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The Ableist Man in the World by Edward Page Mitchell:
Science Fiction Inventions, Technology and Ideas
Nevertheless, the new symptoms developed themselves with a rapidity and poignancy that made Fisher feel uncommonly anxious. Savitch's face became as white as marble--its paleness rendered startling by the sharp contrast of the black skull cap. His form reeled as he sat on the bed, and he clasped his head convulsively with both hands, as if in terror lest it burst.
"I had better call your valet," said Fisher, nervously.
"No, no!" gasped the baron. "You are a medical man, and I shall have to trust you. There is something-wrong-here." With a spasmodic gesture he vaguely indicated the top of his head.
"But I am not-" stammered Fisher.
"No words!" exclaimed the Russian, imperiously. "Act at once--there must be no delay. Unscrew the top of my headl"
Savitch tore off his skullcap and flung it aside. Fisher has no words to describe the bewilderment with which he beheld the actual fabric of the baron's cranium. The skullcap had concealed the fact that the entire top of Savitch's head was a dome of polished silver.
"Unscrew it!" said Savitch again.
Fisher reluctantly placed both hands upon the silver skull and exerted a gentle pressure toward the left. The top yielded, turning easily and truly in its threads.
"Faster!" said the baron, faintly. "I tell you no time must be lost." Then he swooned.
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