Medical Log #1501
Primary Physician: Dr. Star Runner
Patient: Fleet Wolf
Gender: Male
Species: Lupinosse
Case History:
Patient was recently injured during a magical event, which resulted in the amutation of both the right arm and right leg. Patient was examined on Feb 23rd by Dr Valkonan, and I have reviewed the examination logs and scan data. Acoustic and visual scans show that both amutations were clean and the surrounding tissues appear to have been cauterized, however if this happened prior or previous to the magical event is unclear. The arm was removed completely at the shoulder socket, with no bone or tissue extending past this joint. All bones and tissues in and surrounding the shoulder itself appear to be intact and functional. The leg amputation appears to be less clean, with the amputation occuring two inches above the knee joint. The resulting end of the femur does not appear splintered, but rather sliced clean almost like a mono-wire would accomplish. Further scans and testing reveals that all neural activity at and immediately surrounding the amputation sites has either decreased, or ceased altogether. Patient has requested cybernetic prosthetics, and I have consulted with the patient on their final design and appearance. Prosthetic design notes to follow.
Design Notes: As the patient has requested that the new limbs have function levels equivalent to original limbs, I will be using the biometic data aquired during examination to determine baselines for strength, dexterity, range of motion, and reflex actions. As usual, I will be augmenting musculature endurance and overall resistance to damage and injury beyond baseline data. I do have a repuation for quality and resilient work to maintain. The bones of both limbs will be Ceradyne Products' skeletal replacement, a semi-organic ceramic nano-lattice. This material is hypo-allergenic, with a long history of successful implants with no immunity rejections in all species it has been used on. When molded into the shape of the finished bone, the material retains hollows and passages which closely mimic those in natural bones. Cloned marrow tissue can then be injected into the central hollow to allow production of blood to resume. All connective tissues will be composed of chemically treated and inert carbon-nanotube fibers. Muscles of the new limbs will use VersaLife myomers. These tiny strands relax and contract with induced electro-chemical impulses, thus they are suitable for direct neural interfacing in cybernetic limbs. The strands are bundled together into muscle groups identical to original limbs. Both limbs will be tied into patient's circulatory system, which will allow onboard nano-systems to scavenge blood waste for usable materials for maintanence and basic repairs. Patient will be advised to alter his diet or otherwise take mineral supplements to provided the required materials. The outer surface of both limbs will be coated in VersaLife Synthskin. This semi-organic polymer is more durable than natural skin, and will allow grafting of attachment sockets for an external metallic casing. In addition to these specifications, I have drawn up preliminary designs for several implanted devices. Since the patient is trained as a Medic, these implants may be of benefit to his practice. After consulting with him, Fleet has accepted these recommendations. Multiple sensors will be incorporated into the palm and fingertips. Removable sensor devices housed in compartments in arm and leg. All sensors allow the monitoring of pulse, blood pressure, blood composition, breathing, and temperature. Additionally, the removable sensors allow complex 3D diagnostic imaging. All sensors can output to optical/auditory nerves, holographic display in arm, remote link displays, or hardwired displays.
Case File Update Date: Feb 25th I have finalized the designs for the new limbs, as well as preliminary surgical installation procedures. Fabrication has begun, and should be complete in twenty hours. Following a ten hour diagnostic and testing phase, limbs will be ready for installation surgery on the morning of the 27th. Surgery is expected to last approximately four to six hours. Assuming all goes well during surgery, patient will have a 48 hour recovery period, after which he can be released to outpatient physical therepy. While the design of these limbs will lessen the time for aclimation of movement, it will take longer to learn how to use the new device implants.
Surgical Log - Audio Date: Feb 27th Patient: Fleet Wolf Physician: Dr. Star Runner
This is surgical log number 1501-A. At time of this log, surgery was successful and lasted only five hours and fourty minutes. Surgery followed standard procedures for this type of installation. After any necrotic tissue was removed from the installation site, attachment caps were surgically affixed. Injection of medical nanomachines prepared the surrounding neural tissues and stimulated growth to attach the caps to the patient's nervous system. Physical attachment of the arm into the shoulder socket was relatively straightforward, and the surrounding skin was grafted to the arm casing using medical nanomachines. The leg procedure was slightly different, as an additional four inches of the femur needed to be removed to provide a stable attachment. Half of the excised bone and tissue had become partially or totally necrotic. Additional myomer muscle replacement was required for entire upper thigh. I chose to retain original skin and dermal tissues above the installation site, and will inform the patient about the additional muscle replacement when he awakens. Aside for the slight adjustment to the leg installation, everything went without incident, and patient's vitals never became critical. I must congratulate the entire surgical team for another job well done. Patient has been transferred to the recovery ward, and will be taken off sedation in twelve hours time. He will remain on local anasthetics for the arm and leg for another six. At that time we will initialize the new limbs and bring neural inputs online. End of surgical log.
Design Notes: As the patient has requested that the new limbs have function levels equivalent to original limbs, I will be using the biometic data aquired during examination to determine baselines for strength, dexterity, range of motion, and reflex actions. As usual, I will be augmenting musculature endurance and overall resistance to damage and injury beyond baseline data. I do have a repuation for quality and resilient work to maintain. The bones of both limbs will be Ceradyne Products' skeletal replacement, a semi-organic ceramic nano-lattice. This material is hypo-allergenic, with a long history of successful implants with no immunity rejections in all species it has been used on. When molded into the shape of the finished bone, the material retains hollows and passages which closely mimic those in natural bones. Cloned marrow tissue can then be injected into the central hollow to allow production of blood to resume. All connective tissues will be composed of chemically treated and inert carbon-nanotube fibers. Muscles of the new limbs will use VersaLife myomers. These tiny strands relax and contract with induced electro-chemical impulses, thus they are suitable for direct neural interfacing in cybernetic limbs. The strands are bundled together into muscle groups identical to original limbs. Both limbs will be tied into patient's circulatory system, which will allow onboard nano-systems to scavenge blood waste for usable materials for maintanence and basic repairs. Patient will be advised to alter his diet or otherwise take mineral supplements to provided the required materials. The outer surface of both limbs will be coated in VersaLife Synthskin. This semi-organic polymer is more durable than natural skin, and will allow grafting of attachment sockets for an external metallic casing. In addition to these specifications, I have drawn up preliminary designs for several implanted devices. Since the patient is trained as a Medic, these implants may be of benefit to his practice. After consulting with him, Fleet has accepted these recommendations. Multiple sensors will be incorporated into the palm and fingertips. Removable sensor devices housed in compartments in arm and leg. All sensors allow the monitoring of pulse, blood pressure, blood composition, breathing, and temperature. Additionally, the removable sensors allow complex 3D diagnostic imaging. All sensors can output to optical/auditory nerves, holographic display in arm, remote link displays, or hardwired displays.
Case File Update Date: Feb 25th I have finalized the designs for the new limbs, as well as preliminary surgical installation procedures. Fabrication has begun, and should be complete in twenty hours. Following a ten hour diagnostic and testing phase, limbs will be ready for installation surgery on the morning of the 27th. Surgery is expected to last approximately four to six hours. Assuming all goes well during surgery, patient will have a 48 hour recovery period, after which he can be released to outpatient physical therepy. While the design of these limbs will lessen the time for aclimation of movement, it will take longer to learn how to use the new device implants.
Surgical Log - Audio Date: Feb 27th Patient: Fleet Wolf Physician: Dr. Star Runner
This is surgical log number 1501-A. At time of this log, surgery was successful and lasted only five hours and fourty minutes. Surgery followed standard procedures for this type of installation. After any necrotic tissue was removed from the installation site, attachment caps were surgically affixed. Injection of medical nanomachines prepared the surrounding neural tissues and stimulated growth to attach the caps to the patient's nervous system. Physical attachment of the arm into the shoulder socket was relatively straightforward, and the surrounding skin was grafted to the arm casing using medical nanomachines. The leg procedure was slightly different, as an additional four inches of the femur needed to be removed to provide a stable attachment. Half of the excised bone and tissue had become partially or totally necrotic. Additional myomer muscle replacement was required for entire upper thigh. I chose to retain original skin and dermal tissues above the installation site, and will inform the patient about the additional muscle replacement when he awakens. Aside for the slight adjustment to the leg installation, everything went without incident, and patient's vitals never became critical. I must congratulate the entire surgical team for another job well done. Patient has been transferred to the recovery ward, and will be taken off sedation in twelve hours time. He will remain on local anasthetics for the arm and leg for another six. At that time we will initialize the new limbs and bring neural inputs online. End of surgical log.