Sheryl

EFGR is not the only basis for diagnosing CKD. eFGRs as low as 60 can still be considered normal if there ate no other signs of kidney disease. However sounds like OP was diagnosed in his home county so presumably proper workup was conducted leading to his diagnosis.

I would certainly not advice living fulltime in Thailand with this unless you are very, very wealthy with plenty of cash to self fund medical costs (which if your kidney disease progresses, may be extreme;y high here). You could consider spending up to 6 months of each year here while maintaining a base in your home country, in that scenario would need only travel insurance and there are some policies which will cover "acute exacerbations" of chronic conditions. This also has some tax advantages i.e. if you keep it below 180 days you would not be tax resident in Thailand.

Queen Sirikit should be fine. Pattaya Memorial would also work but Queen Sirikit would be cheaper. if your daughter is Thai, she could also go to the government hospital where she is registered under the 30 baht scheme. Isotretonoin and related compounds work but are prescription only and for good reason. Liver enzymes need to be monitored. Also, during treatment (which takes months) the skin and lips will become quite dry. In addition pregnancy must be ruled out as this drug causes birth defects. Doctor may prefer to first treat with an antibiotic in the tetracycline group and move on to a retinoid only if those do nto do the trick, but see what doctor says. Saracycline is an example of drugs in the tetracycline group but not yet available in Thailand. There are others that can be used e.g. doxycycline.

Cambodian friends urgently need to sell land on gjd Phnom Penh outskirts. Can snyone recommrng agenvies/wrbsites etc? (Plesse no answers that are from Google or AI. I know how to use those. Looking for actual experience. ) Thanks

Actually there is a govt health scheme for the migrant workers cost sbout 2000 baht a year and essentially same cover as the "30 baht" scheme.

Not necessary to use private hospitals (though in some cases wsit lists can prove dangerous...I know somrleone who need voronary bypass urgently and govt hospital wait was 6 months. He would have died long before that). But do not be deceived by your low costs to date. Govt hospitals are slways much less glthan private but bills can still top 1 million if very specialized surgeries and ICU care etc involved.

You need much more than a small pot put aside and don't think only about your known condition. There will be other things, often unforseen and especially as you age. A single hosptalization can reach 3-4 million in a private hospital and 1 - 1.5 million in a government hospital if specialized treatment and ICU care involved. These are the amounts you need put aside and readily available to be truly self-insured...as well as a plan of what to do when it is depleted.

Moved to Health Forum. Everyplace charges much more for multifocal lenses, they have to as the lens implants themselves cost much, much more than monofocal. Note that not everyone can adjust to the multifocal lenses. Research this carefully before taking that costlier option. Most people opt for monofocal lenses and just accept the need for reading glasses. 80-90 per eye for monofocal lens is about average for a private hospital. Government hospital will be around 20-30 depending on whether there is a foreigner surcharge.

Whatever is the minimum now, it will go up over time (inflation etc) so factor that in. And your needs will change as yo uage, as well so consider household help when older etc. Make sure to include health insurance in your calculations and not just current premiums but premiums as you age.

Whatever it is, you have an allergic response to it which makes it hard to see the original bite, if there was one. Could be a bite from something to which your body has an exaggerated response, or could be a contact dermatitis. Did you not go outside at all before the new lesions appeared? If not, may need to carefully check your bed, bedding and condo for any critters. Especially spiders and bed bugs. If you did go out -- and especially if you did so in shorts, as all these lesions seem to be on leg - then either you had contact with some plant to which you are allergic or were bitten by something ditto. In either case, next time going to that place try wearing long pants and applying insect repellent. A steroid cream (every pharmacy has) might give more relief than antihistamine. But of course you need to figure out how to avoid whatever is causing this .

The lesions do nto in any way resemble the rash that sometimes (but not always) appears in dengue.

If you truly have chronic kidney disease to a significant extent, it will preclude getting health insurance if you are not already insured. But what extent of "chronic kidney disease" are you talking about? What stage, what creatnine level?. Many people get misdiagnosed here based on unreliable eGFR calculations/ unreliable self-diagnosis. Management of chronic kidney disease varies greatly depending in stage, and any underlying cause (diabetes, hypertension. lupus etc).

Mind running constantly sounds more like anxiety. And while oxetine may help some, it is unwise to self prescribe psychotropic meds.

I think you mean San Paulo?

Should be, for sure. That list is probably from a lower level hospital. But the list of tests thst can be done in a hospital is not the same thing as their checkup package and remains to be sern how readily you can add on to that.

Lipid panel (HDL, LDL, triglycerides) Creatnine and BUN Hb1Ac TSH ALT/AST (liver enzymes) CBC

Agree that they don't really look lite mosquito bites. If they persist suggest you see a dermatologist. Are you aware of having been bitten by something?

That estimate might have included removal and biopsy of X number of polyps. Important to always verify with colonoscopy price if it includes polyp excision & biopsy or not. Promotion/package prices usually do not, it is is extra which makes some sense since will not always be needed and they have no way of knowing this in advance. But some hospitals try to always estimate on the high side when giving verbal estimates since people get upset of total comes to more. Note that CEA is not suitable for screening purposes and should not be so used. Same goes for most other "cancer markers" that private hospital checkup packages often include.

Colonoscopy is still the gold standard. It still has much higher sensitivity and specificty than other tests, and allows for the immediate removal of pre-cancerous polyps which stool tests obviously do not. Also, the type of stool test you mention (Stool DNA (SDC2) methylation) is not yet widely available in Thailand and quite costly. Of course, for people unwilling to undergo colonoscopy, or with medical contraindications to it. Stool test -- even the much more widely available and cheap test for occult blood, but preferrably the Stool DNA (SDC2) test - is certainly better than nothing. But as OP is about where to get colonoscopy, this does not seem to apply to OP.

Wait is usually less at Chulabhorn which is why I suggested it over Chulalongkorn. Also they at last report did not have dual tier pricing as fewer foreigners go there. Among govt hospitals in Bkk, Chulabhorn Cancer Center probably best for this

There is a difference from having a check up at a hospital which offers check up packages, and having a few, less common, specific tests done. The OP sounded like he wanted the latter. Now it seems he may want the former, @CallumWK please clarify what you are seeking. An overall checkup or specific tests related to a known (or suspected) health problem? Note that the few, very specific tests you originally mentioned might not a appear in a check up package and may have to be added on (forget the PHI, that isn't a test anyway but a calculation based on 3 other parameters, only 2 of which -- PSA and free PSA -- are widely available even at large hospitals. Free PSA usually only done if overall PSA is elevated). If what you want is an overall check up then indicate your age, any known medical problems or significant family history. All private hospitals, and most larger government hospitals, offer check up packages of one sort or another.

Flaming/bickering posts removed.

If by Somdet you mean the Red Cross Hodpital, they would be able to fo PSA anf Hb1Ac. I have no idea ehst HCI is? You will have to see doctor first to get the tests ordered.

25 - 35K at a private hospital...with periodic promotions at lower rate. Not sure how readily one can get this at government hospitals in Chonburi nor which (if any) govt hospitals there have the capacity (many provincial and community hospitals, and even some regional hospitals, do not). In Bangkok, can get it at Chulabhorn Cancer hospital (government) , under 10K last I heard. https://chulabhornhospital.cra.ac.th/

You cannot go into a government hospital and just demand a blood test. You have to consult a doctor there and the doctor has to order it. Lower level hospitals (e.g. community hospitals) may have limited lab facilities and nto be able to do the tests you mention. Simplest thing to do is to just use an independent lab. Where are you located?