Choosing Between Pulmonology and Thoracic Surgery: Which Specialist to See?
Internal Medicine and Surgery In the field of pulmonology, there are divisions for both internal medicine and surgery. When making an appointment, which specialty should you choose? Fifteen years ago, you consulted a thoracic surgeon for pleural effusion. Ten years later, you vis...
Dr. Zhang Zhengda reply Pulmonology
Hello: As described, a 30-year-old young female with pulmonary fibrosis has been undergoing long-term treatment with high doses of corticosteroids. The cause of her pulmonary fibrosis is unknown. Has she ever undergone a biopsy? What is her usual blood oxygen level? Has pulmonary...[Read More] Choosing Between Pulmonology and Thoracic Surgery: Which Specialist to See?
Understanding Tuberculosis: Risks, Treatment, and Prevention for Seniors
Pulmonary tuberculosis Dr. Chang: My grandfather, who is in the water, was recently diagnosed with tuberculosis. I have a few questions: 1. If it is severe, could it lead to lung cancer? 2. He is already in his 60s; will that affect his condition? 3. He has been raising pigeons a...
Dr. Zhang Zhengda reply Pulmonology
Dear Ms. Hsuan-Yu, Regarding your grandfather's tuberculosis issue: 1. Can severe tuberculosis lead to lung cancer? There is no direct relationship between tuberculosis and lung cancer. 2. He is already in his 60s; will that affect his condition? As long as he adheres to h...[Read More] Understanding Tuberculosis: Risks, Treatment, and Prevention for Seniors
Navigating Marriage Plans Amidst Suspected Tuberculosis Diagnosis
Tuberculosis and Marriage Hello: My fiancée and I are getting engaged on October 10 and married on October 24. However, yesterday, September 28, she underwent an examination at Tainan Hsin-Lou Hospital and was suspected of having tuberculosis (TB). She has already started medicat...
Dr. Zhang Zhengda reply Pulmonology
A-Feng: Hello, congratulations on your wedding! There’s no need to delay; with treatment until October 10, it will be exactly two weeks, and you won’t be contagious. If the sputum test for tuberculosis is negative, the risk of transmission is very low. After recovery, most patien...[Read More] Navigating Marriage Plans Amidst Suspected Tuberculosis Diagnosis
Understanding Tuberculosis: Prevention and Vaccination for High-Risk Adults
Regarding tuberculosis (TB)? Hello, Doctor: I would like to ask some questions regarding tuberculosis (TB). If an adult tests negative on the PPD test but is in a high-risk group for exposure to TB patients, what additional protective measures should be taken besides self-protect...
Dr. Zhang Zhengda reply Pulmonology
Hello Tracy: Adults do not need a booster dose of the BCG vaccine. The BCG vaccine provides protection for approximately 10 years, primarily preventing children from developing tuberculous meningitis, and it is ineffective for adults. Currently, the PPD test has limited utility i...[Read More] Understanding Tuberculosis: Prevention and Vaccination for High-Risk Adults
Overcoming the Fear of TB: Can I Work in Banking After Recovery?
Tuberculosis Screening Examination Two years ago, I had a severe cold and went to the emergency room, where I was diagnosed with suspected tuberculosis. I took a year of nauseating and painful medication, but I have since been diagnosed as cured and have not had a relapse. Howeve...
Dr. Zhang Zhengda reply Pulmonology
Hello everyone: Tuberculosis can be cured, and once healed, individuals are no different from healthy people and can return to work. If the calcified lesions are very small, there are generally no issues during routine check-ups. If any abnormalities are found, a follow-up examin...[Read More] Overcoming the Fear of TB: Can I Work in Banking After Recovery?
Understanding Pleural Effusion and Chest Pain: A Patient's Journey
Pleural effusion and chest pain? My mother had no prior history of lung issues. At the end of July this year, she accompanied my father to the Kaohsiung Veterans General Hospital for an emergency visit, where they stayed in the emergency room all night. After returning home, she ...
Dr. Zhang Zhengda reply Pulmonology
Hello: There are many causes of pleural effusion, some of which are benign and others malignant (cancerous). It is important to conduct further examinations and follow-ups. If there is fever and the effusion resolves, the prognosis is generally more optimistic. Please discuss thi...[Read More] Understanding Pleural Effusion and Chest Pain: A Patient's Journey
Understanding Pleural Effusion: Causes and Concerns for Seniors
Pulmonary edema My father-in-law is 64 years old and has epilepsy. He has been diagnosed with pulmonary edema, and he has lost a significant amount of weight over the past month. He started experiencing severe hearing loss a week ago. I am very concerned. However, my husband is t...
Dr. Zhang Zhengda reply Pulmonology
Hello: The examination shows "pulmonary effusion." It may be pleural effusion with blood. For the elderly, the likelihood of benign and malignant causes is approximately equal, requiring further detailed examination. Best wishes, Dr. Chang.[Read More] Understanding Pleural Effusion: Causes and Concerns for Seniors
Understanding Post-Tuberculosis Symptoms and Throat Infections
Excuse me? Hello, Doctor: I would like to ask a few questions. I previously had open pulmonary tuberculosis and have since recovered, but after having an X-ray, it was noted that old scars are more pronounced. I was advised to undergo sputum testing because I currently have throa...
Dr. Zhang Zhengda reply Pulmonology
Hello: A: I recently recovered from open pulmonary tuberculosis, but after getting an X-ray, the old scars appeared more prominent, and I was advised to undergo sputum testing. May I ask if the bacteria can remain in the throat, or do they only reside in the lungs? Q: The bacteri...[Read More] Understanding Post-Tuberculosis Symptoms and Throat Infections
Understanding Pleural Effusion: Causes, Treatment, and Recovery Tips
What causes pulmonary edema? How is it treated? Dear Director Zhang, I would like to inquire about pleural effusion. My sister exhibited cold symptoms during the New Year, initially experiencing a cough with phlegm, which later progressed to a dry cough. Recently, she has been w...
Dr. Zhang Zhengda reply Pulmonology
Dear Xiao Zhu, Q: Regarding the issue of pleural effusion: My older sister exhibited symptoms of a cold during the New Year, and after a chest X-ray, it was found that there is fluid accumulation in her lungs. Is pleural effusion classified as benign or malignant? How long is t...[Read More] Understanding Pleural Effusion: Causes, Treatment, and Recovery Tips
How to Get Tested for Tuberculosis: Clinic Hours and Options
Testing for tuberculosis (TB) of the lungs? To get tested for tuberculosis, which department should I visit? Are there weekend clinic hours available?
Dr. Zhang Zhengda reply Pulmonology
Hello, if you suspect you have tuberculosis, you can visit the outpatient clinic at the chest hospital for an examination. There is an outpatient consultation available on Saturday morning with Dr. Chang Cheng-Ta.[Read More] How to Get Tested for Tuberculosis: Clinic Hours and Options
Understanding Chest Pain: Insights on Lung Issues and Diagnosis
Painful breathing? Hello Doctor: At the beginning of this month, I went to the emergency room due to pain in my right chest while breathing. The doctor performed an X-ray but found no issues. An ultrasound also showed no problems. It was only during a CT scan that a shadow was di...
Dr. Zhang Zhengda reply Pulmonology
Hello: There are many causes of chest pain, including neuropathic pain, pleuritis, tumors, pneumonia, and more. A thorough examination is essential. If the examination results are inconclusive, it is generally advisable to start with anti-inflammatory treatment and observe the co...[Read More] Understanding Chest Pain: Insights on Lung Issues and Diagnosis
Coughing and Chest Pain: What to Do When Symptoms Persist
Chest pain when coughing? My boyfriend has been coughing due to long-term smoking, and about four months ago, he started experiencing pain in his left chest whenever he coughs, and sometimes he has difficulty breathing. Pressing on his chest provides some relief. He has undergone...
Dr. Zhang Zhengda reply Pulmonology
Dear Little Sweetie: Coughing accompanied by chest pain and even wheezing sounds quite serious. There are many conditions that could cause these symptoms, and it may be related to smoking. Please consult a pulmonologist for a thorough examination, as conditions such as bronchitis...[Read More] Coughing and Chest Pain: What to Do When Symptoms Persist
Are Lung Nodules a Sign of Lung Cancer? Understanding Your Concerns
Are lung nodules a precursor to lung cancer? Hello Doctor: In September 2004, during a company health check, a chest X-ray revealed a nodule in my left upper lung. Since I have a smoking habit, I am very worried that I might have lung cancer, and I am hesitant to face reality and...
Dr. Zhang Zhengda reply Pulmonology
Mr. Li: Thank you for your letter. Q: In September 2004, during a company check-up, a chest X-ray revealed a nodule in the left upper lung. Since I have a smoking habit, I am very worried that I might have lung cancer, and I am afraid to face reality and get checked. A: You must ...[Read More] Are Lung Nodules a Sign of Lung Cancer? Understanding Your Concerns
Understanding Bronchoscopy: Safety, Risks, and Alternatives for Chest Discomfort
Bronchoscopy examination? Hello, Dr. Chang! I would like to ask what a bronchoscopy is, whether it can cause any harm to the body, and if it is safe. Is there a certain level of pain associated with the procedure? I have been experiencing a persistent feeling of pressure in my ch...
Dr. Zhang Zhengda reply Pulmonology
Mr. Chen: Hello. Q: What is a bronchoscopy, and does it cause any harm to the body? Is it safe? This is a commonly used examination in pulmonology and is generally quite safe, although it may cause some discomfort. As a diagnostic tool for lung diseases, a significant proportion ...[Read More] Understanding Bronchoscopy: Safety, Risks, and Alternatives for Chest Discomfort
Nutrition and Care Tips for Tuberculosis Patients: A Guide
Regarding tuberculosis? Hello, Dr. Chang: I would like to ask about my father, who is a tuberculosis patient and has been on medication for 10 days. What dietary considerations should he keep in mind after being discharged? Besides maintaining a regular routine and hygiene, what ...
Dr. Zhang Zhengda reply Pulmonology
Dear Sir/Madam, Regarding the diet for tuberculosis patients, a balanced diet is generally sufficient unless there are specific restrictions for diabetic patients. Normal daily activities are also encouraged. Due to the use of multiple medications for tuberculosis, the occurrenc...[Read More] Nutrition and Care Tips for Tuberculosis Patients: A Guide
Chronic Cough and Phlegm: Understanding Long-Term Respiratory Issues
Chronic productive cough? Hello Dr. Chang, I have been coughing up phlegm and experiencing a persistent cough for four years. I didn't like going to the doctor before, so I delayed seeking treatment, thinking the condition would resolve on its own. My symptoms are as follo...
Dr. Zhang Zhengda reply Pulmonology
Hello: There are many causes for chronic cough and sputum production, which require evaluation by a physician for differential diagnosis. Generally, a physical examination along with a chest X-ray and sputum analysis can help identify the underlying cause. It is recommended to fi...[Read More] Chronic Cough and Phlegm: Understanding Long-Term Respiratory Issues
Understanding Bronchiectasis: Symptoms, Treatment, and When to Seek Help
Bronchiectasis Hello Doctor: I have been diagnosed with bronchiectasis accompanied by non-tuberculous mycobacteria, and I occasionally experience hemoptysis. I started taking erythromycin three weeks ago, one tablet daily; recently, it seems that my sputum production has decrease...
Dr. Zhang Zhengda reply Pulmonology
Dear Patient: If you have bronchiectasis, it is very likely that you will experience respiratory symptoms, regardless of whether or not you have non-tuberculous mycobacterial infection. If your symptoms worsen or if you experience an increase in hemoptysis, you may return for an ...[Read More] Understanding Bronchiectasis: Symptoms, Treatment, and When to Seek Help
Understanding Thymoma: Treatment Options and Post-Surgery Care
Thymoma Hello Dr. Chang: My father was hospitalized in August due to low hemoglobin levels, and the subsequent examination revealed a thymoma. In fact, the tumor had already formed earlier, and during several previous hospitalizations, he was only given blood transfusions for the...
Dr. Zhang Zhengda reply Pulmonology
Dear Friend: It is advisable to check for other potential causes of anemia. Steroids generally do not affect hematopoietic function. Your father's situation seems a bit complex, so I recommend discussing it in detail with the attending physician to thoroughly explore possibl...[Read More] Understanding Thymoma: Treatment Options and Post-Surgery Care
Which Specialist Should I See for My Boyfriend's Mysterious Symptoms?
Is this condition treated by a pulmonologist? My boyfriend has recently developed a strange illness. We've seen at least ten doctors, including traditional Chinese medicine practitioners, Western doctors, and even consulted fortune tellers, but unfortunately, his condition h...
Dr. Zhang Zhengda reply Pulmonology
Dear friend: It seems quite serious, but the description is not clear. I recommend consulting a pulmonologist for a thorough examination. Best wishes, Dr. Chang Cheng-Ta.[Read More] Which Specialist Should I See for My Boyfriend's Mysterious Symptoms?
Is Pulmonary Fibrosis Cancer? Care Tips and Insights for Patients
Is pulmonary fibrosis cancer? How should it be managed and cared for? Dear Dr. Zhang, My husband is a heavy smoker (with about 15 years of smoking history). Recently, he went to the hospital for a cough and underwent an X-ray examination, where the doctor diagnosed him with pulm...
Dr. Zhang Zhengda reply Pulmonology
Anita: In Taiwan, half of lung cancer cases are related to smoking. The shadows on X-rays can present various changes, and further evaluation through computed tomography, cytological examination, and bronchoscopy is necessary for confirmation. It's important to undergo exami...[Read More] Is Pulmonary Fibrosis Cancer? Care Tips and Insights for Patients