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Understanding Low Blood Oxygen Levels in Advanced Parkinson's Patients

Decreased blood oxygen saturation? Dear Dr. Liang, My mother-in-law, who is 71 years old and in the late stages of Parkinson's disease, has been bedridden. On February 19, she experienced a high fever of 40 degrees Celsius due to a ureteral stone obstruction and was hospita...


Dr. Liang Yinpan reply Geriatrics
Dear Ms. Wang, Your mother-in-law is in the late stages of Parkinson's disease and is bedridden. Her physical condition is already weak, and this recent infection has further deteriorated her health. Her ability to expectorate has decreased, and the accumulation of secretio...

[Read More] Understanding Low Blood Oxygen Levels in Advanced Parkinson's Patients


Home Care for End-Stage Parkinson's: Managing Oxygen and Heart Rate

Home healthcare Hello, Dr. Liang. My mother-in-law is a patient in the advanced stage of Parkinson's disease and is 70 years old. She is currently being cared for at home by family members. Recently, her blood oxygen levels have been between 88 and 93, and her heart rate flu...


Dr. Liang Yinpan reply Geriatrics
Dear Ms. Xiu: It is best for your mother-in-law's blood oxygen levels to be maintained above 92%, as lower levels can lead to organ hypoxia and deterioration. It is advisable to provide supplemental oxygen to improve her blood oxygen saturation, in order to prevent organ fai...

[Read More] Home Care for End-Stage Parkinson's: Managing Oxygen and Heart Rate


Home Care for End-Stage Parkinson's: Managing Oxygen Levels and Heart Rate

Home healthcare Hello, Dr. Liang. My mother-in-law is a patient in the late stage of Parkinson's disease and is 70 years old. She is currently being cared for at home by family members. Recently, her blood oxygen levels have been between 88 and 93, and her heart rate fluctua...


Dr. Liang Yinpan reply Geriatrics
Hello Ms. Hsu: It is best for your mother-in-law's blood oxygen levels to be maintained above 92%, as lower levels can lead to organ hypoxia and deterioration. Providing supplemental oxygen to increase blood oxygen saturation is advisable to prevent organ failure and potenti...

[Read More] Home Care for End-Stage Parkinson's: Managing Oxygen Levels and Heart Rate


Home Care for End-Stage Parkinson's: Managing Oxygen and Heart Rate

Home healthcare Hello, Dr. Liang. My mother-in-law is a patient with advanced Parkinson's disease, and she is 70 years old. She is currently being cared for at home by family members. Recently, her blood oxygen levels have been between 88 and 93, and her heart rate fluctuate...


Dr. Liang Yinpan reply Geriatrics
Dear Ms. Hsu: It is best for your mother-in-law's blood oxygen levels to be maintained above 92%, as lower levels can lead to organ hypoxia and deterioration. It is advisable to provide supplemental oxygen to improve blood oxygen saturation, in order to prevent organ failure...

[Read More] Home Care for End-Stage Parkinson's: Managing Oxygen and Heart Rate


Caring for a 90-Year-Old: Understanding Aging and Health Challenges

90-year-old father My father is over 90 years old and has recently started to lose his appetite and has been feeling unwell. He wants to lie down and sleep after sitting for just five minutes. He has experienced weakness and fainting spells after getting up from the bathroom six ...


Dr. Liang Yinpan reply Geriatrics
Hello CCC: Your father is experiencing malnutrition and electrolyte imbalance due to poor appetite associated with aging, which is why he frequently requires hospitalization. It is recommended to consider placing a nasogastric tube or a gastrostomy for feeding to ensure adequate ...

[Read More] Caring for a 90-Year-Old: Understanding Aging and Health Challenges


Severe Pain Behind the Knee: Understanding Possible Causes and Solutions

Severe pain in the calf behind the knee? Hello, doctor. I am asking on behalf of my mother, who is 66 years old. Recently, she has been experiencing unexplained pain in the back of her right knee, which has become severe enough today that she is unable to walk and has collapsed t...


Dr. Liang Yinpan reply Geriatrics
Ms. Hsiao: I recommend that you visit a large hospital to see an orthopedic or neurology specialist. If necessary, undergo an MRI scan to identify the cause of your condition, so that appropriate treatment can be provided. Changhua Hospital, Geriatrics Department, Dr. Liang Yin-P...

[Read More] Severe Pain Behind the Knee: Understanding Possible Causes and Solutions


Should a 100-Year-Old COVID-19 Patient Go to the Hospital?

My 100-year-old mother recently contracted COVID-19? My mother, who is 100 years old, recently contracted COVID-19 and has not received any vaccinations. She was previously in good spirits and physically active, but in the last three days, she has started to feel weak and has bee...


Dr. Liang Yinpan reply Geriatrics
Hello, Gfsilk: You can take your mother to the gastroenterology outpatient clinic for a blood test. If there is severe dehydration or metabolic imbalance, she will need to be hospitalized for treatment; otherwise, the ward is the easiest place to get infected, so it's best t...

[Read More] Should a 100-Year-Old COVID-19 Patient Go to the Hospital?


Managing Aspiration Risks in Elderly Patients with Nasogastric Tubes

Elderly patients with nasogastric tubes may experience aspiration issues? Hello doctor, my grandmother has been having difficulty breathing these past few days. She was admitted to the hospital with low blood pressure and spent some time in the intensive care unit before being tr...


Dr. Liang Yinpan reply Geriatrics
Hello Ir1350: When feeding grandma, please pay attention to the following: 1. Elevate the head of the bed to 45 degrees or have her sit up. 2. Aspirate first to check if she has fully digested. 3. After feeding, flush the nasogastric tube with warm water. 4. If digestion is poor,...

[Read More] Managing Aspiration Risks in Elderly Patients with Nasogastric Tubes


How to Help an Elderly Father Who Can't Eat After Hospitalization?

What should I do if my elderly father feels like vomiting after taking a bite of food? The elderly father, who was previously able to eat normally, was hospitalized for pneumonia for a month. Two weeks after discharge, the nasogastric tube was removed, and he has been consuming f...


Dr. Liang Yinpan reply Geriatrics
Hello Judy: Your father can first see a gastroenterologist to check if his digestive function is normal. At the same time, he can consult with a rehabilitation specialist to enhance his strength and swallowing ability. Concerned for you, Liang Yin-Pan, Geriatrics Department, Chan...

[Read More] How to Help an Elderly Father Who Can't Eat After Hospitalization?


Managing Aspiration Risks in Elderly Patients with Nasogastric Tubes

Elderly patients with nasogastric tube insertion may experience aspiration issues? Hello doctor, my grandmother has been experiencing difficulty breathing and low blood pressure, which led to her being admitted to the intensive care unit. After about two days, she was transferred...


Dr. Liang Yinpan reply Geriatrics
Hello Ir1350: When feeding Grandma, please pay attention to the following: 1. Elevate the head of the bed to 45 degrees or have her sit up. 2. Aspirate first to check if digestion is complete. 3. After feeding, flush the nasogastric tube with warm water. 4. If digestion is poor, ...

[Read More] Managing Aspiration Risks in Elderly Patients with Nasogastric Tubes


Understanding Walking Difficulties and Weakness in Elderly Patients

A 66-year-old father is experiencing difficulty walking in a short period of time and has a weakened mental state. Urgent attention is needed? Hello Doctor, my father has been without teeth and has not had dentures for nearly a year, which has led to insufficient food intake. Rec...


Dr. Liang Yinpan reply Geriatrics
Dear Mr. Shian, Your father's condition appears to be caused by brain degeneration or electrolyte imbalance due to malnutrition. It is advisable to consult a neurologist for a thorough examination and treatment. In daily life, it is important to maintain a balanced diet, st...

[Read More] Understanding Walking Difficulties and Weakness in Elderly Patients


Understanding Dementia: Signs, Symptoms, and When to Seek Help

Is there dementia or not? Hello, Dr. Liang. My grandfather is 80 years old and has diabetes and heart failure. Two years ago, one morning after his exercise, he returned home to eat breakfast and fell asleep while eating. The family thought it was due to high blood sugar since he...


Dr. Liang Yinpan reply Geriatrics
Hello, A-Dai: Two years ago, Grandpa suffered a stroke that caused brain damage and degeneration, and he is currently showing signs of dementia. It would be advisable to take Grandpa to a neurologist for a detailed evaluation to determine if there are medications available to slo...

[Read More] Understanding Dementia: Signs, Symptoms, and When to Seek Help


Understanding Fatigue in Seniors: Causes and Solutions for Better Sleep

My mom has been experiencing mental fatigue recently? My mother, who is 72 years old, often feels mentally fatigued and drowsy. During the day, she takes pain relievers to boost her energy, but once the effects wear off, she starts to feel fatigued again. She finds this very stra...


Dr. Liang Yinpan reply Geriatrics
Hello, regarding the food: Please take your mother along with all her medications to see a neurologist for a detailed assessment of her health condition. Based on the evaluation, appropriate medication can be prescribed, which should help improve her mental fatigue. Wishing your ...

[Read More] Understanding Fatigue in Seniors: Causes and Solutions for Better Sleep


Supporting Elderly Recovery: Navigating Health Challenges After Illness

The elderly person was generally healthy, but after a serious illness, their physical strength has significantly declined? Hello, doctor. I would like to ask for advice regarding medical management for my grandfather, who is currently 97 years old. Two years ago, he experienced c...


Dr. Liang Yinpan reply Geriatrics
Hello, Ling: Your grandfather is experiencing arrhythmia and shortness of breath upon activity, which may indicate heart failure. It is important to consult a cardiologist for a detailed examination to identify the underlying cause and provide appropriate treatment. Additionally,...

[Read More] Supporting Elderly Recovery: Navigating Health Challenges After Illness


Understanding Appetite Loss and Nausea in Elderly Cancer Patients

Experiencing hunger but feeling nauseous at the sight of food? My mother is 81 years old and has been diagnosed with breast cancer for 10 years, continuously receiving treatment. Due to concerns about infection during the pandemic, she interrupted her chemotherapy for the past ye...


Dr. Liang Yinpan reply Geriatrics
Dear Mr. Jerryinilan, You should first take your mother to see an otolaryngologist to examine whether the structures around her vocal cords and throat are normal. Next, she should undergo an upper gastrointestinal endoscopy with a gastroenterologist to check for any abnormalitie...

[Read More] Understanding Appetite Loss and Nausea in Elderly Cancer Patients


Understanding Headaches and Dizziness in Seniors: When to Seek Help

Headache and dizziness? My grandmother suddenly experienced dizziness, headache, and vomiting this afternoon. She usually takes medication for high blood pressure. Which department should she see?


Dr. Liang Yinpan reply Geriatrics
Hello Hal: Grandma suddenly experienced dizziness, headache, and vomiting this afternoon. We should take her to the emergency room for evaluation and necessary treatment. If her condition has improved now, we can schedule a follow-up with the neurology department for further exam...

[Read More] Understanding Headaches and Dizziness in Seniors: When to Seek Help


Effective Pain Relief Strategies for Elderly Arthritis Patients

Regarding the family's medical condition? In recent months, my grandmother has frequently complained of knee pain. After going to the hospital, she was diagnosed with arthritis. She has previously experienced joint effusion and had it drained. Recently, she fell and got inju...


Dr. Liang Yinpan reply Geriatrics
Dear Ms. Cheng, You should take your grandmother to an orthopedic specialist for a detailed examination to determine if there are any fractures or ligament injuries, so that appropriate treatment can be administered to alleviate her pain. Wishing your grandmother a speedy recov...

[Read More] Effective Pain Relief Strategies for Elderly Arthritis Patients


Understanding Hepatitis B Surface Antigen and Antibody Testing in Seniors

Antibody testing for hepatitis B virus carriers? The elderly care center requires a test report for "HBsAg (Hepatitis B surface antigen) and Anti-HBs (Hepatitis B surface antibody)." If an elderly individual is confirmed to be a carrier of Hepatitis B, will the test res...


Dr. Liang Yinpan reply Geriatrics
Hello, Miss Lin: Hepatitis B is transmitted through blood or sexual contact; it is generally not transmitted through everyday eating or living. You can ask a hepatologist for a certificate or to perform necessary tests. Changhua Hospital, Department of Geriatrics, Dr. Liang Yin-P...

[Read More] Understanding Hepatitis B Surface Antigen and Antibody Testing in Seniors


Understanding Visual Hallucinations in Seniors: When TV Characters Seem to Speak to You

When watching television, one might feel as if the characters on the screen are speaking directly to them? Hello, Doctor! My mother is 84 years old and has retinal vein occlusion in her left eye, while her right eye is normal. Recently, she has frequently mentioned that when watc...


Dr. Liang Yinpan reply Geriatrics
Dear Mr. Hunter: Your mother is experiencing issues related to her mental health or brain function. Please take her to a psychiatrist or a neurologist for further evaluation, examination, and treatment. Sincerely, Liang Yin-Pan, Geriatrics Department, Changhua Hospital, January 6...

[Read More] Understanding Visual Hallucinations in Seniors: When TV Characters Seem to Speak to You


Understanding Brain Atrophy: Do You Need Treatment?

Brain issues? Hello, Doctor: I underwent an MRI scan of my head, and the report indicated "Diffuse widening of sulci and cisterns suggesting brain atrophy." However, I currently do not have any cognitive issues, and my memory is normal. Do I need treatment for this? Is ...


Dr. Liang Yinpan reply Geriatrics
Dear Shih-Hao, Please take the brain scan video to consult with a neurologist to assess the degree of brain degeneration and your overall health condition, in order to determine whether treatment is necessary. Wishing you continued health. Best regards, Liang Yin-Pan, Geriat...

[Read More] Understanding Brain Atrophy: Do You Need Treatment?


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