Register a SA Forums Account here!
JOINING THE SA FORUMS WILL REMOVE THIS BIG AD, THE ANNOYING UNDERLINED ADS, AND STUPID INTERSTITIAL ADS!!!

You can: log in, read the tech support FAQ, or request your lost password. This dumb message (and those ads) will appear on every screen until you register! Get rid of this crap by registering your own SA Forums Account and joining roughly 150,000 Goons, for the one-time price of $9.95! We charge money because it costs us money per month for bills, and since we don't believe in showing ads to our users, we try to make the money back through forum registrations.
 
  • Post
  • Reply
ivantod
Mar 27, 2010

Mahalo, fuckers.

Mraagvpeine posted:

I wonder if the game will have some sort of ongoing plot to go along with individual cases.

Most of ongoing threads are so to speak character-driven rather than actually plot-driven. As an example if you remember (but it's been a while so most of you probably forgot), we have been told a rumour about Dr. Ueto's new boyfriend and even got a note about it. Well, that will actually come back into play at some point. That sort of stuff basically.

ivantod fucked around with this message at 20:53 on Jul 17, 2015

Adbot
ADBOT LOVES YOU

ivantod
Mar 27, 2010

Mahalo, fuckers.




Last time when we left off, Suzu was about to have a conversation with Sawai...




supervisor. Going over my head?

I'm gonna say I'm getting a little lost here about what exactly is the command chain in this hospital... or possibly just another poor translation attempt?





Again, I'm pretty sure that the intent here is that Aoshima DIDN'T deserve quite as much abuse, but the way it's translated makes it sound the opposite way.



She isn't the sort to be discouraged by this.
As usual, you have no idea how those around you feel. Or maybe, you just don't care.
What are you talking about?
...Nothing...
Anyway, the next time you have something to say to one of my interns, please talk to me first. It's only fair.


symptoms?



And with that she storms off. This guy is really difficult to talk to...

Ah well. Aoshima said she wants to apologise to Heikichi, so let's head there...







Yeah... I was a bit frightened the day I was told about the mistake. But there's no problem, right?
Yeah... but...
If Sawai had told me I might have been more upset... But because it was Suzu, who is much more charming, no problem!
Suzu-sensei told you about what happened?
She said I was given more SPX than prescribed but there was no real danger. If there's no particular danger, I thought, then I don't need an explanation. But that's Suzu for you. Integrity!
So Aoshima, don't look so down, just take better care of me from now.
Anyway, until you came on board, that old dog was in charge of me... Every day was just grey and monotonous.
(Old dog? Is he talking about Dr.Keiichi?)
Well... You see... I've been taken off the duty roster starting today.
What? Are you serious?
..Yes, I am.
It must have been Old Lion Hair who removed you from the roster. So who'll be in charge of me from now on?

We'll show the note about Tendo being his attending physician.

Heikichi-san, I'll be in charge of you from now on.
What? I protest. My rosy days will turn grey and monotonous again. No way! I'll tell Old Lion Hair myself, if I have to.



Another dramatic appearance by Suzu!







What do you mean that it isn't necessary?
Tendo and Aoshima will both bein charge of you from now on. Professor Sawai made the decision. Any objections?
No. This will be great, I'll be allowed to do it again.
To do what? To get your bum pinched?
No, not that!
Well, that's it. Do your best.















The next day...


starting today.)

For once, Tendo is not wondering how is Asuza doing.

(Today is my turn. I've got to go to the dispensary and get the medicine.)

But first...



Didn't we already do this?





You're right. I'll go check in on Heikichi-san a bit later.
It seems you are the best medicine for Heikichi-san.
Unfortunately it isn't my bedside manner he loves.
Ha ha, that's...
(...probably right.)



We should go and get the drug from the pharmacy.



Unfortunately...


you with?

...she doesn't even have a name, so we won't be seeing her much. Also, where I'm from, people who work in a pharmacy are not called "techs".



In the interest of saving time, let me just summarise that this is ANOTHER pixel hunt mini-game, this time we need to find the SPX drug. It's actually in that glass cupboard at the far end.


I found the SPX!

So, let's go back to Heikichi.





Aoshima-san is very busy with our patients today... But she said she'd come by later.
Great, then all is well! If I don't get to see her at least once a day... I can't sleep.
(What!)
If you keep chasing the girls, you'll collapse again.
She's so bold. I can't resist it.

So we'll give him the drug we just picked up.

OK, I'm going to give you your medication...






wonder if I'm all right?

Are you feeling nauseous or anything?
No, not really. It's just that there aren't enough pretty girls to chase. Maybe it's a lack of exercise?
Hmm... I'll come back later.
OK. Say hello to Aoshima for me.




increases...?





Aoshima-san.
What? I don't need your help, that's OK.
It's not that. Why don't you take a short break and we'll go to the cafeteria and get something to eat?
I don't have time... Is it your treat?
O-- Of course
OK then. Give me 10 minutes. I've got to finish this mountain of clinical records.
OK, I'll wait in the cafeteria.
I'll finish these... quickly.
(Is she really OK?)



Cafeteria it is then.




anywhere to put another.)






for me.


payday.)

Here's the menu. It seems this month's special has changed.
(All these plates on the table... none of them are for me...)
What's the matter? You look upset.


first year here?



What? You incorrectly diagnosed someone?
Keep your voice down...
Oh, sorry. What kind of mistake?
They brought a patient here with an intestinal perforation, but... I misdiagnosed it as appendicitis.
Diagnosing appendicitis is really hard.

Well, not sure about that...

What happened?
Well, when we opened up the abdomen, the appendix seemed all right... But I hadn't noticed the gas coming out of the intestines in the X-ray.
What happened to the patient?
Survived.
That's good.
Because Suzu-sensei helped me with the operation.
I have to be honest, when I first met Suzu-sensei, I wasn't that impressed, but... She really is a great surgeon, isn't she? With her "healing touch".
That's true.


and allowing me to continue treating Heikichi-san!


mistake!






feel right. You'll see.




Note taken: Aoshima-san's promise.

This is one of the few actually normal conversation's we've had with Aoshima so far. Hopefully it will continue like this.

Well, so much about that, let's get on with our work.








Aoshima-san?

I don't know, it's such a sudden question...
Well, I suppose that Aoshima-san is attractive...
What are you talking about?
Why!? Has something happened to Aoshima-san?
She's been making a lot of careless mistakes recently... Well, needless mistakes.
A few minutes ago, she gave the prescription I asked her for to the pharmacy by mistake... The person from the pharmacy noticed the mistake so there was no problem but...
It's something we need to be careful about because of pediatrics... When the patients are kids, there is a very real possibility that such a mistake can become fatal.
That's true.




good.


out of line when I said it.


Note taken: Dr. Ueto's remark.


handle.

She does seem... to be working very hard. Every time I see her...
But that's putting the cart before the horse, don't you think?
OK, I'll try to talk to Aoshima-san about it without hurting her feelings.














Note taken: Dr. Ueto's worry.




her.



Don't worry, Tendo, it's not just you. I've also lost track of where this conversation was going about five minutes ago.







Errr... ok.




Suzu-sensei asked me...)

You know, I've just about had it with this Aoshima related drama... Let's just find her and finish this nonsense once and for all. But we don't know where she wen't so let's ask around.




ago.





Fine, let's go there. In fact, on the rooftop is a helicopter landing pad like in a real hospital there might be.



No, you will be able to go there, just need to find the key.

If we go talk to Florence, she'll tell us that the key is in the nurses' room.




Yep, it's another pixel hunt. The key is on the top left shelf.


Received: Key to the rooftop!

So we can go back to the roof now.













Next time on LifeSigns:






ivantod fucked around with this message at 18:04 on Jul 18, 2015

Galadrieal
May 7, 2011
Well, things just escalated. :stare:

A major difference from Trauma Center, I've been noticing, is it not's so much about the surgeries. It's more about the character interactions, which is a nice change, but it makes the game feel like it's dragging.

Mraagvpeine
Nov 4, 2014

I won this avatar on a technicality this thick.
Don't forget the Phoenix Wright aspects; I feel it's taking visual novel queues from it. And I'm sure the situation will work itself out.

SystemLogoff
Feb 19, 2011

End Session?

quote:



You know that made me think of the scene where Fry gets splatted.

Then I spent far too long making this for a joke.

Edit

Just noticed the title you gave the chapter. :v:

tiistai
Nov 1, 2012

Solo Melodica
Don't jump! You still owe me for the food!

Ben Kasack
Dec 27, 2010
Just found this LP and caught up. Having played both TC and PW, I'm interested to see the blend.

Also, calling it now, all she's really doing it taking in the night air to try and relax herself, but the good Dr. Tendo yelling at her to not jump (as she is in a very typical pre-suicide pose) will make her turn, lose her footing and there will be a tense moment of trying to not drop the poor girl, followed by her yelling at Tendo for making her almost fall and typical Rom Com ensues.

ivantod
Mar 27, 2010

Mahalo, fuckers.

Galadrieal posted:

Well, things just escalated. :stare:

A major difference from Trauma Center, I've been noticing, is it not's so much about the surgeries. It's more about the character interactions, which is a nice change, but it makes the game feel like it's dragging.

We have probably about 3 updates left until the end of Episode 1 and they are going to be quite action filled--diagnostics, operations, even a psyche-lock style game!

Not to mention, baking sweet potatoes! :v:

ivantod
Mar 27, 2010

Mahalo, fuckers.




So last time Tendo managed to track down Aoshima on the hospital roof, but found her in a somewhat precarious position...




















really dangerous?

What? Calm down.
But... anybody who saw you standing there, looking depressed, would think you were going to jump.
But I wasn't going to.
I... find it soothing to stand out here when I'm depressed.
My father is a roofer. He used to get angry at me because I climbed on the rooftops of unfinished houses.
So you're not afraid of heights?
Not at all. Maybe it's in my genes?
Wow. I'm scared just looking over the edge. Could we move away from the edge?
I suppose, if you're uncomfortable.

So, yeah. She's apparently the daughter of a roofer and likes to stand on edges of tall buildings to relax. Ok then. Oh and by the way whoever called this, you were right!



We'll show her the "Ueto-san's words" note, about what Dr. Ueto said how she does more harm than good for her patients.




a warning!



That's so irritating!
Yeah... what?
It's true that it was my fault... but it's exaggerated.
What Dr.Ueto said to you?
I'm working all the time and hardly getting any sleep. That's why I made that small mistake.
That's the thing, in fact...

And now we show the note about Ueto feeling bad about what she said...






harm to our patients with "small mistakes".


careless.




obvious.


helping them"?


mean.









Don't know about you, but I think that went rather well, no?

Oh... Aoshima san...
(I think I made her angry.)


Note taken: My regret.

To summarise the Aoshima/Tendo realtionship so far in one sentence: "Was it something I said?".



Oh, hey look, she's at the reception desk. Let's try and fix this.




on.

No... nothing important...
If this isn't official, I'd prefer not to talk to you.
(She is gone. She is angry.)

Maybe we should ask Ueto for advice since she pretty much got us into this mess.



Eh?
Have you told Aoshima-san what I said?
Yeah... I told her.
How did she react when you told her I'm really sorry and that I'd try to be more understanding next time?
Oh, darn... look at the time. I've got to get home. Can we continue later?
(I wonder if Aoshima-san is still angry...)

One way to find out...



Ok... well.






got things to do.

I spoke to Dr. Ueto a few minutes ago.
So?
She is really sorry...
So what?

(leaves)

N-- never mind.
(She's gone again. What a pain.)






win this bet?



The first one to the second traffic light wins.
And the motorcycles?
Look, I promised. The motorcycles are fine. It's so much trouble trying to sell a motorcycle and then buy another one.
I have no intention of buying another one.



Here's another one for the "this'll end well" list.



























Right. Nobody could have foreseen that.

Back at the hospital, Tendo has more pressing matters on his mind.


it like this.)

I'll try to talk to her again.

But before we do so, we need some expert advice on how to approach it...



...and who better to ask for advice than Sanae, right?





So you haven't seen her today?
I've seen her... today, too.
Really? When?
Aoshima-san... was angry...

We need to present the "My regret" note here...

No, it's not that... I upset her a little...
Heh-heh-heh...
You shouldn't fight...
Yeah... that's why I'm looking for her. I want to make it up to her.
Aoshima-san mentioned that she liked... baked sweet potatoes...
Eh?


smile.





(Sweet potatoes aren't even in season. Where am I going to get them around here?)


Note taken: About Girls.

I am quite honestly at a loss for words at this point.



Hoshi is nice, she'll help us.



We should present the note we just took. She's a girl after all, she'll know.


around here?


potatoes.

Yes we are totally doing this. Need to find some baked sweet potatoes. Don't worry though, this particular subplot is not going to go on for several episodes.


easy to make.

Really? What do i need?
Well... You'll need sweet potatoes, aluminium foil, and a toaster oven. All three sacred treasures are necessary.
Three sacred treasures?
The important thing to remember is that when you wrap the sweet potatoes in the foil, make sure the steam has no way of escaping, so wrap them tightly.
Then you bake them in the toaster oven for 30 minutes and they're ready.


Note taken: Baked sweet potato recipe.

Thank you very much. I'll try this.
By the way, we've got some aluminium foil here.
Oh, thank you.


Received: Aluminium foil.





You won't believe who has some sweet potatoes!


hiding these behind your back all this time?

Oh, these? These were probably left by that old lady who was here before me...

This is literally getting sillier by the minute. Now it seems there are just random sweet potatoes lying around the hospital!

Really! Who leaves sweet potations lying around like that! Do you want them?
Really?


Received: Sweet potatoes.

Thank you very much!
This is a present to thank you for bringing Aoshima here.

Well then. All that's left to do is to find a toaster oven.




Ok, onto the second page of the "recipe for baked sweet potatoes".


I've wrapped the sweet potatoes in aluminium foil.



Here in the night room, there is a toaster oven.


oven.)









Over in the E.R...













We have an emergency! We have two victims, one is a boy who crashed his motorcycle and the other is the girl who he hit.
Ran Kisagi, age 10. The girl lost consciousness as a result of the accident, but regained it in the ambulance. She's complaining about pain in her left thigh.
The boy has a minor injury so we brought them together in the same ambulance. Do you have space for them?


traffic accident victims coming in. Do we have space for them?





One has a minor injury. You're the biggest hospital in the area...







Back with Tendo in the night duty room...


Aoshima-san's mood.)


I've got the baked sweet potatoes.







TO BE CONTINUED.......



tiistai
Nov 1, 2012

Solo Melodica
I'm not sure what's going on but I have a feeling it'll be hilarious

legoman727
Mar 13, 2010

by exmarx
Why are we going to such lengths to please a bitchy intern who is going to get someone killed because of whatever insane chip she has on her shoulder?

EponymousMrYar
Jan 4, 2015

The enemy of my enemy is my enemy.

legoman727 posted:

Why are we going to such lengths to please a bitchy intern who is going to get someone killed because of whatever insane chip she has on her shoulder?

I am waiting for the inevitable 'I have insane amounts of work' 'Why don't you ask for help?' 'I'd be a bad nurse then.' 'Uh no, this is a team operation.' 'Oh. Then help me.' 'Ok.'
TEAM SPIRIT.

I forsee a Doctorial Showdown with that gang at some point that helps them realize what huge jerks they are/have been.

Seraphic Neoman
Jul 19, 2011


legoman727 posted:

Why are we going to such lengths to please a bitchy intern who is going to get someone killed because of whatever insane chip she has on her shoulder?

Because Tendo sympathizes with her and because he is an extreme doormat.
To be fair to Aoshima, she gets better.

Kallev
Nov 16, 2014
Oh man, I was certain that surgery two was going to be the gang getting revenge on Kouichi, but I did not anticipate the little girl being hurt. Also, calling it for surgery three: the gang needed money to pay for the surgery of the sister of one of the members, who is a bone marrow patient that matches Aoshima. In the ensuing surgery, Aoshima will come to respect Tendo as a doctor and the gang will give up their criminal ways to look after the now-recovered sister.

tiistai
Nov 1, 2012

Solo Melodica

Kallev posted:

Oh man, I was certain that surgery two was going to be the gang getting revenge on Kouichi, but I did not anticipate the little girl being hurt. Also, calling it for surgery three: the gang needed money to pay for the surgery of the sister of one of the members, who is a bone marrow patient that matches Aoshima. In the ensuing surgery, Aoshima will come to respect Tendo as a doctor and the gang will give up their criminal ways to look after the now-recovered sister.

Nah, I bet that little girl is the sister just to make things more ironic.

Glazius
Jul 22, 2007

Hail all those who are able,
any mouse can,
any mouse will,
but the Guard prevail.

Clapping Larry
Turn in your gang leader card, you rear end in a top hat. Cutting brake lines is a jilted lover move.

...unless there's something you're not telling me about?

EagerSleeper
Feb 3, 2010

by R. Guyovich
LifeSigns accurately captures the high stakes game that is trying to impress a person with your sweet potato baking skills.

Everything seems easy at first, but then it all goes to poo poo.

ivantod
Mar 27, 2010

Mahalo, fuckers.

tiistai posted:

Nah, I bet that little girl is the sister just to make things more ironic.

Ah, no, it was already mentioned a few times that Tendo's sister is named Hikaru--the injured girl is named Ran, at least accoring to the ambulance report.

EagerSleeper posted:

LifeSigns accurately captures the high stakes game that is trying to impress a person with your sweet potato baking skills.

Everything seems easy at first, but then it all goes to poo poo.

I don't know... I've heard that sweet potatoes are a good way to impress the girls. I mean, it says so right here:



But anyway, it IS funny how much effort Tendo spends on it, only for the recipe to turn out to be basically "wrap them in foil, stick them in the oven".

In any case, as I've promised, the next episode is going to be filled with medical action! The question is... will Aoshima be able to handle it all?

ivantod
Mar 27, 2010

Mahalo, fuckers.




In the previous potato-action filled episode, Tendo's phone started ringing suddenly.





...but just as he was about to tell Aoshima about baked sweet potatoes...







Over in the E.R. (or alternately A & E, whichever one you prefer!).








anaesthesiologist?



(Thank goodness we introduced a 24-hour on duty anaesthesiologist. I feel sorry for Dr. Masui, but it really saved us this time.)
Who is the patient?
The patient is Ran Kisagi, a 10 year old girl.
There is another, a boy. He caused the accident. The boy was riding the motorcycle that hit the girl
They're both coming in the same ambulance?
There's been a mass food poisoning nearby. There aren't enough beds to go around, let alone ambulances. The boy has a minor injury, so I don't think we have to worry.

Famous last words.







(That's a good sign. She's conscious.)
Aoshima-san, check to see if you can find an available OR and...









We'll talk later. Are you all right?
Yeah, I just got a scratch, but the girl... Please go check on her.
OK. And you, go to the next room and have someone look at those scratches.
Do you think... Will you be able to save the girl?
I think so. Leave it to me.













Are you her mother?
Y... yes! I went to pick up Ran from school and on the way back I had to finish something at the office... I was late. If only I had left the office on time...
It's all my fault!
Please calm down.
Please... help my daughter...
Of course, we will. We will begin her treatment at once. Please wait here.



A moment later...





(She's fully conscious.)
Let me listen to your heartbeat. Tell me if it hurts, OK?

And so we enter a diagnostics section, it's been a while since the last one.



Here is what have so far; we need to find four more symptoms by using the three methods of examination.



I didn't really mention it last time since we didn't need to use it, but in the bottm right, we have a "minimap" of the patient's body, which we can use to focus on different areas. In this examination we'll need to use it.



First we are going to examine those scrapes on her cheek, because it looks like she may have hit her head.

(There is a scrape on the right side of her head. She probably hit it when she fell down.)





Next, let's also check her pulse.

(The pulse is a bit too rapid, but that's probably because of the pain.)





This one may be a bit difficult to find, but we need to check her grip.

Ran, please squeeze my hand.
Thank you. And now your left hand, please.
(The grip in her right hand is a little weak but that doesn't seem serious.)





The last thing to do is to check that scrape on her left leg.

(Her left thigh is swollen. She was probably hit on her left side...)





And all of this leads to...



...a diagnosis of "many injuries". But really, when you look at it, she got a bit banged up, but there isn't really anything conclusive apart from the fact that she may have hit her head.



...but this I don't get. Tendo wants to operate on the girl, but operate what? I would assume that for head hit she would just be placed under observation for a while, or at least we would do some kind of a scan? Possibly this is also a mistranslation.













Aoshima-san. Go take care of little Ran.
All... all right!



Our next task is to figure out what's wrong with Kouichi.



This is what we start with, and there is again four symptoms to discover.



Let's start by checking his neck pulse.

(His pulse is so rapid!)





Next, let's also check his face.

(His face is so pale! Is it possible that he's bleeding internally?)





We should also check the pulse on his wrist.

(I am not getting a pulse from his wrist.)





And finally let's look at that bruise on his upper abdomen.

Ahh! That hurts!
(What is it?)
(Maybe he broke a bone and it's injured an internal organ?)



(He must be bleeding internally!)
Kurai-san! The transfusion kit, please! I'm going to do an emergency blood transfusion!

After that's done...

Blood pressure's at 100... Ok, his blood pressure has stabilised.

So let's continue with the examination.

Next, we'll do an abdominal ultrasound. We're targeting four places: the liver, spleen, the Douglas Cavum and the heart.

This is a little embarrassing, since unless Kouichi suddenly changed his sex, there should not be anything named Douglas cavum in his body. But I guess they just mean the male equivalent part of the abdomen.




Again, we need to play "spot the difference". This one is a little harder than last time. But if you look at the top middle part...



...right about here, you will see some differences.

(Just as I thought. There is a haemorrhage near the spleen.)

We should do one more thing to confirm our diagnosis.

OK, let's get a chest X-ray, please.




One more time, find the difference against a normal image.



This one is more or less obvious.

(Two of the left ribs are broken. The broken ribs probably injured the spleen.)



With this, our diagnosis is complete--Kouichi's spleen is injured.






instead.

Lots of expensive words here. But, basically, what they are intending to do is, instead of removing the spleen (splenectomy), they will attempt to stop the bleeding by blocking a blood vessel (hemostasis) by using a tool that allows one to see inside that same blood vessel (angiography).

Have you ever done that before?
I saw one done once.
Only... once?
It'll be fine... I remember it perfectly. Besides, what other choice do we have?


best bet is a hemostasis, using an angiography.

This is an emergency operation to stop the splenic haemorrhage caused by the broken ribs.
We'll monitor the blood vessels using an angiography and insert a catheter into the splenic artery. Then we'll deploy an embolisation coil and when the splenic artery is covered, the haemorrhage in the spleen should stop.
The procedure is simple, but each step is delicate, so I'll have to concentrate to get it right.
Ok, so a coil embolisation of the splenic artery using an angiography.






disinfectant please!





We start the same as always.







She started complaining about a headache and nausea... I removed the CT from her head because she was becoming paralysed on her right side.
She's got a skull fracture and an epidural hematoma.

Epidural hematoma, internal bleeding inside the skull which causes pressure on the brain. As you can imagine, it's very dangerous and can leave one with permanent brain damage or even death. Usual treatment is to literally drill a hole in the skull to allow the blood to escape thus relieving the pressure buildup on the brain.

An epidural hematoma?
What should we do?
Just like with Kouichi, every second counts.


able to save them!










before!














them... will die!


















hospital!


your patient.


before...


world!


Aoshima-san!




convince her!)





So if you played the Phoenix Wright games, you may remember the psyche lock segments from there. This is basically the same thing, we need to choose the right things from medical record that will cause the heart gauge on the right to fill up. Wrong choices can lead to decrease or even an outright game over.

But we'll deal with that next time. We also have a fairly difficult operation ahead of us which can drastically influence the outcome of this chapter.




JamMasterJim
Mar 27, 2010
Kurai's bedside manner is amazing.

Mraagvpeine
Nov 4, 2014

I won this avatar on a technicality this thick.
Huh, I wonder what a Douglas Cavum is.

*looks it up on Wikipedia*


... Yeah, I don't think there is a male equivalent.

Seraphic Neoman
Jul 19, 2011


Tendo may be a doormat in most aspects of his life but when it comes to ER matters he doesn't gently caress around.

SystemLogoff
Feb 19, 2011

End Session?

Man, you can tell he's been in a few operations, since he has the dark humor down.

Well, you might die.



Well, it's not going to hurt me.



You'll never walk again.



Yeeep. :stonk:

ivantod
Mar 27, 2010

Mahalo, fuckers.




At the end of previous part, Tendo found himself in a situation where he has two patients who both need a fairly urgent surgery while being faced with a reluctant Aoshima.







And so, we have to convince her to deal with Ran while we stop Kouichi's internal bleeding!





As I've hinted last time, the goal is to fill up the heart gauge on the right. This, we accomplish by presenting items from our medical record. Presenting the wrong thing can lead to failure, so you can't just try everything. Let's see where this gets us.


than good"...





Aoshima-san?
Little Ran is the victim here. Kouichi hit her. This is his fault. We should make saving her a higher priority.
That's nonsense, Aoshima-san! Aoshima-san, you don't seriously think that? You can't.
I do. I'm serious. He isn't even sorry. He's brought this on himself!
Aoshima-san, I understand that this is your first operation... That you're nervous, but didn't you say...

Well, yes, she did. She said that "all life is precious", although she was talking about the dog at the time. Nevertheless, we'll present her words back to her, and...



I agree that his act was unacceptable... But it doesn't mean that you can abandon a patient.
That's true, but... But he's a special case... Because he doesn't care about anybody, but himself!
(Is that true? Does Kouichi care about anything other than himself? No, I don't believe it. He must have felt guilty...)

It's time to show the envelope, to show that he sold his bike to help out his sister.






the girl?

That's... I don't know why yet, but I'm sure that there's a reason.
He didn't feel guilty. That's for sure.
Even if that's true, we'll save both of them. There is no other choice!





I'm an intern too, Aoshima. Aoshima-san, if you calm down, you can do it!
Hold on! We may both be interns but don't compare us, Dr.Tendo. You've been supervised by Suzu-sensei for a whole year. I haven't received that much guidance from Suzu-sensei yet...
Honestly... My supervisor is Suzu-sensei. If it doesn't come from her, I don't have to do it!
Suzu-sensei asked me to supervise you.
I never heard anything about that!
(If we continue like this, I won't be able to get Aoshima-san to do anything. What should I do?)

Well, she want's Suzu, so we'll give her Suzu. Luckily we just got her new phone number, so we'll use that to call her!




nothing I can do but ask her to give you instructions.

Hello, it's Tendo. Two patients have just been brought in. Both are seriously injured and every second counts. But the only available doctors are Aoshima-san and myself.
OK.
I'd like Aoshima-san to treat one of the patients.
OK, is there a problem?
Aoshima-san, tell Suzu-sensei yourself.
Hello?
Aoshima?
Suzu-sensei, I don't know what to do.
Aoshima, if the patients are left like this, they will die anyway.
How do you know that? You haven't seen the patients!
Tendo wouldn't have called unless it was important.
You're not a student any more. You're an intern, a doctor. Doctors treat patients.
But...
Aoshima, do it!
Put Tendo on the phone please.
Hello...
I am on my way to the hospital but I won't make it there in time. I know you can do it, Tendo.
We'll be OK.
Aoshima-san, get to your operation!



Ok, we've managed to convince her somehow. Now we can finally get on with work!








operation!


once more.)

Actually, let's not. This is just an exact repeat of what was already said previously about Kouichi's operation: we'll use a catheter to reach the splenic artery and deploy an embolisation coil to stop the internal bleeding. Also, we'll employ the technique of angiography to be able to see what we're doing in blood vessels.




ago...


possible, so that I can help Aoshima-san.

Note the text in red. The game is soo not joking here. But I'll explain this in a moment.





I've got to act quickly. Hoshi-san, the disinfectant, please.



We start over, by disinfecting.



Note how the game is again pretending that we have 30 minutes to do this. Spoiler alert: we don't. Not even close to that much time. In fact we barely have any time to finish this operation without bad consequences. To be precise, we must finish this in no more than THREE MINUTES, otherwise we'll be too late to save Ran and she dies! In fact, Kouichi can die too, if we fail to convince Aoshima, because then we go straight to Ran's operation and he cannot be saved because we don't have two doctors available.

Three minutes, incidentally, is only barely enough to do this if you know EXACTLY what to do. Luckily, the game is merciful and let's you save right before you start, so in fact, there is no problem to keep trying until you do it right.

Anyway, let's continue. We need to puncture the femoral artery with a hollow needle.




The puncture is complete. Let's insert a guide wire through the puncture hole.



So we need to insert a wire through the needle into the blood vessel. The wire has a device on the front end that will allow us to stop the bleeding.



This is super fiddly and probably the second biggest time sink in this operation.




is next.)


the monitor.


coming in now.



Now we come to the angiography part. Hoshi mentioned something about a contrast agent. Basically the way this works is that a substance that is opaque to X-rays is injected into the blood vessels, therefore allowing them to stand out and us to see what we are doing in them. The goal is to guide the tip of the catheter (which you see at the bottom left) all the way to where it needs to go. It actually looks really easy...



...but there is a loooong way to go...



Our destination is the bright dot in the top right. As you can see the last bit is through some narrow curves, and every time we scrape the wall of the blood vessel we take a hit on the vitals. This is the part that takes the longest to do.


hemostasis by inserting coils.

Please notice the time... we only have about 1 minute left before Ran dies!



The coils will be loaded into the tip of the catheter. Keep inserting coils until the flow of blood completely stops.



Ok so what are we doing here? This is the blood vessel, and our catheter is on the left. It's loaded with embolisation pellets (not coils, that's a weird translation) and we need to "deploy" them in such a way so that the blood flow is blocked.



You can see here better how we do it...



...and so on until the blood flow is completely blocked.

Now I can see that you have a question. I've told you in the beginning that medical procedures in this game are reasonably realistic compared to Trauma Centre, and here we are shooting pellets inside a blood vessel like there's no tomorrow. Well, actually, believe it or not, but this whole procedure was fairly close to how it would really be done. Yes, including the pellets shooting out of a catheter. This is all real stuff how it is actually done in hospitals. Pretty cool, I think.



haemorrhage...


to normal!



You can see how I have about 45 seconds left and that is with knowing exactly what to do and pretty much doing everything right the first time. Especially with the pellets you can mess up and put them in such a position where there is no help but to start over (you can remove them by simply touching the stylus on them and try again).










it without you.




immediately.)



Of course the emphasis on "swift" means that we still have time to save Ran.





I'm on my way.
It's all my fault... my fault...
Don't blame yourself. Please, sit down and wait here.
I'm begging you... please save my daughter.
Trust us, we'll save Ran.






rest to you...










a week of training such a difficult task?


well.








right?







The purpose of this operation is to remove the hematoma caused by skull fracture.
Aoshima-san has already removed part of the cranium. Now I have to evacuate the hematoma and repair the vessel that is bleeding.
Each step in this operation is very complicated, so we'll have to perform with care. Any mistakes may be fatal.






in vain.



So here we are. Because we operation on Kouichi, we are joining this operation about 2/3 of the way in and there's actually not a lot left to do (if we failed to convince Aoshima, we would be doing this operation instead from the beginning and skipping the other one).

If it's not clear this is the side of Ran's head (use the ear for orientation) with skin "peeled back" and skull exposed. Aoshima has already drilled the holes and cut the skull bone, so we can take it from there. The first task is to remove the bone "lid" to get access to the tissue inside.

Also, what we have left to do is extremely easy, and there isn't even any time limit either.




Easy enough, just pick it up and move it.

The craniotomy is complete. I'm going to remove the hematoma. Kurai-san, aspirator please.









Kurai-san, never change!



In any case, this will be an action familiar to those who have played Trauma Centre. Just touch the screen and suck, so to speak. Of course we need to do all three.

Ok, all hematoma drainage is complete.
Let's begin the haemostasis on the brain's blood vessels.
(I'll stop the bleeding by cauterising the bleeding points with the electric scalpel.)





Nothing special here either, just need to cauterise the three blood vessels.

All spots have been cauterised. The hemostasis is complete.




matter. It will let us monitor recuperation.

Dura matter is one of the layers of tissue between the skull and the brain.



Again, easy, just put it in the middle somewhere through one of the circular hole-like openings.



All that's left is to replace the bone...


surgery.









...and to close up like always.


















help. Thank you.























Oh, yeah, almost forgot, we need to tell the mother that her daughter is going to be fine! But that's ok we've been occupied by a more important conversation.



Everything should be fine now.
Thank you so much. Really, thank you.

Later, back on the roof...







You too.
Dr. Tendo, that was really daring of you to give so much responsibility to a new intern. Did you learn that from Suzu-sensei too?
Sorry that I made you go through that.
That's OK. Like you said, I accepted the patients.
I'm so glad that the two of them were saved.
Me too.
Ah... I wish it was that easy to cure my heart.

We should finally give her those sweet potatoes that it took us so much effort to make! Although I should warn you: that action will take this conversation in a strange direction...

I made these for you, if you'd like them.
Baked sweet potatoes?
You looked really depressed earlier, I felt bad, so...
No, but... why baked sweet potatoes?
Because... I heard that all girls like baked sweet potatoes.
Don't get me wrong. I like them. But did you really think that these would make me feel better?
Well, I figured that you're really busy. And that you could use some time to relax and have a bite.
...
I'm sorry, am I bothering you?


pressures, right?






right?


embarrassed now!





Saved by the bell, quite literally!









Still later on, in Kouichi's room...




once and for all.



Yeah. The dumbest of the dumb.
On the bright side the police finally caught the Maiuei gang because of this. All three of them.
I really am ashamed of myself, causing you so much trouble while you're in the hospital. I'm always dragging you down.
Don't say that. You're being silly.
Come on Kouichi, didn't you pay your sister's hospital bills.
But that was the money I made selling the bike she bought me. I didn't earn it...





What? I should apologise, not you. Why?
Deep down, I've always blamed you... for mom and dad's accident.
At the same time, I've hated myself for feeling that way. Whenever I gave you money, I felt a bit less guilty. I wanted to erase my guilt with money.
I'm pathetic...
Listen, I'll find a part time job, as soon as I recover. I'll pay you back my hospital bills with the money that I'll earn.








* * *







leaving the hospital in full health.



It wasn't a waste. You needed that time to fully recover.
Well I'm fine now, no need to worry.
Kouichi, try to get along with your sister from now on OK?
I will Doctor, you too. May you and your girlfriend be happy for a long time.
When did you meet Dr.Tendo's girlfriend?
No... it's not like that. Kouichi, why do you keep saying that she is my girlfriend?
You just seem to be a good match for each other.
Really? What is Dr.Tendo's girlfriend like?
I don't have a girlfriend!
That's not what I've heard.























And thus ends our first episode! Everybody ended up fine, thanks to our main character's personal and medical skills. Hopefully you enjoyed it!

But don't worry, it's only one out of five, so there is still plenty more where this one came from! In fact, we'll be moving straight onwards in the next update!

As an aside, this game is certainly not one to bother about nice looking fonts, but honestly couldn't they have made that The End screen look just a LITTLE bit nicer? Seriously?



Next time on LifeSigns:



~~~ S.P.A.R.K.L.E. P.O.W.E.R. ~~~

Also: How to have a misspelled word in huge letters in your chapter title!



Seraphic Neoman
Jul 19, 2011


In Aoshima's defense, what Tendo was asking her was legit illegal, wasn't it?

Man though, that ending was way better than the one I got :(

Mraagvpeine
Nov 4, 2014

I won this avatar on a technicality this thick.
Will you show off what happens if you don't succeed?

ModeWondershot
Dec 30, 2014

Portu-geezer

ivantod posted:


Next time on LifeSigns:



~~~ S.P.A.R.K.L.E. P.O.W.E.R. ~~~


So I recall seeing that his stage name was "Kackkii," and am now profoundly disappointed as that is clearly not Tetsuya Kakihara.

Also, because I am apparently an idiot who does not remember the naming puns post from earlier in the thread, your joke about being "saved by the bell" clued me in to the joke in Suzu's name, and I must have groaned for a solid minute.

Keep up the good work, Doc.

ivantod
Mar 27, 2010

Mahalo, fuckers.

SSNeoman posted:

Man though, that ending was way better than the one I got :(

Ha, so which one did you get?

The problem is that other than the vague about needing to do it quickly the game really doesn't really give you any other indicators... luckily, there is a save point right before the operation, but who really wants to bother trying many times until you get the time down sufficiently. As you can see, if you know EXACTLY what to do it's possible to finish within 3 minutes, but if you were just playing this, you probably wouldn't know and it would take you longer (espectially since there are a couple of very fiddly bits with that catheter).


Mraagvpeine posted:

Will you show off what happens if you don't succeed?

I could probably do this before we move to the next chapter actually.

Keldulas
Mar 18, 2009
I like in the sneak peek of the next chapter thingy, all the backup dancers are very obviously just copy-pasted to repeat behind him. No effort at all in variation :/. Though I suppose that's not the only place with randomly zero effort, like THE END screen.

Seraphic Neoman
Jul 19, 2011


ivantod posted:

Ha, so which one did you get?

The problem is that other than the vague about needing to do it quickly the game really doesn't really give you any other indicators... luckily, there is a save point right before the operation, but who really wants to bother trying many times until you get the time down sufficiently. As you can see, if you know EXACTLY what to do it's possible to finish within 3 minutes, but if you were just playing this, you probably wouldn't know and it would take you longer (espectially since there are a couple of very fiddly bits with that catheter).

I failed to convince Aoshima so I never even saw Kouichi's operation. I saved Ran but he died.

ivantod
Mar 27, 2010

Mahalo, fuckers.

SSNeoman posted:

I failed to convince Aoshima so I never even saw Kouichi's operation. I saved Ran but he died.

Yeah, there are basically three possible endings:

1) Fail to convince Aoshima -> go directly to Ran's operation, Kouichi dies.
2) Convince Aoshima -> go to Kouichi's operation, finish in over 3 minutes -> Ran dies.
2) Convince Aoshima -> go to Kouichi's operation, finish in under 3 minutes -> finish up Ran's operation -> both Ran and Kouichi survive.

In fact the game is quite lenient, as both operations have a save point right before and also the 'convince Aoshima' segment also has a save not too far before it. So if you really wanted to it's not too much trouble to try again.

JamMasterJim
Mar 27, 2010

ivantod posted:

Yeah, there are basically three possible endings:

1) Fail to convince Aoshima -> go directly to Ran's operation, Kouichi dies.
2) Convince Aoshima -> go to Kouichi's operation, finish in over 3 minutes -> Ran dies.
2) Convince Aoshima -> go to Kouichi's operation, finish in under 3 minutes -> finish up Ran's operation -> both Ran and Kouichi survive.

In fact the game is quite lenient, as both operations have a save point right before and also the 'convince Aoshima' segment also has a save not too far before it. So if you really wanted to it's not too much trouble to try again.

The annoying thing is that the game only has one save file, so when playing on the DS, you have to replay the chapter 3 times for the game to register the endings

ivantod
Mar 27, 2010

Mahalo, fuckers.

JamMasterJim posted:

The annoying thing is that the game only has one save file, so when playing on the DS, you have to replay the chapter 3 times for the game to register the endings

The game does allow you to pick a chapter on second playthrough, but that's not really of much help since they all have multiple endings. This one is particularly annoying--thing is, the game allows you to redo surgeries from the menu once you do them all; but Ran's surgery doesn't count as done unless you do it from the beginning. And the only way to achieve that is to play the version of this chapter where Kouichi dies.

Also, this thing with finishing the operation in less than 3 minutes is going to com back a few more times.

But, fun stuff, next chapter has a hidden condition that we need to fulfill if we want to end up dating Aoshima by the end. At least it's just one of the necessary conditions, so you don't lock yourself out of the other two dating options (Hoshi and Kurai).

ivantod
Mar 27, 2010

Mahalo, fuckers.




Before we move on to the next episode, let's have a quick look to see what happens if you mess up in the first episode. Note I am going to skip/summarise unimportant bits of dialogue here.

The first option for messing up is to fail to convince Aoshima.



convince her.)

The easy way to fail this is to remind her of her promise to pay us back the lunch that we bought her.


double what you borrowed, when we were in the cafeteria?








by myself.)

At this point Tendo talks to Kurai and Hoshi and tells them that he's going to operate on Ran first and meanwhile Hoshi should keep Kouichi's blood transfusion going, with the idea that if he's finished quickly with Ran, ha can go back and finish up with Kouichi.

Note that this is not actually possible, no matter how fast you do it, Kouichi dies.

So we move on directly to Ran's operation, except this time, since there is no Aoshima, we have to do it from the beginning! So, let's see what that looks like.






First we disinfect, like we always do.



Then we cut a flap in the skip so we can lift it up and reveal the bone.



After that, we use the dreaded electric scalpel to make an incision in the periosteum. Periosteum is typically a layer of tissue that surrounds the bones (except where they meet in joints).



Next step is to get the drill...



...and put some holes in the skull!



When that's done, next step is to cut out the piece of skull (like we've already seen in the successful run), by using a saw...

This is where we originally came in for this operation, and from now on it continues the same as before. To repeat, it doesn't matter how fast you finish, you cannot save Kouichi if you failed to convince Aoshima.






In any case, once we are done... we'll stop briefly to tell Ran's mom that her daughter is ok, which I won't repeat here, and then...







Interestingly, for some reason, game switches to calling Tendo "sensei" now, instead of the usual "Dr. Tendo".



Later...





We managed to save little Ran.
And the other one?
...
It's all my fault.
...It couldn't be helped. You've only been here a week...













It was... his fault...
No, it's all my fault. I spoiled him.
Asuza-san, don't blame yourself... It wasn't your fault. I didn't have enough experience.
Doctor... I'm very tired. Could you leave me alone?
Asuza-san...
Please, just leave me alone.
I'm really sorry.







I made a fatal mistake. I'll take the responsibility.
What responsibility?
You rescued the kid with the hematoma. Isn't that right?
But I let Kouichi Inose die.
Did you fail during the operation? Did you diagnose something incorrectly?
What are you trying to say?
It's true that yesterday a patient died in this hospital. The question is why?
...My inexperience.
Because a first year intern accepted two patients under impossible circumstances.
Those are the facts.

Unexpectedly, Sawai actually cuts us some slack here!


of Suzu-sensei who put Aoshima-san under my supervision.)

A few days later, Asuza-san left the Seimei Medical Hospital. I had no words to say to Asuza-san as she was leaving.
There was nothing I could do but stand there and watch her go.

And with this the episode ends and you move on to the second, literally like nothing happened.

So, the other option to screw this up is to successfully convince Aoshima, but to then be too slow with Kouichi's operation and take more than 3 minutes real time. Obviously everything else is exactly the same until you finish the operation, so we'll join the story at that point.



immediately!)




















operation to a new intern!




it...








daughter's head, but...

But...?
I'm very sorry, that was all I could do...
Why?
How come you could rescue the one who killed my daughter?
Why did Ran have to die?
That's...









The conversation with Sawai is basically identical, except he says how we saved Kouichi instead of Ran in that one sentence, so we'll skip that.

And so, the next day, in Kouichi's room...



Proofreading, what's that.



A very bad dream... It wasn't a dream, was it? Doctor, how is the girl I hit?
Unfortunately...
Am I still... dreaming?
Believe me... I've wished that this was a dream so many times...




Hospital...


...and caused an accident.

I'm sure they meant to say "incident" here, but who knows with this translation. In any case, this is the other possible bad end to the first episode and the second episode starts after this scene.

So as you can see, both alternate ends are really pretty grim and it pays to actually do it properly to get the happy ending. The number of endings and their types differs between episodes, some have only one bad end and multiple good ones and so on. We'll explore that as much as we can as we progress through the game.

Anyway, it really is time now to move on to the second episode, so I hope you are ready for a plot that centres itself around a pop-idol, one named Kakkii (Or is it Kaikki, or Kakki or something else? The game's translators certainly can't seem to decide from one screen to another... Well, ok, I've looked in the Japanese version so I know that the correct spelling is Kakkii, but..)


Glazius
Jul 22, 2007

Hail all those who are able,
any mouse can,
any mouse will,
but the Guard prevail.

Clapping Larry
I see now why you titled this thread the way you did.

But yes, it really seems like they just relied on various system fonts to get the translation done and that's being really awkward.

ivantod
Mar 27, 2010

Mahalo, fuckers.

Glazius posted:

But yes, it really seems like they just relied on various system fonts to get the translation done and that's being really awkward.

Yeah like in this screenshot:



I cannot tell you HOW MUCH it bugs me that there is no exclamation mark at the end, because they are using a bloody typewriter-style font with all character being the same width and it just couldn't fit. I don't understand what's the problem in using a normal font.

It's actually even worse than that... I am actually doing all the update texts from a dump that I made of game files and basically they don't even use like a newline character to start a second line of text in their files, instead they put an X number of spaces in between words to push the next word onto a new line!

Which then leads to ugliness like this:



where they have one dot left over at the end of the first line because they didn't put enough spaces to push it over. Well, the text on this particular screen looks quite bad to begin with, but...

SystemLogoff
Feb 19, 2011

End Session?

More than likely they did not have the budget for someone to program a variable width font for the game. So they just used the system the japanese characters used.

pre:
ONE BLOCK AT A TIME

Seraphic Neoman
Jul 19, 2011


With Kouchi dying, the title of the chapter makes sense, which is why I thought he was supposed to die.

quote:

one named Kakkii (Or is it Kaikki, or Kakki or something else? The game's translators certainly can't seem to decide from one screen to another... Well, ok, I've looked in the Japanese version so I know that the correct spelling is Kakkii, but..)

Kyriaki :v:

Kallev
Nov 16, 2014
Teriyaki the wonder idol.

Adbot
ADBOT LOVES YOU

ivantod
Mar 27, 2010

Mahalo, fuckers.

SSNeoman posted:

With Kouchi dying, the title of the chapter makes sense, which is why I thought he was supposed to die.

As much as I would like to say there is a different explanation, unfortunately the only reason why the chapter title disagrees with its content is... wait for it... a lazy/careless translation...

So here is the Japanese title card for chapter one:



The chapter title in Japanese is simply すれちがう命, which basically means something like "lives in disagreement", or "misaligned lives" or some variation on that topic. I'm sure you will agree that this fits a lot better with the overall chapter content. Where "lost life" came from, I have no clue; the only explanation is that they may have assigned the title before translating all possible endings, so they didn't realise that they got it wrong, and since of course nobody went back to proofread this, the error was never corrected. I don't know.

But one other thing that's interesting to note is that in Japanese version episodes/chapters are called "charts" (カルテ), as in "medical chart" which I thought a bit funny.

Also note how much nicer the fonts look in this version!

ivantod fucked around with this message at 17:26 on Aug 4, 2015

  • 1
  • 2
  • 3
  • 4
  • 5
  • Post
  • Reply