Part 2: 2: Learning the Ropes
Chapter 1-2: Learning the Ropes
Note: In UtK, this chapter is predictably titled Standard Procedure 2.
Seeing as how there's almost nothing new here visually, I'd like to show some of the characters as they appeared in the original art style. Special thanks to Cherrydoom, since I'm stealing and rehosting her pictures from the abandoned UtK thread.
Mary comes first, since I hate her new look so much. Note the change in outfit color from pink to white.
Mary: It's benign, but you should be prepared for anything. Any questions, Dr. Stiles?
Derek: Yeah, I'm fine... Thanks anyway.
Since, he is out main character, we'll next take a look at Dr. Stiles' original look.
Thankfully, he wasn't butchered like Mary.
Mary: Were you even listening? I know you're stressed, but this just so happens to be your job. Are you getting enough sleep? You need at least six hours a night! I'm sure they went over that in med school. These patients are depending on you!
Finally, a look at Dr. Kasal's DS look.
Something feels a little "off" about him now.
Kasal: Have you read the report?
Derek: ...I haven't, actually...
Kasal: You need to shape up-this is real life. We aren't playing games.
Mary: You've been here three years, Derek. We shouldn't have to babysit you. This might be grounds to open an investigation. "The impaired medical and social development of Dr. Derek Stiles.
Derek: Harsh... cut me some slack, Mary.
How he got through med school, I'll never know.
Kasal: You're not a resident doctor anymore, Stiles. You know that. By the way, Mary... I spoke with Dr. Hoffman.
Mary: Thank you very much.\
Derek: Wait, you spoke with the director? ...About what?
A notice: From here on I think I'll start trimming some of these ridiculous ellipsis from the script.
Mary: Don't worry. It's none of your business.
Kasal: It's a personal matter. Forget I ever mentioned it.
Derek: Are you going on vacation or something? I wouldn't mind a nice cruise, myself. Lounging in the sun... the sea stretching-
Mary: Okay, okay, that's enough. We have an operation to perform.
This patient name could be a combination of Noah Wyle, who plays Dr. John Carter in ER, and Hugh Laurie, who plays House, M.D. Plenty of patient names seem to match actors, and occasionally characters, from those shows, as well as Scrubs.
Distal is used to refer to the point furthest from the origin, especially in the limbs. For example, the hand when compared to the rest of the arm. The stomach isn't a limb, so in this case it means further down the digestive tract. The opposite of distal is proximal.
Kasal: Two years ago, tests indicated that it was small and benign. However, it's grown rapidly and started to hemorrhage. At this rate, it might become malignant.
This is more well-known, but benign tumors aren't cancerous. In short terms, the difference is that malignant tumors are growing and invading surrounding tissues.
Kasal: After talking with Mr. Laurie, we've decided to remove it. There is one objective in this operation:
- Excise and remove the tumor in the patient's distal stomach.
That is all. But, you'll need to remove the tumor using the Powell Procedure. First, drain the tumor's cytoplasm to decrease its size. Then, once you excise it, the cells can't metastasize, resulting in a smaller incision. There seems to be a trend towards this type of removal. It's a good idea for you to learn it.
The PP is just something Atlus made up for Trauma Center. In the game's timeline, cancer is nearly a thing of the past, according to the manual.
I tried to add some fades to make the little cutaways less abrupt in this one. It was at least partially successful.
If you want to skip the screenshots, then simply proceed to the "Operation Successful" screenshot.
As with almost every operation, you need to start with the initial incision. It's always the same process.
Your first lesson is on using the syringe to restore vitals. I've mentioned that antibiotic gel can do it, but in the thick of things, you'll need to inject "stabilizer" directly into the patient.
There's no limit to how often you can do this (although this particular operation stops letting you select the syringe after you do it here) but tools will become temporarily unavailable if you use them too much.
The next step is using the ultrasound to find the hidden tumor. The location never changes, so you can use this image as a guide if you play. If you use the ultrasound a little too far away, the shadow will appear for a brief moment and then disappear. In UtK, this reduced your special bonus in this particular operation, but it's no issue in SO.
This time, the game makes you keep trying until you get it, but normally it's possible to make the incision without any visual aid.
You reveal the tumor with the scalpel. The next step to actually extract it is to use the drain tool.
The drain is a very simple point-and-click affair on the Wii, so draining the cytoplasm is no big deal. Once you do that, the guideline appears to cut it out with the scalpel.
Next, you simply remove the tumor with your forceps. Now, you need to treat the wound.
Once the tumor is removed, a tray with the synthetic membrane will appear. You just use the forceps to place it where the tumor was. Mary is saying "first" here, but applying the antibiotic gel is the last step-the membrane will affix itself and disappear with just a little gel. The fact that she says "first" is probably an oversight, as in UtK you needed to use the hand tool to massage the membrane until it was fully attached to the organ.
With that, you've actually completed the entire operation. All that's left is to close up the patient.
That was a brief operation, but you'll be seeing more tumors later, and they won't be so easy to deal with.
There are only three places to earn your Cools in this operation: the initial incision, stitching him back up, and the bandage. On hard, you'll need all three for the XS-rank. You can normally Cool a tumor extraction, but it can't be done in this operation at all.
I'm playing on normal, so this is as good as it gets.
He says that no matter how much you rush and screw up. In the original script, I believe he says you "prefer accuracy over speed."
Kasal: Just remember that the patient's safety always comes first.
Mary: You're getting better every day. Keep up the good work!
End of Chapter 1-2