So far I am really enjoying this series, it's kind of like Grey's Anatomy, and might add that this particular volume was very steamy. Nana and Dr.Tendo are an official couple, but of course, they run into a few problems. We begin volume 4 with Dr.Tendo considering going to study abroad for research, which also leads us into getting some more backstory on Dr.Tendo. I really enjoyed volume and can't wait to how the relationship develops.

This series just keeps getting better and better. This is the steamy one. Yes it’s about as realistic as Grey’s Anatomy but so so fun.

An Incurable Case of Love is published in English by VIZ Media and created by mangaka Maki Enjoji, the creator behind one of my other romance favorites, Happy Marriage. An office romance set in a hospital, the series follows Sakura, who after witnessing a handsome and charming young doctor save a stranger’s life five years ago, trains to become a nurse. But the training wasn’t just out of wanting to save lives, no. Instead, it was to get closer to the man she met. When she begins her training at his hospital, things don’t quite go as she expects when her long-time love, Tendo, ends up being a Dark Lord with a mean streak towards his co-workers. Now in An Incurable Case of Love Volume 4, readers get to see the two in a new light.

The last volume hit the ground running with Tendo saving Sakura from the stalker and ultimately leading the two to officially become a couple. But the most interesting thing about this volume is that Tendo, despite committing to be by Sakura’s side, doesn’t seem to understand the passion that comes with dating. Now, in An Incurable Case of Love Volume 4, which covers chapters 16 to 20, the two open up to each other, pushed by the news that Tendo may be heading to the United States to research the disease who took someone close to him. Shocked at the news, Sakura tells him she doesn’t want to be apart and Tendo agrees.

What seemed like “problem solved” turns into the plot for the volume as Sakura begins to see a change in Tendo when the young patient the two are close to takes a turn for the worst. Curious, Sakura digs deeper, asking Kisugi as much as she can until she uncovers the truth about Tendo’s study abroad and his interest in the heart condition: the person who lost was his last girlfriend. Scared of holding Tendo back from his moment to get answers, Sakura pushes him to go. But, in romance manga fashion, their goodbye is the moment they finally get intimate.

An Incurable Case of Love Volume 4 is a stellar climax to this first section of the series – pun intended. But while Enjoji writes and illustrates a beautiful and emotional scene of intimacy as the two finally have sex for the first time, the strength of this volume is in Tendo’s character depth. While the two have had a typical shojo/josei romance, awkwardness and all, it’s always been clear that Sakura is more secure in expressing her feelings in their relationship. While Tendo isn’t cold, he is unsure of what to do, how to treat her, and how to meet her passion for him. This has pushed a small wedge between them and caused Sakura to worry if she’s enough for him.

That said, in this volume, Tendo comes out of the gate caring for Sakura. He will stay for her. He wants to stay for her. And as Kesugi assumes, she’s passed his ex in his heart. And when she pushes him to go abroad, he responds with nothing other than love. Their first sex scene in this volume is warm, tender, and for the first time, Enjoji illustrates Tendo as emotional and almost soft. Openness and love between them on those pages let us feel like Tendo has finally matched Sakura’s once one-sided love.

An Incurable Case of Love Volume 4 is the pivotal moment in a romance manga – the main characters’ first time and clear declaration of love. If Enjoji’s prior work is any indication, Sakura and Tendo are full speed ahead and this hospital romance has a long life left. With Tendo, Enjoji has crafted a lovable and awkward leading man who has finally opened his heart. This volume was so well done that the month’s wait until October when volume 5 debuts is just too far away.

Advanced reader copy was provided to me by the publisher on NetGalley in exchange for an honest review

I was so happy when I saw this manga on NetGalley as it's one of the numerous mangas that I'm keeping up with as the English editions are being published. I was ecstatic when my request to read this ARC was approved that I ended up downloading it and finish reading it within 50 minutes. It has got to be a record. I was just so excited to read this volume and see what will happen next because of how the last volume ended on a cliffhanger.

In terms of the plot, the first two chapters deal with the cliffhanger which was brought up at the end of Volume 3. I thought that I could predict where the volume was going to go but I ended up being very pleasantly surprised at the twist. I just had read a few Josei/Shojo mangas that had the twist that all went the same way with the plot so I though this series would do the same but I'm really glad that it didn't because I felt like it increased the intimacy of the relationship between Sakura and Tendo. I am more invested in their relationship now. It was also nice to see that this manga was not problematic like the last volume. I didn't think that the problematic aspect of Sakura and Tendo was too bad though, so it didn't spoil my feelings of that volume too much. I'm more invested in the romantic relationship between Sakura and Tendo because it feels more real. It feels like Tendo genuinely likes/loves Sakura and that he's not pity dating her like the last volume felt like. We also get to see the two be sexually intimate together so this volume is the start of it being more 18+.

Overall, I love this series so much and this volume. I can't wait for this volume to come out and add it to my collection, but also to read the next volume in the series! I would definitely recommend this manga, in fact hopefully in the future you will see me recommend this manga in a manga recommendations video on my YouTube channel.