Sheryl

No obvious source then if it persists should see a doctor.

There is a type of infection of hair follicles called folliculitis which looks similar to what he has, and of course the location fits.

Ok. So your GF has enlarged lymph nodes. For how long? And is there an obvious infection source? e.g. sore throat or wound?

Yes, it should be. But may take time to come out. If you can find Cymbalta I'd suggest ordering a years worth just in case.

Sorry I don't follow. "In spraint eases the main." means what? She has had shingles for 4 full months? Shingles per se (with rash) does not last that long. Post-shingles neuralgia pain can, but would not cause enlarged lymph nodes. Enlarged lymph nodes can have many causes, including TB and various other infections, and cancer. Usually best to see a doctor if they persist. They do not need to be hard and red to warrant medical attention.

Prior to 2024, any remittance of funds not earned in the year of remittance, was non-assessable. In practice few paid From 2024, remittances of savings accumulated prior to 2024 are non-assessable and remittance of earnings after that time, regardless of when remitted, are assessable. The above had the predictable effect if decreasing remittances. So now there is serious talk of changing it going forward such that earnings remitted in the same year as earned will be non-assessable. In all cases, you do not attach any sort of proof. You just complete your tax return showing such income as is assessable under the current rules. Only in the (very unlikely) case that you are audited/questioned would you need to show any sort of proof. In which case just showing that you had at least that amount in your possession (bank account,bonds, etc) before 1 January 2024 would likely suffice to support a claim that the funds were savings rather than income. (I've yet to hear of anyone needing to do that. )

There is no procedure for reporting transfers as such to the RD. There is only self-reporting of assessable income on tax returns.

It would be a financial decision. Probably not enough sales volume. Not just Thaiiland, they are taking it off market in many countries. Patent has expired.

There is no tax on "incoming transfers" as such. Whether funds remitted to Thailand are taxable in Thailand depends on (1) whether you are tax resident in Thailand and (2) source of the funds (e.g. income vs savings, or income that is exempt under a tax treaty etc).

Carry on then. And continue for a full week after it ckears.

Eli Lilly has taken Cymbalta off market in many locations including Thailand. However some places may still have stock remaining. They have it at Medtide https://medtide.com/product/duloxetine-cymbalta-30-mg-28-tablets-box/ (you may have to create an account to view it) You should also check with https://medisafepharma.com/ (Use the Messenger function to ask) Since it is off market, resupply will eventually become impossible so, subject of course to expiration date consideratiopns, may be worth stocking up a bit

It doesn't usually have this effect. With the Oestrogel, should use the smallest amount that controls symptoms. This will usually be less than full applicator. That also helps to prevent much buildup of the endometrium. There are several different schedules that can be used: Continuous (Oestrigel + utrogestan) every day, all the time Oestrogel every day, adding Utrogestan for just last 10-14 days of the month Oestrogel for 25 days of the month, adding Utrogestan for the last 10-15 days Of these approaches the last one is most likely to produce some spotting but even that, in only some women. The first is probably least likely to cause any bleeding but will also be more costly (the Utrogestan is not cheap!). So if she is troubled by spotting with one regimen can modify it. All that said, no need to take systemic HRT at all unless she is significantly bothered by symptoms such as hot flashes and mood swings. Vaginal estrogen, on the other hand, pretty much all women need.

Have you tried melatonon? A fast dissolve version, undre the tongue when you awaken too early. Early morning wakening in older people is directly linked to low melatonin levels many older people find that a daily nap (1-2 hours) is the answer, as it does get harder to sleep for long at a stretch as you age.

Suggest https://www.phukethospital.com/doctor/perapun-jareoncharsri/ If he can't sort it out then see one of the Oral & Maxillofacial Surgery specialists in the Dental center there https://www.phukethospital.com/center/dental-center/#doctors or at one of the dental clinics.

Laparoscopy is still a hysterectomy, just a less invasive (but more costly/technically difficult) approach. While fibroids make it a bit harder, a skillful surgeon would usually be able to do laparoscopic hysterectomy with 2 medium sized fibroids in the uterus. I say "usually" as they don't know until they try and it can sometimes happen that they have tyo switch to open approach after first trying laparoscopically. Doctors would not usually mention laparoscopy as an option separate from hysterectomy, since it is a hysterectomy. The issue of laparoscopic vs open approach comes into play only if the patient has decided on hysterectomy. Re GYNs, depends on what you most want. I find this doctor at St Louis to be a very good communicator, unpretentious, frank and personable: https://saintlouis.or.th/doctor/dr.petcharat--pitahongnun/8ec97b6a-7666-4fa5-8561-fbbaac15ba7b However, as of last time I saw her (admittedly some years ago), she herself did not do laparoscopic surgery though has no issue referring to someone who does. So if what you mainly want right now is explanation and discussion of options she would be a good first choice. At St Louis it is first come, first serve so I'd suggest a Wednesday or Thursday as apt to be less crowded which means more time possible with the doctor.