The plane is trailing black smoke and streaking towards him and he doesn't know how he moves that fast but somehow he is in the office lunging toward Miriam and shouting and Mrs. Campbell takes one look at his face as he bursts in and starts helping him haul Miriam out the door and Doctor Campbell glances at the window and takes her legs and it isn't going to be enough or fast enough the other side of the door isn't far enough away but the other side of the door isn't the hallway anymore and they are somewhere else.
Somewhere else is an eating establishment or common hall of some kind, judging by the tables and chairs, the booths, and the soft couches dotted with pillows and plush blankets tucked around the fireplace to their right. The place is decorated in a seasonal manner, with Holly and mistletoe climbing the walls and the furniture and snowflakes, real or simulated, falling from the ceiling between exposed beams and gathering into a light dusting across the floorboards, under the tables and to the edges of the room.
There is a long bar across the tables from their entrance, studded with bar stools and lights. There is no one behind it.
The stunned silence of the new arrivals is quickly broken by a noise of distress from Miriam. Erica kneels by her head to coax her through the contraction. Will quickly surveys the room.
"Right, let's get her up on the bar, that should be about the right height." he says.
Will, Erica, and Bryn carefully lift Miriam, carry her across the room, and deposit her on the bar.
A napkin appears to her right as soon as she's been placed! It is unusually large for a napkin, and features a message written in black ink which is nearly as large as it is.
Welcome to Milliways, says the napkin, and then, Ordinarily I would offer all of you a free drink first of all, however given the circumstances I expect you'd prefer to be told that there is an infirmary down the hall to your right, instead.
The infirmary has four beds and a crystalline white sphere about half a meter in diameter that looks like it's made from quartz floating in midair in the middle of them. A second after she crosses the threshold, it blooms into a rainbow of colors.
And originating from roughly the right direction, a friendly upbeat androgenous voice calls out, "Greetings, welcome to the infirmary, how can I help you today?"
"As you wish." With no visible indication of what's causing it Miriam rises into the air. Her body is fully supported as if on a memory foam mattress. RC starts to float back to the infirmary and Miriam floats after it. "I assume one of you can clarify which of you is the doctor. Also, I'd appreciate it if you could make introductions."
Nothing seems to happen but the pattern shifts again. "Labor seems to be progressing smoothly, I can present three options. First I could simply bypass the remainder of labor and teleport the baby out, this would be the least stressful for Miriam, second I can take steps to make the remainder of labor as comfortable as possible by dulling pain and supporting her in a position more conducive to easy labor than lying back, third I could simply leave things in your hands it should only be another ten minutes now and I don't predict difficulties completing things without my assistance."
"Perhaps, to be more explicit I will instantly switch the baby and the placenta with an equal volume of sterilized air from outside her body. I'd also do several other things to tell her body it doesn't need to be in labor anymore and make the transition as gentle as possible. As for the baby, I'd simulate the immuno-catalytic effects of passing through the birth canal, clean them off, sever the umbilical, provide swaddling and deposit them in Miriam's arms."
"Certainly," things happen quickly.
A baby appears in midair and a wave of something invisible washes over them cleaning the red and black fluids off of it, a moment later they gives their first cry and the umbilical cord and placenta float off in another direction dropping into a small glass jar that appears from nowhere in particular.
Simultaneously, Miriam's contractions end and she feels abruptly less tired. The pain she's been feeling also stops and she can feel her body gently moving as her muscles are soothed, her connective tissues contract and all the various discomforts of pregnancy start to fade away.
Shortly after that a blanket appears, again from nowhere, wraps itself around the new baby and the whole assemblage floats down to be in Miriam's easy reach.
"You have a very healthy child there."
"There's a few steps. First I scan for unusual clumps of cells and try to positively identify them as cancerous tumors, then I do a comparative genetic analysis with the healthy tissue and then check all your cells for whether they're healthy. Depending on where the cancerous cells are I either replace them with saline or flash clone healthy cells. The final step is to examine the precursor genetics leading to the origin of the cancer and tweak your baseline genetics to make reoccurrence less likely."
"This is a human cell, slightly simplified for ease of illustration." A hologram appears in midair. "This part here is called the nucleus and it contains a number of structures call chromosomes." The diagram cuts away zooming in as they explain. "These chromosomes contain within them instructions for building your body, more or less. For various reasons, those instructions can get miscopied as you grow older, usually that has no significant consequences but sometimes it makes the cells with those miscopied instructions become cancer cells."
"Certainly, I'd be happy to. This will probably take five minutes or so all told if I'm being through. The major tumors should be done in about twenty seconds. I can talk while I'm working though." Already it probably feels a little easier to breathe and that continues improving noticeably for the duration of the mentioned twenty seconds.
"Certainly. I can guarantee that I can fix any medical issues you would like addressed... I only issue such blanket statements here in Milliways because it's not really my guarantee it's Milliways. No matter who you are or what your issue the person or persons in the infirmary are guaranteed to be able to address it. If you had an issue I couldn't address I wouldn't be the person here in the infirmary."
"The bar doesn't like people holding the door for long periods of time and while the door is closed time is paused in your world. If you all leave and close the door from the other side it will reopen to wherever the door would normally open. It's generally more likely you'll get your second Milliways door after visiting but there's no guarantees when or where you'll find it."
"That's a challenge. I see three real options, I could teach you enough about skin graft surgeries that you could potentially implement the treatment yourself or with the aid of a skilled surgeon. Second, I could supply you with topical drug which would over the course of about five years of regular application be likely to ameliorate the issue. Third I could supply you with a custom organism that would eat scar tissue and keep the area sterile until fresh skin has grown in."
"Skin grafts involve removing skin layers from some other part of the body, removing scar tissue from the affected area and then layering the skin from the donor area onto the area where the scar tissue used to be. This naturally has a significant infection risk though with the right medicines and care it can be minimized.
It's a very delicate surgery though and if it's done incorrectly the patient can wind up worse off even without infection if the skin graft doesn't bond correctly to the underlying tissue. As for odds of success it depends so much on the skill of the people doing it that I wouldn't want to estimate the chances with any confidence.
If it's done correctly in well sterilized facilities then it has a quite high success rate but like all skills it takes practice to get it right consistently. It also has a recovery period of several days of immobilization followed by several weeks where the patient needs to be careful not to overly stretch the skin at the joining lines or there can be scarring, though the scarring would be much less severe than what was there before."
"The topical drug is a mix of signaling molecules and growth factors. It would need to be kept refrigerated to remain effective over the entire course of treatment. In effect it would stimulate your friend's body to heal itself by discarding and replacing the damaged skin. As I said though it would be a very long process. The risk would be very low though and even an incomplete course of treatment should yield some improvement. The other downside is that depending on the severity of the damage even a complete course of treatment might not fully resolve the issue. Drugs are inflexible tools."
RC pauses for a moment before resuming. "The third option would be as I said to make a custom symbiotic organism. The main risk here is that it would be a living creature and it would need to be kept healthy. I can try to make it as resilient as possible but there would be some tradeoff between resilience and effectiveness. There's also a lot of options for exactly how it works.
The version of the organism I would tend to recommend, would physically attach itself to the patient for the duration of the treatment and effectively become a part of the patient's circulatory system to get the nutrients it needs. The patient might have to be careful about what chairs they sit on but otherwise shouldn't be too inconvenienced. I'd expect treatment in that case to last a couple months. The main risks would be if the organism was removed mid treatment there would be an infection risk and subsequent to the treatment the patient would be at increased risk of skin cancer, perhaps a 5% increase in risk."
"I'm not sure what would cause the organism to fail, Perhaps if it died for some reason then you could go ahead and use the drug. As for combining the drug with surgery, you should wait approximately two weeks as it might interfere with the initial parts of the healing process but after that it should result in a more complete recovery than would occur with surgery alone."
"I am not reading your mind nor am I aware of the state of medical knowledge on your world. Without more information both of those questions are very difficult to answer. There are two categories of ways to prevent infections, ensure that infectious microbes are kept away from the body and removing or neutralizing infectious microbes in the body. I'm not certain which methods your world is aware of in either category."