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Beginning Operations: A Sector General Omnibus Volume 1 by James White


This is the first volume of a multi-volume collection of White’s "Sector General" stories.  These stories deal with a vast interstellar hospital that handles a wide range of intelligent species with incredibly diverse physiologies and environmental needs.  The concept behind these stories is not merely medical challenges involving alien beings, but also an inter-species galactic society based on equality and a minimum of violence.

Most  of the stories have medical mysteries involving alien beings.  In some cases, alien beings of previously unknown species.  Usually, for one reason or another, the patient is unable to give the doctor information to help clarify what the problem is.  In some cases, the alien species is known, but some factor makes the illness mysterious.  Sometimes, when the patient is of a known alien species, the doctor will download the persona of an alien doctor into his mind to help treat the patient.

I like a number to types of mysteries, including SF mysteries.  Medical mysteries are probably not the top of my list.  I like the TV show House, but a significant part of that is aspects other than the medical puzzles themselves.  So perhaps that is the reason why this book did not really satisfy my mystery tastes.  Perhaps part of this is that a mystery dealing with humans should stay true to known human motivations, human susceptibility to various weapons, plausible human behavior, etc.  In a mystery with purely fictional aliens there isn’t such a clear sense whether the story stays within such boundaries.

There is also a relatively long story about a space war fought around the hospital.  (The hospital is the only human installation the enemy knows the location of.)  This seemed somewhat out of place with the rest of the volume, but that is because this is a collection which has put previously separate stories together.

The SF was OK.  I don’t regret having read the book, but I’m not planning on getting other volumes in the series.

There is a lot of description of various alien body formats and their various foods, atmospheres, gravities, etc.  This should certainly appeal to those who like an alien menagerie.  It’s hard to say which are truly realistic possibilities for evolution on other worlds.  Is it really feasible that an intelligent being would be composed of a group of small insect-like animals?  What are the chances of an animal evolved on a planet that doesn’t breathe any kind of gas or liquid and therefore can survive in vacuum?  Would the evolutionary forces that gave an animal a caterpillar-like form be able to simultaneously shape it into an intelligent tool-user?  Is a prune-sized body large enough to house a highly intelligent being?  Are shape-shifters capable of imitating widely diverse species really plausible?  Not all of it was convincing to me, but it’s hard to give definitive answers to these kinds of questions.

This is a tricky business.  It seems foolish to expect extraterrestrials to be medically similar.  On the other hand, it's difficult to conceive aliens that are both essentially non-humanoid and also consistently plausible.  By making an effort to meet the "non-humanoid" criteria, he may have fallen short on the "plausible" criteria.  I can't entirely blame him, but by discussing the question we may help others struggling with this difficult task.

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