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Stepping Up is Episode 4-4 of Trauma Center: Under the Knife and Second Opinion.

Story[]

Greg requests that Derek operate on him. Derek protests, citing his lack of confidence and his emotional investment. Greg takes this opportunity to impart his final lesson as Derek's mentor - all patients, regardless of background, are equal once they're on the operating table, and personal relationships should not get in the way of one's task. Derek collects himself and commences the operation.

Conference[]

Briefing - UtK
Okay, Dr. Stiles, I'll be explaining the details of this operation. As you know, Tetarti is a very dangerous strain of GUILT. They function in groups of three, and produce a harmful antigen. In other words, Tetarti itself acts as one poisonous mass. But, if we administer our antibody serum, the GUILT should die... Victor just completed that serum, as I'm sure you're aware. So, there's just one objective in this operation:
- Kill the GUILT cells in the liver by injecting the correct serums.
As we discussed, the Tetarti will weaken once you inject the serum. There's a different serum for each one, so pay attention to colors. Remember, the Tetarti cells are synchronized with each other. You have a limited window of time to inject all three cells. You'll need to be accurate and fast. Of course, every surgeon should be...Dr. Kasal is a good head surgeon. You trained under him, and now you have to save his life.....Do your best, Derek...
I plan on it.
Good luck... Now, let's begin.
Okay, Dr. Kasal... We're beginning the operation.
Briefing - SO
Okay, Dr. Stiles, I'll be explaining the details of this operation. As you know, Tetarti is a very dangerous strain of GUILT. They function in groups of three, and produce a harmful pathogen. In other words, Tetarti itself acts as one poisonous mass. But, if we administer our antibody serum, the GUILT should die... Victor just completed that serum, as I'm sure you're aware. So, there's just one objective in this operation:
- Kill the GUILT cells in his liver by injecting the correct serums.
As we discussed, the Tetarti will weaken once you inject the serum. There's a different serum for each one, so pay attention to colors. Remember, the Tetarti cells are synchronized with each other. You have a limited window of time to inject all three cells. You'll need to be accurate and fast. Of course, every surgeon should be...Dr. Kasal is a fine head surgeon. You trained under him, and now you have to save his life.....Do your best, Derek...
I plan on it.
Good luck... Now, let's begin.
Okay, Dr. Kasal... We're beginning the operation.

Operation[]

This operation introduces the proper Tetarti fight. Accuracy with the syringe is an important skill for this type of operation.

You begin looking at three colored diverticula created by Tetarti. Inject them with the serum of the matching color to shrink them down to size, then excise. This will then cause the Tetarti bodies to manifest.

The Tetarti bodies are each a different color, but will only become vulnerable once they turn white. Memorize which is which and then inject each Tetarti body with the serum of the matching color. Act quickly to inject all three, or Tetarti will retreat and resurface with no damage taken. Hit the Tetarti with the wrong antigen, and it will create a diverticulum which must be extracted like the others at the start of the operation.

The operation should be simple - if you don't make any mistakes while injecting the Tetarti, you should be able to finish it with very few complications and little vital damage. To minimize the chance of mistakes, aim for the Tetarti head, and make sure the other bodies are not moving towards your target.

Special Bonuses[]

SO[]

  • MAX CHAIN Over [10/15/18]: 500
  • [9/6/3] or fewer diverticula formed: 500
  • Completed with [60/150/180] left: 400
  • No mistakes: 600

Operation Rank[]

UtK[]

  • S:7200~

SO[]

  • C:~7299
  • B:7300~7499
  • A:7500~7999
  • S:8000~8199
  • XS:8200~

Getting XS in SO[]

Get the hang of how to hit Tetarti consistently and how much antigen you really need to inject. As long as no mistakes are made, and an XS should be easily achieved.

Miscellanous Dialogue[]

Failure - UtK
Derek, stop! Dr. Clarks, take over from here.
Don't worry, Derek. I'll save him. Just...try harder, next time.
Failure - SO
Derek, Stop! Dr. Clarks, take over for him!
Don't worry, Derek. I'll save him. Just...try harder, next time.
Trauma Center: Under the Knife and Trauma Center: Second Opinion
Characters
Caduceus Derek StilesAngela ThompsonRobert HoffmanSidney KasalTyler ChaseVictor NiguelCybil MyersStephen ClarksLeslie Sears
Delphi AdamKenneth BlackwellNozomi WeaverNavelOwen
Patients Linda ReidAmy ChaseSinners
Others Greg KasalMary FultonRichard AndersonLangston Miller
For minor characters, see: Minor Characters
Episodes
Chapter 1: Dr. Stiles PrologueStandard ProcedureStandard Procedure 2/Learning the RopesA FarewellNurse AngieSinging the BluesA Real DoctorDownpourLife or Death
Chapter 2: The Healing Touch Dormant AbilityMaster SurgeryStriving for AsclepiusAwakeningPaying the PriceJust Let Me DieReasons WhyReconciliationPlease Let Me LiveCaduceusFor Everyone's Sake/For the Greater Good
Chapter 3: Caduceus New BeginningsGUILTThe Darkness WithinSomething PreciousInternational ConferenceAn Explosive PatientFootfalls of TerrorMiracle at 9,800ft/Caduceus on a PlaneDeserted VillageForbidden Knowledge/Pandora's Box
Chapter 4: Bio Terror Hope Under AttackRace for the CureNothing to Do but WaitStepping UpForeboding CluesTaking a First Step/The First StepMedical ResearchThe Next StepNew Laser Technology/ProgressDoctors' Struggle/Prolonged StruggleIncurable Disease
Chapter 5: It Never Ends Caduceus in ActionUnder the KnifeShifting GUILTGUILT EvolvesInfiltrationInfectionDelphiDevil/A DevilDeath Awaits All
Chapter 6: Original Sin (UtK) Delphi HQFirst SinSecond SinThird SinFourth SinFifth SinSixth SinFinal SinAdamEpilogue
Chapter 6: Dark Gospel (SO) An InvitationCaduceus EuropeRelapseSecond OpinionOriginal SinThe Future of GUILTFallen HeroesVulnerabilityEpilogue
Z-Episodes (SO) From OverseasMiraclePursuitTransplantSayonara
X missions X-1: KyriakiX-2: DefteraX-3: TritiX-4: TetartiX-5: PemptiX-6: ParaskeviX-7: Savato
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