LordRaven001

Then as the person who organized the medical roles you should see that is incorrect. Emergency Physicians are literally "high ranking paramedics." During my associates I learned about a quarter of what Emergency Medicine Physicians know. We both practice emergency medicine, there is no special branch of emergency medicine for Physicians. I am trained to intubate, I am trained to put in IVs, I'm trained to calculate pediatric and beriatric dosages, I'm trained to administer highly potent chemicals. Hell, even though it's not legal in my state for me to preform without the go ahead from my Medical Director I'm trained in emergency cricothyrotomy. Every single Paramedic agency in the United States is run by an emergency medical physician, who are emergency medicine physicians. Every single one. They're called Medical Directors. However, that is not the topic of this project. The topic of this project is to determine a sufficient name to bestow upon Emergency Physicians to prevent confusion and outline responsibilities. Trauma Physician implies that they're just an ER Physician renamed, there is no backstory, there is no qualifications for Trauma Physicians, there is nothing for a player to base their character off of using the title of Trauma Physician. That is the only issue I have with this suggestion. Changing "Trauma Physician" to Intensivist or Critical Care Physician means they're not expected to respond, they don't have any training in pre-hospital care. It aligns them with the other generalists and internists that we currently staff (Surgeon, Medical Doctor, Nurse). It allows the player to tell the CMO directly. "My job is a Critical Care Physician/Intensivist, I am not trained in pre-hospital care, I am not trained to respond to emergencies, what I am trained to do is take care of patients who are critically injured WITHIN the bounds of the bay." Trauma Physician does not convey that, it conveys the opposite. Again, to reiterate, I have no problem with ER physicians staying in the Medical Bay, renaming the title so they're more aligned to hospital care is actually something I support. What I do have a problem with is calling them Trauma Physicians, again for the reasons listed above.

Goret has reminded everyone to remain civil, as a developer you're held to a higher standard than the rest of the community, insulting me in a public forum doesn't make me change my point, it emboldens my previous statement. To respond, I've already touched on your point and informed the right people, more specifically the Lore Master. I specifically said "It's one thing to be properly trained and refuse to respond, it's another to not be properly trained and refuse to respond. " in response to the same exact point that you brought up. You seem to have ignored that in favor of insults. If you continue to insult me I will take appropriate measures and inform the appropriate people, keep it civil. It doesn't matter what anyone else thinks besides your superior, people yell at Medical for the stupidest of reasons. I've been told as a CMO who was the only member of Medical and Command during an autotraitor round from hell which was responded to by merc ERT that I quote "fucking suck" at my job. Consistently. You keep bringing up the point that there are a couple of CMOs who chastised the EPs for not responding to emergency calls. A couple of ways to deal with this are as follows. The first one can be you say you're not properly trained to respond to calls and therefore someone else will have to bring them in, any reasonable CMO will understand, if they continue to harass you afterwards that is an issue for an IR. Another response would be that someone is dead, you do not need to respond to collect dead people, they will find their way back to you, that is not an emergency. If the CMO still continues to harass you, file an IR, if they suspend you without justification, file a character complaint or ahelp. Changing the job title will not resolve those issues, all it does is change the fluff and the lore around that job. It's not a good idea to hastily and without due contemplation change job titles. They're the thing which gives your character meaning. A Captain wouldn't be a Captain if Captain didn't exist. The same thing can be said for EPs. An EP renamed to a Trauma Physician implies that they have a different set of skills, and if they're the same set of skills why is there a differentiation? An alternative title that can be used instead of "Trauma Physician" is Intensivist or Critical Care Physician. An Intensivist (or CCP) is a Physician who primarily handles patients in an ICU. Their entire job revolves around the ICU, that is what I am understanding you want to happen. To make it so ER docs are primarily ICU. I have no issue with that, in fact I encourage it. What I do have an issue with is the title "Trauma Physician." Intensivist description: https://en.wikipedia.org/wiki/Intensivist CCP/Intensivist description: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/services-treatments/critical-care/what-intensivist

Alright. You do you. I'm giving you fair warning now that even if this title change goes through and compounds the already thick layer of confusion that surrounds medical in regards to who does what, when, where, and why. I will still be sending "Trauma Physicians" out to respond and retrieve if I don't have a paramedic, as will the other CMOs who have already been doing so. Changing the title and giving it a fancy new labcoat will do nothing. If the Trauma Physician then wants to argue with my call as the supervising physician they better have a good reason to justify why they're refusing to carry out the task assigned to them otherwise there will be punitive action that takes place. It's one thing to be properly trained and refuse to respond, it's another to not be properly trained and refuse to respond. There will need to be a lore clarification either by @Mofo1995 or the lore dev responsible for educational qualifications to determine if an Emergency Physician on a space station would have the proper training to respond to calls, as they should because it wouldn't make sense for them to stick around in the ICU waiting for critical patients to walk themselves to medical because there isn't a paramedic.

Your point in regards to an emergency physician leaving their post in an emergency room can't really be applied to real-life, it's a uniquely fictitious idea which makes it perfect for a space station like the NSS Aurora. In real life, in the US, an EP never needs to leave the hospital because they always have a staff, and there are institutions in place to bring patients to them, instead of having them go to the patients. We don't have that luxury in SS13 because a player may not want to be a paramedic. EPs are the next logical choice in response when we don't have a paramedic, as they're emergency medicine, the fixers, they stabilize for treatment. That won't change even if the EP is changed to Trauma Physician. I as a CMO will still send the Trauma Physicians to respond and pick up patients if I don't have a paramedic. They are the people best suited for it. It would not make sense for me to send a nurse, or a resident, or an intern, to respond to an acutely injured patient as they don't have the training or the experience that an EP has. Changing the EPs title to Trauma Physician just renames the EP to something that may be easily confused with a surgical specialty, or to something which may force the player to change the background of their character to abide by the new title. It doesn't do anything else.

That isn't wrong, what they've said is accurate for most of the world. For clarification purposes I'll explain a little bit about my background. I'm currently serving as a Supervisory Paramedic within a large urban county in the United States. To put it into layman's terms I am the team lead of a twenty four hour shift. Part of my responsibilities include scheduling joint AlS rigs, colloquially referred to as a Doc in a Box, with a Paramedic and an EP who is undergoing an EMS fellowship, or a resident EP. While it isn't as common in some rural areas of the United States mostly due to personnel constraints, most emergency physicians are able to preform life-saving measures out in the field if we give them the right tools and a controlled space to work in. Working in a hospital doesn't give you the insight for the uncoordinated and unscripted production that is pre-hospital care. Everything in a hospital is carefully planned, everything in a hospital is carefully orchestrated, everyone has a role. In the field, in a pre-hospital care setting, the roles are determined by seniority and knowledge. @BoxWulf's statement about Physicians not working outside of a hospital is factually incorrect, though he probably didn't have any malice behind it. He said that he "would like one instance where an emergency room attending physician has been sent with a paramedic on a call. " To counter his argument, I'll give him a directory of a fellowship pages which not only REQUIRES Physicians to go out on calls with Paramedics, but trains them on how to go out on their own without a paramedic. https://naemsp.org/career-development/fellowship-programs/ It's not a rarity, it's commonplace and it is a trend which is growing ever exponentially.

EPs handle all acute conditions whether it be psychological, pathological, or traumatic, that is why they have emergency in their name. Trauma is a specialization of emergency medicine, this is an actual sub-discipline of the discipline of emergency medicine. Emergency Physicians are meant to be the jack of all trades, they know the basics about everything that could be life threatening and they know how to stabilize that person to prepare them for proper treatment. They're the bandaid of the medical community. I don't see the issue with EP acting as a responder role when there isn't a an EMT or Paramedic on duty. As I previously stated it's commonplace in most of the world today for emergency physicians to have training in pre-hospital care, and while it may not be a requirement on the Aurora I don't see why the basic emergency medicine curriculum in the future wouldn't have it, when the current emergency medicine curriculum has it. Changing the title to Trauma Physician isn't the way to go about this as that gives the Emergency Physician a forced specialization, or confuses them with trauma surgeons who are currently the only physicians in the world who use trauma in their title.

Changing Emergency Physician to Trauma Physician doesn't solve the problem. The title change limits what people understand their role, and the role of the EP to be. Trauma Physician would imply they only focus on trauma. There are different types of injuries besides traumatic ones, especially in an SS13 setting. It also doesn't differentiate between what types of trauma they're expected to handle. Are they expected to handle psychological trauma? Or are they primarily focused on physical trauma? Or is surgical trauma their bread and butter? What do they do? It doesn't seem like the title is the issue here, but rather the assumptive nature of some radical CMOs, who can be politely corrected. Changing the title from something universally understood, to something that isn't a real thing and has no set definition could invite disarray and confusion in a system which is already further compounded in that confusion by Jackboot's Medical Restrictions. I also agree with Azande, there would be no reason why an Emergency Physician wouldn't be trained in first response on a station that is as small as the NSS Aurora. Why would Nanotrasen hire an Emergency Physician who is not competent in pre-hospital response and care when it is becoming standardized training for most urban EPs in the US today and is traditional practice for most EPs in Europe? Why would they only restrict them into the bay especially if there are personnel shortages or if a case is so extreme that the patient could die at any second?

I'm in full support of this pull request, Porting the psionic system from Baystation will not only give us a background framework of which we can build off of for the future, but it will also give us the ability to implement lore specific abilities in a way which becomes modular in nature. The current system of Skrell abilities are implemented using the base ability tab with no other features being provided. Porting this system will allow implants which can block psionic abilities to be added, and will also implement a system to detect and rank the potential power of an individual with a host of other features closely following. This is a change I am glad to see being attempted, and I feel like it will add a fair amount of roleplay to the server when it is implemented.

Insubordination is Antagonistic to the individual whom you're being insubordinate too, CampinKiller also concurred with me on your loudmouth attitude so its not just my opinion reinforcing this. In OOC Chat, that you've left out other players have also concurred that your conduct was unbecoming, some went as so far as to accuse you of playing bad because of your behavior in OOC. Tbear has those logs and is reviewing them at this time. Your posts are devolving into insults and repetition, to which I've bolded, and you're becoming extremely defensive which if I've learned anything during my time as a First Responder is that when people become defensive they lose the ability to speak in an unbiased capacity and provide conversation that will become productive. After this reply I will be awaiting a response from the administration as this banter has proven to be unproductive, you refuse to admit that you've left key evidence out of the screenshots that you've provided. I've spoken with members of the Administration and have confirmed that lying in a player complaint can result in a server ban, or a global ban, and when this player complaint is resolved with the logs proving that I did nothing wrong, and that you've left out key information I will be pressing for that action. That is incorrect, Brock Harkoni was the first individual on the Investigation, unless I am mixing him up with someone else. He is a black Security Cadet with a Security Belt, White Pants, and a Vest, or he was at the time of this round. I had him remain in the Bar while I spoke with Cassidy Hendricks about the main suspect. We can get him to reply to this player complaint as-well, to confirm this. Just because you didn't know about it doesn't mean it did not happen. You've also accused me of metagaming yet provided no evidence to back it up. Impressions of characters are formed on the spot. Coupled with the previous rounds that Ming and Major have been in together, which I'm not quite sure why you're denying as the Admins have access to look it up, they literally hit a button and an entire .txt file is generated, coupled with your current behavior this round has led me to find an opinion of disfavor of Adrien Major. Ming is a logical being and when someone has proven that they will be of no use, not even for guard duty, he cuts them out of the Investigation. Its the way he is played, and there is nothing against the server rules saying that I have to include everyone, in everything, at all times. That would be unenforceable and quite frankly silly. This is just a quote to reinforce my further conclusion that this discussion has grown unproductive, which is why again I will no longer be replying to responses and I will be awaiting a response from @HouseOfSynth and @tbear13 on the conclusion of this player complaint.

My intention was not to act like the Head of Security, merely an authoritative Detective. The spats it caused were all in relation to Adrien Major, Adrien Major this round was an antagonistic individual towards my Detective, which made me exclude them further. I told every single Officer, and every single Cadet besides Adrien Major about the Investigation, and actively included them. I don't know where the information or statement that I excluded everyone and everything came from, everyone but Adrien Major was included. He was the only individual not included. This was due to my personal interactions with the individual on my Detective Character. My Detective did not trust them, did not like them, and did not want them messing up my Investigation. It is not against server rules to dislike a character. As previously stated above. In the interactions I had with Major I determined him to be untrustworthy, from both past round interactions and this current round. I did not want him involved in my Investigation because of his loudmouth attitude, his insubordination, and his overall demeanor and attitude. Again, it is not against server rules to dislike a character, nor is it against server rules to exclude a character.

You just admitted you were about to compromise a homicide investigation by warning people that someone was sucking out people's blood, the individual that was suspected and convicted of sucking out someone's blood was being followed by an Officer who agreed to do that job, and myself. You would rather risk all this roleplay just so you can be seen as the hero, this same behavior is shown during the Engineering Lobby encounter in which you PUBLICLY and in front of numerous individuals, disobeyed orders from the established chain of command and then started arguing with them that behavior as a Security Cadet is simply unacceptable, you're there to learn not to rush into every encounter acting like you're the big boss in town and disobeying every established chain of command since the 2400. I have shown willingness to cut people who I feel aren't up to the task of maintaining an investigation out of the investigation. Your in character conduct proved this to me. Ming and Major have met more than once so I don't know where you got that from. I've shown a willingness to cut Adrien Major out of this at every turn, mostly because as previously stated, your in character conduct has proven that you're insubordinate, noisy, and show a disregard for maintaining the security of an Investigation, don't give that impression to people and they won't cut you out of a high stakes investigation. Its not against server rules to banter about your case record with your boss, especially if you've been brought up in the environment where bragging is acceptable, in the case of Ming this environment was Olympia on Mars it fit with the character and was perfectly acceptable, if you're going to claim that me bragging about my case records is against server rules I want you to get the names of every regular Detective player and write up a complaint on them too. You're right, I am proud that I caught those antags, and I am proud that I kicked ass and took names, because unlike a majority of the other Detective Players, I got confessions out of each and every one of them, and I tied them to the scene using evidence and detective work. I'm not going to hide that I am ecstatic that the detective play worked out, and that instead of just throwing people into a cell based on someone's word, I got confessions out of every one of them. Never once did I say "Director raise the alert level" mostly because I don't interact with Research Directors. Ming doesn't speak with Researchers or Scientists unless they're fellow Skrell or its required in the pursuit of an investigation due to some backstory issues and trauma, so that accusation is baseless and follows the trend of this player complaint, lacking in facts and vindictive. If you're going to tell me how my character interacts with a specific group you should at-least get my character's backstory right, before making a random accusation with no base. I would also never say "Director raise the alert level. I'll brief you on it later" Skrell do not speak that way, it would be something along the lines of "Director, level blue, brief later." So before you start spouting random nonsense and then claim I said it, you should at-least understand how Skrell talk in basic. In Ming's case he is more adapted to Tau Ceti Basic, yet still reverts back to his old mannerisms, as most people do when speaking in a foreign language, if he is in the presence of foreign company, and or individuals he does not work with regularly in the case of the Security Channel frequency having Ming talk near perfect basic, or when he is speaking to his co-workers in the Security department. This is quite baseless as-well. If I was concerned by purely winning I wouldn't offer to reduce charges in exchange for information, I wouldn't offer to turn an antag into a confidential informant and have them flip on a higher level criminal, I would simply just throw them in a box based on some random persons testimony like how a majority of arrests are concluded. Instead I gather evidence, I gather witnesses, I interrogate, I keep everyone who hasn't proven in the past to be incompetent at their job in the loop, I keep the crew in the loop if I think they can help my investigation. If I was motivated by purely winning I would skip all the roleplay and simply throw them in jail. I can see why you've been banned on the forums, you've spouted lie after lie and baseless accusation after baseless accusation in the forum of an official complaint. When Tbear reviews the logs and finds out that you've been lying constantly throughout the entire player complaint, I will be making a player complaint on you for the fact that you've failed to obey forum rules, and more specifically, that you've lied to the administration team for vindictive reasons. This entire player complaint is a joke and I refuse to be apart of the lack of respect for the staff team, and Aurorastation as a whole by lying constantly in an attempt to get someone punished, that is quite frankly bullshit.

According to the PR, mumbling means. " When something is said in the dream world, there is a 1/5 chance that part or all of what is said will be mumbled out from their real body in whatever is currently their default language. " Overall this is an excellent addition, and I would concur with DeadLantern. It would be nice if there was a possibility of more rooms in the future, connected by some sort of pocket dimension hallway, or something dreamscapey like that Think of another pocket dimension connected to other pocket dimensions. They would dependent on the Skrell, and the Skrell would have the ability to alter said rooms at will. However this will require a lot more coding, if it is even possible, and could be made in another PR. I'm glad Skrell are getting some mechanical changes to them, and some buffs and polishing. Sleepy has done an excellent job and this PR will only further add to the RP that can be accomplished.

Detectives have full authority to request resources, and or requisition men in the event of an Investigation, they could have refused and that would be that, I did not order them, I asked them and they complied. This "Bloodthirsty Manhunt" involved no blood, and in fact was tactically planned with, every security officer, and the warden. The Chief Medical Officer, the only member of command, was also given information on a need to know basis, as I had no way of contacting him confidentially, and my Skrellian is a cop from Olympia and does't like relying on PDA messages to deliver confidential information. I had been receiving PDA messages and relaying them on a need to know basis as we didn't want to spook the individual who was already shown to be psychologically unstable. E Everyone but Adrien Major was informed, Brock Harkoni, the other Security Cadet, was allowed to assist in the investigation, as he had proven to be a reliable Cadet, and did so by providing cover while in the bar and while I was speaking with Cassidy Hendricks. This was for the simple reason that my detective character has interacted with Adrien Major before, and they have been proven to be unreliable in maintaining information security. They have also been proven to be unreliable in following simple requests during high stress environments, instead trying to act "Big" as stated below. This is not against server rules to form opinions about individuals, and then exclude them if in the past they've proven to be untrustworthy and unreliable, especially in Security a department which has the ability to make or break a players round. Sounds like the individual in question was misinformed, not only did the Chief Medical Officer Fernando Gonzales publicly, and over the common channel state that the individual was not sick physically and it was psychologically, but four Security Officers, and myself, also stated that. It also appears that these screenshots are excluding a majority of the conversation, more specifically, what was said before and what was said after. Rue was my Forensic Technician, and also a Skrellian who worked close with me on this case, and was informed of everything. I was telling the Officer who was alone, chasing down a person accused of murder, who had just drank blood straight out of a bloodbag and fled from medical to make sure his sensors were up so Fernando could track. In the case of me telling the Warden that Homicide Investigations take priority over everything, a huge chunk of that conversation was blacked out to only include that statement. Everyone in Security, including the Active IAA Agent agreed and stated before my statement that, that was incorrect. That was also a different situation outside of a Homicide Investigation, it involved a situation in which orders to void it were given by the administration team. The situation the Warden was talking about, ended in people receiving admin rejuvs, and having the atmosphere cleared as a griefer suicide bombed the surface level. Those screenshots only prove one thing, that this was a Detective working a case. Officers at any time could have said no, and could have refused, but they wanted to be apart of that roleplay as it was interesting, we could have skipped all of this and arrested the guy accused of murder without any evidence like how most arrests happen, and threw him in the permabrig. However we didn't, we roleplayed it out. The screenshot above was after the cadet ruined my sting operation, and disobeyed orders. The Officers who were there also said the same thing, this Cadet not only was insubordinate to four Security Officers, but insubordinate to the Detective on the case. As previously mentioned Adrien Major is an individual who I have interacted with before, and I have determined him to be unreliable in handling investigations. He cannot keep his mouth shut, and actively attempts to interfere with it. He overstepped his bounds as a cadet, and was put back in his place by the Detective, who's case he almost ruined. The Cadet was also walking around without a superior officer, who would have kept him informed, and instead acting like the Security Cadet slot was just another slot for a Security Officer. In reality it is not. He also left out the part where he actively contradicted in front of my suspect, used bold text to tell me and the Officers behind me that we were in the wrong, and overall act counter-intuitively to what a Security Cadet would have done in that situation. You do not become a Cadet, and then think you know better then the Security Officers and Detective who are actively on an investigation. That doesn't make sense. I sent a PDA message to the Chief Medical Officer, requesting green. I did not get a reply back but I presume he understood that which is why the Code, even after the announcement was made, was kept at Green. If the Chief Medical Officer raised it to blue, all that he would get was a complaint out of me, unless you're saying I had access to change the code? You can also see the Officers, before he cut out parts of the statement, agreeing with me in this. There was an OOC message to ignore the grief that took place on the surface level, and that is what I did. That didn't happen. The CMO made the announcement about a situation which was determined to be GRIEF by the administrative staff, in which they said in OOC to void it. I did not assure anyone that it was safe, I believe my exact words were "Security has investigated this and determined it to be a Murder-Suicide." to which other Officers reiterated. I then said "There is no further threat of further attacks, as the attacker is deceased." Or something along those lines. This is again another screenshot taken out of context and it isn't indicative of what happened during that round. When you review the logs you will see that. The Officers were also infuriated with the Chief Medical Officer's decision, which you could see if he didn't screenshot partial parts of the conversation. Again this screenshot, like the majority on this post, are taken out of context and leave out key parts of information pertinent to the player complaint. I wanted Adrien Major to stop talking because during previous rounds he was found to be unreliable. We were actively talking about facts of the case in the Security Channel at that time, and actively discussing evidence and leads. Including the fact that an individual drank blood from Medical, to which I would not be surprised if he was going to reveal. This is early in the round and it is the point in which we no longer actively discussed information in the Security Channel for fear of an information leak, and having the psychologically unstable suspect cause more harm. I'm not going to jeopardize my Homicide Investigation for a cadet who spouts random facts over common, and is actively insubordinate to superior officers, and the Detective. This screenshot was also taken out of context, there is an entire conversation that went on before me stating that with both my fellow Officers, and the Warden. It is not against the server rules to dislike a character, and it is certainly not against server rules to exclude a character if past experiences have proven them to be of a certain disposition. Never once did I call him butthurt. This entire conversation is taken out of context, what he left out was the majority of the server agreeing that his conduct was unacceptable, and that Security Cadets should remain with Officers, and not be charging head first into an active sting operation to handle a patient who was psychologically unstable, that we were watching. While I can take responsibility for not telling him to avoid the Engineering area, when you see Officers hiding in the EVA storage, and in lockers, and talking about getting ready to surround a place, your first instinct shouldn't be to charge directly in the center of it and then act insubordinate to the Officers around you. That isn't acceptable Cadet behavior and will not get you brownie points. The logs will show that while the suspect and I were talking, he actively backtalked me and was insubordinate to the Officers behind me, I'm not going to arrest people based on witnesses, I want cold hard evidence. Which is why we were doing this all in the first place, I could have HuT the suspect the second I had the AI tell me he was near the scene of the crime, had fibers there, drank blood, and was Psychologically Unstable. People do it all the time, however that is shit security play and I refuse to be apart of it. Sounds like this entire statement is just an insult. So I'm not going to flatter it with a response. Overall a majority of this player complaint seems to be taken out of context and is not indicative of what happened during the round, moreso these screenshots were taken in a vindictive capacity and actively blurred and censored to reinforce that vindictiveness. When you review the logs you will clearly see that Adrien Major was not only insubordinate, but also untrustworthy when dealing with matters that involve high sensitivity.

Many eons ago, a brave, handsome, not-smelly, clean, beautiful runemaster named LordRaven001 scoured the universe in search of a pure and free library, that time is now here, the long prophecized day has arrived and LordRaven001 is ready... Ready to smite the grotesque misuse of library's all over the universe, until one day he can finally rest in his most clean, organized, and library full of true knowledge and not useless garbage from the great hub wars of 2017-2018... He has waited long enough.. https://docs.google.com/document/d/13uKI6HoLOnWrra2b9Chs3V1HK5phOyql_ZY-iaTyPpo/edit?usp=sharing

Hey. [mention]Coalf[/mention] I've come here to give my contribution to this forum post regarding the discrepancies of the Psychiatrist/Neurosurgeon and Paramedic with knowledge on how to produce three chemicals. Lets first talk about the Psychiatrists education standards today in real life, not four hundred and fifty two years in the future mind you. Psychiatrists are in Medical Professionals, they are in possession of an MD and a mandated board certification which they received through completing their Four-Five year specialty training. (Which covers Neurochemistry, Neurophysiology, The anatomy of the Brain.) Lets also mention on how Psychiatrists are overseen, at least in the US, by the Board of American Psychiatry and Neurology, which is more proof that the specialties in question are compatible, in-fact they are so compatible that its one of the most common dual-specializations in medicine is Psychiatry and Neurology or Psychiatry and Neurosurgery. A Psychiatrist is a Doctor who's main job focuses on the brain, determining what is wrong. In the future four hundred and fifty two years later the Sciences have no doubt advanced astronomically, literally and figuratively, that I speculate this wouldn't be a rare combination at all, no it would be quite common. Especially for an IPC who can be programmed and in mere minutes later be a fully qualified, functional and operational neurosurgeon. Now onto the Paramedic knowing about THREE LIFE SAVING chemicals in which they no doubt received extensive training on how to administer, what is in it, what it conflicts with, and everything in between. I'm currently going through Paramedic Certification within the US which consists of learning about chemicals, how to administer chemicals, what the chemicals are made of, what the medical problems and other medications they conflict with are, while also learning advanced life-saving techniques. Four hundred and fifty two years in the future we would no doubt have advanced and refined our knowledge that it would be mandatory for a PARAMEDIC, which is the highest form of certification you can receive as a paramedicine professional, to know how to make life-saving chemicals. Not to mention an IPC, which would take what? One-two thousand lines of code to program into that little bugger so he knows how to make three chemicals? It would make sense. Overall from my personal opinion as a current Paramedical professional (Advanced EMT) the IPC knowing how to make three and only three chemicals that could change the outcome of a patient would not be aboriginal, in-fact it would make the IPC more marketable and widely used because of that feature. When you're a Paramedic or Paramedical Professional seconds... seconds... are all that it takes to prevent someone from dying, and saving their life. It would also be illogical to assume that a Psychiatrist could not specialize as a neurosurgeon, especially since Psychiatry focuses on the brain, what it does, how does it do that, how does it look like, whats wrong with it, Psychiatry isn't all about "Tell me, how do you feel" Its about figuring out how the anatomy of the patient is contributing to their psychological distress. They are Medical Professionals and qualified Medical Doctors who are experts on the brain.