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Medimage Platforms

Someone asked me to draw Jahir in scrubs and I thought 'great! I'll draw a scene of him in surgery!' And that made me realize... I have no idea what a surgical theater looks like despite writing about all the technology for decades. So. I did a diagram. And wrote this for the wiki!

While traditional modalities of surgery are used in the Alliance, the most advanced surgical platform available is the medimage, which uses a variety of technologies (including the breakthrough that made Pads possible) to continuously scan the interior of the body, build a solidigraphic image of it for gross manipulation by surgeons, and then duplicates their motions, in miniature, inside the body. This solves several problems: it allows far more precision in technique, since surgeons no longer have to work directly on a body part; it minimizes invasiveness and injury, while results in patients recovering faster; it allows multiple surgeons to work on the patient without crowding; and it reduces surgeon fatigue, since it allows them to use more of their bodies, in a more natural way, while working.

A surgical theater outfitted to use this technology is a significant piece of technology, consisting of a lower platform (the bed and its emitter); an upper platform, usually mounted in the ceiling (the upper emitter); and side installations for monitoring and power. A minimal medimage platform will allow a third of the body to be addressed at one time, but these small installations are rarer than full body platforms.

The minimal (typical) team for a medimage surgery consists of an anesthesiologist, who monitors the patient’s status at the patient’s head where the displays are mounted. The anesthesiologist is in charge not just of the drugs used during the surgery, but the use of the paralysis field (which is generated by three bands, one at the head, one under the medimage arch, and one at the ankles). The engineer tracks the equipment power and status, and oversees the backup generators; the engineer also addresses any technical issues that might arise during the use of the platform. Larger hospitals assign banks of engineers to their surgical wards, who sit outside the operating theater; smaller locations might seat their engineers inside the theater, depending on their design and procedural preferences.

The minimal surgical team is one principal surgeon and one surgical healer-assist, but some operations may call for more participants. A medimage surgery can be undertaken with a single surgeon but this is not encouraged except in emergencies.

While the Pad technology made the medimage platform possible, there are significant practical differences between them. Pads can operate with only a base station; medimage requires both the base and head stations to generate and maintain their field. Because the surgical platform must remain in operation and stable for continuous periods, its power needs are far greater. Pads have a limited number of functions, all of which can be performed by its single base; the medimage platform is actually a constellation of functions, undertaken by separate modules, all of which must be functioning in order for it to work.

There are multiple failsafes programmed into a medimage platform to reduce the frequency of errors, the most notable being that the manipulative element will be locked out if any of the other technologies fail (power, visual/monitoring, drug delivery, etc). Medical professionals call this the ‘all but, no cut’ principle, based on the frequently repeated line that if ‘all but one thing is operating, you still can’t operate’ made popular in the Tam-leyan hospital that pioneered the technology.

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October 27, 2021
Cursive Practice Video, to Relax

Or at least, I intend it to be relaxing. Hopefully it delivers.
4:22 minutes

Materials:

00:04:27
Overview of the First Oil Paint Experiment

In which I talk about the paper, the paint, and the experience of oils versus gouache. Fun stuff, will do more.

Thank you Locals supporters! Your contribution to my art war chest here is what's powering these experiments and videos. For now I'm keeping them public but I may start doing some subscriber-only videos if you all are interested.💖

00:03:35
Video Review: Oil Painting Papers

My initial review on receipt of the three oil paper products I ordered: the Canson pad, the Rembrandt block, and the Arches single sheets.

00:01:54
November 09, 2021
Alysha Misc

Thanks for your comments yesterday on the business post... all very provocative, in a good way. I'll try to respond to all of them today.

Some Alysha misc now, since I'm gearing up for the results of the Kickstarter!

Petrov is giving away coupon codes for every book in the Alysha series (and has some leftover coupons for Marda and the business book). You can pick those up here (and please do! The books are bought already, someone should use them!) https://twitter.com/PetrovNeutrino/status/1457344535843987461

Our own @JudasComplex sent along a sample of the Faith in the Service audiobook, which I've attached for your delight! I... haven't had a chance to listen to it. Don't ask me about my past week and a half or so. Putting it here will guarantee I get to it.

After hearing the amused comments during the livestream, I went ahead and added all the ship type illustrations I have inked from the 90s to the wiki. Glory in the rampant adorableness of their anthropomorphic stylings! See those ...

Alysha Misc
The Jaguar's Heart 7: We Are Not a Monolith

A little comedy today, at least in the link. Transcript follows.


Hi, all. Welcome to this episode of The Jaguar’s Heart.

A while back I was introduced to a comedy sketch about Cuban coffee by a Mexican comedian, Gabriel Iglesias. ( The sketch begins with him greeting all his fellow Latinos and then backing up to say ‘but we’re all different, aren’t we’ which is a segue into a demonstration of how different Hispanics speak Spanish.

It is hilarious. First, because I am a Spanish speaker and a linguistics hobbyist, and his portrayal of various accents resonated with my experiences in trying to make sense of them myself… Not always easy, since from culture to culture, slang and accent are often totally different (and sometimes grammar! Spaniards use a grammatical construct that has died out in many other Spanish-speaking countries, the plural “you.”)

I also loved it because the Cuban coffee part is real. I grew up with Cubans. I know how we are....

The Jaguar's Heart 7: We Are Not a Monolith
The Jaguar's Heart 6: Hatespeech

One of the most common things I hear (and say) right now is "the asymmetry is the story." Here's one about how none of us are innocent of the sins we hate in others.


Hi, all. Welcome to this week’s episode of The Jaguar’s Heart.

It’s been weeks since the Baen’s Bar incident and I’m still thinking about it... because the longer I do, the more I feel, overwhelmingly, that it’s obvious that the problem is deeper than “this forum was saying stuff that offended us.” We have to back up to the glaring fact that people on opposite sides no longer consider each other human. Nothing I say will matter because the people disagreeing with me don’t think I’m human. They have denied my humanity; they have not bothered to listen to my beliefs, or have fake-listened to them in that way that people do when they’re so ready to prove you wrong that they’re only using your speech to provide talking points for their own ideas.

We have forgotten how to listen.

Increasingly, we have also ...

The Jaguar's Heart 6: Hatespeech
December 23, 2025
Back in Time Tuesday: Theme

I found this holiday sketch from 2015 while looking for something else, and thought... well, yes. :)

Merry Christmas and happy holidays, all! I hope the spirit of the season is healing your hearts and raising your chins to face a fresh year, coming to all of us soon like a gift. I appreciate you all!

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November 13, 2025
Working Jaguar

This is just a random post! First to say:THANK YOU!

Since my Jaguar Calls for Aid post, I’ve had 8 new members subscribe and 9 people upgrade their memberships. I am so grateful! I can’t wait to send out all the stickers… we’ve still got another week or so before that offer expires. I hope more people jump on it, I love sending mail!

Anyway, I’m re-reading and making notes for Surela 3 because apparently, having finished off Red Honey in draft, I want to get something else moving before the end of the year and I’m excited about getting Surela to the end of her redemption story. Thank you to everyone who’s contributed to the Pelted wiki! I’m using it a lot. (Haven’t seen it? Want to help? Check it out: https://peltedverse.org/wiki/Main_Page)

I kind of want to make a Surela essential oil blend. I wonder what it would consist of? What smells would remind you of her?

I’m also continuing on the game work. I code until I run out of Claude tokens, flip to Grok until I get ...

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October 20, 2025
25 Years of Publishing - Jaguar Thoughts

There are a lot of things on my mind lately, and this year particularly because this month I hit a milestone birthday (what I call the decade birthdays!), and it’s been 25 years since my first professional fiction sale. To date, in that 25-year-span, I’ve published 71 books for adults, 3 for children, and 7 coloring books. I feel like this is a great start to a career, particularly given that some people don’t start publishing their first books until they’re closer to my current age!

So I’m satisfied that I’ve created a significant body of work. I’ve got the Peltedverse arc to wrap up, and some other projects I’d like to get back to, but I’m proud of what I’ve accomplished and there are enough finished series in that I don’t feel like I’m sitting on a giant mass of unfinished projects.

Which brings me to my birthday and my reflection on the industry and social trends. Every year since the indie revolution hit has brought some version of doom about discovery and organic reach and ...

December 10, 2025
The Jaguar Reads an AI-Written Book

Over the weekend, I read a book that I’m 95% sure was AI-written. I’ve listened to people talk about how it’s done: you brainstorm characters and a plot with AI, prompt it for an outline, adjust the outline, prompt it to create character and setting guides… attach all that to your project, then tell it to write the first chapter. You adjust the chapter, add it to the project, then tell it to write the second, etc, until you get to the end. Then you tidy the whole thing and publish. The "rapid release" people either love this (because you can release a book in a day or two and do it again immediately) or hate it (because they can't keep up with people using this strategy with unaugmented human brains). But it's clearly a thing that's happening, and few people who do it are admitting it.

Reasons I thought this book was AI:

  • Every chapter ends with a weird wrap-up style: “Main Character had accomplished XY and Z. Tomorrow, he’d have to tackle AB and C. But for today: job well done.” And I do mean every chapter. At first I thought ‘maybe the author’s serializing this and needs to remind readers about what just happened” but when it’s doing overviews of what happens in the chapter at the end, it’s weird.

  • All the places give you a “movie set” feeling of being wooden facades. Like… ‘there’s a baker. He makes bread.’ Nothing else. Only bread is mentioned. Not even the kind of bread. There’s a weird lack of specificity to everything. The baker always has a ‘basket of bread’. Or occasionally, a basket of pastries. (No word on what kind.) Likewise, there is a blacksmith. We know he can make hammers, because the apprentice made one. But that’s it. No idea what else the blacksmith does for the town.

  • Then there’s suddenly spates of specificity. “I have these exotic spices that sound like a list generated for game inventory.” These specific things are never mentioned again.

  • The technobabble sounds like stuff Claude gives me as placeholders. “Mana structure efficiency at 45%. Suboptimal but holding.”

  • Similarly there are some odd verbal tics that repeat throughout the text, and they are suspiciously clever ones, like analogies that rely on an abstract and a concrete noun: “It tasted of cinnamon and regret.” “The tavern smelled of old ale and worry.” Even the title uses this phrasing. Authors can have verbal tics, of course, but I associate a lot of these with AI.

  • The supporting characters do the exact same things, as if they’re programmed NPCs. Celebrating an achievement? ‘We go to this exact same tavern, every time.’  Checking up on the main character? “You need food and rest.” (I can’t count the number of times this character suggested everyone have food and rest, in exactly those words. No variation.)

  • This one is hard to describe, but the characters have believable backstories that suggest depth, but these backstories do not inform how they interact with other characters. The nemesis becomes the protagonist’s friend based on a single interaction, and this backstory, while mentioned in subsequent chapters, causes no friction, for instance. It’s as if every character was created in isolation and the author can’t figure out how to make them combine.

Could this all be the work of an inexperienced author? Sure. But that tells me that we have trained AI to work off story templates that inexperienced authors also rely on. If you have decades of “write to market” advice that treat books as widgets with “story beats” and “character arcs” that can be abstracted into formulas, you shouldn’t be surprised when books start to sound alike. They already were, prior to AI, it’s just that AI makes creating them faster.

Did people like the AI-generated book? Well, it has over a hundred reviews and a 4.5 star average rating, and even on Goodreads, it's doing well, so the answer is: “Yes, it’s good enough.” Did the author confess to AI-writing it? No. Maybe he didn’t! But my guess is that he did.

Do I care about this? Not really. I didn’t enjoy reading it because it gave me the same feeling social media scrolling does, that I’ve eaten empty calorie food that’s programming my brain to repeat basic and uncreative patterns. But humans have always riffed off bad things to make better things and I can totally see someone using AI to generate a draft like this, and then completely overhauling it into something enjoyable.

I don’t write like this because I’m weird. I am constitutionally incapable of the ‘write to market’ formulaic approach (which is why I’m not on a yacht sailing to my property on the Riviera). Even my attempts at romance and litrpg novels veer off into directions that make them too odd (yes, I managed to make both these genres unprofitable). But I’m one of those capital-A artists that indies like to sneer at, and I’m happy that way. I can’t even do that right: I’m an Arteeste who doesn’t care if you’re using AI!

My audience was always going to be the weirdos who want to learn my conlangs and vanish into alien cultures so completely they leave no traces. That's you all! You're awesome.

But yeah, AI-written books. You might have already read one and not realized it. The name of this one, if you want to check it out, is below, and yes I paywalled it because I don't want to bother with drama.

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December 05, 2025
Friday Update: Me, My Robot Army, and Long Career Thoughts

Red Honey has wrapped up! I’m not sure what I’m going to serialize next, but I figured I’d take a breather for the rest of the year since there’s so little of it left. We’ll continue to have Back-in-Time Tuesdays every week, but Fridays will be a hodgepodge of whatever’s on my mind. And what’s on my mind today is the Jokka game, which my Discord crowd has convinced me to just call JOKKA! (I think with exclamation point. With exclamation point, right, you all?)

I think I last seriously wrote about this around my birthday so it’s been almost two months. A lot happens in two months when you’re directing AI to code for you.

The foremost thing I’ve learned is that I am perfectly positioned to take advantage of AI for coding, because I have these things going for me:

  • I used to write technical documentation for software

  • I can do project management

  • I can draw

  • I can write and have written many novels' worth of material for background

  • I have done some light coding work

  • I like gaming and have played many games mindfully, noting what I hate and what I enjoy

But the number one thing that makes this easy for me is:

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November 28, 2025
Red Honey 20 (the end, or the beginning)
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