Chameleon

'The one plus one equals three effect,' smiled Jamieson. 'A good thought. Have you had any success?

'Not yet but we're still trying.'

'Maybe the London people could help with that too,' said Jamieson.

'Where would you like me to send the strain?'

'Send it to the Sci-Med labs in London and mark it Priority E,' said Jamieson using the code he had been given in order to attract quick and expert scientific help. He gave Evans the address of the labs.

'Anything else?' asked Evans.

'You said something about lunch?'

After a forgettable lunch in the hospital staff restaurant Jamieson returned to his 'cupboard' in the Microbiology lab and telephoned Thelwell's secretary to arrange a suitable time to visit. He was told that four o'clock would be best for the surgeon. Jamieson said he would come at four. He put down the phone and Evans came in to hand him a sheet of paper. 'The names of the two double negatives in the swab tests. I wish I'd noticed it earlier.'

Jamieson read the names out loud. Staff Nurse Marion Fantes and

… Mr Gordon Thomas Thelwell. 'Thank-you,' said Jamieson trying to keep emotion out of his voice. 'I'll mention this when I go up there later on.'

'Very good,' said Evans with just a trace of a smile in his voice, Jamieson thought. 'Is there anything else I can do for you?'

'I'd like some lab space,' said Jamieson.

'Lab space?' echoed Evans.

'Yes, lab space and a culture of the Pseudomonas. I want to see the thing for myself, do some of my own tests.'

The request seemed to trouble Evans for a moment. 'Actually we are a bit short of room as you probably noticed. I can't think where… Unless of course, you wouldn't mind sharing my lab?'

'That's very good of you,' smiled Jamieson. 'Any bit of bench will do.'

Evans took Jamieson across the corridor into his lab and introduced him to a serious looking girl. This impression was created in part by the fact that the girl's dark hair was tied back in a neat bun and she was wearing fashionably large spectacles. She seemed intent on what she was doing and did not look up at first.

'This is Moira Lippman, one of our senior technicians,' said Evans. 'I'm sure she will help you with anything you want in the way of equipment and advice.'

The girl finally looked up and smiled. She held up her gloved hands to excuse herself from shaking Jamieson's hand.

'Of course,' said Jamieson, returning the smile.

'Moira, Dr Jamieson would like a culture of the Pseudomonas. Perhaps you could get him one as soon as you have a moment?'

The girl finished what she was doing and then walked over to a sink where she stripped off her contaminated gloves and dropped them into the open maw of a pedal bin before elbowing on the taps and washing her hands. As she dried them again she walked towards Jamieson and indicated to a row of cardboard boxes above the bench. 'You'll find gloves and masks up there,' she said. ‘Surgical gloves are not going to be any good for you with these bandages on your hands. You can use the large plastic inspection type; there's a box by the door. I'll try to find a lab coat for you.'

With Jamieson kitted out in mask, gloves, lab coat and plastic apron Moira said, 'We keep all the dangerous bacteria in the fridge with the red tape across the door.'

'I get the picture,' said Jamieson noting the skull and cross bones in the middle of the red band.

'Normally we would not classify Pseudomonas as deadly but this particular strain has made it on merit.' Moira opened the locked fridge with a key she took from a pin on the back of her lapel and took out a plastic dish containing a straw coloured jelly. The surface of the jelly was pock-marked with colonies of the organism and tinged with a slight blue-green colour. 'You can't mistake it,' said Moira. 'The pigment gives it away every time.'

'Pyocyanin,' said Jamieson.

'You've been doing your home-work,' smiled the girl. 'Someone told me you were a butch… a surgeon.'

Jamieson smiled at the near slip of the tongue and said. 'Jack of all trades.' He looked down at the culture dish and detected the vague smell of new-mown grass that he associated with pseudomonas from his time in microbiology. It seemed so innocuous when confined to the culture dish. The pigment was even a pretty colour. Its name, pyocyanin sounded mellifluous until you thought about the meaning. Blue pus producer.

Sally Jenkins' insides knew the reality of the Pseudomonas bug. She was dying of an infection that had turned her peritoneal cavity into a suppurating, festering mess. The organism had invaded her tissues at will starting from her operation scars and spreading into the surrounding area with complete immunity to the drugs that were pumped into her. It had now invaded her blood stream sending her into a delirium that separated her from her husband who sat by her bedside in his own private hell of helplessness. 'Is there nothing you can do,' he whispered hoarsely. 'God damn it, there must be something!'

Phillip Morton shook his head and swallowed his emotion. 'I'm sorry,' he said simply. 'Perhaps it would be better if you waited outside for a while?'

'No,' insisted Jenkins taking a new grip on his wife's hand. 'I want to be with her. I'm not leaving. Sally! Can you hear me?'

Morton exchanged glances with the ward sister. Both felt impotent in the circumstances. There was nothing worse than knowing there was nothing that could be done in the presence of relations who expected better.

Sally threw her head from side to side making it difficult for the nurse beside her to wipe away the sweat from her face. Her breathing was rapid and laboured and her fingers moved constantly and restlessly as if searching for an escape from pain. No one from the outside world could reach her across the intellectual deserts of delirium.

Quite suddenly she stopped moving. Her neck went rigid. For a brief moment she was absolutely silent then a long, gurgling sigh erupted from her throat and her body relaxed slowly into death.

The death restored a sense of order to Morton and the nurses but Jenkins' agony was just beginning. He flung himself across his wife's body and sobbed in long uneven spasms. His lips sought her dead fingers to kiss them as if in some desperate attempt to communicate with her and call her back. 'Don't leave me!' he sobbed. 'Don't leave me Sal.'

Morton ushered the nurses to the door and said softly to them, 'Give him a moment.'

Moira Lippman watched Jamieson sit down to inoculate a fresh culture dish with the Pseudomonas she had taken from the fridge. He flamed the inoculation wire to red heat in the Bunsen burner and allowed it to cool for a moment before touching it to the donor culture and then streaking the charged wire sequentially across the surface of the new culture.

'You can tell a lot about people from the way they do that,' said Moira.

'Really?' asked Jamieson, mildly amused at the thought.

'It's a bit like hand-writing. Quiet, timid people do lots of thin lines very close together. Extroverts make a few large streaks and finish the last one with a flourish, just as if they were making their signature.'

'How did I come out of it?' asked Jamieson.

Moira took the new culture and looked at the surface through the lid. 'Lines perfectly parallel, neat, well proportioned and perfectly angled. I would say a meticulous worker who shows great attention to detail.'

'I'm happy to settle for that,' smiled Jamieson.

Moira put the culture plate into the incubator and asked, 'What exactly is it that you want to do with the bug?'

'I want to do some routine biochemical tests, get a feel for the beast if you like. At the moment it's just a collection of facts and figures on paper. If I actually do the things myself I think I might have a better notion of what it's all about.'