Post-Car Accident Intracranial Hemorrhage: Recovery Concerns and Dietary Advice
My father has intracranial hemorrhage due to a car accident? Hello, doctor. My father was in a car accident and suffered from intracranial hemorrhage. Throughout the process, he remained relatively conscious and did not require surgery. The doctor advised that the blood would be ...
Dr. Zhang Junwei Reply:
The sequelae of patients with cerebral hemorrhage include headaches, dizziness, drowsiness, and neurological deficits related to the site of the hemorrhage. Some of these symptoms may be temporary, while others can be permanent. Acupuncture may be worth trying.[Read More] Post-Car Accident Intracranial Hemorrhage: Recovery Concerns and Dietary Advice
Understanding Coma Levels and Recovery Potential After Brain Aneurysm
Coma scale score of 5 or 6? Hello, Doctor. I would like to ask about my mother, who suffered a ruptured intracranial aneurysm on March 7. The doctors mentioned that there is significant hypoxia in the left hemisphere of her brain. Currently, she has a nasogastric tube and a trach...
Dr. Zhang Junwei Reply:
A coma scale score of 5-6 indicates that awakening is quite difficult. Alternating between an ice pack and medication can be used to reduce fever.[Read More] Understanding Coma Levels and Recovery Potential After Brain Aneurysm
Post-Car Accident: Understanding Concussion Symptoms and Recovery Options
Car accident resulting in a forehead impact? Hello, I was involved in a car accident on February 19, where I collided and rotated 90 degrees, causing me to be thrown approximately the height of a car before landing. My helmet flew off just before I hit the ground, landing on my l...
Dr. Zhang Junwei Reply:
Basically, a CT scan is detailed enough; if there are still doubts, an MRI can be performed![Read More] Post-Car Accident: Understanding Concussion Symptoms and Recovery Options
Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression
Herniated discs at the L1 and L2 levels are compressing the nerves? Hello, Doctor: I am 45 years old. I started experiencing pain near the left sciatic area in April 2015. Initially, I thought it was a sports injury causing a muscle strain. After about two months of treatment wit...
Dr. Lai Zhaokang Reply:
Hello, based on your description, it seems you have lumbar nerve compression. Since L1-L2 is a higher level nerve, there are potential risks associated with surgery, and it is recommended that you have an experienced neurosurgeon perform the procedure. Regarding your description ...[Read More] Understanding L1-L2 Disc Herniation and Surgical Options for Nerve Compression
Managing Persistent Hiccups in an Elderly Patient After Brain Surgery
An 83-year-old man experienced a brain hemorrhage due to a fall and has been experiencing hiccups for the past 13 days while eating? Hello, an elderly patient fell on a rainy day and was taken to the hospital for emergency surgery. There was a 150cc hemorrhage in the left hemisph...
Dr. Zhang Junwei Reply:
Medication treatment, such as Primperan or Wintermin.[Read More] Managing Persistent Hiccups in an Elderly Patient After Brain Surgery
Understanding Spinal Cord Injury and Its Impact on Sexual Function
Issues related to spinal cord injury? Hello, doctor. I have some questions to ask you. After the Lunar New Year this year, I found that I couldn't achieve an erection while watching adult films, so I sought consultation from a urologist. During the New Year period, I moved h...
Dr. Zhang Junwei Reply:
My answer is also: If there is a problem with the spine, it will not only result in sexual dysfunction but may also be accompanied by symptoms such as limb numbness and urinary or fecal incontinence. Please consult a urologist for evaluation first.[Read More] Understanding Spinal Cord Injury and Its Impact on Sexual Function
Understanding Post-Surgery Pain: Is It Sciatica or Something Else?
The area around the incision from my previous lumbar spine surgery is painful again? Hello Doctor, I had surgery in June 2011 at a hospital in the northern region, where they implanted a cage and screws at the L5-S1 intervertebral disc. Although I often experience soreness, for t...
Dr. Lai Zhaokang Reply:
Hello, based on your description, these symptoms resemble sciatica. It would be advisable to further investigate the lumbar spine or other components of the nervous system. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Chief of the Spine and Nerve Surgery Department, Changhua...[Read More] Understanding Post-Surgery Pain: Is It Sciatica or Something Else?
Understanding Calf Pain: Causes and Treatment Options for Seniors
Calf pain Hello Dr. Lai: My mother-in-law often experiences pain in her calves, which worsens when she walks, requiring her to take breaks before she can continue. As a result, she cannot walk far. During these episodes, the doctor has only prescribed painkillers without determin...
Dr. Lai Zhaokang Reply:
Hello, based on your description, this symptom is referred to as "intermittent claudication." It is generally classified into vascular and neurogenic types. If vascular causes are ruled out, it may be neurogenic intermittent claudication, which is commonly associated wi...[Read More] Understanding Calf Pain: Causes and Treatment Options for Seniors
Understanding Herniated Discs: Symptoms, Diagnosis, and Treatment Options
Herniated disc Hello Doctor: I have been experiencing intermittent pain for over a year now, with symptoms being more pronounced during the colder winter months. The only external factor I can think of is that I have been doing weight training at the gym and abdominal exercises a...
Dr. Zhang Junwei Reply:
It appears to be symptoms of lumbar disc herniation compressing the nerves. An MRI can be performed, and it is covered by health insurance, so there is no out-of-pocket expense. However, the physician will assess the severity of the condition based on clinical symptoms to determi...[Read More] Understanding Herniated Discs: Symptoms, Diagnosis, and Treatment Options
Does a Ventricular Drain Affect Comfort During Phone Calls or Subway Rides?
Will the ventricular drainage catheter have any impact on the head while using the MRT or talking on the phone? Hello Doctor: My mother is sixty years old. She underwent brain tumor surgery in September 2013 (approximately 9 cm). Afterward, she had a shunt placed due to hydroceph...
Dr. Zhang Junwei Reply:
In theory, there shouldn't be any issues. However, if there are any doubts, you can consult the surgeon to confirm whether there are any abnormalities in the pressure.[Read More] Does a Ventricular Drain Affect Comfort During Phone Calls or Subway Rides?
Understanding Post-Intracranial Hemorrhage Symptoms and Rehabilitation
Intracranial hemorrhage sequelae Hello Dr. Zhang! My mother had a motorcycle accident in June two years ago, resulting in a head injury to the right occipital lobe with intracranial hemorrhage. She did not require surgery as the blood clot was absorbed naturally. Her Glasgow Coma...
Dr. Zhang Junwei Reply:
The issue is somewhat complex, and each physician has a different explanation. This means that even the doctors are unsure how to explain it; they can only say it is a consequence of brain injury.[Read More] Understanding Post-Intracranial Hemorrhage Symptoms and Rehabilitation
Understanding Head Numbness: MRI Concerns with Metal Implants
Numbness in the head? Hello doctor, I have been troubled by headaches and a feeling of heaviness in my head. Recently, I often experience a tingling sensation in a specific area of my head (I can't tell if it's on the scalp or inside the skull). I have seen a doctor, bu...
Dr. Zhang Junwei Reply:
None.[Read More] Understanding Head Numbness: MRI Concerns with Metal Implants
Are Lumbar Injuries and Coccyx Misalignment the Same?
Is a lumbar strain the same as a dislocated coccyx? Hello, doctor: Due to a car accident, the other party's diagnosis states that there is a contusion on the left flank, but they informed me that their coccyx is misaligned. I would like to ask if the lower back and the coccy...
Dr. Lai Zhaokang Reply:
Hello, the lumbar and coccygeal regions have different medical terminologies. However, in legal matters, it is generally based on written diagnostic explanations.[Read More] Are Lumbar Injuries and Coccyx Misalignment the Same?
Understanding Hand Stiffness and Numbness: Causes and Solutions for Chefs
Hand stiffness and numbness? Why do my hands feel stiff and cramp-like every morning when I wake up, and why do they feel numb and painful when I make a fist? I am a chef and I cook fried rice and other dishes every day.
Dr. Lai Zhaokang Reply:
Hello, as you mentioned, it may be related to your work and the frequent use of your hands over a long period. It could be due to muscle or fascia strain injuries, or possibly joint inflammation, carpal tunnel syndrome, or nerve compression and inflammation. It might be a good id...[Read More] Understanding Hand Stiffness and Numbness: Causes and Solutions for Chefs
Am I at High Risk for Brain Hemorrhage? Understanding Symptoms and Concerns
Am I at a high risk for a brain hemorrhage? Doctor, I started experiencing a headache on the night before last, and it is localized on the right side. My blood pressure is very high, with systolic readings between 175 and 190 and diastolic readings between 120 and 150. I went to ...
Dr. Zhang Junwei Reply:
Strictly control blood pressure and follow up with outpatient neurology for treatment.[Read More] Am I at High Risk for Brain Hemorrhage? Understanding Symptoms and Concerns
Rehabilitation Challenges After Common Peroneal Nerve Injury
Rehabilitation issues related to common peroneal nerve injury? Hello, Doctor. About a year and two months ago, I had a car accident that resulted in fractures of the fibula and tibia. I underwent surgery at Cathay General Hospital in Taipei, where a steel rod was inserted to stab...
Dr. Zhang Junwei Reply:
The issue is too complex; it is recommended to schedule an outpatient appointment to discuss it with a physician![Read More] Rehabilitation Challenges After Common Peroneal Nerve Injury
Is Waiting the Only Option for My Father's Brain Hemorrhage?
Is there nothing to do but wait for a father with a brain hemorrhage? Hello Doctor, my father was admitted to the emergency room on February 14th due to a cerebral hemorrhage, where a CT scan revealed approximately 20cc of bleeding. He underwent an immediate craniotomy for draina...
Dr. Zhang Junwei Reply:
Based on your description, it seems that there are currently no effective methods available![Read More] Is Waiting the Only Option for My Father's Brain Hemorrhage?
Understanding Brain Tumor Surgery: What to Expect and Treatment Options
Brain tumor surgery Can the doctor help me? My brother is 32 years old. He was diagnosed with a brain tumor due to headaches, with approximately 3.4 tumors in the left upper brain. The largest one is 4.5 cm and there is evidence of bleeding. He is scheduled for an MRI tonight, an...
Dr. Zhang Junwei Reply:
Without clinical imaging data and reports, it is difficult to answer this question. It is recommended to return to the outpatient clinic and discuss it in depth with your neurosurgeon![Read More] Understanding Brain Tumor Surgery: What to Expect and Treatment Options
Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
Acute herniated disc, with pain that cannot be relieved even while lying down? My wife experienced severe pain in her right thigh after lifting a heavy object four days ago. The next day, she also had intense pain in her calf and numbness in her toes. The hospital diagnosed her w...
Dr. Lai Zhaokang Reply:
Hello, you may have a serious lumbar spine issue. 1. If you need to use morphine, it is indeed quite severe. Have you undergone a lumbar MRI? 2. Generally, for symptomatic relief, you can try rest, pain medications, and rehabilitation (though if walking is difficult, rehabilitati...[Read More] Understanding Acute Herniated Discs: When Bed Rest Fails to Relieve Pain
Understanding Nerve Compression: Can Weakness Occur Without Pain?
Sitting too forcefully on a chair? Hello, Doctor! I would like to ask you a question. Recently, while sitting on a chair, I mistakenly thought it was a sofa chair, so I sat down with a lot of force without controlling my weight. I’m not sure if it’s just my imagination, but I fee...
Dr. Lai Zhaokang Reply:
Hello! 1. Do you still have the symptom of slight weakness in your right foot? If it has resolved, just keep an eye on it and be cautious in the future. If it persists, I recommend visiting a hospital for evaluation. 2. In cases of nerve compression, is it necessary to experience...[Read More] Understanding Nerve Compression: Can Weakness Occur Without Pain?