Medical Supervised Living Center (And Physical Traumas)

[Guest Marlon Phoenix]

Sometimes a patient in medical has a situation that makes medical not want to release them to the wider station. This could be traumas that are not able to be treated at the moment, or physical disabilities... Which as of this moment are things like your limbs missing, or severe brain damage.

The Supervised Living Center would take the place of the pictured locations in the provided photo. This current section of the medical sub-level is entirely unused - it serves no purpose save a hiding spot during antagonist activities. The main level exam rooms serve even medical check up RP needs. It looks nice, though. Has a good hospital vibe.

This suggestion is to transform it into the titled Supervised Living Center. It has:
 

• At least 2 dorm rooms.
  • A bed, table, newscaster, desk, chair, closet, dimmable windows.
• A grassy courtyard.
• Plenty of windows to give the nurses or medical staff the ability to peep' at'cha
• Cameras hooked up to the observation room.
• A small prestocked library, Physical Therapy gym, and break-room sized cafe.
  • Cryo pods.

The goal of this assisted living center would be to house crewmen with severe psychological or physical issues that prevent them from integrating within the wider station. It would also be where you treat Physical Disabilities. The addition of physical rehabiliation is intended to address criticism that this section would essentially be medical's permabrig. I still say that medical needs a place to put people who are in no fit state to let wander around, especially since someone physically or mentally disabled shouldn't be thrown to security, but hopefully additional features will make it have additional life.

Physical disabilities are equal to mental traumas and are put in the pool of potential traumas to fire when you are cloned. When cloned, or when your limb suffers severe damage, you have a chance for that limb to suffer a Physical Disability. This makes the limb disabled. When your hands or arm is disabled you drop anything in that hand. If your leg is disabled your move speed is slow as you need to limp.

The bare minimum of what I want to see is a place to lock disabled or unfit crew without the permabrig that is more than a 4x4 room without access to cryo or visitation.

Disabled legs are treated passively by walking. After walking 330 tiles (circling the central hallway 5 times) period of time, the leg will regain its use. Within the Supervised Living Center's Physical Rehab area there are treadmills that can heal a disabled leg at 5x the rate, allowing you to walk within 2 minutes of using it. Disabled legs can also be treated with the Chakra bed in psychology.

Disabled arms are treated by Pedal Excersize in Physical Rehab. It takes 1 minute to cure the disability. They can also be cured in the psychologists' chakra bed.

This area would have the nurse job be emphasized as being the primary care provider in the MSLC. Currently nurses lack a specific niche, and this would give them one.

 

Edited December 20, 2018 by Marlon Phoenix
Removed the second image

[Guest Marlon Phoenix]

I don't know how to delete the second image so I will hide it in a spoiler.

[SeniorScore]

Ah yes make cloning even more annoying and longer to resolve. There's a reason we don't have many psychs and by extension cloning anymore.

[Guest Marlon Phoenix]

These would take the same amount of time as psychological traumas. Their treatment is also simple and self evident. Put them in rehab, wait 3 minutes.

But if you find new mechanics to be awful here, how would you feel about everything going in as said, but without the disabilities. So you can roleplay it out, or otherwise have a large section to keep crewmembers medical can't let roam around. Our current only options are 4x4 rooms or virology quarantine. It was criticized by Doc that without additional features this mapping (and disability) handling process would be both unused and super redundant.

Edited December 20, 2018 by Marlon Phoenix

[AmoryBlaine]

 I like the idea of more time being focused on post-cloning. It puts weight on it, I find. But I don't care at the same time. I sorta like the current sub area, but it could use a lighting overhaul. Looks like shit currently. 

[StationCrab]

I know people have mixed feelings about the trauma systems, but this project even at an aesthetics level is great. The sub-level is rarely used as mentioned, might as well make it an interesting RP area for Psych patients. Also I really like the idea of patients being able to work out traumas themselves in this area. 

Also, not sure if this is the right place, but on the topic of traumas, could we remove the ones that put players to sleep?

Edited December 20, 2018 by StationCrab

[Conspiir]

If physical traumas on cloning reduce the chances even slightly of some of the bad mental ones, I'm all for it. A normal medical doctor would be able to understand rehab equipment, raising up the odds of a good cloning even when you don't have a chemist or psych.

[BurgerBB]

I cannot support this for several reasons.

Post Cloning RP never happens. 99% of scenarios where you're cloned that I've seen is you being cloned, you being treated, and then you being told to get the fuck out because there are 10 other people who need cloning. If any RP happens it's usually shit-tier depression RP that most people don't want to deal with. If people actually wanted to deal with that, you'd see more psychiatrist players than the 2 that rarely play and the occasional greytide snowflake. Segregating people to the sublevel would worsen that RP and give medical more responsibilities to take care of people on top of the ones they already have.

Also, adding more penalties to cloning will just make doctors clone people less. You honestly straight up might as well remove cloning at this point because there are a plethora of doctors who refuse to clone people unless it's code green, there is a psychiatrist or a chemist, and a surgeon. This thing only happens during 2 rounds of high pop, and that's it.

I will genuinely give all my characters DNC if this is implemented.

[Guest Marlon Phoenix]

@BurgerBB as i asked seniorscore, without the mechanics added how do you see the mapping itself and addition of it as a place to lock crazies and disables without it having to be the brig or a 4x4 room? Places to go and cryosleepers to crawl into.

 

Theres nowhere to lock patients for moderate or longterm that isnt a cell or a room full of beds.

[Sytic]

I would have originally said "Wait for the Trauma fix that Fowl's making!" But that's taken months. Personally I'm all for an entire rework by someone else more enthused with doing so, or deleting traumas. They have always sucked, and I demonstrated why many, many times before, and demonstrated how you could change or refluff items in Psychology to make it better. Maybe if Psychology wasn't filled with crazy weird pseudoscience, we would have more psychologists and this would be less of a hassle.

 

[Hendricks]

I love the idea, but cloning is a hassle, if a bunch of people died and I was a doctor, I can see the dis-appeal of doing it, it would take so long and constant supervision, I think the trauma system is bad, even having slight brain damage can give you a trauma, it's annoying, tedious and pain staking. As much as I'd love it to be longer and be able to generate more rp, cloning usually does end in bad tier rp. I don't think cloning should be removed, their is nothing worse then start of round gank, which does happen and then having to wait 2 hours possibly more if you don't have another character to play as, or basically can't play the character you want, I am all for the changes to sub medical though, make it a nice place to stay or a nice place to go when medical is full of screaming people, I think either we need to reduce trauma's because their is RARELY a chemist and psych like Burger said, in fact I have not seen a psychiatrist in a long time, it is one of the most underplayed jobs because you talk to yelling crazy people. I think we really need a re-work or just to ease the stress of cloning off of doctors. It is just a pain in the ass for everyone, doctors not cloning people sucks because it's fair, I wouldn't want to do it if I knew what was to be expected. Maybe robotics could make more robots to help medical since Robotics is slightly more played, maybe they could make an auto surgeon that does surgery accurately and without failure, maybe their could be robots that make psychotic medicine, maybe their could just be medicine in the first place so we don't have to go around with tourettes or speech impediments. 

[Doxxmedearly]

The two positives I see in this suggestion are the remap of the medical sublevel into something that might get used, and the proposed physical traumas entering the same pool and thus lowering the chances for the awful mental traumas we have in place. Were it up to me, I'd remove traumas completely, as they're so tiring to deal with that I never accept cloning anymore. A physical trauma that can be cured by therapy without the need of a psych/chemist on staff is appealing, but sometimes medical is just far too busy to give these patients such long-term individual attention. So I'm iffy about traumas in general.

However the proposed remap is very good, IMO. I would like to see that. I'd also love a small testing range for chemist experimentation, but that is likely beyond the scope of this change. 

[SeniorScore]

@Senpai Jackboot the mapping by it's self would be fine, sure.

[Resilynn]

I love the mapping. I’m honestly in favor of adding physical trauma, especially if it replaces things like narcolepsy. 

[Guest Marlon Phoenix]

15 hours ago, Conspiir said:

If physical traumas on cloning reduce the chances even slightly of some of the bad mental ones, I'm all for it. A normal medical doctor would be able to understand rehab equipment, raising up the odds of a good cloning even when you don't have a chemist or psych.

The experience I have encountered with traumas as both someone who experienced them and treated them has informed my general philosophy that I used in a major overhaul of medical quite some time ago - balancing specialized equipment with lowpop medical considerations.

The physical traumas are not round ending or severely punishing as some of the mental traumas are. While it might be seen as unrealistic being able to 'walk it off' with these two physical disabilities is in my view a fair and necessary concession to give to ensure players have a way to get back on their feet if treatment is not an option. The multiple methods of treatment are also something I find important with any sort of trauma.

The physical traumas are contentious so far but at the same time the mapping portion has support. Whether or not this would be a dev project or just a mapping project is up to the development team; if they feel it's a worthy adjustment that stands on its own without the trauma additions.

[Guest Marlon Phoenix]

Drago said they will see if they can help get this proposal a mapping PR. We will see what we come up with; I mentioned interest in an additional staircase to reach this location for both visitation, medical access, and evacuations.

[Guest Marlon Phoenix]

PoZe has taken over and said he will come with an update in a few days.

[Guest Marlon Phoenix]

Here are in-progress pics for public peepin'.

The circled area shows the stairs that will spawn to a new surface hallway. The stairs allow medical staff to have access to the sublevel even if there is a lack of power. It is for evacuating patients or otherwise travelling without the need for power.
The four rooms are going to be given wooden flooring.

There are four dorms to fit four longterm residents. The two rooms with medkits are for nurses or other staff to observe any residents in there.
The eastern areas that are unfinished are going to have, along with the pool, a tiny kitchen, library, and garden.

https://cdn.discordapp.com/attachments/394041666648145920/527760679063519232/2018-12-27_1_LI.jpg

I cant seem to figure out how to put the image of the surface hallway below the sublevel picture, so here it is as a basic link.
https://cdn.discordapp.com/attachments/394041666648145920/527760679063519232/2018-12-27_1_LI.jpg

Edited December 27, 2018 by Marlon Phoenix

[PoZe]

Moving to Projects, as there is a PR for it https://github.com/Aurorastation/Aurora.3/pull/5845

[PoZe]

[Doxxmedearly]

No chemical testing area, sad Doxx

Really though, it's a great redesign. Might see the sublevel used. 

[PoZe]

Update: after discussing with Arrow, we have agree to replace stairs with a ladder, for emergency use only.

[PoZe]

Updated pictures. One is mainlevel new ladder, another is updated stairs

 

Edited December 28, 2018 by PoZe

[Scheveningen]

A few issues.

1. I have a concern about making the map any bigger than it currently is.

2. I have a concern about adding more to a portion of the medical map that honestly is not even used by the majority of medical players because its function is not practical.

3. I have a concern about tacking on more disability mechanics until mental traumas are either reworked or totally substituted for a better system, given I hold the belief that they have been the worst influence on medical gameplay and on the overall community interest of actually playing medical in the first place. The difficulty of dealing with traumas rendered to a person surviving the damage and those that come out of post-cloning has not led to gameplay depth as the developer implementing it said it would, instead it added a heavy degree of tedium and unfun nature to fixing an even wider array of problems inherent to being sneezed on by an antagonist.

As Burger has said, players have actually started to clone less due to being totally ill-equipped to deal with the heavy-handed consequences of cloning both from a roleplay perspective and a mechanical perspective. This is not so much a problem for me personally as I know how to avoid my characters from dying outright, but when I do die, I forego the idea of being cloned at all because of how horrible it is to roleplay the forced defects, if one is able to even speak, see or hear at all given the random dice-roll nature of post-cloning traumas.

I can't imagine how awful it is for players that have a greater tendency to die while playing on the server.

Edited December 28, 2018 by Scheveningen

[Evandorf]

Two questions/suggestions. 

- with the added duties of watching longtime patients could we add Orderlies as a doctor or intern subclass?

- I know that a lot of the mapping has already been done, but stairs already exist for the psych wing and now that the vault has been moved to the main level the space below the psych stairs should be open. It seems like it would flow better and be more accessible to make the pysch stairs run from the mid level down to the main level and continue on into the sublevel. Basically one main staircase for med that is more centrally located.

It would mean basically relocating this redesign but I thought I would put it out there.