Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
I have a severe compensatory sweating issue? Doctor: I underwent T4 sympathetic nerve transection surgery in June of this year, and I am experiencing severe compensatory sweating postoperatively. Are there any medications or methods available to improve this compensatory sweating...
Dr. Lai Zhaokang Reply:
Hello: The surgery for palmar hyperhidrosis has been regulated in Taiwan for many years, requiring careful preoperative assessment and approval from health insurance authorities before it can be performed. This is due to the fact that many patients experience similar issues, such...[Read More] Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Hydrocephalus shunt surgery Hello, my father was involved in a car accident while walking at the end of May this year. The accident resulted in intracranial hemorrhage, skull fractures, pneumocephalus, a fracture of the third thoracic vertebra, and suspected damage to the brachia...
Dr. Zhang Junwei Reply:
It is difficult to determine whether surgery is absolutely necessary based solely on your description. However, if surgery is indeed required, considering a lumbar drainage procedure could be an option.[Read More] Understanding Hydrocephalus and Drainage Surgery: A Patient's Journey
Understanding Treatment Options for Lumbar Compression Fractures
Compression fracture of the second lumbar vertebra due to a fall? Hello, my mother, born in 1944, had an accident on June 4th when she accidentally stepped into a gap and fell to the ground, resulting in a crush fracture of her second lumbar vertebra due to gravitational impact, ...
Dr. Lai Zhaokang Reply:
Hello: A. When performing an MRI, in addition to assessing the degree of vertebral collapse, it is also important to evaluate whether there is nerve compression. B. Generally, if the vertebral height is collapsed by 1/2 and there are symptoms of buttock and leg pain due to nerve ...[Read More] Understanding Treatment Options for Lumbar Compression Fractures
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
Why Does Pain Persist After Nerve Tumor Surgery?
Why is there still pain after the surgery to remove it? Hello, doctor. About ten days ago, I underwent surgery to remove a neuroma from my elbow. However, since the surgery, I have been experiencing sharp pain in the veins on the back of my hand (before the surgery, the pain was ...
Dr. Zhang Junwei Reply:
Due to not being able to see the postoperative wound and not being clear about the surgical procedure, I am unable to provide an answer.[Read More] Why Does Pain Persist After Nerve Tumor Surgery?
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
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 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
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
Post-Operative Recovery Insights After Endoscopic Disc Surgery
Postoperative care following endoscopic spinal disc surgery? Hello, after the Dragon Boat Festival this year, I experienced severe pain and swelling in my hip and thigh. An MRI revealed a herniated disc at the L5-S1 level, which was compressing the nerve. I underwent endoscopic d...
Dr. Lai Zhaokang Reply:
Hello, since you have completed the surgery at Youmin Hospital, you should consult the original surgeon regarding the postoperative issues. Wishing you a speedy recovery![Read More] Post-Operative Recovery Insights After Endoscopic Disc Surgery
Post-Surgery Complications of Lumbar Spondylolisthesis: What to Expect
Postoperative complications of spinal spondylolisthesis surgery? Hello Dr. Chang, on February 24, I underwent surgery for a herniated disc and spondylolisthesis from the fourth lumbar vertebra to the fourth sacral vertebra. During the procedure, three resin interbody fusion devic...
Dr. Zhang Junwei Reply:
It is evident that your postoperative pain is more severe than it was before the surgery, which theoretically should not happen. There may have been some issues during the surgical procedure. It is advisable to discuss this further with your attending physician or consider underg...[Read More] Post-Surgery Complications of Lumbar Spondylolisthesis: What to Expect
Understanding Brain Tumor Surgery and Post-Operative Care Challenges
Brain Tumor Treatment Hello, doctor. On March 28, the patient underwent surgery to remove a brain tumor approximately 5.5 cm in size located in the left ventricle. Postoperatively, the patient was stable and was able to open their eyes and recognize people after the anesthesia wo...
Dr. Zhang Junwei Reply:
1. Yes, if the patient's condition is stable, they should be transferred from the intensive care unit (ICU) to a general ward for further treatment, even if they have not regained consciousness. If patients could remain in the ICU indefinitely just because they haven't ...[Read More] Understanding Brain Tumor Surgery and Post-Operative Care Challenges
Post-Surgery Numbness in Hand: Is It Normal After Cervical Surgery?
After cervical spine surgery, experiencing numbness in the hand can be considered a normal occurrence? Hello, my wife is 40 years old. She recently went to the hospital due to numbness in her left arm, and an MRI revealed that she has herniated discs at the C5/C6 and C6/C7 levels...
Dr. Lai Zhaokang Reply:
Hello, it is recommended to consult your surgeon. Wishing you a speedy recovery. Dr. Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.[Read More] Post-Surgery Numbness in Hand: Is It Normal After Cervical Surgery?
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 Nerve Repair Surgery: Recovery and Expectations
Doctor, please help me..? Doctor, I would like to ask about the surgery for nerve repair. Is it likely for the fingers to regain movement after the procedure? Additionally, how long does it typically take to see any movement? I have already undergone surgery by Dr. Chuang at Chan...
Dr. Lai Zhaokang Reply:
Hello. In short, medicine is complex. After nerve suturing, it takes time for the nerves to regenerate and regain function. Since you have undergone surgery, any postoperative issues should be addressed with the original surgeon. Wishing you a speedy recovery.[Read More] Understanding Nerve Repair Surgery: Recovery and Expectations
Understanding Ulnar Nerve Surgery: Treatment, Recovery, and Recurrence
Ulnar nerve surgery The treatment for ulnar nerve surgery involves several steps. The procedure is typically performed to relieve compression of the ulnar nerve, often at the elbow (cubital tunnel syndrome) or wrist (Guyon's canal syndrome). During the surgery, the surgeon...
Dr. Lai Zhaokang Reply:
Hello, ulnar nerve surgery is typically performed at the elbow to relieve the compressed nerve. This procedure is generally not difficult and should be performed by a specialized physician. If this issue is confirmed, please discuss it with your scheduled surgeon through online i...[Read More] Understanding Ulnar Nerve Surgery: Treatment, Recovery, and Recurrence
Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered
Intracranial hemorrhage due to a car accident? Hello, doctor. My girlfriend was in a car accident on the morning of December 31, resulting in a pneumothorax and a brain hemorrhage, for which she underwent surgery to remove the blood clot and was admitted to the intensive care uni...
Dr. Zhang Junwei Reply:
Your situation is quite complex; it's best to consult your girlfriend's primary care physician and discuss her condition thoroughly.[Read More] Understanding Intracranial Hemorrhage After Car Accident: Key Questions Answered
Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus
Spider web mold Dear Dr. Ding, My mother was admitted to the emergency room at the end of September due to severe headaches. After examinations, the hospital diagnosed her with a cerebral hemorrhage and she was immediately taken to surgery. After the operation, the doctor discov...
Dr. Ding Xianwei Reply:
Due to the lack of imaging studies and not having personally participated in the surgery, I am unable to assess your mother's postoperative condition. The description regarding hydrocephalus is unclear; is it communicating hydrocephalus or cerebral edema? The treatment for b...[Read More] Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus
Post-Surgery Concerns: Understanding Pituitary Tumor Recovery and Symptoms
Postoperative Conditions of the Pituitary Gland Dear Doctor, My father has been experiencing worsening vision this year, which led to the discovery of a pituitary tumor compressing his optic nerve. He underwent surgery in mid-July, and the procedure went smoothly. During his fir...
Dr. Ding Xianwei Reply:
I recommend that you return to your primary care physician's office and discuss this with them directly![Read More] Post-Surgery Concerns: Understanding Pituitary Tumor Recovery and Symptoms
Minimally Invasive Surgery for Facial Blushing: Options in Taiwan
Surgery for treating facial blushing? Hello, doctor. I have been prone to blushing easily since childhood. I tend to blush during embarrassing situations or when I feel awkward, which causes me significant psychological stress. I often worry about whether I will blush uncontrolla...
Dr. Lai Zhaokang Reply:
1. Endoscopic sympathetic nerve block is typically performed under general anesthesia. Small incisions of approximately 1 cm are made on both sides of the axilla, through which an endoscope is inserted into the thoracic cavity to block specific sympathetic nerves located at the a...[Read More] Minimally Invasive Surgery for Facial Blushing: Options in Taiwan