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 Alternate title: Don't you feal GUILTy for plagiarism? What is this game? It's an action game based on surgery for the DS. I don't want to call it a surgeon simulator because that is a very different game. Did Atlus make this game? Yes they do. Which means that this game can get incredibly hard and hectic, especially on later operations. Weren't there some of these operation games too for Wii? There are 5 games in the Trauma Center series; 2 for the DS and 3 for the Wii. Opendork LPed all 3 Wii games while World LPed this game's direct prequel. I strongly suggest reading them. Here's the links:
But do I have to read them? Nobody is forcing you. The game will refresh any important plot points from Under the Knife and ignore the additions from Second Opinion. New Blood takes place years after this game and Trauma Team hadn't been made yet, so they're irrelevant. At least storywise. The gameplay takes is more akin to Second Opinion and New Blood than Under the Knife. But we'll get to that. So what's the spoiler policy this time? Please use spoiler bars for everything in this game that we haven't got to. For everything else, though, it's open season. I did tell you to read those LPs, after all. Chapter 1: Doctor in a Foreign Land Episode 1. Refugee Camp Episode 2. Master Surgeon Episode 3. Novice Mistake Episode 4. Hidden Peril Episode 5. Civil War Episode 6. Fever Episode 7. Leaving Africa Chapter 2: Return to Caduceus Episode 1. Alone in the OR Episode 2. PGS Episode 3. To Live On Episode 4. Ominous Clouds Episode 5. Sinner Episode 6. Rebirth Chapter 3: Onset Episode 1. Temptation Episode 2. Prime Time Episode 3. For the Future Episode 4. Elysium Episode 5. Familiar Faces Episode 6. GUILT Returns Episode 7. Overconfidence Chapter 4: Relearning the Ropes Episode 1. Collapse Episode 2. Losing Faith Episode 3. Rehabilitation Episode 4. Hope Hospital Episode 5. A Rough Night Episode 6. Visitor Episode 7. Blackwell Episode 8. Desperate Plea Episode 9. The Touch Chapter 5: Unnatural Abilities Episode 1. The HOA Episode 2. Retaliation Episode 3. New Heroes Episode 4. Abduction Episode 5. The Trace Episode 6. The Carrier Episode 7. Shift in Power Chapter 6: Lineage Episode 1. A New Ally Episode 2. Anathema Episode 3. Widespread Fear Episode 4. Backfire Episode 5. Lord of Plagues Episode 6. Improvising Episode 7. Tragedy Chapter 7: Illusion Episode 1. Secret Patient Episode 2. Tainted Medicine Episode 3. Truth Unveiled Episode 4. Dream's End Episode 5. Hall of Shadows Episode 6. The Altar Episode 7. Mother of Sins Episode 8. Epilogue Game Over X Operations 1234567890num fucked around with this message at 05:20 on Mar 19, 2020 |
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Oct 18, 2019 00:45
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Trauma Center Under the Knife 2 Intro The intro isn't important enough to warrant its own update, though. The quality is awful, but   Obviously, we'll be starting on a new game.  I'll try my best to do this game on Hard Mode, but I'll most likely have to dip down back to normal for several operations.  Unfortunately, I'm not a medical expert. So I won't be able to point out all the neat similarities between this game and the real world. And by neat I mean scary and will probably be in your nightmares.  The internal warfare plaguing the people of this country for over a decade has finally come to an end. However, they continue to struggle with attacks by guerilla militants, land mines, and refugees en masse. Still, the country is slowly walking down the path toward peace. Other countries have begun sending aid to Costigar, helping to establish medical institutions. But the number of doctors needed to staff those facilities has been hopelessly insufficient... Now... A doctor named Derek Stiles has come to Zakara, one of the Costigar's many refugee camps, to provide medical care to those in need. In these harsh lands that are ill equipped for providing medical care, Derek spends every day pouring his heart into saving those suffering from diseases...     They're in the red!  I'm going to continue as is! Derek here is the main playable character in UtK and SO. He is also the only playable character in this game. I'll cover his contribution from those games when it became relevant. We need to stop the bleeding! Hand me the forceps! Yes, Doctor! Angie here was our companion from those two games and will be our main companion throughout this game too. Whether that's a good thing or not depends on the person. ...... Scissors!Right away!...... ...Alright! The damaged areas are treated!Vitals have recovered as well!...Let's close him up! We're still operating! Please stay outside! I-I'm sorry! But we just received word on an emergency patient!What?The army's patrol unit found a man collapsed in a swamp. It seems that he was attacked by a wild animal, and he's in critical condition.What should we do, Doctor? We're not done with this procedure yet......... What about the new doctor who was supposed to start today?He hasn't arrived yet. His bus must be running late......Alright! Angie, I'm counting on you to get the emergency patient brought in! I'll finish up here by myself.Understood, Doctor!Ms. Thompson, please follow me!  Hm, I wonder where the clinic is?  We have orders to detain anyone who looks suspicious! N-No, I'm not a refugee. Please, don't shoot...My name is Adel. Adel Tulba. I'm going to be working here as a doctor, and today is my first day... Here's my identification... Hand it over! Hm, good. Looks like you're a doctor alright. Welcome aboard. Are you from the Razu Tribe by any chance?Um, yes... I'm, uh, looking for the clinic...Oh, it's right over-- Ah, good timing. Here comes an American nurse.In the original release, Derek and Angie are Japanese. The localization changes them into Americans. This creates plenty of troubles in New Blood, which this game will ignore.  He's being transported right now! I need anyone who can assist!Looks like you'll be hitting the ground running, Doctor.The patient is suffering from multiple wounds and is bleeding profusely! Dr. Stiles! Are you ready to begin treatment!?Stiles...? Our supplies are limited, but we're going to have to make do!Thankfully, since this is our tutorial operation, there is not going to be any issue with running out of equipment. Doctor, I can help! My name is Adel, and I'm a new surgeon here! ...Great timing! But we'll introduce ourselves after this is over!As you can see, we don't have the proper equipment in this place. I'll need you to support me!Yes, sir! I'll get changed right away!The patient has arrived!Alright! Let's begin the operation! Apparently these names are references to medical dramas. Which I won't recognize because I don't watch any of them. Our patient is a 28-year-old Caucasian male, suffering external injuries to his left calf. He's been identified as a member of a criminal organization that poaches rhinoceroses. Apparently, he was attacked by a crocodile when he was walking through a river...I guess what goes around comes around, huh?I don't have any sympathy for him either, Doctor.That may be, but our obligation is to give every patient what they need, regardless.He's got some large lacerations, and it looks like there are some fractures too. Do you see anything else, Adel?Well, he's bleeding profusely from the area where he was bitten... Hm... and the way the bone is broken... Maybe there's a foreign object inside the wound.You think so...? We'll have to keep that in mind as we operate.Allow me to explain the objectives of this operation. They are:
That's it. Remember, Doctor, we have to do our best. Operation Video  Welcome to our first operation. I really recommend you to watch all the operation videos. Let's begin the operation. The patient's vitals have dropped due to hemorrhaging and external trauma. Let's treat the external wounds first. One thing you'll notice here is that the art style is closer to SO and NB than UtK. I generally prefer the latter, honestly. We can suture the large wounds by making a zigzag pattern across it. The exact definition of zigzag varies between games. For this one, it's best to just make an N or Z. That completes the treatment of the laceration. But before we move on, it looks like the patient's vitals have dropped. If the patient's vitals drop to zero, it'll be impossible for us to continue the operation. In order to prevent that, let's inject the stabilizer with the syringe. The vital goes down whenever there's any wound on screen. We'll fail if the vital or time limit hits zero. This means that the stabilizer will be our best friend throughout the game. Like in the other games, we can inject it anywhere on the screen, including in the sheet. I don't think this is the case in UtK, though. Like in UtK but unlike the Wii versions, filling the syringe up will require an upward motion from the container instead of just holding it. Releasing what's inside remains the same, though. The patient's vitals have recovered enough for now. But, as we perform the procedure, they will continue to decrease due to the internal trauma. If the vitals get too low, don't forget to inject the stabilizer with the syringe. Now let's move onto treating those small wounds.Right, let's select the antibiotic gel...  Small wounds like these can be treated by applying antibiotic gel. This gel can also be used to temporarily stop a laceration from hemorrhaging, and it's an effective way of providing a slight boost to the patient's vitals. Now, apply the antibiotic gel to the small wounds. Thank you for explaining (almost) everything we need to know about the magic gel. That bit about stopping wounds from bleeding will become extremely important in later operations. We're done treating the external injuries.Let's make an incision and treat the compound fracture now. Performing an incision is a standard routine that will be done at the beginning of almost every single operation.  We don't have to use the gel before cutting, but not doing so will cause the margin for error to be much smaller. And we WILL get Bad for doing so.  In this game, actions that require skills will be ranked while others will simply be "OK". There are three ranks: Cool, Good and Bad. Of course, Miss is always possible. Having a Cool, Good or OK will increase the combo while a Bad or Miss will break it. Combos will increase our score, but survival is much more important. So don't be afraid to take a Bad if you're in a hurry.  Let's confirm the affected area first. ...The broken bone fragments are lodged in. First, we'll retrieve all the bone fragments and then reform it. Drag the bones out of the wound and into the tray. Simple enough, but some people drag the bone directly into the tray without noticing the direction, pushing it even further to the wound and causing a Miss  The rank here is allegedly based on how straight we pull it, but I always found it pretty arbitrary. The fourth bone fragment has been removed.But something's not right... Aren't there too many bone fragments?(Could it be...?)After we continue removing the rest of the bones and sealing the wound with the gel... The wound treatment is done. Now, let's move onto placing the bone-- Wait! It looks like there are some foreign objects mixed in with the bone fragments that you retrieved! Those two sharp ones... I don't think they're bone fragments. They look more like crocodile teeth... Crocodile teeth!? ...You're right, they certainly aren't human bones...No wonder it seemed like there were too many pieces... I'll go ahead and discard them.I'm surprised you noticed that... You've got quite an eye!Yes, please let us know if you see anything else unusual. O-Of course!Then, let's move onto restructuring the bone. But the impact of the fracture has bent the shinbone. First, let use the forceps to bend the bone back to its correct position. I'm no surgeon, but I'm pretty sure that is not how you restore a dislocated bone. That should do it for the shinbone... Now, let's start placing the bone fragments. And then we have to use the forceps to piece together the bones like it's a puzzle.  Since there's no motion controls for the DS, we don't have to rotate things. They're automatically placed in the correct orientation. All of the bone fragments are in place! Last, we need to affix the fragments to each other. Apply the antibiotic gel so that it covers the entire bone. I don't think an antibiotic gel can work like a glue, but I guess it shouldn't be able to seal small wounds either, so  Affixation of the bone fragments is complete!(I was confident about how fast I'm able to operate... but I don't even compare to him. Who is this doctor...!?)The treatment here is complete. Let's close the patient up! Closing up the initial incision is another important skill, one that will be utilized at the end of almost every operation.  Again, we don't have to use the gel before bandaging, but same consecuences as the initial incision. For the bandage, we'll get a cool if we used the gel and do it exactly from one end to the other.    After each operation, we're given a rank based on the score we received. From the lowest, they're C(Rookie Doctor), B (Specialist), A (Senior Surgeon), S (Master Surgeon) and XS (see above). There are special objectives in each operation, giving up to 2000 points. Not fulfilling all of them blocks us from attaining S and XS ranks. The 240 there means 240 seconds aka 4 minutes. All in all, this is a good start.  You're incredibly precise, and your speed... It was simply amazing!I've never seen an operation like that, Dr. Stiles!It was nothing special... Just the result of years of practice. And your advice was very helpful, too.Still, compared to anyone I knew back in med school, your abilities are far superior! But... why would someone like you be in a place like this?...It shouldn't surprise you to find doctors where there are patients, should it? Oh, by the way. I haven't introduced myself... My name is Derek Stiles, and as of today, I'm going to be your mentor. Nice to meet you, Adel.Huh!? You're going to be my...!?You can see that this game really likes its ellipses. I'm Angie Thompson, his surgical assistant. Nice to meet you. We're looking forward to you being able to handle these kinds of operations soon.Oh... Y-yes! I'll do my best!
1234567890num fucked around with this message at 21:25 on Oct 21, 2019 |
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Oct 18, 2019 00:45
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Oh I'm here for this.
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Oct 18, 2019 01:10
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Yay!  I'm the one who put in the request in the Request Thread, glad to see someone's picked it up. I read World's LP of the original, but not knowing anything else about the series I figured everything but Second Opinion came after this game. I guess I was technically correct?Odd that this game in specific out of the series has gone without an LP (or even an attempt at one, according to the Master List) for so long; is it the black sheep of the series or something?
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Oct 18, 2019 02:36
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and yet no one has attempted an LP of the best Trauma Center game: Amateur Surgeon 
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Oct 18, 2019 02:39
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Aw, yes. Longtime Trauma Center fan, I was considering doing this myself but don't have the technical know-how to set it all up. Without spoiling, I think Under the Knife 2 felt kinda samey gameplay-wise compared to its predecessors but I liked that they tried to follow up on some ideas from the original UTK's plotline. I also disagree with some of what they did, but I can comment on plot beats as they come.
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Oct 18, 2019 04:40
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 Like games after UtK, this game adopts the chapter select screen. We can also choose the difficulty here, with each of them having separate ranks for the same operation. XS is only obtainable on the highest difficulty, by the way. Unlike New Blood, some episodes have no operation (like the top screen says). I'm still going to put them in their own update because they're mostly important storywise.   The medical terrorist organization, Delphi, created a lethal disease they named "GUILT." They used this infections disease in an attempt to plummet the world into crisis. However, a specialized medical organization, Caduceus, was called into action. Created to challenge unknown or intractable diseases, Caduceus halted the terrorist scheme. And at the heart of their team stood a doctor who carried the fight against GUILT to the end... ...Derek Stiles. And that's almost everything you need to know about the plot from UtK, really.  You two are the legendary duo who defeated GUILT? I never should have spoken to you so casually earlier... "Legendary" is pushing it just a little... And we never could have eradicated GUILT without the help of our colleagues, either.We'll meet those colleagues later, and they contribute as much in this game as the previous one. Which is pretty much nothing (except for Victor). Adel, don't flatter Dr. Stiles too much. A doctor should never lose his cool, but he has a tendency to get swept up in the moment. Y-you think so?Anyway... What brings you two to this country... er... this camp?We're on a mission to treat any obscure and intractable diseases that we find around the world... You've heard about the new infectious disease that's emerged here, right?Yes, Costigar is constantly fighting against zoonoses... I hear this particular disease causes severe tissue scarring and is often fatal...Zoonoses is apparently an actual word. Based on Wikipedia, it refers to infectious diseases caused by bacteria, viruses and parasites that spread between animals (usually vertebrates) and humans. Our top priority here is to treat and report back on this mystery disease... But fortunately or unfortunately, we haven't encountered anyone who shows any symptoms of it.That's why we're participating in medical volunteer work here in Zakara.I didn't think we'd be expected to take on an apprentice... But since we're woefully understaffed, we're lucky to have you.I'm very honored... I'll do my best to keep up!Female voice: "Is it true we've got a new doctor?" ...Ah, hello, Sylvia.  Ahhh, this must be him. Everyone's talking about you.You sure are quick when it comes to gossip, Sylvia. But you're right, this is him. He'll be working with us from now on.Um, well... Nice to meet you. My name is Adel Tulba.I'm Sylvia Warenburg. Nice to meet you too. I work as a counselor here.A counselor...?The people here require treatment for mental conditions as well as physical ones. The unrest has mentally exhausted many of them... adults and children alike. Are you a native of this country? Can you speak Costigese?Yes, I can...Great, you'll be able to help us with interpreting then. Our interpreter is going on a vacation soon, so I was wondering what we'd do while he was gone......I don't know about that. There's a mountain of work to be done. I hope you can help in your spare time, Dr. Tulba. I'll be happy to counsel you in return. Anyway, I'll see you guys later. *leaves*...Is she from America too?Yes. She likes to come to the clinic without any reason sometimes, but she's very helpful in general.She can also be a little coercive, but don't mind her.I see... This camp seems to be receiving aid from lots of different people.But what's most important is for people like you to eventually be able to hold your own.Yes, I agree. I hope I can quickly live up to those expectations.  Angie can be heartless sometimes 
1234567890num fucked around with this message at 02:01 on Oct 21, 2019 |
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Oct 19, 2019 16:05
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Worth noting is that the soundtrack for this game is fantastic. I'm so hype for this LP, TC has a special place in my heart 
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Oct 19, 2019 17:56
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Okay, I went through all the previous game LP today so now I can finally follow this one. I already knew about the remake of the first, but this is my first time with the second, so this is all-new territory for me.
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Oct 20, 2019 04:56
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Yeah, the soundtrack is fantastic. I can't seem to extract them using the usual method, though, so no music links for this LP
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Oct 21, 2019 02:02
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  Hmm... Well, it seems like it's just a typical case of food poisoning.Patient: "Really? My stomach's been hurting for a really long time now..." Your immune system is probably weak at the moment, but I don't think there'll be any complications. I'll write you a prescription for it, and we'll see how you do for the next two or three days. Also, don't eat anything else for today, and make sure you go gentle on your stomach tomorrow, too.Patient: "...I understand. Thank you very much." Take care.*The patient leaves* Whew... That was my 20th patient. This place is even more hectic than I thought... Well, onto the next one...*Someone enters* Ah, Ms. Thompson! Is the operation over? Dr. Tulba, can I ask you what the results were for the patient that just left?Huh? My last patient? It was just food poisoning. Enteritis, to be exact. Nothing out of the ordinary. Enteritis is inflammation of the intestine, usually accompanied by diarrhea....I See.Why, is something wrong?No, it's just that he's been in here before, complaining about stomach pains... The previous doctor examined him, though.Yeah, I saw his chart. It seems he was suffering from enteritis that time, too.I see... Still, it might be a good idea to perform a thorough examination on him next time.I don't think that will be necessary. This area's conditions are still unsanitary, so diarrhea and stomach pains are fairly common. And we don't have the equipment to perform a detailed examination like we could at a hospital.That may be true, but......It would really be a hassle. Anyway, I should bring in the next patient. I've already seen 20 today, but that's probably just the tip of the iceberg. If you'll excuse me, Ms. Thompson. *leaves*......This sounds familiar...  Please, wake up! We have an emergency patient!*yawn* But... It's the middle of the night...He's a patient you saw this afternoon, Doctor.Wait... What!?  I drove him here. I responded immediately to the radio call, but he's in a lot of pain.........Dr. Stiles...!?I've transferred the patient with acute abdomen to the examination room.What!? Don't tell me... It wasn't just food poisoning?We don't know for sure yet... But there's a possibility it's a gastrointestinal stromal tumor.GIST!? That can't be...!Did you check the patient's charts carefully? He's showing the same symptoms as before, but it says that there was blood in his discharge this time.Oh... N-no... Um... I thought that it was just diarrhea... ...I'm sorry. I was so busy that I must have overlooked it...The onset frequency of GIST is low and it's hard to detect without a thorough examination, but still... Numerous tumors detected in the small intestine. I believe that it's GIST....As I suspected.Th-then, that means... I misdiagnosed him? Th-that... That can't be!I mean, it's obvious from the title of this episode. ......What are you waiting for, Adel?Huh...?We know the patient's condition. Shouldn't you be getting ready to operate?B-But... I... I made a terrible mistake... I overlooked the cause of my patient's illness! I can't do it! I can't operate like this... You've got to pull yourself together! He's your patient, isn't he!? If you're a real doctor, then take responsibility for your patients no matter what!B-But I... I don't have the skill to succeed on an operation of this magnitude!...Dr. Tulba, try to think about what you do as a doctor. What do you think that is? You're supposed to save patients. ...And gain experience, too.I'll perform the operation. Rather than sulking, why don't you help me out? If you run away from this, you'll never be able to call yourself a doctor again!Dr. Stiles...Un-Understood! I'll prep for the operation! You will be extracting tumors located inside the patient's small intestine. These tumors are not large, but hemorrhaging has been detected, so we have to act fast. We'll need to excise them before they get any larger. You should also know that when you treat a tumor, smaller tumors will form around it. I'll let you decide which to treat first, Doctor.This isn't true, as we'll see later that some tumors has no smaller ones accompanying them. You heard her, Adel. There are two main objectives in this operation:
And that's it. We'll be using the Powell Procedure to extract the tumors. Have you heard of it?Yes. We have to drain the tumor's cytoplasm to decrease its volume before we extract it. Am I right?Exactly. Pay close attention to the procedure: you'll be doing this too, sooner or later.Yes, sir! Operation Video  It's a Trauma Center tradition that the second surgery has to be about tumors. We'll be performing the operation on the abdomen this time, so please be extra careful. Disinfect the guideline with the antibiotic gel and then make the incision. Same deal as before. The initial incision should be a free Cool as long as you put the gel and didn't miss.  The size of the small tumors that are visible makes them more difficult to excise. It's a better idea to burn them off with the laser.So we select the laser... Good. Burn off the tumors by holding the laser point on them. Keep holding the laser in place to apply it for a longer period of time. But, if you keep it there too long, the tissue could be damaged. Please be careful. Now, burn away the small tumors if you would, Doctor. The laser works just like you'd expect. As in, not scientifically accurate. It's normally used to cut things more precisely (as far as I know since I'm not a doctor). The small tumor that was treated has hemorrhaged and a blood pool has formed. We won't be able to continue burning the small tumors like this. Let's drain the blood pool and clear our view of the area first. Place the drain on the blood pool. If you've selected an affected area that can be drained, like blood, a tube will be displayed. Slide the fluid up the tube continuously until it has been drained. Because this is a DS game, we have to slide upwards to drain it. Unlike in the Wii games. Or in real life, for that matter. It only takes slightly longer, but in longer operations they will add up. Anyway, after draining the blood pool (that looks more like gas to me), we have to use the gel to seal the wound before doing the same for the other small tumors. Each of them has a random chance of being one that creates blood pools. If drained but not treated, those blood pools can form again. All of the small tumors have been treated. Let's move on to the larger tumors. We'll be using the ultrasound to locate the affected areas.We use the ultrasound by tapping. It'll then reveal the shadow of hidden things. For now, we'll look at the area between the small tumors.  The affected area is confirmed! Amazing, Doctor! You found it on the first try!Tumors can be treated without finding the shadow, but it's safer if we know where they are. In NB or TT, the ultrasound will automatically be used at the cursor's position while pressing A will lock in the shadow's position. Not here, though! In the DS games (and SO) we have to lock in the shadow's position if we use the ultrasound. Which will result in us getting a Good instead of Cool for removing the tumor. That means that we, like any good doctor, have to memorize/guess their locations!  Anyway, our next step is to cut the shadow, which in this case is a tumor, with the scalpel. The tumor has been confirmed. It's much more swollen than I expected. You'll need to drain the tumor's cytoplasm in the same way you drained the blood pool. So we do just that. The cytoplasm has been drained.But, it may start to seep out again if you wait too long, so make sure to excise the tumor before that happens. In addition to adding more work, having the cytoplasm reform will also break our chain.  After the tumor is drained, we need to actually remove it. Excision of the tumor is complete, but we aren't done yet. We'll be using a synthetic membrane to stop the excised area's bleeding. Our final step is to apply the membrane and gel to affix it. In UtK, we also need to massage it, but I guess they realized that it's too finicky and decided to remove it. I support that decision. The membrane is fully affixed now. We're done treating this one. Now let's move on to treating the next affected area.*The camera pans to the right* I'm getting reactions from tumors here as well, but they're not visible on the surface.Use the ultrasound like before to find the affected areas and continue the treatment. gently caress that. I want to get those Cools, so it's better to memorize their locations instead. I'm going to be glossing over the process since the game now has freed us from tutorial zone and hand us access over all our equipments.  Small tumors will form whenever we remove the large ones because. I like to gel them all at once since it saves time from switching equipments. You know, unless a blood pool forms and block us from lasering another tumor underneath it. The tumor treatment is complete! Let's close the patient up. Closing up the patient as (soon to be) usual...  If there's time to spare, it's a good idea to raise the vitals before applying the bandage. It'll boost our final score and might even be the push needed to get a better rank. By the way, the bottom right spot is reserved for very situational tools. Which is why the bandage didn't appear during most of the operation. Operation complete! Well done, Dr. Stiles.I-I'm so glad it went well...  The vital and time bonuses are the vital and seconds at the end of the operation multiplied by 5. One shot of stabilizer raises 8 vitals while spending 1 second. I'm not going to try to get the top rank for all of these because  Dr. Stiles... Ms. Thompson... I'm very sorry. I shouldn't have troubled the two of you with a mistake like this......Adel. Why did you become a doctor?Huh? I-I...Ever since I was a child, this country has been at war. I've always had people around me that are suffering from diseases and injuries... My father and mother, brothers... Even my friends.......I wanted to save everyone from that kind of pain... I became a doctor because I wanted to help you rebuild this country....I see. Adel... Doctors are human too. There are times when we make mistakes. I made a mistake just like this in the past, and Angie got very angry with me. She even questioned my ability to be a doctor.......Oh yeah! I remember why this sounds familiar.  After finishing an operation about tumors (pictured above), Angie still suspects something is off. Derek, however, just fucks off instead. It turns out that there's more complications and the patient almost died. That caused Angie to chew him out. Her faith in him is restored one (very difficult) operation later, after Derek has learned his lesson. It changed Derek from being an irresponsible rear end into a proper doctor.  ...when in reality, that's the most important part of what we do.I guess being too busy is no excuse, huh...Doctors need to have skills, but patience and compassion are equally important. Today was your day to learn that. Adel... don't forget the reason you become a doctor.Y-yes, Dr. Stiles! Thank you, Sylvia. That was some great counseling earlier. It would have been a shame to lose such a promising doctor....I just did what I could. *smile*Would've been better if Derek didn't steal her thunder, though.
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Oct 21, 2019 02:04
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The "swipe up to drain" thing starts to really suck on later missions, especially since you don't have the convenient tool-switching nunchuck off the Wii.
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Oct 21, 2019 02:21
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It's good to see Derek all grown up. I'm glad they didn't make him the idiot again this game.
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Oct 21, 2019 09:29
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  Hey, Sylvia. What can I do for you?I'm leaving for the administration office. Would you like me to pick anything up for you?Hmmm... Let me think... Oh, it would be nice if we had some sweets for the kids...OK, I'll pick up some candy, then. What about for the doctors?Don't even bother... They're too busy!Sounds like Dr. Tulba's doing just fine then! Well, see you later!Be careful out there! Whew, I'm finally done with my rounds.Welcome back, Dr. Tulba.Oh, thank you, Mrs Thompson. What are you up to?I'm writing my report to Caduceus USA.Again, it's originally Caduceus Japan. Wow... Sounds like a lot of work.I'm on top of it. But that's not necessarily true for everyone...Is that so? That's correct.Th-That's not good... I've been so busy lately that I haven't even started...That's what happened when you procrastinate. I wasn't really procrastinating...You're always procrastinating! ALWAYS! *sigh* You'll never learn! How many times do I have to tell you to start shaping up on your office work!?I said that he's turned into a real doctor, but that doesn't mean that he's not irresponsible Y-yes, ma'am... I'm sorry... I'll try harder on the next one......Geez! Here, I wrote your part of the report, but look it over before we send it out!Huh!? You did it for me? Wow, you're amazing, Angie. You're a lifesaver even outside the O.R.! Thank you!This'll be the last time! Is that clear?O-of course... What happened!?The car that the NGO workers were in hit a landmine! The two sitting in the front died instantly. But the woman sitting in the back survived. However, she's in critical condition!A woman!? Who is she!?It's Ms. Warenburg!*gasp* N-No! Why Sylvia!?Oh my--! Dr. Stiles! Please save her!Of course! I'll do everything in my power! There are fractures on the lower left of her rib cage. The bone fragments have pierced her spleen... and are causing abdominal hemorrhaging.A land mine... There are so many of them that still need to be removed and disposed of...Sylvia... Why did it--Angie!Y-Yes, Doctor!?We have to concentrate on the task at hand. We need to be strong, for Sylvia's sake. I want to save her, and you do too, right? Then let's try to stay focused on the operation!After all, if they're not strong, Sylvia pretty much will die. ...! Y-Yes, Doctor!I apologize... There are two objectives in this operation...
Let's give Sylvia everything we can, Dr. Stiles! Operation Video  I said we're going to begin most operations with an initial incision. This is not one of them.  The damage to the spleen is severe...The hemorrhaging has caused vitals to drop. We need to treat the wound and retrieve the bone fragments quickly...Come on, Angie. 60 vitals is still very high.  ...Oh. D-Doctor, she's going into cardiac arrest!Use the defibrillator to resuscitate her! The paddles for the defibrillator appear whenever a patient goes into cardiac arrest. First, slide the paddles to the center of the screen! Sliding the paddles into the middle is pure busywork and exist purely to waste our time. The vitals will be maxed at 10 and decrease steadily during cardiac arrest and we can't raise it with the defib around, so we have to revive the patient quickly. Keep holding the paddles for the charge gauge to fill up. When the gauge reaches the green section, let go! (Lift the stylus off the screen.) The closer you are to the green area when you let go, the more effective it will be! To be more exact, you need to land 2 charges on gray or 1 charges on green. Charges on black does nothing except waste our time. It's also mandatory to say that no, this is not how defib works in real life. UtK gets it right, but that realism gets abandoned for the other games. We have a pulse! Thank goodness...But if we don't hurry, she may go into cardiac arrest again! Let's try to finish before that happens! A few things of note:
 That wound is so large...! Hang in there, Sylvia!Doctor, we can't suture a wound that's opened up like this! Grasp one edge of the wound with the forceps and close it so it can be sutured. Pull it together until the wound becomes a single laceration. Closing these gashes is less finicky than UtK, thankfully. The wound can reopen, but you should be able to suture it before that happens. You'd want to take care of these large gashes one at a time anyway since the blood pools can also reform. After dealing with that gash, it's time to take out those bones.  An organ injury must have occurred! She has some wounds that will progressively worsen. You'll have to treat the lacerations while you work to retrieve the bone fragments!Because this is a video game, those latent wounds will only occur right after we takes out those fragments. It doesn't matter what order we take them out in, only how many fragments we've removed.  Having those wounds appear will also drain the vitals, so don't forget to use the stabilizer.  After that, we just have to piece together the fragments like before. Except there's one problem... Just as I thought... There aren't enough bone fragments. Could they still be inside the body? But where...? ...! A flatline! She's undergone cardiac arrest!Doctor, we have to resuscitate her! One defib session later... We have a pulse! I-I'm so glad... Doctor, please continue treating her! The location of the last bone fragment has been confirmed... I can't believe it's here!The bone fragment is lodged into the spleen. We need to extract it with caution... First, drain the blood pool to get a clear view, then pull it out with the forceps!This fragment is big, but half of it is outside so you know that it's going to be lodged deep. Unlike that one glass shard in UtK/SO. You know what I'm talking about!   After that, it's just a matter of putting it to the right position and affixing them with the magic gel. The bone fragments have been affixed... We're... We're done... Not yet! We still have to close her up.  Other than increasing the score, the last-minute stabilizer also prevents us failing from a bandage's Miss. You haven't played Trauma Center until you lose right at the final moment because of a bandage. Operation complete...! Well done, Dr. Stiles...Sylvia... I'm so glad that you pulled through...Don't worry, Angie. Sylvia is a strong woman. I'm sure she'll be alright. She'll recover in no time, we'll just have to take good care of her until then!   As you've seen, 'No misses' will become a regular condition for getting max rank.  Angie... Am I... alive?Of course you are!Thank you, Angie... Dr. Stiles... I never imagined it would be me who needed to be saved by you guys...Dr. Stiles... Thanks to you, Sylvia is still alive... I can't tell you how much that means to me.It's not like I did it alone. You did your best, too.Doctor...Don't you feel GUILTy for Plagiarism? I'm going to dedicate a section for operations that are recycled from New Blood. Because there's going to be PLENTY of them.  2-3 Dependable Pair Both operations are pretty much identical. Even down to the part where we don't need to do the initial incision. Except it was justified in that game (another doctor started before he had to leave). The only exception is that instead of the last bone coming up late, it's that the spleen worsen right before we place it. Don't worry, we'll have exactly that happen later. And also that Sylvia is the only survivor out of the three people in the car while NB's patient is the one with the worst wounds out of the three, I guess.
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Oct 23, 2019 03:14
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1234567890num posted:Don't you feel GUILTy for Plagiarism? Don't forget the recycled operations from New Blood that were also recycled from Second Opinion! Also: 1234567890num posted:You haven't played Trauma Center until you lose right at the final moment because of a bandage. This gave me flashbacks to the time a friend and I barely finished the final operation in New Blood after much struggle with the shape recognition...only to lose on the victory lap because we timed out before we could apply the bandage. I've had a lowkey grudge against New Blood ever since.
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Oct 23, 2019 18:56
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There's not that much new operations in Second Opinion, but I am going to mention them later. In fact, the first operation blatantly plagiarizes the first new SO operation (and the first NB one). I let the first two operations slide because they're still tutorial missions (and tumors are too common to count). 1234567890num fucked around with this message at 02:01 on Oct 24, 2019 |
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Oct 24, 2019 00:01
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At least this one is unique. Some of the later ones are just annoying as all gently caress.
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Oct 24, 2019 03:07
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  How are things going for you?So-so, I guess. We have the same problem as always: we never seem to have enough medical supplies.I see... I wish I could help, but the army is short on gear, too. Sorry...It's alright. I understand your situation. So, what brings you here today?I'm on patrol. Three days ago, the camp at Guno was attacked by anti-government guerillas....! I see...They were extremists from the Razu Tribe. The bastards...! How long do they plan on drawing out this war!?...... You're that new doctor I met the other day, right? From the Razu?Yes. And you're of the Dal Tribe? My people believe that they've been exploited by your tribe for many years.Still, that's no excuse to go around committing mass murder, is it? But that's just a handful of extremists!I'm not looking to start a fight, so let's just change the subject.......Anyway, Doctor... You should know that this area is becoming more dangerous--*Shooting ensues*  !?Soldier: "We're under attack!" It must be those guerillas! Doctors, please take cover!Dr. Stiles, it's too dangerous here! Let's hide behind that cabin!G-Good idea!Fire at will! Don't let those guerilla bastards get near the camp! Angie!? Get down!*shriek*Are you alright, Angie!?I-I'm OK... What in the world is going on!?We're being attacked by guerillas! Lower your head, Ms. Thompson!Ahhh!Keep firing!...drat it! We can't go anywhere like this...It would be safer for us to just stay here, Dr. Stiles. But... if those guerillas get any closer...What then? Gee, thanks  ...That's comforting advice.Wait... Are they leaving? The gunfire isn't as loud......You're right....... They must have retreated...Phew... Then, we're gonna be OK....I'm so relieved...Doctor! Dr. Stiles, come quickly! We've got some wounded here! They need your help!I'm on my way! His blood pressure and pulse are both decreasing! Hemorrhaging is severe, and condition is critical! We have just one objective in this operation:
Because of the wound's location, the patient could go into cardiac arrest. Please be careful, Doctor.Got it. Angie, I'll be counting on you to keep an eye on the electrocardiogram.Understood! Operation Video   Let's begin the operation. The patient's condition is very unstable, so please perform the procedure carefully.Since the game is taking off the kid glove, the vitals will go down very quickly. It will go from 30 to 0 in 10 seconds. Also, it starts capping our vitals, at 30 for this one. This means that we have to take care of these wounds very quickly. The bullet hole has to be closed with a membrane, just like a tumor hole. Don't ask me why there's lacerations around the hole   Since the vital's rate of decrease depends on the visible wounds, we can raise it to max just before the initial incision. I won't do it here for reason that will be obvious very shortly.  This is worse than I imagined... We should prioritize draining the blood first. Let's drain the blood pools, but keep an eye out for the bullet round.The bullet is just in the middle of the heart, barely visible underneath those blood. We have to cut it up before we can take it out.  What...? The round is... split!?The remaining half must still be inside... This is dangerous... but please continue extracting it! Welp. *gasp* D-Doctor! He's undergone cardiac arrest!We need to resuscitate him! I'll get the defibrillator and-- No, wait! We can't do that with the bullet still lodged in him! Resuscitating him may cause damage to his heart.I'll continue extracting it while he's in cardiac arrest! We can resuscitate him afterward!...Understood, Doctor! Continue the operation! Let's open up the affected area while we keep an eye on his vitals.Not going to copy NB's book and massage the heart? Okay then.  Same procedure as before: drain, cut, drain again, and remove.  The vitals won't drain that quickly since there's only one wound, but a Miss is a death sentence here.  For some reason, we still have to actually patch the wound up. Even though I'm pretty sure reviving him is more important...  OK, we can use the defibrillator now! Resuscitate him, Doctor! Hurry! We have a pulse! His vitals are stabilizing too. Doctor, let's close him up. Operation complete. Well done indeed, Doctor!Thanks, Angie... But there must be more injured people. Let's move on to treating them!Right away, Doctor! Don't worry, the game will later send us on marathon operations. Not as many as NB, but still a sizable amount.    We managed to treat everyone, somehow.Yes... I can't believe so many people got wounded in such a short period of fighting... War really is dreadful...Yeah, you're right.Dr. Stiles!How did everything go, Adel?Operating on five people in a row was intense... but I managed to get through it somehow.You treated five patients in that span of time!? ...Well done.If there's one thing I'm confident about, it's my speed. That's all thanks to a great mentor.I think your smooth talking skills are improving right along with your medical prowess.Hahaha! Yes, they had child soldiers... I operated on one who had been forced into service. These children are kidnapped from their villages during guerilla raids. They're pretty much brainwashed, and then used as human shields by the soldiers...What...!? How can they be so cruel!?Ms. Thompson... I am afraid that is the reality of life in my country.......Don't you feel GUILTy for Plagiarism?  1-3 Snowstorm Inexplicable lacerations on the chest? Check! Blood pools around the heart? Check! Going into a cardiac arrest, forcing us to take half of the bullet during it? Check! Really, could you be any more transparent with the plagiarism? 
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Oct 24, 2019 18:46
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It's more important to us because we don't have magic defibrillators
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Oct 24, 2019 23:25
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  ...What the--? What are these subcutaneous bleedings? Subcutaneous means situated under the skin.Nearly all of the dead guerillas are like that. I found them on bodies with no bullet wounds too. Think it could be an infection?Are you implying that they had an outbreak and died during combat? I've never seen anything like that. This might actually be that disease we were sent here to research...I'll ask the army to transport these corpses to a hospital so they can be examined.That's a good idea. We can't make any assumptions until we see some test results.But if this is fatal, it's going to be dangerous...I agree. I'll admit, though, I'm surprised that you caught this.Huh? Oh... I heard that the army was going to incinerate them... So I wanted to retrieve anything that might tell us who they were.The word 'cremate' would've been nicer here. I see... Ask the army to quarantine the area, and make sure you clean yourself up, too! Ms. Thompson is being held hostage by a child soldier!What!?Don't tell me it's the child I operated on!?Yes! He suddenly attacked when Ms. Thompson was checking up on him... He snatched her scissors and is holding them to her throat!Angie! Don't do this... Please... give me the scissors... Dedah!Ah! D-Dr. Stiles...!Dedah!Stop it1 Leave her alone! Gwa... hadera nagh... bazai!...? What's he saying?This boy's from the Razu Tribe. He's saying that he can't stay at a Dal camp, so he's going back to his comrades. He's going to use her as a hostage until he escapes safely.What!? Tell him he's in danger! If he moves now, his wounds might reopen!I'll try talking to him, Doctor.Adel... I'm counting on you.I know... ...!? "Lies! If you're of the Razu, why are you helping the Dal!?""The war is over. It doesn't matter what tribe we're from anymore. We're all just people living in the same country.""You're still lying! The war isn't over! The adults tell me to keep fighting!""I'm not lying! There's no need to fight anymore!" ......"What's your name?""...Kafi.""Kafi... I had a younger brother about your age. But... he died because he contracted a horrible disease. That's why I became a doctor. I wanted to save kids like my brother. I don't want to see any more kids like you die! Don't waste your life on a stupid war that adults started!"............ "Right!""I don't have to kill any more Dal Tribe people?""There's no point! You can put down your weapon and go home to your village!""Home!? ...To my village? ...Papa, Mama... My brothers..." *sob* "I-I... I... want to go home..." *drops the scissors**gasp*Angie!Doctor!It's alright...Doctor...!"...Home... I want to go... home..." *collapses*"Kafi!? Are you OK!?" ...He's got an extremely high fever! ...!? Dr. Stiles! T-Take a look at this! Look at his stomach!These subcutaneous bleedings... It's the same as the ones on the guerilla corpses!Dr. Stiles! Please save Kafi! I beg of you!...Leave it to me! I think what we're dealing with here is definitely a new type of infection.Then we don't have any kind of treatment plan... This could be trouble...It wouldn't be the first, though. Or the last. The lacerations on the abdomen are still hemorrhaging, and he has a fever of 102 degrees.If this continues, he'll--I know, Adel. Since we don't know what the cause is, let's treat the lacerations for now.R-Right, Doctor...there are currently two objectives in this operation:
But again, this patient has no history of hospitalization... Anything could happen. Take extra precautions while you operate, Doctor. Just in case....I understand! Operation Video   Let's begin the operation. We're going into this operation completely blind... But I think we should try to drain the subcutaneous bleedings and then administer antibiotics. Doctor... Let's do everything we can to save Kafi!Just deal with these wounds as usual. The vitals will drop very quickly, so be sure to use the gel to hold it in place. Let's move onto treating these subcutaneous bleedings. In order to treat these, we have to find their exact locations. Use the ultrasound to find the shadows under the skin. Using the ultrasound will reveal the blood pockets. They will become larger over time and burst if it become too large. A burst blood pocket will cost us around 30 vitals, which is half of our current maximum. Needless to say, you don't want that to happen.  Even cutting it normally will still drop our vitals by 6-7. And we also have to drain the blood pools (that can reform if we take too long). I hate these blood pockets. Make sure you have at least 40 vitals before suturing this wound. OK, one internal hemorrhage has been treated, but...Since they're occurring over such a wide area, there must be more.At this point 3 more blood pockets will form. Using the ultrasound for these won't lose us any Cools, but I like to just use the scalpel wildly to save time. Also, take note of the "CALL" icon on the top right and the ripple effect from it. That's the cue when there's dialogue on the top screen that won't interrupt the operation.  Just cutting them out costs us around 20 vitals. Not to mention the damage those wounds caused.  Treatment of all affected areas is complete. We're finally done...We'd want to raise the vitals to max before suturing the third wound, because despite what Angie said, we're not going to be done yet.  What the-- There are new subcutaneous bleedings appearing everywhere! Doctor, what are we going to do if--It's OK, Angie. We just need to keep treating the hemorrhages! We'll take them one at a time. Keep supporting me!Understood, Doctor! Three more blood pockets will form at this point, with two more appearing after we suture two wounds. The only clue you'll get about those extra blood pockets is Angie's dialogue which can be easily missed if you didn't notice the ripple effect I mentioned. Treatment of the affected area complete. Checking for further signs of hemorrhaging... None...! Is it... really over? Nope! Wh-What the!?Multiple lacerations have formed along with massive hemorrhaging! He's in danger! Hurry, Doctor!This isn't good...N-No... If he keeps bleeding like that... Kafi will...No! I'm not done yet! I won't give up...! Never! Healing Touch activate! Kafi... I will save you! Healing Touch is an ability that appears in every game except Trauma Team. Because a game about a ninja princess endoscopy surgeon, an ex-surgeon detective with spiritual cellphone, an orthopedic surgeon superhero values and more needs to be ~realistic~  Anyway, HT's effect varies between surgeons. Derek's slows down time by 0.1 times. In NB, Markus also slows down time while Valerie locks the vitals. In SO, Naomi's is basically god mode (raise vitals after every action). Beside the visible wounds, there's 3 more blood pockets. Dealing with them should be no problem with the HT. Whew......There doesn't seem to be any more signs of subcutaneous bleeding.Operation complete. ...Great work, Doctor.Dr. Stiles! That... That was the power of the Healing Touch!?Y-Yes... That's right.It's amazing how fast you were able to treat him! How did you--...Sorry, but can I answer your questions after I get some rest? I'm... seriously drained.The Healing Touch takes a lot of stamina to invoke. In fact, it can only be used once per operation. It's probably even harder right now, since Dr. Stiles hasn't used it in such a long time.I-I see, I'm sorry. I just got so excited......Anyway, can I count on you to keep an eye on Kafi for me?Yes, of course! Please leave Kafi to me!  Having a blood pocket burst won't kill our combo, but it'll definitely cost us time (if not the entire operation). Also, don't forget to max the vitals before suturing the last wound for that sweet Vital Bonus.  I'm glad Kafi survived the operation!Ms. Thompson... He put you through such a traumatic experience, yet you still...Well... That boy isn't to blame for all of this......Thank you for understanding.But... what's going to happen to Kafi now?Children like Kafi who have been treated unjustly will be taken to a special facility... When they get there, they receive treatment for post-traumatic stress disorder. They also need to be reconditioned to join society, so that they can lead normal lives again. It'll be quite some time before Kafi will be able to go home to his village...I see... He'll have to go through a lot then......... Sylvia!? Is it OK for you to be up and about!?Yeah, you should be resting!I feel just fine, thanks to the amazing skills of my doctor. I will personally counsel that boy until he recovers and gets transferred to the facility. I want to get him mentally healthy again so that he can return to his village.Don't you feel GUILTy for plagiarism?  1-6 Awakening There's no initial wounds in this one, but there's still tons of blood pockets. This operation is where Valerie's HT is introduced, so that's one more aspect added to the recycling pile. Fun fact: That episode title is reused from UtK/SO's.
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Oct 26, 2019 03:42
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Remember kids if you focus really, really hard you too can stop time.
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Oct 26, 2019 04:10
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SSNeoman posted:Remember kids if you focus really, really hard you too can stop time. I see so this healing touch power is why surgeons develop god complexes.
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Oct 26, 2019 05:36
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I feel like they had good reason to not have the Healing Touch in Trauma Team. Between the original game and New Blood, it was starting to look more common than it was intended to be. Stepping back and saying "This guy doesn't have that superpower. He doesn't need it." felt like a pleasant change - especially since Trauma Team was already bringing in whole new gameplay styles.
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Oct 26, 2019 05:46
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Hooo boy, can’t wait to see the reactions when we get to the real meat of the game. These are baby steps in comparison to what we’ll see.
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Oct 26, 2019 06:31
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  I'm glad to hear that he'll be able to get treatment.Yes, he'll be aiding the research into Costigar's new disease...Does that bother you?N-No, of course not. I know it's for the best. But, it'll be a little lonelier here when he leaves... Hm, Dr. Stiles sure is late. It's time to open the clinic...He hasn't used the Healing Touch in a long time... I wonder if it made him tired.It's an amazing technique. I wonder if it's possible for me to learn it...We won't get to hear the answer to this question because...  Are you still tired, Doctor?...Could I borrow the two of you for a minute before we get started today?What's wrong?We've got word from Caduceus USA. It's important. They've ordered us to return to the United States as soon as possible.What!? Why so sudden...?It looks like GUILT is stirring up more trouble...GUILT!?Of course we'll have some GUILT in this game. I kinda spoiled it with the thread title. GUILT's that dangerous disease, right!? Didn't you say that it had been virtually eliminated!?Well, GUILT itself doesn't seem to be the problem this time. It sounds like many of the former GUILT patients are showing severe latent symptoms. We won't know all the details until we get back... In any case, it looks like we've got no choice but to accept being recalled.Eh, close enough ...I see. When do we leave?I know it's sudden, but we leave in three days. They've already arranged for our replacements....Understood. I'll get the patient files ready for them. I know I haven't been here long, but I've learned some valuable lessons. I don't know how to express my gratitude.Actually, this is about your future... You're still inexperienced, but I think you've got a lot of potential.Uh, thanks, but... I've still got a long way to go...Adel... Caduceus USA has given me one recommendation seat. If during my travels, I come across a doctor who would be a good prospect... I have the option to invite that person to receive cutting edge surgical training.A recommendation seat... in Caduceus?I'm considering taking you on as my apprentice for a full year. Of course, you'd be attending lectures and training sessions, but you'd still be on active duty. It's a program that lets talented individuals learn the extensive skills that Caduceus offers....And you'd really invite me?Yes... I believe you have the qualifications. But then again, if you can't achieve the skill level required by Caduceus they would send you back here. What do you think?It's... a very generous offer. But--Staying here to save people is admirable, if that's what you'd prefer to do... But I'm offering you a path that would let you gain even more experience. Think about which path would let you help the people of this country best. Just give it some thought.Do I have to give my answer within the next three days?Unfortunately, yes. Try to make a decision by then....... From what I can tell, it could be vestibular neuronitis resulting from a common cold... But... Vestibular system is part of the inner ear that helps control balance. Vestibular neuronitis means the inflammation of that system.Patient: "But... what...?" There's a small chance that it could be a stroke, or sclerosis... I... don't have the experience to make a judgment on this... ...I'm very sorry. Sclerosis is the hardening of body tissue. Dizziness can be a symptom of multiple sclerosis. Stroke, meanwhile, is the lack of blood flow to the brain, which can cause it to not work properly....I'm verry sorry. Please make sure you see Dr. Stiles.Patient: "You can't help me...?" I can't make an accurate diagnosis on my own... I'm sorry that I couldn't be of more help... ...Dr. Stiles is going to be gone soon, too...Patient: "...Doctor, are you crying? What's the matter...?"  Refugee Woman: "It'll be lonely after you leave, Miss Angie." You take care, though. Be careful of what you eat.Refugee Child: "Doctor! What are we going to do when you're gone!?" There's no need to worry. Another doctor will be here for you soon.I'm reluctant to let you go, Angie... But I hope we meet again, somewhere. Good luck to you.Sylvia, you're a great counselor. Don't ever give up on the injured who came here...And I hope you get better soon. I want to see you again too!Indeed! Goodbye, Dr. Stiles.Spoiler: Derek and Angie won't be coming back here in this game. Give everyone my thanks. Goodbye, Sylvia.Dr. Stiles! Your transportation is here!OK... I guess Adel's not coming... Adel! Have you made your decision?...Yes. I want to continue working for the benefit of those who are suffering here. That feeling will never change.I see...But the medical care in this country is still far behind... If I can study more advanced techniques that will improve my surgical skills then I'd like to take advantage of the chance you've given me.I don't know about your surgical skills, but you probably need more work in your diagnostic skills. Then, you mean--!Dr. Stiles, please take me to America!Happily, Adel. Let's get going!I look forward to working with you further, Dr. Tulba! And with the end of Chapter 1, we say goodbye to the requisite Trauma Center made-up African country to move to where the game will mainly take place: Glorious 
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Oct 27, 2019 16:58
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Whenever I describe TC to people I just say "it's a surgery simulation game that also has boss fights" Man we sure solved that civil war situation quickly though!
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Oct 27, 2019 17:07
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SSNeoman posted:Man we sure solved that civil war situation quickly though! Oh no, it’s happening in the background, people dying and all that jazz. It’s just a “we’re done here, byyyyyeeeee!” Kinda thing
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Oct 27, 2019 17:48
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Kemix posted:Oh no, it’s happening in the background, people dying and all that jazz. It’s just a “we’re done here, byyyyyeeeee!” Kinda thing Derek shows up for a few days, then leaves while taking the only other doctor with him to
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Oct 27, 2019 18:19
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BisbyWorl posted:Derek shows up for a few days, then leaves while taking the only other doctor with him to America. What a dick. sounds about right actually 
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Oct 27, 2019 20:17
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BisbyWorl posted:Derek shows up for a few days, then leaves while taking the only other doctor with him to Brain Drain is a real thing.
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Oct 27, 2019 20:51
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Yeah, it also feels odd that Derek was sent to research a disease, then gets called away just after he finally finds it.
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Oct 27, 2019 21:00
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1234567890num posted:where the game will mainly take place: Glorious 
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Oct 28, 2019 01:19
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I think that Ace Attorney is still the king of weird location changes. It doesn't help that it seems like recent games set aside at least one case each just to gently caress with the localization team.
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Oct 28, 2019 12:45
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BisbyWorl posted:Derek shows up for a few days, then leaves while taking the only other doctor with him to He's not leaving them with nothing really. There are replacements.
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Oct 29, 2019 12:07
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   I've never seen such tall buildings before... Wow...You've never lived in a city then Dr. Tulba?No. This is the first time I've ever left my country. I wonder if I'll fit in here...Well, we spent half a year in Costigar without running into any major problems. So, don't worry. You'll get used to it in no time.Besides, Adel, you're very well spoken, even in English.But if you do run into any trouble, I'd be happy to help.Thank you, Angie. I'll try to stay positive....Then again, they're going to be keeping you so busy, you won't have much time to find trouble. Working for the betterment of people's health, it is known for its medical progress, its most prominent achievement being the subjugation of the terrorist attacks three years ago. These attacks were the fruition of the deranged medical ideology of an organization called "Delphi." By controlling GUILT, an artificial infections disease, they plotted to destroy mankind. But due to the swift action taken by Caduceus and its doctors, with Derek Stiles at its heart, the terrorists' scheme was thwarted.   But the current state of affairs made your presence an absolute necessity. Hoffman used to be another Doctor with Healing Touch. After a failed surgery, he stopped and became the director of Hope Hospital (Derek and Angie's previous hospital). He became director of Caduceus after the previous director/secretary of health/his friend Richard Anderson died due to GUILT (Pempti). His operation and treatment research took up half a chapter in UtK/SO. He was also the final patient in Second Opinion, where he was also infected with GUILT (Savato). Apparently sometime after that he stopped doing surgery again. Please, no need to be sorry. We understand the circumstances.Director, what can you tell us about these latent symptoms of GUILT...?  I don't have a lot to say about this guy, really. He's mostly just there.  The former victims of GUILT are facing onsets of one serious malady after another. We've tentatively classified these symptoms as Post-GUILT Syndrome. GUILT itself hasn't reoccurred yet, which is a relief, but there are many symptoms appearing, like tumors and organ failures, that can't be taken lightly. A dozen cases have been reported in the US, but worldwide there have been hundreds. ...And the numbers are still rising.We successfully treated all of those patients, though...True, but either the GUILT, or our treatment may have induced genetic mutations or malignant viruses... We're still trying to determine the origin of the symptoms.In any case, our directive is to establish a method of treatment so we can help the current victims. I'm sure you're still jet-lagged, but we need you to join the countermeasure team today.So the battle against GUILT isn't over yet...Don't get discouraged. We saved countless lives from that disease. If we were able to overcome it once, we should have no problem doing it again.I agree. I'm sure that Caduceus can do it!I'm counting on you. And... you must be Adel, correct? We'll be adding you to the roster for the Caduceus Advanced Training Program. Good luck to you.Yes, sir! I'll do my best!We'll be looking forward to your progress, especially since it was Derek who recommended you. Each student is assigned a teacher. Make sure you follow all of his or her instructions.Will that be Dr. Stiles...?Ideally, that would be the case, but because of what we're up against right now we'll have to assign you to a different doctor for the time being.I see...I'm technically still your sponsor though, so feel free to consult me if anything comes up.O-Oh, no! I wouldn't want to trouble you, Dr. Stiles. I'll be fine on my own.That's the spirit. I'm fine, Dr. Chase. Thanks for asking, though. I've been traveling around the world for so long now, I think my body has gotten used to it. Hm, you haven't changed one bit. Oh, you're back too, Derek?What...!? I've been gone for half a year, and that's how you greet me!?Still can't take a joke, I see... Well, welcome back all the same. He used to perform euthanasia until he stopped by Derek's request after he treated his sister from GUILT (Deftera). And then the game proceed to sweep that ethical issue under the rug and never mention it again. Kinda like the civil war in this game and the American healthcare system in NB. I guess you'll be home for a while now, since we're dealing with PGS.Yeah. I hope we can count on your help. ...There's still a possibility my sister could start showing symptoms too. I'll do everything I can.Spoiler: She won't. Neither will Hoffman, for that matter. ...So, is this the new guy?Yeah, let me introduce him. His name is Adel Tulba. He's a doctor from the Republic of Costigar, and he's our newest student in the program.Pleased to meet you, Dr. Chase.Oh, I forgot. Adel, Dr. Chase is going to be your instructor for the time being.That's news to me... But I guess there's nothing I can do if it's already been decided......?We're off to a great start!  Adel... Do you know what the other students call me?No..."The Demon." So you're going to give me your best... right?...Yes, sir. I can't believe I'm being trained to interpret data from machines I've never even seen! Dr. Chase really is merciless... But man, I'm so fortunate to be here. I never would have been able to learn anything like this in Costigar. ...I have to be up early tomorrow. I should go back to my room and get some sleep.*Sounds of a door opening and closing* Huh? Was that Dr. Stiles that just went into the operating room? What's he doing at this hour...? And now, Post-GUILT Syndrome. My ability... the Healing Touch... I may have to call upon it again. ......(Dr. Stiles? What is he doing...?)Concentrate... Imagine an operation... And... draw the symbol. Concentrate...!"Operation" Video   Alright, time to get this started! Imagine a patient... their pulse... The affected area is before me... I've got to make it all very clear... Clear the mind, concentrate... and let your power awaken! Good! I can feel it... The Healing Touch! Just imagine me drawing stars and Derek saying variations of "I must concentrate." Yes! That was it! My Healing Touch!Hm... My head hurts a bit... That should do it for today... But... I don't feel as tired as I did before. I-- No, I shouldn't take any risks. Derek's talking takes more time than the actual 'operation.'  To get XS we need to complete this in under 6 seconds without drawing any star incorrectly. There's a bit of time after Derek's monologue where the screen won't register your drawing. I drew too soon and miss several times because of that.  *Adel causes some noise* ...!?I'm sorry... I'm not trying to spy on you.Oh, Adel... It's you. No, it's alright. It's not like it's a secret.Do you always do this kind of training?Well, the Healing Touch requires incredible concentration to use. In fact, I can only use it once per operation. That's why it's easier for me to focus if no one's around.And... I'm a little shy about it too.There's no need to be shy! It's a wonderful skill! Your operating speed... Any doctor would dream of having it!...Any doctor would dream of having it......? Did I say something odd?No, I understand what you mean. But... Adel, it's true that the Healing Touch is a rare gift, but it's not always a blessing.How rare the Healing Touch is varies between games. In NB it's pretty common while in TT it practically doesn't exist. ...What do you mean?I guess that came out sounding a bit too philosophical... ...... "There aren't many doctors who could endure such a weight..."Now you've got me really confused, Dr. Stiles.Those were the words Dr. Hoffman said to me three years ago. The Healing Touch is an amazing skill, but ti comes with a heavy responsibility. Doctors can't let themselves be crushed by that, though... The Director can use the Healing Touch too, you know. Although, now he's retired from surgery.See my above comment about Hoffman. ...We should head back. You must be tired too.Y-Yes...C'mon, let's go. *leaves*(The Healing Touch...)Normally I'd put a plagiarism section here, but this "operation" doesn't actually recycle anything from New Blood.  It recycles from UtK/SO instead. Hooray 
1234567890num fucked around with this message at 14:32 on Oct 31, 2019 |
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Oct 31, 2019 05:13
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The cybernetic wireframe heart version is much cooler yes.
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Oct 31, 2019 06:33
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   He complained of stomach problems and was immediately hospitalized after his examination. Unfortunately, tumors have been detected. We looked into his medical history and discovered that three years ago, he had contracted GUILT. You can tell from that generic description that she's irrelevant to the story. Has he had any other illnesses since being treated for GUILT?No, none at all. He's led a pretty normal life since then.It's the typical case for those who develop Post-Guilt Syndrome, the onset of it is very sudden. As you can see by comparing the X-ray we took here with the one from the hospital the tumors in his stomach are growing larger by the day. There are signs of vasculogenesis as well. This may make treatment problematic. Vasculogenesis is the formation of blood vessels from circulating cells.As to how it relates to tumor,  tarbrush posted:Cancer cells require lots of nutrients to keep growing. Successful tumours therefore secrete growth factors that cause blood vessels to grow into the tumour, providing a good supply of nutritious blood. hopeandjoy posted:This exactly. It then causes fatigue and problems with the rest of the body because its stealing food and oxygen all the healthy parts need, basically. Aeromancia posted:In addition, it increases the risk of the cancerous cell metastasizing through the blood.  What's the patient's condition, Ms. Sears?He's stable for now, but we can't let our guard down.We're discussing treatment options with R&D, but an operation is inevitable. Derek, I'm counting on you to perform it.R&D... You mean the research division?Yes. Dr. Niguel is currently assigned to working up the analysis.  Dr. Niguel? Victor! Will you shut up!? Can you not see that I'm busy right now!?Oh, sorry...Man! How many times do I have to tell you not to disturb me while--If you're busy, I can-- Oh... It's you. Long time no see, Dr. Stiles. He's the guy who developed the cure for 2 strains of GUILT (Tetarti and Pempti). Definitely the NPC who contributed the most in UtK/SO. He's also the guy responsible for that GUILT-Stigma operation in NB (along with those surprise Savato). You look busy with your research, as usual.Yeah, and this chat is eating up my valuable time.Sorry to bother you while you're so swamped, but--It's about PGS, isn't it? I've already heard from Hoffman. Give me an hour. We'll have a meeting about it.Alright, I'll see you-- Mr. Matthew's condition has worsened!What!?Is that the patient with PGS!?We need to operate immediately! Please hurry to the conference room!Alright, let's go!Wait, Derek! I'm coming too! Don't start that operation until I get there!Wha-- Why!?PGS tumors have some irregular characteristics. Even with your skills, doing it the normal way isn't going to work.But, you're in luck! With the sedative I'm currently working on, ANY surgeon could complete the operation! Just give me a little more time, and I'll have it for you!This is pretty inaccurate. The tumor is special, sure, but the sedative is related to all PGS, not that particular tumor. ...Alright. Just hurry it up! Let's go, Angie!Right!*Both of them leave* Man, things are about to get even busier... Victor, there you are... Now that we're all here, please begin the briefing, Ms. Thompson.Yes, sir. It should be noted that our patient suffered through a GUILT infection three years ago. He was admitted here last week, and the test results show numerous tumors in his stomach. The main objective of this operation is:
Since the tumor outbreak is caused by Post-GUILT syndrome, we'll need to be careful.Derek, this will be your first operation on a Post-GUILT Syndrome patient. Victor is going to guide you through this.I appreciate it. I'll follow your lead, Dr. Niguel.drat straight. I'm gonna have to explain some things about the way Post-GUILT Syndrome works, so listen up.Got it... Operation Video  This operation marks the first operation of the remixed GUILT music, which is amazing. It's one more reason why you should watch the operation videos. Let's begin the operation. Dr. Niguel, we'll be counting on you.Yeah yeah, let's do this. Hurry up and open him. Are you gonna work your magic, Derek?I don't know yet. It depends on the situation.Dr. Stiles, please don't use the Healing Touch unless you're sure you need it.I understand, Angie. I've only got one chance; I'll make sure it counts. Let's get started!Doing the usual initial incision...  The organ's turned black...!? I've never seen anything like this!PGS patients tend to develop toxicosis, which will nullify the effects of the stabilizer. Since the patient's vitals are crucial, we need to do something about the toxicosis first. That's why I had to get this sedative for the toxicosis ready. Toxicosis means illness caused by poison. It's the gimmick of all PGS operations. Injecting the stabilizer when the organ's The organ's condition has returned to normal! Now we can continue the treatment.That's right, but keep in mind, this is only a temporary solution. Unless you treat all of the affected areas, the toxicosis will keep rising again. Inject the sedative every time there's an onset. Now, about that stupid tumor...It doesn't look like an ordinary tumor. Our normal procedure may not work.Exactly. After you drain the tumor's cytoplasm, you'll need to completely sever the veins.There will be a hidden timer in PGS operations. After a while, the organ will turn purple, which has no effect. If more time passes, the organ will turn Injecting the sedative when the toxicosis is in full effect is more efficient, but I like to do this the safer way.  Meanwhile, this tumor is special. Its cytoplasm won't reform, but it'll take a lot longer to cut. And it'll drain more vitals as we cut its veins. All the while it will make those small tumors that will cut through our vitals. They don't require any membrane to be placed and removing one is easy enough if you're fast. However... That's everything... Are we done then?No... Not yet! *gasp* I've confirmed the presence of another tumor!Thought it could hide, huh!? Derek, hurry up and treat it! We need to be even faster to remove these two because we won't be able to keep up the vitals if we take too long. As a nasty surprise, the tumors will reform if there's still one left. So we have to cut off all the veins of all the tumors before taking them out. Removing both of them is still not that hard if you're quick and know about the surprise beforehand. Of course, the game won't let us off that easily.  ...Again!? There's four of them! Two of them was bad enough!Don't give up, Derek! Show those tumors who's boss with your power!That's right! I know you can do this, Doctor! Since Derek has done the concentration exercise, we can now use Healing Touch once per operation. Just touch the bottom left icon and draw a star. If you've used the Healing Touch before this part...well...sucks to be you!  As advertised, Derek's Healing Touch stops time, which makes this wave actually much easier to handle than the last one. Vitals lower more slowly and less small tumors will be formed.  Let's talk about tools durability. If we use a tool too much, its durability will run out until eventually we can't use it anymore. The game will tell us by the icon turning yellow and then red before putting an X on it. Of course, the Healing Touch is excluded due to its single-use nature. Not using the item will regenerate its durability slowly if there's still some left. Using it all the way will take longer to have the durability recover, but it will recover all the way to maximum. This mechanic can be a massive headache on later operations. Anyway, dealing with everything will automatically removes the toxicosis, so all we have to do is close the patient up.   If you do everything correctly, you won't even get your combo to 100. That is why I let the patient bleed for a while in the video. Yeah, some special requirements are counterintuitive and you have no way of knowing what it is unless you got it or you look it up. It's very stupid.  If it wasn't for you, things may have gotten out of hand.Yeah, I know.But this is a real problem. I can't believe the toxicosis rendered the stabilizer useless...Yeah, those drat bacteria don't know when to give up!...Bacteria? Anyway, I'm outta here. Great work though, guys!Are you... going back to the lab?Yep, it'll be another sleepless night... *leaves*Seems like Dr. Niguel is as busy as always...Yeah, but it kind of looks like he's enjoying it.You think so?I'd say.Hm.It's hard to say how many PGS-related symptoms could appear in the future. We need him to keep doing the best he can.That goes for us too, right, Doctor?Definitely!Don't you feel GUILTy for plagiarism?  7-1 The Rose's Thorns The toxicosis gimmick might be unique to this game, but the tumors are not. There's a darkness gimmick in NB, but obviously not here. We'll get that darkness gimmick later. Hoo boy do we get that   The tumor was actually first introduced in SO. It's also the operation that showcases Naomi's god-mode Healing Touch. There's another operation with these tumors later on in SO, but it only has two of them so that doesn't really count. 1234567890num fucked around with this message at 23:24 on Nov 5, 2019 |
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Nov 4, 2019 22:59
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You aren't penalized for using the Healing Touch in this game?
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Nov 4, 2019 23:21
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Cancer cells require lots of nutrients to keep growing. Successful tumours therefore secrete growth factors that cause blood vessels to grow into the tumour, providing a good supply of nutritious blood. I've usually heard it called angiogenesis rather than vasculogenesis, but potato potahto.
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Nov 4, 2019 23:31
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tarbrush posted:Cancer cells require lots of nutrients to keep growing. Successful tumours therefore secrete growth factors that cause blood vessels to grow into the tumour, providing a good supply of nutritious blood. This exactly. It then causes fatigue and problems with the rest of the body because its stealing food and oxygen all the healthy parts need, basically.
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Nov 5, 2019 00:26
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