Differences Between W2am, W3pm, and W4am Vascular Ultrasound Tests
What are the differences in vascular ultrasound examinations? What are the differences between W2am, W3pm, and W4am vascular ultrasound examinations?
Dr. Hou Shouxian reply Surgery
Hello: Dr. Hou does not perform vascular ultrasound examinations. You may visit Dr. Wang Zhi-Hsien's clinic for an appointment on Thursday afternoon. Thank you.[Read More] Differences Between W2am, W3pm, and W4am Vascular Ultrasound Tests
Should Surgery Proceed for AJK3 Blood Type with Lung Cavity?
Special Blood Type AJK3 vs. Thoracoscopic Surgery Due to the presence of a approximately 13mm cavity in the right upper lung that is expected to require surgical removal, but having discovered that the patient has a rare blood type A type JK3, should surgery still be performed?
Dr. Hou Shouxian reply Surgery
(1) Regarding the blood type A JK3, it is recommended to consult a hematologist to inquire whether this blood type is available in the blood bank in Taiwan in case a transfusion is needed during surgery. (2) The 1-3 cm cavitary tumor in the right lower lobe has differential diagn...[Read More] Should Surgery Proceed for AJK3 Blood Type with Lung Cavity?
Is Qualified Surgeon Insertion Essential for Central Venous Catheters?
Is it necessary for a qualified surgeon to insert a central venous catheter (CVC)? (Forwarded from the Director's mailbox) Dear Director of the Department of Health, I would like to inquire about the following: 1. What types of harm can occur to patients if a central venou...
Dr. Hou Shouxian reply Surgery
1. Improper implantation may lead to: 1. Infection 2. Vascular puncture injury resulting in bleeding 3. Other complications. These are the complications. 2. Generally, implantation is performed by qualified physicians (not limited to surgeons).[Read More] Is Qualified Surgeon Insertion Essential for Central Venous Catheters?
Sudden Fainting and Tremors: Understanding Symptoms and Treatment Options
Sudden fainting, shaking, and unsteady walking? I have a history of heart disease, but I had never experienced anything like this before. On the evening of September 12, 2010, around 10 PM, I suddenly started shaking and fainted. When I regained consciousness, my awareness was st...
Dr. Hou Shouxian reply Surgery
1. It could possibly be epilepsy; please consult a neurologist for further evaluation, but also be mindful of any potential connection to heart disease. 2. Once the physician confirms the diagnosis, they will determine the appropriate treatment. 3. It is essential to have an in-p...[Read More] Sudden Fainting and Tremors: Understanding Symptoms and Treatment Options
Understanding Hard Lumps After Hand Surgery: Causes and Solutions
Is there a hard lump inside after suturing? About a month ago, I accidentally cut my hand (near the webbing between my thumb and index finger). Initially, I may not have taken proper care of the wound, and while the surface healed, a lump formed around the wound that is painful t...
Dr. Hou Shouxian reply Surgery
Hello: Based on your description, it is possible that the "hard lump" you are experiencing (which may be part of the wound healing process and is considered a normal phenomenon) is compressing the underlying or surrounding digital nerves when pressure is applied or when...[Read More] Understanding Hard Lumps After Hand Surgery: Causes and Solutions
Choosing and Using Compression Socks for Long Hours of Standing or Walking
Compression stockings Are compression stockings suitable for those who need to walk or stand for long periods? What should be noted when putting on and taking off compression stockings? What is the correct method for wearing and removing them? There are many types of compression ...
Dr. Hou Shouxian reply Surgery
(1) Individuals who stand, sit, or move for long periods, especially those with a family history (parents with varicose veins) or visible varicose veins in their lower extremities, can benefit from wearing compression stockings. (2) It is easier to put on and take off compression...[Read More] Choosing and Using Compression Socks for Long Hours of Standing or Walking
Why Do I Get Bruises Easily on My Legs? Understanding the Causes
Bruise Hello, doctor: I would like to ask why my legs are prone to bruising. Every time I see a bruise, I don't know how it was caused, and even a minor bump will definitely result in a bruise. This is very troubling for me!
Dr. Hou Shouxian reply Surgery
Based on the description, you may have a "bleeding tendency" issue. You should consult a specialist in "Hematology." Most medical centers have a Hematology department, but our hospital does not have a hematology specialist.[Read More] Why Do I Get Bruises Easily on My Legs? Understanding the Causes
Understanding the Risks and Outcomes of Bypass Surgery for Seniors
Coronary bypass surgery My father is 71 years old and has previously undergone coronary catheterization and stent placement. However, the hospital doctor mentioned that the original coronary artery catheter and stent are no longer usable. What are the risks associated with this s...
Dr. Hou Shouxian reply Surgery
Factors influencing the risk of coronary artery bypass grafting (CABG) include advanced age, poor cardiac function, other comorbidities (such as hypertension, diabetes, hyperlipidemia, immune dysfunction, etc.), and prior cardiac surgeries. Generally, the in-hospital mortality ra...[Read More] Understanding the Risks and Outcomes of Bypass Surgery for Seniors
Understanding End-Stage Brain Tumor Symptoms and Treatment Options
Symptoms of terminal brain tumor? Hello: My grandmother has a brain tumor (in the terminal stage). What are the symptoms and treatment options? However, the tumor is large and encases the main blood vessels, making it very dangerous, and many doctors are hesitant to operate. Plea...
Dr. Hou Shouxian reply Surgery
For non-specialty inquiries, please consult Dr. Cheng Chong, the Director of Neurosurgery, for a response to Dr. Hou Shou-Hsien.[Read More] Understanding End-Stage Brain Tumor Symptoms and Treatment Options
Traveling with Varicose Veins: Safety Tips for Seniors
About Varicose Veins Hello Doctor: My mother-in-law is nearly 70 years old and has had severe varicose veins since she was young after pregnancy. She is planning to travel to mainland China soon, and I would like to ask if it is safe for her to fly with varicose veins. Is there a...
Dr. Hou Shouxian reply Surgery
1. It is still possible to fly; it is recommended to wear compression stockings. 2. It is possible. Wearing compression stockings can help prevent the risk of blood vessel rupture and can also serve as a management method in case of a rupture. 3. It is advised to visit a hosp...[Read More] Traveling with Varicose Veins: Safety Tips for Seniors
Understanding the Risks and Success Rates of Vascular Grafting Surgery
Regarding artificial vascular surgery? I would like to inquire about the risks associated with the placement of an artificial blood vessel from the shoulder to the leg due to peripheral vascular occlusion (specifically, blockage of the major arteries from the abdomen to the legs)...
Dr. Hou Shouxian reply Surgery
The surgical risks depend on the patient's health status (such as heart disease, post-bypass surgery, and post-valve replacement surgery, renal failure, and long-term dialysis), age, functional ability, and the presence of other chronic diseases. Generally, the inherent risk...[Read More] Understanding the Risks and Success Rates of Vascular Grafting Surgery
Understanding Early Varicose Veins: Treatment Duration and Recurrence Risks
Early-stage varicose veins Hello Doctor: Recently, I discovered what seems to be early-stage varicose veins in my calves. After researching, I found that treatment mainly involves elevating the legs and wearing compression stockings. I would like to ask how long the initial treat...
Dr. Hou Shouxian reply Surgery
1. Initial treatment should be continued consistently. 2. The superficial veins (also known as spider veins or telangiectasia) may disappear. Pulsed light therapy can also be used to eliminate them. 3. There is a possibility that they may not disappear and could recur (especi...[Read More] Understanding Early Varicose Veins: Treatment Duration and Recurrence Risks
Is Losing 400cc of Blood During Colon Surgery Considered Excessive?
Could you please provide more details or specify your question regarding surgery? Doctor, is a blood loss of 400cc during colon surgery considered a lot?
Dr. Hou Shouxian reply Surgery
Hello: The average blood volume in an adult is approximately 4000-5000 cc, and the amount of blood that can be donated at one time is either 250 cc or 500 cc. Generally, a loss of 10% of blood volume does not cause significant physiological changes. Based on this, a loss of 400 c...[Read More] Is Losing 400cc of Blood During Colon Surgery Considered Excessive?
Understanding Varicose Veins: Prevention, Treatment, and Lifestyle Tips
Varicose veins Dear Dr. Hou, A few days ago, I noticed bruising near the varicose veins in my left calf. After seeking medical attention, the doctor informed me that it was caused by a rupture of microvessels and that it would naturally resolve over time. However, for future con...
Dr. Hou Shouxian reply Surgery
1. Compression stockings are currently available. Leg exercises can be performed, but it is advisable to elevate the feet and avoid standing for prolonged periods. 2. It is generally recommended to wear compression stockings with a compression level of 250-300 denier, with adju...[Read More] Understanding Varicose Veins: Prevention, Treatment, and Lifestyle Tips
Understanding Brain Tumor Patients: Surgery, Recovery, and Ongoing Treatment
Patients with brain tumors Hello: Regarding a patient with a brain tumor who has experienced long-term symptoms such as tinnitus and mild headaches, a physician's examination revealed a tumor on the 7th and 8th cranial nerves, leading to surgical intervention. Afterward, the...
Dr. Hou Shouxian reply Surgery
This issue is not within Dr. Hou Shou-Hsien's area of expertise, so it has been referred to Dr. Zheng Zhong from the neurosurgery department for a response. The reply is as follows: Based on your description, you are likely experiencing symptoms related to an acoustic neurom...[Read More] Understanding Brain Tumor Patients: Surgery, Recovery, and Ongoing Treatment
Understanding Nail Issues: Pain, Infection, and Treatment Options
Nail problems Hello Dr. Hou: The tips of my toenails on both big toes are curved on the sides, causing them to rub against the skin, resulting in pain, redness, swelling, and bleeding. Parts of my toenails appear dark. I have seen a doctor who mentioned that toenails should grow ...
Dr. Hou Shouxian reply Surgery
Based on the description, it is suspected to be paronychia. It is recommended to visit the surgical outpatient clinic for treatment with Dr. Hou Shou-Hsien.[Read More] Understanding Nail Issues: Pain, Infection, and Treatment Options
Understanding the Costs and Treatment Frequency for Varicose Veins
Varicose veins Is the cost of 18,000 NTD for the treatment of one leg, including the thigh and calf, a one-time fee? How many sessions are required for the entire treatment? Thank you!
Dr. Hou Shouxian reply Surgery
"The cost of treating one side of the leg, including the thigh and calf, is 18,000 NT dollars." This refers to a treatment plan and regimen that is jointly decided by the patient and the physician during an outpatient visit, which may be completed in one session or divi...[Read More] Understanding the Costs and Treatment Frequency for Varicose Veins
Cost of Laser Treatment for Varicose Veins: Area-Based Pricing Explained
Varicose veins The cost of laser treatment for the skin surface is generally calculated based on the area. For an area of approximately 6x6 cm, the price ranges from 7,000 to 9,000 TWD. Is there a pricing structure for the entire area of one side of the thigh and calf?
Dr. Hou Shouxian reply Surgery
The basic cost for our clinic's external laser treatment for spider veins is NT$7,000 for an area of 6x6 cm. The total cost is calculated based on the area of the treatment zone. The cost for a single treatment of one leg, including the thigh and calf, is NT$18,000. Dr. Hou ...[Read More] Cost of Laser Treatment for Varicose Veins: Area-Based Pricing Explained
Understanding Inferior Vena Cava Obstruction and Its Symptoms
Inferior vena cava concerns? Hello Dr. Hou, About five years ago, I started experiencing a strange aching and numbness in my left leg, extending from the left side of my lower back down to my heel. When I stand still for a long time (about 5-10 minutes), my entire left leg feel...
Dr. Hou Shouxian reply Surgery
1. Pure inferior vena cava (IVC) obstruction does not necessarily present with pain; however, it should be individually assessed based on the underlying cause of the IVC obstruction. 2. The interpretation of MRI results primarily relies on the professional judgment of the radiolo...[Read More] Understanding Inferior Vena Cava Obstruction and Its Symptoms
Understanding Varicose Vein Treatments: Laser Surgery Options and Costs
Varicose veins Are laser microscopy and laser treatment considered two separate therapies, or can they be used in conjunction? How much does laser surgery cost out of pocket? Are there any subsidies or related applications available? My father has a history of diabetes and is 48 ...
Dr. Hou Shouxian reply Surgery
1. Laser treatment for varicose veins can be categorized into two types: endovenous (internal) and surface (external). Both types are considered out-of-pocket expenses. The cost for endovenous laser treatment ranges from approximately $40,000 to $70,000, while the cost for surfac...[Read More] Understanding Varicose Vein Treatments: Laser Surgery Options and Costs