Pritchard?â
âHe still steady?â
âYet. â
âCome on, then. Itâs one to tell your grandchildren about. But be quick. â
While Loring had his look, Pritchard turned to Albertson. âI want the Negli,â he said. âIâm going to open him a little wider. Then we probe. I donât know if I can get all of it, but Iâm going to get all of it I can. â
Les Albertson, now acting as head O. R. nurse, slapped the freshly sterilized probe into Pritchardâs gloved hand when Pritchard called for it. Pritchardâwho was now humming the Bonanza theme-song under his breathâworked 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 Thadâs shaven head.
âI think weâre clear,â Pritchard said at last. âAll the foreign tissue seemed to be connected by rudimentary ganglia. Even if there are other chunks, I think the chances are good that weâve killed them. â
âBut . . . how can that be, if the kidâs still alive? I mean, itâs all a part of him, isnât it?â Loring asked, bewildered.
Pritchard pointed toward the tray. âWe find an eye, some teeth, and a bunch of fingernails in this kidâs head and you think it was a part of him? Did you see any of his nails missing? Want to check?â
âBut even cancer is just a part of the patientâs ownââ
âThis wasnât cancer,â Pritchard told him patiently. His hands went about their own work as he talked. âIn 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. â
âAbsorbs it? Do you mean it eats it?â Loring asked. He looked a little green. âAre we talking about in utero cannibalism here?â
âCall 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 boyâs 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 pathologistsâit turns up in autopsies, and Iâve never heard of one where the foreign tissue was the cause of death. â
âWell, what happened here?â Albertson asked.
âSomething set this mass of tissue, which was probably submicroscopic in size a year ago, going again. The growth clock of the absorbed twin, which should have run down forever at least a month before Mrs. Beaumont gave birth, somehow got wound up again . . . and the damned thing actually started to run. There is no mystery about what happened; the intracranial pressure alone was enough to cause the kidâs headaches and the convulsion that got him here. â
âYes,â Loring said softly, âbut why did it happen?â
Pritchard shook his head. âIf Iâm still practicing anything more demanding than my