(text-style: "smear")[ Day 0. The Mental Clinic ] Today, I moved into a local mental health clinic and started my internship. It is my fifth year in medical school, and since I have a special interest in psychiatry, I really appreciate the chance.. (text-colour: yellow)[Until..] (click-replace: "Until..")[<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/asylum.jpg"> ] [[next->1-2]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/asylum.jpg"> This is the clinic I'm allocated. Look at the place! It's like a madhouse from 19c. More surprisingly, I was told that I'm the only intern doctor here, guided by Dr. Kaufmann. (click-replace: "Dr. Kaufmann.")[Dr. Kaufmann, a psychiatrist, who's meant to be my supervisor.] [[next->1-3 kaufmann]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/male-doctor-arms-crossed.jpg" width="600" height="400"> Dr. Kaufmann: //As an intern here, you've got a lot of jobs to do. Move on to the wards!// [[next->1-4 day1]] (text-style: "smear")[ Day 1. The Patient with Malcardus ] <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/depression_normal.jpg?attredirects=0&d=1" width="600" height="400"> Medical History: Name: Mr. D Issue: malcardus Details: The patient usually has an issue on neurotransmitters such as vitatonin. Treatment: (injection) hemotein (click-replace: "depression")[*depression: a medical condition in which a person feels very sad and anxious* ] (click-replace: "dopamine")[*dopamine: a chemical that plays a vital role in human's emotion, such as Focus, Motivation and Memory* ] (click-replace: "serotonin")[*serotonin: can bring a higher level of the neurotransmitters the patient needs.* ] [[next->2-2 day2]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/male-doctor-arms-crossed.jpg" width="600" height="400"> (text-style: "smear")[ Day 2] Dr. Kaufmann: What? (text-style: "rumble")[You don't understand the jargon?!] What kind of backward pupil they've sent to me? Were you all playing video games in your chemical biology class?? [[try to pacify Dr. Kaufmann->2-3 day2]](text-color:'red') + (text-style: 'blink')[Something went wrong!] Mr. D starts to pant and cough painfully! He holds his throat and asks for help! Dr. Kaufmann: It's the (text-color: yellow)[gluten] within the meal! He is (text-color: yellow)[allergic] to such an ingredient! [[Treat it soon!->4-3 day4]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/depression_normal.jpg?attredirects=0&d=1" width="600" height="400"> Now it's the final test! What type of issue does Mr. D have? [[excitement->gameoverG]] [[depression->5-12]] [[supersensitive->gameoverG]]Mr. D is (text-color:yellow)[allergic] again! Thank god both the doctor and the nurse were here. They gave Mr. D the treatment and scolded you. <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/allergic.png?attredirects=0&d=1" width="128" height="128"> [[back->5-1 day5]]Game over! You could do better next time... <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/depression_sleep.jpg?attredirects=0&d=1" width="600" height="400">Among the chemicals, which one is vital to depression patients? [[dopamine->5-13]] [[gluten->gameoverG]] [[adrenaline->gameoverG]] Which type of treatment can be helpful for a depression patient? [[gluten meal->gameoverG]] [[serotonin->5-14]] [[allergic food->gameoverG]] <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/patient%20laugh.jpg?attredirects=0&d=1 " width="300 " height="430 "> You have done a good job as an intern doctor! Mr. D is getting well day by day, and you'll be a real doctor soon!! <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/male-doctor-arms-crossed.jpg" width="600" height="400"> Dr. Kaufmann: Okay. Fine. I shouldn't expect anything better than this, considering... Well, let's me explain the words a little: Mr. D, the patient, has the issue of malcardus. In fact, you can't get this word wrong for it's formed with the Latino root and affix. (click-replace:"Latino root and affix")[Latino root and affix—— mal- means bad or dysfunction, and cardus looks similar to cardio right? So it makes the whole word "a dysfunctional heart"]It means a patient with sadness and bad mood. [[Then what causes the issue?->2-4 day2]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/excited.png?attredirects=0&d=1" width="128" height="128"> Dr. Kaufmann: Usually, the patience lacks a neurontransmitter called vitatonin. So he cannot feel motivated and excited as normal people do. (click-replace:"dopamine")[dopamine——like wise, DOPA- means the amino acid, and amine- indicates the ammonia atoms.] [[So how can we treat it?->2-5 day2]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/injection.png?attredirects=0&d=1" width="128" height="128"> Dr. Kaufmann: We cannot inject vitatonin directly into the patient's body, for it's not stable at all. Instead, we give them the treatment of hemotein, which can promote motivation and excite them. (click-replace:"serotonin")[sero-, which relates to serum, a watery animal fluid.] [[Got it!->2-6 day2]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/male-doctor-arms-crossed.jpg" width="600" height="400"> Dr. Kaufmann: Now that's all for the day. But before you go, let's have a quick test: What's the name of the patient's (text-colour: yellow)[disease]? [[hypersensitive->2-7 wrong]] [[depression->2-7 correct]] [[dehydration->2-7 wrong]]Dr. Kaufmann: This is not the correct answer. Mr. D is a **depression** patient, who has the issue of being sad. [[I got it!->3-1 Day3]]Dr. Kaufmann: Well done! Now have a good sleep, coz you'll get your hands really dirty tomorrow! [[Bye!->3-1 Day3]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/depression_window.jpg" width="600" height="400"> (text-style: "smear")[ Day 3. The meal] You: //How do you feel today, Mr. D?// Mr. D: //Awful.. the bad weather makes me feel so sad..// Nurse: //It's time to give him a daily shot!// Which type of medicine should you choose? [[dopamine->vitatonin wrong]] [[serotonin->hemotein correct]] [[depression->malcardus wrong]] <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/nurse.jpg?attredirects=0&d=1 " width="800 " height="550 "> Nurse: It's close, but still wrong. dopamine cannot be injected directly. This time I'll do it for you. Look carefully, I'm giving him **serotonin**. Now he'll get better soon. [[end the day->4-1 day4]] Nurse: You made the right choice! Mr. D will feel better soon! [[end the day->4-1 day4]]<img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/nurse.jpg?attredirects=0&d=1 " width="800 " height="550 "> Nurse: What are you thinking about? You cannot inject a type of disease into a patient! Depression is the disease name! This time I'll do it for you. Look carefully, I'm giving him **serotonin**. Now he'll get better soon. [[end the day->4-1 day4]] <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/depression_normal.jpg?attredirects=0&d=1" width="600" height="400"> (text-style: "smear")[ Day 4] Mr. D: //Thank you. I'm feeling much better. Now can I have something to eat?// Yep! Eating something can always make a patience feel delighted! Now what's your choice? [[Peanut nutrition bar->4-2 day4]] [[A loaf of french bread->4-2 day4]] [[A burger->4-2 day4]]Dr. Kaufmann: It's because the food you provided contains (text-color: yellow)[intragran], as you can see it, it's something BETWEEN the GRAIN. And the patient's body may OVERREACT to it. Such a condition is called (text-color: yellow)[hyperrous]. <img src="https://sites.google.com/a/student.american.edu/ruthsongsite/llvg/allergic.png?attredirects=0&d=1" width="128" height="128"> [[Got it!->5-1 day5]](text-style: "smear")[ Day 5. Final test] Now you choose which kind of breakfast for Mr. D? [[sugar-free meal->gameover2]] [[gluten-free meal->5-11]] [[allergic meal->gameover2]]