ayahuasca

This may be relevant to anyone seeking out a sleep study in Thailand: Here are suggested improvements for the sleep study process at [most expensive hospital in Bangkok] First, hygiene standards need improvement—currently, about 20% of hospital staff at the Hospital don't properly wash their hands before patient contact, potentially spreading pathogens. Second, there should be a thorough intake process to document patients' sleep habits: their preferred sleeping position, whether they need or use elevation, what type of bed they use, and other relevant factors. Third, mask fitting procedures need improvement, especially for elderly patients. Both nose masks and face masks should be tested, as elderly patients often have lower adaptation rates and may do better with face masks. ResMed offers different styles, including memory foam and silicone versions for example. ResMed’s memory foam masks are reportedly more comfortable, but we received a large silicone mask (alone with the C-PAP we ordered) before proper face measurement, resulting in an incorrect size, and waste of money. During the study, the patient was only tested with a nose mask with a chin strap. After completing the study, we pursued CPAP treatment as recommended and was told we could order a CPAP from [most expensive hospital in Bangkok]. However, the medical records department took an unusually long time (6 days) to respond to simple questions from the insurance company. The eventual CPAP delivery was problematic—the device was simply dropped off unconfigured. Configuration guidance and at least 2 follow-up sessions should be included in or at least offered as part of the CPAP purchase cost. We requested the same equipment used during the sleep study—specifically the head strap and nose mask—not realizing a face mask would probably have been better for an extremely elderly person. We were told later that the study's particular head strap wasn't available in Thailand, and they provided an alternative which was of a different style. And, as mentioned, while both face and nose masks were included with the CPAP, the face mask was the wrong size. We later found out that one can download a guide from ResMed to figure out what size mask is appropriate. To summarize the needed improvements: Better sanitary conditions Proper patient intake procedures Availability of study equipment for purchase (for example the same type of chin strap) Testing of both nose and face masks for elderly patients, and types. Proper face measurements and mask sizing Clear information about available mask styles Proper CPAP configuration upon delivery based on sleep study results.

Apparently Amazon stopped allowing Amazon music in Thailand. See Reddit and other posts for a workaround.

so apparently Amazon stopped Amazon music for Thailand. An easy workaround is to connect another streaming service to the Alexa app. to connect apple music see https://support.apple.com/en-gb/119922 note that there are 2 steps, first use the Skills & Games option to make the connection between Alexa and Apple Music, then using Setting and Music & Podcasts option to select Apple Music as default. Other music services, such as Spotify can also be connected in a similar fashion.

It's been like this for a week for us, on all our Echo devices. Note the discussion on reddit. https://www.reddit.com/r/Bangkok/comments/1i47ocw/comment/m9ed2fi/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button

First thing to consider is the environment: In countries without free speech, various forces suppress negative data that impacts reputation, and so on. I know first-hand and second-hand of hospitals in such countries giving legal threats for any negative information about them. Second thing to consider is medical training: The top medical schools in this particular country do not break above the 200 mark for ratings globally. Do you know that medical students in this country do not first get a proper 4 year college education but go right into medical school? If not, what else do you not know? You will see some western training listed on some MD’s résumés, but if you dive deeper, you will see that it was probably a 2 month short-course, and perhaps taken online. One site to check American board certification is here: https://www.certificationmatters.org/find-my-doctor/ Such a certification means they are actually keeping up on the latest research--there are similar certifications in Europe but less easy to research. And 95% of all medical research is in English. So if your medical professional is not fluent in English, that’s a problem, esp. if your condition is serious. Compared to top hospitals in the "west", say the top 50 in Europe and the U.S., there truly is no comparison. If you actually do considerable medical research on your condition you will note this issue. (Other nearby countries to consider for advanced treatment are South Korea, and Taiwan, Singapore + Japan) Yes, there are a few doctors here who are rather savvy, but that does not fix all the limitations you will find in private (and public healthcare). Aside from a deeply flawed structure, keep in mind that this country's GDP is less than that of Boston, MA, USA--i.e. limited resources. There are a lot of well-meaning, friendly expats in Thailand, however, a large majority of them have NOT had the advantage of a top notch education, nor experience with say, top 50 hospitals in the world. So watch whose advice you take. Again, beware of taking advice from people who really don’t know what they are talking about.

ok, regarding Zenni, I agree that they are good. I often use them to test new prescriptions. I however, get my daily lenses from shop/lab in los angeles, an I get Shamir Autograph III. If you are looking for higher end lenses, in my experience the shops in Thailand are a total rip-off. They are charging 3 times what it cost for me to get Shamir, Varilux or Zeiss in the U.S. And about 25% higher than the pricey shops in New York (for example pick a pricey shop in Soho or Chelsea). But.... but! maybe it's it's also that I walk in wearing Mykita or ic-berlin! and transitions and they see "white American guy speaking English" and up goes the price. Btw. a word about Zenni, sometimes they ship via Europe now, and then Thai customs has been adding import duty. When shipping via China or Hong Kong there was not duty. But please folks, any suggestions for Bangkok, for a friend of mine who needs some ASAP.

would appreciate a recommendation an infectious disease specialist, pulmonologist, or et. al. to confirm why such tertiary antibiotic. following up on this question of what antibiotic. the pathogen has not yet been identified, however tests done were Influenza A+B NAAT test (negative) Covid-19 NEAR test (negative) Streptococcus Group A test (negative), and gram positive sputum culture (normal flora). doc started my father on levoflaxin. This is considered a tertiary antibiotic by NHS, NIH, and NCID (Singapore) with amoxicillin considered first course of treatment. After 4 days just stable, no real improvement, and of course more weakness from the levoflaxin. would appreciate a recommendation an infectious disease specialist, pulmonologist, or et. al. to confirm why such tertiary antibiotic. are planning a procalcitonin and respiratory viral panel (not sure why they did not do this in the ER 5 days ago) when we can get to the hospital as we cannot get home service(!) here (still trying) thus we are stuck on koh samui. we do not interact with locals (have doing best practices for 3 years--no indoor restaurants, bars, etc.) live in caregivers also do not interact with others without distances and masking. (this yes is unlike 99.9 percent of thailand). thus the microbial resistance may not been so important re location. thanks. re amoxicillin vs fluoroquinolones, note current guidelines from US NIH and UK NHS https://www.nice.org.uk/guidance/ng138 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6812437/

the answer appears to be here, however, your question is probably package and carrier specific (e.g. AIS, DTAC) https://www.ais.th/applewatch/inc_numbershare.html

The K1 visa process seems rather simple to do in terms of filling out the paperwork, and getting the various requirements. I would like to pay someone who has extensive experience to have a second look at the forms which need to be submitted. (It’s a 2 step process, first the benefactor – the American in this case–submits one form, then the beneficiary–the foreign spouse—gets an appointment as their (her) nearest embassy). There are a bunch of agencies and attorneys which offer this service, but which have a very good idea of how things are playing out currently stateside (us) and in Thailand, in terms of both speeding up processing, and what slight changes or additions to the documents submitted may be recommended. E.g. are the delays so extensive should I say seek a letter from an elected official?--possible for me but not easy. Any suggestions on who (any location) to talk to / pay for to look at the forms and give advice? (Note: We have both been living together in Thailand for 3 years). Thanks.