Pinoko's fictional backstory in "Pinoko's Mystery" is her real backstory.
In other words "Pinoko" is really Miya, the time-bomb mechanic's kid who nearly died in a freak explosion. Her mom took her to Black Jack, who lied and said that Miya died on the operating table. After her mom left, Black Jack rebuilt Miya; when Miya regained consciousness, he took advantage of her amnesia by lying about her origins
, and renamed her Pinoko. Creepy,
but makes more sense than the Fourth Wall Ass Pull
the story ended with. It also explains why Pinoko's psychic powers "disappeared"—she never had any to begin with.
Like Reality Unless Noted
and The X-Files
take place in the same universe.
? Check. Paranormal phenomena? Check. Corrupt authority figures?
How else would he be able to perform such crazy operations? Doctors have noted how quickly he operates, as well; maybe he even has the same Healing Touch as Derek?