Welcome to the Medbay!

[Surrealistik]

10 units of tramadol will outlast even the longest surgeries, no need to take risks with Para, also Tram is really easy to make, only takes a minute.

Also, I tend to make my surgery mix into two sets of pills instead of one: 15 unit Oxy pills (this allows you to give them more without ODing if the surgery is taking long, plus is easier to mass produce) and 10u Tram/5u Spaceacillin pills.

No. I don't know if you've checked the meta rates lately, but 10u tramadol metas significantly faster than 20u Oxy, and 20u Oxy itself doesn't cover the longest surgeries.

But even if what you're saying is true, 20/10 pills would preclude Spaceacillin, and having to make and have on hand 2 different surgery pills is an absolute PITA.

[Sulaboy]

No. I don't know if you've checked the meta rates lately, but 10u tramadol metas significantly faster than 20u Oxy, and 20u Oxy itself doesn't cover the longest surgeries.

But even if what you're saying is true, 20/10 pills would preclude Spaceacillin, and having to make and have on hand 2 different surgery pills is an absolute PITA.

It wasn't added in the changelog but the anesthetic git got passed. Buckling a marine onto the surgery table should be anesthetizing them. Painkiller pills should only be useful for busted lungs and field surgery now.

[Hughgent]

Well that Oxy Para Cillin 20 5 5 pill has been working wonders for myself. here is a step by step guide for it.

1. Put 1 phoron in the Bluespace beaker. (or some amount less than 5 to prevent dexalin being made.)
2. vend out one innaprovaline and one spaceacillin bottle from the wey-yu vendor.
3. add 60 innaprovaline and 40 spaceacillin to your Bluespace beaker. (do restock the bottles.)
4. put the Bluespace beaker into the chemical machine.
5. set to 30
6. add 30 ethanol and 30 oxygen. (1 phoron, 30 innaprovaline, 40 spaceacillin, 90 tramadol)
7. add 90 ethanol. (1 phoron, 30 innaprovaline, 40 spaceacillin, 90 oxycodone)
8. add 30 ethanol and 30 oxygen. (1 phoron, 40 spaceacillin 90 oxycodone, 90 tramadol)
9. add 70 ethanol. (1 phoron, 40 spaceacillin, 160 oxycodone, 20 tramadol)
10. add 20 water and 20 sugar. (1 phoron, 40 spaceacillin, 160 oxycodone, 60 paracetamol)
11. move the bluespace beaker to the pill machine.
12. Spaceacillin, custom, 20
13. Paracetamol, custom, 20
14. oxycodone, all. (20 spaceacillin, 20 paracetamol, 80 oxycodone)
15. multiple pills, make 4 pills, no need to change the name.
16. repeat steps 12. to 15. for a second set of four pills.
17. remove the excess 20 paracetamol into disposal or bottle according to your preference. (disposal)
18. repeat steps 2. to 17. to finish off the bottle.
19. fill the pill bottle by clicking the pill pile with an empty pill bottle.
20. label Oxy Para Cillin 20 5 5

Oxy Para Cillin 20 5 5 thoughts: This is a step up from the previous surgical painkiller. It lasts longer and helps prevent infections to boot. I have had the para tramadol to toxin reaction happen numerous times in patients, however, this has never interfered with the surgery. Use when you are in a rush to remove larva, the patient has burst lungs, or you just don't feel like putting on their anesthetic tanks for them.

The only real downside to this is that it is VERY power hungry for the chem machine. this recipe costs 32 power per half batch for 64 total. you can save 24 power by adding 180 tramadol via 9 bottles of the stuff per half recipe in place of the innaprovaline. or make it only cost 8 power by adding in 160 oxycodone and 20 tramadol via the vendor for each half recipe. (but who has time for that?)

and you may be thinking, "why not add in 80 spaceacillin at the start?" Reason for not doing that is to allow room for the reactions to occur. I've experimented and run into weird partial reactions as only part of a chemical was dispensed. It's annoying for sure.

[Surrealistik]

Well that Oxy Para Cillin 20 5 5 pill has been working wonders for myself. here is a step by step guide for it....

This is the better way of doing it; probably the best overall balance between production time and energy consumption:

Oxy Surgery/Combat Painkillers:

► Show Spoiler

80 Oxy + 20 Paracetamol + 20 Spaceacillin (4 pills / batch) - OR - Combat Variant: 80 Oxy + 30 Inaprovaline + 10 Paracetamol (4 pills / batch) - OR - Alkysine Variant: 80 Oxy + 8.25 Alkysine + 1.75 Spaceacillin (4 pills / batch)
Description: Powerful painkiller for fast, sterile surgeries. Lasts about 300 seconds before redosing is needed. Also works well as a highly effective combat painkiller.
Label: 20U OXY + 5U PARA + 5U SPACE
Manufacturing Process (Surgery):

• Add 5U Phoron to Bluespace Beaker (if no Phoron present).
• Vend/restock 9x bottles of Tramadol, adding 180U to your Bluespace Beaker.
• Vend/restock 1 bottle of Spaceacillin, adding 40U to your Bluespace Beaker.
• Load your Bluespace Beaker into the Chem Dispenser.
• Add 160U Ethanol
• Add 15U Sugar + Water
• Remove from Chem Dispenser.
• Put Bluespace Beaker into the ChemMaster and produce 2 sets of 4 pills from the following batch: 80 Oxy + 20 Paracetamol + 20 Spaceacillin (4 pills / batch)
• Repeat.

Manufacturing Process (Alkysine):
Label: 20 OXY + 8.75 ALKY + 1.25 SPACE
Manufacturing Process (Surgery):

• Add 5U Phoron to Bluespace Beaker (if no Phoron present).
• Vend/restock 8x bottles of Tramadol, adding 160U to your Bluespace Beaker.
• Vend/restock 1x bottle of Dylovene, adding 35U to your Bluespace Beaker.
• Vend/restock 1 bottle of Spaceacillin, adding 10U to your Bluespace Beaker.
• Load your Bluespace Beaker into the Chem Dispenser.
• Add 160U Ethanol
• Add 35U Chlorine and Nitrogen
• Remove from Chem Dispenser.
• Put Bluespace Beaker into the ChemMaster and produce 2 sets of 4 pills from the following batch: 80 Oxy + 35 Alkysine + 5 Spaceacillin (4 pills / batch)
• Flush/save excess other than Phoron.
• Repeat.

Manufacturing Process (Combat):

• Add 5U Phoron to Bluespace Beaker (if no Phoron present).
• Vend/restock 8x bottles of Tramadol, adding 160U to your Bluespace Beaker.
• IF NO PARACETAMOL IN BEAKER: Vend/restock 1x bottle of Tramadol, adding 10U to your Bluespace Beaker.
• Vend/restock 2x bottles of Inaprovaline, adding 60U to your Bluespace Beaker.
• Load your Bluespace Beaker into the Chem Dispenser.
• Add 160U Ethanol
• Add 10U Sugar and Water
• Remove from Chem Dispenser.
• Put Bluespace Beaker into the ChemMaster and produce 2 sets of 4 pills from the following batch: 80 Oxy + 30 Inaprovaline + 10 Paracetamol (4 pills / batch)
• Repeat, retaining the Paracetamol for the next batch.

[Hughgent]

aren't those Alkysine version numbers off? your buffer is only 90 full. should it be 80 oxy 30 Alky 10 Cillin?

[Surrealistik]

aren't those Alkysine version numbers off? your buffer is only 90 full. should it be 80 oxy 30 Alky 10 Cillin?

Some copypasta mishaps relating to the pill quantities; fixed. Also it needs to be 35 Alky otherwise you run out of supplemental painkiller before the Oxy is exhausted in light of the latter's surprisingly slow meta rate.

[Jackie Estegado]

No. I don't know if you've checked the meta rates lately, but 10u tramadol metas significantly faster than 20u Oxy, and 20u Oxy itself doesn't cover the longest surgeries.

But even if what you're saying is true, 20/10 pills would preclude Spaceacillin, and having to make and have on hand 2 different surgery pills is an absolute PITA.

You are high on something, I have been doing surgery with that and for most cases I have atleast 5 units of tram still in the patient after the surgery.

[Sulaboy]

Popping in again to say that with the recent changes surgery painkiller mixes have become really niche. The table should be anesthetizing your patients unless they have a busted lung.


Spookydonut updated:
Added integrated anesthetic to the operating tables, load an anesthetic tank into the table, put the patient as normal, then buckle them to the table the same as you would for a roller bed and they will be put under anesthetic until you unbuckle them.

[Surrealistik]

You are high on something, I have been doing surgery with that and for most cases I have atleast 5 units of tram still in the patient after the surgery.

Recheck the meta rate. 10u tramadol does not outlast 20u Oxy, and 20u Oxy can run out during more extensive surgeries.

[Hughgent]

SCIENCE!

No longer be in the dark about metabolism rates.

THEREFORE

The optimal surgical painkiller is

• 20 Oxycodone
• 1 Spaceacillin
• 2 Paracetamol
• 7 Souto Lime

The result of being a research hermit while my partner made Robotic Ultrazine ubermarines.

And of course this is all kinda moot with the anesthtic OT changes

[Surrealistik]

SCIENCE!

These findings are surprising to say the least.

The meta rates have been totally fucked with if there hasn't been significant distortion from tick lag, and even then, there's no way that would explain many of these apparent rates.

[Hughgent]

These findings are surprising to say the least.

The meta rates have been totally fucked with if there hasn't been significant distortion from tick lag, and even then, there's no way that would explain many of these apparent rates.

I mean I still gotta repeat the tests on the other maps to check for consistency. One data point doesn't make a trend.

The best I could come up with for lag comparison was the player count. Gotten via the Byond browser.

[Surrealistik]

I mean I still gotta repeat the tests on the other maps to check for consistency. One data point doesn't make a trend.

The best I could come up with for lag comparison was the player count. Gotten via the Byond browser.

Even accounting for say 20% lag distortion though, a lot of these results are miles from expectation.

More data is better of course.

Lastly, painkillers still matter for the purposes of field surgery.

If Tramadol does indeed last that long, 20 Oxy/8 Tramadol/2 Spaceacillin seems like the ideal combination.

[ThePiachu]

Hey knowledgeable medbay people, some questions:

1) Is Hyperzine / Synaptizine viable anymore?

2) How do you treat Ultrazine / other addictions?

[CSolaris]

1) IIRC Hyperzine / Synap isn't that viable anymore - metabolizes too fast given the safe amount you can give someone. It used to be pretty good, Sur even had a whole bunch of recipes for it but then I believe it got nerfed and hasn't seen much use since.

2) I haven't played around with Ultrazine, at all actually, to know enough about it and whether you can dampen the addiction to it with other meds.

[Hughgent]

Hey knowledgeable medbay people, some questions:

1) Is Hyperzine / Synaptizine viable anymore?

2) How do you treat Ultrazine / other addictions?

Ultrazine addiction can't be treated. This stems from what I know about other codebases where addiction and disease treatment is displayed on a health scanner. See https://tgstation13.org/wiki/Infections

HOWEVER, the withdrawal effects DO wear off after about 30 minutes. So the best cure for ultrazine addiction is time.

[Surrealistik]

Hey knowledgeable medbay people, some questions:

1) Is Hyperzine / Synaptizine viable anymore?

2) How do you treat Ultrazine / other addictions?

Synaptizine yes, Hyperzine no:

Nerfed ASSBLAST U-S-A:

► Show Spoiler

45 Synaptizine + 35 Arithrazine + 10 Paracetamol + 30 Tricord (8 pills / batch)
Description: Strong painkiller + ~56 second anti-stun at the cost of some initial toxin build up from Synaptizine which is dissipated over time by Arithrazine and Tricordrazine.
Label: 5.6 SYNAP+4.3 ARITH+1 PARA+3.75 TRI -OR- 5.6 SYNAP+4.3 ARITH+1 PARA+3.75 INAPROV - OR - ASSBLAST USA!!
Manufacturing Process (Tricord version):

• Vend/restock 1x bottle of Dylovene, adding 50U to your Bluespace Beaker.
• Vend/restock 1x bottle of Inaprovaline, adding 30U to your Bluespace Beaker.
• Vend/restock 1x bottle of Tramadol, adding 10U to your Bluespace Beaker.
• Load your Bluespace Beaker into the Chem Dispenser.
• Add 20U Radium.
• Add 40U Hydrogen. (You should have 80U Arithrazine)
• Add 30U Lithium.
• Add 35U Water and Sugar.
• Put Bluespace Beaker into the ChemMaster and produce 2 sets of 8 pills from the following batch: 45 Synaptizine + 35 Arithrazine + 10 Paracetamol + 30 Tricordrazine (8 pills / batch)

[Hughgent]

Synaptizine yes, Hyperzine no:

Nerfed ASSBLAST U-S-A:

► Show Spoiler

45 Synaptizine + 35 Arithrazine + 10 Paracetamol + Tricord (8 pills / batch)
Description: Strong painkiller + ~56 second anti-stun at the cost of some initial toxin build up from Synaptizine which is dissipated over time by Arithrazine and Tricordrazine.
Label: 5.6 SYNAP+4.3 ARITH+1 PARA+3.75 TRI -OR- 5.6 SYNAP+4.3 ARITH+1 PARA+3.75 INAPROV - OR - ASSBLAST USA!!
Manufacturing Process (Tricord version):

• Vend/restock 1x bottle of Dylovene, adding 50U to your Bluespace Beaker.
• Vend/restock 1x bottle of Inaprovaline, adding 30U to your Bluespace Beaker.
• Vend/restock 1x bottle of Tramadol, adding 10U to your Bluespace Beaker.
• Load your Bluespace Beaker into the Chem Dispenser.
• Add 20U Radium.
• Add 40U Hydrogen. (You should have 80U Arithrazine)
• Add 30U Lithium.
• Add 35U Water and Sugar.
• Put Bluespace Beaker into the ChemMaster and produce 2 sets of 8 pills from the following batch: 45 Synaptizine + 35 Arithrazine + 10 Paracetamol + 30 Tricordrazine (8 pills / batch)

This is a question that I don't know cause I don't play PFC all that much. Can a pill fit inside the first aid pouch?

Cause this could be a thing where you trade their pain stop injector for this pill. or maybe their ointment.

If you are playing researcher, this could be a gimmick to try. If you're going more of a super soldier route you could turn up the painkillers and tricord but make smaller batches.

[ThePiachu]

Wait, why does that pill contain Arithrazine? Isn't that for Radiation Healing?

[Surrealistik]

Wait, why does that pill contain Arithrazine? Isn't that for Radiation Healing?

Yes, but it also cures toxin damage, albeit more slowly than Dylovene. Dylovene isn't used because it reacts with Synaptizine to create toxins.

[Surrealistik]

I mean I still gotta repeat the tests on the other maps to check for consistency. One data point doesn't make a trend.

The best I could come up with for lag comparison was the player count. Gotten via the Byond browser.

How has the additional testing gone?

Also, we need results for Synaptizine, Arithrazine, Dex+ and Tricord.

[Hughgent]

How has the additional testing gone?

Also, we need results for Synaptizine, Arithrazine, Dex+ and Tricord.

I've done exactly zero additional testing.

Although, Dexalin Plus is on there. and I can fairly safely say that Tricord has the same metabolism rate as bicardine based on the amount of times i've made TriBica.

I've opened up the sheet to be editable. with instructions!

Here is where anyone can contribute.

[Hughgent]

and you can too with focus.

as a side note to this. Medics, hit up medbay around this point if you hear Dr. Granite on the radio.

[Surrealistik]

I've done exactly zero additional testing.

Although, Dexalin Plus is on there. and I can fairly safely say that Tricord has the same metabolism rate as bicardine based on the amount of times i've made TriBica.

I've opened up the sheet to be editable. with instructions!

Here is where anyone can contribute.

You tested a 7U Synaptizine pill? Isn't the OD 6U?

[Hughgent]

You tested a 7U Synaptizine pill? Isn't the OD 6U?

You're looking at the pill maker page, not the actual data.