Brain issues
Hello, doctor...
I would like to ask for your advice.
My friend got into a fight on August 12 and went to a veterans hospital for treatment, but the doctor did not perform an X-ray at that time.
Now she is experiencing headaches and occasional warmth and numbness.
Could you please advise what she should do? Which department should she visit at the hospital? Does she need an X-ray or a CT scan? Since she is a foreign worker, will her health insurance cover this? Thank you for your help.
A Tai, 30~39 year old female. Ask Date: 2012/08/14
Dr. Huang Yingzhe reply Neurology
Dear Dr.
Huang Ying-Che from the Neurology Department of Tainan Hospital, Ministry of Health and Welfare,
Based solely on the description provided, it is difficult to determine whether further examination is necessary.
However, following a head injury, it is generally advised to monitor for six months for any local neurological symptoms or signs of lethargy.
If discomfort does not improve within a few days, it is recommended to consult a neurosurgeon or neurologist for evaluation.
As for the health insurance coverage for foreign workers, the employer should assist with the arrangements, correct? Regarding whether the examinations conducted comply with health insurance regulations, it is up to the physician to decide based on the circumstances.
Wishing you good health and all the best!
Sincerely,
Neurology Department, Tainan Hospital, Ministry of Health and Welfare
Reply Date: 2012/08/14
More Info
After experiencing head trauma, it is crucial to understand the potential neurological issues that may arise and the appropriate steps to take for evaluation and treatment. Your friend's situation, where she has developed headaches and sensations of warmth and tingling after a physical altercation, warrants careful consideration.
First and foremost, it is essential for your friend to seek medical attention as soon as possible. Given her symptoms, she should visit a healthcare facility that specializes in neurology or emergency medicine. A neurologist is best equipped to assess her condition, especially since she is experiencing persistent headaches and abnormal sensations. If she is unable to see a neurologist directly, starting with an emergency department is a good option.
During the medical evaluation, the healthcare provider will likely conduct a thorough history and physical examination. They will ask about the details of the incident, the onset and characteristics of her symptoms, and any other relevant medical history. Based on this assessment, the physician may recommend imaging studies such as X-rays or a CT scan of the head. While X-rays can help identify fractures in the skull, a CT scan is more effective for detecting internal injuries, such as bleeding or swelling in the brain.
It is important to note that symptoms like headaches, tingling, or a sensation of warmth can be indicative of several conditions, including post-concussion syndrome, which can occur after a head injury. This syndrome may present with headaches, dizziness, cognitive difficulties, and emotional changes. Additionally, there is a possibility of intracranial hemorrhage or other serious complications that may require immediate intervention.
Regarding health insurance coverage, it is advisable for your friend to check with her health insurance provider to understand what services are covered, especially since she is an expatriate worker. In many cases, emergency services and necessary imaging studies are covered under health insurance plans, but this can vary based on the specific policy.
In summary, your friend should take the following steps:
1. Seek Immediate Medical Attention: Visit a hospital or clinic specializing in neurology or emergency medicine.
2. Undergo a Thorough Evaluation: This will include a detailed history, physical examination, and possibly imaging studies like a CT scan to assess for any internal injuries.
3. Discuss Symptoms with the Healthcare Provider: Be open about all symptoms, including headaches, tingling, and any other sensations.
4. Check Health Insurance Coverage: Verify what medical services are covered under her health insurance plan.
In conclusion, head trauma can lead to various neurological issues, and timely medical intervention is crucial for proper diagnosis and treatment. Encourage your friend to act quickly to ensure her health and well-being.
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