two issues in 16: weapons are too cheap; failure when operation on eyes == death

[glob]

- Weapons in v.16 in my opinion are too cheap, especially if we take into account that components, plasteel and steel are finite resources (well, almost) but skins and wool are renewables.  Price of clothing is much higher than price of weapons. We, like, having a haute couture model house on the planet or what?

- Doctors make catastrophic mistakes too often even with a  decent 15 or 16 skill and no disabilities. With operation on eye, such as "install bionic eye", it means instant death. Is this supposed to be so? Maybe just remove the eye instead of killing the pawn?

[Deer87]

Maybe he sneezed really hard when cutting the optical nerves, thus thrusting the scalpel into the patient's brain?

[glob]

Operation performed by a decent doctor should not be a russian roulette gamble with 4 of 6 slots of barrel filled with bullets.

[JimmyAgnt007]

Its RIMworld, where they play russian roulette with automatics.

That being said, I do agree with your points. 

[daduhweewah]

I concur whole heartedly. I have lost like 1/3 or more of my joywire patients. It is insane trying to do anything, I have had zero problems when putting bionic legs on a patient, but a joywire ends bad like half the time when my drs are levels 13-13-12-10 (have 4 currently).

Given, I have not had hospital beds on a lot of those- but losing 1/3+ of my patients getting a joywire seems excessive when my personal view of what a joywire would be is somethin gthat is slid under the skin or skull. Not something that requires a massive cut through the skull and "crushes" my patient to death or gashes their torso?

Small complaints for an incredible game though...

Solution? Just boost the operation success stat in ur new games you start obv.

[glob]

In my last game I have both hospital beds and monitor, clean silver floors and a doc with 16 skill and no disabilities. Have lost approx. every second operation with catastrophic failure, including three deaths from three attempts of eye implant installs (100%). Permadeath mode, rough. IMO it is closer to bug than to suggestion.

[Serenity]

Surgery failure was ridiculous in A15 already, but it seems like it got only worse if anything

[glob]

In A15 it was actually more or less ok, I don't remember any deaths with good doctors.

[Ninjakitty66]

I agree with the weapons, as for the eye operation well that's another story. Seeing how the eyes are close to the brain, well I'd say it would depend on the factors mainly on whom is doing the surgery.

If you have someone with 0 medicine trying to install a bionic eye in someone, I expect them 100% to die. I think the factor would heavily depend on the person's medicine skill, I could be wrong but that's how it should be if not.

[Serenity]

In A15 it was actually more or less ok, I don't remember any deaths with good doctors.

It wasn't uncommon. I've had a level 20 doctor cut his daughter's head off. Or death during a nose surgery.

[Sola]

In addition to the skill of the doctor, are you saving your best medicine for this?  Are you using a medical bed?  With the right precautions, there shouldn't be any chance of death.

The cost of glitterworld medicine is less than 10% of a bionic bodypart.  Always buy a couple glitterworld medicines if you see them, then forbid them once they're in storage.  When performing your surgery, unforbid the glitterworld medicine.

Medical beds should be used prior to surgery.  It's not worth risking a pawn on a surgery when there's an easily accessible tech that improves success.  Same as glitterworld medicine, forbid your regular medicine until you're able to craft a medical bed (Or if the situation is dire and required real medicine).

Your doctor's consciousness and manipulation need to be as high as possible to ensure success.  Your doctor didn't lose an arm, did he?  Not suffering any withdrawal symptoms?

Finally, skill level.  I'm sure you've got this very high, but remember that you can operate on prisoners indefinitely if you have the medicine for it.  "Install denture" "Remove part: Denture" every day as soon as the prisoner is healed.  You won't hurt your town's morale like you would with organ harvesting, and you'll gain over 4000 xp in the skill per day (If burning passion).

[glob]

As I said, doctor with clean health tab, no disabilities, 16 points in medicine. Medical bed, vitals monitor, clean silver floors, everythig but glitterworld medicine, used the standard one. In A15 there were no problems whatsoever in such circumstances. That's why i said the chance of catastrophic failure in A16 is too high, and killing the patient in case of such event is ridiculous. In permadeath mode it makes operations on head just no-no.

[sadpickle]

If colonists can build a spaceship that is capable of transporting them to new solar systems, they can probably bang together a functioning clinic and do basic surgery without killing people half the time. That said I think poor medics should be terrible, and man are they ever terrible in A16. Gonna need to find a way to generate more animal injuries for training.

Having a doctor should be super important, because a doctor generally knows his shit. Not everybody has the acumen or intelligence to be a doctor (I don't!) They don't just hand out degrees. Doctor GPAs are pretty much always 3.0+. A good doctor is only as good as his supplies of course, so medicine should still be a requirement in all cases.

[Hieronymous Alloy]

A decent skill doctor in a clean hospital using glitterworld medicine has a virtually guaranteed chance of success installing bionics now.

Basically glitterworld is the new normal, medicine is the new herbal, herbal is about as effective as you'd think it would be from rubbing plants on people. Save glitterworld for surgeries.

[Mztr44]

Luciferium is good for raising surgery success chance stat once you can afford a steady supply of it.