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

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:

heart disease with left

Valvular heart disease (possibly

3. Arrhythmia related cardiomyopathy.

handwriting, clean, sharp, deliberate,

---

the observation room, examiners were blown off by Nnenna’s performance so

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

under her breath. "Anyone can write fancy

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

differentials

covering all

is how a

soft lift of his brow

---

tablet and turned to the nurse assigned to

X ray, full blood count, serum electrolytes, urea and creatinine, and echocardiography. We’ll also check her fasting

long list, dear. Are

identify both the cause and the complications. Missing

gave her a strange look, part doubt, part

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

We just need to understand what’s happening

saying that because they’re watching," the woman said,

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

That silenced her.

---

the

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

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

turned sharply to her. "Or maybe she actually has

before she could snap back, the head examiner announced, "Time

---

minutes, Nnenna was

room, facing the panel of examiners seated in a semicircle, five of them in total. Carl sat at the far right, calm and

case,"

"Yes, sir."

woman who presented with a two week history of progressive chest pain, shortness of breath, and leg

was smooth, chronological, logical, human. She highlighted key findings: the radiation of the chest pain, the hypertension history, the cessation of medication, and

the interpretation, fluid retention, pulmonary congestion,

Heart Disease. Differential diagnoses

hall was silent for a

the chief examiner said, tapping

questioning began

one examiner started, "how would you confirm

look for wall motion abnormalities, and

What’s the normal ejection

55% and

causes of heart failure

pressure overload leading to left ventricular hypertrophy, ischemic heart

examiners nodded.

"Treatment plan?" another asked.

dietary salt restriction, and pharmacologic therapy including ACE inhibitors, beta blockers, and diuretics. Depending on the ECG findings, anticoagulants or antiarrhythmics

of the female examiners smiled faintly.

still

glowing with pride. "That’s how it’s done!" he

jaw set. "She’s just lucky they

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