Other, Pulmonology FAQ - Page 3

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Understanding Respiratory Decline and Treatment Options for Patients

The tidal volume (Vte) decreased from December 31, 2012, to January 3, 2013? I am consulting regarding my daughter who requires respiratory care (weight 65 kg). Since 2015, her average tidal volume on the ventilator has been above 550 ml, but starting from December 31, 2023, I ob...


Dr. Cai Zongwei Reply:
Hello: In principle, the recommendations of the attending physician at the RCW should be followed, and if necessary, transfer to a regional hospital or higher level should be considered. However, taking into account the inconvenience of transfer and other factors, if the patient ...

[Read More] Understanding Respiratory Decline and Treatment Options for Patients


Intermittent Left Chest Pain: Stress, Nerves, or Something More?

Intermittent sharp pain in the left chest? The individual has no prior medical history but recently discovered that their mother has stage IV lung adenocarcinoma. They have started researching related information and are uncertain whether their symptoms are due to excessive stres...


Dr. Zhang Youzheng Reply:
Hello: In stage IV lung adenocarcinoma, it is important to consider whether there is bone metastasis. The following situations should be taken into account regarding chest pain: (1) Cardiac issues: A cardiologist has been consulted, and relevant tests have been conducted, so it i...

[Read More] Intermittent Left Chest Pain: Stress, Nerves, or Something More?


Understanding the Long-Term Effects of Cigar Smoking on Lung Health

Tobacco Issues Hello, Doctor. I would like to ask you something. About a year ago, due to my lack of understanding, I bought a pack of small cigars from a convenience store. I smoked them like cigarettes, inhaling into my lungs, and each time I would smoke one by one. There was o...


Dr. Cai Zongwei Reply:
Hello: The notion that "cigars are harmless if not inhaled" is an internet myth. Keeping it in the mouth creates an illusion (as the thoracic movement generates negative pressure, causing inhalation through the mouth and nose, which will inevitably lead to some degree o...

[Read More] Understanding the Long-Term Effects of Cigar Smoking on Lung Health


Understanding Ground-Glass Opacity: Key Insights for Lung Health

Ground-glass opacification Hello Dr. Shen, my mother underwent a low-dose computed tomography (LDCT) scan in 2020, which showed no significant nodules, but there was subpleural ground-glass opacification in the right lower lobe. The doctor and the report did not recommend regular...


Dr. Shen Bochan Reply:
Hello, the two are quite different. The term "ground glass opacity" refers to a single lesion, while "infiltration with ground glass pattern" refers to a more diffuse area. You can think of it as the difference between a patch on the skin and a rash. I still r...

[Read More] Understanding Ground-Glass Opacity: Key Insights for Lung Health


Understanding Elevated NSE Levels: What You Need to Know

The health check report shows a red flag for the NSE index? Hello Doctor: I recently had a blood test for health screening, and the only abnormal result related to cancer is the NSE level, which is marked in red. The standard value is 23.5, but mine is 33. Besides this, I also ha...


Dr. Cai Zongwei Reply:
Hello: 1. Please enter keywords in the search bar at the top of this website to find related articles in the Q&A section using Google site search. You can enter "NSE" to find previously answered articles. 2. If you still have concerns (including anemia), please cons...

[Read More] Understanding Elevated NSE Levels: What You Need to Know


Understanding Sudden Chest Pain: Causes and Concerns for Smokers

My father suddenly experienced sharp pain in his left chest? Hello Dr. Kuo, I would like to ask you two questions. 1. I am inquiring on behalf of my father. Last night, while he was using his phone, he suddenly felt a cramping sensation above his left chest, near his heart, whi...


Dr. Guo Hongyi Reply:
Hello: Dear public, chest pain can have many factors, including the heart, lungs, and musculoskeletal system, and the presentation can vary among individuals. It is advisable for your father to consult a pulmonologist or cardiologist for an examination. Thank you for your inquiry...

[Read More] Understanding Sudden Chest Pain: Causes and Concerns for Smokers


Do You Need Follow-Up for Chest X-Ray Findings?

Is follow-up necessary for the X-ray report? Hello, last month my family member was hospitalized for orthopedic surgery. During the hospitalization, a chest X-ray was performed, and now I see the report in the health record as follows: "Increased lung markings, bilateral wit...


Dr. Wu Yingxun Reply:
Hello: According to the report, there are no significant abnormalities, so follow-up can be done once a year.

[Read More] Do You Need Follow-Up for Chest X-Ray Findings?


Breathing Issues from Mixing Cleaning Products: What to Do?

The issue of being overwhelmed by the smell of cleaning products? Hello doctor, due to the need for cleaning, I mixed several cleaning agents such as bleach and other cleaners. Today, I neglected to wear a mask, and after adding water, a very uncomfortable, foul, and extremely ir...


Dr. Huang Yiwen Reply:
Dear Xiang: Inhalation injuries from chemical substances require assessment of clinical symptoms. Typically, observation for 1-2 weeks is recommended, during which you can practice coughing and deep breathing to minimize lung damage. If discomfort persists, you may visit a pulmon...

[Read More] Breathing Issues from Mixing Cleaning Products: What to Do?


Understanding CT Scan Radiation Levels and Health Insurance Subsidies in Taiwan

Could you please provide more details about the issue regarding health insurance subsidies for computed tomography (CT) scans? Hello, doctor. I recently had a chest X-ray and noticed a small white spot. I do not smoke or drink, and I work in an office environment. After reviewing...


Dr. Shen Bochan Reply:
Hello, if you are concerned about radiation exposure, you can opt for a lower radiation dose. The difference lies in the resolution; different hospitals have different machines, and the same amount of radiation can affect image clarity differently. The prices range from $3,000 to...

[Read More] Understanding CT Scan Radiation Levels and Health Insurance Subsidies in Taiwan


Understanding Persistent Cough and Palpitations: A Comprehensive Guide

Coughing with wheezing and missed doses? Hello Dr. Shen, I have been experiencing these symptoms for 10 years, but they have recently worsened over the past year. Whenever I engage in physical activity, such as climbing stairs, brisk walking, or during times of emotional stress, ...


Dr. Shen Bochan Reply:
Hello: Based on your description, it seems that this has been troubling you for a long time. In my opinion, it may be related to autonomic nervous system dysregulation, involving the sympathetic and parasympathetic nervous systems. You might consider trying vitamin B supplements....

[Read More] Understanding Persistent Cough and Palpitations: A Comprehensive Guide


Understanding Sharp Chest Pain: When to Seek Medical Attention

Chest pain with a sharp, stabbing sensation? Occasionally, I experience sudden sharp pain in my chest (not very frequent, but it happens once or twice a week). The pain is so intense that I feel the need to hunch over to alleviate it (standing up straight makes it worse). The pai...


Dr. Shen Bochan Reply:
Hello: In Taiwan, seeking medical care is very convenient. If you have any concerns, it is advisable to consult a professional doctor in person for reassurance. Based on experience and your medical history, these discomforts may be related to stress-related personality traits, wh...

[Read More] Understanding Sharp Chest Pain: When to Seek Medical Attention


Understanding Pathology Reports for Minimally Invasive Lung Adenocarcinoma

Questions regarding the pathology report of lung adenocarcinoma? Hello Doctor: After undergoing low-dose lung cancer screening, I was diagnosed with lung adenocarcinoma. At the beginning of the month, I had a thoracoscopic resection of the tumor, and the doctor informed me that i...


Dr. Huang Yiwen Reply:
Dear Chen Ling: In terms of tumor size, it is classified as carcinoma in situ. It has been excised, and follow-up is sufficient. There is no need for excessive worry. Changhua Hospital cares about you.

[Read More] Understanding Pathology Reports for Minimally Invasive Lung Adenocarcinoma


Understanding Blood-Streaked Sputum in Long-Term Smokers: What to Know

Long-term smoking with a small amount of blood in the sputum? Hello Dr. Kuo, I am asking on behalf of my father. He is currently 59 years old and has been a long-term smoker, smoking two packs every three days. About a year ago, he began experiencing chronic cough and sputum prod...


Dr. Guo Hongyi Reply:
Hello: Dear public, coughing after smoking is a common occurrence. It is recommended to quit smoking. Quitting smoking may involve medication assistance, but it also requires personal willingness and willpower; others can only offer advice. There are many causes for coughing up b...

[Read More] Understanding Blood-Streaked Sputum in Long-Term Smokers: What to Know


Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?

Persistent mild dry cough with slight shortness of breath? Hello Doctor: Due to family members exhibiting cold symptoms, I began experiencing throat discomfort in mid-October. On October 17, I visited an ENT specialist after my family members had already shown symptoms. After thr...


Dr. Yang Wenda Reply:
Hello: If respiratory symptoms persist, it is recommended to visit the thoracic medicine clinic for a chest X-ray for further evaluation!

[Read More] Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?


Understanding Diaphragm Pain: Is It Related to Pneumothorax?

Pain in the diaphragm area when lying down? Hello, I have a history of pneumothorax (surgically treated in 2005). In recent years, I occasionally experience back pain (no more than twice a year), but it resolves with rest and avoidance of strenuous activities. However, last Satur...


Dr. Shen Bochan Reply:
Hello, please follow up with a chest X-ray in the pulmonary medicine department, as there is a possibility of pneumothorax recurrence.

[Read More] Understanding Diaphragm Pain: Is It Related to Pneumothorax?


Understanding Emphysema and Pleural Thickening After Pneumothorax

Pulmonary emphysema with mild thickening of the apical pleura? Hello doctor, about three years ago I had a spontaneous pneumothorax. Later, the doctor performed a CT scan and mentioned that there was a bleb in the left lower lung, but I wasn't advised to return for a follow-...


Dr. Cai Zongwei Reply:
Hello: Pneumothorax has various causes, some of which are directly or indirectly related to blebs or emphysema (which may increase the risk, and it is advisable to avoid participating in certain high-risk activities). Pleural thickening is mostly a sequela of past lung diseases a...

[Read More] Understanding Emphysema and Pleural Thickening After Pneumothorax


Understanding Chest CT Findings: A Case Study of Lung Nodules and Follow-Up

I would like to consult the physician regarding the content of this report? A 44-year-old female; Clinical Information: Right lower lobe (RLL) ground-glass opacity (GGO) measuring 0.4 cm (serial image 65) has progressed since the image from October 2020. Computed Tomography (CT) ...


Dr. Yang Wenda Reply:
Hello: The report indicates that a 1.2 cm nodule in the right breast should be evaluated by a breast surgeon. The other small nodules in the lungs are recommended to be followed up in 12 months as per the report. Detailed interpretation should be correlated with clinical symptoms...

[Read More] Understanding Chest CT Findings: A Case Study of Lung Nodules and Follow-Up


Understanding Palpitations, Coughing, and Vomiting: A Chest Medicine Perspective

Wheezing, coughing, vomiting, and incontinence? Hello, Director Yang. I had a stent placed in October 2013. About five months later, I began experiencing occasional missed beats, accompanied by vomiting (usually without anything in my stomach, but in rare cases, severe vomiting c...


Dr. Yang Wenda Reply:
Hello: The chest X-ray shows no abnormalities in the lungs, and the cough is not persistent. It is suspected that the main issue lies in the arrhythmia and temporary cardiac backflow obstruction, leading to chest tightness and cough. During the ECG, it happened to capture a momen...

[Read More] Understanding Palpitations, Coughing, and Vomiting: A Chest Medicine Perspective


Managing Carbon Dioxide Retention in Advanced Cancer Patients

Difficulty in exhaling carbon dioxide? Hello Doctor, my mother is a breast cancer patient, and the cancer cells have metastasized to various organs for several years. Recently, she has been hospitalized due to excessive carbon dioxide accumulation and currently requires a bi-leve...


Dr. Guo Hongyi Reply:
Hello, It is a normal physiological phenomenon for the body to produce carbon dioxide; however, certain factors can disrupt the balance between production and elimination, necessitating external medical intervention. Generally, the body expels carbon dioxide primarily through r...

[Read More] Managing Carbon Dioxide Retention in Advanced Cancer Patients


Intermittent Chest Tightness and Lung Sounds When Lying Down

Intermittent chest tightness and the sensation of sounds in the lungs when lying down? Hello doctor, I was diagnosed with COVID-19 three months ago. After recovering, I occasionally experience shortness of breath and chest tightness, but I do not have a cough. I visited a family ...


Dr. Guo Hongyi Reply:
Hello, thank you for your message. We recommend that you visit the pulmonology outpatient clinic for relevant examinations such as a chest X-ray and pulmonary function tests. This will help clarify whether the issue is physiological or related to autonomic nervous system conditio...

[Read More] Intermittent Chest Tightness and Lung Sounds When Lying Down


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