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Ted Chiang Compilation Part 3

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"Thanks, but I think we'll stick with the movie."

"Okay, you guys have fun. Maybe we can get together next week." We say goodbye and hang up, and I wait for the recalc to finish.

Suddenly it occurs to me what's just happened. I've never been able to do any serious editing while talking on the phone. But this time I had no trouble keeping my mind on both things at once.

Will the surprises never end? Once the nightmares were gone and I could relax, the first thing I noticed was the increase in my reading speed and comprehension. I was actually able to read the books on my shelves that I'd always meant to get around to, but never had the time; even the more difficult, technical material. Back in college, I'd accepted the fact that I couldn't study everything that interested me. It's exhilarating to discover that maybe I can; I was positively gleeful when I bought an armload of books the other day.

And now I find I can concentrate on two things at once; something I never would have predicted. I stand up at my desk and shout out loud, as if my favorite baseball team had just surprised me with a triple play. That's what it feels like.



The neurologist-in-chief, Dr. Shea, has taken over my case, presumably because he wants to take the credit. I scarcely know him, but he acts as if I've been his patient for years.

He's asked me into his office to have a talk. He interlaces his fingers and rests his elbows on his desk. "How do you feel about the increase in your intelligence?" he asks.

What an inane question. "I'm very pleased about it."

"Good," says Dr. Shea. "So far, we've found no adverse effects of the hormone K therapy. You don't require any further treatment for the brain damage from your accident." I nod. "However, we're conducting a study to learn more about the hormone's effect on intelligence. If you're willing, we'd like to give you a further injection of the hormone, and then monitor the results."

Suddenly he's got my attention; finally, something worth listening to. "I'd be willing to do that."

"You understand that this is purely for investigational purposes, not therapeutic. You may benefit from it with further gains in your intelligence, but this is not medically necessary for your health."

"I understand. I suppose I have to sign a consent form."

"Yes. We can also offer you some compensation for partic.i.p.ating in this study." He names a figure, but I'm barely listening.

"That'll be fine." I'm imagining where this might lead, what it might mean for me, and a thrill runs through me.

"We'd also like you to sign a confidentiality agreement. Clearly this drug is enormously exciting, but we don't want any announcements to be made prematurely."

"Certainly, Dr. Shea. Has anyone been given additional injections before?"

"Of course; you're not going to be a guinea pig. I can a.s.sure you, there haven't been any harmful side effects."

"What sort of effects did they experience?"

"It's better if we don't plant suggestions in your mind: you might imagine you were experiencing the symptoms I mention."

Shea's very comfortable with the doctor-knows-best routine. I keep pushing. "Can you at least tell me how much their intelligence increased?"

"Every inp cla.s.s="indent"idual is different. You shouldn't base your expectations on what's happened to others."

I conceal my frustration. "Very well, Doctor."

If Shea doesn't want to tell me about hormone K, I can find out about it on my own. From my terminal at home I log on to the datanet. I access the FDA's public database, and start perusing their current INDs, the Investigational New Drug applications that must be approved before human trials can begin.

The application for hormone K was submitted by Sorensen Pharmaceutical, a company researching synthetic hormones that encourage neuron regeneration in the central nervous system. I skim the results of the drug tests on oxygen-deprived dogs, and then baboons: all the animals recovered completely. Toxicity was low, and long-term observation didn't reveal any adverse effects.

The results of cortical samples are provocative. The brain-damaged animals grew replacement neurons with many more dendrites, but the healthy recipients of the drug remained unchanged. The conclusion of the researchers: hormone K replaces only damaged neurons, not healthy ones. In the brain-damaged animals, the new dendrites seemed harmless: PET scans didn't reveal any change in brain metabolism, and the animals' performance on intelligence tests didn't change.

In their application for human clinical trials, the Sorensen researchers outlined protocols for testing the drug first on healthy subjects, and then on several types of patients: stroke victims, sufferers of Alzheimer's, and persons- like me- in a persistent vegetative state. I can't access the progress reports for those trials: even with patient anonymity, only partic.i.p.ating doctors have clearance to examine those records.

The animal studies don't shed any light on the increased intelligence in humans. It's reasonable to a.s.sume that the effect on intelligence is proportional to the number of neurons replaced by the hormone, which in turn depends on the amount of initial damage. That means that the deep-coma patients would undergo the greatest improvements. Of course, I'd need to see the progress of the other patients to confirm this theory; that'll have to wait.

The next question: Is there a plateau, or will additional dosages of the hormone cause further increases? I'll know the answer to that sooner than the doctors.

I'm not nervous; in fact, I feel quite relaxed. I'm just lying on my stomach, breathing very slowly. My back is numb; they gave me a local anesthetic, and then injected the hormone K intraspinally. An intravenous wouldn't work, since the hormone can't get past the blood-brain barrier. This is the first such injection I can recall having, though I'm told that I've received two before: the first while still in the coma, the second when I had regained consciousness but no cognitive ability.

More nightmares. They're not all actually violent, but they're the most bizarre, mind-blowing dreams I've ever had, often with nothing in them that I recognize. I often wake up screaming, flailing around in bed. But this time, I know they'll pa.s.s.

There are several psychologists at the hospital studying me now. It's interesting to see how they a.n.a.lyze my intelligence. One doctor perceives my skills in terms of components, such as acquisition, retention, performance, and transfer. Another looks at me from the angles of mathematical and logical reasoning, linguistic communication, and spatial visualization.

I'm reminded of my college days when I watch these specialists, each with a pet theory, each contorting the evidence to fit. I'm even less convinced by them now than I was back then; they still have nothing to teach me. None of their categorizations are fruitful in a.n.a.lyzing my performance, since- there's no point in denying it- I'm equally good at everything.

I could be studying a new cla.s.s of equation, or the grammar of a foreign language, or the operation of an engine; in each case, everything fits together, all the elements cooperate beautifully. In each case, I don't have to consciously memorize rules, and then apply them mechanically. I just perceive how the system behaves as a whole, as an ent.i.ty. Of course, I'm aware of all the details and inp cla.s.s="indent"idual steps, but they require so little concentration that they almost feel intuitive.

Penetrating computer security is really quite dull; I can see how it might attract those who can't resist a challenge to their cleverness, but it's not intellectually aesthetic at all. It's no different than tugging on the doors of a locked house until you find an improperly installed lock. A useful activity, but hardly interesting.

Getting into the FDA's private database was easy. I played with one of the hospital wall terminals, running the visitor information program, which displays maps and a staff directory. I broke out of the program to the system level, and wrote a decoy program to mimic the opening screen for logging on. Then I simply left the terminal alone; eventually one of my doctors came by to check one of her files. The decoy rejected her pa.s.sword, and then restored the true opening screen. The doctor tried logging on again, and was successful this time, but her pa.s.sword was left with my decoy.

Using the doctor's account, I had clearance to view the FDA patient-record database. In the Phase I trials, on healthy volunteers, the hormone had no effect. The ongoing Phase II clinical trials are a different matter. Here are weekly reports on eighty-two patients, each identified by a number, all treated with hormone K, most of them victims of a stroke or Alzheimer's, some of them coma cases. The latest reports confirm my prediction: those with greater brain damage display greater increases in intelligence. PET scans reveal heightened brain metabolism.

Why didn't the animal studies provide a precedent for this? I think the concept of critical ma.s.s provides an a.n.a.logy. Animals fall below some critical ma.s.s in terms of synapses; their brains support only minimal abstraction, and gain nothing from additional synapses. Humans exceed that critical ma.s.s. Their brains support full self-awareness, and- as these records indicate- they use any new synapses to the fullest possible extent.

The most exciting records are those of the newly begun investigational studies, using a few of the patients who volunteered. Additional injections of the hormone do increase intelligence further, but again it depends on the degree of initial damage. The patients with minor strokes haven't even reached genius levels. Those with greater damage have gone further.

Of the patients originally in deep-coma states, I'm the only one thus far who's received a third injection. I've gained more new synapses than anyone previously studied; it's an open question as to how high my intelligence will go. I can feel my heart pounding when I think about it.

Playing with the doctors is becoming more and more tedious as the weeks go by. They treat me as if I were simply an idiot savant: a patient who exhibits certain signs of high intelligence, but still just a patient. As far as the neurologists are concerned, I'm just a source of PET scan images and an occasional vial of cerebrospinal fluid. The psychologists have the opportunity to gain some insight into my thinking through their interviews, but they can't shed their preconception of me as someone out of his depth, an ordinary man awarded gifts that he can't appreciate.

On the contrary, the doctors are the ones who don't appreciate what's happening. They're certain that real-world performance can't be enhanced by a drug, and that my ability exists only according to the artificial yardstick of intelligence tests, so they waste their time with those. But the yardstick is not only contrived, it's too short: my consistently perfect scores don't tell them anything, because they have no basis for comparison this far out on the bell curve.

Of course, the test scores merely capture a shadow of the real changes occurring. If only the doctors could feel what's going on in my head: how much I'm recognizing that I missed before, how many uses I can see for that information. Far from being a laboratory phenomenon, my intelligence is practical and effectual. With my near-total recall and my ability to correlate, I can a.s.sess a situation immediately, and choose the best course of action for my purposes; I'm never indecisive. Only theoretical topics pose a challenge.

No matter what I study, I can see patterns. I see the gestalt, the melody within the notes, in everything: mathematics and science, art and music, psychology and sociology. As I read the texts, I can think only that the authors are plodding along from one point to the next, groping for connections that they can't see. They're like a crowd of people unable to read music, peering at the score for a Bach sonata, trying to explain how one note leads to another.

As glorious as these patterns are, they also whet my appet.i.te for more. There are other patterns waiting to be discovered, gestalts of another scale entirely. With respect to those, I'm blind myself; all my sonatas are just isolated data points by comparison. I have no idea what form such gestalts might a.s.sume, but that'll come in time. I want to find them, and comprehend them. I want this more than anything I've ever wanted before.

The visiting doctor's name is Clausen, and he doesn't behave like the other doctors. Judging by his manner, he's accustomed to wearing a mask of blandness with his patients, but he's a bit uncomfortable today. He affects an air of friendliness, but it isn't as fluent as the perfunctory noise that the other doctors make.

"The test works this way, Leon: you'll read some descriptions of various situations, each presenting a problem. After each one, I want you to tell me what you'd do to solve that problem."

I nod. "I've had this kind of test before."

"Fine, fine." He types a command, and the screen in front of me fills with text. I read the scenario: it's a problem in scheduling and prioritizing. It's realistic, which is unusual; scoring such a test is too arbitrary for most researchers' tastes. I wait before giving my answer, though Clausen is still surprised at my speed.

"That's very good, Leon." He hits a key on his computer. "Try this one."

We continue with more scenarios. As I'm reading the fourth one, Clausen is careful to display only professional detachment. My response to this problem is of special interest to him, but he doesn't want me to know. The scenario involves office politics and fierce compet.i.tion for a promotion.

I realize who Clausen is: he's a government psychologist, perhaps military, probably part of the CIA's Office of Research and Development. This test is meant to gauge hormone K's potential for producing strategists. That's why he's uncomfortable with me: he's used to dealing with soldiers and government employees, subjects whose job is to follow orders.

It's likely that the CIA will wish to retain me as a subject for more tests; they may do the same with other patients, depending on their performance. After that, they'll get some volunteers from their ranks, starve their brains of oxygen, and treat them with hormone K. I certainly don't wish to become a CIA resource, but I've already demonstrated enough ability to arouse their interest. The best I can do is to downplay my skills and get this question wrong.

I offer a poor course of action as my answer, and Clausen is disappointed. Nonetheless, we press on. I take longer on the scenarios now, and give weaker responses. Sprinkled among the harmless questions are the critical ones: one about avoiding a hostile corporate takeover, another about mobilizing people to prevent the construction of a coal-burning plant. I miss each of these questions.

Clausen dismisses me when the test ends; he's already trying to formulate his recommendations. If I'd shown my true abilities, the CIA would recruit me immediately. My uneven performance will reduce their eagerness, but it won't change their minds; the potential returns are too great for them to ignore hormone K.

My situation has changed profoundly; when the CIA decides to retain me as a test subject, my consent will be purely optional. I must make plans.

It's four days later, and Shea is surprised. "You want to withdraw from the study?"

"Yes, effective immediately. I'm returning to work."

"If it's a matter of compensation, I'm sure we can-"

"No, money's not the problem. I've simply had enough of these tests."

"I know the tests become tiring after a while, but we're learning a great deal. And we appreciate your partic.i.p.ation, Leon. It's not merely-"

"I know how much you're learning from these tests. It doesn't change my decision: I don't wish to continue."

Shea starts to speak again, but I cut him off. "I know that I'm still bound by the confidentiality agreement; if you'd like me to sign something confirming that, send it to me." I get up and head for the door. "Good-bye, Dr. Shea."

It's two days later when Shea calls.

"Leon, you have to come in for an examination. I've just been informed: adverse side effects have been found in patients treated with hormone K at another hospital."

He's lying; he'd never tell me that over the phone. "What sort of side effects?"

"Loss of vision. There's excessive growth of the optic nerve, followed by deterioration."

The CIA must have ordered this when they heard that I'd withdrawn from the study. Once I'm back in the hospital, Shea will declare me mentally incompetent, and confine me to their care. Then I'll be transferred to a government research inst.i.tution.

I a.s.sume an expression of alarm. "I'll come down right away."

"Good." Shea is relieved that his delivery was convincing. "We can examine you as soon as you arrive."

I hang up and turn on my terminal to check the latest information in the FDA database. There's no mention of any adverse effects, on the optic nerve or anywhere else. I don't discount the possibility that such effects might arise in the future, but I'll discover them by myself.

It's time to leave Boston. I begin packing. I'll empty my bank accounts when I go. Selling the equipment in my studio would generate more cash, but most of it is too large to transport; I take only a few of the smallest pieces. After I've been working a couple of hours, the phone rings again: Shea wondering where I am. This time I let the machine pick it up.

"Leon, are you there? This is Dr. Shea. We've been expecting you for quite some time."

He'll try calling one more time, and then he'll send the orderlies in white suits, or perhaps the actual police, to pick me up.

Seven-thirty p.m. Shea is still in the hospital, waiting for news about me. I turn the ignition key and pull out of my parking spot across the street from the hospital. Any moment now, he'll notice the envelope I slipped under the door to his office. As soon as he opens it he'll realize that it's from me.

Greetings, Dr. Shea; I imagine you're looking for me.

A moment of surprise, but no more than a moment; he'll regain his composure, and alert security to search the building for me, and check all departing vehicles. Then he'll continue reading.

You can call off those burly orderlies who are waiting at my apartment; I don't want to waste their valuable time. You're probably determined to have the police issue an APB on me, though. Therefore, I've taken the liberty of inserting a virus in the DMV computer that will subst.i.tute information whenever my license plate number is requested. Of course, you could give a description of my car, but you don't even know what it looks like, do you?

Leon He'll call the police to have their programmers work on that virus. He'll conclude that I have a superiority complex, based on the arrogant tone of the note, the unnecessary risk taken in returning to the hospital to deliver it, and the pointless revelation of a virus which might otherwise have gone undetected.

Shea will be mistaken, though. Those actions are designed to make the police and CIA underestimate me, so I can rely on their not taking adequate precautions. After cleaning my virus from the DMV computer, the police programmers will a.s.sess my programming skills as good but not great, and then load the backups to retrieve my actual license number. This will activate a second virus, a far more sophisticated one. This will modify both the backups and the active database. The police will be satisfied that they've got the correct license number, and spend their time chasing that wild goose.

My next goal is to get another ampule of hormone K. Doing so, unfortunately, will give the CIA an accurate idea of how capable I really am. If I hadn't sent that note, the police would discover my virus later, at a time when they'd know to take super-stringent precautions when eradicating it. In that case, I might never be able to remove my license number from their files.

Meanwhile, I've checked into a hotel, and am working out of the room's datanet terminal.

I've broken into the private database of the FDA. I've seen the addresses of the hormone K subjects, and the internal communications of the FDA. A clinical hold was inst.i.tuted for hormone K: no further testing permitted until the hold is lifted. The CIA has insisted on capturing me and a.s.sessing my threat potential before the FDA goes any further.

The FDA has asked all the hospitals to return the remaining ampules by courier. I must get an ampule before this happens. The nearest patient is in Pittsburgh; I reserve a seat on a flight leaving early tomorrow morning. Then I check a map of Pittsburgh, and make a request to the Pennsylvania Courier company for a pickup at an investment firm in the downtown area. Finally I sign up for several hours of CPU time on a supercomputer.

I'm parked in a rental car around the corner from a skysc.r.a.per in Pittsburgh. In my jacket pocket is a small circuit board with a keypad. I'm looking down the street in the direction the courier will arrive from; half the pedestrians wear white air filter masks, but visibility is good.

I see it two intersections away; it's a late-model domestic van, Pennsylvania Courier painted on the side. It's not a high-security courier; the FDA isn't that worried about me. I get out of my car and begin walking toward the skysc.r.a.per. The van arrives shortly, parks, and the driver gets out. As soon as he's inside, I enter the vehicle.

It's just come from the hospital. The driver is on his way to the fortieth floor, expecting to pick up a package from an investment firm there. He won't be back for at least four minutes.

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Ted Chiang Compilation Part 3 summary

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