Sheryl

What your insurer will accept is not normally based on a total amount; rather the hospital submits a detailed cost estimate broken down by all the different cost elements and the insurer reviews this, line by line. Your policy may have some specific limits on things like room charge, for example, and other applicable limits on various cost elements. After the hospital submits a detailed cost estimate, typically some back and forth and negotiation then occurs between hospital and insurer. I suggest you also try MedPark Hospital, specifically Prof. Chartaroon there. https://www.medparkhospital.com/en-US/doctors/asst-prof-dr-chartaroon-rimsukcharoenchai Since you already have a valve in place you obviously have history of aortic valve disease. This would make it a pre-existing condition in the eyes of most insurers. Ard you sure they will cover this? AFAIK TAVI can be done using biological valve. Valve type is not in itself reason to opt for conventionsl surgery over TAVI. Of course many factors influence choice of surgical technique so need to discuss your specific situation with the surgeon.

@ronnie50 Goof job in ruling out serious vascular causes etc. I suggest as next step consulting this spine specialist as cervical stenosis (which can cause tinnitus as well as pain) needs to be ruled out. https://www.bnhhospital.com/search-doctor/entry/4093/ He is by far best spine soecialist in Thailand. Bring your scans and films (on DVD) with you. I would caution against chiropractic treatment, at least until given the all clear re spine. Manipulation of the cervical spine can be dangerous. Even in the West, where chiropracty is much better regulated than it is here, people have ended up quadriplegic as a result.

For foot surgery best doctor in Thailand is https://www.bumrungrad.com/en/doctors/bavornrit-chuckpaiwong https://www.phyathai.com/en/doctor/assoc-prof-dr-bavornrit-chuckpaiwong Same doctor, different hospitals. He also heads a foot/ankle clinic at Siriraj. https://www2.si.mahidol.ac.th/en/orthopaedic-surgery/foot-and-ankle-surgery/

What type if immunothrrapy and for what disease? And do you know the name of tbe drug, so I can verify if availablr in Thailand? If cancer there is a hovernment cancer hosoital in Chonburi town. May or may not have the dtug in question. If for an autoimmune or other condition, that is another matter, hence the question.

Moved to Health Forum. Although you believe this not to be spine related it would be better to get a professional assessment. Best spine specialist in Thailand is https://www.bnhhospital.com/search-doctor/entry/4093/ If you get the all clear re spine, many people have recommended this place for physical therapy https://www.bpcphysio.com/

Do not alter your cardiac meds except as directed by your cardiac doctor. If you have a home BP machine, can monitor to see if any noticeable change from Forxiga. As mentioned, Froxiga is commonly added to metformin rather than replacing it. But any time antiglycemic meds are increased, the risk of hypoglycemic reaction also increases. If it occurs, dosage adjustments may be needed. You would do well to consult either an internal medicine doctor or an endocrinologist for better monitoring of your diabetes and for precise dosage instructions.

When you say you have "been convinced", do you mean by your doctor? Or is this something you have decided by yourself? This medicine is often taken in addition to metformin but it is unwise to self prescribe it. Should discuss with doctor familiar with your lab results and overall medical history.

Tamiflu (and the less expensive local generic equivalent, GPO-A-Flu) ard indeed restricted drugs in Thailand and not sold over the counter. Get from a hospital or clinic.

Foreign is not an issue but need to be 18 or above, or else have parental/guardian consent https://lovefoundation.or.th/en/legal-transgender-in-thailand/ As to type of documentation etc best to ask the relevant health facility. Besides all the major hospitals there are a number of clinics that specialize in this.

No, but see my prior reply. This is nothing new.

It is referring to non-controlled drugs and nothing new.

Yes but this has always been the case. Several years ago the MoPH again made it official that hospitals must allow this. most meds do nto require a prescription in any event (but you'd want to be clear on name and dose).

Your last srntence is why they were questioned. Frequent visa exempt artivals, edpecially with little time in between and/or 30 day extensions, can lead an IO to suspect you are actually living in Thailand. Doesn't alwsys hsppen, but can. Luck of the draw.

There aren't any "gluten free aisles" that I know of. But the rice-based Thai diet is naturally pretty gluten free. And there are Thai vegetarian restaurants in both Bangkok and Pattaya. Indian food (excluding the breads, obviously) would also be a good option.

My information indicates this is no longer available in Thailand

Thetr has been no change to the law as regards tramadol. Pharmacies can still sell it, provided they have a first grade pharmacist on duty at all times and keep a record of sales. Many however do not want the bother. Try a different pharmacy. Where in Thailsland fo you live?

If you are treated by more than one doctor you will of course pay more than one doctor fee. OP however saw only one doctor. Nursing time is not charged the way doctors are. They are hospital employees. The OPD fee (AKA hospital fee, nursing fee) is intended to cover facility costs including nursing staff etc. It should be charged once per visit only.

In which case physician fee would not be listed twice. Non-physician hospital staff and general facility costs are subsumed unfer something that may be called "nursing charge" or "hospital fee" or "OPD charge" etc. Would not be listed as doctor or physician charge.

And why is there an OPD service chatge on both bills?

Chat GPT is not a reliable source for this. I have never seen what you describe here. You would certainly not pay the OPD service charge twice for a single visit. Suggest you contact the hospital. It is vocommon to get one summatized bill and one detailed (itemized) one but ylthat is not what you describe. Before calling check the name and hospital number 9n both bills.

Alternative approach would be MOHs surgery but very seldom available in Thailand.

This reads like it came from AI, which is notoriously unreliable for this purpose. Do you have an actual link to these hospitals stating PAE is available there (not a general article on the hospital website describing all treatments - actual statement that they offer PAE)? ? Doctor's name?

Could be. Humidity definitely plays a role in development of mold. I'm in a rural area, kitchen on ground floor and it is quite humid where I live, even with a/c on.

My experience also with Tops and Lotus house brands. The Farmhouse brand lasts a bit longer, maybe 10 days. Ingrediants are listed on labels, though often only in Thai,

That is what I buy and it does go moldy after a while. I haven't compared to the expiration date (which is really more of a "sell by" date and not date at which cannot be eaten) but it certainly doesn't last weeks outside the fridge. So maybe he does mean white bread.