"Uncle Junior, you say, I can hold on. Lin Daoshi said.

It doesn't matter what smallpox or plague is, what is it? Speaking of the sky, I haven't even seen it, how can I be afraid. Lin Daoshi knew in his heart, as long as he didn't think about the red spots on the patient's body.

"I compared the clinical symptoms of various virulent infectious diseases, and later I felt that there was something wrong with the patient's condition. Wu Mian said while smoking, "Anemia face, fatigue, hepatosplenomegaly, skin petechiae, ecchymosis." There is also diarrhea, nausea, vomiting, fever. ”

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

"......" Daoist Lin was a little tired.

Why did you listen to the story well, why did you go to class again? Uncle Xiao is really a good teacher.

"It's a very simple symptom of vitamin B12 deficiency, and everyone was blind at the time, because the patient was working at the secret military base at Fort Detrick, and they all pondered about the leakage of biological viruses, but they didn't expect it to be just vitamin deficiency. ”

"Uncle Junior, this is a typical dark light. Daoist Lin said with a smile.

"Hmm. Wu Mian said, "I put forward opinions and suggestions at that time, but many people questioned them. The patient came to the United States for five and a half months from India and was fine in India, so why did he come to the United States to have a problem? Or is it malnutrition caused by vitamin deficiency. ”

"Lao Lin, you say, isn't this scolding the US imperialists' low standard of living? Wu Mian said with a smile.

"yes, that's impossible. Daoist Lin frowned and said, "How good the food in the United States is, and there is no shortage of food." And according to what you said, it's a military research institute, or a secret level, and there are no six dishes and one soup per meal. ”

Wu Mian shook his head, sighed and said, "I'm so cheap, I actually want to ask about the medical history." ”

"Isn't that normal? When the doctor asks about the medical history, it is the right thing to do, and it is ...... not to ask."

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

"......" Daoist Lin really doesn't know what the Indians have, throwing the cake in front of the little uncle and throwing the big cake on the little uncle's face?

"It was also not long after that guy arrived at the Fort Detrick military base, so it took 3 days before I was allowed to meet with him. Wu Mian said.

"Oh?

"The room was full of monitors and the noise was harsh. I asked for a long time, and the curry-flavored English was really uncomfortable. "Later, I went back and studied it carefully for a long time, and found that the patient was a Vegetarian. ”

"What do you mean, Vegetarian?"

"It's vegan. ”

Daoist Lin thought about it, indeed. Although Buddhism has declined in India, there should be a lot of yoga and vegetarian food.

A strict vegetarian diet that does not eat meat leads to vitamin B12 ......

Daoist Lin was thinking about it, and Wu Mian continued to say leisurely.

"There are several kinds of vitamin B12 deficiency, of which insufficient intake is divided into two kinds, one is congenital, because pregnant women are mostly due to long-term vegetarian diet, pernicious anemia, gastrointestinal surgery, etc., which causes vitamin B12 deficiency in the body, which leads to the disease caused by the reduction of the innate reserve of newborns. ”

"The other is that the diet is not reasonable: long-term vegetarianism or long-term refusal of animal protein intake in patients with phenylketonuria can cause vitamin B12 deficiency in the body. ”

"Then there is the abnormal absorption, the abnormality or absence of intrinsic factor, the slow release of vitamin B12, the decrease in the ileal absorption area, and the abnormality of the ileal vitamin B12 binding receptor. ”

"There are also narcotic drugs that cause and so on. ”

"I analyzed it and decided that vitamin B12 deficiency due to inadequate intake was the most likely scenario. But I can't explain why I got sick after going to the Fort Detrick base in India. ”

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

"It's not. Wu Mian didn't sell it, and directly shook his head to deny Lin Daoshi's statement, "Vitamin B12 is a water-soluble vitamin, which basically only exists in meat. Symptom...... To put it simply, it is pale skin, general fatigue, severe anemia, stupidity, easy to fall when walking, and so on. ”

"I guessed at the time that he wasn't a vegan in India and had occasional access to meat. For example, bugs in rice, or bugs in vegetable leaves. ”

Daoist Lin groaned, he felt that what Uncle Xiao said made sense.

"I was also confirmed by a professor in Massachusetts, who guessed that the bugs in some vegetables and fruits in the tropics were eaten without being detected in time. ”

"Makes sense. Daoist Lin echoed.

"There's a fart truth!" Wu Mian scolded and said, "I'm so sick that I ate two meals with him in order to observe the patient's diet." ”

Isn't that normal? It's not that you eat meat on purpose, but that when you eat the leaves, you have bugs in them, and you accidentally eat the bugs and the leaves together.

Insect meat acts as a source of vitamin B12 to ensure that patients do not get sick. When I arrived at the Fort Detrick military base in the United States, all the food was strictly screened, and the insects in vegetables and fruits were gone, and vitamin B12 was really deficient.

The logic chain is flawless.

Daoist Lin looked at Wu Mian suspiciously, not knowing what Uncle Xiao meant.

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

"And then?" said Daoist Lin looked at Wu Mian in puzzlement.

"Eating meat, especially animal offal, to get vitamin B12 is actually eating these vitamins stored in the animal's body. Vitamin B12, which is produced by bacteria, is an indirect obtain. ”

"What is direct acquisition?"

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

"Where's the most bacteria?"

“......”

Lin Daoshi's back spine was cold.

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

"Uncle Junior, did you have two meals with him?"

"MB!" Wu Mian directly burst into foul language.

"......" No wonder Uncle Xiao has such a complicated expression, it turns out that this is the case!

Without Wu Mian explaining, Daoist Lin also knew what the reason was.

The Indian researcher was a strict vegetarian when he was in India, but the food he ate was contaminated with feces, so he was not deficient in vitamin B12 when he was in India.

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

Uncle Xiao...... Daoist Lin looked at Wu Mian with sympathetic eyes.

......

......

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