The Problem with Puzzles
Allena tapped her quill against her chi as she examined the parchment on the table before her. It was written in her father’s immaculate hand. She Squinted harder at the words, prying at them to yield there answer.
"Patient number 17. Ylian male. Age: 31. Profession: Miner. His symptoms are difficult to gather accurately do to mixed speech. He is suffering from impaired brething and motor function of the limbs. In addition, he complains that his eye glasses no longer function correctly and bouts of loss in consciousness. During examination, the patient exhibits nausea and vomiting. He cannot offer an explanation as to what made this occur. Diagnosis the patient."
Allena gripped the side of her seat and let her feet that did not reach the floor kick underneath her. There is lots going on here, she thought. Father is really throwing a lot at us this time.
“You’re enjoying this, aren’t you?” Larntuna asked incredulously. His gaze was locked on his little sister, examining her much the same way Allena regarded the parchment.
“What? No!” She replied all too defensively.
“Yeah, Right…”
The truth was she loved her father’s puzzles. They let her pretend that she was a real healer; each patient a challenge to unlock. Every morning when a piece of parchment lay next to their meal at breakfast, she had to hide her excitement from her brother. It was just so hard. A smile slid over her face as she reread the morning’s problem.
“God’s, you probably even got this one figured out already!” Larntuna exclaimed, his frustration boiling over.
Allena flushed “Well, maybe. I got an idea.”
“The Child Prodigy does it again.” He said with a roll of his eyes
“I am not a pedagogy!”
“That is enough!” Heilda, heavy with child, interrupted as she spun from her work on the dishes. “Larntuna, be nice to your sister.”
“Yes, mother”
Heilda gave a thankful nod and regarded both with a smile before turning back to her work. Larntuna gave Allena a leveling stare while she stuck her tongue out at him. With a huff, they both returned to their respective parchments. Allena let out a quiet sigh. Her thoughts were not so much on her problem, but on her brother. It had been a while since he had gotten one of their father’s puzzles correct.
She had been so proud the first time she’d gotten that Larntuna had failed too. Now she just wanted him to get this one. She longed for her brother to get his confidence back. To see him smile again.
Larntuna didn’t look up from his parchment. “So what do think it is then?” he prodded with a hushed tone.
Come on, Larn. “Father said I am not supposed to tell you anymore”
“Yeah, you’re just saying that ‘cause you don’t know” he goateed
Don’t look at each symptom as it is. Look at the whole picture. “Larn, you’re gonna get us in trouble.” Allena nodded to their mother just a few yards away.
“Come on, just a hint”
So many symptoms across that many systems... “Larn, stop it. I can’t. It isn’t so hard, you can do it” Allena smiled at her older brother encouragingly.
Larntuna slammed his quill on the table and stormed out of the small kitchen. Heilda sighed gently, folded her towel, and followed her son out, cradling her swollen stomach, leaving Allena at the table to herself. She hugged herself and regarded the now empty chair beside her with a heavy sigh.
“Nervous system. It has got to be in the nervous system to affect all those systems on a sensory level and, if it were spinal, the eye wouldn’t be affected as it would be above the spinal injury. That leaves the brain.” Allena turned her gaze to her parchment. Taking up her quill and slowly began to form the letters on the bottom of her page.
“Carabella Edam–” Allena looked at the words with a frown before scribbling them out. Next to the scribble she tried again “Brain Swelling” and grinned. She swung from her chair and moved toward her father’s study. As she moved from the kitchen and into the long hallway leading to the stairs, Allena was stopped by her mother.
“’Lena, did you finish already?”
Allena smiled sweetly to her mother. “Mhmm, going to see if I got it right.”
Heilda quickly swooped up her daughter in a tight embrace. “Oh, ‘Lena. I just need you to know just how proud of you we all are.”
Allena stood stuned for a few seconds before patting her mother on the back “Umm, thanks mom, you too.” She offered, hoping it was the correct response.
Heilda held her daughter at arm’s length and nodded to her as tear welled up in her eyes. She let go of Allena and gently urged her on. Allena looked back, confused and turned back. It wouldn’t do to be too slow in her response and climbed up the stairs. She could her voices coming from the crack door of her father’s office.
“Pneumonia? Are you certain, Larntuna? You believe that satisfies all the symptoms?” She heard her father ask through the door.
“Yes sir.” Larntuna’s voice came through the door weaker. Not only was his back to her, but his voice was tentative. If he wasn’t going to be correct, he might as well be first.
“And the eye sight?”
Allena stranded her hearing but the answer was unintelligible.
“Psychosomatic? That is a very risky diagnosis at best.”
Allena heard enough. She hated the idea of Larntuna squirming under her father’s gaze. She pushed herself through the crack and walking in quietly. Her father’s gaze shifted from her brother to her.
“Allena, I trust you have your own hypothesis on today’s puzzle?”Allena offered no direct reply, instead crossed the red rug to her father’s desk and slid the paper to him and backed away. Saumur scanned his daughters note “Interesting. Allena, what do you make of the diagnosis of Pneumonia?”
Allena flushed and looked away. She hated being in the middle. She couldn’t lie; her father would know and call her on it and to be direct would mean to diminish Larntuna. It was a delicate line to walk to keep everyone equally unhappy.
“I was thinking it may be something else. Pneumonia may fit a few of the aliments, but I believe something related to the nervous system may be more likely.”
Saumur smiled and looked back down at Allena’s parchment. “For your assignments for today, I would like you both to visit the library and look up treatment options for cerebral edema. Allena, from now on, I would like you to offer a treatment proposal to your diagnosis on these puzzles.”
Allena’s eyes light up. “Just like Larn?”
Saumur nodded and continued. “Larntuna, you will be responsible for preparing today’s rooms as well as this evening’s clean up. Heilda will be assisting me with today’s patients.” The two siblings’ eyes went wide simultaneously. They always split the responsibilities Larntuna was assigned. Occasionally they would both be responsible for them on the same day if there were a great number of patients for the day, but never was only one assigned both alone.
Larntuna’s shock wore off first “Why do I need to do both? That is not fair!”
Saumar raised a finger to cut off any further protest. “Larntuna, I have arranged for you to have your first patient tomorrow. I want you to prepare for it.”
Larntuna’s eyes burned with pride and superiority as he regarded his sister “Thank you father. I shall not disappoint you.”
Saumur left his eyes on his son for a few seconds “See that you don’t” and turned his body to regard Allena “Allena, you too shall receive your first patient tomorrow.”Allena was dumbfounded. Me? Did I hear him right?
Before Allena could voice her concerns, Larntuna voiced his “Her? Father, you must be joking. Allena can’t have her own patient. She has only seen her seventh name day.”
Saumur offered his son a dismissive wave “She will be eight cycles next week”
Allena pipped up weakly, “Next month, sir”
“Oh, yes, quite right, next month. Regardless, my decision stands”
Larntuna took a defiant step forward “Father, reconsider. I had barely even seen your offices at her age. What will people think? What will people say?”
“Let them talk. I said my decision stands. You are dismissed.” Saumur turned to his desk and regarded his papers.