Over the course of its nearly 30 years in orbit, the International Space Station has played host to more “firsts” than can possibly be counted. When you’re zipping around Earth at five miles per second, even the most mundane of events takes on a novel element. Arguably, that’s the point of a crewed orbital research complex in the first place — to study how humans can live and work in an environment that’s so unimaginably hostile that something as simple as eating lunch requires special equipment and training.

Today marks another unique milestone for the ISS program, albeit a bittersweet one. Just a few hours ago, NASA successfully completed the first medical evacuation from the Station, cutting the Crew-11 mission short by at least a month. By the time this article is released, the patient will be back on terra firma and having their condition assessed in California.  This leaves just three crew members on the ISS until NASA’s Crew-12 mission can launch in early February, though it’s possible that mission’s timeline will be moved up.

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