They were all watching him and so still were they that the whole office with its living contents might have been a holograph.
“From our conversations together,” Lioren went on, “it has become obvious that Hellishomar has grown much too old and large to live and practice as a Cutter among the Small, and that by now it should be undergoing the psychological as well as the physical changes that precede full maturity. But the Parents have not touched minds with it, as is customary at this time, or if they have tried to do so it has not been aware of it because the patient is telepathically deaf, and the possibility exists that Hellishomar is mentally retarded.”
There was a short silence that was broken by Thornnastor. “Judging by the evidence you have given us so far, Surgeon-Captain, I would say it is a strong probability.”
“Please do not use my former title,” Lioren said.
The Earth-human, Conway, made a dismissive gesture with one hand. “You still retain the manner of a Surgeon-Captain if not the rank, so the mistake is excusable. But if you are convinced that Hellishomar is mentally defective, that is not the concern of Pathology or Surgery, so what are Thornnastor and myself doing here?”
“I am not fully convinced,” Lioren replied, “that the condition is due to a congenital defect. Rather, I favor the theory that there might be a structural abnormality which has temporarily affected the proper development of the patient’s telepathic faculty without, however, impairing the other brain functions. This theory is based on behavioral observations by myself as well as those reported by Seldal, and on conversations with the patient which I will not repeat in detail.”
O’Mara made an untranslatable sound but did not speak. Lioren ignored the interruption and went on. “Hellishomar is a Cutter, the Groalterri equivalent of a surgeon, and, although the gross differences in its body mass and ours mean that its work seems crude by our standards, it has displayed to me and to the ward’s vision recorders a high degree of muscular coordination and precision of control. There was no evidence of the uncoordinated movements or the mental confusion normally expected of a damaged or otherwise abnormal brain. Even though it is only an immature member of a species whose adult minds are immeasurably more advanced than our own, in conversation it displays a mind that is flexible, lucid in its thinking, and well able to debate the finer points of philosophy, theology, and ethics that have arisen between us. This is not, I submit, the physical behavior or the quality of thinking expected of a congenitally defective brain. I believe that the deficiency lies only with the telepathic faculty and that there is a high probability that the abnormality causing it is localized and may be operable.”
The Chief Psychologist’s office became a still picture once again. “Go on,” Conway said.
“For the first time,” Lioren resumed, “the Groalterri have contacted the Federation so that we at Sector General might cure one of their ailing Small. Perhaps they are hoping that Hellish-omar’s cure will be complete. We should do our best not to disappoint them.”
“We should do our best,” Conway said, “not to kill the patient. Do you realize what you are asking?”
Thornnastor answered the question before Lioren could reply. “It will require the investigation of a living and conscious brain about which we know nothing, because there are no Small cadavers available for prior investigation. We will be looking for structural abnormalities when we do not even know what is normal. Microbiopsies and sensor implants will not give data of the precision required for a cerebral procedure. Our deep scanners cannot be used because the level of radiation needed to penetrate a cranial structure of that size would almost certainly interfere with the locomotor muscle networks, and we cannot risk a patient of Hellishomar’s mass making involuntary muscle movements during an op. To a greater or lesser degree, depending on the findings of the nonsurgical investigation, we will be trusting to luck and instinct. Has the patient been informed of the risks?”
“Not yet,” Lioren replied. “As the result of a recent conversation with the patient there was an emotional upset of some kind. Hellishomar broke off verbal contact and physically evicted me from the ward, but I am hoping to resume communication soon. I will inform it of the situation and try to obtain its permission and cooperation during the operation.”
“Thankfully,” Conway said, showing its teeth again, “that is your problem.” It turned toward O’Mara. “Chief Psychologist, in matters pertaining to Patient Hellishomar and until further notice I want Trainee Lioren placed under my authority. I shall take overall surgical responsibility for this one, and move it to the top of my operating schedule. Thornnastor, Seldal, and Lioren will assist. And now, if there is nothing further to detain us—”
“With respect, Diagnostician Conway,” Lioren said urgently, “I am forbidden to practice—”
“So you have said,” Conway broke in as it rose to its feet. “You will not be required to cut, simply to observe and advise and give nonsurgical support to the patient. You are the only one among us who may have sufficient knowledge of the patient’s mind and thought processes — and it is Hellishomar’s mind that we will be tinkering with — to keep it from ending up a worse mental cripple than you say it already is.
“You will assist.”
Lioren was still trying to think of a reply when the office had emptied except for O’Mara and himself. The Chief Psychologist had risen to its feet, which was a clear nonverbal signal that Lioren should also leave. He remained where he was.
Hesitantly, he said, “If I had sought personal interviews with Diagnosticians Conway and Thornnastor individually, the result would have been the same, but much time would have been wasted because they are busy entities and appointments with them are difficult to obtain for a trainee. I am grateful for your help in expediting this matter, especially as you and they could not be given full information about the patient. You remained silent so as not to embarrass me by calling attention to my deliberate omission.
“But it is a new and more serious problem,” Lioren went on, “which was my prime reason for asking for your help. Again I may only discuss it in general terms—”
The Chief Psychologist seemed to be in respiratory distress for a moment, but it recovered quickly and held up one hand for silence.
“Lioren,” O’Mara asked in a very quiet voice, “do you think we are all mentally defective?”
CHAPTER 23
LlOREN knew that an answer was not expected because the questioner was about to provide its own.
“Thornnastor and Conway and Seldal are not stupid,” O’Mara continued. “My latest records show that their three minds are currently in possession of a total of seventeen Educator tapes, and the donor entities who made those recordings were not stupid, and I, making due allowance for the subjective nature of the assessment, would place my own level of intelligence as well above average.”
Lioren was about to agree, but O’Mara gestured for silence.
“Seldal’s description of the clinical picture,” the Chief Psychologist went on, “together with the knowledge you have already obtained regarding the Groalterri society as a whole, and your new information that the patient is by its race’s standards a mental defective, indicates a very high probability that Hellish-omar’s injuries were the result of a failed suicide attempt. Thornnastor, Conway, Seldal, and myself know this, but we would certainly not embarrass the patient or risk worsening its emotional distress by telling it that we knew or by making the knowledge public. If the circumstances are as you describe, the patient had every reason to destroy itself.