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so ren doesn't have the clearance to actually do surgery
or use doctor equipment

since she doesn't have the degree
or really learned any of those modern medicine techniques
sort of (i mean she's got that library, but no formal education)

so since she helped out when she was in hs,, and Doctor forbid her from actually handling the tools
and she's not allowed to heal people for free

she tends to improvise
i guess
use common house hold objects instead of surgical instruments
e.g straws, fabric scissors, duct tape, etc
also those markers lol
and post-it notes

things that shouldn't work, but somehow do??
like belief really matters in that sense,,

idk
no professional would trust her methods but the people that trust her, trust her.