(While all of this is going on, Catherine calls a jeweler and gets told that the gem-cutting part of making diamond jewelry is all done at a handful of centralized shops in New York and Russia and for some reason Arkansas, and retail jewelers only have finished gems.

She checks the McMaster Carr website and looks up their offices and determines that no, they physically don't have any distribution centers close enough to get her lapping grit in four hours even if she could get it by driving to one and making puppy-dog eyes. 

She checks the Grainger website and they have lapping compound, at very reasonable prices too, but it's diamond dust mixed into water and she can only find the MSDS for a different brand of the same stuff so she has to call them to determine what fraction of a 5g tube is diamond. They say ten percent. She says great, she needs thirty tubes right now, do they have thirty tubes? They say they definitely have a bunch but maybe not thirty. She says she really needs thirty, can they check please, it's important. They say they have twenty-four.

She says she'll buy all twenty-four right now over the phone and be by in a tick to pick them up, and when that's done she finds the second-closest Grainger, in Sacramento, which is a two-hour drive away, and they have ten. She buys eight, because this plan is getting crazy enough that she wants margin for error, and says she'll send someone over with the receipt to pick them up. She orders an Uber from that Grainger to the hospital, and paces, and walks out to her car, and nobody takes the Uber request, and nobody takes the Uber request, and she starts driving to the nearer Grainger. At a mostly reasonable speed, because she has seen what happens to reckless drivers. And once she has the first twenty-four tubes, she cancels the still-unaccepted Uber, gets on I-80 and starts driving southwest.)

"So, really pervasive, nonmagical damage, from a source that's not still present, and that can't heal on its own even with multiple days to do it in? That really sounds like the sort of thing Restoration can handle--and if it can't, then I'm afraid there's nothing else I can do that has a chance. But I think the odds are decent; Lesser Restoration did something and Restoration is strictly better."

Marian nods and relays this. They’re pinning an awful lot of their hopes on Restoration working and on being able to get diamond dust on a few hours’ notice but Catherine seemed very busy on the phone and she’s pretty organized, maybe she really can do it. 

Dr Chadra and Dr Harrison have printed off some medical papers with charts in them and have their heads together over them. Dr Chadra just mutters acknowledgement and they go back to whispering and annotating the charts with something, interspersed by Dr Harrison yelling at someone that they need to call the lab and get a differential with an absolute lymphocyte count specifically and they need to repeat the CBC with said differential every thirty minutes, after which point they go back to muttering to each other about whether it's even valid to extrapolate - 

This is probably incredibly fascinating and shiny but Marian will have to get a rundown from Dr Chadra LATER. Do they have a plan to ever get this guy off ECMO. Please tell her there's a time limit on doing this. She will absolutely sign up for a 16h today if it matters but she's not sure she can handle this particular task even for the rest of a normal shift. 

Samora can probably go back to reading about synthetic diamonds for now? At least pending some kind of decision on whether they want her to do anything else, Marian doesn't even know what the plan is now, she feels like there are arguments for both "use the Remove Diseases as soon as possible, because this guy has no fucking immune system" and "hold off as long as possible because he has no fucking immune system and it's only going to get worse." 

Samora will continue reading about high-pressure high-temperature diamond growth procedures with barely restrained glee. How big is a carat? Holy gods and all their saints. How much heat, how much pressure? A lot, wow. (Are there elementals that can do that? Vigil might need to bring in Felandriel Morgethai--side issue, not her job.) New tab, Guidance, new search on copied and pasted keywords. She's taking notes in Celestial; encryption or memorization would be better but she's not reliable enough with either. What's methane? Oh that's doable. (Phrenk would love this.) Carefully copying and labeling press diagrams. (And all this information is just available for free!) How pure does the vacuum have to be? Whole section of notes just on unit conversions with reference to measurable things in physical reality wherever possible. She's not sure which of these options is easiest but there's no world where she does the whole thing herself, she'll write down everything that even might help and the alchemists and wizards will take it from there. The might of Lastwall is behind her and the Inheritor's eyes are on her and when the Comprehend Languages runs out and the page she's on turns to incomprehensible runes she switches from summarizing in Celestial to transcribing it, character by character.

Wow Samora is so focused! And so smart and impressive! She's never used a computer and didn't know the internet existed before yesterday and Marian only showed her the copy and paste shortcuts a couple of times and she memorized them and is handling it practically on her own, Marian will still slip over every so often in case she gets stuck but it's going to be very easy to get stuck head-down in keeping up with all the charting. And labs! And they're starting dialysis, apparently, which on the one hand sounds like a great idea because their guy's scary potassium is not coming down and he has produced zero pee at and his electrolytes are just going to keep getting more fucked which is probably a whole lot of why he's hanging out in that horrible ventricular rhythm, but in the meantime it's the expected amount of rough on his hemodynamics and they're super not getting him off ECMO just yet and aaaaah. It's a good thing the unit is abruptly full of patients who don’t actually need to be there, because “1:1” does not begin to capture how much work this guy is.

That is SO COOL!