Dr. Chen Ming reply Rare Disease Question - Page 3

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Concerns About Rare Conditions: Fetal Finger and Heart Anomalies

Abnormalities of the fingers and heart? Hello Dr. Chen, I am currently 25 weeks pregnant. Around 22 weeks, I underwent a high-level ultrasound and found that the baby's middle fingers are mostly curled into a fist and unable to extend properly (but the other fingers appear n...


Dr. Chen Ming reply Rare Disease
This needs to be discussed in person. Please visit my outpatient clinic at Chang Gung Memorial Hospital for an additional appointment. If you are in the northern region, you can also schedule an appointment at the Department of Genetic Medicine at National Taiwan University Hospi...

[Read More] Concerns About Rare Conditions: Fetal Finger and Heart Anomalies


Understanding Chromosomal Abnormalities 13 and 14: Implications for Your Child's Health

Abnormalities of chromosomes 13 and 14? Hello Dr. Chen: My amniocentesis report shows a result of 45.xx.der(13;14)(q10;q10), indicating that one of the chromosomes from chromosome 14 has attached to chromosome 13. I would like to ask if this means my child is healthy? Do you reco...


Dr. Chen Ming reply Rare Disease
In principle, it is balanced and there are no major issues. However, it is advisable for both partners to undergo chromosomal testing and consider amniocentesis with chromosomal microarray analysis. Please come to the clinic for further discussion.

[Read More] Understanding Chromosomal Abnormalities 13 and 14: Implications for Your Child's Health


Understanding Severe Oligohydramnios in Pregnancy: Risks and Management

Severe oligohydramnios? Hello, doctor. I would like to inquire about my wife, who is currently 28 weeks pregnant (the baby is measuring three weeks small). An ultrasound examination has shown severe oligohydramnios. She is currently hospitalized for observation, but there has bee...


Dr. Chen Ming reply Rare Disease
You must come to the hospital for an examination, as all appointments are fully booked. You can come for a walk-in consultation.

[Read More] Understanding Severe Oligohydramnios in Pregnancy: Risks and Management


Understanding the Implications of 7q34-36.3 Chromosome Deletion in Pregnancy

Deletion of the tail of chromosome 7? Hello, doctor. I am currently 21 weeks pregnant. I have undergone two NIPT blood tests, which indicated a 20mb deletion at chromosome 7q34-36.3. I am now waiting for the results of the aCGH microarray analysis. I would like to ask: (1) What p...


Dr. Chen Ming reply Rare Disease
The peace of mind comes from the fact that this is a highly complex and difficult test. We must wait for the results of the ACGH chip before we can explain everything in person. God bless!

[Read More] Understanding the Implications of 7q34-36.3 Chromosome Deletion in Pregnancy


Concerns About Brown Discharge and Pain at 15 Weeks Pregnant

At 15 weeks of pregnancy, there is a sudden appearance of a small amount of abnormal brown discharge? Hello Dr. Chen: I would like to ask, today I just reached 15 weeks of pregnancy, and I started feeling sharp pains in my abdomen today. Recently, due to a cold and cough, I have ...


Dr. Chen Ming reply Rare Disease
Sure!

[Read More] Concerns About Brown Discharge and Pain at 15 Weeks Pregnant


Managing Oligohydramnios at 19 Weeks: Insights and Treatment Options

Oligohydramnios at 19 weeks? Hello Dr. Chen, my wife is currently about 19 weeks pregnant. She has experienced bleeding since around 9 weeks, and examinations revealed an early placental abruption. However, since it was not a complete detachment, we followed the doctor's adv...


Dr. Chen Ming reply Rare Disease
Dear Ping An, If you have already found a physician who can assist you with hydration, it is evident that you have found an excellent colleague. There are very few physicians in Taiwan who can provide hydration therapy. Although I perform many procedures, it may not necessarily...

[Read More] Managing Oligohydramnios at 19 Weeks: Insights and Treatment Options


Understanding Non-Invasive Prenatal Testing: The GWNS Method Explained

Non-invasive prenatal testing method based on whole genome trend scoring (GWNS) I am a 31-year-old mother expecting my first baby. I have seen many comments online stating that the majority of babies with Down syndrome are born to mothers under 34 years old. Since this group is n...


Dr. Chen Ming reply Rare Disease
The so-called NIPT plus is merely a promotional tactic by foreign companies. Please call 04-7238595 ext. 7244 to receive an official explanation from a genetic counselor. You can also refer to the Facebook fan page of Dr. Ming Chen for information on pre-implantation genetic diag...

[Read More] Understanding Non-Invasive Prenatal Testing: The GWNS Method Explained


Should I See a Gynecologist or Urologist for Postpartum Issues?

Should I see a gynecologist? Postpartum breastfeeding can be exhausting and may lead to a decrease in immunity, resulting in persistent vaginal discharge, itching, and frequent urination. Later, as the child grew older, she also reported itching in the genital area. There was an ...


Dr. Chen Ming reply Rare Disease
If you're worried, you can still seek medical attention. God bless you.

[Read More] Should I See a Gynecologist or Urologist for Postpartum Issues?


Understanding Chromosome 9 Inversions: Genetic Testing and Implications

Chromosome 9 inversion - continuation Dr. Chen: Thank you for your very helpful response. I would like to ask if you recommend that my parents undergo blood tests to determine if there is a hereditary factor or a mutation in the baby? Additionally, do individuals with such chromo...


Dr. Chen Ming reply Rare Disease
Since the issue is not significant, please closely discuss it with your original obstetrician.

[Read More] Understanding Chromosome 9 Inversions: Genetic Testing and Implications


Understanding Chromosome 11 Abnormalities: Insights on Genetic Testing Options

Chromosome 11 abnormality add(11)(q24.2)dn Hello Dr. Chen, my amniotic fluid report indicates 46,XY,add(11)(q24.2)dn, stating that one of the chromosome 11 long arms from 24.2 to the end has been replaced by an unknown chromosomal fragment. The results from the second blood draw ...


Dr. Chen Ming reply Rare Disease
I would like to schedule an in-person discussion this Thursday or Friday afternoon.

[Read More] Understanding Chromosome 11 Abnormalities: Insights on Genetic Testing Options


Understanding Chromosome 9 Inversion: Implications for Your Child's Health

Inversion of chromosome 9? Hello Dr. Chen: My child's amniocentesis report came back with the result: 46,XY,inv(9)(p12q13). What should we be aware of regarding the child's health? Are there any potential complications? Do the parents need to undergo blood tests?


Dr. Chen Ming reply Rare Disease
Generally, this is considered a "normal variant" and does not require excessive concern. May God bless you!

[Read More] Understanding Chromosome 9 Inversion: Implications for Your Child's Health


Can Breast Cancer Survivors Get the Flu Vaccine After Chemo?

Can a flu vaccine be administered after completing chemotherapy for breast cancer? Can a flu vaccine be administered after completing six cycles of chemotherapy for breast cancer?


Dr. Chen Mingong reply Influenza
The influenza vaccine is an inactivated vaccine. If a person's mental and physical condition is good, it is also possible to receive the influenza vaccine after completing chemotherapy for breast cancer.

[Read More] Can Breast Cancer Survivors Get the Flu Vaccine After Chemo?


Can I Have a Healthy Baby After Taking Conquer Tab 1200mg During Pregnancy?

Is it safe to take Conquer Tab 1200mg while pregnant? Will the child be born healthy? Hello Doctor, I am Wu Meifeng's mother. I recently learned that I successfully conceived in February and am now about one month pregnant. However, I was unaware of my pregnancy while taking...


Dr. Chen Ming reply Rare Disease
The medication Mebendazole is indeed not very safe from a pharmacological standpoint. Please consult a physician specializing in genetic counseling in the obstetrics and gynecology department at a nearby medical center. Personally, I also believe it is not very safe. If you wish ...

[Read More] Can I Have a Healthy Baby After Taking Conquer Tab 1200mg During Pregnancy?


Why Do We Wake Up Suddenly During Sleep? Tips for Better Sleep Quality

Waking up suddenly in the middle of sleep? Doctor Chen, why do I wake up suddenly in the middle of my sleep? How can I improve my poor sleep quality?


Dr. Chen Minglun reply Traditional Chinese Medicine
Hello, Lan: Waking up suddenly during sleep may be related to insufficient deep sleep or stagnation of liver qi and blood, which makes it easier to awaken. Sleep quality is associated with factors such as work, exercise, diet (including tea, coffee, and stimulating foods), and st...

[Read More] Why Do We Wake Up Suddenly During Sleep? Tips for Better Sleep Quality


Can You Get Motherwort Herbal Formula at TCM Clinics?

Motherwort Decoction Can I go to a traditional Chinese medicine clinic to ask a doctor for a prescription for Motherwort? Will it be out-of-pocket? Can Motherwort combined with Angelica Dahurica, Notoginseng, Ginseng, and Pearl help with pigmentation? What should the proportions ...


Dr. Chen Minglun reply Traditional Chinese Medicine
The facial mask series is not covered by health insurance, and most will be out-of-pocket expenses. Additionally, it depends on whether the medical institution offers this service; unfortunately, our hospital does not provide it. As for their effectiveness, it also depends on the...

[Read More] Can You Get Motherwort Herbal Formula at TCM Clinics?


Effective Traditional Chinese Medicine Approaches for Weight Control

How to lose weight? Does Traditional Chinese Medicine have methods to control weight? Is taking Chinese herbal medicine effective?


Dr. Chen Minglun reply Traditional Chinese Medicine
Dear Selina, traditional Chinese medicine can aid in weight loss, but it must be prescribed according to the individual's constitution and symptoms. Some may experience high stress, others may have gastrointestinal issues, and some may have poor metabolism, resulting in diff...

[Read More] Effective Traditional Chinese Medicine Approaches for Weight Control


Can Sanfu Patches Help Alleviate Allergies in Children?

Application of Sanfu Plaster Hello Dr. Chen: My 5-year-old child tends to cough and have nasal congestion in the morning upon waking up. Could this be a symptom of allergies? Would using transdermal patches help improve the condition?


Dr. Chen Minglun reply Traditional Chinese Medicine
Dear BKK, if your child does not exhibit the following symptoms, you may use Sanfu Plaster to alleviate their condition: fever, skin diseases, active infections, or excessive skin sensitivity. 【Dr. Chen Ming-Lun, Traditional Chinese Medicine Department, Changhua Hospital】

[Read More] Can Sanfu Patches Help Alleviate Allergies in Children?


Can Traditional Chinese Medicine Help with Interrupted Sleep?

Can traditional Chinese medicine treat interrupted sleep? Is there a traditional Chinese medicine that can help my wife who often wakes up in the middle of the night and has difficulty falling back asleep?


Dr. Chen Minglun reply Traditional Chinese Medicine
Dear Mr. Jiang, Traditional Chinese Medicine can improve insomnia, but the effectiveness depends on factors such as the patient's constitution, the duration of insomnia, and whether they have been using sleeping pills, among others. Therefore, it is recommended to undergo a ...

[Read More] Can Traditional Chinese Medicine Help with Interrupted Sleep?


Herbal Remedies for Bloating and Constipation: Traditional Chinese Medicine Insights

Abdominal bloating - Are there any traditional Chinese medicines that can treat it? Is there any traditional Chinese medicine that can treat bloating and constipation?


Dr. Chen Minglun reply Traditional Chinese Medicine
Dear, commonly used traditional Chinese medicine for treating bloating and constipation includes Baohe Pills, Maziren Pills, Si Junzi Decoction, Xiangsha Si Junzi Decoction, and Pingwei Powder, among others. The choice of medication varies depending on the patient's constitu...

[Read More] Herbal Remedies for Bloating and Constipation: Traditional Chinese Medicine Insights


Managing Fetal Kidney Cysts: What Parents Need to Know

What should be done if there are cysts in the fetal kidneys? Hello Dr. Chen, I was referred to you as an expert in fetal treatment. Due to work commitments, I haven't been able to schedule an appointment with you, but I am concerned about my child and would like to ask you...


Dr. Chen Ming reply Rare Disease
This is a relatively common condition, especially in older mothers who should have undergone amniocentesis. If the chromosomes are normal and there is unilateral hydronephrosis or pathology, as long as the other kidney is healthy, my opinion is that it is possible to continue the...

[Read More] Managing Fetal Kidney Cysts: What Parents Need to Know


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