Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction can cause persistent numbness in the limbs and scalp? At the beginning of January, while working at my computer, I suddenly experienced a sharp pain in my heart, followed by numbness in my limbs. If I didn't get up and move around, I felt...
Dr. Lai Zhaokang Reply:
Hello: You may consider further evaluation of the brain and cervical spinal cord. Wishing you well.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Risks of Infection with Artificial Skull Implants After Surgery
Risk of Infection After Cranioplasty Hello Doctor: My father suffered a fall that resulted in intracranial hemorrhage and underwent a craniotomy. His original skull was replaced, but due to an infection, he had to undergo a second debridement surgery, so his autologous skull bone...
Dr. Zhang Junwei Reply:
The risk of infection with a prosthetic skull is relatively low. After the procedure, the patient may not regain consciousness immediately, but there shouldn't be a significant difference in outcomes.[Read More] Risks of Infection with Artificial Skull Implants After Surgery
Understanding Cellulitis: Pain Management and Complications in Diabetic Patients
Cellulitis Hello, doctor. I would like to inquire about my mother, who has diabetes, hypertension, and poor kidney function. Recently, she has been experiencing severe pain in her foot. After seeing a doctor, it was discovered that there is a wound at the base of her right big to...
Dr. Li Zhonghuai Reply:
Hello! I suggest you take your mother to see a general surgeon or a plastic surgeon. Sometimes it is not just simple cellulitis; there is a concern for abscess formation, or the infection may have spread along the fascia. She may need debridement or even fasciotomy. Given that yo...[Read More] Understanding Cellulitis: Pain Management and Complications in Diabetic Patients
Managing Blood in Stool: A Case Study of a 70-Year-Old Dialysis Patient
Maternal hematochezia issue? Dear Dr. Hsu, My mother, who is 70 years old, began dialysis in January 2015 due to 20 years of diabetes and hypertension. In mid-2015, she experienced rectal bleeding that led to anemia. The dialysis center performed multiple blood transfusions and ...
Dr. Xu Kaixi Reply:
Gastrointestinal bleeding includes upper gastrointestinal bleeding and lower gastrointestinal bleeding. The former can be ruled out through gastroscopy, while the latter can be excluded through colonoscopy to identify colonic sources of bleeding. For small bowel bleeding, compute...[Read More] Managing Blood in Stool: A Case Study of a 70-Year-Old Dialysis Patient
Surgical Options for Long-Term Appetite Control: Costs and Considerations
Surgical Inquiry Hello, doctor. I would like to ask if there are any surgeries that can help me control my appetite long-term, considering I am 157 cm tall and weigh 98 kg, and I can eat up to 4 meals a day. What would the approximate cost be? Thank you.
Dr. Ke Fangxu Reply:
Taiwan's National Health Insurance (NHI) coverage for weight loss surgery is primarily based on the standards published by the National Institutes of Health (NIH) in 1991, which must meet the following criteria: 1. BMI ≥ 40, or BMI ≥ 35 with obesity-related comorbidities. 2....[Read More] Surgical Options for Long-Term Appetite Control: Costs and Considerations
Weight Loss Due to Peptic Ulcers: Is PPI Use a Normal Factor?
Weight loss caused by peptic ulcers? Hello Dr. Ke, thank you for addressing my concerns regarding rectal bleeding. Additionally, is it normal to experience weight loss when taking proton pump inhibitors (PPIs) for peptic ulcers? About six months ago (September 2015), my weight wa...
Dr. Ke Fangxu Reply:
The use of proton pump inhibitors (PPIs) for peptic ulcers does not cause weight loss; rather, it is more likely due to changes in dietary habits after being diagnosed with a peptic ulcer. If there have been no changes in diet or exercise habits, it is important to first check bl...[Read More] Weight Loss Due to Peptic Ulcers: Is PPI Use a Normal Factor?
Effective Wound Care for Diabetic Patients: Essential Tips and Guidelines
Wound care for diabetic patients? Hello Doctor, my father is 58 years old and has been diagnosed with diabetes for about three years. His most recent HbA1c level was 7.6, and he has been taking his blood sugar medication as prescribed. On January 28, he stubbed his big toe and we...
Dr. Li Zhonghuai Reply:
Hello! Check your blood sugar daily. If there's no issue, elevate the affected leg. You should learn to change the dressing yourself; changing it three times a day is fine. Keep the biological membrane clean to promote healing. The wound should not dry out, as it will not he...[Read More] Effective Wound Care for Diabetic Patients: Essential Tips and Guidelines
Understanding Delayed Wound Healing After Surgery: Causes and Solutions
Delayed wound healing after surgery? Hello, Director Ko: Several years ago, I developed a pimple, colloquially referred to as a "nail" in Taiwanese, located above my buttocks near the groin. I used to pop it myself, but it would recur after a few months. Last year, I ...
Dr. Ke Fangxu Reply:
Wounds in the groin area, due to their proximity to the midline, are prone to poor healing after surgery. However, if three months have passed since the surgery and the wound has still not healed, it is important to investigate the underlying issues. If there is no diabetes or ot...[Read More] Understanding Delayed Wound Healing After Surgery: Causes and Solutions
Understanding Weight Loss Surgery: Costs and Options Explained
Bariatric surgery Hello, I have been tall and strong since childhood. Currently, I am 173 cm and weigh 105 kg. I want to undergo weight loss surgery but I'm unsure how to calculate the costs and which type of surgery would be best for me.
Dr. Ke Fangxu Reply:
Taiwan's National Health Insurance (NHI) coverage for weight loss surgery is primarily based on the standards published by the National Institutes of Health (NIH) in 1991, which must meet the following criteria: 1. BMI ≥ 40, or BMI ≥ 35 with obesity-related comorbidities. 2....[Read More] Understanding Weight Loss Surgery: Costs and Options Explained
Understanding Ongoing Brain Bleeding After a Car Accident: A Patient's Journey
Continuous minor bleeding in the brain due to a car accident? Dr. Ding: Hello, my mother is 56 years old. She was involved in a car accident on October 5th and was discharged from the emergency room with a diagnosis of concussion. On October 8th, she complained of severe headache...
Dr. Ding Xianwei Reply:
Due to incomplete information and the lack of direct examination, the following advice is based solely on experience. The term "persistent bleeding" is difficult to understand; if there were truly persistent bleeding, it would indicate that coagulation function is sever...[Read More] Understanding Ongoing Brain Bleeding After a Car Accident: A Patient's Journey
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
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
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
Understanding Hospital Stay Duration for Endonasal Pituitary Surgery
Pituitary surgery Dear Dr. Hsieh, Hello! I would like to ask how many days of hospitalization are typically required for transsphenoidal pituitary surgery performed through the nasal cavity? Thank you for your clarification!
Dr. Xie Bojun Reply:
Mr. Yuan: 1. I still hope to answer your further questions after the diagnosis is confirmed. 2. If surgery through the nasal passage is confirmed, a 72-hour observation in the intensive care unit will be necessary to monitor for the risk of diabetes insipidus. 3. Although it may ...[Read More] Understanding Hospital Stay Duration for Endonasal Pituitary Surgery
Post-Gallbladder Surgery: Understanding Vomiting and Diarrhea in Seniors
After gallbladder surgery, there are symptoms of vomiting and diarrhea? In elderly patients, experiencing vomiting and diarrhea several days after gallstone surgery may not be considered normal. These symptoms could indicate complications such as infection, bile leakage, or gastr...
Dr. Yu Mingchang Reply:
Hello^^ Depending on the patient's condition, age, and overall health status, as well as the presence of conditions such as diabetes or heart disease, there can be different clinical symptoms![Read More] Post-Gallbladder Surgery: Understanding Vomiting and Diarrhea in Seniors
Diabetic Wound Care: Essential Tips for Managing Torn Skin at Home
Diabetic Wound Care Hello Dr. Chang, I would like to ask you a few questions. There is an elderly person at home who is a diabetic patient, and this morning, due to improper force, he sustained a 7-8 cm laceration on the dorsum of his foot (the skin surface is movable). At the ti...
Dr. Zhang Jinlong Reply:
Hello, regarding your inquiry, here are the responses: 1. For diabetic patients, a laceration of 7-8 cm, especially on the dorsum of the foot (where blood circulation is poorer in the extremities), if not managed properly, is more likely to lead to wound infection. 2. When attem...[Read More] Diabetic Wound Care: Essential Tips for Managing Torn Skin at Home
Can Cervical Disc Herniation Qualify for Disability Benefits?
Cervical spondylosis Hello Dr. Chang Yuan-yi! I would like to ask if I can apply for disability assessment or labor insurance sickness benefits for cervical spine disorders such as intervertebral disc herniation. I have experienced weakness in both hands, persistent neck pain, an...
Dr. Zhang Yuanyi Reply:
Dear Ah Peng, Hello, whether you can apply for disability assessment or labor insurance sickness benefits needs to be evaluated before a decision can be made. Wishing you peace and health, Dr. Zhang Yuan-yi Attending Physician, Department of Neurosurgery Taoyuan General...[Read More] Can Cervical Disc Herniation Qualify for Disability Benefits?
Managing Persistent Wound Issues After Peritonitis Surgery: A Guide
Peritonitis My father is 60 years old and is taking the lowest dose of antihypertensive medication. He has no diabetes. In October 2011, he underwent surgery for peritonitis. Within three months, the drainage site repeatedly became infected and did not heal. In January 2012, he h...
Dr. Ke Fangxu Reply:
Wound infection is a common complication after peritonitis surgery, and it is certainly related to the underlying cause of the peritonitis (such as appendicitis, cholecystitis, etc.). If the infection is limited to the abdominal wall wound, it can typically heal with proper wound...[Read More] Managing Persistent Wound Issues After Peritonitis Surgery: A Guide
Understanding Spinal Hemorrhage: Causes, Risks, and Treatment Options
Thoracic vertebral venous and arterial hemorrhage? Hello, I would like to consult a physician. My mother is 75 years old and has had diabetes for over 20 years, along with a history of undergoing surgery for sciatica about 9 years ago. Recently, she has experienced weakness, numb...
Dr. Ding Xianwei Reply:
I am not sure what is meant by arterial and venous bleeding. Could it be a mistake in your records? I suggest you schedule an appointment with your attending physician to discuss this matter thoroughly. It is both your right and responsibility. You can also gather all relevant in...[Read More] Understanding Spinal Hemorrhage: Causes, Risks, and Treatment Options
Managing Growths on Feet: When to Seek Surgical Advice for Diabetics
Abnormal growths on the foot? Hello Doctor: I have diabetes and have had a growth on my ankle that resembles a sarcoma for a long time. It didn't hurt before, so I ignored its presence. Due to my body condition, which includes keloids, I have been hesitant to have it surgica...
Dr. Xie Wenhuai Reply:
According to your description, the most common condition found at the ankle is a gouty tophus, but it is often accompanied by inflammation and pain. It could also be osteophyte formation in the joint. Additionally, it may be a subcutaneous tumor or a neurofibroma. In any case, I ...[Read More] Managing Growths on Feet: When to Seek Surgical Advice for Diabetics