She came, carrying the instruments in a fresh pan.
'Give me suction, Lester,' Pritchard said to Albertson. 'Right now. Then I'm going to show you something you never saw outside of a county fair freak-show.'
Albertson wheeled over the suction-pump, ignoring the head nurse, who leaped back out of his way, balancing the instruments deftly as she did so.
Pritchard was looking at the anesthesiologist..'Give me good B.P., my friend. Good B.P. is all I ask.'
'He's one-oh-five over sixty-eight, Doctor. Steady as a rock.'
'Well, his mother says we've got the next William Shakespeare laid out here, so keep it that way. Suck on him, Lester - don't tickle him with the goddam thing!'
Albertson applied suction, clearing the blood. The monitoring equipment beeped steadily, monotonously, comfortingly, in the background. Then it was his own breath he was sucking in. He felt as if someone had punched him high up in the belly.
'Oh my God. Oh Jesus. Jesus Christ.' He recoiled for a moment . . . then leaned in close. Above his mask and behind his horn-rimmed spectacles, his eyes were wide with sudden glinting curiosity. 'What is it?'
'I think you see what it is,' Pritchard said. 'It's just that it takes a second to get used to. I've read about it but never expected to actually see it.'
Thad Beaumont's brain was the color of a conch shell's outer edge - a medium gray with just the slightest tinge of rose.
Protruding from the smooth surface of the dura was a single blind and malformed human eye.
The brain was pulsing slightly. The eye pulsed with it. It looked as if it were trying to wink at them. It was this - the look of the wink - which had driven the assisting nurse from the O. R.
'Jesus God, what is it?' Albertson asked again.
'It's nothing,' Pritchard said. 'Once it might have been a living, breathing human being. Now it's nothing. Except trouble that is. And this happens to be trouble we can handle.'
Dr Loring, the anesthesiologist, said: 'Permission to look, Dr Pritchard?'
'He still steady?'
'Yes.
'Come on, then. It's one to tell your grandchildren about. But be quick.'
While Loring had his look, Pritchard turned to Albertson. I want the Negli,' he said. 'I'm going to open him a little wider. Then we probe. I don't know if I can get all of it, but I'm going to get all of it I can.'
Les Albertson, now acting as head O.R. nurse, slapped the freshly sterilized probe into Pritchard's gloved hand when Pritchard called for it. Pritchard - who was now humming the Bonanza theme-song under his breath - worked the wound quickly and almost effortlessly, referring to the dental-type mirror mounted on the end of the probe only occasionally. He worked chiefly by sense of touch alone. Albertson would later say he had never witnessed such a thrilling piece of seat-of-the-pants surgery in his entire life.
In addition to the eye, they found part of a nostril, three fingernails, and two teeth. One of the teeth had a small cavity in it. The eye went on pulsing and trying to wink right up to the second when Pritchard used the needle-scalpel to first puncture and then excise it. The entire operation, from initial probe to final excision, took only twenty-seven minutes. Five chunks of flesh plopped wetly into the stainless steel pan on the Ross tray beside Thad's shaven head.
'I think we're clear,' Pritchard said at last. 'All the foreign tissue seemed to be connected by rudimentary ganglia. Even if there are other chunks, I think the chances are good that we've killed them.
'But . . . how can that be, if the kid's still alive? I mean, it's all a part of him, isn't it?' Loring asked, bewildered.
Pritchard pointed toward the tray. 'We find an eye, some teeth, and a bunch of fingernails in this kid's head and you think it was a part of him? Did you see any of his nails missing? Want to check?'.'But even cancer is just a part of the patient's own - '
'This wasn't cancer,' Pritchard told him patiently. His hands went about their own work as he talked. 'In a great many deliveries where the mother gives birth to a single child, that child actually started existence as a twin, my friend. It may run as high as two in every ten. What happens to the other fetus? The stronger absorbs the weaker.'
'Absorbs it? Do you mean it eats it?' Loring asked. He looked a little green. 'Are we talking about in utero cannibalism here?'
'Call it whatever you like; it happens fairly often. If they ever develop the sonargram device they keep talking about at the med conferences, we may actually get to find out how often. But no matter how frequently or infrequently it happens, what we saw today is much more rare. Part of this boy's twin went unabsorbed. It happened to end up in his prefrontal lobe. It could just as easily have wound up in his intestines, his spleen, his spinal cord, anywhere. Usually the only doctors who see something like this are pathologists - it turns up in autopsies, and I've never heard of one where the foreign tissue was the cause of death.'