Note:
I want to apologize for the length of time this chapter took getting to you. I had a
major relapse,
and it took me quite a bit of time to get my head back together. I am trying very hard to continue writing, because I love it so. I hope this chapter meets with your approval. Bob
81. Motivation
It seemed that everyone had motivation and everyone was working harder than ever to see that their goal was accomplished perfectly and within the time parameters associated with it. It didn't matter if you were on planet
Earth
or
Atwater Luck,
everyone was busy working on detailed plans for the near future. It took many years to become a captain or a doctor, less to become a cook or a maintenance person. However, if it was your time to make a transition to the next step in the progression to a higher, or more difficult assignment, the time had come for everyone to make the big move. It was done as part of a huge party on Atwater Luck, because no one was sure what the next step for them was going to be. It was all done by computer, and Callie took their work ethic and their aptitude into consideration. You could go from a cook to a medical track, and electrician to the celestial navigation track, or to the flight deck track if Callie found a difference of 1/10 of 1% in your aptitude, or the captains, who looked over each application, found a difference, you could go to engineering, instead of medical.
Each of these tracks were fought for fiercely by each member of the crew, especially the younger members just coming up. These whiz kids in math and science wanted to show up their elders, by passing them up in the chain of command, and many of them did.
This is exactly what Even Luck wanted to happen. It was written down as part of the ship's constitution.
'No one was to be held back, regardless of age.'
It didn't matter to the computer whether you were 40 or 14 years old. All that mattered was your work ethic and your aptitude, and some of the children on Atwater Luck had aptitudes of geniuses. Some of the aptitudes of people on planet Earth weren't bad either, and at this moment 6 of them are cloistered in a room at a hospital working on a problem of immense proportions.
At the Langone Heart Center of New York University Hospital, Doctor Matti Williams was pouring over the reams of documents concerning Colonel Lucius Canyon, going back 10 years.
Sitting by her side were other members of the heart transplant team, including Doctors Harvey Reynolds, Joanna Chikwe, Professor Stephen Adams, Sandra Billings, and Aurora Zane. It was extremely important that this decision they made was correct. A wrong decision would put the hospital in a moral, ethical, and legal conundrum.
Even though the donor gave his written consent for the transplant and receive a transplant from another live donor, who gave her written consent, the hospital and the doctors would be responsible if anything went wrong.
William Zabo Senior signed a document absolving the hospital and the doctors of any liability concerning the transplant procedure.
Colonel Lucius Canyon and his aide Paul Williams signed a document with the same wording as William Zabo's, absolving the hospital and the doctors of any liability concerning the transplant procedure.
Colonel Canyon also gave the hospital and the doctors permission to remove any useful organs if he should expire during the transplant operation.
Paul was his healthcare surrogate, and held his power of attorney. If anything should happen to the colonel during this operation, Paul would be able to do whatever was necessary concerning his welfare.
The transplant procedures were set in stone, and the doctors knew how to proceed without causing a problem for their patients. The problem was getting the Transplant Board's approval, and it was meeting the next day. The 13 trustees would not allow the hospital to be put in a disadvantageous position, regardless of the promises made, in writing, by those involved. The lawyers on the board would quote applicable law stating that people cannot give away their rights before something happens to them.
The Supreme Court had come down favorably, in several decisions, regarding people's rights of recovery. It placed restrictions on this matter, where legal documents were signed, and informed consent were written, and verbally given.
In other words, it left enough holes in its' decision for some people to win, while other people would lose. It would be up to the justices to decide the merits of each of these cases.
These 4 doctors and the 2 members of the Heart Transplant Association would be questioned by the Board of Trustees attorney on a matter that had never come up before, and probably would never come up again. They had to know how to represent the sickness of Colonel Canyon, and his life expectancy to the best of their ability.
This job fell to Professor Stephen Adams, the expert in blood diseases at NYU. He was the head of the Hematology Department, and had been so for 7 years. He had written extensively on Non-Hodgkins Lymphoma and other blood borne diseases. He worked in the hospital's lab trying to design a cure for these diseases. He consistently ran into a wall when he tried to find a cure for lymphoma, as did all other scientists working on these diseases.
All the labs, around the world, shared their work trying to find a treatment for it. They don't care who made the breakthrough, they just want to stop these dreaded diseases in their tracks. If they stopped this one disease, all the other blood borne diseases could be stopped.
At this point, none of them were treatable, and all of them are lethal. They included leukemia, HIV AIDS, and multiple myeloma.
Others like Hepatitis B and C, syphilis, malaria, and many others are treatable, and they spread quite easily from person to person. Some diseases, like malaria, are for life, and treatment must be taken for life. Once you are infected by a diseased Anopheles mosquito, it has given you a present you didn't want, and a disease that stays with you for life. There is no cure for it, you can only be treated for it for life.
Another gift from Africa is given to you by the tiny Tsetse fly. While you are enjoying the view of the wild animals in their native environment, this little insect burrows into your skin, and deposits a single cell parasite into your bloodstream. Technically it's called, "Tryanonosomiasis." (I can't pronounce it either.) You may have heard of the African Sleeping Sickness, and if you have, this is the insect that gives it to you. What you didn't know about it is that it is lethal within 3 to 4 months if not aggressively treated.
In the 1960s, 30,000 people died of this disease. In 2015, that number was down to 4000 people dying each year. The World Health Organization does not believe the number will ever reach zero, because there are at least 4 variants of this disease, and many of them are carried by cattle. The fly's bite the cows and then they bite the human, and the disease marches on.
This parasite enters your bloodstream and floats around until it gets to your spinal column and digs in until it reaches the brains Meninges. It moves until it is able to latch on to the brain's Blood/Brain Barrier. Then it wears down the barrier over time, until it can enter into the brain itself. When it does, it's too late for treatment and death is imminent.
After hours of going through Colonel Canyon's files, the 6 team members agreed that his death was only months away, at best. Why he was so cheerful about this was a mystery to them. His heart was in good condition, not perfect, but good enough for a transplant. After all, he was 82 years old, and he had put his body, and mind through a lot of stress during those years. A transplant done sooner, would be much better than one done later, because the disease was attacking the arteries close to his heart, and his blood flow was decreasing.
Joanna said she could increase the blood flow after his heart was removed, by using new arteries that were in storage. His arteries were clogged with something but it was not plaque, caused by a bad diet or lack of exercise. It must have been caused by the disease he is suffering from, and she could eliminate that quite easily.
The other doctors agreed with her and a 50-minute time allotment was put in for her to remove the diseased portions of the Colonel's arteries and veins to replace them with new ones.