Ears, Family Medicine FAQ - Page 12

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Low Neutrophils and High Lymphocytes: What Does It Mean for Your Health?

Low neutrophil count / High lymphocyte count Hello, doctor. Since I started working at the company in 2016 and began regular health check-ups, I have noticed that the values for neutrophils and lymphocytes in my white blood cell count have been flagged. In 2017, my WBC was 5.5 (n...


Dr. Liao Yaopan Reply:
Hello, based on the data presented, there are no significant abnormalities in the white blood cell count. Typically, a white blood cell differential analysis is performed to examine the proportions of different types of white blood cells and to check for any abnormal forms. Overa...

[Read More] Low Neutrophils and High Lymphocytes: What Does It Mean for Your Health?


COVID-19 Booster Shot Options for Mixed Vaccine Recipients in Taiwan

Third dose of the COVID-19 vaccine? Hello: My mother is 74 years old. She received the first dose of AstraZeneca, the second dose of BioNTech, and she wants to get the third dose of BioNTech, but the hospitals and clinics no longer provide it. I would like to ask: 1. Can my mothe...


Dr. Chen Bozhang Reply:
Hello! Before receiving the COVID-19 vaccine, it is important to have a physician assess whether your individual health condition is suitable for vaccination. For information regarding vaccine availability, it is recommended to contact your local health department. Thank you!

[Read More] COVID-19 Booster Shot Options for Mixed Vaccine Recipients in Taiwan


High Glycated Hemoglobin with Normal Blood Sugar: Is It Prediabetes?

Is a high level of glycosylated hemoglobin (HbA1c) with normal blood glucose levels indicative of prediabetes? I have been taking antihypertensive and lipid-lowering medications for many years, and I have blood tests every three months. In January, the abnormal results included t...


Dr. Hou Angting Reply:
Hello, dear mother: A glycated hemoglobin level between 5.8 and 6.4 can be classified as prediabetes. Please continue to maintain a healthy diet and engage in moderate exercise, and make sure to have regular follow-ups at the outpatient clinic. Additionally, the presence of abnor...

[Read More] High Glycated Hemoglobin with Normal Blood Sugar: Is It Prediabetes?


Health Risks of Using Solvents and Chemicals for Cleaning Walls

Solvent or other chemical matters? Hello, a few years ago, I caused grease stains on the walls of my rental apartment while cooking, and I bought a product to wipe those stains. I forgot what the product was, possibly a solvent or acetone, and I am uncertain about it. Recently, I...


Dr. Liao Yaopan Reply:
Hello, regarding your concerns: 1. The use of volatile solvents in small amounts in well-ventilated areas may not result in high residual levels; it is best to avoid their use if possible. 2. Whether a substance is hazardous is still related to the type of material and the amount...

[Read More] Health Risks of Using Solvents and Chemicals for Cleaning Walls


Unexplained Fever for Over a Year: Seeking Answers and Next Steps

Fever of unknown origin for over a year? Hello Doctor, my condition started two years ago with unexplained fevers (ear temperature around 37.5 to 38.3 degrees Celsius). I consulted an infectious disease specialist at the hospital and underwent various tests (including blood tests...


Dr. Lin Zhebin Reply:
Hello, I will address your questions one by one: 1. If traditional Chinese medicine is ineffective in reducing your fever, should you continue seeking medical attention, and what direction should that take? From a Western medicine perspective, I personally believe that you shou...

[Read More] Unexplained Fever for Over a Year: Seeking Answers and Next Steps


Should Stable Type 2 Diabetes Patients Transition from Medical Centers?

Regarding whether patients with stable type 2 diabetes still need to visit a medical center? Hello, Doctor. I apologize for bothering you. I would like to ask about my situation. I have had type 2 diabetes for over seven years. After discovering this issue during a health check, ...


Dr. Hou Angting Reply:
Hello, internet user: Currently, the treatment for diabetes in clinics in Taiwan has a comprehensive system. In addition to medication therapy, there are diabetes educators for follow-up, and regular blood tests and related medical referrals are arranged. It is recommended that y...

[Read More] Should Stable Type 2 Diabetes Patients Transition from Medical Centers?


Managing Diabetes and Cholesterol: Concerns About Lipitor's Impact

Issues related to discontinuation of Lipitor? Hello Doctor, I am an 8-year diabetes patient, 60 years old. For the past 8 years, I have controlled my blood sugar through diet and exercise without taking any hypoglycemic medications. I was diagnosed with diabetes in 2014 with an H...


Dr. Hou Angting Reply:
Hello, internet user: Most cholesterol-lowering medications may induce the onset of diabetes, but there are some cholesterol-lowering drugs that have minimal impact on blood glucose levels. It is advisable to discuss with your primary physician whether to switch to these types of...

[Read More] Managing Diabetes and Cholesterol: Concerns About Lipitor's Impact


Managing Chronic Osteomyelitis: Antibiotics, Vascular Health, and Vaccination

Antibiotics for Chronic Osteomyelitis Hello, doctor. Four years ago, I suffered a fracture due to a car accident, and I have not fully recovered. I still need to be hospitalized for treatment of the fracture, which has led to chronic osteomyelitis. I have been undergoing antibiot...


Dr. Chen Bozhang Reply:
Hello! Based on your description, you are currently hospitalized and receiving treatment. It is advisable to consult your attending physician. Thank you!

[Read More] Managing Chronic Osteomyelitis: Antibiotics, Vascular Health, and Vaccination


Feeling Dizzy and Heart Racing After Drinking: Possible Causes and Solutions

Feeling dizzy and experiencing a rapid heartbeat after drinking a beverage? Hello, Doctor. Recently, whenever I drink low-sugar milk tea or sugar-free beverages from bubble tea shops, I often experience dizziness and an increased heart rate after finishing the drink (my usual hea...


Dr. Liao Yaopan Reply:
Hello, it's uncertain what beverage you are referring to. If it contains caffeine, similar reactions may occur, which are related to the amount consumed and individual constitution. Therefore, if you are concerned, it is advisable to refrain from drinking such beverages. Onl...

[Read More] Feeling Dizzy and Heart Racing After Drinking: Possible Causes and Solutions


Do I Need Rabies Vaccination After Cat Bite? Expert Advice

Is there still a concern about rabies infection, and should a vaccine be administered? About three years ago, on a Sunday afternoon, I encountered my neighbor's cat in the stairwell of our apartment building. The cat often roamed around the building. That afternoon, as I was...


Dr. Cai Dongqi Reply:
Hello: I'm not very clear about this, so I'm asking in the infectious disease outpatient clinic.

[Read More] Do I Need Rabies Vaccination After Cat Bite? Expert Advice


Understanding Alternating Foot Warmth: When to Seek Medical Advice

Alternating warmth in the left and right feet? Hello Doctor, for the past month, I have been experiencing warmth in the areas below my ankles (including the dorsum of the foot, the sole, and the toes). Sometimes it occurs in the morning, and other times in the afternoon, with bot...


Dr. Hou Angting Reply:
Hello, online user: You may want to discuss your current condition with your rheumatologist first. If there is no improvement, you can seek further evaluation from a cardiologist. Wishing you good health.

[Read More] Understanding Alternating Foot Warmth: When to Seek Medical Advice


Do I Need a Tetanus Shot for a Minor Scrape from a Bike Accident?

Regarding minor abrasions from a car accident? A few days ago, I had a motorcycle accident. At the time, I didn't pay much attention to it, but when I got home in the evening, I noticed a small, shallow abrasion. I was wearing long pants, and they didn't tear. Doctor, i...


Dr. Ye Qianyu Reply:
Hello! If you have not received a vaccination in over 10 years, you may consider getting vaccinated.

[Read More] Do I Need a Tetanus Shot for a Minor Scrape from a Bike Accident?


Understanding Subcutaneous Blood Clots: Causes and Concerns

Subcutaneous hematoma Hello doctor, today I suddenly noticed a black lump the size of a cockroach egg on the web of my left hand. It appears dark purple and feels firm and raised. Pressing it hard does not change its color or make it disappear. I would like to ask the doctor what...


Dr. Ye Qianyu Reply:
Hello! Based on your description, it is possible that a subcutaneous microvessel was ruptured or damaged due to compression or friction, but did not receive immediate pressure to stop the bleeding. Please monitor whether it increases in size. If there is no further bleeding, allo...

[Read More] Understanding Subcutaneous Blood Clots: Causes and Concerns


Frequent Migraines with Nausea: When to Seek Medical Help?

Chronic headaches accompanied by vomiting? Hello, I would like to ask about my condition. I have a history of migraines, but in recent years, they have become more frequent, occurring at least once a week, and sometimes the pain is severe enough to cause vomiting. The headache is...


Dr. Ye Qianyu Reply:
Hello! Based on your description, I recommend that you visit a neurologist for a comprehensive evaluation and to understand how to manage your headache issues through diet, lifestyle, and medication.

[Read More] Frequent Migraines with Nausea: When to Seek Medical Help?


Can Family Medicine Oversee Multiple Health Issues and Tests?

Is it possible to schedule an appointment with a family medicine physician for follow-up examinations? Is there a relationship between RBC 3-5+ and light blood? For the past two years, my urine RBC count has been elevated (I have avoided testing during my menstrual period), but t...


Dr. Cai Dongqi Reply:
Hello, Fange: 1. All are benign tumors (there are several adenomas in the breast, a hemangioma in the liver, and a cyst in the ovary). 2. This is not my area of expertise; please consult a specialist. (There is a tumor in the spine, and there are lymph nodes in the neck and gr...

[Read More] Can Family Medicine Oversee Multiple Health Issues and Tests?


Understanding the 13-Valent Pneumococcal Vaccine for Adults

Administration of the 13-valent pneumococcal conjugate vaccine in adults? Hello, doctor. My mother is 58 years old and wishes to receive the 13-valent pneumococcal conjugate vaccine. However, the doctor informed us that this vaccine can only be administered once in a lifetime, an...


Dr. Xiao Yongxun Reply:
Dear Ms. R: Streptococcus pneumoniae is a Gram-positive bacterium, currently known to have over 90 serotypes; the capsular polysaccharide on the bacterial surface is associated with its pathogenicity. In our country, there are currently two types of pneumococcal vaccines availab...

[Read More] Understanding the 13-Valent Pneumococcal Vaccine for Adults


Persistent Fever for a Week: Possible Causes and Next Steps

Fever has been frequent over the past week? Hello doctor, since last Wednesday, I have been experiencing fever every evening, ranging between 38-39 degrees Celsius. During the afternoons, I do not have this symptom, and I do not have a runny nose or cough. Right before the fever ...


Dr. Liao Yaopan Reply:
Hello, the most common cause of fever is still due to infections. If the cause is not determined and the fever persists, further investigation is recommended. It is advisable to consult an infectious disease specialist for evaluation. Please note that online consultations are not...

[Read More] Persistent Fever for a Week: Possible Causes and Next Steps


Building Confidence for Vaccination: Steps to Improve Your Health First

I haven't received the vaccine yet, but I lack confidence in my physical condition? Hello, doctor. I have not received my first dose of the vaccine yet, but I am considering getting vaccinated soon. However, I lack confidence in my physical condition. Several years ago, I un...


Dr. Chen Bozhang Reply:
Hello Gary! If you have any concerns, it is recommended that you first follow up with a psychiatrist. By adjusting your daily routine and improving your physical health, you can then assess with a family medicine physician whether it is appropriate for you to receive the COVID-19...

[Read More] Building Confidence for Vaccination: Steps to Improve Your Health First


Understanding Lower Abdominal Pain: Seeking the Right Specialist

Lower abdominal pain? Hello Doctor: For the past three years, I have been experiencing a vague stabbing and burning sensation in the area just above the genital region, as well as a tight feeling in both groins. I have undergone a gynecological examination, hysterosalpingography,...


Dr. Xiao Yongxun Reply:
Dear Ms. Emily: Issues related to the perineum and lower abdomen should indeed consider gynecological or urological problems. Common concerns include infections, tumors, endometriosis, urinary tract stones, and inflammation of the bladder or urethra, among others; of course, ther...

[Read More] Understanding Lower Abdominal Pain: Seeking the Right Specialist


Why Your Medical History Matters: Vaccine Administration Concerns

The COVID-19 vaccine was returned? Today, I went to the health center to prepare for the BNT vaccine. During the evaluation and consultation process, the physician learned that I had experienced a major hemorrhage during surgery two years ago, which required observation in the IC...


Dr. Ye Qianyu Reply:
Hello! For certain vaccines, individuals who have received a blood transfusion or intravenous blood products should wait at least 6 months before vaccination. However, the COVID-19 vaccine is currently under emergency authorization, and physicians can provide accurate recommendat...

[Read More] Why Your Medical History Matters: Vaccine Administration Concerns


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