Is the Moderna Vaccine Available for Self-Payment in Taiwan?
Self-paid Moderna vaccine Hello, I would like to ask if the Moderna vaccine is currently available for self-paid purchase in Taiwan?
Dr. Jian Shuntian reply Pulmonology
Hello: According to current information, the Centers for Disease Control has not provided the public with the option to receive the self-paid Moderna vaccine. Thank you. Sincerely, Jian Shun-Tian.[Read More] Is the Moderna Vaccine Available for Self-Payment in Taiwan?
Symptoms of Lung Metastasis from Giant Cell Tumors: What to Watch For
If a giant cell tumor of bone metastasizes to the lungs, it may present with symptoms such as persistent cough, chest pain, shortness of breath, and hemoptysis (coughing up blood). In some cases, patients may also experience fatigue, weight loss, or other systemic symptoms? I hav...
Dr. Jian Shuntian reply Pulmonology
Hello: If there are possible lung metastases, there may be no symptoms, or there could be coughing and chest pain. You can visit the pulmonology outpatient clinic. If necessary, a chest CT scan may be performed. There are many causes of chest pain and coughing, so please consult ...[Read More] Symptoms of Lung Metastasis from Giant Cell Tumors: What to Watch For
Left Chest Pain and Anxiety: Understanding Your Symptoms
Sharp pain at a point in the mid-left area, occasional tightness in the left chest? I apologize for the inconvenience, but I have been feeling very anxious lately due to some issues, and I have also been experiencing insomnia for a while. In the past few days, whenever I feel ten...
Dr. Jian Shuntian reply Pulmonology
Hello: A sharp pain at a certain point is usually muscular or related to myofascial pain syndrome, but mitral valve prolapse cannot be ruled out. Please first visit a pulmonology clinic, and if there are no issues, you may also consider seeing a cardiologist.[Read More] Left Chest Pain and Anxiety: Understanding Your Symptoms
Understanding Chest Pain: Causes and When to Seek Medical Help
Chest pain/Chest discomfort Hello, Doctor! I experienced intermittent chest pain between 00:00 and 03:20. The location is approximately in the middle of the line connecting both nipples, at the inward curve of the sternum. The pain feels like being crushed repeatedly by a machine...
Dr. Jian Shuntian reply Pulmonology
Hello: It could be gastroesophageal reflux or a heart issue. You may first visit the thoracic medicine clinic for an examination. If there are no issues, then proceed to see a cardiologist and a gastroenterologist. Thank you.[Read More] Understanding Chest Pain: Causes and When to Seek Medical Help
Understanding Tuberculosis Treatment in Young Children: Risks and Concerns
Pediatric pulmonary tuberculosis infection Hello, Doctor! My father was diagnosed with open pulmonary tuberculosis in June of this year, and he has been cured for a month now. He has been taking his medication regularly and attending follow-up appointments. The doctor mentioned t...
Dr. Jian Shuntian reply Pulmonology
A child over 1 year old has a 2 cm positive tuberculin skin test, which is considered strongly positive, indicating a significant risk of developing tuberculosis. It is recommended that the child undergo 270 days of preventive treatment with isoniazid (INH). The likelihood of sid...[Read More] Understanding Tuberculosis Treatment in Young Children: Risks and Concerns
Understanding Chest Pain: Causes and Concerns for Hypertension Patients
Chest pain I have a history of hypertension and recently started taking medication for gastroesophageal reflux disease (GERD). One night, while sitting, I began to experience chest pain that felt more pronounced when I slouched, but it subsided when I stood or lay straight. What ...
Dr. Jian Shuntian reply Pulmonology
If it is a stomach issue, please visit a gastroenterologist for further examination.[Read More] Understanding Chest Pain: Causes and Concerns for Hypertension Patients
Thymus Hyperplasia and Its Connection to Myasthenia Gravis: To Remove or Not?
Thymus issues The thymic hyperplasia shown in the image is indeed associated with myasthenia gravis. The consideration for surgical removal, or thymectomy, is often based on the presence of thymic hyperplasia in patients with myasthenia gravis, as it may improve symptoms and redu...
Dr. Jian Shuntian reply Pulmonology
Hello: Based on the attached jpg file, it is still not possible to determine if there is definitely thymic hyperplasia and whether it is related to "myasthenia gravis." Please discuss this further with a neurologist and a thoracic surgeon. Thank you. Sincerely, Jian Shu...[Read More] Thymus Hyperplasia and Its Connection to Myasthenia Gravis: To Remove or Not?
Understanding Left Chest Pain: Causes and Concerns for Patients
Left chest pain? Hello doctor, I have been experiencing sharp pain in my left chest for three consecutive days, occurring once or twice a day, and lasting no more than 5 seconds each time. I have no history of heart-related diseases. The last episode of sharp pain also occurred i...
Dr. Jian Shuntian reply Pulmonology
Hello: If you have related concerns, please first visit the pulmonology outpatient clinic.[Read More] Understanding Left Chest Pain: Causes and Concerns for Patients
Breathing Difficulties and Chest Tightness During Meals: Causes and Solutions
Chest tightness and difficulty breathing while eating? Hello Doctor: Recently, I suddenly experienced difficulty breathing while eating. I tried walking around and taking deep breaths, but it only worsened, leading to dizziness and numbness in my hands, feet, and face. I felt a s...
Dr. Jian Shuntian reply Pulmonology
Hello: Please first visit the pulmonary medicine outpatient clinic. If a referral is needed, the pulmonologist will assess the situation and refer you to the appropriate specialty.[Read More] Breathing Difficulties and Chest Tightness During Meals: Causes and Solutions
Understanding Chest Tightness and Shortness of Breath: Causes and Concerns
Often feel chest tightness and shortness of breath? Hello, Director Jian. For the past six months, I have frequently experienced shortness of breath and chest tightness. I had an electrocardiogram in January of this year, and the doctor said everything was normal. An X-ray during...
Dr. Jian Shuntian reply Pulmonology
Hello: 1. Based on the description, it is most likely caused by asthma or stress. Please visit a pulmonologist for an examination. 2. To check for early-stage lung cancer, a low-dose computed tomography (CT) scan can be performed.[Read More] Understanding Chest Tightness and Shortness of Breath: Causes and Concerns
Understanding Chest Pain: When to Seek Medical Attention for Symptoms
Chest pain? I have been experiencing a sharp pain in the upper right side of my chest, near the inner middle, for the past couple of days. There is also a slight pain in the left chest, close to the inner middle, but the right side is more pronounced. This morning, I woke up in t...
Dr. Jian Shuntian reply Pulmonology
Hello: Please see the pulmonology outpatient clinic first.[Read More] Understanding Chest Pain: When to Seek Medical Attention for Symptoms
Understanding Sudden Chest Pain: Is It Intercostal Neuralgia?
Sudden onset of discomfort? Hello Doctor, I suddenly felt a dull aching pain on the right side of my chest (near the center) before going to bed at night. This sensation extended to my upper back on the right side and even to my waist (the discomfort in my right chest was less no...
Dr. Jian Shuntian reply Pulmonology
Hello: It could be neuropathic pain, possibly related to prolonged sitting and the menstrual cycle. It is recommended to visit a thoracic clinic for examination. Thank you.[Read More] Understanding Sudden Chest Pain: Is It Intercostal Neuralgia?
Left Chest Pain: Understanding Occasional Sharp Discomfort and Heart Concerns
Localized, intermittent sharp pain in the left side of the chest? Hello doctor, I occasionally experience a sharp pain in my left chest. I'm not sure if I should describe it as sharp, stabbing, or a dull ache; it feels like being pinched and then released. In the past, it wo...
Dr. Jian Shuntian reply Pulmonology
Hello: Please visit the cardiology outpatient clinic. If there are no issues with the heart (such as mitral valve prolapse), then proceed to the pulmonology outpatient clinic.[Read More] Left Chest Pain: Understanding Occasional Sharp Discomfort and Heart Concerns
Understanding Hyperventilation Syndrome: Symptoms and When to Seek Help
Chest tightness, difficulty breathing, chest pain, and numbness in the hands and feet? On June 8th, I suddenly woke up in the middle of the night feeling as if my heart had stopped. My breathing and heartbeat felt very slow. Later, when I got out of bed, I felt very dizzy and had...
Dr. Jian Shuntian reply Pulmonology
Hello: Please visit the pulmonology outpatient clinic for an examination.[Read More] Understanding Hyperventilation Syndrome: Symptoms and When to Seek Help
Understanding Chest Discomfort After Impact: Causes and Concerns
Chest tightness or pain? Hello doctor, I started experiencing a heavy and tight sensation in my chest after being hit in the chest while playing basketball. However, I do not have issues with shortness of breath or difficulty breathing. Initially, the discomfort was in the center...
Dr. Jian Shuntian reply Pulmonology
Hello: After chest trauma, there are several issues that need further examination to determine the results. Please visit the thoracic medicine outpatient clinic for consultation.[Read More] Understanding Chest Discomfort After Impact: Causes and Concerns
Understanding Chest Pain: Causes and Concerns Beyond X-rays
Chest pain, sharp pain in the chest? Hello, doctor. I would like to ask about pain located in the middle of my chest. I previously had an X-ray, and the doctor said there were no issues. Could it be caused by arrhythmia? What other possible reasons could cause this pain? The pain...
Dr. Jian Shuntian reply Pulmonology
Hello: Based on the description, it may be costochondritis or myofascial pain syndrome. If the pain persists, please visit a thoracic medicine clinic for evaluation.[Read More] Understanding Chest Pain: Causes and Concerns Beyond X-rays
Understanding Aspiration: When Liquid Enters the Lungs While Drinking
Occasionally, liquid can enter the lungs while drinking? Hello, doctor. Occasionally, when I drink, I experience the sensation of the liquid going into my lungs (a cool feeling flowing down the trachea). This situation does not happen frequently, but it has occurred several times...
Dr. Jian Shuntian reply Pulmonology
Hello: 1. If liquid enters the lungs, it can cause coughing. 2. You may want to check for gastroesophageal reflux and consider consulting a gastroenterologist.[Read More] Understanding Aspiration: When Liquid Enters the Lungs While Drinking
Understanding Breathing Difficulties: Causes and Solutions for Chest Pressure
After inhaling, there is a feeling of pressure and blockage, as if I haven't taken a full breath? Hello, doctor. Around March or April of last year, I suddenly experienced some difficulty in breathing. It felt like there was pressure blocking the back of my nasal passages af...
Dr. Jian Shuntian reply Pulmonology
Hello: It may still be due to anxiety, but other causes cannot be ruled out, such as asthma or nasal allergies. Please consult a pulmonologist or an otolaryngologist for further evaluation.[Read More] Understanding Breathing Difficulties: Causes and Solutions for Chest Pressure
Intermittent Chest Pain: Understanding Symptoms and Necessary Tests
Intermittent chest pain? Hello doctor, I have intermittent sharp pain about 10 centimeters below my left clavicle. It feels like it's deep inside, and I'm not sure if it's related to my heart. The pain feels localized, like a needle prick, and it feels like someone...
Dr. Jian Shuntian reply Pulmonology
Hello: Based on the description, it seems more like muscular or fascial pain, but it is still recommended to visit a pulmonology clinic for a chest X-ray and an electrocardiogram. Thank you. Sincerely, Jian Shun Tian.[Read More] Intermittent Chest Pain: Understanding Symptoms and Necessary Tests
Understanding Unusual Breathing Sensations: When to Seek Medical Advice
Respiratory issues Hello, in the past two weeks, I have suddenly felt something unusual while breathing. It's not wheezing, there's no chest pain, and I can breathe normally, but occasionally I feel a sensation in my throat or chest (like a slight vibration?). Other tha...
Dr. Jian Shuntian reply Pulmonology
Hello: Please visit the pulmonology outpatient clinic.[Read More] Understanding Unusual Breathing Sensations: When to Seek Medical Advice