User:Burrito Justice

Hi. I play a pink-haired corpsman in medical. I do medical things. That's all I really ever do. Hi.

Jayda Wilson shouts, "A wild neko!"
Jayda Wilson holds up the KHI "Hunter" capture gun. Take a closer look. 
Kee shouts, "Nya!"
Jayda Wilson shouts, "Screeeech!"
Jayda Wilson aims the KHI "Hunter" capture gun at Kee!
Angelina Pershing has grabbed Jayda Wilson passively!
Angelina Pershing has grabbed Jayda Wilson aggressively (now hands)!
Angelina Pershing puts Jayda Wilson on the wood bench.
Jayda Wilson says, "BLAGH"
Angelina Pershing says, "Spaghettrect."
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Angelina Pershing snaps her fingers.
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Angelina Pershing snaps her fingers.

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Time to port a frikkin med guide lads let's goooooooooooooooo

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A Friendly Reminder From The Admins

As tempting as it may be to help, remember that it is against the rules to do things like breaking into medbay to treat patients when there are active medical staff on duty. Bandaging up minor injuries with the publicly available first aid kits is usually fine, as is performing CPR or otherwise preventing someone from dying until the medics arrive, but don't go outright doing someone's job for them.

At the very least, give the medics a chance to respond - nobody wants to drop everything they're doing and haul ass across the station with a rollerbed only to find that cargo were already on the scene with a crate of medical supplies and healed the patient up to full in the time it took for them to run from medbay to the gateway.

Triage

Triage is medical's word for "priority" regarding patients. The goal of triage is to stabilize patients, not cure to 100%. Generally this comes into play when there is more than one patient. Wearing a pair of AR-Ms (HUDs work as well, though they are inferior) will allow you to assess a patient's overall health from a glance via a health bar floating above their character.

• No Healthbar: 100% Health
• Green: 78-99% Health
• Yellow: 42-71% Health
• Red: 1-21% Health
• Red, Flashing: -40-0% Health
• Critical!: -85:-50% Health
• Dead: -100% Health

Patients between Critical and Yellow deserve treatment first with priority starting at Critical and going up. The main exception to this is if any patient that isn't dead is bleeding (including internal bleeding) and/or has severe internal organ damage, as leaving a patient with these conditions may worsen their overall health rather quickly. From there, get all patients to at least Yellow before resolving the rest of their issues.

Dead Patients

If the patient dies right there or is reported to have died recently, defib them ASAP. If they do not resuscitate, leave them be and tend to the other patients. Do not waste more time than you need to on dead people; either assign another doctor to deal with them or come back to them later once everyone else is healed to Yellow.

Cryogenics

Cryo is all about suspending someone in animation and healing them to boot! If someone is in a pretty bad way, tossing them into a (correctly setup) cryo tube will help with most problems on the surface. Even if the damage isn't healed, the cryo tube is basically one gigantic stasis bag minus the terribly short oxygen supply.

Viral Triage

Though rare and seldom (if at all) seen outside of adminbus, a crew member that has been infected with a pathogen signifies the need to act quickly. This list of tasks should be accomplished:

1. Clean up all biohazards (blood, mucus, etc) within medical, instruct sanitation staff to put heightened effort into carrying this out.
2. Retrieve a blood sample from an infected crew member and announce the presence of a pathogen, and for all crew feeling ill to report to medical.
3. Assign tasks to doctors:
   • One doctor to administer Spaceacillin to arriving crew members and escort them to the quarantine area of Virology.
   • One doctor to develop antibodies in test subjects to harvest and dilute to distribute to crew.
   • One doctor to incubate and grow a sample of the virus for detailed analysis. This will allow HUDs and AR-Ms to identify crew that are infected.
4. Distribute doses of the antibodies to crew (1u mixed in 4u of water will work).

Diagnostics

Damage Types

Brute

Cuts, lacerations, and bruising all make up the red number on the health analyzer, normally caused by physical trauma such as punching, getting hit with something, being dragged with open wounds, slamming into walls, etc. Sometimes high brute values may break bones, which will require Surgery, or the limb may even become dismembered! Treatment for brute damage on it's own is listed below:

• Advanced Trauma Kits: Heals 3 brute on the target limb immediately and will allow it to heal on it's own if the damage is below 50. The 3 damage that's taken off works even if the patient is dead, which may be useful if a defib is unable to resuscitate someone due to high damage. ATKs also disinfect wounds if applied early.
• Bicaridine: A red colored medicine which heals 6 brute per unit, meaning a full (15u) syringe will heal 90 brute damage. Best utilized in liquid form, overdoses at 30u.
• Tricordrazine: A purple medicine that heals all underlined damage, albeit slowly, healing 1.5 damage per unit. Best utilized in liquid form but not alone, no overdose.

Burn

Skins, burns, and scars make up the yellow number on the health analyzer, normally caused by intense temperatures such as fire, extremely cold temperatures, lasers, and electrocution. Exceptionally high burn values may vaporize a limb, and can cause bloodloss on top of easily becoming infected. Massive amounts of burn damage may cause your character to be 'husked,' unable to be resuscitated no matter what you do. Treatment for burn damage on it's own is listed below:

• Advanced Burn Kits: Essentially the burn variant of ATKs. Primarily used to disinfect burn wounds.
• Kelotane: A yellow colored medicine which heals 6 burn per unit, meaning a full (15u) syringe will heal 90 burn damage. Overdoses at 30u.
• Dermaline: An orange-yellow colored medicine which heals 12 burn per unit. Overdoses at 15u (one full syringe, be careful).
• KeloDerm: A yellow colored medicine with Kelotane and Dermaline mixed in 1:1. Since the medicines are separate, they work quicker, though KeloDerm doesn't heal as much as Dermaline alone. Overdoses at 30u.
• Tricordrazine: A purple medicine that heals all underlined damage, albeit slowly, healing 1.5 damage per unit. No overdose.

Toxin

Damage dealt by toxins make up the green number on the health analyzer, normally caused by poisons, overdosing, phoron exposure/phoron-infected clothes, radiation, infections/necrosis, damaged liver, and critical blood levels. Treatment for toxin damage on it's own is listed below:

• Dylovene: A green colored medicine which heals 4 toxin per unit, and can treat the liver if it's damage is below 10. No overdose (there is but it just treats itself).
• Carthatoline: A grey colored medicine which heals 8 toxin per unit, but has the side effect of inducing nausea in the patient. Can treat liver damage. No overdose.
• Arithrazine: A green colored medicine which heals 10 toxin per unit, but has the side effect of causing minor brute damage. It also metabolizes very slowly. Overdoses at 30u.
• Tricordrazine: A purple medicine that heals all underlined damage, albeit slowly, healing 1.5 damage per unit. No overdose.

Suffocation (Hypoxia)

Damage dealt by lack of oxygenated blood being pumped through the body makes up the blue number on the health analyzer, normally caused by suffocation, low blood levels, heart damage, and lung damage. Treatment for hypoxia on it's own is listed below:

• Inaprovaline: A cyan colored medicine which doesn't actually heal hypoxia, but instead halts any further damage. Overdoses at 60u.
• Dexalin: A blue colored medicine which heals 15 oxy per unit. Overdoses at 30u.
• Dexalin Plus: A blue colored medicine which heals 150 oxy per unit. Best utilized in pill form (though this reduces healing down to 75 oxy per unit) or in a dropper set to one unit, overdoses at 15u (one full syringe).
• Tricordrazine: A purple medicine that heals all underlined damage, albeit slowly, healing 3 oxy damage per unit. No overdose.

Genetic

Damage dealt by either radiation, slime digestion, or from popping out of an unupgraded growing vat makes up genetic damage, which the health analyzer can only determine by means of a red prompt, requiring a body scanner for a precise measurement of genetic damage. Treatment for clone damage is listed below:

• Cryoxadone: A pale blue medicine which heals the above damage including genetic damage, but requires that the body be cooled to 170 Kelvin or lower, usually by means of cryo cells.
• Clonexadone: A pale blue medicine which works exactly the same as Cryoxadone, but does everything faster.
• Cryo-Mix: A 1:1 mix of Cryoxadone and Clonexadone, works much like KeloDerm in that the two medicines work separately, therefore faster.
• Rezadone: A grey medicine which heals genetic damage without the need for cold temperatures. Overdoses at 30u, though 10u may induce dizziness.

Radiation

Damage dealt by exposure to the Supermatter, being EVA during a solar flare, being injected with radioactive reagents, or destroying/activating particular artifacts make up radiation damage, which the health analyzer can only determine by means of a red prompt, requiring a body scanner for a precise measurement of radiation damage. Treatment for radiation damage is listed below:

• Hyronalin: A green medicine which heals 30 radiation per unit, albeit slowly, but does not heal the resulting damage of radiation. Overdoses at 30.
• Arithrazine: A green medicine which heals 70 radiation and 10 toxin per unit, but has the side effect of dealing some brute damage. Overdoses at 30u.

Organ

Damage represented on the body scanner that corresponds with the trauma inflicted on organs, either by certain poisons, severe physical trauma, bones moving in the area organs are present (lower body, chest, head), or certain items necessary for function being absent. An organ is considered dead at 30 damage. Treatment for organ damage is listed below:

• Peridaxon: A purple medicine which heals 1 organ damage per unit, and heals all internal organs. Overdoses at 10u.
• Alkysine: A yellow medicine which heals 30 organ damage per unit, but only heals the brain. Overdoses at 30u.
• Imidazoline: A pale lavender medicine medicine which heals 5 organ damage per unit, but only heals the eyes. Overdoses at 30u.
• Dylovene: A green medicine which heals 2 organ damage per unit, but only heals the liver if it's below 10 organ damage. No overdose.
• Carthatoline: A grey medicine, works the same as Dylovene in it's use in healing the liver, but can heal it at any damage. No overdose.

Other

Blood Loss

Blood carries oxygen to various areas in the body of a patient, and without oxygenation (whether by lack of air or lack of blood, in this case) the patient will slowly decline in health until they die, therefore stopping bleeding is your top priority, and should be treated as a critical injury. For low blood levels, administering Dexalin will help with the oxy damage resulting from blood loss, and will help alleviate the risk of brain damage as a result. Critical blood levels, however, will result in massive spikes of hypoxia and annoying toxins, though this only occurs at 40% blood volume. Treatment to stop bleeding is listed below:

• For external bleeding cases:
  • Pressure: Getting an aggressive grab and help intent clicking the limb with the grab in hand will apply pressure to the wound, slowing the bleeding, but not stopping it entirely. If you are bleeding, help intent click the limb and you will begin applying pressure. This can only be done by a third party, and should only be used if you have nothing to treat the bleeding and are waiting on someone else to bring gauze/ATKs.
  • Gauze: This is the most basic item in medical to treat cuts and lacerations provided you have enough of it.
  • Advanced Trauma Kit: ATKs are better than gauze as they can disinfect the wound when it's used, and instantly heals 3 brute damage on the limb it's applied to.
• For internal bleeding (IB) cases:
  • Cryogenics: Placing a patient with internal bleeding into a (correctly setup) cryo tube will both halt (not fix) the bleeding and stop it from getting worse. This is a temporary solution.
  • Bicaridine and Inaprovaline: These two medicines together (they have to be together, not separate) will prevent the internal bleeding from worsening, but will not halt the bleeding.
  • Surgery: The main method of treating internal bleeding is through surgery by means of the Fix'O'Vein.
  • Myelamine: A medicine found in (expensive) clotting kits that will seal any internal bleeding. The fastest way to treat.
  • Bicaridine: Overdosing Bicaridine (30u) will, of course, deal toxins to the patient, but it may clot internal bleeding. Generally a last resort if none of the other methods are available.

Once the bleeding has ceased, you will have to help the patient raise their blood count. The following are some methods to assist with that:

• Dexalin/Dexalin Plus: Will assist in oxygenating the blood, helping to prevent potential brain damage.
• Iron: A simple reagent that must be ingested in order to work. Replenishes 8u of blood per unit.
• Nutriment: Basic nutrients that can be found in protein shakes. Must be ingested. Replenishes 4u of blood per unit.
• Protein: Animal proteins found in meat and protein shakes. Must be ingested. Replenishes 4u of blood per unit.
• 20 Iron, 20 Nutriment, 20 Protein: The three reagents mentioned above in one 60u pill, which can replenish blood rather quickly as there are three separate reagents.
• IV Drip with compatible blood: Bloodbags can hold 200u of blood (a little less than half a patient's total blood volume) and is generally the best method of replacing blood.

Infection

Infections sprout when a wound isn't treated and disinfected in time, and is accompanied by a fever (check temperature). If left alone, infections can rapidly kill a patient, even exponentially if it's bad enough. Infections are commonly identified by means of the body scanner. The following are the levels of infection:

• L1 (Mild): Pain messages and the start of fever.
• L2 (Acute): More pain messages, infection becomes more prevalent and visible.
• L3 (GANGRENE): Beginning of lethal toxins, organ death, and necrosis.

The following are some symptoms of infection based on where it's located:

• Meningitis (Brain)
  • L1: Stiff neck
  • L2: Severe headache (+1 confusion at random intervals)
• Conjunctivitis (Eyes)
  • L1: Itchy eyes
  • L2: Blurred vision (+10 eye_blurry at random intervals)
• Endocarditis (Heart)
  • L1: Chest tightness
  • L2: Chest pain (+25 halloss)
• Pyelonephritis (Kidneys)
  • L1: Lower back pain
  • L2: Malaise
• Pyogenic Abscess (Liver)
  • L1: Right side abdomen pain
  • L2: Poor blood filtration (toxins buildup)
• Pneumonia (Lungs)
  • L1: Coughing
  • L2: Shortness of breath (+30 oxyloss)
• Staph Infection (All external limbs)
  • L1: Pain notificiation
  • L2: Sharp pain temporarily disables limb

L2 infections and lower require only 15u of Spaceacillin and monitoring. L3 infections require that Spaceacillin be overdosed (45u) immediately with Carthatoline to accompany the high toxins. If Carth is unavailable, stack Dylovene and Tricordrazine together. The following will go over further necessary treatments:

• Limb gangrene:
  • Conduct necrotic limb repair osteopathy.
• Organ necrosis:
  1. Request a replacement synthetic organ from Research immediately. Alternatively you may grow a sleeve of the patient and harvest the sleeve's organ with the patient's consent.
  2. Remove the organ via surgery and replace it with the synthetic counterpart (good luck if it's the heart).
  • If the brain or heart (unless you're fast) is necrotic, the patient will need to be resleeved.

Fractures

Bones fractures can be separated by three identifications: hairline, fracture, and broken. These three different types of fractures no longer play any part mechanically, though from an RP standpoint, hairline is the least severe while broken is the most severe (and therefore painful). Fractures can, however, deal damage to organs if they move around. Treatment for fractures is listed below:

• Splints: A half-cast that keeps the fractured bone in place and prevents it from moving. This is a temporary remedy, and requires the following to actually treat...
• Surgery: By means of bone gel and bone setter (or boneclamp if you have one), a fracture can be mended rather quickly.
• Osteodaxon: A rare medicine requiring some magic to obtain the precursors for, this medicine can heal fractures without surgery (provided the target limb's damage isn't above the fracture threshold). Do note, however, that it will cause severe pain

Dislocations

Not actually a fracture or even a problem related to surgery, but it will function as a fracture in that the limb will become incapacitated. Fixing it simply requires that you stand next to the patient and use the 'Undislocate-Joint' verb. If there are multiple dislocations, a prompt will appear asking which limb you would like to relocate.

Resleeving

See also: Resleeving

Similar to cloning, Resleeving is a method of reviving someone - to an extent - via technology provided to Nanotrasen by KHI. Perhaps the main difference between cloning and resleeving is that the mind records are kept separate from the body records, granting the ability to create custom sleeves to put yourself into without the need for brain transplant surgery (which would probably fail anyway due to organ rejection). Mind records are primarily maintained via backup implants provided by medical in reception which will backup the mind state of the patient periodically, usually in five minute intervals, with the added benefit of informing medbay staff over the medical frequency if an implant has ceased function, implying the patient has died. Legacy one-time mind scans are available with a SleeveMate, though, if patients don't like blinking pieces of metal in their necks.

Resleeving Procedure

The following steps will entail how to correctly resleeve a patient without error.

1. Listen for the chime over the medical frequency about a patient's backup implant ceasing to function. This may take fifteen minutes after they have died. Alternatively, follow the rest of this guide if a patient you are caring for has died and cannot be resuscitated.
   • Someone who may or may not be related to the patient's death (which isn't any of your business anyway) may arrive with some of their items in a bag. Take the bag with you but do not look inside.
2. Check the patient's records. If there is a Do Not Resuscitate or Do Not Resleeve (commonly known as a DNR), then simply heed any postmortem instructions provided in the records.
   • If no postmortem instructions are provided, place the body in a body bag with a toe tag including name and transfer to the morgue.
   • A DNR may also be issued by the CMO if it is reasonable (e.g. not "lol don't resleeve them they're a butt") or Central Command as long as hard evidence is supplied that the patient has committed suicide willingly.
3. If the patient lacks a mind record and their body is still intact, scan their cadaver with a SleeveMate and select Mind-Scan (One Time). A mind record with their name should appear shortly.
4. Operate the console and ensure the mind scan is present before growing the body.
5. Begin growing the body and tint the resleeving lab's windows.
6. Once the body has been ejected from the growing tube, place it in the cryogenics tube and turn it on until their health reads 100%
   • Assuming the growing tube hasn't been upgraded by research, the patient will be ejected with roughly 20% health due to genetic damage. There's a chance they may also have mutations.
   • It may be a good idea to give the patient a pill of 1u of Ryetalyn to immediately fix any mutations.
7. Eject the patient from the cryo tube and place a uniform from the spare clothing locker on them. If you were given a backpack with the patient's items, place their backpack on their back slot.
8. Place the patient in the resleeving tube and sleeve their mind into their body. Eject from the tube and buckle them to the nearest chair.

Post-Resleeving Procedure

The following steps entail how to handle the patient once they are conscious post-resleeving. Failure to heed these instructions may jeopardize the patient's mental well being and the credibility of your medical license.

1. Shake the patient awake if they aren't already.
2. Ask how the patient is feeling, where they are/why they are there, find out what they already know regarding their current situation.
3. Start with telling them that you have some bad news.
   • This is considered a 'warning shot' and will prepare the patient to take in negative information.
4. Follow with informing them that they have been resleeved.
   • Keeping this simple for the patient to understand is important. Misinformation may be detrimental to the patient.
5. Allow the patient to process this information. Some may understand and be fine, others may be furious or complain, others may just stare blankly and really just want to run out the door to get eaten again and waste your frikkin biomass.
6. Ask the patient if they have any questions or concerns. If they ask a question that you do not know the answer to, then inform them that you cannot answer it. Avoid speculation.
7. Advise the patient to relax for a while and inform them of the side effects of resleeving (generally fatigue).

Remember: They are not a clone, they have only been cloned, in a sense. They are still themselves.

Carding

If a patient doesn't have a body record and their previous body is no longer present or intact, then sleeving a mind record into a card may be necessary to help them design a new body (which will be discussed shortly). Sleeve cards are fully aware of their surroundings and situation and are even able to speak, but cannot do anything beyond that. There's no real reason to use this feature short of the reason above.

Body Design

The body design console is located in the reception area of medbay and can be used by anyone, allowing them to design a body similar (but clunkier) to what they can do in character creation. This may also be used in case a patient doesn't have a body record and needs a new one designed. Once a body is designed it will need to be saved to a disk, which are kept in a box on a table behind the windows. Simply insert the disk, save the data onto it, eject it, then insert it into the resleeving console to grow.

Races

There are many races on Virgo, even a race that lets you make your own (kinda)! Custom Species aside, some of the vanilla races react a little differently to different treatments. For the purpose of this guide, humans will be used as a base species to compare for the rest of them.

Human

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: Monkey

Hairless apes that are smart somehow. Would probably make up most of the (consistent) population of most stations.

Skrell

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: Neaera

A race of rather passive, reserved frog people.

Unathi

• Brute Modifier: 0.85
• Burn Modifier: 0.85
• Total Health: 125
• Blood Volume: 560
• Primitive Form: Stok
• Have 'ribplates' on their torso and lower body, which must be cut through in order to conduct any surgery in those areas.
• Less likely to suffer fractures, requiring higher brute values to break a bone.
• Lack kidneys and appendix, the liver making up for their absence.
• Less slowdown from wearing heavy items (e.g. duffle bags)

Tajaran

• Brute Modifier: 1.15
• Burn Modifier: 1.15
• Total Health: 100
• Blood Volume: 560
• Primitive Form: Farwa

Bipedal catbeasts furred feline-esque creatures hailing from a cold planet.

Teshari

• Brute Modifier: 1.35
• Burn Modifier: 1.35
• Total Health: 50
• Blood Volume: 400
• Primitive Form: N/A

Essentially cutebirbs space raptors who are notably fragile.

Sergal

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Forms: Saru

Hungry triangle-faced beings.

Akula

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: Sobaka

Shark-esque species raised alongside the Skrell.

Vulpkanin

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: Wolpin

Foxes. That's about it.

Vox

• Breathes phoron. Liquid phoron is basically a Vox's version of Dexalin Plus.
• Actual Dexalin is lethal to Vox, and may result in organ damage if injected.
• Different internal organs than most other species:
  • Head, Brain - Prosthetic brain
  • Torso, Lungs - Air capillaries
  • Torso, Liver - Waste tract
  • Torso, Kidneys - Filtration bladder
  • Abdomen, Heart - Vox heart
• Cannot be resleeved, once they are dead, their body cannot be grown and will just have to take place off-station.

Promethean

• Brute Modifier: 0.75
• Burn Modifier: 2
• Total Health: 120
• Blood Volume: None, mechanically
• Primitive Forms: Slime
• Regenerates damage at 0.2 per tick.
• Can regenerate lost limbs.
• Cannot suffocate.
• No internal organs sans slime core, which is their brain located in their chest. Healed with Alkysine.
• Require a Bio-Adaptive NIF if they want a NIF at all.
  • Can implant a NIF into them by just slam dunking it into their face.

Nevrean

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: Sparra

Bird people with beaks that don't smell. Tweet tweet.

Zorren

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: N/A

Found around Virgo or something.

Vasillisan

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: N/A

Spider people. Not much is really known because their development is on hold I guess.

Rapala

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: N/A

Birb people but more human.

Diona

• Regenerates health and nutriment when in light.
• Can soak lots of different types of damage.
• Most reagents have little to no effect on a Diona
• Plant-B-Gone severely poisons a Diona.
• Doesn’t have internal organs and isn’t affected by broken limbs.
• Cannot feel pain.
• Cannot be resleeved.

Xenochimera

• Brute Modifier: 0.8
• Burn Modifier: 1.15
• Total Health: 100
• Blood Volume: 560
• Primitive Form: N/A
• Damage, Pain, and Low Nutrition are all Feral Triggers

Jitteriness mildly contributes to Feral-ness.

• When Feral, lights cause hallucinations.
  • They'll generally flee to dark areas like maintenance tunnels.
• Can self-repair damage at the cost of time and nutriment, actual medical treatment will generally be faster.
• Can revive self, if liquid nutriment is present in bloodstream.
• If Feral: Put in dark area, give food, attempt to fix injuries/pain.
• Cannot be resleeved.

Xenomorph Hybrid

• Brute Modifier: 1
• Burn Modifier: 1
• Total Health: 100
• Blood Volume: 560
• Primitive Form: N/A

Just a human mixed with xeno DNA. Why is this whitelisted again?

Facilities

they do things