'Give me good B.P., my friend. Good B.P. is all I ask.'
'He's one-oh-five over sixty-eight, Doctor. Steady as a rock.'
'Well, his mother says we've got the next William Shakespeare laid out here, so keep it that way. Suck on him, Lester — don't tickle him with the goddam thing!'
Albertson applied suction, clearing the blood. The monitoring equipment beeped steadily, monotonously, comfortingly, in the background. Then it was his own breath he was sucking in. He felt as if someone had punched him high up in the belly.
'Oh my God. Oh Jesus. Jesus Christ.' He recoiled for a moment . . . then leaned in close. Above his mask and behind his horn-rimmed spectacles, his eyes were wide with sudden glinting curiosity. 'What is it?'
'I think you see what it is,' Pritchard said. 'It's just that it takes a second to get used to. I've read about it but never expected to actually see it.'
Thad Beaumont's brain was the color of a conch shell's outer edge — a medium gray with just the slightest tinge of rose.
Protruding from the smooth surface of the dura was a single blind and malformed human eye. The brain was pulsing slightly. The eye pulsed with it. It looked as if it were trying to wink at them. It was this — the look of the wink — which had driven the assisting nurse from the O. R.
'Jesus God, what is it?' Albertson asked again.
'It's nothing,' Pritchard said. 'Once it might have been a living, breathing human being. Now it's nothing. Except trouble that is. And this happens to be trouble we can handle.'
Dr Loring, the anesthesiologist, said: 'Permission to look, Dr Pritchard?'
'He still steady?'
'Yes.
'Come on, then. It's one to tell your grandchildren about. But be quick.'
While Loring had his look, Pritchard turned to Albertson. I want the Negli,' he said. 'I'm going to open him a little wider. Then we probe. I don't know if I can get all of it, but I'm going to get all of it I can.'
Les Albertson, now acting as head O.R. nurse, slapped the freshly sterilized probe into Pritchard's gloved hand when Pritchard called for it. Pritchard — who was now humming the
In addition to the eye, they found part of a nostril, three fingernails, and two teeth. One of the teeth had a small cavity in it. The eye went on pulsing and trying to wink right up to the second when Pritchard used the needle-scalpel to first puncture and then excise it. The entire operation, from initial probe to final excision, took only twenty-seven minutes. Five chunks of flesh plopped wetly into the stainless steel pan on the Ross tray beside Thad's shaven head.
'I think we're clear,' Pritchard said at last. 'All the foreign tissue seemed to be connected by rudimentary ganglia. Even if there
'But . . . how can that be, if the kid's still alive? I mean, it's all a part of
Pritchard pointed toward the tray. 'We find an eye, some teeth, and a bunch of fingernails in this kid's head and you think it was a part of him? Did you see any of his nails missing? Want to check?'
'But even cancer is just a part of the patient's own — '
'This wasn't cancer,' Pritchard told him patiently. His hands went about their own work as he talked. 'In a great many deliveries where the mother gives birth to a single child, that child actually started existence as a twin, my friend. It may run as high as two in every ten. What happens to the other fetus? The stronger absorbs the weaker.'
'Absorbs it? Do you mean it
'Call it whatever you like; it happens fairly often. If they ever develop the sonargram device they keep talking about at the med conferences, we may actually get to find out
'Well, what happened here?' Albertson asked.
'Something set this mass of tissue, which was probably submicroscopic in size a year ago, going again. The growth clock of the absorbed twin, which should have run down forever at least a month before Mrs Beaumont gave birth, somehow got wound up again . . . and the damned thing actually started to run. There is no mystery about what happened; the intercranial pressure alone was enough to cause the kid's headaches and the convulsion that got him here.'
'Yes,' Loring said softly, 'but
Pritchard shook his head. 'If I'm still practicing anything more demanding than my golf-stroke thirty years from now, you can ask me then. I might have an answer. All I know now is that I have located and excised a very specialized, very rare sort of tumor. A
And, as an afterthought, he added pleasantly to the O.R. nurse: 'I want that silly cunt who ran out of here fired. Make a note, please.'
'Yes, Doctor.'
Thad Beaumont left the hospital nine days after his surgery. The left side of his body was distressingly weak for nearly six months afterward, and occasionally, when he was very tired, he saw odd, not-quite-random patterns of flashing lights before his eyes.
His mother had bought him an old Remington 32 typewriter as a get-well present, and these flashes of light happened most frequently when he was hunched over it in the hour before bedtime, struggling with the right way to say something or trying to figure out what should happen next in the story he was writing. Eventually these passed, too.
That eerie, phantom chirruping sound — the sound of squadrons of sparrows on the wing — did not recur at all following the operation.
He continued to write, gaining confidence and polishing his emerging style, and he sold his first story — to
So far as his parents or Thad himself ever knew, a small benign tumor had been removed from the prefrontal lobe of his brain in the autumn of his eleventh year. When he thought about it at all (which he did less and less frequently as the years passed), he thought only that he had been extremely lucky to survive.
Many patients who underwent brain surgery in those primitive days did not.
PART 1
FOOL'S STUFFING
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One
People Will Talk
1