Coma

Susan hesitated again, debating, then let the door shut. She walked up to the chair she had been sitting in but she did not sit down. She eyed Harris and thought that she had nothing to lose and should say what she had originally come to say despite his coldness.

“Since you said that there have been six cases of prolonged coma following anesthesia during the last year, I decided to look into the problem as a potential subject for my third-year paper. Well, I found out that you were absolutely correct. There have been six cases following anesthesia during the last year. But there also have been five cases of sudden. unexplained coma occurring in patients on the medical floors during the past year. Yesterday there were two deaths for apparent respiratory arrest. These patients gave no history to suggest that such an event might take place. They were in the hospital for essentially peripheral problems; one had a minor foot operation followed by phlebitis, the other had Bell’s palsy. Both were essentially well individuals, except one of them had glaucoma. There was no explanation for their respiratory arrest and I have a feeling that they are possibly related to the other coma cases. In other words, I think I have twelve cases representing gradations of the same problem. And if Berman turns out to be in the same boat as the others, then there are thirteen people suffering from some unexplained phenomenon. Perhaps worst of all, the incidence seems to be on the upswing, especially for the cases occurring during anesthesia. The interval between cases seems to be getting shorter and shorter. Anyway, I have decided to try to look into the problem. In order for me to continue my investigation I need some help from someone like yourself. I need authorization to search the data bank and see how many cases the computer could find if it’s asked directly.

Also I need the charts of the previous victims.”

Harris leaned forward and slowly placed his arms on his desk.

“So the Medical Department has had some trouble too,” he murmured.

“Jerry Nelson didn’t mention that.”

Looking up at Susan, he spoke louder.

“Miss Wheeler, you are dabbling in troubled waters. It’s refreshing to hear someone, fresh from the basic science years of medical school, interested in clinical research. But this is not the proper subject for you.

There are many reasons for my saying this. First of all, the problem of coma is far more complex than might-be apparent to you. It is a wastepaper-basket term, a mere description. And for someone to immediately assume all cases of coma are related simply because the causative agent is not precisely known is intellectually absurd. Miss Wheeler, I advise you to stick to something more specific, less speculative, for your so-called third year paper. As far as helping you is concerned, I must admit I do not have the time. And let me admit something else that might be rather apparent to you. I don’t try to hide it. I’m not keen on women in medicine.”

Harris pointed his finger at Susan and aimed across it almost as if were a gun.

“They treat it like a game, something to do for now ... something chic ...

later, who knows. It’s a fad. And on top of that, they are invariably, impossibly emotional and ...”

“Dr. Harris, cut the bullshit,” interrupted Susan, lifting up the back of the chair and letting it fall a few inches. She was furious. “I didn’t come here to listen to this type of nonsense. In fact it’s people like you who keep medicine in the old rut, unable to respond to the challenge of relevancy and change.”

Harris pounded the top of the desk with his open hand causing a few papers and pencils to flee for safety. Almost in one step he came from behind his desk with a speed that caught Susan off guard. His movement brought his face only inches from Susan’s. She froze before the unexpected fury she had unleashed.

“Miss Wheeler, you do not know your place here,” hissed Harris, holding himself in check with great difficulty. “You are not to be the Messiah who is going to miraculously deliver us from a problem which has already been under the scrutiny of the best minds in this hospital. In fact, I see you as a very destructive influence and I can promise you this: you’ll be out of this hospital in twenty-four hours. Now get out of my office.”

Susan backed up, afraid to expose her unguarded back to this man who seemed about to explode with hatred. She opened the door and ran down the corridor, feeling the tears well up from her mixture of fear and anger.

Behind her, Harris kicked the door shut and snatched the phone off the hook. He told his secretary to get him the director of the hospital without delay.

Tuesday, February 24, 11:00 A.M.