Caduceus Database

The Next Step is Episode 4-8 of Trauma Center: Under the Knife and Second Opinion.

Story[]

Victor completes his nanomachine and gets Derek to test it on Anderson's GUILT.

Conference[]

Briefing - UtK
From the data we gathered during the last operation... it's safe to assume this thing is impossible to remove directly. But, the artificial DNA structure at its root has a distinct weakness. It collapses when attacked from a three-dimentional angle. So, I developed a nanomachine to exploit that very weakness. By slightly altering its DNA, we can instigate necrosis. Basically, we'll drive it to suicide. I tried it on a sample, and the effect was immediate. Within four seconds, its mass had been halved... After seven, 91% of it had been completely destroyed. See, the GUILT's rapid regeneration rate only transfers the suicidal DNA that much faster. If we can shrink it down that way, excision should be cake. So, our objectives are simple:
- Preform a lobectomy and inject the nanomachine directly.
- Then, excise the GUILT and any surrounding tissue.
So, that's the plan, Chief. Any objections?
It sounds like our best option. Derek, prepare for surgery.
I understand.
Briefing - SO
From the data we gathered during the last operation... it's safe to assume this thing is impossible to remove directly. But, the artificial DNA structure at its root has a distinct weakness. It collapses when attacked from a three-dimentional angle. So, I developed a nanomachine to exploit that very weakness. By slightly altering its DNA, we can instigate necrosis. Basically, we'll drive it to suicide. I tried it on a sample, and it took effect immediately. Within four seconds, its mass had been halved... After seven, 91% of it had been completely destroyed. See, the GUILT's rapid regeneration rate only transfers the suicidal DNA that much faster. If we can shrink it down that way, excision should be cake. So, our objectives are simple:
- Preform a lobectomy and inject the nanomachine directly.
- Then, excise the GUILT and any surrounding tissue.
So, that's the plan, Chief. Any objections?
It sounds like our best option. Derek, prepare for surgery.
I understand.

Operation[]

This operation is a lot simpler than 4-6. You now need to inject the nanomachine (the brown vial) into the core to get it to shrink. It will create some polyps on the way, so treat them quickly. Once the GUILT's core is exposed, hit it with the laser.

As the core resets the fluid, you'll need to repeat the extraction process. Once you've hit Pempti with the laser, quickly extract it, and complete the operation.

Special Bonuses[]

SO[]

  • MAX CHAIN Over [30/50/70]: 600
  • No mistakes: 600
  • Completed with [180/195/210] left: 800

Operation Rank[]

UtK[]

  • S:4200~

SO[]

  • C:~3799
  • B:3800~4199
  • A:4200~4599
  • S:4600~4699
  • XS:5700~

Getting XS in SO[]

You're going to need a long chain of 70, so don't ignore the polyps that Pempti forms.

Miscellaneous Dialogue[]

Failure - UtK
Derek, leave the room! Dr. Clarks will be relieving you.
Dr. Stiles! Go home and get some rest!
Failure - SO
Derek, leave the room! Dr. Clarks will be relieving you.
Dr. Stiles! Go home and get some rest!


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