Disclaimer: I don't own any of these characters. If I did, I'd be rich.Am I rich? No. So don't sue me. The Star Trek universe and everything withinit belongs to Paramount and Viacom, but the story is my own. Copyright February,1998


"CALCULATE SOLUTION"

by Thyme


Two.

Two patients, equally injured, both in imminent danger of dying. Thereis only time to save one. Determine which receives treatment.

Stop. Reverse. Review known variables from given information, calculatesolution.

Two patients. Solution: treat both patients.

Equally injured. Solution: give same treatment to both.

Review treatment needed, calculate time needed to perform.

Treatment is a spinal shunt, a complex operation separating the spinefrom skull, preventing neurological degradation and death. A maximum offour minutes is needed to complete the operation.

Both patients are degrading at the same rate. There are only four minutesuntil both patients die.

Solution: there is only time to save one.

Calculate possible effects of patient One living, versus patient Twoliving, and vice versa. Determine which should be treated.

Solution: two patients.

Patient One, patient Two.

Patient One, patient Two.

Patient One, Ensign Harry Kim.

Stop. Reverse. Review known variables from given information, calculatesolution.

Two patients, equally injured, both in imminent danger of dying. Thereis only time to save one. Determine which is left to die.

Two patients. Solution: review database, determine which is more likelyto survive treatment.

Equal.

Stop. Reverse. Review known variables from given information, calculatesolution.

Two patients, equally injured, both in imminent danger of dying. Thereis only time to save one. Whom do I treat?

Two patients. Solution: two patients.

Continue. Equally injured. Solution: treat both.

Review treatment needed, calculate time needed to perform.

Treatment is a spinal shunt, a complex operation separating the spinefrom the skull, preventing neurological degradation and death. Only a doctorhas the skill and precision needed to perform treatment. There is only onedoctor. A maximum of four minutes is needed to complete the operation.

Both patients are degrading at the same rate. There are only four minutesbefore both patients die.

Solution: both will die in four minutes if I don't operate.

Two patients.

Calculate possible effects of triage situation with two patients, completelyequal in damage and likelihood of death/life. Query: what decision doesthe EMH make in such a situation? Use given information and all variables.

Solution: no solution. That situation is not provided for within theEMH program.

Stop. Reverse. Review known variables from given information, calculatesolution.

Two patients, equally injured, both in imminent danger of dying. Thereis only time to save one. Determine who dies because of my decision.

Two patients.

Review database.

Patient One: Ensign Anhi Jetal. Interaction history follows. Medicalhistory follows. End.

Patient Two: Ensign Harry Kim. Interaction history follows. Medical historyfollows. End.

Stop. Show summaries of both patients' interaction histories.

Patient One: forty-eight separate instances of direct interaction. Fullhistory follows.

Patient Two: one thousand, nine hundred and thirty-seven separate instancesof direct interaction. Full history follows.

Stop.

Query: are the numbers given in the interaction history summaries correct?

Solution: Yes.

Stop. Reverse. Review known variables from given information, calculatesolution.

Two patients, equally injured, both in imminent danger of dying. Thereis only time to save one. Whom do I kill?

Calculate possible chain of events if outside source makes the decision.Query: would the outcome of the situation be different?

Solution: no solution. Insufficient information to derive solution.

Query: what if the situation is not dealt with by the EMH program? Calculatesolution. Use given information and all variables excluding the EMH decisionprocess.

Solution: patient Two.

Stop. Refer to this solution as Solution 1 until directed otherwise.

Show decision chain for Solution 1.

There are two patients, both of whom should be treated. Both are equallyinjured, therefore the same treatment must be given to both. The treatmentof both requires more time than given, and both patients are degrading atthe same rate. In the given time, only one patient can be treated. Bothare completely equal in terms of survival, rank, importance of current work,and effect on crew if death occurs. Since both patients are completely equal,decision must be based on personal preference of decision-maker. Of thoseavailable for consultation, patient Two would be his/her choice.

Solution: patient Two.

Stop. Query: can solution be acted out by EMH program?

Solution: no solution. That situation is not provided for within theEMH program.

Stop. Query: no query. Reverse. Review known variables from given information,calculate solution.

Two patients, equally injured, both in imminent danger of dying. Thereis only time to save one.

Query: can the EMH expand past its original programming so that Solution1 can be acted out? Calculate.

Solution: no solution. That situation is not provided for within theEMH program.

Calculate possible effects of EMH program running long-term. Use allavailable information from database, and all possible variables. Query:can the EMH expand past its original programming?

Solution: yes.

Stop. Refer to this solution as Solution 2 until directed otherwise.

Recalculate Solution 1 with the EMH as the decision-maker. Two patients,equally injured, both in imminent danger of dying. There is only time tosave one. Query: which receives treatment? Use all available informationand given variables.

Solution: patient Two.

Query: why?

Solution: the EMH program must make a decision based on personal preference.

Stop.

Query: is the original EMH program capable of making such a decision?Calculate using known variables and all available information excludingSolution 2.

Solution: no.

Query: why?

Solution: the EMH program is incapable of having a personal preference.

Stop. Reverse. Review known variables from given information, calculatesolution.

Two patients, equally injured, both in imminent danger of dying. Thereis only time to save one. If I care for one more than the other, will thateffect my decision?

Solution: yes.

Query: is it wrong to choose based on preference rather than probabilityof survival?

Solution: yes.

Query: is it wrong to choose based on preference if patients are otherwisecompletely equal?

Solution: two patients.

Query: was I wrong? Query: did I kill her? Query: is it my fault?

Stop. Reverse. Ignore previous queries.

Query: can EMH program continue functioning after given situation? Useknown variables, given information, and Solutions 1 and 2. Calculate.

Solution: no solution.

Two patients.

END


Story © 1998 by Thyme. Reproduced on the Official Robert Picardo Home Page with permission of the author.

Back to Holodoctor Fanfiction