Come on, Dr. Wu

Chapter 399 Vampire

When the patient heard this, a look of sadness appeared on his face. He did not say anything in a hurry, but slowly pulled up his clothes to reveal his abdomen.

Especially the right abdomen, Wu Xiaofu couldn't help but twitch his mouth when he took a look. Dense needle marks appeared in Wu Xiaofu's sight. It might be because he had too many needles, and the entire right abdomen was bruised.

A diabetes injection? Not likely. There's no such thing as puncturing such a large area across the right side of the abdomen.

When giving a diabetes injection, even if it is given in the abdomen, it is usually given in the lower abdomen, below the belly button, basically around the belly button, in the lower abdomen, you can see a circle of blue where the needle holes converge. Basically no one gives the injection crookedly like this, in the right abdomen.

drug!

No, you can’t stab here either.

What was going on? To be honest, even though Wu Xiaofu had some experience, he was still a little confused at this moment.

"What are you doing?"

The patient lowered his eyebrows, his voice choked up, "Director Wu, I have had liver problems for a long time. Every time it hurts terribly, I have no choice but to give myself injections to relieve the pain. It has been more than half a year. I have been to the hospital for many examinations, and they all said that there is no problem and that it is a psychological problem.

The mental pressure is too great. Let me relieve the stress and go out for a walk more. I know they think I'm crazy, but I'm really not. I'm really in pain. Look, if I didn't feel any pain, would I be like this?
It's that kind of heart-wrenching pain, Director Wu, do you understand?"

He doesn't understand.

Wu Xiaofu was not being modest, he just really didn't understand. He didn't understand what kind of pain could make the patient prick himself like this. He even felt that it would be more painful this way. Moreover, how did the patient get so many painkillers?

You know, analgesics are now controlled drugs. Even if you go to the hospital to get a prescription, no hospital would be crazy enough to prescribe so many.

As for the liver pain, Wu Xiaofu had doubts. After all, there are only so many common liver diseases. Even for cancer pain, there are strict analgesic standards. It is impossible for patients to abuse it like this. What's more, if it is really a tumor, how could it not be detected?

Judging from the patient's current description, Wu Xiaofu also thinks it is a psychological problem.

Of course, this doesn’t mean that the patient is mentally ill, he is just skeptical.

"I checked it. Do you have a list?"

Seeing is believing, hearing is not. Wu Xiaofu still wants to see the evidence.

"Yes, I brought them all."

As he spoke, the patient took out a stack of test sheets from his bag and handed them to Wu Xiaofu. It was true that there were quite a lot of them. The patient's style also looked like a young man, carrying a backpack, and he looked like a student.

The space was not small. When the patient opened his backpack, Wu Xiaofu discovered that in the patient's backpack, apart from the examination form, there were some medicine bottles. After a quick glance, he found that most of them were painkillers and liver protective drugs.

Judging from the traces, I'm afraid he ate a lot.

You must be a pharmacist, there are so many medicines.

After receiving the examination, the patient started talking before Wu Xiaofu could see it, "Doctor, I first started the examination here. We are a small city in the fourth or fifth tier. When I started to feel pain, I went to the hospital for a checkup. That was two years ago. But after the examination, they said there was nothing wrong and they thought I was healthy.

But I was really in pain, so I had no choice but to go to the provincial capital for a check-up, but I still couldn't find out what was going on. I run a pharmacy, so I'm half an insider in the industry. How could I not know whether there was something wrong or not?

How can I tell the difference between real pain and fake pain?

After that, I went to various major hospitals for examinations. I don’t know how many stops you have been. I went from internal medicine, gastroenterology, to hepatobiliary surgery. If you can’t save me here, I really don’t know how to live.

I was in so much pain, I couldn't sleep all night, I was under so much pressure, at first I could take medicine to relieve the pain, now even injections don't work."

Wu Xiaofu heard this and to be honest, he could understand the patient's pain. Some patients in the late stages of the disease were actually in this state, but this patient.

Looking at these examination lists, they are very comprehensive, not just limited to the liver or abdomen, but extending to the entire body. They are almost more comprehensive than those of cancer patients, especially the liver, including color Doppler ultrasound, CT, MRI, and even liver biopsy.

But the results of the examination showed that there really was no problem and all indicators were normal.

Is that really a neurosis?

Shaking his head, Wu Xiaofu didn't want to think about the patient in this way, and looked at the patient.

"Can you tell me more about the characteristics of your pain or the time when the pain occurs? For example, does the pain occur at a fixed time, during the day or at night? When?"

There is no shortage of rare diseases in the world. The probability of these rare diseases is basically one in a billion, so people rarely see them, they are not mentioned in textbooks, and people know even less about them. Perhaps these diseases are ignored by doctors.

"I don't have a fixed time, but the pain is usually more severe during the day, especially at noon. So I like to act at night. I'm almost like an owl now, hiding during the day and coming out at night."

daytime!

Noon!
Wu Xiaofu suddenly had an idea. "Is the pain limited to this area, or is it all over the body?"

"Right here, just the liver, I can feel it, it's the pain inside, no, now I feel the pain has started to spread, some of my exposed skin has started to hurt, sometimes, I scratch my skin so much that it breaks."

It's scratched!
Wu Xiaofu looked at the patient's arms. It was actually quite hot in the East China Sea before October, but the patient chose to wrap himself up with long sleeves. Compared with other patients' dressing styles, this patient even looked a bit exaggerated.

He was wearing more than just a piece of clothing, and not just his arms, he even wanted to cover up the skin on his entire body, for fear of revealing even a little bit.

Seeing this, Wu Xiaofu seemed to have thought of something.

"Is it the kind that when exposed to the sun, it hurts."

sun!

The patient's eyes moved when he heard this, and he nodded, then shook his head. "It's not just the sun. I seem to feel uncomfortable when I see bright things, but it's not absolute. So, I habitually wrap myself tightly and go out at night. I have no choice but to go out during the day. Like today, I can only choose this style.

I'm not an outsider, I just have no choice.

Yes, I would feel pain if I got sunburned, especially during this period, my arms cannot be exposed to the sun at all.”

As he spoke, the patient pulled up his sleeves. Wu Xiaofu took a look and understood clearly that this was not just a scratch, there were clearly blisters.

"Director Wu, look." In fact, some doctors should have noticed it, but every time they hear the patient's description, they are easily preconceived and directly define the patient as having a mental illness. After all, you are in pain, why are you still scratching? Shouldn't you scratch because you feel itchy?

This is a cognitive misunderstanding.

"At first I thought it might be a skin disease, such as an allergy to ultraviolet rays, but after checking, it didn't look like that either."

Wu Xiaofu nodded. "Have you ever thought that you have a blood disease, or a genetic disease, instead of a liver disease?"

The patient shook his head upon hearing this. "Impossible, absolutely impossible. I've checked my blood and there's nothing wrong with it. Moreover, I can clearly feel the pain in my liver. It must be a liver problem. Director Wu, you're an expert on the liver. Please help me check it again and make a diagnosis."

At this time, the patient began to get a little agitated.

"Vampirism. I think your illness is like vampirism."

vampire!
The patient was startled when he heard this, and then became excited, "Director Wu, do you mean that my bloodline has awakened?"

The ghost's bloodline awakens!

Wu Xiaofu rolled his eyes unconsciously. The patient also pays attention to details. He was talking about vampire disease, not vampires.

"Vampirism is just a description. It doesn't mean that your bloodline has awakened and you have become a vampire. Vampirism is also known as porphyria."

This disease, also known as hemoporphyria, is a group of porphyrin metabolic disorders caused by the lack of certain enzymes or reduced enzyme activity in the heme synthesis pathway.

This disease can be congenital or it can occur later in life.

The main clinical symptom is photosensitivity, and some digestive system symptoms and mental and neurological symptoms may also occur.

The patient's current symptoms and feelings are consistent with the description of porphyria.

The reason why this disease is called vampire disease is because the patients have characteristics very similar to those of vampires. They hide during the day and come out at night. They are particularly afraid of sunlight. Once exposed to the sunlight, they will feel a burning and stinging sensation and experience pain.

And the pain is very intense, like this patient's, and can only be relieved by painkiller injections.

This symptom is not limited to the skin, but also affects the digestive system.

The liver is part of the digestive system. Obviously, the patient's digestive system symptoms are quite serious, and they firmly believe that their illness comes from the liver. This is actually more of a vampire patient with liver problems, but the patient's liver is still very healthy.

Therefore, for this kind of world-class rare disease, it is impossible to fully refer to the literature.

After all, there are too few cases and the basis for summarizing the research is not good enough.

The pain and stimulation can easily cause people to develop neuropsychiatric symptoms, just like the current patients, who have actually developed neuropsychiatric disorders. He said that he is half an insider, and when an insider hears about vampire disease, the first thing that comes to mind is vampires.

Porphyria!
The patient listened to Wu Xiaofu's words with a look of surprise, as he had never heard of this disease.

"Director Wu, I have never heard of this vampire disease. However, these are secondary. I just want to know, since you already have a suspect, how should I treat him? I have had enough of this kind of life."

The patient is really excited now. Although he is still skeptical about the vampire disease, he has gained a lot from seeing Wu Xiaofu this time. At least, Wu Xiaofu has proposed a possibility to him, unlike other doctors who directly say that he is mentally ill and want to send him to a mental hospital.

However, if you want him to believe Wu Xiaofu, you still have to achieve some results in treatment.

Wu Xiaofu shook his head when he heard this.

"This disease may be a genetic disease or an acquired blood disease. It is not easy to treat. As far as I know, the only way to avoid the harm is to avoid light. By the way, there is a kind of beta-carotene that can be taken to reduce photosensitivity.

Your current pain symptoms are still caused by light sensitivity. Once this sensitivity is reduced, it may get better. Specifically, you can go to the hematology department for a check-up. This disease can still be detected. If it is confirmed, you can get treatment accordingly. "

After hearing what Wu Xiaofu said, the patient understood.

It's not that it can't be detected, it's just that the direction of the previous examination was wrong. When he examined before, he focused on the liver. When the liver was fine, some doctors said that it was possible that the pain had metastasized, and then they started to examine other Western organs, including the heart, lungs, brain, and limbs.

But now it seems that it is a blood problem.

"Wait a moment, I'll contact Director Fang of our hematology department, you can go see her and take a closer look."

Vampire disease is really rare, and it is of great scientific research value to the hematology department. When Wu Xiaofu introduced the patient to Director Fang, Director Fang not only did not feel annoyed, but he had to thank Wu Xiaofu. In fact, this kind of disease is not common in China.

Not only are there few cases of the disease, but some cases are not diagnosed when they are checked at lower-level hospitals, so they are simply not investigated and are buried in the world, so that there is still no established treatment plan for this disease.

If there are enough cases and strong experimental support, it is possible to treat the disease.

What Wu Xiaofu said was sincere, and he also introduced the patient to the director of the Hematology Department. At this point, whether the patient had doubts or not, he could only be grateful, so he hurriedly thanked him and left.

Wu Xiaofu didn't think much of it and waved his hand. Wu Xiaofu was also very interested in this rare disease. To be honest, even in his outpatient clinic, there were many patients and rare diseases appeared from time to time, but some world-class rare diseases were still rare.

The appearance of each one of them can make Wu Xiaofu gain something.

This can be used as a reference when doing liver research in the future. For example, patients with liver problems in the future can actually think about this aspect.

"next."

Liu Lin called the next patient, and Wu Xiaofu temporarily forgot about the vampire patient.

Because the patient below is a bit seriously ill.

After the onset of liver disease, most patients will experience a period of yellowing of the face. This is mainly caused by improper diet, malnutrition, liver damage, cholestasis, cirrhosis and other reasons. This stage is actually a signal sent by the body, which can be viewed one by one.

But if we don't pay attention to this period and let the patient enter the next period, it will be troublesome.

That is the change from yellow to black.

(End of this chapter)