Recovering from a stroke nearly a year later with limited mobility on the left side

  Patient: Description of condition (time of onset, main symptoms, hospital visited, etc.).
  On October 6 last year, hemorrhagic stroke was caused by high blood pressure, and the bleeding volume was 40cc. I was treated in a Hong Kong specialist hospital without surgery and was hospitalized for 4 months for rehabilitation, and then discharged from the hospital for some acupuncture and herbal massage treatment. Depending on the cost (no medical insurance) and the time required (I live in Shenzhen now), can I come to your hospital in Beijing to receive treatment and what is the success rate?
  Zhao Wenru, Department of Rehabilitation.
  It is recommended to stop taking medicine and acupuncture because there is no therapeutic effect for motor function recovery, and more acupuncture can easily lead to increased muscle tone or spasm. The training of neural potential development, motor program reconstruction and motor pattern remodeling using our developed neuro-training rehabilitation method should restore the function very well. You may need treatment for 3-6 months (old cases) at a monthly cost of about $10,000.
  Patient: Thanks for your busy response. I would like to ask a few more questions: Is it true that except for western medicine to control blood pressure (which is basically normal now) other medications are not used as much as possible, including activation pills and the like? What are the items included in the monthly cost of about 10,000 mentioned in your reply? Do I have to make a reservation to come to Beijing for inpatient treatment and how long do I have to wait? Thank you!
  Rehabilitation Department Zhao Wenru.
  Yes, I need to continue to take the medication for blood sugar and blood pressure control. 10,000 yuan includes everything needed for hospitalization and treatment. Reservation is required.
  Patient: Thank you, Prof. Zhao, for your reply again, it was very beneficial. What are the additional costs for family members to stay in bed with me (because the hospital is too far from my home in Beijing and I cannot take care of myself)? What is the approximate amount? Thank you!
  Rehabilitation Department, Zhao Wenru: There is no additional charge, but the rental of a marching bed may cost 2 yuan per day.
  Patient: Prof. Zhao, is there any relevant information such as website or other information about your hospital’s hospital conditions? Such as the surrounding environment of the hospital. The facilities in the ward. What is the diet and living conditions after hospitalization? I would like to make arrangements before and after admission and determine what I need to bring with me. Please understand that it is inconvenient to return to Beijing from overseas for treatment, so I would like to be better prepared.
  Patient: Is there any basic equipment and facilities in the ward so that I can prepare for the hospitalization?
  Zhao Wenru, Department of Rehabilitation.
  Yes, there are washrooms, telephones, calls and so on. Just bring some personal toiletries.
  Patient: First of all, thank you for your reply in your busy schedule whether the hospital is equipped with external communication services, such as internet internet, etc., because my family members are overseas, communication depends on email, so I need to determine whether I need to bring my laptop to the hospital, there is no TV or other equipment in the ward, right? Is there a charging outlet for small appliances?
  Rehabilitation Department, Zhao Wenru: All can be equipped, the ward is wireless Internet access, can also be wired.
  Patient: Thank you! If I came to Beijing by plane recently for inpatient treatment, is there a bed available, and if I want to make an appointment, how long in advance do I need to do so? What is the specific hospital address? Public transportation?
  Rehabilitation Department Zhao Wenru.
  You need to make an appointment 2 weeks in advance and come in after the bed is arranged.
  National Rehabilitation Hospital address: One Rong Hua Middle Road, Century Economic Development Zone, Beijing; all transportation is very convenient, subway and bus are available.
  Patients: How do I make an appointment? Can I book now? By phone (number)? Or by filling out a form (pick up there)? Is there a bank near the inpatient unit? Which bank is closer? Is the cost of inpatient treatment (10,000RMB/month) per month, course of treatment or at the time of discharge?
  Wenru Zhao, Department of Rehabilitation.
  It can be fixed. The hospitalization fee can be paid monthly or in a lump sum, and the extra amount will be refunded at the time of discharge. There are banks near the hospitalization department, the Agricultural Bank and the Construction Bank are closer.
  Patient: At first, Professor Zhao quoted me about 10,000 yuan per month for inpatient treatment, meaning the kind of single double? (ward?) If different charges how much difference?
  Rehabilitation department Zhao Wenru: double room, single room is a little more expensive.
  Patient: Okay, then book a double room! I need to share a room with another patient, right? How can I arrange for my wife to stay with me?
  Rehabilitation Department: Zhao Wenru.
  Yes, she is sharing with another patient. Your wife can stay in the apartment next to the hospital. You can also stay with your wife at night. You can bring your own marching bed for $1 per night, or rent a hospital marching bed for $6 per night.
  Patient: Thank you for your prompt reply, as we are coming back from overseas for treatment and would like to know more details just in case! What is the approximate cost of the apartment? Do they sell marching beds in the hospital or do I have to buy them and bring them in? Where do we eat? Hospital cafeteria or take-out? What is the average cost per day for the hospital cafeteria? (average medium consumption level)
        Rehabilitation Department: Zhao Wenru.
  The hospital has a canteen, which can be customized according to the patient’s needs and delivered to the bedside. Generally, it costs about 30-50 RMB per day. There is a supermarket next to the hospital, and you can buy a marching bed, so you don’t have to buy a good bring. The price of the apartment is about 2,000 yuan per month of rent.
  Patients: Can I bring my own wheelchair and the blood pressure control medication required by the Hong Kong hospital when I am hospitalized? What is the approximate time frame for family visits?
  Wenru Zhao, Rehabilitation Department.
  You can bring your wheelchair, and you can bring less medication. Generally, hospitals do not allow outside medication.  Family visits are usually in the afternoon.
  Patient: Thank you for your reply. The monthly hospitalization fee of 10,000 yuan is already a big burden for us, so I hope we won’t have to add too many other expenses on top of that! This will be more than we can afford, and if there are any large additional expenses not listed. Please let us know in advance before we depart!
  Rehabilitation Department Zhao Wenru.
  Please rest assured that the National Rehabilitation Hospital is a government-run public hospital, a window for civil affairs to serve the people’s livelihood, and will never do anything wrong to the people.
  Patient: Thank you, Professor Zhao, for your several replies in your busy schedule! I had booked a bed through the network, but I have not received any confirmation yet. Can you help me to confirm so that I can start booking the air tickets, it will be the peak travel season again soon and the tickets may be tight and I want to make preparations early. We will inform your hospital of the date of arrival when the departure date is confirmed.
  Rehabilitation Department Zhao Wenru: Okay, no problem, I’ll arrange a bed for you.
  Patient: Is there a group of patients with post-stroke hemiplegia where we can share our experiences and feelings during the (long and difficult) rehabilitation process? This process is a test of one’s perseverance and will. It is necessary for patients to encourage and help each other!
  Rehabilitation Department, Zhao Wenru: About 60% of the patients are stroke hemiplegics, which is a larger group of patients.
  Patient: Professor Zhao, I would like to ask how I can correct my left foot, which is somewhat turned inward, and my left hamstring, which is very tight, when I walk with crutches. Can I do more walking exercises or other exercises to improve it? Thank you!
  Zhao Wenru, Department of Rehabilitation.
  Self-exercise walking training is not only ineffective due to the lack of exercise program reconstruction equipment, but also prone to abnormal movement patterns, so it is not recommended. We will naturally develop a detailed treatment plan for you after you come.
  Patient: Thank you, President Zhao, for your reply, it was very helpful to my recovery! When I was hospitalized in Hong Kong, I ordered a plastic orthotic to correct my left foot pronation and a four-pronged cane for walking practice, should I bring them with me when I come to the hospital or should I leave them at home?
  Rehabilitation Department, Zhao Wenru: It’s good to bring it with you, just in case you need it.
  Patient: Thank you, Professor Zhao, for your reply! I would like to ask, if walking is not the best form of self-exercise, is there any other way to maintain and increase the muscle vitality and strength of the legs? Perhaps in the near future your hospital can create and promote a set of rehabilitation exercises or exercise forms suitable for different hemiplegic patients to recover, so that they can do self-exercise to pass the long, depressing and boring time! Also, what is the schedule of work and rest during hospitalization?
  Rehabilitation Department, Zhao Wenru.
  It is available now, and neuro-training is a set of techniques that can meet basically all rehabilitation treatment needs.
  Patient: Thanks for your reply! I’ll be leaving for Beijing soon (next week), see you in Beijing!
  Rehabilitation Department: Zhao Wenru.
  Have a good trip!