Introduction of Dr. Wei-Hung Liu

Languages

Mandarin, Taiwanese, English, Thai(ไทย)

Therapeutic Areas

Chronic Eczema, Urticaria, Rosacea, Onychomycosis, 

Diabetes Mellitus, Hypertension, Hyperlipidemia, 

Aging and Disease, Community-Based Infectious Disease Prevention(COVID)

Education

Master's Program in Dermatology and Venereology, Anhui Medical University 

School of Medicine, Chang Gung University

 

Experience

Adjunct instructor at University of Taipei, Master's Program of Transition and Leisure Education for Individuals with Disabilities, Taiwan

Partner physician, Zhixiang Clinic, Taiwan

Deputy director and acting director of health management center, Landseed Hospital in Shanghai, China

Attending physician, Landseed Hospital in Shanghai, China

Clinical instructor for resident doctors, Zhongshan Hospital affiliated with Fudan University, China

Instructor, Postgraduate year(PGY) medicine program, Landseed International Hospital, Taiwan 

Clinical mentor for medical students, Department of Family Medicine,  Landseed International Hospital, Taiwan

Attending physician, Department of Family Medicine, Landseed International Hospital, Taiwan

Attending physician, Medical Center at Taoyuan International Airport, Taiwan

Fellow, Department of Family Medicine, Landseed International Hospital, Taiwan

Resident doctor, Department of Internal Medicine, Taipei Municipal Wanfang Hospital, Taiwan

Resident doctor, Department of Neurology, Chang Gung Memorial Hospital, Taiwan

Internship, Department of Internal Medicine, National Taiwan University Hospital, Taiwan

Clinical Dermatology Course, National Skin Center (NSC), Singapore

Members of Professional Societies

Member of American Academy of Family Physicians (AAFP)

Member of American Geriatrics Society (AGS)

Member of Taiwan Gerontology and Geriatrics Society

Member of Taiwan Association of Family Medicine

Member of Aviation Medical Association

Publications

1. Wei-Hung Liu, Common Benign Skin Tumors, Family Medicine and Primary Medical Care, 2017

2. Hsin-Ju Lee, Wei-Ting Chang, Wei-Hung Liu, Hsiao-Yen Kang, Do races influence in hyperlipidemia prevalence in Taoyuan, Ping-zhen region? Results of the LION longitudinal cohort study, Taiwan association of family medicine, 2019

兒童急性細支氣管炎(Acute bronchiolitis)

急性細支氣管炎常見於二歲以下的小朋友，由病毒感染造成。最常見者為呼吸道融合病毒，其他包括副流行性感冒病毒、流行性感冒病毒、腺病毒或黴漿菌等。

Acute bronchiolitis is common in children under two years of age and is caused by viral infections. Respiratory syncytial virus (RSV) is the most common cause. Other causes include parainfluenza viruses, influenza viruses, adenoviruses, and Mycoplasma.

在開始三至五天，會以上呼吸道症狀，如咳嗽或流鼻水為表現。接著會有發燒，呼吸急促，甚至有多痰及「咻咻」的喘聲。咳嗽和呼吸困難發作後48-72小時內，出現呼吸危險的風險最高，但因此而致命的比例小於1%。症狀持續約二星期，有十分之一的小朋友可能會達到三星期。得過此病未來得到氣喘的機會上升。
During the first three to five days of illness, symptoms typically involve the upper respiratory tract, such as coughing and a runny nose. These symptoms may then be followed by fever, rapid breathing, and even excessive mucus production and wheezing. The risk of respiratory distress is highest within 48–72 hours after the onset of coughing and breathing difficulties, but the mortality rate is less than 1%. Symptoms usually last about two weeks, although approximately one in ten children may remain symptomatic for up to three weeks. Children who have had bronchiolitis have an increased risk of developing asthma later in life.

治療上需要補充水分，若住院者，可給予氧氣帳。其他藥物的使用，在最新實證醫學上並無證據支持。預防總是勝於治療。均衡的營養、良好的衛生、勤洗手、避免公共場所暴露都可以減少得到急性細支氣管炎的機會。

Treatment focuses on maintaining adequate hydration. For hospitalized patients, an oxygen tent may be used to provide supplemental oxygen. According to the latest evidence-based medical research, there is no evidence supporting the routine use of other medications. Prevention is always better than treatment. A balanced diet, good hygiene, frequent handwashing, and avoiding exposure in public places can all help reduce the risk of acute bronchiolitis.

แนะนำ นพ. เวยหง Dr. Wei-Hung Liu

นพ. เวยหง(Dr. Wei-Hung Liu)ได้รักษาชาวไทยมากกว่า 500 คนในไทเป และได้ตรวจสุขภาพให้แก่ชาวไทยกว่า 3,000 คนที่เมืองเถาหยวน เขาเคยนำพระพรของพระเจ้าในพระคัมภีร์ไปแบ่งปันแก่ชาวท้องถิ่นในกรุงเทพฯ เป็นภาษาไทย นอกจากนี้ เขาสามารถให้บริการทางการแพทย์แบบองค์รวมโดยใช้ภาษาไทยได้

2010 แพทยศาสตรบัณฑิต(พ.บ.)  Chang Gung University   

2013 อายุรศาสตร์                        Taipei Municipal Wanfang Hospital

2017 เวชศาสตร์ครอบครัว            Landseed Hospital 

2018 แพทย์ผู้ทำการรักษา            Landseed International Hospital 

ที่อยู่คลินิกจื้อเสียง

https://maps.app.goo.gl/9QUKEmGvPchzjxYt6

ที่อยู่คลินิกฝูกั๋วจื้อเสียง

https://maps.app.goo.gl/NSvNwcXEhjtoFKaC9

Dr. Wei-Hung Liu Teaching Fu Jen Catholic University Medical Students How Family Physicians Deliver Community-Based Whole-Person Care

劉威宏醫師向輔仁大學醫學系學生講授家庭醫學的社區全人照護模式

The Whole-Person Health Care Model is a patient-centered approach that takes the family as the unit of care and the community as its scope. It provides integrated health care that addresses the biological, psychological, and social dimensions of health. The model encompasses the entire life course of an individual—from birth, aging, illness, and end-of-life care—and attends to physical, mental, emotional, and social well-being.

Dr. Wei-Hung Liu Instructed Medical Students in Fu Jen Catholic University

劉威宏醫師指導輔仁大學醫學生

Dr. Liu instructed Fu Jen Catholic University medical students on how to deal with community medicine issues in outpatient clinics.

Dr. Wei-Hung Liu was invited to lecture at University of Taipei

劉威宏醫師受邀台北市立大學授課 

Integration and Diffusion of Medical-Elderly Care and Higher Education Perspectives: Constructing a Social Prescription and Linking Worker Innovation and Development Hub - When Disability Certification and Special Education Assessment Are Misaligned: A Case Study of Children with ADHD

原始網頁 Original webpage

腺病毒(Adenovirus)

人類腺病毒是兒童疾病常見原因。此病毒常在封閉型社區或軍隊流行。全年都可能有腺病毒的蹤跡，秋冬至初夏期間特別活躍。

Human adenovirus is a common cause of childhood illness. The virus is often found in closed communities or in the military. Adenoviruses can be found throughout the year and are particularly active in the fall, winter and early summer.

在已知類型中，只有三分之一明顯與臨床疾病有關。一般透過呼吸道和糞口途徑傳染。常見臨床症狀如下：

Of the known types, only one-third are clearly associated with clinical disease. Transmission is usually via the respiratory and fecal-oral routes. Common clinical signs are listed below:

一、呼吸道感染：鼻塞、流鼻水、喉嚨痛、發燒。
二、眼部感染：結膜炎常是自限性，無須治療。
三、腸胃道感染：大約一成兒童有腹瀉情形，多為自限性。
四、泌尿道感染：血尿、排尿困難、細菌培養結果陰性，通常於二週內消失。
 

1. Respiratory tract infections: nasal congestion, runny nose, sore throat, fever.

2. Eye infections: conjunctivitis is often self-limiting and does not require treatment.

3. Gastrointestinal infections: about 10% of children have diarrhea, which is mostly self-limiting.

4. Urinary tract infections: hematuria, dysuria, negative bacterial culture results, usually disappear within two weeks.

診斷通常基於流行病學和臨床症狀。血清培養需要數天，對早期診斷並無幫助。支持性照護為主要的治療方式。洗手有助於減少此病毒的傳播。

Diagnosis is usually based on epidemiology and clinical symptoms. Serum cultures take several days and are not useful for early diagnosis. Supportive care is the mainstay of treatment. Hand washing helps to minimize the spread of the virus.

兒童急性鼻竇炎(Acute sinusitis)

急性鼻竇炎常見病原體包括病毒和細菌，而真菌引起的鼻竇炎在免疫功能正常者身上不常見。大約2％的病毒性上呼吸道感染會併發細菌性鼻竇炎。急性細菌性鼻竇炎的病原體有肺炎鏈球菌（約30％）、嗜血桿菌（約30％）和卡他莫拉菌（約10％）。四分之一的肺炎鏈球菌可能是具有青黴素抗性。金黃色葡萄球菌、其他鏈球菌和厭氧菌少見於兒童急性細菌性鼻竇炎。

Common pathogens of acute sinusitis include viruses and bacteria, while fungal sinusitis is uncommon in immunocompetent individuals. About 2% of viral upper respiratory infections are associated with bacterial sinusitis. The pathogens of acute bacterial sinusitis are Streptococcus pneumoniae (about 30%), Haemophilus (about 30%) and Catamonas (about 10%). One quarter of Streptococcus pneumoniae may be penicillin resistant. Staphylococcus aureus, other streptococci, and anaerobes are less common in children with acute bacterial sinusitis.

急性細菌性鼻竇炎常發生在病毒性上呼吸道感染、過敏性鼻炎和菸霧暴露有關。急性鼻竇炎定義為持續時間小於三十天，慢性鼻竇炎持續時間超則過三個月。在上呼吸道感染過程中，七成的兒童鼻竇會出現異常，包括黏膜增厚、水腫和發炎，這些將阻礙鼻竇引流，減少黏膜纖毛清除細菌，導致細菌大量生長。

Acute bacterial sinusitis often occurs in association with viral upper respiratory tract infections, allergic rhinitis and smoke exposure. Acute sinusitis is defined as lasting less than 30 days, while chronic sinusitis lasts longer than three months. During an upper respiratory infection, 70% of children have sinus abnormalities, including thickening, edema and inflammation of the mucous membranes, which can block sinus drainage and reduce the ability of mucous membrane cilia to clear bacteria, leading to bacterial growth.

急性鼻竇炎的症狀包括鼻塞、膿鼻涕、發燒和咳嗽。少見的症狀包括口臭、嗅覺減退、眼眶周圍水腫、頭痛和上頜牙齒不適。理學檢查可能會發現鼻黏膜紅腫伴隨膿鼻涕。青少年和成人可能有鼻竇壓痛。

Symptoms of acute sinusitis include nasal congestion, runny nose, fever and cough. Less common symptoms include bad breath, decreased sense of smell, periorbital edema, headache, and maxillary dental discomfort. Physical examination may reveal redness and swelling of the nasal mucosa with pus. Adolescents and adults may have sinus tenderness.

急性細菌性鼻竇炎的臨床診斷乃是根據病史。持續性流鼻涕和咳嗽超過十天未見改善，或嚴重的呼吸道症狀(包括體溫超過39°C及連續三至四天的膿鼻涕)，我們都需要懷疑急性細菌性鼻竇炎。鼻竇吸出培養是唯一準確的診斷方法，但對於免疫功能正常的患者常規使用並不實際。鑑別診斷考慮因素包括病毒性上呼吸道感染、過敏性鼻炎和鼻腔異物。病毒性上呼吸道感染的鼻涕通常清澈無膿，有咳嗽，一開始發燒，但症狀通常不會持續十至十四天。

The clinical diagnosis of acute bacterial sinusitis is based on history. A persistent runny nose and cough that does not improve for more than 10 days, or severe respiratory symptoms (including a temperature over 39°C and a purulent runny nose for three to four days in a row) warrant suspicion of acute bacterial sinusitis. Sinus aspirate culture is the only accurate diagnostic method, but is impractical to use routinely in immunocompetent patients. Identifying diagnostic considerations include viral upper respiratory tract infections, allergic rhinitis, and nasal foreign bodies. Viral upper respiratory tract infections usually have a clear, pus-free nasal discharge, a cough, and an initial fever, but the symptoms usually do not last more than ten to fourteen days.

現今尚不清楚急性細菌性鼻竇炎的抗菌治療是否提供實質益處。在成人進行的研究顯示，治療七天症狀將得到改善。主要指引建議，急性細菌性鼻竇炎嚴重發作或病情惡化需給予抗生素，雖然一半的急性細菌性鼻竇炎患兒童可能在沒有抗菌治療的情況下恢復。對於有風險因素的兒童，包括最近三個月內的抗生素治療、托兒所或年齡小於二歲的兒童，應考慮給予抗菌治療。適當治療時間尚未確定，個別化治療是合理的。一般建議至少十天或在症狀消退後至少七天。

It is not clear whether antimicrobial therapy for acute bacterial sinusitis provides substantial benefit. Studies in adults have shown that symptoms improve with seven days of treatment. The main guideline suggests that antibiotics should be given for severe exacerbations or worsening of acute bacterial sinusitis, although half of children with acute bacterial sinusitis may recover without antimicrobial treatment. Antimicrobial therapy should be considered for children with risk factors, including antibiotic treatment within the last three months, in daycare or for children younger than two years of age. The appropriate duration of treatment has not been determined and individualized treatment is reasonable. A minimum of ten days or at least seven days after symptoms subside is generally recommended.

最好的預防方式是經常洗手和避免感冒，並且每年接受流感疫苗注射。

The best prevention is frequent hand washing and avoiding colds, and getting a flu shot every year.