(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]]