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TosthAaaiser
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Fishhead: Naval Doctor, Tier 3

May 15, 2013 12:48:05 AM

Aboard the ISD-II Adjudicator
Dr. Wat’s Office

“Mr. Aaaiser. Welcome. Let us get down to business. As we have previously discussed, today we will be testing your theoretical knowledge of psychology. Are you ready to begin?”

“I am.”

“Very well. You will take the exam on this holopad.” She handed the Mon Calamari a holopad. “Do not attempt to exit the exam. This holopad only has functionality here, to deter fraud during the examination. You may begin when ready, Mr. Aaaiser.”

He activated the holopad and began the examination:

1)Describe “moral psychology” and the integrated model of “moral motivation.”

Easy.

Moral psychology is a hybrid field of study, integrating both philosophy and psychology. Its true applications are disputed. Some report it to be solely a study of moral development. Others use moral psychology as a crossroads to describe it as a combined analysis of ethics, psychology, and the philosophy of the mind. It can entail anything from moral reasoning to evaluating egoism.

“Moral motivation” in its simplest form is a model of moral psychology, consisting of nine different points of analysis:

1)Moral Identity: This point of analysis is described as an individual’s synchronization of personal and moral goals. This seems to be the outright source of moral motivation.

2) Moral Values: This point is less important than others; it has been described as a “post-hoc justification of their attitudes and behaviors.” Essentially, the moral values of an individual are important; however they are defined in such a way that they are more a product of actions and emotions.

3) Moral Virtues: This point argues that the morality of a person depends on the traits and temperaments that he or she possesses and values. According to leading psychologists, “our moral values and actions are controlled by a set of schemas, cognitive structures that organize related concepts and integrate past events that we have created in our minds.” They continue by asserting that schemas are “fundamental to our very ability to notice dilemmas as we appraise the moral landscape.” Essentially, as we add to our schemas through knowledge and experience, we deliberately shape our view of morality.

4) Moral Reasoning: This point is very possibly one of the most important in moral psychology. It has been argued that moral development is best thought of as one’s progression in their capacity to reason morally about various moral dilemmas or conflicts of interest. It has also been asserted that an individual is considered more cognitively mature depending on their stage of moral reasoning and that an individual’s stages of moral reasoning will grow in both education and world experience.

5) Moral Willpower: Moral willpower was described in a study in which willpower was related to the delay of gratification paradigm. The study described a hot/cool system in which one can control one's emotions while still being driven by impulses. The hot system is referred to as the "go" system whereas the cool system is referred to as the "know" system. The different systems being triggered decide how one reacts to different stimuli being presented.

6) Moral Behavior: This aspect of moral psychology is the result of a study to try to hybridize the analysis of moral identity and moral judgment. These two factors influence the end product directly, all of which lead to a different outcome.

7) Moral Intuitions: This aspect of moral psychology is rather simplistic. These moral intuitions are made through socially-derived intuitions. Using this idea, coupled with the Social Intuitionist Model in its full form, it seems that moral reasoning is largely post-hoc rationalizations that function to justify one's instinctual reactions.

8) Moral Emotions: A generally accepted definition of moral emotions is that they are the emotions that respond to moral violations or that motivate moral behavior. There are two definitions that have been defined by philosophers. The first is more tied to language and the definitions we give to moral emotions. It is, at its core, is “to specify the formal conditions that make a moral statement, that is prescriptive, that it is universalizable, such as expedience.” The second is more tied to actions. It is used to “specify the material conditions of a moral issue.” For example, moral rules and judgments “must bear on the interest or welfare either of society as a whole or at least of persons other than of a moral emotion.” It seems to focus on the actual outcome of a moral emotion. Because the latter is not tied to language, it can be tied to analysis of prelinguistic children and animals.

9) Moral Conviction: Adapted from the burning question of moral psychology is the issue of what qualitatively distinguishes moral attitudes from non-moral attitudes. Moral conviction refers to a “strong and absolute belief that something is right or wrong, moral or immoral.” This refers to the idea that moral mandates, or attitudes held with moral conviction, derive their motivational force from their perceived universality, perceived objectivity, and strong ties to emotion. Perceived universality refers to the notion that individuals experience moral mandates as transcending persons and cultures; additionally, they are regarded as matters of fact and derived from an individual’s moral conviction.

Using each of these alone will achieve almost nothing. Combing a few of the factors in an evaluation can result in improved revelations regarding morality within a patient, which can help in the final diagnosis of the patient.

2) List and describe the basic tenets of psychoanalysis.

Not as easy. This was the one area in psychology where Fishhead was weak; he never gave much credence to the field of study. Okay. I can do this. He picked into the deepest reaches of his brain and found what he thought to be applicable to this question.

1) Personal development occurs in two ways: the inherited constitution of personality and events in early childhood.

2) Human behavior, experience, and cognition are largely determined by irrational drives.

3) Those drives are largely unconscious.

4) Attempts to bring those drives into awareness meet psychological resistance in the form of defense mechanisms.

5) Conflicts between conscious and unconscious material can result in mental disturbances such as neurosis, neurotic traits, anxiety, depression, etc.

6) The liberation from the effects of the unconscious material is achieved through bringing this material into the conscious mind.

I think that’s everything. He decided to move on. Great… More psychoanalysis.

Indeed it was.

OOC:: WC: 1,061

First post of my Naval Doctor Tier 3 certification story. I'll be trying to post these in about 1,000 word posts, considering the level of technical jargon I'll be employing. I feel that should make for an easier read than having it lumped into longer posts.

Part 1 of the psychology theoretical exam.

JC |CPO Tosth “Fishhead” Aaaiser |ISD Adjudicator/TF:A | 2Flt |FC |VEN | VE
TO | CPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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[This message has been edited by TosthAaaiser (edited May 19, 2013 2:54:41 PM)]

TosthAaaiser
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[VE-NAVY] Chief Petty Officer

Post Number: 108
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RE: Fishhead: Naval Doctor, Tier 3

May 15, 2013 12:52:23 AM

Describe the major theories of psychoanalysis, including the subsets of Ego psychology.

1) Topographic theory: This theory states that the mental apparatus can be divided into three systems: the Conscious, Pre-conscious, and Unconscious. For classical psychoanalytical theory, this theory remains one of the metaphysical points of view.

2) Structural theory: This theory splits the psyche into three distinct states: the id, which is present at birth, as the repository of basic instincts. It is unorganized and unconscious, operating on the ‘pleasure principle,’ without realism or foresight. The second of these states is the ego, which develops slowly. It functions as a mediator for the urgings of the id and the realities of the external world, operating on the ‘reality principle.’ The final state is referred to as the super-ego, which is a level of the ego, in which self-observation, self-criticism, and other reflective and judgmental faculties develop.

3) Ego theory: A collection of theories that describe the notions of autonomous ego functions: mental function snot dependent, at least in origin, on intrapsychic conflict.
3a) Modern Conflict Theory: The first of the sub-theories. It replaces structural theory by observing emotional symptoms and character traits and their complex solutions to mental conflict. It also posits that instead of an id, ego, and superego, exists conscious and unconscious conflict among wishes, guilt, shame, emotions, and defensive operations.

3b) Object Relations Theory: This theory attempts to explain vicissitudes of human relationships through a study of how internal representations of self and others are structured. The clinical symptoms developed to describe object relations problems include disturbances in an individual's capacity to feel warmth, empathy, trust, sense of security, identity stability, consistent emotional closeness, and stability in relationships with significant others.

3c) Self psychology: This theory emphasizes the development of a stable and integrated sense of self through empathic contacts with other humans, primary significant others conceived of as "selfobjects." Selfobjects meet the developing self's needs for mirroring, idealization, and twinship, and thereby strengthen the developing self. The process of treatment proceeds through "transmuting internalizations" in which the patient gradually internalizes the selfobject functions provided by the therapist.

3d) Interpersonal psychology: This theory accents the nuances of interpersonal interactions, particularly how individuals protect themselves from anxiety by establishing collusive interactions with others, and the relevance of actual experiences with other persons developmentally (e.g. family and peers) as well as in the present. This is contrasted with the primacy of intrapsychic forces, as in classical psychoanalysis.

3e) Relational psychoanalysis: This theory combines interpersonal psychoanalysis with object-relations theory; these theories can also be combined with inter-subjective theory as a critical component for mental health. It emphasizes how the individual's personality is shaped by both real and imagined relationships with others, and how these relationship patterns are re-enacted in the interactions between analyst and patient.

Finally done with these blasted psychoanalysis questions.

Describe behaviorism and its various branches.

1) Behaviorism is an approach to psychology that combines elements of philosophy, methodology, and theory. It was a reaction to “mentalistic” psychology.

2a) The first branch of behaviorism is known as methodological, an objective study of behavior. It takes no consideration in outside factors such as mental life or internal states.

2b) The second branch is known as radical behaviorism, mainly due to the fact that it expands behavioral principles to processes within the organism, in contrast to methodological behaviorism. It is not mechanistic or reductionistic. Hypothetical (mentalistic) internal states are not considered causes of behavior and phenomena must be observable at least to the individual experiencing them.

2c) The final branch is what is known as psychological behaviorism. As the name implies, it is the theory that most psychologists use. It was the first general behaviorism that centers on human behavior. It created time-out, token-reinforcement and other methods, analyses, findings and the theory of that helped from behavioral child development, education, abnormal, and clinical areas. Psychological behaviorism laid the basis for cognitive behavior therapy, provides basic theory and research that unifies emotional and behavioral conditioning, and introduces new avenues for basic and applied behavior analysis.

Almost done. Just one final question.

Describe the general steps used in the modern setting to diagnose a patient.

There are five generalized steps, as follows:
1) Learn of the psychological issues in the patient.
2) While learning of the problems, begin to devise a plan to counteract whatever the problems are, using whatever school of psychology that is applicable and by talking with the patients, gently prodding them with simple suggestions.
3) Upon discovering the problem, compare the patient’s case to determine if the case is normal or the magnitude of the anomaly.
4) Once the case’s status is decided, devise several possible treatments, if possible.
5) Discuss these possible treatments with the patient and see which is preferable.
6) Allow the patient to begin practicing the treatment and monitor progress over the course of several weeks. If the treatment is not working, consider changing the patient’s treatment plan.

All done. That was intense. A lot of information. But luckily, it was localized to the major types of theoretical and applied psychology. None of those fuzzy, mundane practices.

He looked up from the holopad and asked the Chiss how to proceed.

“All done? Not too bad on timing, Mr. Aaaiser. If you would just press the save button on the bottom right corner of the assessment…” She waited for the Mon Calamari to do so. “Very well. I will take a look at this as soon as possible. I have a few scheduled appointments throughout the day, so it will probably be tomorrow before I get a chance to look at it. Expect feedback on it tomorrow, along with a pass/fail that I will send to Dr. Habend as well.”

“Thank you, ma’am.” The Chief Petty officer left the office feeling very sure of himself. But first thing was first. He needed to sleep…

OOC:: WC:990

Part 2 of the psychology theoretical exam.

JC |CPO Tosth “Fishhead” Aaaiser |ISD Adjudicator/TF:A | 2Flt |FC |VEN | VE
TO | CPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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[This message has been edited by TosthAaaiser (edited May 19, 2013 2:55:17 PM)]

TosthAaaiser
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RE: Fishhead: Naval Doctor, Tier 3

May 19, 2013 2:52:44 PM

Aboard the ISD-II Adjudicator
Dr. Kaj's Office

“Welcome, Mr. Aaaiser. Shall we begin?”

“Yes, sir.”

“Very well. The protocol for this examination will be the as it was with the psychology exam. Just answer the questions as completely as you can.” He handed the Mon Calamari a holopad. “Go ahead and begin whenever you are ready.”

The Chief Petty Officer took the holopad and began to look over the exam. It appeared that the first part of the exam would focus on anatomies…

1) Describe the respiratory systems found in Killiks and how this respiratory system design can be manipulated with various chemicals.

The respiratory system in Killiks is quite unique. The breathing apparatus is found throughout Killiks’ exoskeleton in what are called spiracles. These spiracles essentially function similarly to humanoid-type mouths, in that they link to lungs, can be opened and closed, and transport nutrients and other compounds into the bloodstream. The key difference in Killiks and humanoids, however, is that a Killik’s spiracles can be closed forcibly by any number of different insecticides. This closure will induce death in the Killik by asphyxiation. In this way, humanoids and Killiks are similar. Although in most species of humanoids, respiratory apparatuses cannot be forcibly shut in the same manner. That is, forcibly shut by chemicals. Although, most species of humanoids can be killed or incapacitated by inhaling toxic chemicals. Furthermore, Killiks can be controlled with certain chemicals inhaled by the spiracles by absorption into the blood and eventually cellular matter. It is especially potent due to the communication pathways, which include everything from pheromones and electromagnetic transmissions to heat, electrical, magnetic, and chemical transmissions. One other major concept to note is the production of membrosia, a compound, produced in the forms of gold, black, and white. It is a very powerful alcoholic beverage produced by the Killiks. Due to the heavy reliance on chemicals in Killiks in intra- and inter-species communications, as described above, foreign agents introduced into the Killiks’ system are especially potent in altering the observed neurochemical composition.

2) Explain the misconception found in the general conception that Verpine are able to communicate through telepathy and describe their unique circulatory system and chitin.

The general consensus across the galaxy is that the Verpine species uses telepathy as a means of communication. This is simply not true. As residents of the Roche Asteroids, the means of communication becomes a bit problematic. Luckily, the Verpine evolved outside the asteroids; although none seem to know where this occurred (Some believe the asteroids to be the remains of their homeworld). In this manner, the antennae currently have a very unique system of nerves. Typically, antennae such as this are used for olfactory functions. This is not the case in the Verpine species. Instead, the nerves found in the Verpine’s antennae contain unique nerves that are very sensitive to sound, due to their tympanic nature. This tympanic nerve allows for the very abrasive radio wave signal to be received by the antennae themselves. Furthermore, the use of radio waves allow for greater communication ranges, sometimes on the order of over one hundred kilometers.

The Verpine are one of only a few species in the galaxy who have a circulatory system that does not have a central vascular muscle that can be identified as the equivalent of a humanoid type heart. This can cause a few problems, such as the fact that when any such branch of this circulatory system fails, it could be fatal, due to the lack of a central muscle that controls blood flow (this sort of incident can be rectified with a humanoid type heart). However, it does also present certain advantages. Cardiac problems, such as cardiac arrest, congestive heart failure, and angina are not present in this form of the circulatory system.

Verpine chitin is again another unique characteristic. It is a substance known as carahide. Traditional chitin on most insectoids is very tough and its flexibility in almost nonexistent. Carahide on the other hand, is very flexible, yet just as tough as traditional chitin. This lends the species greater mobility than most other insectoids, perhaps giving them an ability to fully explore their technological and engineering skills.

3) Explain how the Vratix, otherwise known as the Thyferrans, change colors with respect to their moods.

The Vratix, also known as the inventors of bacta, excrete a chemical known as denin onto their hair and skin. This compound changes the apparent color of the Vratix depending on the mood of the individual. It seems as if denin is a collective term for a group of compounds released by the Vratix. A single compound, chemically, cannot change the surface chemistry of the Vratix’s skin enough to force major changes in the absorbance range of the skin and hair. As previously stated, it seems much more likely that the denin is a grouping of chemicals that change its percent composition in the mixture and, with this different grouping of chemicals, different chemistry occurs, allowing for different absorbance ranges for the skin and hair.

4) Describe the concept of a hive mind, the strategically important implications in research and military, and the case of the Killik hive minds of their own species with the “Joiners.”

As with most insects and insectoids, the hive mind is commonplace. At a first glance, it seems to be just that: a collective consciousness, with a “queen,” or a leader, who commands all of the members of the hive mind, and can also control individual members. This can make research into these hive mind species somewhat difficult, especially if the queen of the nest is hostile to any foreign groups. Typically, research within these species is done with some militaristic force, requiring the acquisition of individual members of the hive mind to communicate with the leader. The military can also use the hive mind mentality to control the species as a whole, by endangering the hive mind leader. Within the Killik’s hive mind, foreign groups can be integrated into it, which has never been done by any other type of hive mind. It is so potent that the “Joiners” refer to themselves as “we” instead of “I,” even after the connection with the hive is broken. They also forget who they were upon joining the hive. This fact alone shows that we have much to learn about hive minds.

5) Given that chitin is a polymer of N-acetylglucosamine, which can form ester linkages in the beta-1,4 linkage, but can also form an ester linkage in the alpha-1,4 position that can have different bindings, or “strains,” propose an alternative method to pierce the chitin exoskeleton of insectoid species given that laser scalpels are ineffective. Also propose a method of repairing the exoskeleton after operations under the exoskeleton are complete.

Given that chitin has glycosidic ester linkages, the initial cleavage becomes much easier. In order to pierce, or in this case, dissolve the chitin, one needs to be able to break the ester bond. This is done in a very simple way: Distilled, sterile, and purified water and a glycoside hydrolase. The glycoside hydrolase typically only works for one stereochemistry, so two individual hydrolases will be needed to account for the alpha and beta linkages. The two enzymes that I would personally use are 6-phospho-alpha-glucosidase and 6-phospho-beta-glucosidase. These hydrolases are typically very efficient and cheap. The products in this reaction are a monosaccharide and an alcohol. Monosaccharides are very soluble in alcohols, so the end result is a solution of the resulting monosaccharides. This can be drained off of the patient so as to expose the needed area of operation.

The repair is very similar in nature. The difference in this is that a polymerization occurs. The solution that was drained off can be reused in this step after distilling off the glycoside hydrolase. Application of heat is needed to catalyze the polymerization. Once the polymerization begins, a couple of syringes of bacta can be used to ensure full healing of the patient.

OOC:: WC: 1,340

Part 1 of the surgical theoretical examination.

JC |CPO Tosth “Fishhead” Aaaiser |ISD Adjudicator | TF:A | 2Flt |FC |VEN | VE
TO | CPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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[This message has been edited by TosthAaaiser (edited May 19, 2013 2:53:54 PM)]
[This message has been edited by TosthAaaiser (edited October 23, 2013 12:21:38 AM)]
[This message has been edited by TosthAaaiser (edited October 23, 2013 12:22:55 AM)]

TosthAaaiser
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RE: Fishhead: Naval Doctor, Tier 3

June 21, 2013 12:10:00 AM

Describe and list the modern physical status classification system, used in determining if the patient is healthy enough for surgery, for use in pre-operative preparation in surgery.

1.    A normal healthy patient.
2.    A patient with mild systemic disease.
3.    A patient with severe systemic disease.
4.    A patient with severe systemic disease that is a constant threat to life.
5.    A moribund patient who is not expected to survive without the operation.
6.    A declared brain-dead patient whose organs are being removed for donor purposes.

Prior to the modern physical status classification system, there was another system that existed. It was a 6-point system. Describe the previous classification system.

Class 1: No organic pathology or patients in whom the pathological process is localized and does not cause any systemic disturbance or abnormality.

Examples of Class 1: This includes patients suffering with fractures unless shock, blood loss, emboli or systemic signs of injury are present in an individual who would otherwise fall in Class 1. It includes congenital deformities unless they are causing systemic disturbance. Infections that are localized and do not cause fever, many osseous deformities, and uncomplicated hernias are included. Any type of operation may fall in this class since only the patient's physical condition is considered.

Class 2: A moderate but definite systemic disturbance caused either by the condition that is to be treated or surgical intervention or which is caused by other existing pathological processes forms this group.

Examples of Class 2: Mild diabetes. Psychotic patients unable to care for themselves. Mild acidosis. Anemia moderate. Septic or acute pharyngitis. Chronic sinusitis with postnasal discharge. Acute sinusitis. Minor or superficial infections that cause a systemic reaction. (If there is no systemic reaction, fever, malaise, leukocytosis, etc., aid in classifying.) Nontoxic adenoma of thyroid that causes but partial respiratory obstruction. Mild thyrotoxicosis. Acute osteomyelitis (early). Chronic osteomyelitis. Pulmonary tuberculosis with involvement of pulmonary tissue insufficient to embarrass activity and without other symptoms.

Class 3: This includes severe systemic disturbance from any cause or causes. It is not possible to state an absolute measure of severity, as this is a matter of clinical judgment. The following examples are given as suggestions to help demonstrate the difference between this class and Class 2.

Examples of Class 3: Complicated or severe diabetes. Functional capacity IIb. Combinations of heart disease and respiratory disease or others that impair normal functions severely. Complete intestinal obstruction that has existed long enough to cause serious physiological disturbance. Pulmonary tuberculosis that, because of the extent of the lesion or treatment, has induced vital capacity sufficiently to cause tachycardia or dyspnea. Patients debilitated by prolonged illness with weakness of all or several systems. Severe trauma from accident resulting in shock, which may be improved by treatment. Pulmonary abscess.

Class 4: This includes extreme systemic disorders which have already become an eminent threat to life regardless of the type of treatment. Because of their duration or nature there has already been damage to the organism that is irreversible. This class is intended to include only patients that are in an extremely poor physical state. There may not be much occasion to use this classification, but it should serve a purpose in separating the patient in very poor condition from others.

Examples of Class 4: Functional capacity III - (Cardiac Decompensation). Severe trauma with irreparable damage. Complete intestinal obstruction of long duration in a patient who is already debilitated. A combination of cardiovascular-renal disease with marked renal impairment. Patients who must have anesthesia to arrest a secondary hemorrhage where the patient is in poor condition associated with marked loss of blood.

Emergency Surgery: An emergency operation is arbitrarily defined as a surgical procedure which, in the surgeon's opinion, should be performed without delay, or, class 5 and class 6 classified cases.

Class 5: This includes emergencies that would otherwise be graded in Class 1 or Class 2.

Class 6: This includes emergencies that would otherwise be graded as Class 3 or Class 4.

Describe the general protocol for pre-operating/staging area for surgery in your operating room, with full details including reasons as to why they are done.

In the pre-operative holding area, the patient changes out of his or her street clothes and is asked to confirm the details of his or her surgery. A set of vital signs are recorded, a peripheral IV line is placed, and pre-operative medications, such as antibiotics, sedatives, etc. are given. When the patient enters the operating room, the skin surface to be operated on, called the operating field, is cleaned and prepared by applying an antiseptic such as chlorhexidine gluconate orpovidone-iodine to reduce the possibility of infection. If hair is present at the surgical site, it is clipped off prior to prep application. The patient is assisted by an anesthesiologist or resident to make a specific surgical position, then sterile drapes are used to cover all of the patient's body except for the head and the surgical site or at least a wide area surrounding the operating field; the drapes are clipped to a pair of poles near the head of the bed to form an "ether screen", which separates the anesthetist/anesthesiologist's working area, a non-sterile environment, from the surgical site, a sterile environment.

Anesthesia is administered to prevent pain from incision, tissue manipulation and suturing. Based on the procedure, anesthesia may be provided locally or as general anesthesia. Spinal anesthesia may be used when the surgical site is too large or deep for a local block, but general anesthesia may not be desirable. With local and spinal anesthesia, the surgical site is anesthetized, but the patient can remain conscious or minimally sedated. In contrast, general anesthesia renders the patient unconscious and paralyzed during surgery. The patient is intubated and is placed on a mechanical ventilator, and anesthesia is produced by a combination of injected and inhaled agents.

OOC:: WC: 980

Part 2 of the surgical theoretical exam

JC |CPO Tosth “Fishhead” Aaaiser |ISD Adjudicator | TF:A | 2Flt |FC |VEN | VE
TO | CPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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TosthAaaiser
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[VE-NAVY] Senior Chief Petty Officer

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RE: Fishhead: Naval Doctor, Tier 3

October 20, 2013 9:40:30 PM

Describe cardiothoracic surgery and the sub-branches of the surgical cardiac grouping.

Cardiothoracic surgery is a general field of study that is involved with surgical techniques and treatments of diseases found within the thorax, conditions of the cardiac system and the respiratory system.
The specialties of cardiac surgery are generally a combination of cardiac, thoracic, and vascular surgery. The most common specialties are cardiovascular (CV), cardiovascular thoracic (CVT), and cardiothoracic (CT) surgeries.

In regards to cardiac surgery alone, most can go under certain subspecialties, or sub-branches. These include, but are not limited to: pediatric cardiac surgery, cardiac transplantation, adult acquired heart disease, weak heart issues, echocardiography, coronary care unit, and cardiac pathology.

Describe the scope of vascular surgery and its modern evolution.

Simply put, vascular surgery is a general surgical field, identified by its specialty in the vascular system and its treatments through therapy, catheters, surgical reconstruction, and radiology.

Modern techniques still are based around operative arterial and venous surgeries, but there is a greater emphasis on minimally invasive techniques as opposed to open surgery. The modern era of this field is typically defined by the invention of angioplasty, a mechanical technique to widen arteries, where balloon catheters are used. The further developments in this field began via efforts in interventional radiology, vascular surgery, and interventional cardiology; out of this came the two modern techniques of vascular surgery: Endovascular Surgery and Interventional Vascular Radiology. Out of these fields, newer techniques are being developed; these techniques have a basis in angiography, sclerotherapy, and endovenous laser treatments. Furthermore, there is a trend in which operations are slowly disappearing, with an increase in nonoperative treatments.

In a civilian setting, the development of endovascular surgery has been accompanied by a gradual separation of vascular surgery from its origin in general surgery. Most vascular surgeons would now confine their practice to vascular surgery and similarly general surgeons would not be trained or practice the larger vascular surgery operations or most endovascular procedures. More recently, professional vascular surgery societies and their training program have formally separated "Vascular Surgery" into a separate specialty with its own training program, meetings, and accreditation.

Describe pediatric surgery and the procedure for intestinal atresia.

Generally, pediatric surgery is performed on humanoid species; there are analogous types of surgery for other non-humanoid species. By definition, pediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults. As with any general surgery, there are a variety of subsets ranging from cranial to oncological surgery.

Intestinal atresia (malformation of a section of the intestine)has four major forms:
Duodenal: malformation of the duodenum
Jejunal: malformation of the jejunum
Ileal: malformation of the ileum
Colon: malformation of the colon

In pediatric surgery, simple laparotomies are used to treat intestinal atresia in fetal and neonatal patients.

Describe the scope of colorectal surgery, better known as proctology.

This is a field of surgery involved with diseases and disorders of the rectum, anus, and colon. Its scope of treatment is very wide and includes the following:
Hemorrhoids
Anal fissures
Fistulas
Fatal or severe constipation complications
Fecal incontinence
Rectal prolapse
Birth defects (such as imperforate anus)
Severe colic disorders
Colorectal cancers
Repositioning of the rectal area if fallen out of place
Anal cancer

Describe the processes of chemosurgery, in the use for destroying skin neoplasms and basal-cell carcinoma.
Chemosurgery is a microscopically controlled type of surgery to treat common skin cancers.
This procedure is essentially a pathology sectioning method that allows for the complete examination of the surgical margin and consists of four steps:
Surgical Oncology
Mapping the piece of tissue, freezing and cutting the tissue between 5 and 10 micrometers using a cryostat, and staining with hematoxylin and eosin (H&E) or other stains (including Toluidine Blue)
Pathology
Reconstructive Surgery

The procedure is usually performed in a physician's office under local anesthetic. A small scalpel is utilized to cut around the visible tumor. A very small surgical margin is utilized, usually with 1 to 1.5 mm of "free margin" or uninvolved skin. The amount of free margin removed is much less than the usual 4 to 6 mm required for the standard excision of skin cancers. After each surgical removal of tissue, the specimen is processed, cut on the cryostat and placed on slides, stained with H&E and then read by the surgeon/pathologist who examines the sections for cancerous cells. If cancer is found, its location is marked on the map and the surgeon removes the indicated cancerous tissue from the patient. This procedure is repeated until no further cancer is found.

Describe Labyrinthine Fistula and describe the surgical process involved with treating it when caused by cholesteatoma with semicircular canal occlusion.

Labyrinthine fistula is an abnormal opening in the bony capsule of the inner ear, resulting in leakage of the perilymph from the semicircular canals into the middle ear. This includes specifically a perilymph fistula (PLF), an abnormal connection between the fluid of the inner ear and the air-filled middle ear.

The condition can be both congenital or develop over time with the thinning of the otic capsule by the persistent pulsations of the intracranial pressures against the bones of the skull. Finally, disease conditions—for example cholesteatoma—can result in a labyrinthine fistula.

There is no current surgical method to repair the opening. Given the fragility of the ear, any amount of major reconstructive surgery could result in more damage to the ear.

Describe Maxillomandibular advancement.

Also known as orthognathic surgery or bimaxillary advancement, maxillomandibular advancement is a surgical procedure that involves translocation of the jaws; in this, the maxilla and the mandible are moved forward. It is typically used in conjunction with genioglossus advancement and has also been noted to improve sleep apnea.

Describe the processes of Arthroplasty and Arthroscopy.

Arthroplasty: A type of orthopedic surgery where the aricular surface of a musculoskeletal joint is replaced, remodeled, or realigned by osteotomy or some other procedure. It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma.

Previous to the modern techniques, a popular form of arthroplasty was interpositional arthroplasty with interposition of some other tissue like skin, muscle or tendon to keep inflammatory surfaces apart or excisional arthroplasty in which the joint surface and bone was removed leaving scar tissue to fill in the gap. Other forms of arthroplasty previously used include resection (al) arthroplasty, resurfacing arthroplasty, mold arthroplasty, cup arthroplasty, silicone replacement arthroplasty, etc.

The most common modern technique involves the surgical replacement of arthritic or destructive or necrotic joint or joint surface with prosthesis.

Arthroscopy: A type of minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Arthroscopic procedures can be performed either to evaluate or to treat many orthopedic conditions including torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage. The advantage of arthroscopy over traditional open surgery is that the joint does not have to be opened up fully.

Describe Craniopharyngioma and its treatment options.

Craniopharyngioma is a brain tumor derived from pituitary gland embryonic tissue. In most humanoids, calcium deposits are prevalent in x-rays for the tumor, as odontogenic epithelial cells from the pituitary stalk are the cause of the tumor. Two forms are prevalent: Adamantinomatous craniopharyngioma and papillary craniopharyngioma. The tumor, being in the pituitary gland, can cause secondary health problems. The immune system, thyroid levels, growth hormone levels and testosterone levels can be compromised from craniopharygioma. Common symptoms include headaches, lack of growth, and bitemporal hemianopsia.

Treatment generally consists of subfrontal or transsphenoidal excision. Surgery using the transsphenoidal route is often performed by a joint team of ENT and neurosurgeons. Because of the location of the craniopharyngioma near the brain and skullbase, a surgical navigation system might be used to verify the position of surgical tools during the operation. Adjuvant radiotherapy is also used if total removal is not possible. Due to the morbidities associated with damage to the pituitary and hypothalamus from surgical removal and radiation, experimental therapies using intracavitary phosphorus-32, yttrium, or bleomycin delivered via an external reservoir are frequently employed, especially in young patients.

Describe Epicanthoplasty.

This specialized surgery involves removing epicanthal folds, also known as the plica palpebronasalis or palpebronasal fold. Epicanthal folds are not harmful, but many find that they can be unappealing, justifying the surgery. Its genetic basis is not well understood, but is hypothesized that geographic and climatic factors play a large role in its origins. Epicanthoplasty can also lead to scarring, which can be addressed by Z-plasty.

Describe the sub-branch of urology known as Endourology.

As stated, endourology is a discipline of urology. As can be inferred from the name, it is a discipline that focuses on the closed manipulation of the urinary tract, consisting of all minimally invasive urological surgical procedures.
Modern surgerical techniques in this branch involve small camera and instruments inserted into the urethra. This allows for easy access to most of the urinary tract and enables prostate surgery, urothelium tumor surgeries, stone removal, and other such procedures.

OOC:: WC: 1535

Final part of the surgical theoretical examination

TosthAaaiser
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RE: Fishhead: Naval Doctor, Tier 3

October 22, 2013 12:11:12 AM

Adjudicator, Psychology Ward, Examination Room 1

A knock was heard on the door of the examination room. The Mon Calamari proceeded to the door and opened it. “Ah, Ms. Lai. Please, come in.” The human entered the room and sat down in a chair. She looked expectantly at the Petty Officer.

“It is my understanding that I am taking over your sessions for the next few weeks. Are you comfortable with that, Ms. Lai?”

“I… I… Yes. I think so.”

“If you’re not comfortable, you can tell me. I can understand how you would not be uncomfortable…”

“No. I’ll be okay.”

“You’re sure?”

“Yes.”

“Very well. From the reports I’ve seen, you’ve had a very rough past, to put it lightly.”

“…Yes, sir. It honestly feels that all of my treatment has not helped throughout the years… And I’ve tried almost everything…”

“I see. I can’t guarantee that my techniques will work, but… They have consistently been successful for my patients, however.”

“I see.”

“The technique I utilize is known as cognitive behavioral theory. I have found it to be very useful for cases in abuse…” The Mon Calamari pulled out two handouts on his datapad and handed it to her. They read as follows:

OOC:

Cognitive Behavioral Theory has six phases documenting procedure:

OOC:

Treatment technique description

Orientation

Skill focus

Relapse Prevention

“Keep the datapad until our next meeting. For now, I want you to focus on committing to this treatment and start thinking about what kinds of things upset you. Are you comfortable with ending our session here?”

“Yes, Mr. Aaaiser.”

“Very well. Any other questions, Ms. Lai?”

“No, Mr. Aaaiser.”

“Very well.” He stood up and guided her out of the room.

Adjudicator, Psychology Ward, Examination Room 2

“Mr. Benn? Are you ready to begin?” The Crewman jumped in surprise. Typical Post-Traumatic Stress Disorder symptoms… “Mr. Benn, are you alright?”

“Yes, sir. I’ve just been very skittish the last few weeks. I’m still not sure why…”

The Mon Calamari proceeded to sit down. “May I call you Antur, Mr. Benn?”

“I don’t see why it matters…”

“Very well. Antur, I’m going to be concise with you. From the previous reports I’ve read, you seem to be suffering from Post-Traumatic Stress Disorder. This state isn’t uncommon after such large and intense battles… But to begin, could you please describe how you’ve felt the last few weeks when you first began to experience your problems?”

“I can’t sleep anymore… Exhausted. Every time I fall asleep, I see them. My fallen comrades. And they want to kill me. For not being able to save them…” He drifted off into silence.

This isn’t good… It appears he has lost all semblance of consciousness… With a nudge into his patient’s shoulder, he tried to make contact with him. “ Mr. Benn… Mr. Benn…” It was evident that this was not going to work. The next course of action was to get a brain reading…

A quick scan later, he found that there was minimal activity… Frak. Why now? The only way to save his patient now was to jump start the neurons with current through his synapses…

A few hours later

Antur Benn was waking up. “Unh… What happened?” He looked straight at the Mon Calamari. “Go away!”

“Mr. Benn. Who do you think I am? I’m here to help.”

“No! You’re here to haunt me!”

“Mr. Benn. Look closely. Think about your squad for a moment. Try to remember everyone.” He paused for a moment. It appeared that Benn was calming down. “Are you thinking about them? Can you picture all of them?” He received a nod in response. “Good. Now were any of the members of your squad Mon Calamari?”

“No. They weren’t.”

“So. What can we draw from this?”

“You’re not… One of them… You were… Here to help me, weren’t you?”

“Yes. Yes, I am. As I was saying, you are suffering from Post-Traumatic Stress Disorder… You said you can’t sleep at all. It’s also apparent that the memories are striking at any time of the day and that you are very easily startled. I’ve also read that your condition was noticed when you refused to perform your duties days after we finished at the Sollamens…”

“So much death…”

“Yes… I know. But you have to learn to handle the situation. I will be working with you over the next few weeks as you learn to handle the situation as best you can. Before we begin, however, I need to lay out a disclaimer: this is by no means a guaranteed cure; it is very likely you will have periods where you fall back down, but you must learn how to handle your emotions. This is due to the fact that memory acts in one direction; as an input only process. That is to say, a memory enters the brain, but cannot leave. Except in rare cases of degenerative brain diseases. But, what I can do, through psychotherapy is this: I can help you break down dissociations, and to learn to react less severely to your memories of the Solamens. This will help you experience less anxiety and help manage your stress. Do you understand what I’m saying?”

“I believe I do.”

“Good. Two last things and I’ll let you go for today.” He pulled out his holopad and pulled up a document that read in the following manner:

OOC:

Technique for Mastering Post-Traumatic Stress Disorder

He presented it to his patient and continued. “This is the method in which I will be handling your case. It will take a very long time to fully address, and I will need you to put out effort in order to help yourself. And as for your first assignment… Whenever you see these memories playing in your mind, I need you to attempt to rationalize that the memory is not the present; that it is only an alteration of your actual memory that is causing you to panic in such the way you do.”

“Very well. Thank you, Doctor. I do appreciate your help.”

The Mon Calamari stood up and walked his patient to the door. “No problem at all, Antur. Assisting people is my purpose in life.”

Adjudicator, Psychology Ward, Examination Room 3

As he opened the door to his final meeting of the day, the Petty Officer found that his patient was already in the room. “Ah, sir. Are you ready to begin?”

“Mr. Aaaiser. Yes, I am,” replied Warrant Officer Elias Kann.

“Very well, sir. If you will allow it, I plan to keep today’s sessions short by introducing you to my methods and giving you an assignment for the next meeting.”

“Very well. Let us begin.”

The Mon Calamari sat down and began. “From what I’ve read, you suffer from depression. Is that correct?”

“It is, Mr. Aaaiser.”

“The technical theory I utilize in cases of depression is known as the acceptance and commitment model. It is essentially a model in which one acknowledges and accepts that they suffer from a mental disease. The second part of this model is committing to defeating the disease. Take this datapad and look over these documents. They outline my methods for this model and how I will generally guide your recovery.” He pulled out a datapad and loaded the relevant documents.

OOC:

As a simple way to summarize the model, ACT views the core of many problems to be due to the concepts represented in the acronym, FEAR:

Fusion with your thoughts
Evaluation of experience
Avoidance of your experience
Reason-giving for your behavior

And the healthy alternative is to ACT:

Accept your reactions and be present
Choose a valued direction
Take action

OOC:

Core principles
ACT commonly employs six core principles to help clients develop psychological flexibility:

“As your first assignment, I need you to work on devising methods on how you learn and what you believe is contributing to your depression. Any questions, sir?”

“None, Mr. Aaaiser.”

“Then we are finished for today. See you in a week, sir.”

OOC:: WC: 1525

Psychology Practicum Post

JC |CPO Tosth “Fishhead” Aaaiser |ISD Paragon | TF:A | 2Flt |FC |VEN | VE
TO | SCPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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TosthAaaiser
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RE: Fishhead: Naval Doctor, Tier 3

October 22, 2013 9:26:29 PM

Adjudicator, Surgery preparation room 1

Anesthesiologist, nurse anesthetist, and my operating nurse. Good. Everyone was here. Efficent. The Mon Calamari looked over his soon-to-be operating partners. “Our first procedure of the day is going to be a coronary artery bypass graft. We need to prepare our equipment. Ms. Reu, I need you to ensure we have sufficient levels of anesthesia for a maximum of five hours. Our patient is older and we will need to take the surgery more slowly. Ms. Talaan, make sure that the designated cardiopulmonary bypass generator is operating properly and have the vital monitors set up. Mr. Dorn and I will return with the patient shortly.”

Thirty minutes later

“You’re clear for surgery, Mr. Dala. Before we begin, I wanted to review what procedure we will be performing today and introduce you to each member of your surgical team for today’s operation.”

“Very well.”

“The operation we are performing today is known as a coronary artery bypass graft. This is because you have severe coronary heart disease. As you know, coronary heart disease causes major blockages in certain coronary arteries. We will be redirecting the blood flow around your heart to bypass the blockages and restore blood flow to your heart. We redirect the blood flow by sewing internal mammary arteries below the site of the blockage. This is the most widely used method, as the arteries are located in the chest and have been proven to have the longest lasting results. We can also remove saphenous veins, radial arteries, or gastroepiploic arteries can be removed and then grafted on in the same manner as the mammary arteries. But, given your current physical state, we will be utilizing the internal mammary arteries. Now, let’s make the introductions.”

“I am Kit Reu, the anesthesiologist. I will be present in all stages of your surgery today, as my main responsibility is your safety and keeping from experiencing pain.”

“I am Vika Talaan, the nurse anesthesiologist. My role is to support Ms. Reu and in turn, yourself.”

“And lastly, I am Tal Dorn, operating nurse, at your service. I will be assisting Mr. Aaaiser and keeping you safe.”

The Mon Calamari continued. “Now, if you’re ready, Ms. Reu will prepare you for the surgery and put you under. Any questions?”

“None.”

“Very well. Ms. Reu, if you will?”

30 minutes later

The operation was ready to begin. Making an 8 inch incision down the center of his patient’s sternum with an osteotome, he began the surgery. The next step in the operation was to cool the heart with a preservative iced salt water solution into the heart’s arteries. “Mr. Dorn, it is time for the cardiopulmonary machine to be connected.”

The human wheeled the machine over and the Mon Calamari proceeded to set up the bypass. He accomplished this by inserting plastic tubes in the right atrium in order to channel the venous blood out of the body, pass the blood through a membrane to be reoxygenated, and return the blood into the body. He then cross clamped the main aorta in order to maintain a bloodless field and to allow bypasses to be connected to the aorta. He also inserted two tubes to drain any blood that entered the mediastinum.

He then located the internal mammary artery, which was attached to the chest wall. He separated artery from the chest and grafted one end of the artery into the left ventricle and the other end into the aorta, somewhere above the blockage, in order to promote blood flow around the blockage in the heart.

The surgery was done. The Mon Calamari took off the clamp located in the aorta and then lowered the bone back into place. Once the sternum leveled off well enough, he wired the sternum together with stainless steel and sewed the chest closed, leaving space for the chest tubes to stay in place to allow for drainage of any blood left in the mediastinum.

“And we are done… Let us take him up to a room. Once we’re there, please wake him up, Ms. Reu. Contact me once he is awake.”

One hour later

“Ah, Mr. Dala. The surgery went well and I am here to follow up with you. We are keeping you here for another twenty-four hours in case you bleed after surgery and develop complications. If none develop, we can release you tomorrow. Any questions, sir?”

A weak reply came back. “None at the moment…”

“Very well. If you do, you can page the nurses and we’ll tend to you as soon as possible.”

Adjudicator, Morgue

“Follow me, Mr. Aaaiser.” The Falleen made his way to two corpses, one seemingly humanoid and one of a Verpine. This is the final part of your surgical examinations… You have done well thus far. Submit your reports when you’ve finished and take a well-deserved rest.” The Falleen then left Fishhead alone in the morgue to do his work.

I haven’t done autopsy reports in years… Let’s see if I remember how to do this… He mentally checked off the steps he learned when he studied medicine.

1. Obtain physical characteristics
2. Meticulously look for surface injuries
3. Take an x-ray of the body
4. Photograph the body
5. Take a blood sample
6. Open the body cavity, examine internal organs for abnormalities, and take a blood sample from the heart.
7. Weigh, examine, and take a sample of each organ
8. Collect a urine sample
9. Examine the head and brain, weighing and taking a sample of them.

Okay… I can do this. Time to get going. The very first anomaly he observed was located throughout his torso. His clothing was burned and shrapnel was found throughout his torso, head, and arms…

***

He was finally done examining the first victim and then began compiling the autopsy report:

OOC:

Autopsy Report
Autopsy: VEN-002389-11M
Decedent: Jalek Durgen
Autopsy Authorized by: SCPO Aaaiser for the Vast Imperial Navy
Identified by: ID card and fingerprints

Age: 34
Species: Human
Sex: Male
Length: 1.83 meters
Weight: 84 kilograms
Eyes: Hazel
Hair: Brown
Body Heat: Refrigerated

External Examination:
Well developed, well nourished, white male with multiple blast and fragment injuries throughout the torse, cranium, and appendages. There are multiple penetrating fragment injuries of the thorax and left arm. There are gaping lacerations of the left lower abdomen and arm with partial evisceration of sigmoid colon and small intestine. There are flash burns of the anterior thorax, face and left arm.

X-Rays:
Total body x-rays demonstrate multiple anterior rib fractures, comminuted fractures of pelvis and proximal left femur, and multiple metallic fragments in the torso and arms.

History:
Injured by explosion.

Pathological Diagnoses:
1. Blast and fragment injuries to head

Flash burns to lower face

2. Blast and fragment injuries to trunk

Multiple perforation injuries with multiple lacerations of lungs, heart, liver, spleen, and intestines
Multiple fractures and perforations of anterior ribs and sternum
Laceration of left lower abdominal wall with partial evisceration of small intestine , mesentery, and colon
Flash burns to anterior thorax
Multiple metal fragments recovered from thorax, abdomen, and pelvis

3. Blast and fragment injuries to extremities

Multiple penetrating fragment injuries to anterior surface of both arms

4. Toxicology

Blood carboxyhemoglobin less than 5% saturation
Blood and vitreous fluid negative for alcohols
Blood negative for acidic, basic and neutral drugs

Cause of Death
Blast and penetrating fragment injuries due to explosion.

Gross Description

Microscopic Sections: Heart, lung, liver
Other Lab Procedures: Toxicology, Photography, X-ray, Microscopic Examination.
Disposition of Evidence:

Toxicology:

Investigator:

Microscopic Description:

Heart:

Lungs:

Liver:

Summary:
This 34 year old human died instantly from multiple blast and fragment injuries when caught in an explosion during the action in the Solamens.

Cause of Death:
Blast and fragment injuries

Manner of Death:
Homicide

Now for the Verpine… Obviously will not be exactly the same… Insectoids’ circulatory systems are typically a single vessel. Let’s get started…

OOC:

Autopsy Report
Autopsy: VEN-002390-11F
Decedent: Unknown
Autopsy Authorized by: SCPO Aaaiser for the Vast Imperial Navy
Identified by: n/a

Age: Unknown
Species: Verpine
Sex: Female
Length: 1.83 meters
Weight: 84 kilograms
Eyes: Black
Hair: None
Body Heat: Refrigerated

External Examination:
No apparent abnormalities or injuries located on chitin or any other external section.

X-Rays:
Total body x-rays indicate abnormal metallic species in blood vessel.

History:
Killed at the Solamens

Pathological Diagnoses:
1. Toxicology

Blood carboxyhemoglobin less than 5% saturation
Blood and vitreous fluid negative for alcohols
Blood negative for acidic, basic and neutral drugs
Blood appears to have excessive levels of hexavalent Chromium

Cause of Death:
Patient appears to have suffered from hexavalent Chromium poisoning

Gross Description:

Other Lab Procedures: Toxicology, Photography, X-ray, Microscopic Examination.
Disposition of Evidence:

Toxicology:

Summary:
This Verpine died instantly from hexavalent Chromium poisoning from an unknown source during the action in the Solamens.

Cause of Death:
Hexavalent Chromium Poisoning

Manner of Death:
Homicide

“All done,” the Mon Calamari muttered under his breath. “I hate performing autopsies… Best send these reports off and report to Habend…”

OOC:: WC: 1910

Surgical Practicum Post. Bit lengthy and technical...

JC |SCPO Tosth “Fishhead” Aaaiser |ISD Paragon | TF:A | 2Flt |FC |VEN | VE
TO | SCPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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[This message has been edited by TosthAaaiser (edited November 3, 2013 9:58:18 PM)]

TosthAaaiser
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RE: Fishhead: Naval Doctor, Tier 3

October 23, 2013 12:41:37 AM

Conciliator, Hangar Bay

“Mr. Aaaiser, if you would please follow me…” The Ithorian continued heading towards the inner sections of the medical ship. “As I’ve mentioned before, you are to develop various compounds used for a number of tasks. Your first task is to develop a toxin to induce permanent paralysis in humanoids. Just paralysis, mind you… Inducement of death is highly discouraged. You will then synthesize an antidote for a toxin; its structure and pertinent information has already been provided with the sample. And lastly, you will need to develop an antiviral. As before, pertinent data has been provided with the samples. You will find the microbes in an incubator, waiting for you. And remember, you do not have to fully explore all of the topics. All we really need is preliminary data.”

“Yes, sir.”

They walked in silence for a few minutes, until reaching the Petty Officer’s makeshift lab.

“Here you are, Mr. Aaaiser. Good luck.”

Conciliator, Makeshift Research Lab

So the data had already arrived… Let’s have a look at the readouts for that poison. It appeared to be a mixture of derivatives of furanocoumarin… Induces blindness… Causes severe burns… “Let’s see… Mostly conjugated… That will be a problem to force a reaction… I’m only able to recognize a free radical mechanism to break the compound… Which isn’t exactly friendly to the body… But, if applied directly to the site of application… That would work. I can’t think of any methods to track the toxin after it has entered the bloodstream…The free radicals would react directly with hemoglobin and destroy erythrocytes…” He decided to set this project aside for the moment, but kept a free radical in mind to counteract the toxin.

As for the toxin… Let’s see… paralysis can be induced by paralyzing skeletal muscle… This is done by either inhibiting acetylcholine synthesis presynaptically or postsynaptically blocking the acetylcholine receptors. So… For permanent paralysis, I’ll need to find a postsynaptic method, due to the fact that the receptors will be easier to permanent binding, as they have nicotine ligands and would be somewhat easy to displace. It needs to be something bulky so as to block the ion channels from being utilized… Something stable and bound to a metal center… What about pentamesitylpentacopper?

With that thought in mind, he proceeded to procure each compound to set up a reaction to check if displacement would occur. After he set up the reaction to run for a window of two hours, a reasonable time period for a toxin to take effect without decomposition or expulsion from the body, he began to reconsider the toxin antidote. That’s the only way to accomplish it... There is no way to counteract the toxin after it enters the body. Let’s think about free radical mechanisms…

The Mon Calamari pulled out a vial of N-bromosuccinimide and drew up a sample of the poison. He mixed them in a new vial and exposed the mixture to ultraviolet light to initiate the reaction. He left the reaction to run for hours; he would check in on it when he had free time…

It was time to check in on the nicotine reaction… After a brief distillation to separate out the compounds, of which there were two, he needed to find a way to characterize them. The only way to efficiently characterize the compound of interest was through mass spectroscopy… A few scans later, he had conclusive data that he could successfully paralyze, in theory. There was no sound way of testing this, as he had no human test subjects.

At this point, he decided to check on the furanocoumarin reaction. Free radicals are not stable until quenched… So I must stop the reaction now to check its progress… He added an equivalent amount of sodium hydroxide to quench the free radicals and proceeded to work up the reaction and extract his desired product. Mass spectrometry again… And let’s get an infrared spectrum to make sure the furanocoumarin has been brominated. These spectra indicated a plausibility that this could work as an antitoxin… But again, I can’t test this…

Now for the antiviral… These can be a pain… You can’t directly kill the viruses, but have to inhibit the development of the target… I have two methods I can attempt…The first is targeting the virus before entering the cell… But this requires developing the specific virus-associated protein, which is time-consuming and is based heavily on trial and error… It appears that I need to attempt the second method, which focuses on inhibiting viral entry into the cell. Okay. Let’s look at this virus.

Its pertinent information was concise.

OOC:: Target Cell: T-cell
Target Receptor: CD4 and CCR5
Mode of Entry: Membrane fusion

The only mode I can think to effectively achieve this is to modify erythrocytes… To code specifically with receptors of the CCL5 mode. But the actual science to experimentally perform this is beyond my scope of knowledge… And here, I can only hypothesize that this would work.

He decided to record his results and contact Dr. Habend.

Adjudicator, Medical Offices

“If you would give them just a few more minutes, Mr. Aaaiser, they will have a decision for your examination.” The Twi’lek secretary looked at him with sincerity. “I do hope they find your performance exemplary.”

“As do I…”

A door opened. It was his mentor and division head, Dr. Xad Kaj. “Mr, Aaaiser, if you would follow me, we have made our decision…”

The Mon Calamari followed the Falleen into the conference room, hoping for the best…

OOC:: WC: 930

Which brings the total word count up to 10,271.

Lots of posts and doesn't necessarily flow directly. But given the varied requirements for this cert, I believe I've hit the requirements. And a not on the research. I made it feel as if the research was concise and simple... Due to word/real life/time constraints. Research is never that concise and I really don't have enough biochemistry yet to truly explore this part of the story. So that part of it is somewhat concise.

Likewise on the psychology. More or less an excerpt of the dialogues that would have actually occurred. I don't know too much about psychology.

But to recap the posts are as follows:
Posts 1 and 2: Theoretical Psychology Examination
Posts 3 to 5: Theoretical Surgical Examination
Post 6: Psychology Practicum
Post 7: Surgery Practicum
Post 8: Research

JC |SCPO Tosth “Fishhead” Aaaiser |ISD Paragon | TF:A | 2Flt |FC |VEN | VE
TO | SCPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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DeepSix
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RE: Fishhead: Naval Doctor, Tier 3

October 23, 2013 12:07:54 AM

I'll likely end up re-reading this whole piece from the start someday in the not all that distant future but for now I've just finished reading the final two posts. From my perspective you'd already passed a while back actually but I enjoyed - and also appreciated - the fact you kept going so as to make the actual medical experience feel greater and more important in relation to your char's development. Hoping to see this cert open new and/or more in-depth venues for you in the future.

For now though feel free to add the ND cert to your ID line and/or wiki. Congratz again... Doctor.

SCO/LCDR DeepSix/Golden One/S:38th Vornskr/W:101st Blade/ISD-II Adjudicator/TF:A/2Flt/SC/VEN/VE
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CNT/LCDR DeepSix/PLF Cappadocious/VENA/VEN/VE

TRN/AD DeepSix/DJO/Training Sect/VEDJ

TosthAaaiser
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RE: Fishhead: Naval Doctor, Tier 3

October 23, 2013 12:51:40 AM

Glad you liked it, Deep. Thanks for the pass. Really wasn't sure if it flowed too well...

One other question... Are the single level promotions for finishing a cert track still in place?

JC |SCPO Tosth “Fishhead” Aaaiser |ISD Paragon | TF:A | 2Flt |FC |VEN | VE
TO | SCPO "Fishhead" | PLF Cappadocious | VENA | VEN | VE

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DeepSix
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RE: Fishhead: Naval Doctor, Tier 3

October 23, 2013 12:55:24 AM

Indeed they are... and great of you to remind me of 'em, Master Chief

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