They Hated Me in My First Life, But Now I Have the Love System

Chapter 639

Chapter 640: Candidate, Present Your Case

She straightened up, her mind racing through possibilities.

---

The observation room was lit up.

Linda leaned forward. "She’s missing something, she hasn’t asked about previous cardiac interventions."

"Give her time," George countered, watching intently. "She’s pacing her flow."

Carl, expression unreadable, quietly tapped a pen against the desk. "She’s already seen it," he murmured.

"What?" asked one of the examiners beside him.

"The pattern. She’s connecting the pulmonary findings to left ventricular failure."

@MedNation: Is she gonna say it?

@StudentDocZ: She’s definitely thinking congestive heart failure secondary to long standing hypertension.

@FutureDrK: If she nails this viva, she’s not just passing, she’s making history.

---

After completing her physical exam, Nnenna stepped back and wrote a few quick notes before turning to the patient again.

"Mrs. Tasha," she said softly, "I believe your symptoms may be related to your heart. Possibly a condition called heart failure caused by your high blood pressure and maybe a rhythm problem. But don’t worry, we’ll confirm with further tests to be sure. You’re in good hands."

The woman looked at her in quiet disbelief before nodding slowly. "You sound like you actually care," she said. "Most people just write and leave."

Nnenna smiled. "Because you’re not just a case, ma’am, you’re a person. And people deserve care."

---

Back in the observation room

The room was silent for a full ten seconds.

Then one of the senior examiners let out a breath. "Brilliant."

George grinned from ear to ear. "Nicely done."

Linda’s jaw tightened. "Let’s see if she can handle the viva questions. Diagnosis is just the beginning."

Carl’s lips curved ever so slightly.

Online, the viewers exploded.

@MedNation: She’s unreal.

@OmnioraObserver: This girl’s making the toughest case look easy.

@DocReview: Professional. Empathic. Accurate. Textbook 5th MBBS level.

Nnenna finished her examination calmly and stepped aside to record her findings. Her tablet glowed faintly as she wrote with steady hands:

Provisional Diagnosis:

Congestive Heart Failure (CHF) secondary to Hypertensive Heart Disease.

Differential Diagnoses:

Ischemic heart disease with left

heart disease (possibly aortic

3. Arrhythmia related cardiomyopathy.

sharp, deliberate, reflected her

---

blown off by Nnenna’s performance so

her notes on the shared monitor. "That’s

"Anyone can write fancy

stop smiling. "She’s analyzing patterns

differentials

She’s covering all

how a final year candidate

his brow betrayed his approval. He knew

---

her tablet and turned to the

said gently, her tone firm but courteous. "An ECG, chest X ray, full blood count, serum electrolytes, urea and creatinine, and echocardiography. We’ll also

long

is to identify both the cause and the complications. Missing any

look, part doubt,

crossed again. "Why all these tests? Are you people trying to turn

We just need to understand what’s happening to your heart so

just saying that because they’re watching," the

slightly closer, her voice soft. "Even if no one was watching, I would still care the

That silenced her.

---

in the observation

examiner whispered, almost forgetting himself. "She disarmed her again. That

"She’s performing. She’s just good at

her. "Or maybe she

daggers at him, but before she could

---

a few minutes, Nnenna was ready

in the center of the room, facing the panel of examiners seated in a semicircle, five of them in total. Carl sat at

your case,"

"Yes, sir."

woman who presented

highlighted key findings: the radiation of the chest pain, the hypertension history, the cessation of medication, and

interpretation, fluid retention, pulmonary congestion, reduced cardiac output. She

Heart Disease. Differential diagnoses include ischemic heart disease,

was silent

chief examiner said, tapping his pen. "Now,

questioning began

"how would you

ejection fraction, look for wall motion abnormalities, and evaluate

What’s the

and 70%,

are the common causes of heart failure in hypertensive

leading to left ventricular hypertrophy, ischemic heart disease,

examiners nodded.

"Treatment plan?" another asked.

including ACE inhibitors, beta blockers, and diuretics. Depending on the ECG findings, anticoagulants or antiarrhythmics might

of the female examiners smiled

in the observation room, students who still hadn’t began their exam continued

glowing with pride. "That’s how

"She’s just lucky they

spoke up seeing how the situation was

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