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At the end of the Iron Man 3,

Pepper Potts was infected with the Extremis Virus, which Tony then cured. As the scene is being narrated, he says something like, "Taking it one step further..." — before having doctors remove the shrapnel from his chest. This gives me the impression that the Extremis Virus is somehow related to him being able to remove the shrapnel from his chest.

Is this true?

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I don't think so, in comics he use extremis virus on him but not in movie. –  Ankit Sharma Apr 30 '13 at 12:54
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7 Answers

up vote 13 down vote accepted

It is not definitively resolved but we can make several suppositions:

  • If Stark had been able to remove the fragments before now, he would have done so rather than risk death aggravating his potential heart injury several times by driving his body to its limits.

  • He had been told it would be impossible to remove the fragments no matter how skilled the surgeons were, none were willing to risk it.

  • Since he was able to reverse-engineer the technology and effects of Extremis from Pepper, he would have both the technology to create the process as well as reverse it.

It would be logical for Stark to create a means of activating and utilizing the Extremis process in conjunction with an excellent surgical team because even if they made a mistake removing the shrapnel, a slight activation of the Extremis technology would repair any damage long enough for any surgeon to do their work. Why not utilize it to remove the shrapnel if he could?

An alternative answer could also be:

The giant electromagnet above the surgeon's heads may have been an invention created specifically by Stark to aid a previously unwilling surgeon to take the risk in removing the metallic shards.

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I like to think it's the latter. I mean Iron Man is not a Wizard, all inventions take time to create. This one in particular has life/death consequences for him. So it probably took him time to design and manufacture a device that can keep shrapnel apart from his heart for a long enough time for surgery, while suspended many feet from his body. –  aditya menon May 6 '13 at 17:33
    
I am unable to understand latter.. What can I expect with this new giant electromagnet other than its high strength? –  Sachin Shekhar May 8 '13 at 18:56
    
I didn't write it. I wouldn't have done it, personally. The scene was some lazy way of showing Stark was now free of the life-threatening shrapnel. Transforming through Extremis might be too much for people to understand. Giant magnet snatching metal chunks, they can understand that. Bad decision on the company's part as far as I am concerned but they are making money, so it worked for them. –  Thaddeus May 8 '13 at 19:27
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Something that struck me as odd at the time was that, at the end of Iron Man 3, Tony says specifically that he has 'fixed' Pepper Potts Extremis infection, notice that he didn't say cure nor removed.

This leads me to wonder if he has indeed perfected the Extremis virus, thus leaning towards his own usage of the virus in Iron Man 4 or the next Avengers outing?

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Perhaps, or it could just be to stick with the "mechanic" theme they had been going with. –  PeterL May 6 '13 at 14:31
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@PeterLeppert, sounds feasible I suppose, personally, I'd feel a lot cleverer if I've managed to unearth a plot driver ;-) , oh well (cheers). –  Big Rich May 6 '13 at 20:27
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In the comics, Tony infects himself with a fixed Extremis virus. This allowed Tony to connect to his network without a headset... he gave himself better reflexes and some of the iron man suit components in his body. The fact that they showed Tony talk to Jarvis without an earpiece tells me that he modified the Extremis virus and infected himself, which allowed him to heal from that kind of surgery.

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Tony narrates: The suits were a cocoon. I'm a changed man. I AM Iron Man. I expect Avengers 2 to show his extremis suits.

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I think not, he was just carrying on with his

compromise to Pepper, exploding his armors and everything

My wife pointed out that he was able to do so because he gain knowledge of how to use

The extremis correctly, and some how he used extremis to heal.

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Don't believe it was a virus nor was the vehicle for the drug a virus. I thought he used the reactor tech to develop a surgical procedure to make removing the sharpnel possible without the same level of risk.

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In Iron Man 3, Tony has the Ability to control all pieces and the suit itself with his mind. In the Comics, this is possible due to the Extremis Virus he's infected with. So, in the Movie, maybe the surgeon and the ability to control his suit with his mind are also just possible because he already has Extremis within him from the beginning of the movie.

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Actully in the movie, Tony is able is only able to control the suit due to the chips he injected into himself. Remember the shots he was giving himself? Those were the chips. They took the extremis virus and his ability to connect with the armor and turned it into two different things. Which in a way I kinda liked. They didn't want it to seem like we were just watching a live action version of the comic. So it gave it its own feel. –  user14386 May 7 '13 at 23:08
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