Everything posted by Sheryl
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Inguinal Hernia
They probably do.Will always cost more than open. About 15-20k more at a government hospital, 50K+ more at a private one.
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Recommendation for Memory Foam mattress topper
Rolled up
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Cardiologist (angiogram/stent)
https://www.bch.in.th/find-doctor/362 Bring your most recent lab redults with you
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DENTAL ISSUES- DENTIST in JOMTIEN
it does take some time after extraction before dentures can be fitted. A month at least. It is a bit concerning that the dentist already took mold and made the dentures, in my experience would do that only after full healing. I.e. first extraction, them a month or two later, once healed, make the mold for the dentures then return for the fitting. In Jomtien itself: Dr. Preecha Paijitrochana, DDS Smile Time Dental Clinic Jomtien 082-207-9691 Has been recommended by other AN members. Dentists that have been recommended in Pattaya include (in no special order) https://www.travel-dental.com/en/welcome-to-the-deutsche-dental-clinic-in-pattaya-thailand/ https://www.germandental.com/ https://www.dentalsmilepattaya.com/ Dr. Oyo SmileTimeDC.com - Fine Dentistry with a Gentle TouchSmileTime Dental Clinic, Jomtien, ThailandWe are a highly experienced Dental Clinic, Jomtien, Thailand, that prides ourselves in "Fine Dentistry with a Gentle Touch"
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How long should my food poisoning symptoms last.
Sorry that link is old. This is the current one https://bch.in.th/find-doctor/72 He is there only on Tuesdays, arrive early. He is also at Bumrungrad on Thursdays but costs more there.
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How long should my food poisoning symptoms last.
The only advice I can give is, if the constipation persists despite all this, that you get DVDs of the CT and the colonoscopy & gasttoscopy and take it to this doctor in Bangkok who is the country's foremost colon specialist: https://www.bch.in.th/find-doctor/doctor-profile/?smid=4581 Worth getting a second expert opinion on that scan etc
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Accident insurance info please.
That us general health indurance. He asked about personsl accident insurance.
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Back issue Bangkok
By far the best spine specialost in Thailand is https://www.bnhhospital.com/search-doctor/entry/4093/ https://www.bnhhospital.com/doctorsstory-th/dr-wicharn-yingsakmongkol
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Accident insurance info please.
Indeed I am not sure you can get a new, local, accident policy at your age...but AA Brokers would know best.
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Oncology/Urology in central Bangkok
I assume you refer to Chula aftet hours clinic since thete is a vast diffrtence in cist between the publuc vhannek and any private hospital. While it is true that consultation costs aren't much less at Chula after hours clinic than at nonprofit hospitals like Bangkok Christian, St Louis etc, diagnostic procedures and treatments cost many times more. BNH is a high end for-profit private hodpital costing more than Bangkok Christian and the like.
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Dealing with subtle but constant anxiety. Any advice that would help?
The difference between fear and anxiety is fear has a clear object/cause while anxiety does not.
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Cataract In One Eye - Public Hospital
Better confirm this includes lens as sounds like govt hosp price
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Cataract In One Eye - Public Hospital
Would not make much sense. a better -- and cheaper -- approach would be to fit the standard lenses such that one eye is 20/20 and the other eye a bit nearsighted. ("Monovision"). Most people adjust well to this, I did same thing with Lasik surgery 25 years ago and worked well for me. But a small number of people just can't adjust so good idea to first do a trial first via contact lens in one eye.
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Cataract In One Eye - Public Hospital
A cataract operation involves complete removal of the lens and replacement with an artificial lens. There isn't any "scrap" that can be removed. The lens itself has hardened and become opaque. So must be removed.
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Cataract In One Eye - Public Hospital
The main consideration is the type of lens implanted. For standard lens, at govt hospital usually around 20k baht, give or take. For progressive lenses, maybe 40k the difference being entirely the lens cost. Main advantage to progressive lenses is that one may be able to avoid need gor reading glasses. On the other hand not everyone adjusts to them. Most people opt for standard lenses and use reading glasses as needed.
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Deciding on a hospital for an ERCP
Mild bilateral perinephric fluid in kidney is a common finding and often benign.
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Deciding on a hospital for an ERCP
Chula is once of the 2 top university hospitals in Thailand. Very safe, well equipped.
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Deciding on a hospital for an ERCP
At any hospital, you have to consult doctors when they have office hours. As mentioned, should call to confirm those hours as sometimes website is out of date or a doctor will not be in for one reason or another. For both Thonburi and St Louis, you can call and ask to make appointment but, even if given one, the time is just an approximate and it still seems to be first come. SIPH on the other hand requires appointment. SIPH: there is often a sizable delay in getting an appointment (though I have at times succeeded in pleas for one sooner than offered). The biggest delay comes in then scheduling admission or a procedure, that can take weeks or more. About a year ago I accompanied a Cambodian friend with prostate issues there, multiparametric MRI was recommended and would have been a month wait for it, then again as much or more for biopsy if (as proved the case) it was indicated. The doctor himself suggested that Thonburiwould be quicker, and it was immediately arranged there. Which would not have been an option had that doctor not also had privileges at Thonburi. When you arrange admission, you can do it for whenever is convenient & doctor available, what I meant is you can make that arrangement right on the spot after the consultation and it will usually be possible to schedule quite soon if that is what you want, often even the very next day. In other words, usually no wait list for procedures per se. Yes 1-2 trips at the private hospitals but Chula may be more, or might need a longer stay at the first trip to get everything set up. You would likely have to come back a second time, during government working hours, to schedule the procedure and, as at SIPH, there may be a wait list. You might also have to make separate visits for preliminary blood work and (if they will use general anesthetoc) EKG etc. At a minimum they will likely want a blood count, blood sugar, coagulation profile and EKG unless you have these results available from within say past month). Whereas at a private hospital this will all be done at admission on the spot. Just in general things go more slowly and there is more red tape when using a government hospital, and that does include SIPH even though it is technically private. However I would expect total costs at Chula to be less than half that of the private hospitals...maybe even a third. SIPH, being technically private wing, will be only about 10% less than the mid-range (price wise) private hospitals mentioned. You can try to get cost estimates by phone but have a Thai speaker do it and make sure they can clearly name & spell the procedure. Emails may or may not be answered by Thonburi and St Louis, won't be by Chula for sure. SIPH actually does answer emails and even though you might opt to go elsewhere, their price would be useful to know as Thonburi is not likely to be a whole lot more. Note that cost estimates will be for the procedure and normal anesthetic (Usually IV sedation eg propofol), if it isd determined that due to your other conditions general anesthesia is required that would up the cost. You would be in safe hands with any of the doctors and facilities discussed. What is not safe would to delay if the MRCP confirms stones in the CBD and any are larger than 5 mm. As for donations, just pay it forward for someone else. :)
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Toilet Seats
Title has been edited.
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Deciding on a hospital for an ERCP
Any hospital able to do ERCP will have ICU facilities etc. and not need to trabnsfer you if there are complications. Yes, referring to Thonburi 1 hospital. Owing to its close proximity to Siriraj (almost walking distance) many of the Siriraj senior faculty have hours there. I haven't really found the other Thonburi branches to differ that much in price but they definitely differ in the seniority/experience of their doctors as the others are farther away from main teaching hospitals. Usually at Thonburi it is first come, first serve and if you show up at least an hour or two ahead of time you'll be seen. Whereas at SIPH it is harder. As long as Prof. Leelakusolvong is there, I think you'll be able to see him at Thonburi and then arrange admission etc all in one visit. Much harder at SIPH. Prof. Nonthalee is indeed very well qualified but as far as I know, only at SIPH. Thonburi Hospital is about as inexpensive as you are going to find short of going to a private hospital. As for "luxury", there is definitely none there but this is not as related to cost as one might think it to be. It is a common myth among expats that private hospitals are expensive because of fancy rooms and other frills. These are actually not major cost drivers. Costs at private hospitals have more to do with who is their clientele, and the fancier accommodations are just something added on as part of what the higher paying clientele expect...not the reason for the higher costs. Another alternative would be Saint Louis Hospital, this doctor https://saintlouis.or.th/doctor/assoc.prof.dr.pradermchai-kongkam/506ab8d3-1698-4c3b-aa2f-13974b161a7d This doctor is the head of Chulalonhkorn's Center of Excelelnce for Endoscopy Center. St Louis is nonprofit and also "no frills", nonetheless in my experience it often costs a bit more than Thonburi, probably due to location and drawing in better off foreigners. It may however be more convenient in terms of location for someone coming from Pattaya and that needs to be factored in. AI tools are not very accurate with regard to health care costs in Thailand. And in any event, cost differences among private hospitals are relatively small, much less than one would perhaps expect. The only big exceptions come into play when some offer special packages but ERCP is not common enough that there are likely to be any. To really save money you could have this done at Chula. While this is possible, it would entail more trips to Bangkok and longer waits...and coming from Pattaya these extra trips will entail costs that may offset the savings in hospital fees. If you want to try this, though, use the Chula "specialclinic". https://spcweb.kcmh.or.th/users/users/searchDoctor Open in Chrome for translation, select "Gastrointestinal/Kiver Disease parttime" from the menu and then one of these doctors Prof. Rungsun Rerknimitr Assoc. Prof. Wiriyaporn Ridtitid Asst. Prof. Parit Mekaroonkamol Spellings may vary a bit in Chrome trabslation. You have to call to make the appointment, and be ready for a long wait at consultation and need for additional visits just to get things scheduled
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Hydrophilic urinary intermittent catheter
For the benefit of others, can you link where you buy these from? The lubricant is essential to avoid trauma/irritation which, aside from discomfort, is a risk factor for infection.
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Deciding on a hospital for an ERCP
ERCP requires specialized equipment and a doctor experienced in its use. Any large private hospital will usually have this but only higher tier government hospitals. Actually every hospital you list is private though in the case of SIPH, it is a private branch of a government hospital. And for this reason, there is often a wait to get procedures scheduled. With CBD stones, a wait is unadvisable. You want to get this done ASAP, as if complete blockage occurs it becomes a medical emergency. As long as the hospital has the necessary equipment, choice of hospital is not so important, it is the choice of doctor that matters most. I suggest for this Prof.Somchai Leelakusolvong who is at both Thonburi and SIPH. Costs at Thonburi are usually almost same as SIPH, maybe just a tad more, and scheduling is faster. It is a solid, no-frills hospital popular with the Thai middle class. https://www.thonburihospital.com/en/doctorprofile/?page=1&department=288 https://www.siphhospital.com/en/medical-services/doctor-biography?id=100 Call ahead to Thonburi to make sure he will be there, schedule says Thursday & Saturday but their website is not always up to date.
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Now Health International & Best Doctors Insurance
Worth noting that AOC had a recent lawsuit against April -- not related to insurance benefits; AOC accused April of having poached one of their staff. They won their suit but something like htis can leave some residual resentment. Regarding NOW, my understanding is that they are headquartered in Hong Kong. If the policy is issued out of Hong Kong then I would have some concerns in terms of regulation environment and recourse, so ask specifically about that. You want a policy issued out of a Western country. I have had good experience with April paying my (unfortunately many) claims. Was also able to get prompt assist through AOC when there was a small hitch in one claim. But yes, AOC these days is a bit sour on April. If you have any health conditions now that you did nto have when you got your current policy, or have had recent claims, these can be a problem in changing insurers.
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Inguinal Hernia
At that price, will have been open approach not laparoscopic. About 10-15k more for laparoscopic in govt hospitals where it is available.
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Seeking Keppra and Atorvastatin
Afraid not. I have only these directions to offer. It is the Huay Khwang BTS stop (which is indeed on Phahonyothin Rd). that it is near. Opposite the Big C. I don't think it will be much (if any) less expensive than the other 2 listed, thety are all about the same and all 3 stock inexpensive generics.