The Final Diagnosis

There was a light tap, and Orden Brown entered the administrator’s office. He listened attentively while Harry Tomaselli reported what had been done since their meeting four hours earlier. At the end the board chairman asked, “The city health authorities—have they been here again?”

“Not yet,” Tomaselli answered. “We’re expecting them now.”

Orden Brown said quietly, “Then if you don’t mind, I’ll wait with you.”

After a pause the board chairman turned to O’Do

For an instant the effrontery of the request left O’Do

“May I remind you,” Orden Brown said icily, “that you happen to be speaking of a member of the hospital board. Whatever your disagreements, he at least is entitled to be treated with courtesy.”

O’Do

At the same moment a buzzer sounded on the administrator’s desk. “Mr. Tomaselli,” a girl’s voice said on the intercom, “the public-health officers have just arrived.”

It was three minutes to five.

As they had on a morning six weeks earlier—the day on which, as he realized now, Kent O’Do

Now that his initial anger was over, the chief of surgery was relieved that the interruption of a few minutes ago had prevented what could have become a major quarrel between himself and Orden Brown. He realized that all of them, himself included, had become u

It had been Kent O’Do

Dr. Ford had at first demurred. “There’s been no suggestion that you’re not, and I doubt if I could add anything to what your pathologists are doing,” he had said. But at O’Do

John Alexander glanced up as the group entered, then continued with the sugar test he was carrying out. Pearson, on seeing O’Do

O’Do

“Not yet.” Pearson gestured around the lab. “As you can see, we’re still working.”

O’Do

“Today?” There was disbelief in Pearson’s voice.

The health officer nodded gravely. “I’m afraid so.”

“But you can’t do that! It’s ridiculous!” This was the old aggressive Pearson, his voice belligerent, eyes flashing behind the mask of tiredness. He stormed on, “Why, man alive, we’ll be working all night, and every subculture will be finished by midday tomorrow. If there’s a carrier, all the chances are we’ll have learned who it is.”

“I’m sorry.” The health officer shook his head. “We can’t take that chance.”

“But closing the kitchens means closing the hospital.” Pearson fumed. “Surely you can wait until morning—at least until then.”

“I’m afraid not.” Dr. Ford was polite but firm. “In any case, the decision is not entirely mine. The city simply ca

Harry Tomaselli put in, “We’re serving the evening meal, Joe, and that will be the last. We’re sending home all the patients we can and transferring most of the others.”

There was silence. Pearson’s face muscles were working. His deep-set, red-rimmed eyes seemed close to tears. His voice near a whisper, he said, “I never thought I’d see the day . . .”

As the group turned away O’Do

They had reached the door when John Alexander a

As a unit the group turned. Pearson asked sharply, “You have what?”

“A definite typhoid.” Alexander pointed to the row of sugar tubes on which he had been working.

“Let me see!” Almost at a run, Pearson crossed the lab. The others had turned back into the room.

Pearson looked at the row of tubes. Nervously his tongue touched his lips. If Alexander were right, this was the moment they had worked for. “Call off the list,” he said.

John Alexander picked up a textbook open at a double page. It was a tabulated chart of biochemical reactions of bacteria in sugar tubes. Putting a finger on the column headed “Salmonella typhi,” he prepared to read down.

Pearson picked up the first of the ten tubes. He called out, “Glucose.”

Checking the list, Alexander answered, “Acid formation, but no gas.”

Pearson nodded. He replaced the tube and selected a second. “Lactose.”

“No acid, no gas,” Alexander read.

“Right.” A pause. “Dulcitol.”

Again Alexander read, “No acid, no gas.”

“Sucrose.”

“No acid, no gas.” Once more the correct reaction for typhoid bacilli. The tension in the room was mounting.

Pearson took another tube. “Ma

“Acid formation, but no gas.”

“Correct.” Another. “Maltose.”

“Acid, but no gas.”

Pearson nodded. Six down, four to go. Now he said, “Xylose.”

Once more Alexander read, “Acid, but no gas.”

Seven.

“Arabinose.”

John Alexander said, “Either acid but no gas or no reaction at all.”

Pearson a

Eight. Two more.

“Rhamnose?”

“No reaction.”

Pearson looked at the tube. He said softly, “No reaction.”

One to go.

From the last tube Pearson read, “Indole production.”

“Negative,” Alexander said, and replaced the book.

Pearson turned to the others. He said, “There’s no question. This is the typhoid carrier.”

“Who is it?” The administrator was first to ask.

Pearson turned over a petri dish. He read off, Number seventy-two.”

David Coleman had already reached for a ledger. There was a list with entries in his own handwriting. He a