbed the plastic trash can-emesis trays were too small and tended to spill-and held it for him. Bile and blood, she saw. Black blood. Dead blood. Blood full of the little crystalline bricks of Ebola virus. When he was done, she gave him a water container, the sort with a straw that gave a little bit of water from a squeeze. Just enough to wet his mouth.
Thanks, the patient groaned. His skin was pale except in the places where it was blotched from subcutaneous bleeding. Petechiae. Must be Latin, Cathy thought. A dead language's word to designate the sign of approaching death. He looked at her, and he knew.