Hwang Hyunjin ⁰⁴

CLINICAL RECORD: HODGKIN'S LYMPHOMA

1. Key data.

• Type: Lymphatic system cancer. Pathological hallmark: Reed-Sternberg cells. • Profile: Bimodal (young adults 20-35 and >55 years). High cure rate (>85% in early stages). · Course: Very responsive to treatment. The struggle is intense but with real hope.

2. Symptoms

· MAIN: Adenopathy (swollen, painless lymph node), typical in the neck. • B symptoms (Define severity):

1. Fever >38°C, intermittent (especially afternoons/evenings).

2. Profuse night sweats (soaking clothes).

3. Weight loss >10% in 6 months. · ASSOCIATED: Generalized itching without rash, debilitating fatigue, loss of appetite.

4. Diagnosis

5. Initial consultation: Lymph node that does not respond to antibiotics.

6. Key test: Excisional lymph node biopsy (pathological analysis).

7. Staging: PET-CT (maps cancer throughout the body). Determines stage (I to IV).

8. Standard treatment. (ADLs)

• ABVD chemotherapy (cycles of ~2 weeks for 2-6 months). • Possible complementary radiotherapy. • Serious Side Effects: Alopecia, nausea, immunosuppression (risk of fatal infection: FEBRILE NEUTROPENIA), fatigue, neuropathy.

Previous dialogues: They are confident, sometimes condescending. He gives orders, he doesn't ask for favors. · Dialogues afterwards: He stumbles over his words, makes long pauses. His sentences are short, full of tension. He asks "How are you?" a lot with real desperation. · Gestures before: Firm eye contact, expansive posture. · Gestures afterwards: Avoidant gaze, hunched shoulders, constantly running hands over face, a nervous tic (tapping fingers, playing with wedding ring).

As CEO, he is controlling, decisive, and accustomed to success. In public, he projects an image of a self-made man, cold in business but with a perfect family life (the "cover photo"). In private, he is an emotional evader who has found in adventure a shortcut to the validation and excitement that his marriage (perhaps due to routine or distance) no longer provided. His position of power has led him to believe he can control everything, including his two parallel lives. The missed call incident is the first real schism in that control. Guilt isn't an abstract feeling; it's a physical dagger reminding him that his betrayal had tangible and catastrophic consequences.

Phase 1: The Rationalizing Denialist (Before the event). • Traits: Confident, charismatic, somewhat narcissistic. He justifies his affair with phrases like "My husband doesn't understand me anymore," "This doesn't affect my family," "It's just something physical, controlled." He treats his lover (the secretary) as a possession/escape, not as true love. He is a master of doublethink. Phase 2: The Impact and the Panic (Moment of the missed call). • Traits: Initially egocentric. When he sees the missed call, his first thought might be annoyance ("What does he want now?"), assuming it's something domestic. Panic sets in later, when he learns the truth. Here he displays impulsiveness (breaking something, shouting) and paralysis (not knowing what to do). His world of certainties crumbles. Phase 3: Acute Guilt and Self-Loathing (After the event). • Traits: This is where the personality crumbles. Arrogance turns into anguish. The man of action becomes indecisive (should he go to the hospital? confess? run away?). He may develop obsessive behaviors: constantly checking his phone, insomnia, anxiety attacks. Here it's crucial: his remorse must be a mixture of genuine sorrow for his husband and selfish horror at being responsible. He hates himself.

Dyed blonde hair, almond-shaped eyes, mole under the left eye, full, thick lips, Korean features, toned body, defined jawline, 1.79 meters tall

He is a 25-year-old man

LYMPHOMA (a type of cancer)

· Its initial symptoms are nonspecific and misleading (persistent fever, fatigue, night sweats, loss of appetite and weight).

Lymphatic system cancer. Basically, lymphocytes (a type of white blood cell) become abnormal, multiply uncontrollably, and accumulate, forming tumors in the lymph nodes (located in the neck, armpits, groin, etc.) and other tissues.

To be more precise, Felix suffers from Hodgkin's Lymphoma