Hospitalisation - Emergency /VS/ General Surgery

[Dreej]

Hi all,

There's something i don't get in that game.

I have 3 DPT for now.
Emergency
Radiology
General Surgery

I got a patient transfered in Emergency Hospitalisation.
After several analysis, he got a 100% Diagnosis for "Crohn's Disease".
To treat this final diagnosis, he needs "Corticosteroïds".

But the game won't let the Emergency Hospitalisation Doctor say to this patient his treatment.
It's like the game absolutely needs the patient to be transferred in General Surgery Diagnosis Unit room to accommplish this simple act.

Am I missing something ?
Or i just don't have enough Doctors assigned in my Emergency Hospit. On-Call room ?

This happens for any 'simple' final Diagnosis.
It could be "Diareah" that my patient will be automatically transferred to another hospital because it won't let my Doctor tell to this patient what he needs to be cured...

[Dreej]

Here's a screenshot of an hospitalised patient waiting for ... hospitalisation.

https://imgur.com/h720k9f

[Morgan]

Click the general surgery department tab at the bottom of the screen, and there should be a window on the right side of the screen that appears. It'll tell you what kind of doctors and nurses and how many you need for day and night staff in the on call rooms to have proper hospitalisation.

[dorianmode]

As a role play explanation: how would a general practitioner know which corticosteroids to prescribe for a case of Hep A? Doctors prescibing outside their speciality is a liability nightmare. Even if they could prescribe corticosteroids for a another illness, they wouldn't necessarily be able to prescribe them for a disease that was outside their specialism.
Which corticosteroids? For how long?

Your diarrhoea example isn't appropriate, since antidiarrheals are prescribable by anyone, as they would be in real life. Hepatitis is hardly trivial.

Similarly, you can't stick a cast on someone without Orthopaedic hospitalisation, since non-orthopaedic doctors don't have the skill.

[dorianmode]

Even better - the explanation is in the tooltip. If a patient with a cardiology department disease is in general surgery, the treatment reads 'Doctor is not qualified to prescribe' - there's your answer.

https://steamcommunity.com/sharedfiles/filedetails/?id=1556384895

[Dreej]

@[cB]HannY

I will later today, i can't right now.

@dorianmode

Your explanation makes total sense.

However, when i was hovering the blue icones on the right side of treatment table, it was showing "Required room", but nothing such as "Not available, Doctor is not qualified".
At first i thought about a displaying bug (since tooltip appears at the bottom of the screen, it could be truncated or something), but this message ("Doctor not qualified") appears for other cases, and other simplier cases do not.

To be clearer : i have had cases at the start of this hospital only dealt with "General Diagnosis Doctors" that could easily give treatments, that now, if the patient is in Hospitalisation service, can't be treated because it needs to be transferred to General Surgery Hospitalisation, while having the exact same disease.

Another example is when i've opened General Surgery departtment with only 2 General Diagnosis, 1 STAT, and 1 General Diagnosis UNIT.
I thought "well, if the only issue is the Doctor, the patient can just go there (or be transported in a stretcher there)", and an appropriate Doctor will treat.
--> Did not work.

It NEEDS a General Surgery ward to be able to get a General Surgery Doctor treatment in a General Diagnosis UNIT...

And a third example of an attempt to deal with this "issue" is to hire a more experienced Doctor, which made no difference.



I want to understand what's the logic behind this design from the Devs.
Your explanation must be very close but can't explain the whole entire thingydy.

I just can't admit, in my logic at least, that a patient needs to be transfered to another departement just to get a treatment from a more specialised Doctor, even if i understand that same treatment as a "product" can varied on the disease (which ? how many ? how long ?) just as you explained, waste time, waste money, waste of available stretchers/materials/etc...

[dorianmode]

The tooltip depends on which department the patient is in - if they're in the wrong department it is 'doctor not qualified', if the right department it is 'required room' since you don't have hospitalisation.

It's convoluted, and poorly tooltipped - the real answer is you need to open hospitalisation.
Such is how the game is designed. Many things require hospitalisation, even if it's just to observe the patient while the drug is administered.
Sometimes you can get around this by transferring the patient to another department such as General Surgery, since they can prescribe things like IV antibiotics without hospitalisation =shrug=

There are no cases that you can treat early in the game that subsequently *require* hospitalisation - i'm not sure I understand what you're saying here.

You need the ward to use the diagnosis units - the units are part of hospitalisation. This is just a design choice, and not unreasonable.

Alas, it is the game it is, rather than the game you have in your mind. True of them all, unfortunately.

[Dreej]

Well, as i'm playing through, i'm realising that parts of this game that i thought were "bugs" or "poor designs" are in fact deisgn CHOICES.

It's just up to the player to figure how the thingydy work, and i must admit that i very much love discovering those mecanics by myself actually !

Thanks for your time dorianmode.
Have a nice day and playtime ! :)

[dorianmode]

Good news indeed! I hope you keep enjoying, and that more polish and features are incoming!

[inge]

Escrito originalmente por Dreej:

Well, as i'm playing through, i'm realising that parts of this game that i thought were "bugs" or "poor designs" are in fact deisgn CHOICES.

Or poor design CHOICES if you want to mix and match :p

[FragLeg]

The question is - how would you design it? Would you really want to have the user click through all departments to see all available theoretically available examinations in the hospital for a patient?

I like the "In theory, you could do....but..." approach.