6 minutes ago, tomgreen said:

 

Thanks Sheryl

 

Its going to be interesting to see the blood test results from the coming blood test at the  Suranaree University of Technology (SUT) Hospital in Korat on the 28th of May 2024.

 

I will post those blood test results here. 

 

Tom

 

.

As mentioned, maje sure to be (normally) hydrated on day of test. You can drink plain water after midnight while otherwise fasting. 

In any event it is extremely rare for Thais to have private insurance. Unnecessary since all are covered under either Thai SS or the universal (AKA "30 baht") scheme.  Both is which cover both in and outpatient. 

In addition it would be a rare inpatuent only  private policy that does not cover day surgeries. 

1 hour ago, tomgreen said:

 

Thanks Sheryl.

 

I think on the first blood test I could have been dehydrated , but on the following tests , due to the hot weather I have been drinking a lot more water through out each day .

 

My Thai wife enquired about making an appointment to see Dr. Watanyu Parapiboon at Maharat , and there’s a very long waiting list . Would you happen to know of another nephrologist in the Korat area that may be a possibility .  

 

Alternatively my next scheduled blood test appointment is at Suranaree University of Technology (SUT) Hospital in Korat on the 28th of May 2024, and while at that blood test appointment , I could discuss the subject of seeing a nephrologist . My concern is waiting that length of time ( until the 28th of May 2024 ) to possibly arrange to see a nephrologist and if waiting that length of time would be a wise decision or not .

 

 

Tom

 

.

 

Given that the most recent creatnine level was normal there is no hurry.

Indeed if on next tesf it is also normal (make dure you sre adequately hydrated!) then no need to see one at all.

3 hours ago, tomgreen said:

Thanks Sheryl

 

On the 5th of March 2024 Blood test I did fast for 12 hours before the blood test as instructed by the hospital doctor, on to days blood test test I did not fast at all before the blood test , I'm a little confused with the results , have I got this right . It seems to suggest that a blood test can give you 2 different results , depending if the patient fasted before the blood test or not. So which blood test ( 5th of March 2024 ) Vs ( 11th of March 2024 ) would I assume to show the correct and more reliable results for the BUN / Creatinine numbers. 

 

Tom

 

.

The issue is not whether you fasted in terms of eating food but whether you were dehydrated.  Dehdration will elevate creatnine readings.

I suspect you were dehydrated on the 1earlier

blood tests due to fasting and that this last test is more indicative of your kidney function. But keep an eye on future values.

As mentioned, you can still drink plain water before cholesterol panel test even though hospital will say "nothing by mouth".

in this heate specially, it is important to avoid dehydration.

1 hour ago, tomgreen said:

 

So after Sheryl’s recommendation today I had another blood test , but this time only for the following areas...

 

1. BUN
2. Creatnine
3. Sodium
4. Potassium

 

The blood test cost 300 Baht and took 30 minuets to receive the test results .

 

While sitting in the waiting room waiting for the blood test results I was thinking to my self that after seeing the blood test results from the 5th of March 2024 , which showed both high BUN and Creatnine test result numbers , todays new blood test results will only go to confirm that my BUN and Creatnine test results are going to also show high numbers. 

 

I was surprised to see that my BUN and Creatnine test results numbers on todays new blood test were both showing different lower numbers, and both the Sodium and Potassium numbers showed to be in a normal range 

 

I'm now not sure what to think 😒

 

Tom

 

.

You would have fasted before the prior test since it aldo included a lipid profile and were likely dehydrated then.

Hence the recommendation to get a non-fasting repeat creatnine level after adequate hydration. 

This one is normal suggestion the prior elevations were due to dehydration.

Contrary to what Thao hospitals tell you, it is fine to drink plain water before  for cholesterol. 

It is not based in Thailand but it ships quite rapidly to Thailand  has a Thai-specific web page, and is very savvy re Thai custom regulations and practices.

Anything that kills weeds will also kill grass (Roundup does, too) and also be generally toxic. And the first rain will wash it into flowerbeds, and even ground water supply and elsewhere. Do not use.

If the weeds are on lawn just accept them and cut along with the grass. If they are in flower beds etc manually remove them. Only safe way.

Can you afford private hospital?

I recommend US-trained Prof. Udomsak Bunworasate who can be seen at:

https://www.medparkhospital.com/en-US/doctors/dr-udomsak-bunworasate

He can also be seen at Chulalongkorn Hospital (government teaching hospital) through their after hours clinic https://spcweb.kcmh.or.th/users/users/searchDoctor#

That channel involves long waits and rather bewildering red tape/crowds, and consultation fee is not much less than at Med Park, but savings on treatment costs might make ut worthwhile if cost is a constraint

Thread has rapidly degenerated into bickering and flaming.

Closed. 

2 hours ago, ignis said:

regular  2 x  850mg  2 years ago reduced from 3 a day 

 

[from 1991 - 2015 was on 500 MG x 5 per day, then early 2015 reduced to 3 x 850 mg a day + Insulin . then in 2022 reduced 2x a day, Insulin also been reducing]

 

Not all episodes a month are BS.....  Some are BP sudden drops likewise Meds have been reducing........  21:00 last night felt bad/light headed, could not stand  =  BP 102/45  OK ish this morning 101/57...  was on Losartan 100 mg + some others, but over the past year has been reduced to Losartan 25 mg the others stopped

 

No idea if makes a difference ?  Dr keeps adding Vitamin's

Vitamin B12  1 x day  +  Vitamin D 2  20000U  1x week  + Vitamin B CO ED    2 x day  +  Fish Oil 1000 mg  1x day  +  Vitamin  B 1- 6       1 x  day  +   newest last month  Vitamin  B 6 - 12      3 x a day  +  Vitamin A 10000U  1 x a day 

You might ask your doctor about switching to extended release metformin. 

What time of day do these hypo attacks occur and what time of day do you take insulin, and what type of insulin?

It does not sound lije you need to be on BP med

1 minute ago, jojothai said:

FYI, Sheryl i have a low HDL and have not found anything to improve it. I know my readings for over 20 years.
I have seen fish oil stated many times and I tried fish oil for 3 to 4 years daily . But it made no difference.
Also when I went onto low carbs to reduce the LDL, it worked but had no effect on the HDL.

Can you suggest any other ways to increase HDL?

 

Eat foods high in omega fats. Fish. Avocados. Nuts. Soy.

Cook with olive oil, soy oil, sunflower oil, or flax oil

1 minute ago, saintdomingo said:

Sheryl is colorectal the same as a proctologist.?

 

Yes

1 hour ago, Excogitator said:

So, in your mind, if you have a valid work permit, you are exempt of any visa?

Will not be issued a work permit without a valid visa.  

Yes Dengue and other infections can lead to condition called telegen effluvium.

Usually resolves on 3-6 months but in rare cases vecomes chtonic

https://my.clevelandclinic.org/health/diseases/24486-telogen-effluvium

48 minutes ago, tomgreen said:

Thats good news about not having stents put in . Ive seen a few articles about aspirin being good to take to reduce the risk of blood clots forming / heart attacks. 

 

Tom

 

.

Only for people with clear risk factor. Not recommended for mass use. 

Tops has cranberry juice and so often does Tesco Lotus.

Can also be ordered on Shoppee.

Easy to get.

2 hours ago, ignis said:

That's my 3rd HYPO in 6 years time and I hope the last.

 

wish I could say the same, for past 15 or so years  have at least 3 Hypo per month, sometimes 3 in a week and then it is down to between 60 and 70..

 

wet with Sweeting and the shakes = Very Low = warm milk and Honey

 

I am Diabetic Lada 1.5 so take Metformin + Insulin.. dosage = what my BS reading is

 

If it is low say 80 - 90 feel light headed blurred have no idea it it is BS or BP,  Blood Pressure also give the same feeling so must test both and yes over the years had very low BP

What type of metformin are you on, regular or extended release?

Multiple episodes a month are way too many, your meds need adjustment.

4 minutes ago, Confuscious said:

A HYPO is a very frightening experience and the odds to go into a COMA makes it worse.

I carry normal always some Fructose candy with me, but I forgot the Fructose in the car that day.

Hypoglycemia severe enough to cause coma is not going to happen in someone not taking any sort of hypoglycemic drug unless there is a serious disease present (eg insulin-secreting tumor). But you can certainly get light-headed,  shaky etc. 

In people on insulin, by contrast,  hypoglycemia is a serious and potentially life threatening risk. 

2 minutes ago, newbee2022 said:

Maybe in your area? Nowadays labs are working fully automatic, just to avoid misreadings or misinterpretation or other mistakes. But I admit mistakes could happen where human beings are at work.

These automatic machines have to be properly maintained and regularly calibrated. A step ofen omitted. Reagent solutions/kits need to be properlly stored and not used beyond expiration (ditto).

And samples have to be correctly  labelled and correct patient name entered. 

Mixing up of patient results is something I have encountered several  times including at major, ISO certified hospitals. 

2 minutes ago, newbee2022 said:

Maybe in your area? Nowadays labs are working fully automatic, just to avoid misreadings or misinterpretation or other mistakes. But I admit mistakes could happen where human beings are at work.

These automatic machines have to be properly maintained and regularly calibrated. A step ofen omitted. Reagent solutions/kits need to be properlly stored and not used beyond expiration (ditto).

And samples have to be correctly  labelled and correct patient name entered. 

Mixing up of patient results is something I have encountered several  times including at major, ISO certified hospitals. 

34 minutes ago, Eaglekott said:

My suggestion would be to replace the Astorvastatin 20mg with Simvastatin 10 or 20 mg for some time and then check cholesterol levels again. You will save a lot of money changing to Simvastatin. I know many doctors and hospitals try to sell the most expensive tablets even if there is others that cost a fraction of the price.

There are advantafes to atorvastatin over Simvastatin if he can afford it.

If for cost reasons he has to switch the simvastatin equivalent to 20 mg tirvastatin would be 40 mg not 10 or 20.