Star Surgeon Part 8

A dozen times Dal was on the verge of stepping in. It was beginning to look now like a race with time, and precious minutes were pa.s.sing by. He cursed himself inwardly for not taking the bit in his teeth at the beginning and going ahead the best he could; it had been a mistake in judgment to wait. Now, as minutes pa.s.sed into hours it looked more and more like a mistake that was going to cost the life of a patient.

Then there was a murmur of excitement outside the operating room, and word came in that another s.h.i.+p had been sighted making landing maneuvers. Dal clenched his fists, praying that the patient would last until the hospital s.h.i.+p crew arrived.

But the s.h.i.+p that was landing was not a hospital s.h.i.+p. Someone turned on a TV scanner and picked up the image of a small s.h.i.+p hardly larger than a patrol s.h.i.+p, with just two pa.s.sengers stepping down the ladder to the ground. Then the camera went close-up. Dal saw the faces of the two men, and his heart sank.

One was a Four-star Surgeon, resplendent in flowing red cape and glistening silver insignia. Dal did not recognize the man, but the four stars meant that he was a top-ranking physician in the Red Service of Surgery.

The other pa.s.senger, gathering his black cloak and hood around him as he faced the blistering wind on the landing field, was Black Doctor Hugo Tanner.

Moments after the Four-star Surgeon arrived at the hospital, he was fully and unmistakably in command of the situation. He gave Dal an icy stare, then turned to the Moruan operating surgeon, whom he seemed to know very well. After a short barrage of questions and answers, he scrubbed and gowned, and stalked past Dal to the crude Moruan micro-surgical control table.

It took him exactly fifteen seconds to scan the entire operating field through the viewer, discussing the anatomy as the Moruan surgeon watched on a connecting screen. Then, without hesitation, he began manipulating the micro-instruments. Once or twice he murmured something to Tiger at the anaesthesia controls, and occasionally he nodded rea.s.surance to the Moruan surgeon. He did not even invite Dal to observe.

Ten minutes later he rose from the control table and threw the switch to stop the heart-lung machine. The patient took a gasping breath on his own, then another and another. The Four-star Surgeon stripped off his gown and gloves with a flourish. "It will be all right," he said to the Moruan physician. "An excellent job, Doctor, excellent!" he said. "Your technique was flawless, except for the tiny matter you have just observed."

It was not until they were outside the operating room and beyond earshot of the Moruan doctors that the Four-star surgeon turned furiously to Dal. "Didn't you even bother to examine the operating field, Doctor?

Where did you study surgery? Couldn't you tell that the fools had practically finished the job themselves? All that was needed was a simple great-vessel graft, which an untrained idiot could have done blindfolded. And for this you call me clear from Hospital Earth!"

The surgeon threw down his mask in disgust and stalked away, leaving Dal and Tiger staring at each other in dismay.

CHAPTER 6

TIGER MAKES A PROMISE

"I think," Black Doctor Hugo Tanner said ominously, "that an explanation is in order. I would now like to hear it. And believe me, gentlemen, it had better be a very sensible explanation, too."

The pathologist was sitting in the control room of the _Lancet_, his gla.s.ses slightly askew on his florid face. He had climbed through the entrance lock ten minutes before, shaking snow off his cloak and wheezing like a boiler about to explode; now he faced the patrol s.h.i.+p's crew like a small but ominous black thundercloud. Across the room, Jack Alvarez was staring through the viewscreen at the blizzard howling across the landing field below, a small satisfied smile on his face, while Tiger sulked with his hands jammed into his trousers. Dal sat by himself feeling very much alone, with Fuzzy peering discreetly out of his jacket pocket.

He knew the Black Doctor was speaking to him, but he didn't try to reply. He had known from the moment the surgeon came out of the operating room that he was in trouble. It was just a matter of time before he would have to answer for his decision here, and it was even something of a relief that the moment came sooner rather than later.

And the more Dal considered his position, the more indefensible it appeared. Time after time he had thought of Dr. Arnquist's words about judgment and skill. Without one the other was of little value to a doctor, and whatever his skill as a surgeon might have been in the Moruan operating room, he now realized that his judgment had been poor.

He had allowed himself to panic at a critical moment, and had failed to see how far the surgery had really progressed. By deciding to wait for help to arrive instead of taking over at once, he had placed the patient in even greater jeopardy than before. In looking back, Dal could see clearly that it would have been far better judgment to proceed on his own.

But that was how it looked _now_, not _then_, and there was an old saying that the "retrospectoscope" was the only infallible instrument in all medicine.

In any event, the thing was done, and couldn't be changed, and Dal knew that he could only stand on what he had done, right or wrong.

"Well, I'm waiting," Black Doctor Tanner said, scowling at Dal through his thick-rimmed gla.s.ses. "I want to know who was responsible for this fiasco, and why it occurred in the first place."

Dal spread his hands hopelessly. "What do you want me to say?" he asked.

"I took a careful history of the situation as soon as we arrived here, and then I examined the patient in the operating room. I thought the surgery might be over my head, and couldn't see attempting it if a hospital s.h.i.+p could be reached in time. I thought the patient could be maintained safely long enough for us to call for help."

"I see," the Black Doctor said. "You've done micro-surgery before?"

"Yes, sir."

"And organ transplant work?"

"Yes, sir."

The Black Doctor opened a folder and peered at it over his gla.s.ses. "As a matter of fact, you spent two solid years in micro-surgical training in Hospital Philadelphia, with all sorts of glowing reports from your preceptors about what a flair you had for the work."

Dal shook his head. "I--I did some work in the field, yes, but not on critical cases under field conditions."

"You mean that this case required some different kind of technique than the cases you've worked on before?"

"No, not really, but--"

"But you just couldn't quite shoulder the responsibility the job involved when you got into a pinch without any help around," the Black Doctor growled.

"I just thought it would be safer to wait," Dal said helplessly.

"A good conservative approach," Dr. Tanner sneered. "Of course, you realized that prolonged anaesthesia in itself could threaten that patient's life?"

"Yes, sir."

"And you saw the patient's condition steadily deteriorating while you waited, did you not?"

"It was too late to change my mind then," Dal said desperately. "We'd sent for you. We knew that it would be only a matter of hours before you arrived."

"Indeed," the Black Doctor said. "Unfortunately, it takes only seconds for a patient to cross the line between life and death, not hours. And I suppose you would have stood there quietly and allowed him to expire if we had not arrived at the time we did?"

Dal shook his head miserably. There was nothing he could answer to that, and he realized it. What could he say? That the situation seemed quite different now than it had under pressure in the Moruan operating room?

That he would have been blamed just as much if he had gone ahead, and then lost the case? His fingers stole down to Fuzzy's soft warm body for comfort, and he felt the little creature cling closer to his side.

The Black Doctor looked up at the others. "Well? What do the rest of you have to say?"

Jack Alvarez shrugged his shoulders. "I'm not a surgeon," he said, "but even I could see that _something_ should be done without delay."

"And what does the Green Doctor think?"

Tiger shrugged. "We misjudged the situation, that's all. It came out fortunately for the patient, why make all this fuss about it?"

"Because there are other things at stake than just medical considerations," the Black Doctor shot back. "This planet has a grade I contract with Hospital Earth. We guarantee them full medical coverage of all situations and promise them immediate response to any call for medical help that they may send us. It is the most favorable kind of contract we have; when Morua VIII calls for help they expect their call to be answered by expert medical attention, not by inept bungling."

The Black Doctor leafed through the folder in his hands. "We have built our reputation in the Galactic Confederation on this kind of contract, and our admission to full members.h.i.+p in the Confederation will ultimately depend upon how we fulfill our promises. Poor medical judgment cannot be condoned under any circ.u.mstances--but above all, we cannot afford to jeopardize a contract."

Dal stared at him. "I--I had no intention of jeopardizing a contract,"

he faltered.

"Perhaps not," the Black Doctor said. "But you were the doctor on the spot, and you were so obviously incompetent to handle the situation that even these clumsy Moruan surgeons could see it. Their faith in the doctors from Hospital Earth has been severely shaken. They are even talking of letting their contract lapse at the end of this term."

Tiger Martin jumped to his feet. "Doctor Tanner, even Four-star Surgeons lose patients sometimes. These people should be glad that the doctor they call has sense enough to call for help if he needs it."