01-31-2015, 06:31 PM | #21 |
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Location: Forest Grove, Beaverton, Oregon
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Re: [Basic] Skill of the week: Diagnosis
That said, not every skill makes sense for every game or setting.
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01-31-2015, 08:15 PM | #22 |
Join Date: Jun 2006
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Re: [Basic] Skill of the week: Diagnosis
Why would the lab work be separate from the Diagnosis roll? I suppose if you outsource all your tests, the skill rolled against should maybe be the lower Diagnosis of your own or the lab technician(s)
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01-31-2015, 10:07 PM | #23 |
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Location: Forest Grove, Beaverton, Oregon
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Re: [Basic] Skill of the week: Diagnosis
I thought lab work was Electronics Operation: Science or Medical. I think that skills done by NPCs act to modify the PC's rolls rather than requiring rolling themselves.
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01-31-2015, 10:13 PM | #24 | |
Join Date: Apr 2006
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Re: [Basic] Skill of the week: Diagnosis
Quote:
In conceptual terms, a doctor might make multiple Diagnosis rolls - once when presented with a patient with nonspecific symptoms, to guess what the problem might be and order appropriate tests to confirm, and again (with an appropriate bonus - a fully-equipped lab should probably give +TL/2) when the results come back. If the first roll was a failure, the doctor might have to revise their diagnosis and order additional tests. If the second roll is a failure, the doctor will treat the wrong condition, meaning his Physician rolls automatically fail. After some period of the patient failing to respond to treatment, the doctor should get another Diagnosis roll (with the aforementioned bonus) to figure out where he went wrong. Lab errors are much rarer than 1-in-200 and probably not worth rolling for - but if you do decide that the lab screwed up, a successful Diagnosis or Physician roll should make the doctor question the result. |
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01-31-2015, 10:16 PM | #25 |
Join Date: Dec 2007
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Re: [Basic] Skill of the week: Diagnosis
Note that Physician and Surgeon are already semi-separate skills. I simply think that Diagnosis should be a Physician speciality/technique.
Last edited by David Johnston2; 01-31-2015 at 10:44 PM. |
02-01-2015, 12:54 AM | #26 |
Join Date: Jul 2008
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Re: [Basic] Skill of the week: Diagnosis
I'd rather healing be more interesting, not less interesting.
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02-01-2015, 02:02 AM | #27 |
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Join Date: Oct 2007
Location: Europe
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Re: [Basic] Skill of the week: Diagnosis
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02-01-2015, 07:36 AM | #28 |
Join Date: Aug 2009
Location: OK
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Re: [Basic] Skill of the week: Diagnosis
It seems to me that we have three distinct medical tasks being performed here: diagnosis of the problem, deciding what treatment is appropriate, and the carrying out of the treatment.
What I have done with these skills in my house rules is remove all but three of the skills. I keep Diagnosis, which does the first part there; Physician, which does the second part (determining what course of treatment the patient should take); and Surgery, which is the skill used for carrying out a large subset of the treatments. I do have Physician pulling double-duty here, since it is used to carry out non-surgical treatments as well. Perhaps there is room for a fourth skill there.
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02-01-2015, 08:16 AM | #29 |
Join Date: Feb 2013
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Re: [Basic] Skill of the week: Diagnosis
I realize I'm the opposite. Healing means plunking in another quarter and playing on.
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02-01-2015, 11:01 AM | #30 |
Join Date: Aug 2010
Location: The Land of Enchantment
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Re: [Basic] Skill of the week: Diagnosis
There's an old saying in medicine- "90% of the time you know what's wrong with your patient just by talking to them." And this is very true; common things are common, after all. When you hear hoofbeats think horses not zebras. To a large extent all of the high-tech testing people discussed here are either to verify your impression, or to make a very early diagnosis. Back in The Day people diagnosed all sorts of things without the gee-whiz labs and CTs etc, but they did it late when symptoms were obvious. And, of course, there is extreme stuff like tasting urine to see if it is sweet. Granted, an early diagnosis is very handy in cases such as e.g. cancer, so this does make a big difference.
Of course, the labs, CTs, etc are also very handy for that last 10%, since patients are very inconsiderate, don't read the medical texts, and thus insist upon presenting with atypical symptoms now and then. :) But let me assure you, when an overweight 40-year-old woman with four kids presents complaining of right-upper-quadrant abdominal pain when she eats greasy food I know what the problem is. Likewise, if you try to say that I can't diagnose appendicitis without labs and a CT scan we're going to have a frank exchange of opinions. The testing is to nail the diagnosis and rule out zebras; in other words "due diligence" Last edited by acrosome; 02-01-2015 at 11:16 AM. Reason: to remove medical jargon that I didn't even realize I was using |
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