Needle Stick Injury: Risks of Bloodborne Infections and Testing Options
Needle-related issues Dear Dr. Hong, I am a nurse at a hospital, and a few days ago, I accidentally experienced a needle stick injury while on the intensive care unit. I have already followed the protocol for screening for HIV, syphilis, and hepatitis B. However, I am still very...
Dr. Hong Yuanbin Reply:
Hello, the conditions you mentioned are mostly sexually transmitted infections (STIs) and are not transmitted through needle stick injuries. The primary diseases associated with needle stick injuries are HIV, syphilis, and hepatitis B and C. It is recommended to follow the needle...[Read More] Needle Stick Injury: Risks of Bloodborne Infections and Testing Options
Understanding Blood Test Results and Ear Pain: When to Seek Medical Advice
Please consult the doctor regarding blood draw and related issues? I apologize for the interruption. I was diagnosed about 3-4 months ago, and sometimes I feel like I have some lingering symptoms, so I thought I should get a check-up. Last week, I made an appointment with a famil...
Dr. Hong Yuanbin Reply:
Hello, regarding the lymphocyte count, as your physician mentioned, it is true that various conditions can cause fluctuations in individual values. Your results are within the normal range, so there is no need to worry. As for the outer part of your ear, based on your description...[Read More] Understanding Blood Test Results and Ear Pain: When to Seek Medical Advice
Concerns About Infection After Blood Test and Allergic Reaction
Hello, I would like to inquire about infection issues? On the morning of September 3rd, around 10 AM, I had a blood test for a gynecological check-up. In the afternoon, I noticed itching on the back of my hand. I went to the pharmacy, explained the situation, and bought an ointme...
Dr. Liao Zhongxin Reply:
A. According to the data from the Centers for Disease Control (CDC), there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infec...[Read More] Concerns About Infection After Blood Test and Allergic Reaction
Understanding HIV Transmission Risks: Your Questions Answered
HIV issues I would like to ask the doctor, when I went to the restroom in the dormitory at night to change my sanitary pad, I found blood on the floor afterward. I'm not sure if it was mine. Then I used a piece of toilet paper from the trash can to wipe it up, but I forgot i...
Dr. Liao Zhongxin Reply:
A. According to the data from the Centers for Disease Control (CDC), there are three main transmission routes for the Human Immunodeficiency Virus (HIV): 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infecte...[Read More] Understanding HIV Transmission Risks: Your Questions Answered
Assessing HIV Infection Risk: A Concern After Brief Contact
Is there a risk of HIV infection? I know I might be overly anxious, but I still want to consult a doctor. Getting an answer from a medical professional might help ease my mind. Two days ago, an older woman asked me how to rent a Ubike, and during that time, I took her phone to as...
Dr. Liao Zhongxin Reply:
A. According to the data from the Centers for Disease Control (https://www.cdc.gov.tw/Category/Page/lehLY2EFku4q7Gqv4bql2w), there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids...[Read More] Assessing HIV Infection Risk: A Concern After Brief Contact
Does Drinking Unsweetened Tea Affect the Efficacy of PEP Medication?
PEP guitar therapy administration Hello doctor, I am currently taking PEP (post-exposure prophylaxis) medication. However, I usually mix it with unsweetened beverages like green tea, black tea, and oolong tea. Will this affect the effectiveness of the medication? Thank you.
Dr. Liao Zhongxin Reply:
1. Please refer to the Chimei Medical Center's health education information regarding Biktarvy (https://www.chimei.org.tw/main/cmh_department/59012/info/5500/A5500547.html). <Precautions> A. If you have liver dysfunction, chronic kidney disease, hepatitis B, or other r...[Read More] Does Drinking Unsweetened Tea Affect the Efficacy of PEP Medication?
Understanding Autoimmune Disorders: Questions to Ask Your Doctor
Immune system? Hello, Doctor: I previously asked you about issues related to rheumatology and immunology, specifically about skin pain and itching. I believe I may have lupus erythematosus, and the doctors have suggested further monitoring. The patient has been experiencing persi...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Is autonomic nervous system dysfunction included in immune system diseases, or should I consult another specialty? --> Autonomic nervous system dysfunction is not related to the immune system, but immune system di...[Read More] Understanding Autoimmune Disorders: Questions to Ask Your Doctor
Understanding Throat Discomfort: Causes and Concerns for Your Health
Sensation of a foreign body in the throat? I previously experienced a sensation of something stuck in my throat after drinking tea on an empty stomach and then eating pineapple cake. This feeling disappeared the next day, but after a few days, it returned intermittently, even whe...
Dr. Hong Yuanbin Reply:
Hello, the symptoms you described are likely caused by two main conditions. First, it could be allergic rhinitis, which can lead to post-nasal drip causing throat discomfort and productive cough. I recommend increasing physical activity and avoiding allergens, which should help i...[Read More] Understanding Throat Discomfort: Causes and Concerns for Your Health
Understanding Thyroid Function: Interpreting Your Blood Test Results
Hyperthyroidism issues? Hello, doctor. Last week, my blood test results came back as follows: Ant-TPO: greater than 600, Ant-Tg: 351.6, Thyroglobulin: 0.34, TSH: 4.18, T4: 0.69. I would like to inquire what these values indicate regarding whether the medication is effectively con...
Dr. Li Jian Reply:
The normal ranges for thyroid function tests may vary slightly among different testing laboratories, so it is necessary to return to the original healthcare facility to confirm the interpretation.[Read More] Understanding Thyroid Function: Interpreting Your Blood Test Results
Understanding Prediabetes: Should You Retest Blood Sugar Levels?
Prediabetes Hello doctor, my most recent health check showed a fasting blood glucose level of 104 mg/dL, glycated hemoglobin (HbA1c) of 5.7%, red blood cell count of 4.56 million cells/µL, hemoglobin of 14 g/dL, MCV of 88.6 fL, and hematocrit of 40.4%. Prior to the health check, ...
Dr. Li Jian Reply:
The current report indicates prediabetes. Please start with dietary control and follow up in three months.[Read More] Understanding Prediabetes: Should You Retest Blood Sugar Levels?
Assessing the Risk of HIV and Syphilis After Recent Grooming and Sexual Activity
Risk assessment If I am a male and have just shaved my pubic hair, and there may be some wounds in the shaved area, is there a risk of contracting HIV or syphilis if I perform oral sex (without a condom) and vaginal intercourse (with a condom) with a sex worker 12 hours later?
Dr. Hong Yuanbin Reply:
Hello, as long as there is unprotected sex, there will be risks. Of course, oral sex carries relatively lower risks. As for whether to shave pubic hair, it has a relatively minor impact. Thank you for your question.[Read More] Assessing the Risk of HIV and Syphilis After Recent Grooming and Sexual Activity
Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Weight loss In July of this year, after being diagnosed, I continued to have a poor appetite and trouble sleeping. In August, I started a new job that brought a lot of stress, and I had a persistent cough after the diagnosis, which only improved by the end of September. Before th...
Dr. Hong Yuanbin Reply:
Hello, regarding diabetes, a single blood glucose test is not sufficient to determine if there is a concern for diabetes. It is recommended to consult with a specialist in Metabolism or Family Medicine. As for weight loss, it is advisable to maintain a regular routine and engage ...[Read More] Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Prediabetes Previously, I had a slightly elevated hemoglobin A1c level. After controlling my diet, my subsequent test result was 5.5, and the doctor said it was fine. I would like to ask if a slightly elevated hemoglobin A1c can cause irreversible damage to pancreatic function? C...
Dr. Li Jian Reply:
Mildly elevated blood sugar levels are unlikely to cause significant damage to pancreatic function.[Read More] Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Prolonged Menstruation, Leg Cramps, and Itchy Feet: What to Do?
Prolonged menstruation, itchy legs, and muscle cramps? Hello Doctor, I have been experiencing my menstrual cycle for 12 days without stopping. Additionally, I have been waking up four to five times during the night due to frequent calf cramps, and my feet are extremely itchy, whi...
Dr. Lin Jianliang Reply:
Hello: For menstrual issues, it is recommended to consult a gynecologist. For calf cramps and itchy soles, you can see a neurologist.[Read More] Prolonged Menstruation, Leg Cramps, and Itchy Feet: What to Do?
Understanding Blood Sugar Control in Diabetes Management
Blood sugar issues? Hello Dr. Lin: My father was diagnosed with diabetes in August. He takes insulin before breakfast (18 units) and before dinner (12 units), and he also takes 0.5 tablets of Metformin (HCl) after breakfast and dinner. Currently, his fasting blood glucose levels ...
Dr. Lin Jianliang Reply:
Hello: The difference between pre-meal and post-meal blood glucose levels should ideally not exceed 60 mg/dL. However, there are other indicators that can be used for assessment, such as glycated hemoglobin (HbA1c), fasting blood glucose levels, postprandial blood glucose levels,...[Read More] Understanding Blood Sugar Control in Diabetes Management
Understanding Dry Eye Syndrome: Blood Test Results and Treatment Insights
Sjögren's Syndrome Index Thank you, doctor! First question: I was diagnosed with Sjögren's syndrome on August 19 this year, with an index of 280. Starting from the 20th, I took one quinine daily. On September 21, I had a second blood test, and the index was 334. During ...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: First question: I was diagnosed with Sjögren's syndrome on August 19 of this year, with a score of 280. I started taking one quinine tablet daily from the 20th, and on September 21, my blood was drawn again, showin...[Read More] Understanding Dry Eye Syndrome: Blood Test Results and Treatment Insights
Understanding Autoimmune Disorders: Symptoms, Diagnosis, and Treatment
Immune system diseases Hello Doctor, I apologize for the lengthy message. This past March, I experienced a persistent low-grade fever for a month and had blood tests done, which indicated elevated immune system markers suggesting rheumatoid arthritis. I was then referred to a r...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. Should taking quinine prevent fever? I informed you that I had a fever for a while that day! But if I haven't been examined, which department should I consult to find out where the inflammation is? --> Fever ...[Read More] Understanding Autoimmune Disorders: Symptoms, Diagnosis, and Treatment
Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Renal dysfunction Hello doctor, I am currently eighteen years old. In my health examination report, I found that my creatinine level is elevated (1.45) and my uric acid level is high (9.2). Additionally, there is protein in my urine. Could you please explain what issues this migh...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is likely that you have nephrotic syndrome. Given your age, most cases are benign conditions. I recommend visiting a nephrology clinic for further confirmation and examination. Thank you for your inquiry.[Read More] Understanding Abnormal Kidney Function: High Creatinine and Uric Acid Levels
Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Please ask your question? I apologize for bothering you, doctor, but I have a question. I was lying down playing on my phone when my grandmother suddenly needed to use the bathroom and called for my help. I rushed over, and after standing up, I suddenly felt dizzy and unsteady fo...
Dr. Hong Yuanbin Reply:
Hello, the conditions you mentioned are referred to as "orthostatic hypotension," which occurs when there is a significant change in body posture and the cardiovascular system is unable to adequately adjust, resulting in temporary low blood pressure. It is recommended t...[Read More] Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Concerns After Train Door Incident: Injury Risks and Health Advice
I almost got caught by the train door? Hello, today when I was out with my boyfriend, he hurriedly pulled me onto the train, and as I was walking in, the door almost closed on me and I felt a slight bump. Although I don't feel any pain now, I'm wondering if I might have...
Dr. Hong Yuanbin Reply:
Hello, based on your description and the images provided, it seems that there is likely no injury. Regarding your concerns about needle pricks or infections, the chances are low, so there is no need to worry. Thank you for your inquiry.[Read More] Concerns After Train Door Incident: Injury Risks and Health Advice