It so happened that he had one of the higher bunks in the ship, normally reached by a portable aluminum ladder. The ladder had been placed against the side of his bunk, and First Class Hospitalman Richard Fickel stood upon it in such a manner that if Poole, in one of his uncontrolled movements, were to fall out of his bunk, Fickel would be in a position to catch him or at least restrain him and break his fall.
One or two off-watch personnel, who occupied the same bunking area as Poole, looked uncomfortably at me. The message in their eyes was unmistakable, though they knew that everything possible was being done for him. “Can’t we do
Abruptly, I turned about and went back to the wardroom. There, ignoring the troubled gaze of two or three of the ship’s officers, I silently drew a cup of black coffee and retired to my stateroom. There were a number of things I needed to think out.
Taking the easier one first—casualties to fathometers were rare. I had never heard of one going out of commission before. Fathometers are, after all, not extremely complicated pieces of equipment, and the Navy has been using them for many years. By this time, surely, they should have been perfected, made proof against all the ordinary hazards of shipboard service. Perhaps there was something about ours that was improperly hooked up, perhaps some part in this particular fathometer was a little extra fragile—just enough to cause the trouble. In that case, we’d find it. But the worrisome thing was Dick’s report that the fathometer head was slowly losing sensitivity. Was anything actually happening in the fathometer head? If this were so, there would be nothing we could do about it.
The fathometer lay up in the bows of the ship, adjacent to the keel; the only way it could be reached was by dry-docking the entire ship. In earlier submarines, perhaps with this very casualty in mind, the fathometer had been located in the forward trim tank, where it was accessible. Would that this were true in
One thing seemed to be clear. The importance of our voyage, the responsibility which the Navy had placed on us to complete it—for its stated and unstated purposes—justified every reasonable effort to continue. Serious though the loss of the fathometer might be, if this were our only debility, we could and would keep on. Will Adams, I knew, could be depended on to take all reasonable and possible precautions to compensate for the lack of this vitally important navigation aid.
Poole’s problem was considerably more difficult, and I had much less experience to guide me. Jim Stark’s medical book detailed the treatment for a kidney stone, which involves an extremely complicated operation, and I found myself reading the book quite carefully in order to understand the problem. I read and reread the description of what would happen in the event proper treatment could not be given. As Stark had already said, there would be a backing up of the normal flow; swelling of the tiny ureter tubes; dreadful pain, less and less controllable by opiates; serious illness, possibly involving both kidneys; ultimately, permanent injury to the kidneys; possibly death.
Unlike most complaints, however, kidney stones can suddenly and dramatically cease to be troublesome. If Poole passed the stone, and there were no others, he might well make a complete recovery in a few hours. This, Jim had assured me, was the normal experience. Or, should the stone not pass, it might not create a complete blockage. If this were the case, Poole might become a sort of arrested case which could be “held”—Jim’s expression—under careful surveillance until our return home.
A third possibility was that there was not one but a number of stones, any one of which could hang up in an already irritated and inflamed urinary passage. A “remission” could occur, after which Poole might well experience more attacks. There was no possible way, short of X-raying him, to find this out.
Fourth was the possibility that a complete and permanent blockage had already occurred; that Poole was fated to become progressively worse until he received proper medical attention.
With a sigh, I recognized that this problem was entirely out of our hands. It was a question of whether Poole got better or worse.