Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Hyperhidrosis issues? I have been experiencing sweaty hands and feet since the third or fourth grade, and it has continued into high school. Regardless of the weather, I sweat excessively, and it has become increasingly severe over the past few months. My hands sweat so much that...
Dr. Zhang Junwei Reply:
This issue is not within my specialty; I recommend consulting a thoracic surgeon.[Read More] Managing Hyperhidrosis: Tips for Teens Dealing with Excessive Sweating
Understanding Visual Disturbances After Intracranial Hemorrhage
Visual sequelae Recently, a family member experienced intracranial hemorrhage due to an accident. In addition to symptoms of dizziness and headache, they also have visual discomfort in the right eye and difficulty seeing at a distance. The impact occurred at the lower right poste...
Dr. Lai Zhaokang Reply:
Hello: According to what you mentioned, "the ophthalmologist said there are no structural neurological issues..." Based on medical principles: "Visual conduction pathway: visual field → retina → optic nerve → optic chiasm → optic tract → lateral geniculate nucleus ...[Read More] Understanding Visual Disturbances After Intracranial Hemorrhage
Post-Surgery Considerations for Lumbar Spine: When to Remove Hardware?
Regarding issue #116219, after undergoing surgery on the first lumbar vertebra, is it necessary to perform minimally invasive surgery to remove it after one year? Hello Dr. Lai: First of all, thank you for being willing to respond to my questions. You are truly knowledgeable and ...
Dr. Lai Zhaokang Reply:
Hello, 1. Generally, there is no need to remove the hardware, but if, for example, the screws have loosened, or if they are too rigid and causing discomfort, or for other reasons as determined by the physician, they can be removed. 2. Typically, if it is confirmed that the bo...[Read More] Post-Surgery Considerations for Lumbar Spine: When to Remove Hardware?
Post-Surgery Rehabilitation Tips for Facial Nerve Recovery After Acoustic Neuroma Surgery
Recommendations for Facial Nerve Rehabilitation After Acoustic Neuroma Surgery Hello, Doctor: My mother underwent surgery for a vestibular schwannoma on November 25 of this year and is currently resting at home. Her current condition includes weakness and numbness on the right si...
Dr. Lai Zhaokang Reply:
Hello: If the wound has healed and the patient's physical strength is sufficient, they can consult the original surgeon. It should be possible to arrange for acupuncture with a traditional Chinese medicine practitioner or rehabilitation with a Western medicine specialist. Ne...[Read More] Post-Surgery Rehabilitation Tips for Facial Nerve Recovery After Acoustic Neuroma Surgery
Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Cervical cone surgery status? Hello Doctor: I have seen many doctors, but in fact, each doctor's opinion is different. In March 2016, I sustained an injury during a chiropractic session, and the next day, when I tilted my head down and tried to lift it, I experienced shaking...
Dr. Lai Zhaokang Reply:
Hello: 1. It is recommended to follow up with a cervical spine MRI. 2. If there are concerns about lumbar spondylolisthesis, a dynamic X-ray evaluation of the lumbar spine in extension should be performed. Best wishes, Dr. Lai Chao-Kang, Neurosurgeon.[Read More] Understanding Post-Surgery Symptoms After Cervical Spine Surgery
Post-Surgery Pain and Swelling: Understanding Nerve and Blood Vessel Issues
After surgery to remove a cyst from the groin area, a lump has developed near the anus, and there is a hard structure that feels like a blood vessel (or nerve) which is painful to the touch? Hello, I have a subcutaneous cyst near the left groin and thigh, which was surgically rem...
Dr. Lai Zhaokang Reply:
Hello, I recommend that you first return for a follow-up with the original surgeon. If your issue cannot be resolved, then consider consulting a specialist in the same field at another hospital.[Read More] Post-Surgery Pain and Swelling: Understanding Nerve and Blood Vessel Issues
Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns
Postoperative Mental Status after Aneurysm Rupture Surgery Hello, doctor. My mother is 61 years old. On August 6th of this year, she suddenly fainted and was taken to the nearest Cathay General Hospital for emergency treatment. The doctors diagnosed her with a ruptured aneurysm, ...
Dr. Zhang Junwei Reply:
It should be the result of a brain injury caused by bleeding.[Read More] Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns
Understanding Head and Mouth Pain: When to Seek Medical Help
Head issues I had a sore on the corner of my mouth from October 9th, and I didn't see a doctor until October 12th. The doctor said I had a painful lump on my lower jaw due to a bacterial and viral infection. I only took medication for a little over a day and then stopped, bu...
Dr. Zhang Junwei Reply:
General Internal Medicine is sufficient.[Read More] Understanding Head and Mouth Pain: When to Seek Medical Help
Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options
Severe migraine Doctor, I would like to ask about my condition. A few months ago, I experienced severe headaches for the first time, and when using the computer screen, I couldn't focus my vision. After taking some painkillers and sleeping, I felt better the next day. Howeve...
Dr. Zhang Junwei Reply:
It is usually a migraine. Since the examination has been scheduled, we will wait for the results and then discuss them with the doctor.[Read More] Understanding Severe Migraines: Symptoms, Diagnosis, and Treatment Options
Understanding Sciatica: When to Seek Medical Help for Pain Relief
Suspected sciatica? Since May of this year, I have been experiencing pain in my buttocks (spine area) after driving for about two hours. The pain occurs in an area that does not directly contact the seat, and it tends to lessen when I am not sitting. The episodes of pain have bee...
Dr. Zhang Junwei Reply:
Neurosurgery or Orthopedics[Read More] Understanding Sciatica: When to Seek Medical Help for Pain Relief
Post-Surgery Pain Management for L5S1 Disc Herniation: What to Expect
L5-S1 intervertebral disc herniation with spinal fusion surgery? Hello, I underwent surgery on October 13th for the removal of a herniated disc along with internal fixation. The area where I experienced pain prior to the surgery, from my right buttock to the back of my thigh, cur...
Dr. Lai Zhaokang Reply:
Hello, the surgery was not performed by me, and we do not have your pre-operative and post-operative information. Therefore, we are unable to answer your questions. Best wishes, Dr. Lai Chao-Kang, Director of Spine and Nerve at Changhua Hospital.[Read More] Post-Surgery Pain Management for L5S1 Disc Herniation: What to Expect
Assessing and Managing Agitation Symptoms After Brain Hemorrhage
Assessment and Management of Agitation Symptoms in Intracerebral Hemorrhage My father was rear-ended on October 7, resulting in a right parietal bone fracture, as well as traumatic bilateral intracerebral hemorrhage, subdural hematoma, and subarachnoid hemorrhage. During his hosp...
Dr. Zhang Junwei Reply:
After a brain injury, there may sometimes be cognitive function impairments. However, since I cannot see the location of the bleeding or the detailed situation, I kindly ask you to have a neurosurgical evaluation again![Read More] Assessing and Managing Agitation Symptoms After Brain Hemorrhage
Understanding the Cost of Neurosurgery for Spinal Cyst Removal
Surgical costs Hello Doctor: I went to the hospital and found out that I have a cyst near the last segment of my lower back spine. Could you please tell me approximately how much the surgery to remove it would cost?
Dr. Lai Zhaokang Reply:
Hello, 1. If it is a cyst, surgery may not be necessary; it depends on the condition, so please discuss it with your physician. 2. If surgical removal is required, it is generally covered by health insurance. However, if you wish to use other materials, it will depend on your con...[Read More] Understanding the Cost of Neurosurgery for Spinal Cyst Removal
Post-Surgery Sleep Issues: Navigating Complex Challenges After Spine Surgery
Postoperative sleep issues become complicated? I underwent spinal surgery for spondylolisthesis on February 25, 2016, and I couldn't sleep during my hospital stay. I had been taking sleeping pills for 10 years, but they no longer worked. After the surgery, my legs became num...
Dr. Zhang Junwei Reply:
Discuss with the primary surgeon or other physicians whether a repeat surgery could improve the current lumbar spine issues![Read More] Post-Surgery Sleep Issues: Navigating Complex Challenges After Spine Surgery
Understanding Brain Tumor Recurrence: Causes and Treatment Options
Brain tumor recurrence I would like to ask the doctor about the conditions under which brain tumors are likely to recur. My friend suddenly fainted in November 2014, and bystanders said it was a seizure; this was the first episode, and he had no prior symptoms. After examination,...
Dr. Zhang Junwei Reply:
To determine the type of brain tumor, whether it is benign or malignant, and the cellular characteristics, is essential for understanding the likelihood of recurrence. Targeted therapies or chemotherapy should not pose issues for the skull.[Read More] Understanding Brain Tumor Recurrence: Causes and Treatment Options
Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients
Recurrent brain tumor, hyperthermia treatment? Hello Doctor, my father is 73 years old. In January, he was diagnosed with a brain tumor due to coordination issues. After surgery, it was confirmed to be a Grade IV Glioblastoma Multiforme (GBM). Following the surgery, he underwent ...
Dr. Zhang Junwei Reply:
It is currently unclear how heat therapy affects the human body.[Read More] Exploring Hyperthermia Treatment for Recurrent GBM in Elderly Patients
Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery
Comminuted skull fracture and epidural hematoma? Hello doctor, my girlfriend was in a car accident and went to the hospital because she was experiencing persistent headaches and nausea. She underwent a CT scan and was initially diagnosed with a concussion. Although she was alert,...
Dr. Zhang Junwei Reply:
Without a computed tomography (CT) scan image, I cannot provide you with an accurate answer![Read More] Understanding Crushed Skull Fractures and Subdural Hematomas: Risks and Recovery
Understanding Torticollis: Treatment Options and Surgical Insights
Torticollis issue I first noticed my torticollis around elementary to middle school. It wasn't a problem when I was younger, but now that I'm in my senior year of high school, I've always wanted to seek treatment but haven't had the courage to do so. I don...
Dr. Lai Zhaokang Reply:
Hello, general torticollis is often due to fibrosis of the neck muscles. If you are under 18 years old, it is recommended to first consult a pediatric surgeon (however, there are few specialists in this field, so you may need to search online for the nearest hospital). If there i...[Read More] Understanding Torticollis: Treatment Options and Surgical Insights
Understanding Discrepancies Between MRI and EMG Results in Back Pain
MRI examination shows a herniation at L5-S1 without nerve compression, but the electromyography (EMG) results indicate..? Hello Dr. Chang, In May 2014, I was hospitalized due to a persistent high fever. Despite several days of antibiotic treatment, my condition did not improve. ...
Dr. Zhang Junwei Reply:
In clinical practice, it is uncommon to find normal lumbar MRI results while electromyography indicates nerve compression. It seems that the cause of your pain is not entirely clear; why not consider trying high-frequency thermal coagulation therapy again?[Read More] Understanding Discrepancies Between MRI and EMG Results in Back Pain
Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns
Inquire about the sequelae after cerebral aneurysm surgery? Hello, my father underwent surgery on January 30, 2016, for a left-sided cerebral aneurysm measuring 1.5 cm, during which five clips were applied. Postoperatively, he developed right-sided hemiparesis and damage to the a...
Dr. Zhang Junwei Reply:
There are many potential complications that can occur after aneurysm surgery, and it is not possible to detail each one. The two questions you asked may not necessarily be related to postoperative complications![Read More] Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns