<SPAN name="startofbook"></SPAN>
<h1>STAR SURGEON</h1>
<h3><i>by</i></h3>
<h2>ALAN E. NOURSE</h2>
<p><SPAN name="page3" id="page3"></SPAN></p>
<h2><SPAN name="chapter1" id="chapter1"></SPAN>CHAPTER 1</h2>
<h3>THE INTRUDER</h3>
<p>The shuttle plane from the port of Philadelphia to Hospital
Seattle had already gone when Dal Timgar arrived
at the loading platform, even though he had taken great
pains to be at least thirty minutes early for the boarding.</p>
<p>"You'll just have to wait for the next one," the clerk at
the dispatcher's desk told him unsympathetically. "There's
nothing else you can do."</p>
<p>"But I <i>can't</i> wait," Dal said. "I have to be in Hospital
Seattle by morning." He pulled out the flight schedule and
held it under the clerk's nose. "Look there! The shuttle
wasn't supposed to leave for another forty-five minutes!"</p>
<p>The clerk blinked at the schedule, and shrugged. "The
seats were full, so it left," he said. "Graduation time, you
know. Everybody has to be somewhere else, right away.
The next shuttle goes in three hours."</p>
<p>"But I had a reservation on this one," Dal insisted.</p>
<p>"Don't be silly," the clerk said sharply. "Only graduates
<SPAN name="page4" id="page4"></SPAN>can get reservations this time of year—" He broke off to
stare at Dal Timgar, a puzzled frown on his face. "Let me
see that reservation."</p>
<p>Dal fumbled in his pants pocket for the yellow reservation
slip. He was wishing now that he'd kept his mouth shut.
He was acutely conscious of the clerk's suspicious stare, and
suddenly he felt extremely awkward. The Earth-cut trousers
had never really fit Dal very well; his legs were too long
and spindly, and his hips too narrow to hold the pants up
properly. The tailor in the Philadelphia shop had tried three
times to make a jacket fit across Dal's narrow shoulders, and
finally had given up in despair. Now, as he handed the reservation
slip across the counter, Dal saw the clerk staring
at the fine gray fur that coated the back of his hand and
arm. "Here it is," he said angrily. "See for yourself."</p>
<p>The clerk looked at the slip and handed it back indifferently.
"It's a valid reservation, all right, but there won't be
another shuttle to Hospital Seattle for three hours," he said,
"unless you have a priority card, of course."</p>
<p>"No, I'm afraid I don't," Dal said. It was a ridiculous
suggestion, and the clerk knew it. Only physicians in the
Black Service of Pathology and a few Four-star Surgeons
had the power to commandeer public aircraft whenever
they wished. "Can I get on the next shuttle?"</p>
<p>"You can try," the clerk said, "but you'd better be ready
when they start loading. You can wait up on the ramp if you
want to."</p>
<p>Dal turned and started across the main concourse of the
great airport. He felt a stir of motion at his side, and looked
down at the small pink fuzz-ball sitting in the crook of his
arm. "Looks like we're out of luck, pal," he said gloomily.
"If we don't get on the next plane, we'll miss the hearing altogether.
Not that it's going to do us much good to be there
anyway."<SPAN name="page5" id="page5"></SPAN></p>
<p>The little pink fuzz-ball on his arm opened a pair of black
shoe-button eyes and blinked up at him, and Dal absently
stroked the tiny creature with a finger. The fuzz-ball quivered
happily and clung closer to Dal's side as he started up
the long ramp to the observation platform. Automatic doors
swung open as he reached the top, and Dal shivered in the
damp night air. He could feel the gray fur that coated his
back and neck rising to protect him from the coldness and
dampness that his body was never intended by nature to
endure.</p>
<p>Below him the bright lights of the landing fields and
terminal buildings of the port of Philadelphia spread out in
panorama, and he thought with a sudden pang of the great
space-port in his native city, so very different from this one
and so unthinkably far away. The field below was teeming
with activity, alive with men and vehicles. Moments before,
one of Earth's great hospital ships had landed, returning
from a cruise deep into the heart of the galaxy, bringing in
the gravely ill from a dozen star systems for care in one of
Earth's hospitals. Dal watched as the long line of stretchers
poured from the ship's hold with white-clad orderlies in
nervous attendance. Some of the stretchers were encased in
special atmosphere tanks; a siren wailed across the field as
an emergency truck raced up with fresh gas bottles for a
chlorine-breather from the Betelgeuse system, and a derrick
crew spent fifteen minutes lifting down the special
liquid ammonia tank housing a native of Aldebaran's massive
sixteenth planet.</p>
<p>All about the field were physicians supervising the process
of disembarcation, resplendent in the colors that signified
their medical specialties. At the foot of the landing crane
a Three-star Internist in the green cape of the Medical
Service—obviously the commander of the ship—was talking<SPAN name="page6" id="page6"></SPAN>
with the welcoming dignitaries of Hospital Earth. Half a
dozen doctors in the Blue Service of Diagnosis were checking
new lab supplies ready to be loaded aboard. Three
young Star Surgeons swung by just below Dal with their
bright scarlet capes fluttering in the breeze, headed for customs
and their first Earthside liberty in months. Dal watched
them go by, and felt the sick, bitter feeling in the pit of his
stomach that he had felt so often in recent months.</p>
<p>He had dreamed, once, of wearing the scarlet cape of the
Red Service of Surgery too, with the silver star of the Star
Surgeon on his collar. That had been a long time ago, over
eight Earth years ago; the dream had faded slowly, but now
the last vestige of hope was almost gone. He thought of the
long years of intensive training he had just completed in the
medical school of Hospital Philadelphia, the long nights of
studying for exams, the long days spent in the laboratories
and clinics in order to become a physician of Hospital
Earth, and a wave of bitterness swept through his mind.</p>
<p><i>A dream</i>, he thought hopelessly, <i>a foolish idea and nothing
more. They knew before I started that they would never
let me finish. They had no intention of doing so, it just
amused them to watch me beat my head on a stone wall for
these eight years.</i> But then he shook his head and felt a little
ashamed of the thought. It wasn't quite true, and he knew
it. He had known that it was a gamble from the very first.
Black Doctor Arnquist had warned him the day he received
his notice of admission to the medical school. "I can promise
you nothing," the old man had said, "except a slender
chance. There are those who will fight to the very end to
prevent you from succeeding, and when it's all over, you
may not win. But if you are willing to take that risk, at
least you have a chance."</p>
<p>Dal had accepted the risk with his eyes wide open. He<SPAN name="page7" id="page7"></SPAN>
had done the best he could do, and now he had lost. True,
he had not received the final, irrevocable word that he had
been expelled from the medical service of Hospital Earth,
but he was certain now that it was waiting for him when
he arrived at Hospital Seattle the following morning.</p>
<p>The loading ramp was beginning to fill up, and Dal saw
half a dozen of his classmates from the medical school burst
through the door from the station below, shifting their day
packs from their shoulders and chattering among themselves.
Several of them saw him, standing by himself against
the guard rail. One or two nodded coolly and turned away;
the others just ignored him. Nobody greeted him, nor even
smiled. Dal turned away and stared down once again at the
busy activity on the field below.</p>
<p>"Why so gloomy, friend?" a voice behind him said.
"You look as though the ship left without you."</p>
<p>Dal looked up at the tall, dark-haired young man, towering
at his side, and smiled ruefully. "Hello, Tiger! As a
matter of fact, it <i>did</i> leave. I'm waiting for the next one."</p>
<p>"Where to?" Frank Martin frowned down at Dal. Known
as "Tiger" to everyone but the professors, the young man's
nickname fit him well. He was big, even for an Earthman,
and his massive shoulders and stubborn jaw only served to
emphasize his bigness. Like the other recent graduates on
the platform, he was wearing the colored cuff and collar of
the probationary physician, in the bright green of the
Green Service of Medicine. He reached out a huge hand
and gently rubbed the pink fuzz-ball sitting on Dal's arm.
"What's the trouble, Dal? Even Fuzzy looks worried.
Where's your cuff and collar?"</p>
<p>"I didn't get any cuff and collar," Dal said.</p>
<p>"Didn't you get an assignment?" Tiger stared at him. "Or
are you just taking a leave first?"<SPAN name="page8" id="page8"></SPAN></p>
<p>Dal shook his head. "A permanent leave, I guess," he
said bitterly. "There's not going to be any assignment for
me. Let's face it, Tiger. I'm washed out."</p>
<p>"Oh, now look here—"</p>
<p>"I mean it. I've been booted, and that's all there is to it."</p>
<p>"But you've been in the top ten in the class right
through!" Tiger protested. "You know you passed your
finals. What is this, anyway?"</p>
<p>Dal reached into his jacket and handed Tiger a blue
paper envelope. "I should have expected it from the first.
They sent me this instead of my cuff and collar."</p>
<p>Tiger opened the envelope. "From Doctor Tanner," he
grunted. "The Black Plague himself. But what is it?"</p>
<p>"Read it," Dal said.</p>
<p>"'You are hereby directed to appear before the medical
training council in the council chambers in Hospital Seattle
at 10:00 A.M., Friday, June 24, 2375, in order that your
application for assignment to a General Practice Patrol ship
may be reviewed. Insignia will not be worn. Signed, Hugo
Tanner, Physician, Black Service of Pathology.'" Tiger
blinked at the notice and handed it back to Dal. "I don't
get it," he said finally. "You applied, you're as qualified as
any of us—"</p>
<p>"Except in one way," Dal said, "and that's the way that
counts. They don't want me, Tiger. They have never
wanted me. They only let me go through school because
Black Doctor Arnquist made an issue of it, and they didn't
quite dare to veto him. But they never intended to let me
finish, not for a minute."</p>
<p>For a moment the two were silent, staring down at the
busy landing procedures below. A warning light was flickering
across the field, signaling the landing of an incoming
shuttle ship, and the supply cars broke from their positions<SPAN name="page9" id="page9"></SPAN>
in center of the field and fled like beetles for the security
of the garages. A loudspeaker blared, announcing the incoming
craft. Dal Timgar turned, lifting Fuzzy gently
from his arm into a side jacket pocket and shouldering his
day pack. "I guess this is my flight, Tiger. I'd better get
in line."</p>
<p>Tiger Martin gripped Dal's slender four-fingered hand
tightly. "Look," he said intensely, "this is some sort of
mistake that the training council will straighten out. I'm
sure of it. Lots of guys have their applications reviewed.
It happens all the time, but they still get their assignments."</p>
<p>"Do you know of any others in this class? Or the last
class?"</p>
<p>"Maybe not," Tiger said. "But if they were washing you
out, why would the council be reviewing it? Somebody
must be fighting for you."</p>
<p>"But Black Doctor Tanner is on the council," Dal said.</p>
<p>"He's not the only one on the council. It's going to work
out. You'll see."</p>
<p>"I hope so," Dal said without conviction. He started for
the loading line, then turned. "But where are <i>you</i> going
to be? What ship?"</p>
<p>Tiger hesitated. "Not assigned yet. I'm taking a leave.
But you'll be hearing from me."</p>
<p>The loading call blared from the loudspeaker. The tall
Earthman seemed about to say something more, but Dal
turned away and headed across toward the line for the
shuttle plane. Ten minutes later, he was aloft as the tiny
plane speared up through the black night sky and turned
its needle nose toward the west.</p>
<hr class="shorter" />
<p>He tried to sleep, but couldn't. The shuttle trip from the
Port of Philadelphia to Hospital Seattle was almost two<SPAN name="page10" id="page10"></SPAN>
hours long because of passenger stops at Hospital Cleveland,
Eisenhower City, New Chicago, and Hospital Billings. In
spite of the help of the pneumatic seats and a sleep-cap, Dal
could not even doze. It was one of the perfect clear nights
that often occurred in midsummer now that weather control
could modify Earth's air currents so well; the stars
glittered against the black velvet backdrop above, and the
North American continent was free of clouds. Dal stared
down at the patchwork of lights that flickered up at him
from the ground below.</p>
<p>Passing below him were some of the great cities, the
hospitals, the research and training centers, the residential
zones and supply centers of Hospital Earth, medical center
to the powerful Galactic Confederation, physician in charge
of the health of a thousand intelligent races on a thousand
planets of a thousand distant star systems. Here, he knew,
was the ivory tower of galactic medicine, the hub from
which the medical care of the confederation arose. From
the huge hospitals, research centers, and medical schools
here, the physicians of Hospital Earth went out to all
corners of the galaxy. In the permanent outpost clinics, in
the gigantic hospital ships that served great sectors of the
galaxy, and in the General Practice Patrol ships that roved
from star system to star system, they answered the calls for
medical assistance from a multitude of planets and races,
wherever and whenever they were needed.</p>
<p>Dal Timgar had been on Hospital Earth for eight years,
and still he was a stranger here. To him this was an alien
planet, different in a thousand ways from the world where
he was born and grew to manhood. For a moment now
he thought of his native home, the second planet of a hot
yellow star which Earthmen called "Garv" because they
couldn't pronounce its full name in the Garvian tongue.<SPAN name="page11" id="page11"></SPAN>
Unthinkably distant, yet only days away with the power
of the star-drive motors that its people had developed thousands
of years before, Garv II was a warm planet, teeming
with activity, the trading center of the galaxy and the
governmental headquarters of the powerful Galactic Confederation
of Worlds. Dal could remember the days before
he had come to Hospital Earth, and the many times he had
longed desperately to be home again.</p>
<p>He drew his fuzzy pink friend out of his pocket and
rested him on his shoulder, felt the tiny silent creature rub
happily against his neck. It had been his own decision to
come here, Dal knew; there was no one else to blame. His
people were not physicians. Their instincts and interests
lay in trading and politics, not in the life sciences, and
plague after plague had swept across his home planet in the
centuries before Hospital Earth had been admitted as a
probationary member of the Galactic Confederation.</p>
<p>But as long as Dal could remember, he had wanted to
be a doctor. From the first time he had seen a General
Practice Patrol ship landing in his home city to fight the
plague that was killing his people by the thousands, he had
known that this was what he wanted more than anything
else: to be a physician of Hospital Earth, to join the ranks
of the doctors who were serving the galaxy.</p>
<p>Many on Earth had tried to stop him from the first. He
was a Garvian, alien to Earth's climate and Earth's people.
The physical differences between Earthmen and Garvians
were small, but just enough to set him apart and make him
easily identifiable as an alien. He had one too few digits on
his hands; his body was small and spindly, weighing a bare
ninety pounds, and the coating of fine gray fur that covered
all but his face and palms annoyingly grew longer and
thicker as soon as he came to the comparatively cold climate<SPAN name="page12" id="page12"></SPAN>
of Hospital Earth to live. The bone structure of his face
gave his cheeks and nose a flattened appearance, and his pale
gray eyes seemed abnormally large and wistful. And even
though it had long been known that Earthmen and Garvians
were equal in range of intelligence, his classmates still
assumed just from his appearance that he was either unusually
clever or unusually stupid.</p>
<p>The gulf that lay between him and the men of Earth
went beyond mere physical differences, however. Earthmen
had differences of skin color, facial contour and physical
size among them, yet made no sign of distinction. Dal's
alienness went deeper. His classmates had been civil enough,
yet with one or two exceptions, they had avoided him carefully.
Clearly they resented his presence in their lecture
rooms and laboratories. Clearly they felt that he did not
belong there, studying medicine.</p>
<p>From the first they had let him know unmistakably that
he was unwelcome, an intruder in their midst, the first
member of an alien race ever to try to earn the insignia of
a physician of Hospital Earth.</p>
<p>And now, Dal knew he had failed after all. He had been
allowed to try only because a powerful physician in the
Black Service of Pathology had befriended him. If it had
not been for the friendship and support of another Earthman
in the class, Tiger Martin, the eight years of study
would have been unbearably lonely.</p>
<p>But now, he thought, it would have been far easier never
to have started than to have his goal snatched away at the
last minute. The notice of the council meeting left no doubt
in his mind. He had failed. There would be lots of talk,
some perfunctory debate for the sake of the record, and
the medical council would wash their hands of him once<SPAN name="page13" id="page13"></SPAN>
and for all. The decision, he was certain, was already
made. It was just a matter of going through the formal
motions.</p>
<p>Dal felt the motors change in pitch, and the needle-nosed
shuttle plane began to dip once more toward the horizon.
Ahead he could see the sprawling lights of Hospital Seattle,
stretching from the Cascade Mountains to the sea and beyond,
north to Alaska and south toward the great California
metropolitan centers. Somewhere down there was a
council room where a dozen of the most powerful physicians
on Hospital Earth, now sleeping soundly, would be
meeting tomorrow for a trial that was already over, to pass
a judgment that was already decided.</p>
<p>He slipped Fuzzy back into his pocket, shouldered his
pack, and waited for the ship to come down for its landing.
It would be nice, he thought wryly, if his reservations for
sleeping quarters in the students' barracks might at least be
honored, but now he wasn't even sure of that.</p>
<p>In the port of Seattle he went through the customary
baggage check. He saw the clerk frown at his ill-fitting
clothes and not-quite-human face, and then read his passage
permit carefully before brushing him on through. Then he
joined the crowd of travelers heading for the city subways.
He didn't hear the loudspeaker blaring until the announcer
had stumbled over his name half a dozen times.</p>
<p>"<i>Doctor Dal Timgar, please report to the information
booth.</i>"</p>
<p>He hurried back to central information. "You were
paging me. What is it?"</p>
<p>"Telephone message, sir," the announcer said, his voice
surprisingly respectful. "A top priority call. Just a minute."</p>
<p>Moments later he had handed Dal the yellow telephone<SPAN name="page14" id="page14"></SPAN>
message sheet, and Dal was studying the words with a
puzzled frown:</p>
<div class="blockquot"><p>CALL AT MY QUARTERS ON ARRIVAL REGARDLESS
OF HOUR STOP URGENT THAT I SEE YOU STOP
REPEAT URGENT</p>
</div>
<p>The message was signed <span class="smcap">Thorvold Arnquist, Black
Service</span> and carried the priority seal of the Four-star Pathologist.
Dal read it again, shifted his pack, and started once
more for the subway ramp. He thrust the message into his
pocket, and his step quickened as he heard the whistle of
the pressure-tube trains up ahead.</p>
<p>Black Doctor Arnquist, the man who had first defended
his right to study medicine on Hospital Earth, now wanted
to see him before the council meeting took place.</p>
<p>For the first time in days, Dal Timgar felt a new flicker
of hope.</p>
<hr class="longer" />
<p><SPAN name="page15" id="page15"></SPAN></p>
<div style="break-after:column;"></div><br />