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Failing to save Emilio deals a heavy blow to his confidence. Pride: Becomes increasingly more vain in the second game, as his newfound fame leads him to believe that his Healing Touch makes any operation a non-issue.Previous Player-Character Cameo: Appears in an episode of New Blood and a postgame challenge, and can be heard in some of Naomi's flashbacks in Trauma Team and he and CR-S01 discuss Rosalia taking on the disease she had.Power-Strain Blackout: The first time he uses the Healing Touch intentionally in an operation (as opposed to a low-stakes practice session or out of sheer desparation), he faints afterwards.One of Our Own: He gets infected with GUILT in Second Opinion and has to be operated on by Dr.Older and Wiser: His cameos in New Blood and Trauma Team show he's gotten even more confident with his role.My Greatest Failure: Just when he's operated on several patients and is ready to save him, Emilio's antibodies aren't enough, and dies.Legendary in the Sequel: Maybe not legendary, but still, his actions in treating GUILT and PGS have made him known as a master surgeon in New Blood.Last-Minute Hookup: With Angie, in the second game.The Intern: Averted, the games start with him having just finished his residency.It's so bad that he actually loses the use of his Healing Touch for a while. Heroic BSoD: After failing to save Emilio's life.To others, he appears to operate in the blink of an eye. Healing Hands: The Healing Touch counts as this.Catchphrase: Let's begin the operation!.Bunny-Ears Lawyer: Is lazy and negligent a lot of the time, but is a skilled surgeon where it counts and has the ability to slow down time.Part of the reason he chooses to join Caduceus is because by that point he's aware his incredible surgical skills are far and away his best asset and an environment that focuses him on that exclusively will allow him to do the most good. Derek's so-so bedside manner and mediocre diagnostics skills are acknowledged by other characters (he was never top of the class in med school and borrowed assignment answers) and nearly get him in very serious trouble while he's in general practice. The first game does extensively examine this, at least. Still, he gets better by Under the Knife 2, and is shown to be impressively competent by New Blood and Trauma Team (if only because you're not playing as him anymore). Kasal even sends Angie along with him because he doesn't trust Derek in that regard (though it's rather pathetic that his nurse is a far better doctor than he is). Book Dumb: Derek is really only kept around Caduceus because he's a genius surgeon, and definitely not for his skills as a doctor.
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Ass Kicking Pose: It seems to be part of routine before starting an operation.Gifted with the Healing Touch, he was recruited by Caduceus after successfully operating on a patient with GUILT. Decided to become a surgeon after his father died of an illness. The main character of Under the Knife and Under the Knife 2.