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I reach for my city, so far away, so inseverable from myself. Ready? I ask New York.

Fuck yeah, it answers, filthy and fierce.

We go forth to find this city’s singer, and hopefully to hear the greatness of its birthing song.

CAROLINE M. YOACHIM

Welcome to the Medical Clinic at the Interplanetary Relay Station | Hours Since the Last Patient Death: 0

FROM Lightspeed Magazine

A. You take a shortcut through the hydroponics bay on your way to work and notice that the tomato plants are covered in tiny crawling insects that look like miniature beetles. One of the insects skitters up your leg, so you reach down and brush it off. It bites your hand. The area around the bite turns purple and swollen.

You run down a long metal hallway to the Medical Clinic, grateful for the artificially generated gravity that defies the laws of physics and yet is surprisingly common in fictional space stations. The sign on the clinic door says HOURS SINCE THE LAST PATIENT DEATH: The number currently posted on the sign is zero. If you enter the clinic anyway, go to C. If you seek medical care elsewhere, go to B.

B. You are in a relay station in orbit halfway between Saturn and Uranus. There is no other medical care available. Proceed to C.

Why are you still reading this? You’re supposed to go to C. Are you sure you won’t go into the clinic? No? Fine. You return to your quarters and search the station’s database to find a cure for the raised purple scabs that are now spreading up your arm. Most of the database entries recommend amputation. The rash looks pretty serious, and you probably ought to go to C, but if you absolutely refuse to go to the clinic, go to Z and die a horrible, painful death.

C. Inside the clinic, a message plays over the loudspeakers: “Welcome to the Medical Clinic at the Interplanetary Relay Station, please sign your name on the clipboard. Patients will be seen in the order that they arrive. If this is an emergency, we’re sorry—you’re probably screwed. The current wait time is six hours.” The message is on endless repeat, cycling through dozens of different languages.

The clipboard is covered in green mucus, probably from a Saturnian slug-monkey. They are exceedingly rude creatures, always hungry and extremely temperamental. You wipe away the slime with the sleeve of your shirt and enter your information. The clipboard chirps in a cheerful voice, “You are number 283. If you leave the waiting room, you will be moved to the end of the queue. If your physiology is incompatible with long waiting-room stays, you may request a mobile tracker and wait in one of our satellite rooms. The current wait for a mobile tracker is four hours.”

If you decide to wait in the waiting room, go to D. If you request a mobile tracker, go to D anyway, because there is no chance you will get one.

D. You hand the clipboard to the patient behind you, a Tarmandian Spacemite from the mining colonies. As you hand it off, you realize the clipboard is printing a receipt. The sound of the printer triggers the spacemite’s predatory response, and it eats the clipboard.

“Attention patients, the clipboard has been lost. Patients will be seen in the order they arrived. Please line up using the number listed on your receipt. If you do not have a receipt, you will need to wait and sign in when a new clipboard is assembled.”

If you wait for the new clipboard, go back to C. If you are smart enough to recognize that going back to C will result in a loop that does not advance the story, proceed to E.

E. Instead of waiting in line, you take advantage of the waiting-room chaos to go to the nurses’ station and demand treatment. There are two nurses at the station, a tired-looking human and a Uranian Doodoo. The Doodoo is approximately twice your size, covered in dark brown fur, and speaks a language that only contains the letters d, t, b, p, and o. If you talk to the human nurse, go to F. If you talk to the big brown Doodoo from Uranus, go to G. Also, stop snickering. The planet is pronounced “urine iss,” not “your anus.”

F. The human nurse sees the nasty purple rash on your arm and demands that you quarantine yourself in your quarters. If you accept this advice, go back to B. Have you noticed all the loops in this story? The loops simulate the ultimate futility of attempting to get medical care. What are you still doing here? Go back to B. Next time you get to the nurses’ station, remember to pick the nonhuman nurse.

G. You approach the Uranian nurse and babble a bunch of words that end in oo, which is your best approximation of Doodoo language. Honestly, the attempt is kind of offensive. The Doodoos are a civilization older than humankind, with a nuanced language steeped in a complex alien culture. Why would you expect a random assortment of words ending in oo to communicate something meaningful?

Thankfully, the nurse does not respond to your blatant mockery of its language, so you hold out your arm and point to the purple rash. In a single bite, it eats your entire arm, cauterizing the wound with its highly acidic saliva. The rash is gone. If you consider yourself cured, proceed to Y. If you stay at the clinic in hopes of getting a prosthetic arm, go to H.

H. You approach the human nurse and ask about the availability of prosthetic limbs. He hands you a stack of twenty-four forms to fill out. The Doodoo nurse has eaten the hand you usually write with. If you fill out all the forms with your remaining hand, go to I. If you fill out only the top form and leave the rest blank, hoping that no one will notice, go to I.

I. The nurse takes your paperwork and shoves it into a folder. He leads you down a hallway to an exam room filled with an assortment of syringes and dissection tools. “Take off all your clothes and put on this gown,” the nurse instructs, “and someone will be in to see you soon.” If you do what the nurse says, go to J. If you keep your clothes on, go to K.

J. The exam room is cold and the gown is three sizes too small and paper-thin. You sit down, only to notice that the tissue paper that covers the exam table hasn’t been changed and is covered in tiny crawling insects that look like miniature beetles. Sitting down is a decision that has literally come back to bite you in the ass. If you leap up screaming and brush the insects off your bare skin, go to L. If you calmly brush the insects away and then yell for someone to come in and clean the room, go to L.

K. Three hours later, the doctor arrives. You are relieved to see that she is human. You ask her if she can issue you a prosthetic limb. She says no, mumbles something about resource allocation forms, and leaves. If you accept her refusal and decide to consider yourself cured, go to Y. If you scream down the hall at the departing doctor that you must have a new arm, go to L.

L. A security officer comes, attracted by the sound of your screams. Clinic security is handled by a six-foot-tall Tarmandian Spacemite with poisonous venom, sharp teeth, and a fondness for U.S. tax law. If you run, go to M. If you are secretly a trained warrior and decide to kill the Tarmandian Spacemite with your bare hands so you can eat its head, go to N. If you sit very still and hope the Tarmandian Spacemite goes away, go to O.

M. Running triggers the predatory instincts of the Tarmandian Spacemite. Go to Z.

N. You use your completely unforeshadowed (but useful!) fighting skills to overpower the security officer. The head of the Tarmandian Spacemite is a delicious delicacy, salty and crunchy and full of delightful worms that squiggle all the way down your throat. Unfortunately, you forgot to remove the venomous fangs. Go to Z.

O. You sit perfectly still on the exam table, and tiny insects that resemble miniature beetles crawl into your pants and bite you repeatedly, leaving a clump of purple bumps that look suspiciously similar to the scabby rash you had on your arm when you arrived at the clinic. When you’re sure the Tarmandian Spacemite is gone, go to P.