Chapter 399 Vampire
Hearing this, the patient's face showed a bit of sadness. He did not say anything in a hurry, but slowly pulled up his clothes, exposing his abdomen.
Especially the right abdomen. Wu Xiaofu glanced at it and couldn't help but twitch the corner of his mouth. Densely dense acupuncture marks appeared in Wu Xiaofu's sight. It may be that there were too many punctures. The entire right abdomen was obviously green.
Diabetes injections? It's not like that, and it didn't pierce such a large area on the entire right side of the abdomen.
Diabetes injections, even if they are given in the abdomen, are usually in the lower abdomen, that is, below the belly button, basically around the belly button. In the lower abdomen, you can see a circle of cyan pinholes, which is basically No one has ever had an injection crooked like this, stuck in the right side of the abdomen.
drug!
No, we can’t go here.
What is going on? To be honest, even if Wu Xiaofu has some experience, he is still a little confused at this time.
"What are you doing?"
The patient lowered his eyebrows and his voice was choked, "Director Wu, I have been having liver problems for a long time, and it hurts like hell every time. No. The only way I could do it was to give myself injections to relieve the pain. It’s been more than half a year since I went to the hospital to see a doctor. I had many examinations and they all said there was nothing wrong and that it was due to psychological reasons.
The mental pressure is too great. Let me relieve the pressure and go out for more walks. I know they think I am crazy, but I am really not. I am really in pain. Look, if it wasn't for the pain, I would be like this. ?
Director Wu, do you understand that heartbreaking pain? ”
He doesn’t understand.
It’s not that Wu Xiaofu is modest, it’s that he really doesn’t understand. He doesn’t understand what kind of pain it is that can actually make patients prick themselves like this, and even kind of, It's obviously more painful to prick like this, and how do patients get so many analgesics?
You know, analgesics are controlled drugs now, and even if they go to the hospital to prescribe them, there is no hospital. It would be so crazy to open so many.
As for liver pain, Wu Xiaofu had a question mark. After all, there are only so many common liver diseases. Even cancer pain has strict analgesic regulations. It is impossible for patients to abuse it like this. What's more, if it is really a tumor, how can it be done? It may not be found out.
Based on the patient's current description, Wu Xiaofu seems to have a psychological problem.
Of course, this does not mean that the patient is insane or just skeptical.
“I checked, is there a list?”
Seeing is believing, hearing is believing, Wu Xiaofu still needs to see the evidence.
"Yes, I have brought them all."
The patient took out a stack of checklists from his schoolbag and handed them to Wu Xiaofu. Not to mention, there are really a lot of them. This patient's The style looks like that of a young man, carrying a backpack, still a student type.
The space is not small. When the patient opened his schoolbag, Wu Xiaofu discovered that in addition to the checklist, there were some medicine bottles in the patient's backpack. After taking a glance, he found that most of them were analgesics and nursing care. Liver medicine.
Looking at the traces, I’m afraid I’ve eaten a lot.
You open a pharmacy, there are so many medicines.
After taking the examination, before Wu Xiaofu could look at it, the patient began to say, "Doctor, I started checking this at our place. We are a small fourth- and fifth-tier city. When I started to feel pain, I went to check. That was two years ago, but after checking, they said it was fine and they thought I was healthy.
But I was really in pain, and there was nothing I could do, so I went to the provincial capital again. I checked, but I didn’t find out what was going on. I am a pharmacy owner, and I am half an insider. It’s okay. Can I not know if it really hurts or fake? Can't you tell the difference?
After that, I went to various major hospitals to start examinations. You don't know how many stops I have been here. I also went from internal medicine, gastroenterology, to hepatobiliary surgery. If you Nothing here can save me. I really don’t know how to live anymore.
I’m in so much pain that I can’t sleep all night long. I’m so stressed that I started taking medicine. I can stabilize the pain, but now I can’t even take injections.”
Wu Xiaofu heard this and said, to be honest, he could understand the patient's pain. Some patients in the later stages of the disease were actually in this state, but what this patient said.
Looking at these examination lists, I found that the examinations were very comprehensive, not just limited to the liver or abdomen, but extended to the entire body, almost more comprehensive examinations than those of tumor patients, especially the liver. Color ultrasound, CT, magnetic resonance imaging, and even liver puncture were all done.
But the results of the inspection seemed to be that there was really no problem, and all indicators tended to be normal.
Is that really a neurological disorder?
Shaked 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, is there a fixed time when the pain occurs, during the day, or at night, at which time?"
World There is no shortage of some rare diseases in the world. These rare diseases have a probability of one in a billion, so people rarely see them. They are not mentioned in textbooks, and people know even less. Perhaps these diseases are Ignored by doctors.
“There is no fixed time, but it is basically during the day, especially at noon, and the pain becomes more severe. Therefore, I always like to move at night. I am almost like an owl now. If you don’t, you’ll stay in bed during the day and go out at night.”
During the day!
At noon!
Wu Xiaofu had an idea, "Is the pain limited to this area, or is it all over the body?"
"It's just the liver here. I can feel it. It hurts inside. No, now I It feels like the pain has begun to spread, and some of my exposed skin has begun to hurt. Sometimes, I scratch my skin to pieces.”
It’s so painful!
Wu Xiaofu looked at the patient's arms. It was less than October in the East China Sea, and the weather was actually quite hot. However, the patient at this time chose to wrap himself up with long sleeves. Compared with other The patient's dressing style even seemed a bit exaggerated.
He was wearing more than just one piece of clothing, not just his arms. He even wanted to cover up all his skin, for fear of exposing even a little bit of himself.
Seeing this, Wu Xiaofu seemed to have thought of something.
“Isn’t it that kind of thing that makes you feel pain when exposed to the sun?”
Sun!
Hearing this, the patient’s eyes moved, he nodded, and then shook his head, “It’s not just the sun, I seem to feel uncomfortable when I see bright things, but it’s not that absolute, so I habitually put my bags on It’s really hard to go out at night, so I can only go out during the day. Today, I can only choose this style.
I’m not an alternative, I just have to.
Yes, I will feel pain if I get exposed to the sun. Especially during this period, my arms cannot be exposed to the sun at all. ”
As he spoke, the patient pulled up the clothes on his sleeves. Wu Xiaofu took a look and knew better. This was not just scratching, there were still blisters.
"Director Wu, look. "In fact, some doctors should be able to notice it, but every time they hear the patient's description, they may easily preconceptions and directly define the patient as a mental illness. After all, you are in pain, why do you need to scratch it? You shouldn't. Did you scratch it because it was itchy?
This is a misunderstanding.
“At first I thought it was a skin disease, such as ultraviolet allergy, but after checking, It doesn't look like it either. ”
Wu Xiaofu nodded, "Have you ever thought that you have a blood disease or a genetic disease, not a liver disease?"
The patient shook his head directly after hearing this, "It's impossible, absolutely impossible, I'll check it out There is no problem if there is bleeding. Moreover, I can clearly feel the pain in the liver. It must be a liver problem. Director Wu, you are an expert on the liver. Please help me check it out and make a diagnosis. "
At this time, the patient was already a little excited.
"Vampire disease, I think your disease is like vampire disease."
Vampire!
The patient was startled when he heard this, and then became excited, "Director Wu, you mean, my bloodline has awakened?"
The ghost's bloodline has awakened!
Wu Xiaofu rolled his eyes unconsciously. Patients also pay attention to details. He was talking about vampire disease, not vampires.
“Vampire disease is just a description. It does not mean that your bloodline awakens and you become a vampire. Vampire disease is also called porphyria.”
This disease is also called blood purple. Porphyrin metabolism disorders are a group of porphyrin metabolism disorders caused by the lack of certain enzymes or reduced enzyme activity in the heme synthesis pathway.
This disease can be a congenital disease or can appear acquired.
The main clinical symptom is sensitivity to light, and there are also some digestive system symptoms and mental and neurological symptoms.
The patient's current symptoms and feelings are very consistent with the description of porphyria.
The reason why this disease is called vampire disease is because the patients with the disease have similar characteristics to vampires. They stay up all day and night, and are particularly afraid of the sun. Once exposed to the sun, they will develop... A burning, stinging sensation, and pain.
And the pain is very intense, just like this patient's, and needs painkillers to relieve it.
This symptom is not only limited to the skin, but also affects some digestive systems.
The liver is a part of the digestive system, and patients with obvious digestive system symptoms are quite serious. They have firmly believed that their symptoms come from the liver. This is actually more of a vampire disease with liver problems. patient, and the patient's liver is still very healthy.
So for this world-class rare disease, we cannot fully refer to the literature.
After all, there are too few cases to provide a basis for summarizing research.
The occurrence of pain and stimulation can easily cause some neuropsychiatric symptoms. Just like the current patient, he actually has a feeling of mental disorder. He said that it is half People in the industry, after hearing about vampire disease, the first thing that comes to mind is vampires.
Porphyria!
The patient listened to Wu Xiaofu’s words with a surprised expression. He had never heard of this disease.
"Director Wu, I really have never heard of this vampire disease, but these are secondary. Now I just want to know, now that you have a suspect, what should I do? "Treat me, I've had enough of this kind of life."
The current patient is really excited. Although he is still skeptical about this vampire disease, he is already very excited when he comes to see Wu Xiaofu this time. Good thing, at least Wu Xiaofu had suggested a possibility to him, unlike other doctors who directly said he was mentally ill and wanted to send him to a mental hospital.
But if you want him to believe Wu Xiaofu, you still have to get some results in treatment.
Wu Xiaofu shook his head when he heard this.
“This disease may be a genetic disease, or it may be an acquired blood disease. It is not easy to treat. As far as I know, the only way to avoid harm is to avoid light. The emergence of sex, by the way, there is a beta carotene, you can also take it, which can reduce light sensitivity.
Your current pain symptoms still come from light sensitivity. After this sensitivity is reduced, maybe. It will be better. Specifically, you can go to the blood department for a check-up. This disease can still be detected. If it is diagnosed, you can treat it accordingly."
Listen to Wu Xiaofu. Once you say it, the patient will understand.
It's not that it can't be found, it's just that the direction of the previous check was wrong. When he checked before, it was all around the liver. There was no problem with the liver. Some doctors said it couldn't be metastasis pain, so they started to check other things. In the West, the heart, lungs, brain, and limbs were not spared.
But now it seems that it is a blood problem.
"Wait a minute, I'll contact Director Fang of our hematology department. You can go to her to have a good look."
Vampire diseases are really not common, and they are also very important to the hematology department. It has scientific research value. Wu Xiaofu introduced the patient. Not only did Director Fang not feel annoyed, but he also had to thank Wu Xiaofu. In fact, in China, we don’t see many such diseases.
There are not many cases of the disease. After some cases developed, they were checked in lower-level hospitals. If they could not be found, they were not checked and buried in the world. So far, this disease has not yet taken shape. treatment plan.
If there are enough cases and strong experimental support, treatment is not impossible.
Wu Xiaofu said it sincerely and introduced the director of the hematology department. At this time, the patient, no matter whether he had any doubts or not, could only thank him and hurriedly thanked him and left.
Wu Xiaofu didn’t think anything 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 are still very few.
Every appearance can help Wu Xiaofu gain something.
When doing research on the liver in the future, we can also use it as a reference, such as this. Patients with liver problems in the future can actually think about this aspect.
“Next.”
Liu Lin called the next patient, and Wu Xiaofu also temporarily forgot about the vampire patient.
Because the patient below is a bit heavy.
After the onset of liver disease, most patients will develop a yellowish complexion, which is mainly caused by improper diet, malnutrition, liver function damage, cholestasis, cirrhosis and other reasons. At this stage, In fact, it is also a signal sent by the body, which can be viewed in sequence.
But once you don’t pay attention to this period and let the patient enter the next period, it will be troublesome.
That is from yellow to black.
(End of this chapter)