Understanding Concussion: Risks of Exercise After Head Injury
Exercise Last week, I experienced a head injury that resulted in severe pain for several days, and I have been feeling unusually tired, not because I want to sleep, but my eyes feel brighter. I would like to inquire about the detailed reasons for this, as the doctor at the hospit...
Dr. Ding Xianwei reply Neurosurgery
If there is no loss of consciousness following a head injury, the likelihood of intracranial bleeding is usually low. Based on your condition, it appears to be a mild concussion, and resting should be beneficial for you. Most symptoms related to the head will gradually subside. I...[Read More] Understanding Concussion: Risks of Exercise After Head Injury
Is It Safe for My 12-Year-Old to Undergo Hand Sweat Surgery?
Can hand sweating surgery be performed during the developmental stage? I have inherited my mother's symptoms of palmar hyperhidrosis since childhood, which has caused various inconveniences in social situations and daily activities for many years. Eight years ago, I underwen...
Dr. Ding Xianwei reply Neurosurgery
If you have already undergone surgery, you should understand the effects of surgery for hyperhidrosis and the potential side effects of compensatory sweating. However, a 12-year-old child is still too young, and it is not recommended to proceed with surgery at this age. It is adv...[Read More] Is It Safe for My 12-Year-Old to Undergo Hand Sweat Surgery?
Understanding the Effects of Deep Breathing on Brain Health
Respiration I really enjoy taking deep, continuous breaths, but after doing it for 10 to 12 times in a row, I feel dizzy and lightheaded. Could this harm my brain? What is happening?
Dr. Ding Xianwei reply Neurosurgery
Please don't worry, this is a normal phenomenon caused by hyperventilation. When breathing too quickly, there is excessive expulsion of CO2, leading to an increase in blood pH and resulting in alkalosis. Simply returning to normal, steady breathing will restore balance.[Read More] Understanding the Effects of Deep Breathing on Brain Health
Are Cell Towers Harmful? Exploring Health Risks from Electromagnetic Waves
What is the extent of the harm caused by base stations to the human body? As a working professional renting an apartment, I discovered a large base station for telecommunications on the rooftop of the fifth floor. I live on the fourth floor and have been renting for four months, ...
Dr. Ding Xianwei reply Neurosurgery
There is currently no definitive conclusion regarding whether electromagnetic waves are harmful to the human body. However, there have been reports of effects on experimental animals such as mice from long-term exposure to high electromagnetic fields. Therefore, my opinion is tha...[Read More] Are Cell Towers Harmful? Exploring Health Risks from Electromagnetic Waves
Can Hand Sweating and Body Odor Be Treated Together?
Palmar hyperhidrosis Hello, can palmar hyperhidrosis and axillary odor occur simultaneously? My son just graduated from elementary school. He was originally scheduled for surgery for his hand sweating during the summer, but since he will be learning to swim, the surgery is postpo...
Dr. Ding Xianwei reply Neurosurgery
Palmar hyperhidrosis and axillary bromhidrosis are essentially similar issues. If you wish to undergo surgery for both conditions simultaneously, it is theoretically feasible. However, there may be significant complications related to compensatory sweating. Therefore, it is advis...[Read More] Can Hand Sweating and Body Odor Be Treated Together?
Post-Surgery Swimming Guidelines for Palmar Hyperhidrosis Patients
Palmar hyperhidrosis Hello, how long after surgery for palmar hyperhidrosis can I go swimming? Thank you.
Dr. Ding Xianwei reply Neurosurgery
Surgery for primary hyperhidrosis typically allows for suture removal after about one week. After the sutures are removed, you can resume your regular activities. It is advisable to wait at least six weeks post-surgery before swimming to ensure safety. If you have any questions, ...[Read More] Post-Surgery Swimming Guidelines for Palmar Hyperhidrosis Patients
Understanding Hand Sweating: Surgical Options and Recovery Tips
Palmar hyperhidrosis Hello, doctor. My son just graduated from elementary school, and we would like to take him for surgery to treat his hyperhidrosis during the summer vacation. We live in Puli and would like your recommendation for a nearby hospital and doctor. Also, how long a...
Dr. Ding Xianwei reply Neurosurgery
Hello: Hyperhidrosis is not a disease but a symptom. The most commonly used method currently is endoscopic sympathetic nerve resection. If the surgery goes smoothly, it takes about half an hour, and with anesthesia before and after, the total time is approximately three to four h...[Read More] Understanding Hand Sweating: Surgical Options and Recovery Tips
Managing Finger Injuries: Treatment for Nail and Soft Tissue Damage
Finger crush injury Dear Dr. Ding, This morning, I injured my finger when it got caught in a metal plate. My index finger's nail has a slight crack, and there is a 1 cm laceration next to it. Meanwhile, my middle finger, which has no visible wound, has become swollen, and t...
Dr. Ding Xianwei reply Neurosurgery
Your middle finger is unlikely to undergo necrosis (the chances are low), but it mainly depends on the severity of your injury. The bruising under the nail will gradually be absorbed on its own, but if you experience redness, swelling, heat, or pain, there may be an infection, an...[Read More] Managing Finger Injuries: Treatment for Nail and Soft Tissue Damage
Understanding Spine Pain: Causes and Connections to Kidney Health
Low back pain Hello Dr. Ding, Recently, I have been experiencing sharp pain and numbness in my lower back. I cannot sit for long periods, stand for too long, or walk too much. The pain is located near my spine, and I am unsure if there is an issue with my vertebrae. I appreciat...
Dr. Ding Xianwei reply Neurosurgery
Lower back pain is usually caused by improper posture, and it can be alleviated by adjusting your posture and taking pain relief medication. Please lie flat with your knees bent, and avoid bending at the waist when picking things up. When getting up, getting out of bed, or lying ...[Read More] Understanding Spine Pain: Causes and Connections to Kidney Health
Understanding Growing Thyroid Tumors: When to Consider Surgery?
Thyroid tumors grow slowly? I have a relative who is about the same age as I am. Before she had children, she noticed that her thyroid was enlarged, but tests including blood work indicated that everything was normal, and she did not exhibit any symptoms of hyperthyroidism as inq...
Dr. Ding Xianwei reply Neurosurgery
Regarding the relative you mentioned, she is experiencing difficulty breathing, which has likely compressed her trachea, and surgery may be necessary. If the tumor is smaller than 5 to 6 cm, treatment with thyroid hormone can be considered, as the condition may be due to thyroid ...[Read More] Understanding Growing Thyroid Tumors: When to Consider Surgery?
Possible Causes of Ear Pain and Other Symptoms in Hearing-Impaired Individuals
Recently, I have been feeling a fullness in my ears and some mild pain? A week ago, I noticed swelling in my groin lymph nodes accompanied by symptoms such as fever, dizziness, and blurred vision. I went to a gynecologist for an examination, but no issues were found. I have not e...
Dr. Ding Xianwei reply Neurosurgery
Based on the symptoms you described, it does not seem to be sciatica; it appears more like an infection in the leg or foot, possibly combined with cellulitis. I recommend consulting a surgeon for a definitive diagnosis. As for the ear issue, it may also be related to inflammation...[Read More] Possible Causes of Ear Pain and Other Symptoms in Hearing-Impaired Individuals
Laser Treatment for Lipomas: Is It a Viable Alternative to Surgery?
Laser treatment for lipomas? Dear Sirs, my husband has many lipomas on his body. He heard from someone that Changhua Show Chwan Hospital has a type of treatment where they use "laser" to make them disappear, without the need for surgery. Is this true? Where can we get m...
Dr. Ding Xianwei reply Neurosurgery
I have not heard of using laser treatment for lipomas. Multiple lipomas may indicate a constitutional issue. If your husband wishes to seek treatment, he can visit our surgical department. My clinic hours are Wednesday and Friday mornings, and if that's not convenient, we al...[Read More] Laser Treatment for Lipomas: Is It a Viable Alternative to Surgery?
Managing Complications After Lumbar Spine Fracture Surgery
Lumbar vertebral compression fracture? Dear Dr. Ding: In May 1999, I accidentally fell and sustained a comminuted fracture of the lumbar vertebrae. Since the surgery, I have experienced five episodes of infection, resulting in five surgeries. Now, I am facing another recurrence, ...
Dr. Ding Xianwei reply Neurosurgery
After an injury, the body's defense mechanisms against external infections (i.e., immunity) are compromised. Therefore, the risk of infection during emergency surgery following an injury is higher than that of routine surgeries, with some procedures having infection rates ex...[Read More] Managing Complications After Lumbar Spine Fracture Surgery
Understanding Nerve Compression from Spinal Issues: Risks and Treatment Options
Spinal nerve compression Dr. Ding: Hello! My mother is 65 years old and has been experiencing leg numbness for many years. She has been diagnosed with spinal curvature, bone spurs, and nerve compression at the coccyx. Could you please tell me the success rate and risks associated...
Dr. Ding Xianwei reply Neurosurgery
Regarding your inquiry, due to incomplete information, we are unable to provide specific recommendations. You may refer to the article by Dr. Lin Yan-Cheng, the Director of Neurosurgery at Taoyuan Hospital, Department of Health, on our hospital's website (www.tygh.gov.tw), w...[Read More] Understanding Nerve Compression from Spinal Issues: Risks and Treatment Options
Understanding Stroke Surgery Success Rates for Dialysis Patients
Questions regarding stroke? I would like to ask, when a patient who has been on dialysis for ten years suddenly faints due to a cerebral hemorrhage, and is promptly taken to the hospital where the physician quickly addresses the situation, performing a CT scan that reveals blood ...
Dr. Ding Xianwei reply Neurosurgery
Patients undergoing dialysis are more prone to bleeding compared to the general population, making intracranial hemorrhage a common complication in these patients. However, not all patients have the same prognosis for this type of bleeding; the prognosis is determined by the size...[Read More] Understanding Stroke Surgery Success Rates for Dialysis Patients
Symmetrical Neck Lumps: Possible Neurological Concerns After Injury
Symmetrical hard masses in the neck? Hello Dr. Ding: About a week ago, I noticed symmetrical lumps about five centimeters behind my ears (approximately the size of a coin). These are not external lumps but are located within the posterior neck muscle area. They have slightly dimi...
Dr. Ding Xianwei reply Neurosurgery
The hard lump that has appeared behind your ear is better evaluated by an otolaryngologist for a more accurate diagnosis. Such tumors can potentially be benign lymphomas or malignant tumors. Regarding the possibility of post-stroke complications, medication can be used for treatm...[Read More] Symmetrical Neck Lumps: Possible Neurological Concerns After Injury
Understanding Low White Blood Cell Count and Blood Pressure Concerns in Neurosurgery
Blood I recently had a health check-up, and the results showed that my white blood cell count is slightly low, around 4.00. (1) What impact could this have? Additionally, my blood pressure is 120/70, which is normal, (2) but isn't it a bit high? I am quite thin, with a heigh...
Dr. Ding Xianwei reply Neurosurgery
The information you provided indicates that you are a very healthy young girl. Generally, hypertension is defined as a systolic blood pressure greater than 130 mmHg and a diastolic blood pressure greater than 90 mmHg. However, if both of your parents have hypertension, your risk ...[Read More] Understanding Low White Blood Cell Count and Blood Pressure Concerns in Neurosurgery
Understanding Hyperhidrosis: Which Specialist to Consult and Surgery Costs
Palmar hyperhidrosis Which specialty should I consult for palmar hyperhidrosis, and if surgical treatment is required, what would the cost be? Thank you!
Dr. Ding Xianwei reply Neurosurgery
Hyperhidrosis is not a disease but a symptom. The most commonly used method for treatment is endoscopic sympathetic nerve resection. If the surgery goes smoothly, it takes about half an hour, and with anesthesia before and after, the total time is approximately three to four hour...[Read More] Understanding Hyperhidrosis: Which Specialist to Consult and Surgery Costs
Understanding Coma After Brain Injury: Options and Prognosis
Traumatic Brain Injury - Coma Hello, my father-in-law (72 years old) suffered a brain injury due to a car accident on October 20, resulting in a cerebral contusion. After surgery performed by Dr. Wan-Chun Cheng at Taoyuan Min-Sheng Hospital, the blood clot has been removed, but h...
Dr. Ding Xianwei reply Neurosurgery
Head trauma occurs at the time of injury. The role of a neurosurgeon is to prevent secondary injury. Surgical intervention can address issues related to hematoma compressing the brain, but areas of the brain that have already been injured are difficult to recover. Therefore, the ...[Read More] Understanding Coma After Brain Injury: Options and Prognosis
Improving Cerebral Blood Flow in Pediatric Septic Shock Patients
Septic shock due to bacterial infection? A one-year-old child, diagnosed with pneumonia caused by Streptococcus pneumoniae, was treated with first-line antibiotics at a local hospital but showed no improvement. Within just 45 minutes of transfer, the child developed septic shock ...
Dr. Ding Xianwei reply Neurosurgery
Infection with Streptococcus pneumoniae has a very high mortality rate. Based on the symptoms you described, the patient has not yet recovered from septic shock, and there are obvious signs of encephalitis and meningitis. The EEG indicates severe brain injury. Since this falls un...[Read More] Improving Cerebral Blood Flow in Pediatric Septic Shock Patients