Understanding Non-Healing Wounds: Insights from Neurosurgery
Inquiry regarding the response to question number 203144? "The physician needs to identify the cause of the non-healing wound." This means that I should consult a neurosurgeon at Mackay Memorial Hospital, correct? The wound caused by the screw is red and has formed a lu...
Dr. Zhang Junwei Reply:
Yes~[Read More] Understanding Non-Healing Wounds: Insights from Neurosurgery
Understanding Recovery After Aneurysm Rupture and Coiling Surgery
Ruptured cerebral aneurysm, subarachnoid hemorrhage, has undergone embolization surgery? Hello Doctor, thank you very much for taking the time to respond. On Day 0, my father experienced a sudden severe headache on the morning of December 2nd. He was taken to the hospital half ...
Dr. Zhang Junwei Reply:
1. Hyperbaric oxygen therapy does not have a specific intervention time; it can begin once the condition is stable. 2. After regaining consciousness, a physician can reassess the situation. 3. It's really difficult to say.[Read More] Understanding Recovery After Aneurysm Rupture and Coiling Surgery
Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
There is a tingling sensation in the thumb? Recently, I have been experiencing a tingling and electric shock-like sensation in my right thumb when washing my hands with cold water. However, this sensation does not occur when I use warm water during a shower. The tingling and pain...
Dr. Lai Zhaokang Reply:
Hello: 1. It is suspected to be a peripheral circulation issue, possibly combined with fasciitis or nerve compression, which requires further examination for confirmation. 2. Based on your description, the symptoms are not severe. It is recommended to start with heat therapy or p...[Read More] Electric Shock Sensation in Thumb: Possible Nerve Issue Explained
Can You Take Medications on an Empty Stomach After a Concussion?
Concerns After Hitting the Back of the Head Last week, I hit my head and went to the hospital for an examination. The doctor said it was just a mild concussion and did not arrange for any further tests. They prescribed diphenhydramine and acetaminophen, with instructions to take ...
Dr. Zhao Shaoqing Reply:
Hello: It is fine to take Difenidol on an empty stomach or before bedtime. If you experience any discomfort, please visit the neurosurgery outpatient clinic at Changhua Hospital, Ministry of Health and Welfare for further evaluation.[Read More] Can You Take Medications on an Empty Stomach After a Concussion?
Post-Concussion Symptoms: When to Seek Further Medical Attention
Post-concussion syndrome? On the 6th, I slipped and hit the back of my head. Initially, I had no symptoms, but starting the next day, I experienced intermittent nausea and a feeling of wanting to vomit (without weakness in my limbs, headache, drowsiness, confusion, or blurred vis...
Dr. Zhao Shaoqing Reply:
You can visit the neurosurgery outpatient clinic for consultation.[Read More] Post-Concussion Symptoms: When to Seek Further Medical Attention
Understanding Cervical Spondylosis: MRI Insights and Treatment Options
Cervical and Shoulder Pain MRI Report 2023/11/30 MRI REPORT Summary: The patient has experienced soreness and pain over the right shoulder joint for several months, with recent onset of numbness and pain radiating to the forearm and fingertips. There are noted sleep disturbances...
Dr. Lai Zhaokang Reply:
Hello: 1. Based on the information you provided, there is nerve root compression in the cervical spine, but it does not seem to be severe. 2. To assess the need for surgery, it is important to consider the patient's actual condition, the relevant X-ray and MRI images, and th...[Read More] Understanding Cervical Spondylosis: MRI Insights and Treatment Options
Head Injury and Neck Pain: Understanding Symptoms and Causes
Head trauma with neck pain extending to the head? Hello doctor, two days ago I bumped my head against a rising iron gate, hitting the area near the back of my head. When I hit it, my neck flexed slightly, and since then I have been experiencing significant pain from my neck to my...
Dr. Zhao Shaoqing Reply:
Hello: A severe impact to the head may potentially cause injury to the cervical spine, affecting the stability of the vertebrae. If symptoms persist for more than two weeks, it is necessary to visit a neurosurgery outpatient clinic for examination and treatment. The Changhua Hosp...[Read More] Head Injury and Neck Pain: Understanding Symptoms and Causes
Head Injury: Persistent Pain and Numbness After Trauma
Head injury, numbness in the hands, and applying a hot compress to the head causes pain? Hello Doctor, three days ago I bumped the top right side of my head. When I hit it, my neck jerked, which caused pain in my shoulders, neck, and head. I took painkillers for the first three d...
Dr. Zhao Shaoqing Reply:
Hello: If you are experiencing cervical radiculopathy and the symptoms persist for more than two weeks, you need to consult a neurosurgeon at Changhua Hospital, Ministry of Health and Welfare. We care about your health.[Read More] Head Injury: Persistent Pain and Numbness After Trauma
Understanding the Impact of Head Injuries on Lower Limb Pain
Consultation Inquiry Hello Doctor: I sustained a head injury from a car accident (right side head trauma with right cheek contusion and mild subarachnoid hemorrhage on the left side) and have been resting for over a month. I would like to ask if my head injury could affect the te...
Dr. Lai Zhaokang Reply:
Hello: Your questions: 1. Will a head injury affect the tendon in my right heel? Theoretically, no. 2. I experience a stretching pain in the tendon at the back of my right heel when I squat or kneel. It is suspected to be a soft tissue injury in the right heel. It is recommended ...[Read More] Understanding the Impact of Head Injuries on Lower Limb Pain
Unconscious Arm Raising During Sleep: Should You See a Neurologist or Orthopedist?
Raising hands unconsciously while sleeping? For the past month, I have been unconsciously raising my hands or placing them under my head while sleeping. Initially, it didn't affect my sleep much; I just felt shoulder soreness upon waking, which would subside after a while. H...
Dr. Zhao Shaoqing Reply:
You can see a neurologist.[Read More] Unconscious Arm Raising During Sleep: Should You See a Neurologist or Orthopedist?
Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
After the appearance of serous fluid in the head, the screw fell out. The wound was cleaned with saline and Betadine, but serous fluid still appeared and the wound has not healed? Twenty years ago, I had a car accident that required one surgery to perform a craniotomy to remove a...
Dr. Zhang Junwei Reply:
It doesn't matter what medication is applied; it's important to have a physician identify the underlying cause of the non-healing wound.[Read More] Managing Non-Healing Wound After Screw Loss in Neurosurgery Patients
Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Issues Related to the Recovery Period of Head Trauma Hello Doctor: I previously asked a question regarding my condition after a car accident, where I sustained a right-sided head injury (swelling on the right side of my face), along with mild subarachnoid hemorrhage on the left s...
Dr. Zhang Junwei Reply:
Recovery time varies from person to person and depends on the severity of the injury, so it cannot be generalized. Most individuals will see significant improvement within two weeks.[Read More] Recovery Concerns After Head Trauma: Medication, Symptoms, and Safety Gear
Understanding Speech Changes After Craniotomy Surgery
Post-cranial surgery Hello doctor, I would like to ask about my condition. I was in a car accident on October 18 and underwent a craniotomy at the hospital for emergency treatment. It has been two months since then, and I have noticed that my speech is much slower compared to bef...
Dr. Zhang Junwei Reply:
It might be related to a brain injury.[Read More] Understanding Speech Changes After Craniotomy Surgery
Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention
Head injury Hello Doctor: On the evening of November 29th, I accidentally bumped the left side of my head against a doorknob while in the bathroom. At the moment of impact, I did not feel pain, dizziness, swelling, or bleeding, and I remained fully alert and continued to take a s...
Dr. Zhang Junwei Reply:
It is indeed important to be cautious. If there are persistent headaches and dizziness, it is recommended to seek treatment at a neurosurgery outpatient clinic.[Read More] Understanding Delayed Symptoms After Head Injury: When to Seek Medical Attention
Head Injury and Clear Nasal Discharge: What You Need to Know
Head injury with nasal discharge? Hello, doctor. I would like to ask about an incident that happened today. While playing with my boyfriend, the bed moved and he hit the back of his head against the bed frame. At that moment, a large amount of clear, slightly yellow fluid flowed ...
Dr. Zhang Junwei Reply:
If you have not encountered a similar situation, it is recommended to visit the outpatient clinic to inquire about the medical history in detail if there are any issues.[Read More] Head Injury and Clear Nasal Discharge: What You Need to Know
Persistent Leg Swelling After Injury: When to See a Neurosurgeon?
Swelling from a fall? Which doctor should I see for a lump on my thigh three months after a fall? I had a severe fall while riding an off-road motorcycle, and initially, I had no sensation in my thigh, which may indicate nerve damage. I couldn't feel anything when I pinched ...
Dr. Lai Zhaokang Reply:
Hello: 1. Rock climbing, playing basketball, mountain climbing, off-roading, and skiing are all fine. It is inferred that neurological function is normal, and there is no need for a consultation with neurosurgery. 2. It is recommended to consult with a rehabilitation specialist f...[Read More] Persistent Leg Swelling After Injury: When to See a Neurosurgeon?
Understanding Right Foot Pain: When to See a Specialist?
Soreness in the right foot sole? Initially, there was a strain in the left foot, and after gradually recovering, symptoms of soreness began to appear in other areas, currently in the right foot. At first, certain areas of the foot's sole were noticeably sore. I visited a reh...
Dr. Lai Zhaokang Reply:
Hello: It is recommended to consult with 1. the Rehabilitation Department for a follow-up ultrasound and to arrange for physical therapy or injection treatment. 2. You may also consider seeing a specialist in Orthopedics: Foot and Ankle or Sports Medicine. Wishing you a speedy re...[Read More] Understanding Right Foot Pain: When to See a Specialist?
Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
Postoperative Exercise After Spinal Fusion Surgery Doctor, I had spinal fusion surgery a year ago, and my condition is quite good. However, I heard from my neighbor that she had her surgery over three years ago and recently went back to the hospital because the screws became loos...
Dr. Lai Zhaokang Reply:
Hello: 1. Basically, one year after spinal fusion surgery, the fusion should be complete. 2. If you had surgery over three years ago and recently returned to the hospital due to loose screws, this is uncommon but possible. If the patient has poor bone quality, even osteoporosis, ...[Read More] Post-Spinal Fusion Surgery: Safe Exercise and Activity Guidelines
Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Prolactinoma Hello Doctor: My wife was diagnosed with a 0.4 cm prolactinoma five years ago after experiencing amenorrhea. She had some bleeding at that time, which has since resolved. She has been on Dostinex, which has effectively controlled the tumor, and there has been some sh...
Dr. Zhang Junwei Reply:
Before answering the questions, please note that the responses are for reference only due to the lack of detailed medical history and imaging reports. 1. No, medication can be taken for observation. 2. It will likely be absorbed on its own. 3. It may be permanent. 4. No obvious c...[Read More] Understanding Pituitary Prolactinoma: Treatment Options and Concerns
Returning to Work After Mild Brain Injury: Key Recovery Insights
I would like to consult about issues related to brain injury? Hello, Doctor! According to your response that "the most important thing for a concussion is rest, and it will naturally recover over time," I would like to ask how much longer it might take before I can retu...
Dr. Zhang Junwei Reply:
Mild subarachnoid hemorrhage typically allows for a full recovery to previous levels of activity after a period of rest.[Read More] Returning to Work After Mild Brain Injury: Key Recovery Insights