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A heavily pregnant woman with severe pneumonia is struggling to breathe, prompting an urgent rush to the hospital. The situation escalates as concerns arise about her mother's breathing difficulties, heightening the urgency of the medical response. The text emphasizes the risks during childbirth, particularly the potential for significant blood loss. Additionally, it introduces Dr. Barry Kerby, who has been a medical practitioner in the Milne Bay area for three decades. Initially arriving as a builder after hearing his father's war stories, he reflects on the unique and enduring culture of the islands and the limited contact with the outside world, highlighting the significance and challenges of providing healthcare in this remote region.