The Sommaradvan culture was divided into three distinct levels of person — serviles, warriors, and rulers — and the medical fraternities responsible for their welfare were similarly stratified.
At the bottom were the serviles, people who were unwilling to strive for promotion and whose work was undemanding, repetitious, and completely without risk because in their daily lives they were protected against gross physical damage. The healers charged with their care were physicians whose treatments were purely medical. The second level, much less numerous than the serviles, were the warriors, who occupied positions of great responsibility and, in the past, considerable physical danger.
There had been no war on Sommaradva for many generations, but the warrior class had kept the name because they were the descendants of the people who had fought to protect their homelands, hunted for food, and raised defenses against predatory beasts while the serviles saw to their physical needs. Now they were the technicians, engineers, and scientists who still performed the high-risk or the most prestigious duties, which included the protection of rulers. For this reason the injuries sustained by warriors had usually been traumatic in nature, requiring surgical intervention or repair rather than medication, and this work was the responsibility of the warrior-surgeons. At the top of Sommaradva’s medical tree were the ruler-healers, who had even greater responsibilities and, at times, much less reward or satisfaction in their work.
Protected against all risk of physical injury, the ruler class were the administrators, academics, researchers, and planners on Sommaradva. They were the people charged with the smooth running of the cities and the world, and the ills which affected them were principally the phantasms of the mind. Their healers dealt only in wizardry, spells, sympathetic magic, and all the other practices of nonphysical medicine.
“Naturally,” Cha Thrat said, “as our culture advanced socially and scientifically an overlapping of responsibilities occurred. Serviles occasionally fracture a limb, or the mental stresses encountered while studying for promotion sometimes threaten the sanity of the mind concerned, or a ruler succumbs to a servile digestive upset, all of which necessitates healers practicing above or below their class.
“Since earliest times,” the Sommaradvan concluded, “our practitioners of healing have been divided into physicians, surgeons, and wizards.”
“Thank you,” Lioren said. “Now I understand. It is merely a matter of semantic confusion combined with a too-literal translation. To you a spell is psychotherapy which can be short and simple or long and complicated, and the wizard responsible for it is simply a psychologist who—”
“It is not a psychologist!” Cha Thrat said fiercely; then, remembering the patient, it lowered its voice again and went on, “Every non-Sommaradvan I have met makes the same mistake. On my world a psychologist is a being of low status who tries to be a scientist by measuring brain impulses or bodily changes brought about by physical and mental stress, and by making detailed observations of the subject’s subsequent behavior. A psychologist tries to impose immutable laws in an area of nightmares and changing internal realities, and attempts to make a science of what has always been an art, an art practiced only by wizards.
“A wizard will use or ignore the instruments and tabulations of the psychologists,” the Sommaradvan continued before Lioren could speak, “to cast spells that influence the complex, insubstantial structures of the mind. A wizard uses words, silences, minute observation, and most important, intuition, to uncover and gradually reorient the sick, internal reality of the patient to the external reality of the world. There is a great difference between a mere psychologist and a wizard.”
The other’s voice had been rising again but the sensors reported no change in the patient’s condition.
It was obvious to Lioren that the Sommaradvan had few opportunities to talk freely about its home planet and the few friends it had left there or to relieve its feelings about the intolerance of its professional peers that had forced it to come to Sector General. It went on to relate in detail the disruption its particularly rigid code of professional ethics had caused throughout the hospital until its eventual rescue by the wizard O’Mara, and its own personal feelings and reactions to all these events. Plainly Cha Thrat wanted, perhaps badly needed, to talk about itself.
But confidences invited more confidences, and Lioren began to wonder if he, the one member of the Tarlan species on the hospital staff speaking like this to its only Sommaradvan, did not have the same need. Gradually there was developing a two-way exchange in which the questions and answers were becoming very personal indeed.
Lioren found himself telling Cha Thrat about his feelings during and after the Cromsag Incident, of the guilt that was terrible beyond words or belief, and of his helpless fury at the Monitor Corps and O’Mara for refusing him the death he so fully deserved and for sentencing him instead to the ultimate cruelty of life.
At that point Cha Thrat, who must have sensed his increasing emotional distress, firmly steered the conversation onto O’Mara and the Chief Wizard’s reasons for taking them into its department, and from there to the assignment that had brought him here in the hope of gathering information from a patient who was plainly in no condition to give it.
They were still discussing Seldal and wondering aloud whether they should try talking to Mannen the next day, if it should survive that long, when the supposedly unconscious patient opened its eyes and looked at them.
“I, that is, we apologize, sir,” Cha Thrat said quickly. “We assumed that you were unconscious because your eyes remained closed since our arrival and the biosensor readings showed no change. I can only assume that you realized our mistake, and because we were discussing matters of a confidential nature, you maintained the pretense of sleep out of politeness to avoid causing us great embarrassment.”
Mannen’s head moved slowly from side to side in the Earth-human gesture of negation, and it seemed that the eyes staring up at him were in some clinically inexplicable fashion younger than the rest of the patient’s incredibly wrinkled features and time-ravaged body. When it spoke, the words were like the whispering of the wind through tall vegetation and slowed with the effort of enunciation.
“Another … wrong assumption,” it said. “I am … never polite.”
“Nor do we deserve politeness, Diagnostician Mannen,” Lioren said, forcing his mind and his voice to the surface of a great, hot sea of embarrassment. “I alone am responsible for this visit, and the blame for it is entirely mine. My reason for coming no longer seems valid and we shall leave at once. Again, my apologies.”
One of the thin, emaciated hands lying outside the bed covering twitched feebly, as if it would have been raised in a nonverbal demand for silence if the arm muscles had possessed sufficient strength. Lioren stopped speaking.
“I know … your reason for coming,” Mannen said, in a voice barely loud enough to carry the few inches to its bedside translator. “I overheard everything … you said about Seldal … as well as yourself. Very interesting it was … But the effort of listening to you … for nearly two hours … has tired me … and soon my sleep will not be a pretense. You must go now.”
“At once, sir,” Lioren said.
“And if you wish to return,” Mannen went on, “come at a better time … because I want to ask questions as well as listen to you. But the visit should not be long delayed.”
“I understand,” Lioren said. “It will be very soon.”