Sleepless Doctor

"Little Master, you say, I can hold it." Lin Daoshi said.

It doesn't matter if it is smallpox or plague, what's the matter? Speaking of Po Datian, I haven't even seen him before, so how could I be afraid. Lin Daoshi knew it well, as long as he didn't think of the erythema on the patient's body.

"I compared the clinical symptoms of various severe infectious diseases, and later I felt that the patient's condition was problematic." Wu Mian said while smoking, "anemic face, fatigue, liver and spleen enlargement, petechiae, and ecchymosis. There is also diarrhea. , Nausea, vomiting, fever."

"Lao Lin, what kind of disease can you diagnose with this symptom?" Wu Mian asked suddenly

"..." Lin Daoshi was a little crooked.

Listen to the story, why did the class start again? Xiao Shishu is really a good teacher.

"Very simple symptoms of vitamin B12 deficiency, everyone was also blinded at the time, because the patient was working at the secret military base in Fort Detrick, and they all wondered about the biological virus leak, but they didn't expect it to be just a vitamin deficiency."

"Little Master, this is a typical black under the lamp." Lin Daoshi said with a smile.

"Yeah." Wu Mian said, "I made comments and suggestions at the time, and the results were questioned by many people. The patient traveled from India to the United States for five and a half months and was fine in India. Why did he come to the United States to have problems? Or is it caused by vitamin deficiency? Of malnutrition."

"Lao Lin, don't you say that this is not calling the American emperor the low standard of living?" Wu Mian said with a smile.

"Yes, it's impossible." Lin Daoshi frowned and said, "The food in the United States is so good, and there is no shortage of food. And according to you, the place is a military research institute, or a secret level. It’s not like six dishes and one soup per meal."

Wu Mian shook his head and sighed, "I'm so cheap, so I want to ask for a medical history."

"Isn't this normal? It is okay to be a doctor to ask for a medical history, but not to ask is..."

"That's an Indian!" Wu Mian glared at Daoshi Lin and said viciously.

"..." Lin Daoshi really didn't know what the Indians had. He threw the cake in front of the little master, and threw the cake on the little master's face?

"That guy just arrived at Fort Detrick military base not long ago, so it took 3 days before I was approved to meet him." Wu Mian said.

"Oh? What then?"

"The room is full of monitors, and the noise is harsh. I asked for a long time, and the curry-smelling English is really uncomfortable." Wu Mian said, "Later I looked back and studied it for a long time and found that the patient was a Vegetarian."

"Vegetarian? What do you mean?"

"It's a vegan."

Lin Daoshi thought for a while, indeed. Although Buddhism has declined in India, there should be a lot of yoga and vegetarianism on that side.

Strict vegetarian food, no meat, leading to vitamin B12...

Lin Daoshi was thinking, Wu Mian continued to say leisurely.

"There are several types of vitamin B12 deficiencies. Insufficient intake is divided into two types. One is congenital, because pregnant women often lack vitamin B12 in the body due to long-term vegetarianism, pernicious anemia, gastrointestinal surgery, etc., which leads to newborns. Diseases caused by reduced innate reserves."

"The other is the unreasonable diet: long-term vegetarian or phenylketonuria patients who refuse to take animal protein for a long time can cause vitamin B12 deficiency in the body."

"There are also abnormal absorption, abnormal or lack of internal factors, slow release of vitamin B12, reduced ileal absorption area, and abnormal ileal vitamin B12 binding receptors."

"There are also narcotic drugs and so on."

"I analyzed it again and thought that vitamin B12 deficiency caused by insufficient intake of the day after tomorrow was the most probable condition. But it couldn't explain why it was all right in India, and I got sick after going to Fort Detrick."

"Yeah!" said Lin Daoshi, "I feel that the living conditions in India are not as good as those in the United States, except for some special circumstances, such as the son of the richest man in India. By the way! Is there a congenital disease?!"

"No." Wu Mian didn't sell anything, and shook his head to deny Lin Daoshi's statement, "Vitamin B12 is a water-soluble vitamin and basically only exists in meat. Symptoms... Simply put, pale skin, general fatigue, severe anemia, whole person Be stupid, fall prone to walk, etc."

"I guessed at the time that he was not a vegan in India, and occasionally he was exposed to meat. For example, the bugs in rice or the bugs in vegetable leaves."

Lin Daoshi pondered, he felt that the little uncle's words made sense.

"A professor in Massachusetts also affirmed my statement. He guessed that the bugs in some vegetables and fruits in the tropics were eaten without being discovered in time."

"It makes sense." Lin Daoshi agreed.

"There is a reason for a fart!" Wu Mian said after cursing, "I am very sick. In order to observe the patient's diet, I ate two meals with him."

Isn't this normal? I did not eat meat deliberately, but when I ate vegetable leaves, there were worms in it, and I accidentally ate the worms and vegetable leaves together.

Insect meat is used as a source of vitamin B12 to ensure that patients do not get sick~www.wuxiaspot.com~ When we arrive at Fort Detrick military base in the United States, all food has been strictly screened. If the insects in vegetables and fruits are gone, vitamin B12 is true. The lack of it.

The logical chain is flawless.

Lin Daoshi looked at Wu Mian suspiciously, not knowing what Xiao Shishu meant.

"The source of vitamin B12 is actually produced by bacteria and archaea. Eukaryotic mammals, birds, fish, and even insect cells cannot really produce vitamin B12."

"Then what?" Lin Daoshi looked at Wu Mian in confusion.

"Eating meat, especially the internal organs of animals, and getting vitamin B12 is actually eating these vitamins stored in the animal's body. Vitamin B12 produced by bacteria is an indirect acquisition."

"What is direct access?"

Lin Daoshi hadn't heard what Wu Mian said, so he asked.

"Bacteria, where are the most?"

"..."

Lin Daoshi's back became cold.

"Shit!" Wu Mian's voice turned cold, trying to suppress his anger.

"Little Master, did you eat two meals with him?"

"MB!" Wu Mian exploded directly.

"..." No wonder the little uncle has such a complicated expression, it turned out to be like this!

Without Wu Mian's explanation, Lin Daoshi also knew what the reason was.

Although the Indian researcher was a vegan when he was in India, his food was contaminated with feces, so he was not deficient in vitamin B12 when he was in India.

But when he went to work at Fort Detrick military base, the food was not contaminated with feces, and he did not eat meat and animal offal, so he got sick.

Little Master... Lin Daoshi looked at Wu Mian with sympathetic eyes.

...

...

Note: A case report on "American Medical" is not printed in black~~~