After a time the doctor came over. Ann had fallen into a coma, she said. It looked like a small heart-rhythm abnormality had caused her to faint in the first place. She was stable at the moment.
Sax sat in the room. Much later the doctor returned. Ann’s wristpad had recorded an episode of rapid irregular heartbeat, at the time she fainted. Now there was still a small arrhythmia. And apparently anoxia, or the blow to the head, or both, had initiated a coma.
Sax asked what exactly a coma was, and felt a sinking feeling when the doctor shrugged. It was a catchall term, apparently, for unconscious states of a certain kind. Pupils fixed, body insensitive, and sometimes locked into decorticate postures. Ann’s left arm and leg were twisted. And unconsciousness of course. Sometimes odd vestiges of responsiveness, clenching hands and the like. Duration of coma varied widely. Some people never came out of them.
Sax looked at his hands until the doctor left him alone. He sat in the room until everyone else was gone. Then he got up and stood at Ann’s side, looking down at her masked face. Nothing to be done. He held her hand; it did not clench. He held her head, as he had been told Nirgal had held his when he was unconscious. It felt like a useless gesture.
He went to the AI screen, and called up the diagnostic program. He called up Ann’s medical data, and ran back the heart monitor data from the incident in the lock. A small arrhythmia, yes; rapid, irregular pattern. He fed the data into the diagnostic program, and looked up heart arrhythmia on his own. There were a lot of aberrant cardiac rhythm patterns, but it appeared that Ann might have a genetic predisposition to suffer from a disorder called long QT syndrome, named for a characteristic abnormal long wave in the electrocardiogram. He called up Ann’s genome, and instructed the AI to run a search in the relevant regions of chromosomes 3, 7, and 11. In the gene called HERG, in her chromosome 7, the AI identified a small mutation: one reversal of adenine-thymine and guanine-cytosine. Small, but HERG contained instructions for the assembly of a protein that served as a potassium ion channel in the surface of heart cells, and these ion channels acted as a switch to turn off contracting heart cells. Without this brake the heart could go arrhythmic, and beat too fast to pump blood effectively.
Ann also appeared to have another problem, with a gene on chromosome 3 called SCN5A. This gene encoded a different regulatory protein, which provided a sodium ion channel on the surface of heart cells. This channel functioned as an accelerator, and mutations here could add to the problem of rapid heartbeat. Ann had a CG bit missing.
These genetic conditions were rare, but for the diagnostic AI that was not an issue. It contained a symptomology for all known problems, no matter how rare. It seemed to consider Ann’s case to be fairly straightforward, and it listed the treatments that existed to counteract the problems presented by the condition. There were a lot of them.
One of the treatments suggested was the recoding of the problem genes, in the course of the standard gerontological treatments. Persistent gene recodings through several longevity treatments should erase the cause of the problem right at the root, or rather in the seed. It seemed strange that this hadn’t been done already, but then Sax saw that the recommendation was only about two decades old; it came from a period after the last time Ann had taken the treatments.
For a long time Sax sat there, staring at the screen. Much later he got up. He began to inspect the Reds’ medical clinic, instrument by instrument, room by room. The nursing attendants let him wander; they thought he was distraught.
This was a major Red refuge, and it seemed likely to him that one of the rooms might contain the equipment necessary to administer the gerontological treatments. Indeed it was so. A small room at the back of the clinic appeared to be devoted to the process. It didn’t take much: a bulky AI, a small lab, the stock proteins and chemicals, the incubators, the MRIs, the IV equipment. Amazing, when you considered what it did. But that had always been true. Life itself was amazing: simple protein sequences only, at the start, and yet here they were.
So. The main AI had Ann’s genome record. But if he ordered this lab to start synthesizing her DNA strands for her (adding the recodings of HERG and SCN5A) the people here would surely notice. And then there would be trouble.
He went back to his tiny room to make a coded call to Da Vinci. He asked his associates there to start the synthesis, and they agreed without any questions beyond the technical ones. Sometimes he loved those saxaclones with all his heart.
After that it was back to waiting. Hours passed; more hours; more hours. Eventually several days had passed, with no change in Ann. The doctor’s expression grew blacker and blacker, though she said nothing more about unhooking Ann. But it was in her eye. Sax took to sleeping on the floor in Ann’s room. He grew to know the rhythm of her breathing. He spent a lot of time with a hand cradling her head, as Michel had told him Nirgal had done with him. He very much doubted that this had ever cured anybody of anything, but he did it anyway. Sitting for so long in such a posture, he had occasion to think about the brain plasticity treatments that Vlad and Ursula had administered to him after his stroke. Of course a stroke was a very different thing than a coma. But a change of mind was not necessarily a bad thing, if one’s mind was in pain.
More days passed without a change, each day slower and blanker and more fearful than the one before. The incubators in the Da Vinci labs had long since cooked up a full set of corrected Ann-specific DNA strands, and antisense reinforcers, and glue-ons— the whole gerontological package, in its latest configuration.
So one night he called up Ursula, and had a long consultation with her. She answered his questions calmly, even as she struggled with the idea of what he wanted to do. “The synaptic stimulus package we gave you would produce too much synaptic growth in undamaged brains,” she said firmly. “It would alter personality to no set pattern.” Creating madmen like Sax, her alarmed look said.
Sax decided to skip the synaptic supplements. Saving Ann’s life was one thing, changing her mind another. Random change was not the goal anyway. Acceptance was. Happiness— Ann’s true happiness, whatever that might be— now so far away, so hard to imagine. He ached to think of it. It was extraordinary how much physical pain could be generated by thought alone— the limbic system a whole universe in itself, suffused with pain, like the dark matter that suffused everything in the universe.
“Have you talked to Michel?” Ursula asked.
“No. Good idea.”
He called Michel, explained what had happened, and what he had in mind to do. “My God, Sax,” Michel said, looking shocked. But in only a few moments he was promising to come. He would get Desmond to fly him to Da Vinci to pick up the treatment supplies, and then fly on up to the refuge.
So Sax sat in Ann’s room, a hand to her head. A bumpy skull; no doubt a phrenologist would have had a field day.
Then Michel and Desmond were there, his brothers, standing beside him. The doctor was there too, escorting them, and the tall woman and others as well; so everything had to be communicated by looks, or the absence of looks. Nevertheless everything was perfectly clear. Desmond’s face was if anything too clear. They had Ann’s longevity package with them. They only had to wait their chance.
Which came quite soon; with Ann settled into her coma, the situation in the little hospital was routine. The effects of the longevity treatment on a coma, however, were not fully known; Michel had scanned the literature, and the data were sparse. It had been tried as an experimental treatment in a few unresponsive comas before, and had been successful in rousing victims almost half the time. Because of that Michel now thought it was a good idea.
And so, soon after their arrival, the three of them got up in the middle of the night, and tiptoed past the sleeping attendant in the medical center’s anteroom. Medical training had had its usual effect, and the attendant was sound asleep, though awkwardly propped in her chair. Sax and Michel hooked Ann up to the IVs, and stuck the needles in the veins on the backs of her hands, working
slowly, carefully, precisely. Quietly. Soon she was hooked up, the IVs were flowing, the new protein strands were in her bloodstream. Her breathing grew irregular, and Sax felt hot with fear. He groaned silently. It was comforting to have Michel and Desmond here, each holding an arm as if supporting him, keeping him from falling; but he wished desperately for Hiroko. This was what she would have done, he was certain of it. Which made him feel better. Hiroko was one of the reasons he was doing this. Still he longed for her support, her physical presence, he wished she would show up to help him like she had on Daedalia Planitia. To help Ann. She was the expert at this kind of radically irresponsible human experimentation, this would have been small potatoes to her. . . .
When the operation was finished, they took out the IV needles and put the equipment away. The attendant slept on, mouth open, looking like the girl she was. Ann was still unconscious, but breathing easier, Sax felt. More strongly.
The three men stood looking down at Ann together. Then they slipped out, and tiptoed back down the hall to their rooms. Desmond was dancing on his toes like a fool, and the other two shushed him. They got back in their beds but couldn’t sleep; and couldn’t talk; and so lay there silently, like brothers in a big house, late at night, after a successful expedition out into the nocturnal world.
The next morning the doctor came in. “Her vital signs are better.”
The three men expressed their pleasure at this.
Later, down in the dining hall, Sax had a strong urge to tell Michel and Desmond about his encounter with Hiroko. The news would mean more to these two than anyone else. But something in him was afraid to do it. He was afraid of seeming overwrought, perhaps even delusional. That moment when Hiroko had left him at the rover, and walked off into the storm— he didn’t know what to think of that. In his long hours with Ann he had done some thinking, and some research, and he knew now that Terran climbers alone at high altitude, suffering from oxygen loss, not infrequently hallucinated companion climbers. Some kind of doppelgänger figure. Rescue by anima. And his air tube had been partially clogged.
He said, “I thought this was what Hiroko would have done.”
Michel nodded. “It’s bold, I’ll hand you that. It has her style. No, don’t misunderstand me— I’m glad you did it.”
“About fucking time, if you ask me,” said Desmond. “Someone should have tied her down and made her take the treatment years ago. Oh my Sax, my Sax—” He laughed happily. “I only hope she doesn’t come to as crazy as you did.”
“But Sax had a stroke,” Michel said.
“Well,” Sax said, concerned to set the record straight, “actually I was somewhat eccentric before.”
His two friends nodded, mouths pursed. They were in high spirits, though the situation was still unresolved. Then the tall doctor came in; Ann had come out of her coma.
Sax felt that his stomach was still too contracted by tension to take in food, but he noted that he was disposing of a pile of buttered toast quite handily. Wolfing it down, in fact.
“But she’s going to be very angry at you,” Michel said.
Sax nodded. It was, alas, probable. Likely, even. A bad thought. He did not want to be struck by her again. Or worse, denied her company.
“You should come with us to Earth,” Michel suggested. “Maya and I are going with the delegation, and Nirgal.”
“There’s a delegation going to Earth?”
“Yes, someone suggested it, and it seems like a good idea. We need to have some representatives right there on Earth talking to them. And by the time we get back from that, Ann will have had time to think it over.”
“Interesting,” Sax said, relieved at the mere suggestion of an escape from the situation. In fact it was almost frightening how quickly he could think of ten good reasons for going to Earth. “But what about Pavonis, and this conference they’re talking about?”
“We can stay part of that by video.”
“True.” It was just what he had always maintained.
The plan was attractive. He did not want to be there when Ann woke up. Or rather, when she found out what he had done. Cowardice, of course. But still. “Desmond, are you going?”
“Not a fucking chance.”
“But you say Maya is going too?” Sax asked Michel.
“Yes.”
“Good. The last time I, I, I tried to save a woman’s life, Maya killed her.”
“What? What— Phyllis? You saved Phyllis’s life?”
“Well— no. That is to say, I did, but I was also the one who put her in danger in the first place. So I don’t think it counts.” He tried to explain what had happened that night in Burroughs, with little success. It was fuzzy in his own mind, except for certain vivid horrible moments. “Never mind. It was just a thought. I shouldn’t have spoken. I’m. . . .”
“You’re tired,” Michel said. “But don’t worry. Maya will be away from the scene here, and safely under our eye.”
Sax nodded. It was sounding better all the time. Give Ann some time to cool off; think it over; understand. Hopefully. And it would be very interesting of course to see conditions on Earth firsthand. Extremely interesting. So interesting that no rational person could pass up the opportunity.
Part Three
A New Constitution
Ants came to Mars as part of the soil project, and soon they were everywhere, as is their way. And so the little red people encountered ants, and they were amazed. These creatures were just the right size to ride, it was like the Native Americans meeting the horse. Tame the things and they would run wild.
Domesticating the ant was no easy matter. The little red scientists had not even believed such creatures were possible, because of surface area-to-volume constraints, but there they were, clumping around like intelligent robots, so the little red scientists had to explain them. To get some help they climbed up into the humans’ reference books, and read up on ants. They learned about the ants’ pheromones, and they synthesized the ones they needed to control the soldier ants of a particularly small docile red species, and after that, they were in business. Little red cavalry. They charged around everywhere on antback, having a fine old time, twenty or thirty of them on each ant, like pashas on elephants. Look close at enough ants and you’ll see them, right there on top.
But the little red scientists continued to read the texts, and learned about human pheromones. They went back to the rest of the little red people, awestruck and appalled. Now we know why these humans are such trouble, they reported. Humans have no more will than these ants we are riding around on. They are giant meat ants.
The little red people tried to comprehend such a travesty of life.
Then a voice said No they’re not, to all of them at once. The little red people talk to each other telepathically, you see, and this was like a telepathic loudspeaker announcement. Humans are spiritual beings, this voice insisted.
How do you know? the little red people asked telepathically. Who are you? Are you the ghost of John Boone?
I am the Gyatso Rimpoche, the voice answered. The eighteenth reincarnation of the Dalai Lama. I am traveling the Bardo in search of my next reincarnation. I’ve looked everywhere on Earth, but I’ve had no luck, and I decided to look somewhere new. Tibet is still under the thumb of the Chinese, and they show no signs of letting up. The Chinese, although I love them dearly, are hard bastards. And the other governments of the world long ago turned their backs on Tibet. So no one will challenge the Chinese. Something needs to be done. So I came to Mars.
Good idea, the little red people said.
Yes, the Dalai Lama agreed, but I must admit I am having a hard time finding a new body to inhabit. For one thing there are very few children anywhere. Then also it does not look like anyone is interested. I looked in Sheffield but everyone was too busy talking. I went to Sabishii but everyone there had their heads stuck in the dirt. I went to Elysium but everyone had assumed the lotus position and could not be roused. I went to Christian-opolis but everyo
ne there had other plans. I went to Hiranyagarba but everyone there said we’ve already done enough for Tibet. I’ve gone everywhere on Mars, to every tent and station, and everywhere people are just too busy. No one wants to be the nineteenth Dalai Lama. And the Bardo is getting colder and colder.
Good luck, the little red people said. We’ve been looking ever since John died and we haven’t even found anyone worth talking to, much less living inside. These big people are all messed up.
The Dalai Lama was discouraged by this response. He was getting very tired, and could not last much longer in the Bardo. So he said, What about one of you?
Well, sure, the little red people said. We’d be honored. Only it will have to be all of us at once. We do everything like that together.
Why not? said the Dalai Lama, and he transmigrated into one of the little red specks, and that same instant he was there in all of them, all over Mars. The little red people looked up at the humans crashing around above them, a sight which before they had tended to regard as some kind of bad wide-screen movie, and now they found they were filled with all the compassion and wisdom of the eighteen previous lives of the Dalai Lama. They said to each other, Ka wow, these people really are messed up. We thought it was bad before, but look at that, it’s even worse than we thought. They’re lucky they can’t read each other’s minds or they’d kill each other. That must be why they’re killing each other— they know what they’re thinking themselves, and so they suspect all the others. How ugly. How sad.
They need your help, the Dalai Lama said inside them all. Maybe you can help them.
Maybe, the little red people said. They were dubious, to tell the truth. They had been trying to help humans ever since John Boone died, they had set up whole towns in the porches of every ear on the planet, and talked continuously ever since, sounding very much like John had, trying to get people to wake up and act decent, and never with any effect at all, except to send a lot of people to ear nose and throat specialists. Lots of people on Mars thought they had tinnitus, but no one ever understood their little red people. It was enough to discourage anyone.