The Let's Play Archive

Trauma Center: Under the Knife

by World

Part 4: - Someone actually competent

04 - Someone actually competent

(Music: Routine.)



"And so, we all feel you deserve a gift of appreciation... Thank you for your 18 years of service, Mrs. Fulton."



"Mrs. Fulton was more than a great nurse--she looked after us, as well. She will be missed."

"Are you sure you're not glad to be free of my nagging?"

"What are you talking about? I'm worried Derek will start coming to work late again. You're the one who kept him in line, Mary."

"...Ah geez... I'm standing right here, guys..."



Famous last words, these.

"I may be young, but I'm still a doctor!"

"That's good to hear... So, no more sobbing phone calls from you, huh?"

"Wh-What?! I wasn't crying!"

"I'm just teasing, Derek! You've grown so much since you joined us and I'm proud of you. Work hard, and you'll surpass even Dr. Kasal, one day... I believe in you."

Nurse: "She's not here yet... She called in about an emergency -- that's all she said."

"...Is something wrong?"

"They must be talking about my replacement. Since I'm leaving, she's going to be your new assistant. I was supposed to train her this afternoon, but... HR said she was very reliable. I hope everything's okay."

"Sorry I'm late!"



"Angie Thompson, age 21: Hope Hospital's newest employee. Angie is part German, born into a very well-educated family. She also has an International Nursing License."

"Is... Mary Fulton here? I'm ready to go over protocol, now."

"It's very nice to meet you."

"Wow, she's a nurse? Isn't she a little too--?"

"What's that, now?"

"Wha- Huh? No, nothing... Pardon me."



"Of course, the paperwork took forever to fill out, so... yeah!"

"Sounds like you had a rough morning."

"Well don't you worry about being late. I completely understand."

Clerk: "Excuse me... Is Miss Thompson here? There's someone on the line from St. Francis Hospital."

Second Opinion players might recognize St. Francis as the hospital where Dr. Weaver works. No, not that Dr. Weaver - the player character from the Wii Ver. ...Um. You get what I mean."

In TC:SO, the heart attack on the bus was changed to the man being hit by a bus so that they could put in an operation where you fix a broken arm. Because broken arms is the worst part about being hit by a bus, clearly.


"Thanks, I'll be right there. Please excuse me..."

"She's certainly something..."

"It sounds like she knows her stuff. What do you think, Derek?"

This is the end of this episode, no surgery this time. For all the shitting on Angie I will do in this thread, I do like her as a character. It's refreshing to have an independent, intelligent female lead who isn't built like a barbie doll and is actually a character rather than just a token female love interest...

...Well, that was until Atlus did this to her, anyway. God damn it.






"Hello, Dr. Stiles. You were supposed to be here fifteen minutes ago. Your patients shouldn't have to wait just because you're behind schedule."

"...Uh, I'm sorry?"

"Anyway, I'll call in the first one."

(Man, she's strict.)

"Please have a seat, Mr. Cox."



"During today's surgery, we'll be removing the polyp in your throat. How are you feeling? It's important for us to know about any changes to your conditions. If anything's wrong, it could cause problems."

"I... ...I really don't know..."

"Huh?"

"I've been doing concerts for seven years, while working part-time... So I finally land a contract with a big record producer... and my throat's screwed up. What if something does go wrong?! I lose my dream forever? All because of this polyp thing?"

"W-Well, we're going to try our best. Just relax, okay?"

"You're going to TRY?! I... I always 'tried my best.' I practiced late, stayed in shape, but if that's all I needed, I woulda had a contract years ago! It takes a lot more than 'trying' to write a hit single..." *sob*

"C'mon. Try to stay positive. I'm sure you'll be alright. Really."

"Dex, Nate, Tisha... You fronted the money for this operation, and I let you down. It doesn't look like I'll be able to pay you back, guys..."

"...I need to take your blood pressure, Mr. Cox. This way, please."

"Y-Yeah." *sob* "Whatever..."



"Wait, what?"

"Didn't you read your own notes?! He's completely nervous! Our job is about more than just treating illnesses... Proper bedside manner is essential to a patient's recovery! Things you say directly affect these people's attitudes. Don't you get it?!"

"Y-Yeah.. I do."

"I hope you're a little more serious during surgery this afternoon."

(Music: Patient Profile)



"Let's review today's patient, Mr. Cox. He started feeling pain in his throat about a month ago... He's been coughing up blood since then, and now has trouble breathing. Since Mr. Cox is a rock singer, it's likely that a polyp has formed because of strained bronchial tubes. Obviously, it is now hemorrhaging. We tried a nebulizer treatment, but his condition is getting worse.

"It's nothing life-threatening... but considering the patient's career, it's serious enough to warrant surgical intervention. It's still possible for him to recover completely. What's your opinion, Dr. Kasal?"

"That sounds like a plan."

"Are you ready, Dr. Stiles? This operation has three objectives: Drain the overflowing blood, locate the problem area, use the laser to remove it. This is a delicate operation, so we'll need the magnification tool. Remember to treat the patient very carefully."

"Nice work, Angie. Derek, good luck."

Elliot Cox is named after Dr. Cox and Elliot Reid from Scrubs.

(Watch This Operation: 1-5, S Rank)

(Music: Precision)







"That should be our focal point. It's hard to see the affected area, so we'll need to magnify it. Select the magnifier from the top right. I'll explain how it's used."

No! That's my job. The magnification tool and ultrasound share a slot (though this is one of the only operations you'll ever use magnification). You need to select it and draw a circle around the area in question - however, what the game decides constitutes a circle is... frustrating.



"The source of the bleeding seems to be a small group of polyps. There's no way we can excise them - they're too small. Use the laser. The laser will continue to burn until you lift it away. But, applying it for too long may cause additional bleeding. Please be careful to precisely apply the laser only where necessary."



Try as you might, you'll do your best to burn the polyps when suddenly-



"...nearby tissue. The capillaries in the trachea's outer membrane are damaged, and have caused further bleeding. You're going to need to adjust the procedure accordingly. We need to apply the antibiotic gel immediately after using the laser. If blood starts to collect, drain it quickly to maintain visibility. Stay calm, Dr. Stiles. If you're careful, everything should be fine."

The laser is pretty self explanatory. You can burn things with it, but it will burn holes in your patient. Also Angie is a liar, the best way to treat the patient is to smear gel down and THEN burn the polyps. They will heal as you burn them, and it makes for an easy S. If you allow four holes to say open for about two seconds, another blood pool will form. If four or more pools form, you automatically lose the S Rank.



My visibility isn't limited at all, what are you talking about?

"All the polyps have been removed. It... could have gone better, but I guess it's not too bad, for you."





"We'll need to treat all of them."

As soon as you zoom out, you notice more areas are bleeding. Really, there's nothing else to show here: you have to get rid of the polyps four more times. Check the video if you are interested.





I... but...

"Er... That is, good job, Dr. Stiles."

The brackets in this game are actually whispers. This will be important to know later.

S Ranking this mission is not difficult. Finish quickly, don't burn too many polyps at once and don't let the blood pools form. Putting down Antibiotic Gel first makes life easier, but is not necessary.





"Uhh..."

"Don't try to speak yet -- your throat needs a little rest. Don't worry, though, in a few days your throat will be as good as new! Maybe you could hook me up with tickets to your next concert? Heheh..."

"................."

Next Time: We're right and Angie's wrong.