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The Sims 4 Get to Work: Doctor

Treating, Diagnosing Patients & Career Rewards

A Doctor treats a patient in The Sims 4 Get to Work

The Sims 4's Doctor Career comes via the Get to Work Expansion Pack and is one of the most challenging Careers I've ever covered. In this Career, you will start with janitorial duties, interruption of actual Doctors with socials, and patient relations and proceed to being able to run your own tests and diagnose patients. As you go forward, the Career gets more defined although menial tasks will still pop up as objectives. You will eventually be able to perform surgeries and deliver Sim Babies as you advance, while your Sim will also have a clearer picture of what is wrong with the patient as they progress. The Doctor's Career level determines success rate with many interactions. Try to take care of patients as much as possible, and do not misdiagnose them, for fear of losing job performance! This guide should help you with those things, as I have a list of symptoms of each illness, while I'll also share the Doctor's career schedule and rewards.

The Hospital in Get to Work

The Ideal Mood for this Career is Focused, though it only helps to raise your Sim's work performance bar and does not factor into diagnosing patients. This is best done by using 'Ponder Moves' on a chess table before work or using Browse Simpedia at a computer. While at the hospital, you can use the computer to 'Research Health Reports on Medical Journal' and remain Focused (+2). This helps a lot. You can also hang Mathematical Diagrams (via Logic with an Easel) in the area where Patients are treated. For those who wonder, Logic does not factor into diagnosing at all. Only the symptoms narrowing via Doctor job rank and your own observations.

A mis-diagnosis is a bad thing for a Doctor. You'll take a performance hit when you're wrong about a patient's ailments.

General Advice for Doctors
At level 1, you won't have much to do regarding patients. Try to do things that are nearby in order to raise your performance. You have two days to get promoted, so it should be easy. Don't stay late, because two days is plenty of time to get your first promotion. At level 2, when your objectives change to feature more of treating patients, look for those that have already been diagnosed. This is required for the promotion. They should have a flashing red over them. You can administer the medication, even if you're not quite ready to deliver a full diagnosis. Your Career Performance will go up as you treat patients, though you may have a harder time finishing objectives within the 10-12 hour shift if you do too much of this. You get the little bumps from treating patients, and a big bonus at the end of the day based on the main bar at top left.

The first couple levels, you'll have to talk to co-workers a lot. Thankfully, it will get you through to more interesting objectives.

At level 3, you should see more medical tasks - lots of 'Examine Patient' interactions. You can then Transfer Case to a Doctor after you have done enough tests. Let new objectives come in as you clear them, so that you don't waste time. You may be called to do temperature, then check eyes. Pause to be more time-efficient, as objectives take a moment to come in. When you need to transfer a case, get a Doctor in conversation then use the 'Transfer' interaction to complete this objective. You may need to perform more tests to transfer the case. Again, look for patients with red flashes to deliver treatment. They've already been diagnosed and are ready for medicine.

The Chemical Analyzer is used to test patients' swab samples for diseases

When you do not have a patient to analyze, look to the front desk. You can admit patients to the beds yourself, and will often be forced to. Calibrating the X-ray machine gives you a Focused moodlet. You'll sometimes need to do this in order to get a better X-ray of a patient - Calibrate then 'Refer to X-Ray Scan' on the patient, later found under the Medical Referral menu. Know that the X-ray machine can be upgraded to feature faster scanning and become unbreakable, so long as your Sim has the Handiness Skill. At level 8, you can also upgrade the Analysis machine to make it unbreakable.

The treadmill test may result in narrowing down your diagnosis, but isn't really effective use of time until higher levels in the Career.

Mid Levels
Levels 4-5 can be a little tough, because you're not quite able to diagnose a lot of patients and will fail things like treadmill tests. Try to avoid those until later, while focusing on completing objectives to raise your performance. Try to get the two diagnoses down, but do not fail on them or you may end up losing huge chunks of performance - like a whole day's worth. Make sure you're right by looking at our symptoms list. It may not be as hard for you as it was for me if you can use the process of elimination along with the 'Diagnosing Patients' section below.

This Sim patient has burning belly, a nasty stomach illness that requires surgery

It gets a bit harder to advance from 5-7. Once you need three surgeries, you already have a decent job as a GP, but it will take time to need to do three surgeries. Sims may come in collapsed and need emergency surgery. Just keep at it, and some Sims will eventually need them based on your diagnosis. It may take 2-3 days of work, for there are only the emergencies and three rare types of illness that require surgery. It's easier after that, but you still do some waiting. If you like, you can misdiagnose Sims with Triple Threat or Burnin' Belly, which both require surgery, but that would be unethical!

You will get the ability to boss your coworkers around, but this won't do much, unlike in the Scientist Career where coworkers get promoted and can even be ordered to gather collectibles for you.

Diagnosing patients requires you to narrow down the symptoms and use some visual cues to help you figure out what's wrong

Diagnosing Patients
Remember, you get only ONE chance to diagnose a patient, and when you come in the next day that patient likely has an entirely different illness. It's random. Logic does not matter for this, nor does being Focused.

The more tests you run, the further you can narrow down a patient's diagnosis. But you will hit a wall and sometimes be left with 2-3 options. Try to do those tests that are tied to objectives, but remember that treating patients also boosts your performance. When possible, do more tests to clear objectives even if you know what ails a Sim. It is more important to do the successful treatments than the objectives, so long as you get silver or up.

A child Sim has diagnostic tests run. This will help to narrow down the symptoms to a specific sickness

The difficulty in this Career comes when you do not know exactly what is wrong with a Sim and can't get it narrowed down further than two or three illnesses. You should be sure to play on speed 1 and watch the patient. Do a test, then back off them and do something with another patient sometimes. This can let you observe the first patient's idle animations. Also, once all tests are done you can initiate regular conversations with them, then back off again. This sometimes gets the symptom animations to trigger.

After you've analyzed a swab, you may later take another, which sometimes will yield a direct result. Here are guidelines for assessing a patient's symptoms, some of which were provided by Dellena on our Forum. We also had extensive help with this list from officialghosts, to whom I owe a lot of thanks for their detail post on the matter, as well as images of symptoms to help you all!. Amaiyasai also contributed information on missing illnesses. Thanks to everyone involved, this guide is much better.

This is by a fairly comprehensive list, and should help you to rule out illnesses. See below the list for images of some symptoms, as well as a breakdown of symptoms and what diseases they could be:

Different rashes come with different illnesses. At the least you know they're definitely sick.

Diseases and Their Symptoms

• Rashes - These may present with any number of illnesses, so don't think right away it's itchy plumbob. They are meant to be indicators a patient is really sick, so you can rule out 'Not Sick'. Some rashes only present with certain illnesses. There are three types: swirly, orange and green spots, and tiger stripes.
• Sweaty Shivers - The patient may itch.
• Bloaty Head - look for the patient appearing to have a headache, and sometimes steam coming out of their ears. It is possible they can have orange and green spots, but primarily look for the steam.
• Starry Eyes - Gets dizzy and shows stars over their heads. They may also swat at invisible objects in front of them. If you see them swatting, it is surely starry eyes. They may also have a swirly rash.
• Llama Flu - The patient may shiver (fever), have a cloud of gas around them, cough, and sneeze. This sometimes presents with orange and green spots-type rash.
• Gas and Giggles - The patient will fart and giggle at random times, and sometimes presents with a tiger-stripe rash. Watch their idle animations for lots of laughing. Laughing itself is not necessarily a symptom, but they may appear to do so uncontrollably.
• Triple Threat - Dizziness, coughing. but lack of swiping as with Starry Eyes, and lack of fever as with Llama Flu. Requires surgery.
• Itchy Plumbob - May present with a rash (tiger stripes or orange and green spots) and the patient may itch a lot. You can tell this apart from Sweaty Shivers by the presence of the rash.
• Burnin' Belly - Visible stomach pain, maybe fever. Requires surgery and is a rare illness - perhaps the most rare of the diseases Doctors can diagnose.

The following set of images are courtesy of officialghosts on our Forum. Use this to help you narrow down illnesses, as I've used their list to help connect each symptom to a disease. If they have one of these symptoms, look up the illnesses above to see if they have other symptoms! You got this. The process of elimination is your friend.

Swirl Rash: it could be starry eyes or triple threat

Tiger Stripe Rash: could be gas and giggles or itchy plumbob

Orange and Green Spots Rash: could be sweaty shivers, itchy plumbob, or llama flu

Dizziness: could be starry eyes or triple threat

Fever: could be burnin' belly or llama flu

Headache: could be bloaty head

Stomach Ache: could be burnin' belly or gas and giggles

Swiping: a telltale sign of starry eyes is the patient swiping, looking like they're trying to bat away a fly.

Cough/Sneeze (no image): could be llama flu or triple threat

Smoke out Ears (no image): you'll know when you see it - it's bloaty head.

Itchiness (no image): could be sweaty shivers or itchy plumbob

Treating Patients
Diagnose an illness by selecting it when you're sure, and the treat option will come up. You'll know right after administering treatment whether it was a success or failure. Find this option on the social menu after you diagnose. Surgery only comes up with Triple Threat, Burnin' Belly, and when you need to deliver a baby at level 8 and up.

House Calls give you Career performance, but aren't necessarily the best use of your time

House Calls
Sometimes, your Doctor will get put on a house call to treat one or more patients. Click the front desk to do this. If you can't arrive within a couple of hours, they will seek help elsewhere. I skipped these a lot of the time, because they came up when I needed surgeries (later learning that you can sometimes refer a Sim to surgery while on a House Call). You can earn plenty of performance just doing duties at the hospital. However, it is time-efficient. You get a nice chunk of the day's performance for delivering the medicines.

The X-ray machine may be upgraded to be faster and auto-calibrate with Handiness. You can also make it unbreakable.

Treadmill and X-Ray tests
Find these under the Medical Referral social menu. These can help to narrow down illnesses, but will have a high failure rate until you're level 7+ in the Career. Until then, try to avoid them or else make sure that your Sim is Focused. A visit to the computer to get a moodlet beforehand can really help with this. Sometimes, you DO have to run the test twice, as the game indicates. They can be super helpful once your Sim is qualified to analyze the results of both tests.

A Doctor delivers a Sim Baby in The Sims 4 Get to Work

Delivering a Baby
This is a work emergency, which will only come up once your Doctor is level 8 and above. It's required to reach level 9. You've simply got to wait this out, and be sure to prioritize this over other patients.

Surgery is required for triple threat, burnin' belly, and delivery of Sim babies

Understaffed Day
There are sometimes days when your Doctor will have to do things like mop puddles, even as a surgeon. These occur on understaffed day, and may be annoying. You can tell if this is a result of a special even by mousing over the top-left workday meter.

Common Objectives
Here are some how-to's and efficiency tips for common tasks:

• Make Bed - Sometimes there isn't a bed to make. Do other objectives
• Mop Puddle - look about the hospital rooms for puddles. Don't let the Sim wander about cleaning unless there are more objectives
• Chat with Co-workers - You can use the same co-worker multiple times to fulfill this
• Transfer Patient Case - Early on, you will need to do this when you're not qualified to diagnose the patient yourself. I was unable to do it directly, possibly because of a bug. What you can do to get this to go through is get a Doctor (lab coat) chatting with you, then transfer the case.
• Work Emergency - Record Emergency Analysis Data - Click the front desk, then examine the samples and input data into a computer.

Doctor Career Levels

Doctor Career Unlocks and Uniform at level 10, Chief of Staff

Doctors at level 8 get the Sickness Resistant Trait, which will reduce or eliminate the chance they get ill. You will eventually learn to tell the gender of an unborn baby by talking to the mother (level 6) or father (assuming he's impregnated by an Alien!), and may also give medical advice to Sims.

Other Get to Work Guides

Expansion Guide
Retail Guide
Retail: Customers and Sales
Retail: Employees and Managing
Retail Perks in Get to Work
Aliens
Baking Skill Guide
Photography Skill Guide
Detective Career
Doctor Career, Diseases and Diagnosing Patients
Scientist Career
Planet Sixam (Alien World)

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Comments (74)

Page 1 of 3

Topic: http://carls-sims-4-guide.com/careers/gettowork/doctor/

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New

Gina Weller

Posts: 1

Likes: 11

Since: Jul 2015

First Poster

Gina Wellersays...

for some reason the objectives don't come up in the balloons above the heads it's blank by me any reason? or should I re-load the disk again I've only had it today.
thank you

14th July 2015 11:23am

11

Senior

MrsFlynn

Posts: 210

Likes: 130

Since: Jan 2016

MrsFlynnsays...

This sounds like a familiar bug. See link below for the fix.

Codes instead of text/ Blank text and bubbles *Fixed!!*

17th January 2016 12:43am

7

New

Jinn658

Posts: 1

Likes: 11

Since: Jul 2015

Jinn658says...

What is the chief of staff +24 mean. What are those numbers for... The higher they go the more money my sim makes i don't get it...

15th July 2015 1:39pm

11

New

Willow

Posts: 4

Likes: 29

Since: Jul 2015

Willowsays...

I think because it is the highest level of the Doctor Career it is just adding on because there isn't really another position above Chief of Staff:)

17th July 2015 7:25pm

9

New

Max

Posts: 3

Likes: 5

Since: Oct 2015

Maxsays...

It's how many raises your sim gets extra. It basically continues to rank up.

16th October 2015 3:16am

4

New

Louis

Posts: 2

Likes: 13

Since: Jul 2015

Louissays...

Thank you for this! I failed diagnosing and treating two patients now. It was kind of difficult to diagnose when I didn't know what to look for. I only looked at the superficial signs such as rashes, steam coming out of their ears, and rubbing their belly. I never knew there were "idle" animations that would help me diagnose the patients. Thank you!

15th July 2015 9:01pm

9

New

Willow

Posts: 4

Likes: 29

Since: Jul 2015

Willowsays...

When you get to the level 10 of this career you just keep getting money promotions and your salary keeps going up! I don't know how long it will go on for but ya, :)

17th July 2015 7:23pm

10

New

Stephen

Posts: 5

Likes: 30

Since: Jul 2015

Stephensays...

This needs to be revised I'm certain. I have, on more than one occasion, used the symptoms above to diagnose and gotten things wrong. Example: Jayden Keeling comes in with fever symptoms. She should have either Burning Belly or Llama Flu. I do enough examination to get a compelling diagnosis with Llama Flu as the only one of these two on the list. I treat her and it fails.

18th July 2015 9:32pm

19

Senior

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

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Playalotsays...

Diagnosing can be quite tricky but there is a good list on the forum that should help you.
List of illness and symptoms

4th January 2016 5:02pm

5

Regular

Amanda

Posts: 22

Likes: 32

Since: Jul 2015

Amandasays...

It appears that surgery is also a treatment for Itchy Plumbob. I diagnosed a sim with Itchy Plumbob and got the option to perform surgery. I got worried that maybe I had clicked the wrong diagnosis by mistake, but I went ahead and went through with it and the patient was cured.

Admin: Thanks for sharing that. We know only so much, given the complexity of that one. Other players sharing tips here would be welcomed as well. Perhaps there are multiple valid treatments in some of these cases...

20th July 2015 7:44am

9

New

Delisa

Posts: 1

Likes: 18

Since: Jul 2015

Delisasays...

Love this website, my go to for any information on Sims.

22nd July 2015 4:02pm

18

New

Rachael

Posts: 2

Likes: 14

Since: Jul 2015

Rachaelsays...

A patient came in with stars around them and dizziness and they were swatting in front of them, so I diagnosed them with starry eyes and it was incorrect

31st July 2015 5:55pm

14

New

Adri

Posts: 3

Likes: 21

Since: Aug 2015

Adrisays...

In the above, you say that Itchy Plumbob and Sweaty Shivers both have itching as a symptom, and that you can tell the two apart by the rash that comes with the Itchy Plumbob. However, in the green and orange spots picture says that this rash is a symptom to Itchy Plumbob, Sweaty Shivers, or Llama Flu. I'm confused as to whether Sweaty Shivers comes with a rash or not.

4th August 2015 12:21pm

13

New

Adri

Posts: 3

Likes: 21

Since: Aug 2015

Adrisays...

Also, fever is a symptom of Sweaty Shivers.

6th August 2015 6:12pm

5

New

Matik7

Posts: 1

Likes: 8

Since: Aug 2015

Matik7says...

I started this job at third rank without that one trait-reward. Is it normal?

7th August 2015 12:38pm

8

Admin

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

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Playalotsays...

It is if as a teenager your sim had an A in school.

17th January 2016 6:17pm

6

New

KittycatYAY

Posts: 7

Likes: 1

Since: Jan 2017

KittycatYAYsays...

Yes, there is a trait that makes your Sims start jobs from a higher level(Connections), it can be bought from the Reward Store with 3,000 points.I have a Sim with this trait who started the Detective career from level 4.

8th January 2017 2:09pm

0

New

Sidney

Posts: 1

Likes: 10

Since: Aug 2015

Sidneysays...

Llama Flu is thought bubble of tissue paper and pepto bottle
Burning Belly is sim rubs hand on tummy with thought bubble of thermometer

9th August 2015 10:12pm

10

New

Kirra

Posts: 1

Likes: 5

Since: Aug 2015

Kirrasays...

Where even is the hospital??

13th August 2015 5:48am

5

New

Nikki

Posts: 3

Likes: 10

Since: Sep 2015

Nikkisays...

Its not on any of the maps but you can go there when your sim does.

27th September 2015 2:00pm

7

New

Donovan Nelson

Posts: 1

Likes: 3

Since: Aug 2015

Donovan Nelsonsays...

Thnxs

13th August 2015 10:18am

3

Regular

Katie

Posts: 18

Likes: 71

Since: Aug 2015

Katiesays...

Do I always have to admit patients to a bed? Does the "receptionist" actually do anything at all?

14th August 2015 3:52pm

9

New

Adri

Posts: 3

Likes: 21

Since: Aug 2015

Adrisays...

I don't think so.

15th August 2015 1:03pm

3

New

Vasco

Posts: 1

Likes: 4

Since: Aug 2015

Vascosays...

I failed to diagnose a patient with Sweaty Shivers because she had fever (and was itching) and I thought it was Llama Flu.
Just to inform: patients with Sweaty Shivers may also have fever ;)

29th August 2015 11:04am

4

New

lu

Posts: 2

Likes: 0

Since: Jul 2016

lusays...

Yes it's true - Sweaty Shivers also has fever as a symptom. Fiver + itch = Sweaty Shivers

25th December 2017 10:23am

0

Regular

Alice

Posts: 12

Likes: 15

Since: Aug 2015

Alicesays...

I diagnosed a patient with stars swirling over their head, swatting and dizziness as Starry Eyes, but it said that the patient was still sick? I am so confused.

29th August 2015 10:58pm

5

Admin

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

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Playalotsays...

This discussion thread on our Forum might help you. Feel free to add to the discussion too.
Illness and Symptoms

14th January 2016 7:58pm

4

New

Suzanne

Posts: 1

Likes: 3

Since: Aug 2015

Suzannesays...

I hope I can finally Transfer the thingy

31st August 2015 5:35am

3

New

Brianna

Posts: 6

Likes: 12

Since: Jul 2015

Briannasays...

I just went for my first house call and it went really well but now I can't figure out how to get back to the hospital! Please help asap

7th September 2015 12:15pm

3

Regular

Ashley

Posts: 14

Likes: 31

Since: Jul 2015

Ashleysays...

Just click on your sim and you should see return to hospital as one of the options.

13th September 2015 12:56am

3

New

HolSim

Posts: 1

Likes: 0

Since: Dec 2015

HolSimsays...

You click on your simply and then.click go back to hospital x

10th December 2015 6:09pm

0

New

Lothario

Posts: 2

Likes: 0

Since: Dec 2015

Lothariosays...

Bianna,

I'm sure you know by now, but all you need to do is click on your sim and the option "Return to Hospital" appears.

15th December 2015 7:20pm

0

New

Miroslava

Posts: 1

Likes: 0

Since: Dec 2015

Miroslavasays...

Just click on your sim and select return to hospital.

28th December 2015 12:33am

0

Regular

Megan

Posts: 11

Likes: 22

Since: Jul 2015

Megansays...

Click on ur sim and the option to go back to hospital will be there x

28th December 2015 4:18pm

0

Regular

Ashley

Posts: 14

Likes: 31

Since: Jul 2015

Ashleysays...

Is there a way to make the other employees perform better? I have several patients that leave before I can get to them because I have much to do on the patients that have already been admitted and all the other employees just stand around doing nothing. One may occasionally make a bed, but that's it.

13th September 2015 12:54am

3

Admin

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

Most Likes

Playalotsays...

No not really. Unlike in the Scientists Career where you can order the co-workers to do tasks, with the Doctor career you just seem stuck with having to do everything for yourself, a bit of time management game play.

17th January 2016 6:19pm

1

New

IronicBeauty

Posts: 3

Likes: 7

Since: Sep 2015

IronicBeautysays...

FYI the games matrix for determining aliments is a little glitchy. I've had patients with only two choices; no illness and bloaty head for example. And though they are obviously sick (spots, stripes, coughing etc.) it will give me a wrong diagnosis when choosing the one sickness choice I was given.

17th September 2015 6:36pm

2

Admin

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

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Playalotsays...

Yes, a lot of people have experienced this.

17th January 2016 6:22pm

0

New

Jenn

Posts: 3

Likes: 9

Since: Nov 2015

Jennsays...

I love an an you just have for the preg Sim but the only thing I find annoying is its slow or could be origin or my computer lol an the other annoying thing is why the heck do we have to admit the patients at the upper levels we have to do it all I'm take to much time ug

15th November 2015 10:02pm

0

Admin

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

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Playalotsays...

If you love time management games then you'll love this element of the Doctor Career. If not... welp.

17th January 2016 6:24pm

2

New

Igor

Posts: 1

Likes: 2

Since: Nov 2015

Igorsays...

It seems that every patient I get never show clear symptoms. Since I've been promoted to 5 every one leaves at least 3 possible disease. It's too hard, and some of them barely show symptoms.

30th November 2015 7:02am

2

Admin

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

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Playalotsays...

I had this problem too. In the end I had to decide on the illness by watching the sim in the reception area as once I had admitted them to a bed all the symptoms disappeared. Very frustrating.

17th January 2016 6:21pm

0

New

Kel

Posts: 2

Likes: 0

Since: Sep 2015

Kelsays...

Can a sim open a drs surgery from home?

5th December 2015 1:41am

0

Admin

Playalot

Posts: 3508

Likes: 3003

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Playalotsays...

No, unfortunately.

11th January 2016 4:21pm

0

New

Erica

Posts: 8

Likes: 11

Since: Jul 2015

Ericasays...

I'm a little confused now that I'm a general doctor am I suppose to admit patients to bed as well now rather I'm a doctor if they wait to long they leave.

11th December 2015 2:54pm

0

Admin

Playalot

Posts: 3508

Likes: 3003

Since: Jan 2016

Top Poster

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Playalotsays...

Yes, as part of your daily tasks you need to admit patients from the reception and then diagnose.

17th January 2016 6:13pm

1

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