Except, thought Conway sourly, when a patient’s condition was such that to move it would endanger its life. In which case it would have to be evacuated last instead of first so that treatment could be prolonged as much as possible, which meant that specialized medical staff who themselves should have been evacuated by that time would be held back to treat it, and by that time its life might be endangered by missiles from an Empire warship anyway. Nothing seemed to happen in a tidy, consecutive fashion anymore.
… Then it will take a few days for Major O’Mara’s department to process the medical and maintenance staff,” Conway went on, “even though he just has to ask them a few questions under scope. When I arrived I expected the hospital to be under attack already. At the moment I don’t know whether to plan for a panic evacuation within forty-eight hours, which is the absolute minimum time for it and which would probably kill more patients than it would save, or take my time and plan for a merely hurried evacuation.”
“I couldn’t assemble the transport in forty-eight hours,” said Skempton shortly, and lowered his head again. As Chief of Maintenance and the Hospital’s ranking Monitor officer the job of assembling, modifying and routing the transports devolved on him, and he had an awful lot of work to do.
“What I’m trying to say,” Conway said insistently, “is how much time do you think we’ve got?”
The Colonel looked up again. “Sorry, Doctor,” he said. “I have an estimate which came in a few hours ago …” He lifted one of the top layer of papers on his desk and began to read.
Subjecting all the known factors to a rigid analysis, the report stated, it appeared likely that a short time-lag would occur between the point at which the Empire discovered the exact position of Sector General and the time when they acted on this information. The initial action was likely to be an investigation by a scout ship or a small scouting force. Monitor units at present stationed around Sector General would attempt to destroy this force. Whether they were successful or not the Empire’s next move would be more decisive, probably a full-scale offensive which would require many days to mount. By that time additional units of the Monitor Corps would have reached the area.
Say eight days,” Skempton concluded, “or three weeks if we’re lucky. But I don’t think we’ll be lucky.”
“Thank you,” said Conway, and returned to work.
First he prepared an outline of the situation for distribution to the medical staff within the next six hours. In it he laid as much stress as possible on the necessity for a quick, orderly evacuation without overdoing it to the extent of causing a panic, and recommended that patients be informed via their physicians so as to cause the minimum distress. In the case of seriously ill patients the doctors in charge should use their discretion whether the patient should be told or evacuated under sedation. He added that an at present unspecified number of medical staff would be evacuated with the patients and that everyone should be prepared to leave the hospital at a few hours notice. This document he sent to Publications for copying in print and tape so that everyone would be in possession of the information at roughly the same time.
At least that was the theory, Conway thought dryly. But if he knew his hospital grapevine the essential data would be circulating ten minutes after it left his desk.
Next he prepared more detailed instructions regarding the patients. The warm-blooded oxygen-breathing life-forms could leave by any of several levels, but the heavy-G, high-pressure species would pose special problems, not to mention the light-gravity MSVKs and LSVOs, the giant, water-breathing AUGLs, the ultra-frigid types and the dozen or so beings on Level Thirty-eight who breathed superheated steam. Conway was planning on the operation taking five days for the patients and an additional two for the staff, and for this rapid clearing of the wards he would have to send people through levels foreign to them to reach their embarkation points. There would be possible oxygen contamination of chlorine environments, danger of chlorine leaking into the AUGL wards, or of water flooding all over the place. Precautions would have to be taken against failure of the methane life-forms’ refrigerators, breakdown of the antigravity equipment of the fragile, bird-like LSVOs and rupture of Illensan pressure envelopes.
Contamination was the greatest danger in a multi-environment hospital-contamination by oxygen, chlorine, methane, water, cold, heat or radiation. During the evacuation the safety devices usually in operation- airtight doors, double, inter-level locks, the various detection and alarm systems-would have to be overridden in the interests of a quick getaway.
Then staff would have to be detailed to inspect the transport units to ensure that their passenger space accurately reproduced the environment of the patients they were to carry.
All at once Conway’s mind refused to take any more of it. He closed his eyes, sank his head into the palms of his hands and watched the afterimage of his desktop fade slowly into redness. He was sick of paperwork. Since being given the Etla job his whole life had been paperwork; reports, summaries, charts, instructions. He was a doctor currently planning a complicated operation, but it was the sort of operation performed by a high-level clerk rather than a surgeon. Conway had not studied and trained for the greater part of his life to be a clerk.
He stood up, excused himself hoarsely to the Colonel and left the office. Without really thinking about it he was moving in the direction of his wards.
A new shift was just coming on duty and to the patients it was half an hour before the first meal of the day, which made it a very unusual time for a Senior Physician to do his rounds. The mild panic he caused would, in other circumstances, have been funny. Conway greeted the intern on duty politely, felt mildly surprised to find that it was the Creppelian octopoid he had met as a trainee two months previously, then felt annoyed when the AMSL insisted on following him around at a respectful distance. This was the proper procedure for a junior intern, but at that moment Conway wanted to be alone with his patients and his thoughts.
Most strongly of all he felt the need to see and speak to the sometimes weird and always wonderful extra- terrestrial patients who were technically under his care-all the beings he had come to know before leaving for Etla having been long since discharged. He did not look at their charts, however, because he had an allergy toward the abstraction of information via the printed word at the moment. Instead he questioned them closely, almost hungrily, regarding their symptoms and condition and background. He left some of the minor cases pleased and flabbergasted by such attention from a Senior Physician, and some might have been annoyed by his prying. But Conway had to do it. While he still had patients left he wanted to be a doctor.
An e-t doctor …
Sector General was breaking up. The vast, complex structure dedicated to the relief of suffering and the advance of xenological medicine was dying, succumbing like any terminal patient to a disease too powerful for it to resist. Tomorrow or the next day these wards would begin to empty. The patients with their exotic variations of physiology, metabolism and complaints would drain away. In darkened wards the weird and wonderful fabrications which constituted the alien idea of a comfortable bed would crouch like surrealistic ghosts along the walls. And with the departure of the e-t patients and staff would go the necessity for maintaining the environments which housed them, the Translators which allowed them to communicate, the physiology tapes which made it possible for one species to treat another.
But the Galaxy’s greatest e-t hospital would not die completely, not for another few days or weeks. The Monitor Corps had no experience of interstellar wars, this being their first, but they thought they knew what to expect. Casualties among the ship’s crews would be heavy and with a very high proportion of them fatal. The still- living casualties brought in would be of three types; decompression, bone-fractures and radiation poisoning. It was expected that two or three levels would be enough to take care of them, because if the engagement was fought with nuclear weapons, and there was no reason to suppose otherwise, most of the decompression and fracture cases would be radiation-terminal also- there would be no danger of overcrowding.
Then the internal break-up began with the evacuation would continue on the structural level as the Empire forces attacked. Conway was no military tactician, but he could not see how the vast, nearly-empty hospital could be protected. It was a sitting duck, soon to be a dead one. A great, fused and battered metal graveyard …
All at once a tremendous wave of feeling washed through Conway’s mind-bitterness, sadness and a surge of sheer anger which left him shaking. As he stumbled out of the ward he didn’t know whether he wanted to cry or curse or knock somebody down. But the decision was taken away from him when he turned the corner leading to the PVSJ section and collided solidly with Murchison.
The impact was not painful, one of the colliding bodies being well endowed with shock-absorbing equipment, but it was sharp enough to jolt his mind of a very somber train of thought onto one infinitely more pleasant. Suddenly he wanted to watch and talk to Murchison as badly as he had wanted to visit his patients, and for the same reason. This might be the last time he would see her.
“I–I’m sorry,” he stammered, backing off. Then remembering their last meeting, he said, “I was a bit rushed
