Unlike his Generation One alternate universe counterpart, Ratchet's patients have a problem relating to him outside of his role as a doctor. Quiet and modest, he's not much of a social being. However, he's the best there is at what he does. You'd have to look long and hard to find a better surgeon than Ratchet. He often performs this duty at the risk of his own personal exhaustion. Ratchet is dedicated solely to his work.