Patient presented with chronic abdominal pain and intermittent pleural effusion. Violent eruptions of black bile coming from both lungs.
I knew immediately I had to take the case. The other doctors wouldn’t understand. They are close-minded, unwilling to see the zebra standing in front of them until they’ve shot down a thousand horses beforehand.
I’ve seen weirder than zebras.
I slammed the file down on my desk and called for an O.R. – STAT.
There was doctoring to do!
“Hello Brian.” I smile broadly as he is wheeled into the theatre.
“Nice to meet you doc,” he croaks. Brian is a well-built man with a dark brow and searching eyes. I know instantly that he’s going to be one of those special patients, who will change as much in me with his words as I will in him with my surgical implements. I think he senses it too. “I’ve been hearing all about you,” he continues, “the maverick surgeon who can fix my mysterious illness.”
“That’s me.” It’s all about making him feel comfortable. Calm.
“Your card made me laugh.”
“My card?”
“Yeah, you know, like your business card card. What was it…” he spits up a wad of black bile, and then frames the words in the air shakily with his hands as he recites them. “’Dr. Lawrence Wimbledon – Unicorn Surgeon.’ Cracked me right up. I’m guessing you work with kids a lot?”
It took me a second to understand what he was implying. I feel a sudden flush of embarrassment.
“I see where you could have gotten mixed up there.” Don’t make a big thing of it. Don’t make him feel bad. Comfortable. Calm. “You see Brian, I put that on my card because I’m a unicorn.”
Silence.
“Doctor,” murmurs a nurse, “are we ready to begin?”
“Yes. Scalpel please.”
“Wait… Wait…” Brian’s no doubt trivial complaint is drowned out by another wave of vomiting.
“Making the first incision into the abdominal cavity…”
“Hey! HEY! Aren’t you going to anaesthetize me first?”
“Don’t worry Brian. I’ll just prod you with my magic horn and you won’t be able to feel a thing.”
“That’s… That’s clearly a syringe, WHAT ARE YOU PUTTING IN ME?!??”
The nurse looks concerned.
“Never mind him, Betty. The famed Arab psychologist Ishaq ibn Imran wrote that delusional fears and hallucinations were common symptoms of cerebral melancholia. Settle down Brian. This won’t hurt a bit.” The nurse whispers into my ear as I strap down the leather belts on Brian’s arms.
“But Doctor. Melancholia’s a made-up illness. Some old fairy tale from the Middle Ages. It’s not real.”
My equine nostrils flare as I contain my indignation. Keep it professional. Calm.
“You know, fairy tales can have feelings too…” I whisper.
“What?”
“I need you to believe in me, Betty. Can you do that? Do it for Brian here. Believe.”
All people ever need to do is believe. So few of them do.
“Making first incision -
“YOU ARE NOT A UNICORN!!!”
“You see this Brian? This is your kidney.” I waggle it up and down encouragingly. It flops back and forth, all shiny and slick. “Do you know how I know it’s your kidney? Because I’m a medically trained professional. Now can we please try to look past my race so we can find out what’s wrong with you?”
“I can see my intestines…” Brian proceeds to vomit on his intestines. I wipe the worst of it away with the kidney before plopping it back inside him. Brian has slippery organs. It’s times like this I wish I had hands!
“Aha! Got it!”
“You…” he vomits, but only mildly, “You found what’s wrong with me?”
“No. I removed your gall bladder.”
“Why?”
“You really don’t need it. It’s just clogging up valuable space you could be filling with happiness. Or rainbows. I think you’re going to find a lot more rainbows in your life after today Brian.”
“I thought… it was the appendix… you didn’t need.”
I lean in close now. This is important.
“So you accept that there are organs within the body that you don’t need?”
“I… I guess?”
“So if a doctor with 8 years medical training were to tell you that you didn’t actually need your gall bladder, you’d believe him, right?”
“Can I get a second opinion?”
“That’s not the point, Brian. You need to believe! That’s why this surgery isn’t working! You don’t want to be cured!”
“I do want to. You’re just crazy!”
“You’ve closed your mind, Brian. Look at yourself. Spending all this time ranting about how I’m not a unicorn –
“You are NOT a unicorn! I can see you! You have a nose and a beard and glasses for crying out loud!”
There’s a pause.
“Is it the magic thing? Is that it? You don’t think a mythical creature can thrive in a scientific field?”
“That… That wasn’t my point at all.”
“I know how penicillin works Brian. I know about chemical reactions and macro-biotics. And I know more about all of those things than anyone because I know they’re all powered by magic!”
Brian’s heart rate is skyrocketing. Thank god. It can only mean his iron-cast prejudices are being torn down, and this frightens him. But it’s okay.
Just make him comfortable. Calm.
“You’re nuts. This whole thing is nuts. I don’t even know what you’re doing anymore. You cut me open and… and…” His eyes rolling right to left and back, back into the skull. Teeth chattering. Body convulsing. He’s going into shock… or a seizure… or something. No time for all this medical mumbo jumbo. This is a time for action!
Time to believe.
“Brian,” I clasp his hand between my fore hoofs. “Brian I know what’s wrong with you, and I know how to fix it. But you have to trust me.” His flailing eyes flicker past mine for a moment. He’s listening. “Your lungs are slowly filling with black bile. This is obviously the work of an evil pixie – No, don’t splutter like that Brian. Okay? We don’t have time for your scepticism.” I hold his head in my hands. Heart rate climbing. He looks at me again, and holds my gaze. For a moment, everyone stops breathing. “I need you to believe. Just believe. In all of it. Pixies. Magic. Unicorns. Believe in me, Brian, and I promise you, you will survive this. Okay?”
He just nods.
“Nurse!” I roar. “Get me two milligrams of nebulized saline, stat!”
“Like I was saying, Brian,” I whisper to him as the nurse fetches the equipment. “A pixie is filling your lungs with goo. However, I happen to know he can only do this from within your lungs. Specifically, from a spot at the base of your trachea. So now we know where he is. And that means all I have to do is make a small incision to gain access to the area, shrink myself down to microscopic size, and then engage him in a magical duel…”
He just vomits.
“No, don’t worry Brian, it’s easy. Unicorns are excellent jumpers. You’ve seen horses going over fences? Well, I’ll be using more of a diving motion…”
Vomit and vomit and vomit. So much bile, just pouring out of him. For a moment, it stops coming. He looks up at me, gasping for breath.
“I believe you Doc. Do whatever you need to.”
“Fantastic. Great job, Brian. Okay. Ready nurse?”
She nods.
“Ready Brian?”
Vomit.
“Ready, Kidney-Puppet?”
“Yippeeeee!” he squeaks.
“Ha ha ha. I’m just fucking with you Brian.” Kidney-Puppet slops down onto a tray or something. “Seriously though, time for the hard work. Remember, just wish with your heart to be healthy, and you will be. I’ll see you when you wake up.”
He nods.
“Stand back, Betty. This is going to be messy.”
The nurse is staring at me. All I can feel is her eyes on the back of my head. All I can hear is the heart-rate monitor.
“EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE.”
He just… didn’t… believe… hard enough!
Why? Why can’t any of these stupid apes just believe? This destruction of the soul, this death of childish innocence. It’s the greatest sorrow that can befall a unicorn surgeon in these modern times.
I brush the worst of the gore off my scrubs, and look over at the nurse.
Her nametag says Emily.
“Nurse?”
“Yes Doctor?”
“Send in the next one.”




