<Cybercore>

Medic - Diagnosis

In the vast and diverse universe of Cybercore, countless diseases, infections, and other maladies lurk, often unique to specific alien species or planets. The Medic with the Diagnosis skill is the first line of defense against these threats, with the ability to analyze symptoms, scan for microscopic pathogens, and determine the best course of treatment.

A skilled Medic can identify everything from common colds to exotic, otherworldly plagues, often with little more than a few simple tests and a sharp eye for details. They must be well-versed in the biology and anatomy of numerous alien species, as well as familiar with the latest medical technology and treatments.

With a deep understanding of the intricacies of disease and injury, the Medic with the Diagnosis skill is often the difference between life and death in the harsh and unforgiving reaches of space. Their expertise is essential for the survival of crews and colonies, making them a vital member of any spacefaring team.

Using Diagnosis

Each diagnostic challenge will have a difficulty rating based on the rarity of the disease, subtlety of symptoms, available diagnostic equipment, and species familiarity. The more exotic the condition and the less obvious the symptoms, the higher the difficulty.

When you attempt to identify diseases, analyze symptoms, diagnose conditions, interpret medical scans, detect pathogens, or determine treatment courses, you will make a Medic - Diagnosis skill check against the task's difficulty rating. The GM may apply Boons or Banes based on factors such as quality of medical scanners, patient cooperation, access to medical databases, or availability of samples for testing.

  • A Critical Success means you achieve perfect diagnostic clarity. You not only identify the exact disease or condition but also determine its stage of progression, identify the source of infection, predict complications before they occur, recognize rare variants that would fool other doctors, or discover underlying conditions the patient didn't know they had. Your diagnosis is so accurate that treatment can begin immediately with optimal effectiveness.
  • A Regular Success allows you to correctly diagnose the patient's condition. You identify the disease or injury, understand its severity, determine an appropriate treatment plan, and recognize standard complications. You accomplish your diagnostic objectives and can proceed with proper treatment.
  • A Failure means your diagnosis is incomplete or uncertain. You can narrow down possibilities but can't confirm the exact condition, you miss underlying complications, you underestimate or overestimate severity, or you require additional time and testing to reach a conclusion. Your diagnosis isn't wrong, just insufficient for immediate treatment.
  • A Critical Failure results in catastrophic misdiagnosis: you identify the wrong disease entirely and prescribe harmful treatment, you mistake a deadly condition for something benign (or vice versa), you contaminate samples making further testing impossible, you trigger a patient's latent allergies or conditions through inappropriate tests, or you miss a rapidly progressing condition that becomes critical. Your medical error could kill the patient.

Diagnostic Tricks

Rather than spending skill points to move up skill levels, you may instead spend skill points to purchase any of the following tricks.

Quick Scan:

Cost: 2 Skill points
Requires: Tactical Training
Frequency: Once per Lockdown
Effect: You can perform rapid preliminary diagnosis with exceptional accuracy. Given 2-3 minutes with a patient and basic medical scanner, you can identify the most likely condition, rule out immediately life-threatening diseases, and determine urgency of treatment. This quick assessment grants a +1d6 Boon to your full diagnostic check if you proceed with detailed analysis.

Pattern Recognition:

Cost: 2 Skill points
Requires: Tactical Training
Frequency: Once per Lockdown
Effect: Your experience allows you to spot disease patterns others miss. When examining symptoms, you automatically recognize standard disease presentations, identify unusual symptom clusters that suggest rare conditions, and notice subtle signs that inexperienced doctors overlook. You can diagnose common conditions without needing tests or scanners.

Differential Expert:

Cost: 2 Skill points
Requires: Tactical Training
Frequency: Once per Lockdown
Effect: You excel at differential diagnosis - systematically ruling out similar conditions. When faced with ambiguous symptoms, you can create a comprehensive list of possible conditions, efficiently design tests to eliminate wrong diagnoses, and rapidly narrow down to the correct condition. Reduces diagnostic time by 30% for complex cases.

Xenobiology Specialist:

Cost: 6 Skill points
Requires: Expert Training
Frequency: Once per Op
Effect: You have extensive knowledge of alien biology and diseases. When diagnosing alien species or treating alien pathogens affecting humans, you gain a +1d8 Boon. You understand how alien physiology differs from human, can identify xenological diseases, and know how to adapt human treatments for alien patients.

Advanced Imaging:

Cost: 6 Skill points
Requires: Expert Training
Frequency: Once per Op
Effect: You can interpret the most complex medical imaging with exceptional skill. When using scanners, MRI, X-ray, or other imaging technology, you spot abnormalities others miss, identify tumors and internal injuries at early stages, diagnose structural problems, and read scans from unfamiliar alien species. You gain a +1d8 Boon when using imaging equipment for diagnosis.

Remote Diagnosis:

Cost: 6 Skill points
Requires: Expert Training
Frequency: Once per Op
Effect: You can diagnose patients remotely using telemedicine and sensor data. Without being physically present, you can analyze transmitted vital signs, review scanner data, interview patients via video link, and provide accurate diagnoses. Your remote diagnoses are as reliable as in-person examinations, allowing you to treat patients across vast distances.

Instant Diagnosis:

Cost: 10 Skill points
Requires: Master Training
Frequency: Once per Mission
Effect: Your diagnostic skill approaches supernatural levels. Once per mission, you can instantly and correctly diagnose any condition - no matter how rare, exotic, or unusual. One look at the patient, a quick scan, and you know exactly what's wrong, how advanced it is, what will happen next, and how to treat it. No tests needed, no uncertainty.

Pathogen Hunter:

Cost: 10 Skill points
Requires: Master Training
Frequency: Once per Mission
Effect: You can track down the source of disease outbreaks with remarkable precision. For one investigation, you can: identify patient zero, trace the pathogen's origin, predict its spread pattern, determine how it's transmitted, and locate where it came from (contaminated water, alien artifact, bioweapon, etc.). Your epidemiological expertise can stop plagues.

Universal Physician:

Cost: 10 Skill points
Requires: Master Training
Frequency: Once per Mission
Effect: Your medical knowledge spans all known species and conditions. For one mission, you can diagnose and treat any sentient species - even ones you've never encountered before. You intuitively understand their biology, recognize their diseases, and know how to adapt treatments for their physiology. You're the doctor everyone needs in first contact situations.

Crafting

Two-Stage Creation Process

Stage 1: Research Conditions (Blueprint)

  • Requires: Medic - Diagnosis check (DC varies by specialization)
    • Simple Database (DC Easy): Common diseases and injuries
    • Advanced Database (DC Medium): Rare conditions or alien diseases
    • Elite Database (DC Hard): Exotic pathogens, unknown conditions, or experimental treatments
  • Time: 2-6 weeks of research and case study per condition category
  • Resources: Medical journals, patient case studies, pathogen samples

Stage 2: Compile and Cross-Reference (Crafting)

  • Requires: Research data + diagnostic protocols + symptom correlation
  • Time: 1-3 weeks of compilation and verification
  • Materials:
    • Research Access: Medical databases, hospitals, research facilities (Cheap to Moderate)
    • Sample Analysis: Pathogen cultures, tissue samples, blood work (Moderate to Expensive)
    • Documentation: Database creation, images, test protocols (Cheap)
  • Workshop: Medical facility, research lab, or hospital with diagnostic equipment

Benefits: Stacking Boons and Diagnostic Advantages

Each diagnostic database grants a stacking Boon to Medic - Diagnosis rolls when examining related conditions:

  • 1 Database: +1d4 Boon
  • 2 Databases: +1d6 Boon
  • 3 Databases: +1d8 Boon
  • 4 Databases: +1d10 Boon
  • 5+ Databases: +1d12 Boon (then +1d4 for each additional)

Boons apply when:

  • Diagnosing conditions covered by your databases
  • Identifying pathogens documented in your research
  • Interpreting symptoms that match database patterns
  • Determining treatment for researched diseases
  • Differentiating between similar conditions in your specialization

Material Benefits

Diagnostic databases provide practical advantages:

  • Faster Diagnosis: 50% reduction in diagnostic time for documented conditions
  • Accuracy: Higher confidence in diagnosis with detailed symptom matching
  • Complication Warning: Early identification of potential complications
  • Treatment Protocols: Ready-to-implement treatment plans
  • Differential Lists: Comprehensive lists of similar conditions to rule out
  • Valuable Resource: Databases can be licensed to hospitals and clinics

GM Note: Databases represent deep expertise in specific disease categories. New variants may require database updates.

Maintenance Requirements

Diagnostic databases require occasional updates:

  • New Variants: Add newly discovered diseases or mutations (Cheap)
  • Treatment Updates: Incorporate new treatment protocols and medications
  • Distribution: Databases can be copied, shared, or sold as medical references
  • Specialization: Each database covers one disease category or species
  • Medical Reputation: Well-researched databases enhance professional standing

Example: Xenobiologist's Alien Disease Database

Dr. Keiko Tanaka specializes in alien pathology:

  1. Research Diseases (DC Medium): Keiko spends 4 weeks researching Quar'tian pathogens, rolls Medic - Diagnosis (success)
  2. Create Databases: Over 2 weeks of compilation, produces 3 diagnostic databases:
    • Quar'tian viral infections: Symptoms, progression, treatment
    • Crystalline blood disorders: Identification and management
    • Spore-based diseases: Recognition and quarantine protocols
  3. Cost: Moderate for research access and sample analysis
  4. Benefit: When diagnosing alien diseases, Keiko gains +1d8 Boon and 50% faster identification
  5. Duration: Permanent knowledge; updates as new strains emerge

Example: Frontier Doctor's Comprehensive Database

Colonial Medical Center maintains extensive records:

  1. Multiple Databases: Medical staff have compiled 5 databases covering frontier medical conditions
  2. Benefit: Doctors gain +1d12 Boon when diagnosing common colonial ailments
  3. Resource: Databases include images, test results, and treatment outcomes
  4. Access: Database access provided to all colonial medical facilities

GM Notes

  • Limit to 5 active databases per character to represent realistic specialization depth
  • Scope: Each database covers one disease category, species, or condition type
  • Story Opportunities: Researching rare diseases can drive exploration and sample collection missions
  • Economic Value: Comprehensive databases are valuable to medical institutions
  • Collaboration: Characters can share and combine databases for broader coverage