The Let's Play Archive

Trauma Center: Under the Knife 2

by 1234567890num

Part 16: For the Future





Yeah, but it's not gonna work on just anyone, because of how it's designed. The one you've got there is made specifically for that Mexican kid from Elysium. It's custom tailored to his DNA.
That's great! That means Emilio can look forward to a full recovery!
Hey, don't start celebrating yet! There could still be side effects! And make sure you pay close attention to his liver when you administer it.
I hope this means we'll have medicine ready for Linda and the other patients soon, too.
Thank you for your hard work, Victor. Although, it's problematic that each patient's medication must be custom made.
It looks like we made the right choice, partnering with Acropolis Pharmaceutical. They should be able to help us.
Actually, the variables are so limited, I'd say we don't even need them, but-- Whatever, let's just let them handle it. We've still got that other problem to deal with.
...What problem?



Oh for crying out loud... You forgot already!? Remember that new strain of GUILT that kid had!? Is that ringing any bells...?
There isn't much to go on yet, but hey, now that I'm on it, it's as good as solved!



Hm? Oh, hello, Ms. Mayuzumi.
I saw you on TV the other day.
You did!? Well... I watched it myself. I'm so embarrassed...

I thought that was a live interview?

Nonsense. You looked great on screen.
R-Really...?
...So, what brings you by today?
I came to request an operation.
...What?
However, it's already been agreed upon, so I'm sure Director Hoffman will explain it to you later.
Wait... What are you saying?
I had this little idea while I was watching your operation on TV... I'd like to have you hooked up to a device that will monitor you during your next procedure.
...So you'd be recording my every move!? But, why!?
To research your techinques, of course. Really, superior skills like yours should be exhibited more openly. Think of the good it would do for all the young doctors, freshly entering the field.
...I guess that makes sense... As long as that's the case, I don't mind.
Thank you, Derek.
So, what condition will I be treating?



Aneurysm is the bulging of a blood vessel wall caused by it weakening. The weakening can be caused by disease or genetic.

It's also the hardest regular operation in the series...


It certainly won't be as easy as the operation you did on TV...
The difficulty of the procedure doesn't matter. I always operate with everything I can give.
Excellent people have the right to be paid what they're worth. I've always believed that. I mentioned a director's chair, but I may even be able to make you Head Director... How about it?
I... still need some time to think about this...
I'll be looking forward to good news after the operation, then. See you later.
......



I'm totally against having you monitored during an operation! You'd be performing the procedure wired up to cameras and sensors-- How could you even work!? It'll just put excessive strain on you and raise the risk level of the entire operation!
Angie, there's nothing I can do. I've already agreed to it.
What...!? Doctor! Why do you always make these rash decisions!? You need to be more aware of the fact that first and foremost, you're a doctor!
I AM aware of that! But... If what I do here can help other doctors... How can I say no!?
......
...... I'm sorry. I didn't mean to yell. I understand that you're worried, but... I'll be OK. I can complete the operation, even with their devices on me.
......



Acropolis Pharmaceutical referred the patient here and according to the examination results, he is in critical condition.
How bad is it, Angie?
Well, there are numerous aneurysms inside his large intestine and they're so swollen that they could rupture at any time. If we don't hurry and treat them, he could--
Sounds pretty urgent. We should begin immediately.
Yes, Doctor. The objective of this operation is: That should do it, but... Not only do we have to excise the aneurysms and suture the blood vessels we'll also need to use synthetic blood vessels for the larger ones. It's a lot to do all at once.



Operation Video


Let's begin. Doctor... are you sure you'll be alright with all those monitoring devices you're wearing? They may be a burden...
I'll be fine, Angie. Let's get started.
...Understood.



Aneurysms have been confirmed. We were told they had become enlarged, but we'll still be able to treat them with normal methods. Please allow me to confirm the operational procedure. First, we'll inject the brown sedative into the aneurysm to constrict it. Next, we'll excise the aneurysm and extract it. ...Do I have it right, Doctor? Then, let's begin the treatment.



The main thing about aneurysms is that they'll grow bigger over time. If the size is too big, it'll burst, resetting our combo, taking away one bonus (there's ALWAYS one for no aneurysm bursting), and dropping our vitals heavily.

Injecting them will reduce the size, which will give us some time before it bursts. Once it's small enough, we can cut them. But if we take too long, it will grow back and we'll get our rank reduced for that particular aneurysm.




After that, we'll have to remove the bloated vessel, drain the blood pool, drag the vessels together, and suture them. Because we cut the aneurysms, they won't grow/burst anymore.

For some reason, having the bloated vessel around will drain the vitals much more than having it removed even with all the blood pools leaking out




Of course, the game won't let us go with just one small aneurysm.

Wh-What is this!? Look at the size of that aneurysm...
But the treatment for it should be the same as a normal aneurysm until we extract it. After that, we'll be placing a synthetic blood vessel to connect the loose ends. Inject the sedative and excise it first.

Well, that's not exactly correct. You see, the large aneurysms takes more time to burst, but that also means that they require more injections.



NB we have to rotate the synthetic vessel according to the blood vessels. Due to the lack of Motion Controls™ in this game, we don't have to do that

Sometimes the suturing for these can be kinda finicky. But at least it's impossible to get a Miss when suturing except when closing the patient up.




M-More aneurysms!?
They may have formed in other areas as well... Please check with the magnification tool!

The main difficulty of aneurysm operations is that they come in waves. This one has two small and one big aneurysms. Inject and cut the small ones before dealing with the big one; don't try to fully treat everything before moving on.



There's still more left...!? Doctor, multiple aneurysms have formed, yet again! All of them are on the verge of bursting. Please treat them quickly!

This wave has two each of big and small ones. It's a good time to use the Healing Touch...

...or it would be if we can actually use it




So yeah, we have to juggle all these aneurysms (or just let one burst). Make sure to cut the smaller ones first as they will burst quicker.

After this wave, we're done. Or at least that's what I'd like to say...


What!? Doctor, m-more aneurysms have formed...!
Ngh... I can't believe this! but I'm not giving up!



...I will save this patient, no matter what!

This wave has three small and two big. But with the Healing Touch, there's no danger of bursting

This Healing Touch will last until we suture the last of those five


All the aneurysms have been treated. There... are no signs of any more forming.
Vitals have stabilized as well. He's going to be alright!

So we close the patient up.

Operation complete. You did a great job, Doctor.
(So, that was the Healing Touch! It's amazing that anyone could wield such power...)
Doctor, have the monitoring devices made you tired? I think you should get some rest right away...





The bonus I'm missing is the one for completing the operation within 2 minutes, which is kinda bullshit if you ask me.



You must be out of your mind, Dr. Stiles!
...I'm sorry. I've given it a lot of thought, and this is the conclusion I've reached. I'd rather be seeing my patients, face to face than doing deskwork in some cushy office.
......
I'm very grateful that you think so highly of me, Ms. Mayuzumi. But this is how I feel. To treat people suffering from serious illnesses at Caduceus, and make them smile again... That's my personal idea of success.
*sigh* Oh, well... What a shame. But I guess this time, I'll give up.
I'm very sorry.
Well, our organizations will still be cooperating, right Doctor? I see no reason why the two of us can't continue to assist one another.
Of course! If I can be of any help whatsoever, please don't hesitate to ask. And again... thank you very much for your offer.
I look forward to continuing to work with you.
Yes... Well then, if you'll excuse me...
Sure. I'll see you around, Doctor.

*Derek leaves*

(Fool of a man! Well, it doesn't matter anyway. This wasn't exactly the plan, but I've already got the data I need on his Healing Touch. You're completely worthless to us now, Dr. Stiles...)

I'm sure everything is fine. Definitely no evil plan here or whatever.

By the way, I'm not counting aneurysm operations as plagiarism the same way I'm not counting tumor operations.