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

Valvular heart disease (possibly

3. Arrhythmia related cardiomyopathy.

handwriting, clean, sharp, deliberate, reflected her

---

examiners were blown off by Nnenna’s performance

of the examiners muttered, glancing at her notes on the shared monitor. "That’s

under her breath. "Anyone can write fancy terms. Let’s see if she can

closely, couldn’t stop smiling. "She’s analyzing patterns like

Her differentials

She’s covering all the right

how a final year

brow betrayed his approval. He knew her style, precise, never

---

Nnenna tapped on her tablet and turned to the nurse assigned to

but courteous. "An ECG, chest X ray, full blood count,

hesitated. "That’s a long list, dear. Are you

replied politely. "The goal is to identify both the cause and the complications. Missing any

strange look, part doubt, part respect, before

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

just need to understand what’s happening to your

they’re

"Even if no one was watching, I would still care

That silenced her.

---

in the observation

disarmed her again.

rolled her eyes. "She’s performing. She’s just good

turned sharply to her. "Or maybe she actually

could snap back, the

---

minutes, Nnenna was ready to

seated in a semicircle, five of them in total. Carl

your case,"

"Yes, sir."

but calm. "Mrs. Tasha is a 57 year old woman who presented with

chronological, logical, human. She highlighted key findings: the radiation of the chest pain, the hypertension history, the

fluid retention, pulmonary congestion, reduced cardiac output. She

Failure secondary to Hypertensive Heart Disease. Differential diagnoses include ischemic heart disease, valvular heart disease, and arrhythmia related

silent

chief examiner said, tapping his pen. "Now,

began shortly

started, "how would

look for wall motion abnormalities, and evaluate chamber sizes and valvular function," Nnenna

What’s the

55% and 70%,

What are the common causes of

left ventricular hypertrophy,

nodded. The

"Treatment plan?" another asked.

and diuretics. Depending on the ECG findings, anticoagulants or antiarrhythmics

examiners smiled faintly. "She’s

students who still hadn’t began their exam

this moment was practically glowing with pride. "That’s how

"She’s just lucky

wrong Linda." Another student finally spoke up seeing how the situation was turning in Nnenna’s favour.

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