Is Slurred Speech a Sign of Stroke? Understanding Neurological Concerns
Unclear language expression? Hello: My father-in-law seems to have some issues lately. He often has difficulty expressing himself clearly. Sometimes he speaks clearly, while other times he cannot complete a full sentence. However, he is aware of what everyone is saying and doing....
Dr. Xu Weicheng Reply:
Hello: Due to the patient's verbal symptoms not being clearly aligned with the actual condition, it is recommended to visit the relevant department at the hospital for further evaluation.[Read More] Is Slurred Speech a Sign of Stroke? Understanding Neurological Concerns
Can My Mom Transfer to Chiayi Hospital for Rehabilitation After Stroke?
Can I be transferred to the rehabilitation department at Chiayi Hospital? Doctor, my mother had a stroke during the Lunar New Year and is currently undergoing rehabilitation at Chang Gung Memorial Hospital. However, the rehabilitation department can only accommodate her for three...
Dr. Qiu Conglang Reply:
Hello: Regarding the evaluation for transfer of care, you should consult your mother's attending physician. You may also seek assistance from social services or a social worker. If the transfer to Chiayi Hospital is for the convenience of nearby care, it is advisable to brin...[Read More] Can My Mom Transfer to Chiayi Hospital for Rehabilitation After Stroke?
Understanding Scalp Tingling: Causes and Concerns for Neurological Health
Scalp tingling issue? Director: I would like to ask, in the past week or two, I have frequently felt a tingling sensation in my scalp, and occasionally I also feel a slight tightness in the areas where the tingling occurs. Additionally, my work primarily involves computer tasks, ...
Dr. Ye Boshou Reply:
This is not a stroke symptom, so please rest assured. It is most likely caused by muscle tension, and it is advisable to frequently change your posture.[Read More] Understanding Scalp Tingling: Causes and Concerns for Neurological Health
Understanding the Connection Between Head Injuries and Lower Back Pain
Brain issues and lower back pain? Hello Dr. Yeh, I would like to ask two questions. I have previously experienced a head injury and often have nosebleeds. I have consulted a traditional Chinese medicine practitioner who mentioned that my brain may have sustained damage and that ...
Dr. Ye Boshou Reply:
1. If there are signs of a stroke, please first consult a neurologist. 2. It is advisable to engage in more back exercises and apply heat therapy. If there is no improvement, further evaluation by a neurologist or a rehabilitation specialist is still necessary.[Read More] Understanding the Connection Between Head Injuries and Lower Back Pain
Understanding Shoulder Blade Pain: Is It a Stroke Warning or Muscle Issue?
excuse me? Hello: 1. I suddenly experienced severe pain near my scapula at heart level, lasting about 30 seconds, accompanied by a rapid heartbeat and difficulty breathing. 2. After that, when I try to sleep, lie down, get up, turn over, jump, or cough, that area hurts a lot. I h...
Dr. Ye Boshou Reply:
This is a case of tendonitis, which is unrelated to a stroke. Please consider seeing a rehabilitation specialist or an orthopedic doctor first.[Read More] Understanding Shoulder Blade Pain: Is It a Stroke Warning or Muscle Issue?
Can Sleep Apnea Qualify for Disability Benefits? Expert Insights
Please ask your question? Hello, Director Yeh. I would like to ask whether sleep apnea can qualify for disability benefits. A friend of mine, who is only 26 years old, experiences sudden episodes of not being able to wake up. I heard that it is possible to apply for disability in...
Dr. Ye Boshou Reply:
To my knowledge, there is no such item in disability assessment. Bloodletting as an emergency measure for stroke has no scientific basis, and distinguishing between heart discomfort and stroke requires a physician's evaluation. What should be done is to have the patient lie ...[Read More] Can Sleep Apnea Qualify for Disability Benefits? Expert Insights
Understanding Involuntary Mouth Opening: Possible Causes and Concerns
If the mouth opens involuntarily, it could be due to several reasons, including muscle spasms, neurological conditions, or side effects from certain medications. It is important to consult a healthcare professional for a proper diagnosis and treatment plan? My father has been exp...
Dr. Ye Boshou Reply:
It may be caused by psychiatric medication; you can first consult a psychiatrist or a neurologist.[Read More] Understanding Involuntary Mouth Opening: Possible Causes and Concerns
Post-Exercise Tinnitus and Facial Numbness: Stroke Concerns?
Tinnitus and facial numbness after exercise? Recently, I've been experiencing tinnitus shortly after exercising, and drinking water doesn't help. My ears start to hurt soon after, and during rest, my cheeks suddenly feel numb. Could this be a stroke?
Dr. Huang Yingzhe Reply:
Dear Ah Hong, This is Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. Based on your age and symptoms, it is not a stroke! However, an evaluation by an otolaryngologist is necessary. You may want to visit the ENT depart...[Read More] Post-Exercise Tinnitus and Facial Numbness: Stroke Concerns?
Exploring Treatment Options for Vision Loss After Stroke
Stroke can cause vision loss? My husband suffered a ruptured cerebral aneurysm and, after surgery, he woke up a few days later to find he could not see. A month later, he underwent a vitrectomy to remove the vitreous hemorrhage. Postoperatively, an ophthalmologist examined him an...
Dr. Cao Wenlong Reply:
Hello: Visual abnormalities have been thoroughly diagnosed and treated by both ophthalmology and neurosurgery specialists, but the results have been unsatisfactory. This indicates that the injured tissue requires time to gradually heal. Be patient and learn to accept the reality....[Read More] Exploring Treatment Options for Vision Loss After Stroke
Understanding Hemorrhagic Stroke: Recovery, Treatment Options, and Care
Hemorrhagic stroke Hello, my father suddenly collapsed a few days ago and was diagnosed with a hemorrhagic stroke. He underwent emergency surgery to drain the blood, but he is unable to move his left limbs. He has been in a coma for several days and has just awakened; although he...
Dr. Huang Yingzhe Reply:
Dear Ms. Hsiu-Ching, This is Dr. Huang Ying-Che from the Department of Neurology at Tainan Hospital, Ministry of Health and Welfare. 1. The recovery of consciousness and the timeline depend on various factors such as the amount of bleeding, the location of the injury, and the d...[Read More] Understanding Hemorrhagic Stroke: Recovery, Treatment Options, and Care
Understanding Coma After Stroke: Timing for Transfer and Care Considerations
Unconsciousness after a stroke? Dear Director, Due to the sudden nature of the situation, the patient experienced a medical emergency while riding home from work on September 19. After being transported by ambulance to a regional hospital, the patient was still conscious. After ...
Dr. Cao Wenlong Reply:
Hello: The timing for patient transfer is a professional judgment made by the attending physician. Typically, a transfer is necessary when the original treatment facility lacks adequate equipment or does not have the appropriate specialist in that field. The timing for transfer s...[Read More] Understanding Coma After Stroke: Timing for Transfer and Care Considerations
Navigating Concerns About Third Stroke: Expert Advice and Hospital Recommendations
Urgent matter: What should be done for a patient with a third stroke? Hello Dr. Chiu, I would like to ask for your advice regarding my grandmother. She had her first stroke when I was in elementary school, and a few years ago, she suffered a second stroke. My mother has informed...
Dr. Qiu Conglang Reply:
Hello: Hemorrhagic stroke often leads to obstructive hydrocephalus, and repeated strokes can cause non-obstructive hydrocephalus due to brain atrophy. Whether hydrocephalus requires drainage surgery should be determined by a neurosurgeon’s professional judgment. I apologize for n...[Read More] Navigating Concerns About Third Stroke: Expert Advice and Hospital Recommendations
Understanding Facial Nerve Paralysis: Connection to Liver Function and Recovery
Facial nerve paralysis Hello, I experienced sudden right facial paralysis in May of the year before last, and after examination by a physician, there were no signs of a stroke or any disease. At that time, I only had severe cold symptoms. Since I was working abroad, I couldn'...
Dr. Ye Boshou Reply:
1. Facial nerve paralysis is not related to the liver. 2. Recovery is at 90%, which is considered good. 3. Each occurrence is an independent event, and the recurrence rate is very low.[Read More] Understanding Facial Nerve Paralysis: Connection to Liver Function and Recovery
Understanding Dizziness, Numbness, and Nausea: A Neurology Perspective
Dizziness, body numbness, nausea? Hello, Doctor. I have been suffering from insomnia for several years, and I often experience headaches, dizziness, nausea, and pain in the left side of my neck and shoulder. Since the beginning of this year, I have been seeing a neurologist and h...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare: The symptoms you described are quite unusual, and it is difficult to determine what might be happening based solely on this information. I recommend that you visit a...[Read More] Understanding Dizziness, Numbness, and Nausea: A Neurology Perspective
Understanding Persistent Headaches: Causes and Treatment Options
Frequent headaches Doctor: Hello! I would like to ask about persistent pain on the left side of my head that has been occurring without any apparent reason for a long time. In February of this year, I visited a neurologist and underwent a brain ultrasound, but the results showed ...
Dr. Ye Boshou Reply:
There are many causes of headaches, and neurologists are specialists in headache management. Headaches can result from muscle tension or even intracranial tumors, but headaches caused by structural changes should be persistent. If the headache has a pulsating quality, it may indi...[Read More] Understanding Persistent Headaches: Causes and Treatment Options
Understanding Medical Errors and Risks in Neurology: A Case Study
Medical Errors and Risks Hello Dr. Chiu: 1. During a cerebrovascular embolization surgery, if the physician accidentally punctures a blood vessel causing a hemorrhagic stroke, is this considered a medical error or a risk? If it is a risk, what is the probability? 2. After the...
Dr. Qiu Conglang Reply:
Hello: Endovascular embolization can be applied to cerebral aneurysms, arteriovenous malformations, brain tumors, and other cerebrovascular lesions. The risks associated with the procedure vary depending on the specific condition, with common risks including hemorrhage and cerebr...[Read More] Understanding Medical Errors and Risks in Neurology: A Case Study
Understanding Extracranial Vascular Blockage: Symptoms and Solutions
Extracranial vessels If there is a blockage in the extracranial blood vessels, what should be done? Initially, I had swelling in the area just to the right of the center of my eyebrows, with a sensation of blood vessels constricting, as if there was a blockage preventing blood fl...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Department of Health, Executive Yuan: You may consider performing an MRI and duplex ultrasound to further evaluate the situation before deciding on the next course of action. Wishing you good healt...[Read More] Understanding Extracranial Vascular Blockage: Symptoms and Solutions
Understanding Stroke Golden Hour: Myths and Facts for Emergency Response
Golden Hour Management of Stroke I would like to inquire about the authenticity of an article titled [Golden Hour Treatment for Stroke]. The content states: When a person suffers a stroke, the microvessels in the brain gradually rupture. In such a situation, it is crucial not to ...
Dr. Qiu Conglang Reply:
Hello: Due to the inability to determine the authorship and origin of online articles, which may be fictional or related to other folk remedies, I cannot comment on their authenticity. As for the emergency management of stroke, you can refer to the content in the stroke course ma...[Read More] Understanding Stroke Golden Hour: Myths and Facts for Emergency Response
Understanding Cardiac Arrest and Coma in Patients with Atrial Fibrillation
Myocardial infarction Dear Director Huang, I would like to ask you a few questions regarding a patient with atrial fibrillation who has a history of a mild hemorrhagic stroke in the basal ganglia several years ago. The patient was admitted to the intensive care unit due to myoca...
Dr. Huang Yingzhe Reply:
Dear Mr. Tsai, This is Dr. Huang Ying-Che, the Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare. 1. It is possible that due to pre-existing stroke damage in the brain and renal failure, there are significant functional issues. 2. It is dif...[Read More] Understanding Cardiac Arrest and Coma in Patients with Atrial Fibrillation
Addressing Swallowing Difficulties in Stroke Patients: Solutions and Nutrition
Regarding swallowing difficulties in stroke patients? Hello Dr. Tsao, I would like to consult you about some issues regarding stroke patients. My father had a stroke in mid-April and it has been over two months now. He was initially treated at the Veterans General Hospital, and d...
Dr. Cao Wenlong Reply:
Hello: For swallowing difficulties, you can consult a physical therapist in the rehabilitation department to learn swallowing techniques. For nutritional adjustments, you can seek advice from a hospital nutritionist. If a previously stable condition suddenly worsens, consider the...[Read More] Addressing Swallowing Difficulties in Stroke Patients: Solutions and Nutrition