Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
Pressing in the middle of the chest causes pain? Hello Dr. Ding: I have seen several doctors but none have been able to identify the cause of my symptoms. I would like to ask you some questions, as I am unsure which specialty I should consult. Thank you! In mid-September, I sud...
Dr. Ding Xianwei Reply:
It is recommended that you start with family medicine.[Read More] Understanding Chest Pain: When to Seek Help and Which Specialist to Consult
Understanding Brain Hemorrhage and Recovery After a Motorcycle Accident
My mother had a car accident and is experiencing a brain hemorrhage. I would like to seek advice. Thank you? Hello, my mother is 54 years old. On the night of October 26, she was hit by a motorcycle while walking, resulting in swelling on the right side of her brain and a comminu...
Dr. Zhang Junwei Reply:
Hello: 1. Your mother has a comminuted fracture of the fifth lumbar vertebra, and in the presence of intracerebral hemorrhage, it is important to assess whether there is any nerve compression in the lumbar region. If there is nerve compression causing lower limb weakness or neuro...[Read More] Understanding Brain Hemorrhage and Recovery After a Motorcycle Accident
Should Surgery Be Considered for Elderly Patients with Brain Hemorrhage?
Is surgery recommended for cerebral hemorrhage? Hello, doctor. My grandmother fell today and hit her head. After being sent to the emergency room, she was diagnosed with a 20cc intracranial hemorrhage. She is relatively conscious but has slight weakness on one side of her limbs. ...
Dr. Zhang Junwei Reply:
If the patient is conscious and considering their advanced age, it is recommended to primarily focus on conservative treatment. However, it is important to take the actual circumstances into account, and it is advisable to discuss this further with your neurosurgeon.[Read More] Should Surgery Be Considered for Elderly Patients with Brain Hemorrhage?
Unexplained Foot Numbness: Possible Causes and Next Steps
Numbness in the feet with no identifiable cause? Hello Doctor: I have been experiencing numbness in the soles of my feet for almost two months now, with a tingling sensation that occurs intermittently, especially when sitting. After standing or walking for a long time, my heels h...
Dr. Zhang Junwei Reply:
Hello: It sounds like your symptoms are not indicative of spinal nerve compression. Since you also have heel pain, it could possibly be a combination of plantar fasciitis and peripheral neuropathy. I recommend that you consult a neurologist for a nerve conduction study.[Read More] Unexplained Foot Numbness: Possible Causes and Next Steps
Understanding Hydrocephalus After Head Injury: When is Surgery Necessary?
Head trauma Hello Dr. Chang! My mother was in a car accident at the end of July, resulting in a subdural hematoma and cerebral contusion. The attending physician mentioned that the contusion is not significant and can be absorbed naturally with rest. Later, during a follow-up vis...
Dr. Zhang Junwei Reply:
There are two types of hydrocephalus: subdural effusion and true hydrocephalus. They are different conditions. Which type is your mother's issue?[Read More] Understanding Hydrocephalus After Head Injury: When is Surgery Necessary?
Managing Spinal Instability: Treatment Options for Complex Cases
How should instability of the 4th and 5th vertebrae be treated? Hello Doctor, I suffered a spinal injury in a car accident around 1996, which was not treated at the time. This has now led to accelerated degeneration and severe complications (spinal instability, bone spurs, and s...
Dr. Lai Zhaokang Reply:
Hello Miss Xiao Lin, based on your description, it seems you have done a lot of research. It is confirmed that you have instability due to spondylolisthesis. Just imagine, your spinal nerves are living in a house made of lumbar vertebrae that is shaking all the time; can you endu...[Read More] Managing Spinal Instability: Treatment Options for Complex Cases
Understanding Brain Injuries: Risks, Treatment Options, and Success Rates
Brain injury Hello, I have a friend who has sustained multiple impacts to the back of the head, resulting in a blood clot. The doctor said that if it is not removed, there could be a life-threatening risk, but also mentioned that the success rate of surgery is only 10-15%. Is thi...
Dr. Ding Xianwei Reply:
Due to the lack of patient data and imaging studies, it is not possible to determine the nature of the problem or the significance of the success rate. It is recommended that you discuss the next treatment plan with your attending physician.[Read More] Understanding Brain Injuries: Risks, Treatment Options, and Success Rates
Understanding Back Pain: Potential Causes and Solutions
Back problems Hello, doctor! Recently, when I lie flat while sleeping, I often feel that my hips are uneven, with the left side higher than the right. I also consistently feel a pressure sensation on the left side of my spine (in the lower part of my back). Recently, I have exper...
Dr. Ding Xianwei Reply:
Due to the lack of personal examination and insufficient information provided, I am unable to give an answer. I recommend that you visit a neurosurgery outpatient clinic for a proper evaluation and treatment.[Read More] Understanding Back Pain: Potential Causes and Solutions
Non-Invasive Treatment Options for Pituitary Tumors in Southern Taiwan
Pituitary tumor Hello Doctor: I have been unable to conceive due to elevated prolactin levels, and later discovered a small tumor measuring a few millimeters on my pituitary gland. I would like to know if there are any non-invasive surgical options available in the southern regio...
Dr. Zhang Junwei Reply:
Tainan Chimei Hospital has a CyberKnife![Read More] Non-Invasive Treatment Options for Pituitary Tumors in Southern Taiwan
Understanding Back Pain and Thigh Issues After Sports Injury: A Guide
Back pain Hello, doctor. I previously had scoliosis but did not pay much attention to it as there were no special issues. However, two weeks ago, on Saturday, after playing basketball, I started experiencing severe pain in the lower part of my spine the day after, which has conti...
Dr. Lai Zhaokang Reply:
Based on your description, my personal judgment is that the most common issue is likely a herniated lumbar disc compressing the nerves. The lumbar disc is initially injured, causing back pain, but if the disc gradually bulges out due to pressure, it may compress nearby nerves, le...[Read More] Understanding Back Pain and Thigh Issues After Sports Injury: A Guide
Understanding Back Pain and Thigh Issues After Basketball: A Guide
Back pain Hello Dr. Ding, I previously had scoliosis but did not pay much attention to it as there were no special circumstances. However, two weeks ago on Saturday, after playing basketball, I started experiencing severe pain in the lower part of my spine the following day, whic...
Dr. Ding Xianwei Reply:
The doctor's advice is correct! You should get plenty of rest, undergo rehabilitation, and take your medication! Unless the symptoms are severe, in which case surgery may be necessary, further examinations can be arranged.[Read More] Understanding Back Pain and Thigh Issues After Basketball: A Guide
Understanding Chronic Lower Back Pain: Causes and Solutions
Lower back pain issues? Hello Dr. Lai: I am experiencing significant pain on the right side of my lower back and in the middle, as well as pain in my left hip. This is especially severe in the morning when I wake up; I find it difficult to get out of bed and have to rise slowly. ...
Dr. Lai Zhaokang Reply:
Hello: Based on your symptom description, it is generally inferred to be a lumbar spine issue. However, the examination of the lumbar spine is not limited to just MRI. Lumbar spine conditions are not solely related to herniated discs; there are several other issues that could als...[Read More] Understanding Chronic Lower Back Pain: Causes and Solutions
Post-Surgery Concerns in Neurosurgery: A Patient's Journey
Postoperative issues following brain surgery? Hello, Dr. Ding. My father is 72 years old and accidentally hit his head on August 3rd. A CT scan revealed intracranial hemorrhage, and he was initially sent to the intensive care unit for observation. After 2 hours, he fell into a co...
Dr. Ding Xianwei Reply:
Due to the lack of additional information, I cannot provide specific advice; however, it has only been three to four days without improvement, so patience is necessary. You should also discuss this with your attending physician to determine the next steps in treatment. Please do ...[Read More] Post-Surgery Concerns in Neurosurgery: A Patient's Journey
Understanding Recovery After Brain Surgery from a Motorcycle Accident
Surgery for head injury from a car accident? My brother, who is 21 years old, was in a car accident on June 18th. He was not wearing a helmet, which caused a blow to the right posterior part of his brain, resulting in bleeding. He was taken to the hospital and was awaiting surger...
Dr. Zhang Junwei Reply:
Hello: It seems that although your brother was not unconscious before the surgery, the worsening of bleeding could still lead to him falling into a coma 2-3 hours later. Since the doctor said he is awake post-surgery, it indicates an improvement in his condition, but he may still...[Read More] Understanding Recovery After Brain Surgery from a Motorcycle Accident
Understanding Recovery Time After Brain Injury: A Family's Journey
A family member was in a car accident and suffered a brain hemorrhage. They have stopped using sedatives, but consciousness has not yet returned? Hello, doctor. My brother-in-law (32 years old) was in a car accident on July 18, which resulted in a head injury and bleeding in the ...
Dr. Zhang Junwei Reply:
Hello: It appears that your brother-in-law was already in a comatose state prior to surgery, and due to delayed intracranial hemorrhage, he underwent two surgeries. This is a case of severe traumatic brain injury with intracranial bleeding. Our surgical intervention can only aim ...[Read More] Understanding Recovery Time After Brain Injury: A Family's Journey
Is Your Elderly Relative a Candidate for Vertebroplasty Surgery?
Is it appropriate to perform a bone cement procedure? My grandmother is 72 years old. When she was younger, she underwent three surgeries on her lumbar spine and has metal screws for stabilization. Last year, around September to October, she fell in her bedroom. An X-ray at that ...
Dr. Ding Xianwei Reply:
Since I haven't seen the images, I cannot provide you with any recommendations! I suggest you take your grandmother to the outpatient clinic, where she can receive a proper evaluation and treatment before any advice can be given.[Read More] Is Your Elderly Relative a Candidate for Vertebroplasty Surgery?
Understanding Stroke-Related Brain Edema: Treatment Options and Risks
Cerebral edema following a stroke? Hello, my aunt has been hospitalized due to a stroke. A CT scan of her brain shows an area of shadow (edema). When she was first admitted, she was conscious and able to talk to family members, but in the past two days, she has become unconscious...
Dr. Lai Zhaokang Reply:
Hello, based on your description: a. Generally speaking, if a CT scan has confirmed a diagnosis of ischemic stroke, this diagnosis is usually sufficient, and the treatment approach is largely determined. b. To further confirm the area of infarction, an MRI (Magnetic Resonance Ima...[Read More] Understanding Stroke-Related Brain Edema: Treatment Options and Risks
Persistent Headaches After Gastroenteritis: When to Seek Further Evaluation
Persistent headache Hello, six days ago I visited a doctor due to fever and diarrhea. The doctor said it was likely gastroenteritis, but warned that if I continued to have headaches, I should be cautious about meningitis. Two days later, I stopped having diarrhea. I then saw anot...
Dr. Ding Xianwei Reply:
It is recommended that you visit the neurology outpatient clinic for a detailed diagnosis and treatment.[Read More] Persistent Headaches After Gastroenteritis: When to Seek Further Evaluation
Understanding Hand and Foot Numbness: Causes and Solutions
Numbness in the hands and feet, affecting daily life? Hello Doctor, I would like to ask you a question. My father was diagnosed with colon cancer in February 2013 and underwent surgery followed by chemotherapy. After the chemotherapy, he experienced peripheral neuropathy as a si...
Dr. Ding Xianwei Reply:
It is recommended that you visit the outpatient clinic for a detailed examination and treatment.[Read More] Understanding Hand and Foot Numbness: Causes and Solutions
Alternatives to Surgery for Lumbar Disc Herniation in Seniors
Lumbar disc herniation surgery Hello, my mother is about 70 years old and has suffered from lumbar disc herniation causing nerve compression for many years. She is quite anxious about surgery and has been unable to make a decision. Are there any alternative options besides surger...
Dr. Ding Xianwei Reply:
Due to the lack of a personal examination and other patient information (including which section is affected, the severity, and whether there is instability, etc.), I can only provide references for non-surgical methods. The most important aspects of non-surgical treatment are me...[Read More] Alternatives to Surgery for Lumbar Disc Herniation in Seniors