Sheryl

@delgarconyou might also try https://www.saintlouis.or.th/doctor/dr.photsawee-khemaphiphat/dbafe795-29e5-493a-ab2d-8bcc8ed1af42 As St Louis is a nonprofit and has some sort of fund for indigent Thai patients which might possibly help. I don't really know how the fund works but I've seen the office for it when there.

In area where you shave, gollivuliyis or razor bumps or ingrown hairs come to mind. See https://www.mayoclinic.org/diseases-conditions/folliculitis/symptoms-causes/syc-20361634 And https://my.clevelandclinic.org/health/diseases/17692-folliculitis And https://www.nhs.uk/conditions/ingrown-hairs/ If descriptions/ pictures seem to fit there are self cate suggestions in these threads. If those fail - or if descriptions don't seem to fit - then must see a dermatologist. For which I suggest https://www.bumrungrad.com/en/doctors/niyom-tantikun Probably about 2000 baht for consultation. Don't get meds at the hospital, buy at pharmacy as there is a big markup.

https://www.samitivejhospitals.com/doctor/detail/suradej-hongeng Is an excellent choice if you can afford private care. Even if you cannot, might be useful to consult him. Otherwise for government hospital, Ramathibodhi is good choice (and where Prof. Suradej is on faculty). If you want to try to first contact Prof. Suradej his email is listed here https://www.rama.mahidol.ac.th/en/aboutus/administrative-team (He is very busy so no guarantee he'll reply but no harm in trying) Sounds like the girl may need a splenectmy, which should be free under the govt scheme. Do not feel that you must wait for the next appointment at Surat Thani... . that is for routine follow up. Can return now citing the difficulties you mentioned. Follow up appointment dates are meant as "when to come back if no problem before then" but this is often not well communicsted. With government hospitals it is often necessary to keep coming back before a patient finally gets admitted (which she msy need to be).

There are many hematologists in Thailand who perform bone marrow transplants. While a small number specifically focus on pediatrics, most treat both adults and children. A pediatrician is not who you would consult for this. Where in Thailand are you located? Either Bangkok or Songkhla would be best for this, which is easier for you? I assume when you say surgery you actually mean the bone marrow transplant (which is not surgery). This is a complex procedure as it is first necessary to treat with immunosuppressant drugs or radiation , during which period the patient is very vulnerable to infection. There are other significant risks as well, including rejection of the donor marrow, for which reason this is not commomly performed in management of thalessemia and reserved for very severe cases which cannot be adequately managed with standard treatment (transfusions, chelation, folic acid, sometimes splenectomy). Ftom what you say it does not sound like she has yet maxxed out on standard therapy. Risk vs potential benefit of bone marrow transplant has to be carefully assessed for the individual patient so I would not be so certain she will end up being advised to have this procedure. Risks are significant. The potential benefit is tied to likelihood of success which in turn relates to availability of a good donor match. Unless there is a matched sibling able to donate, this will be an issue. Anyway please indicate which location works better for you and I will suggest a doctor who can assess her and advise more specifically.

Completely off topic post removef

You apparently used the aftrr hours private channel rather than the public channel. Hence the pricing. Thais would pay same if using that channrl.

Cost estimate is meaningless unless you know if it is the 1 shot or 3 shot type and, if the latter, is the price per shot or course of 3. Do not discount the skill of the doctor doing the injection i.e. don't just go anywhere. Choose doctor with care. Intrarticular injections are not same as ordinary injections.

I stopped watching CNN years ago because way too much "talking heads" vs actual news. In their heyday it was news, news, news. Hourly updates, live coverage. Not anymore.

OP is this 150k a month your sole income or do you have other income you won't remit to Thailand? Because if you can show total invome of US $80,000 a year ، you could apply for the LTT visa which provides tax exemption. Otherwise you will indeed have to pay tax unless the inome is already taxed in yolur home country to an equivalent or greater amount. Please ignore those advising tax evasion, could come back to bite you badly.

Moved to Wellness subforum which, unlike health, allows social media clips.

Both are available (though not necessarily at all places). The 1 shot costs much more than individual shots of the multidose regimen. Important to bear this in mind when comparing costs. The lower costs mentioned in this thread may have been individual doses of 3 injection course. There is also a newer preparation (Arthrosamid) that lasts much longer, several years. Available in Europe not yet US FDA approved and AFAIK not yet available/approved in Thailand.

There is a TCM clinic at St Louis Hodpital on Sathorn. No idea re pricing.

https://paleorobbie.com/grocery_search?query=kefir

At any hospital, experience will vary with the doctor. I don't know what other private hospitals you have compared to but Mission is certainly lower cost than the big "international" ones. Would help if you indicated the nature of the skin problem. Waits at the Institute of Dermatology aren't bad compared to other government hospitals, and tere is an after hours option. But of course still longer wait than private hospital.

In addition to the above, I would add that Thai insurance policy regulation is much weaker than that in most western countries and allows such practices as raising rates on an individual basis after a claim (in addition to age related hikes). Almost always better to get an internationally issued policy. In addition, many Thai policies drop you at a certain age and those that do not, have skyrocketing premiums after age 65 or so. In some cases annual premium is same as maximum cover, incredibly enough. As for the relatively high cost of Thai policies, it is in part because the market is so small; Thais have universal health care cover so very rarely get private insurance. If you have health care cover in your home country and are OK with returning home for any non-urgent care, a travel policy is certainly an option. But take care if you have any pre-exisitng conditions as only a few will cover those (and then, only up to a certain age). Another consideration is if you might eventually live in Thailand fulltime. It gets much harder to get a new policy as you age so you might be best off keeping what you have. Besides Cigna Global there is a product called "Cigna Close Care" which is usually less expensive and provides some cover in your home country. And/or, you might look at combining deductible with copay option to lower premiums.