Sheryl

A post with serious misinformation has been removed.

You do NOT need to see doctor in person for this, it can be handled on phone. Make sure they understand it is for refill of existing medication.

That would have been Bimo Mac, not Bimo Max and it is another brand of same thing. Which online sources have you tried? Did you ask Medisafe? (ask by generic name Brimonidine not brand name) Can also ask Medconsult, they can usually get anything and will mail it but there is a 300 baht add on for the service https://www.medconsultasia.com/pharmacy-refil-service/

Alphagan-P is Brimonidine. Another brand (locally made) of this in Thailand is Brinidin. Lanotan is a different drug than Alphagan-P. Do not change glaucoma drugs unless advised by your ophthalmologist. That said, latanaprost (brand names here: Lanotan and Prosdrop is generally the more effective treatment compared to brimonidine.

All GI doctors are trained in this. But some are better than others in identifying the cause, which can sometimes be complex. A very highly recommended GI specialist is https://www.bumrungrad.com/en/doctors/parit -mekaroonkamol https://www.bangkokhospital.com/en/doctor/asst-prof-dr-parit-mekaroonkamol (same doctor, different hospitals) If you have nto already, there are numerous lifestyle modifications which may help. Therse include: - stop smoking if you smokle -lose weight if overweight - do nto lie down for 2 hours after eating -avoid or minimize caffeine - eat smaller amounts at a time - avoid overfilling stomach, especially at night -elevate head of bed

No reason to think there is a ban Shoppee doesn't have any at the moment. Lazada currently has some, but not the brand/type OP was looking for.

As has been explained he does not have "many significant issues", the report was badly and inaccurately done. His only abnormal result is an elevated PSA, which does need further exploration. We have no way of knowing if he has had a colonoscopy in past ten years but if not, indeed should.

Are you sure dosage was the same? Cardoxa comeso nly in 2 and 4 mg but Pencor comes in 1, 2 and 4 mg

What @Mike Lister wrote is correct.

If it is anything like the "interview" I had for my yellow house book they just ask you questions about yourself. Parent's name. Where born. Dates you lived abroad etc. Definitely not a test as such.

To be able to see a doctor of your choosing you would need to go through a government hospital "after hours" clinic as going through the public channel you have no choice of doctor and most care is provided by interns/residents in training. The "after hours" clinic consultation costs can be almost as high as private hospitals, but the cost of tests etc will be much less. I suggest you see Prof.Dr. Khajohn Tiranathanagul (various spellings to both first and last name transliterations, including Kajon for first name and both Tiranathanakul and Teeranathanakun for last name) at Chulalongkorn Hospital) "Special Clinics". (please ignore the underlining, I can't see to get rid of it) https://chulalongkornhospital.go.th/specialclinics/ He is there on Sunday mornings and Thursday evenings (start from 4 PM onward). 3rd floor of the Phor Por Ror building which is large highrise on the corner of Rajadamri and Rama IV, directly connected by overhead walkway to both Silom MRT and Saladaeng BTS. You have to make appointment first through the Call Center at least 1 day in advance 02-256-5193. They will give you an appointment number, make careful note of it. And assuming you have not previously been a patient there, you need to start by going to the ground floor of the building to register and get a patient hospital card. Bring your passport, and show them your appointment number when you do as they will issue you both the hospital card and an appointment slip which you then show at the nurses' counter on the 3rd floor. Special Clinic starts issuing queue numbers at 4 PM. The time of your appointment has little or nothing to do with when you will actually be seen. Be prepared for as much as a 5 hour wait and bring plenty of reading material. Also bring a warm sweater, I was just there yesterday (different floor) and it was freezing cold. BTW if the Hua Hin hospital diagnosis was based solely on eGFR, and your creatnine level and BUN were normal, it is may be a faulty diagnosis. Happens a lot in small Thai hospitals. Anyway see what the Prof. says.

I take it you are saying that no, you did not gave sexual activity of any kind nor ride a bike/moto in the 48 hours prior to either PSA test? If so do not repeat the test first, go direct to uroligist (though the wide difference between the 2 test results is odd and, together with the unprofessional wording of"results" from the second check up makes me question the accuracy of their lab). There has been some good feedback on these doctors at Bangkok Hospital CM (not CR) https://www.bangkokhospital-chiangmai.com/en/doctor/dr-supon-sriplakick-m-d/ https://www.bangkokhospital-chiangmai.com/en/doctor/dr-wittawat-rawiyotai-m-d/ That said, expertise in urology is much better in Bangkok so if it emerges that there is a serious problem should at that point consuder coming there.

No need for another Hb1Ac then. Yours are in normal range. You are not pre-diabetic and can safely ignore the fasting blood sugar result. In the 48 hours prior to the 2 PSA tests, had you had any sexual activity or ridden a bike or motorcycle? Are you driving ftom Ubon to CR? As if do might consider overnighting in Khon Jaen and seeing urologust at KKU Hospital.

First of all, you did not have "high levels of Liver Cancer". You had an elevated AFP, a "tumor marker" test that is wrongly used by many private hospitals here as screening for liver cancer. In fact (1) AFP can be elevated for many reasons other than liver cancer and is not suitable for mass screening and (2) they use a much lower cut off for AFP levels in Thailand than is the international norm. The internationally accepted normal range goes up to 10 meaning your 7.1 result would be considrred normal in the West (where the test would not have been performed anyhow, being unsuitable for general screening). In addition it it sounds like you also had an abdominal ultrasound, which found no mass in the liver, just some fatty liver which is common in people who are overweight. In actual liver cancer AFP values tend to be in the hundreds. Secondly your blood sugar is not "high" it is borderline, in the range for pre-diabetes but that cannot be diagnosed from a single fasting blood sugar. Just the stress of having blood drawn can raise the blood sugar a bit. You need to get an Hb1Ac test which will show what your blood sugar has been like over the prior 3 months. This will show if you are actually pre-diabetic or not. If you are, treatment is lifestyle modifications (avoid/minimize orocessed carbs and get more exercise) and weight loss. Third -- the eGFR is not a test but rather an estimation calculated based on age race, and serum creatnine. Considerable error is possible and it can particularly be off in people who are obese. If your serum creatnine was normal, I would pay no attention to the eGFR. Lastly, the PSA. It is important to avoid all sexual activity before a PSA test and also refrain from riding a bicycle or motorcycle. If this was not done, you should repeat the test. If still elevated, then see a Urologist. In short: get an Hb1Ac and repeat the PSA after ensuring no sexual activity for 48 hrs and no biking. If still elevated see a Urologist. (If your earlier PSAs were already done under these conditions, skip that and see Urologist now bringing both PSA results with you. You can get these tests at a lab, do not need to go to a hospital. https://uwellness.tech/en/about-us-u-wellness-international/

Actually your systol8c blood pressure (top number) is borderline high. As for the diastolic (bottom number), most likely just an error. In some people the sound continues past the true diastolic level (sometimes even all the way to 0). There is a shift in volume which denotes where the true diastolic value is, but only an experienced human practitioner will detect this...not machines and not mediocre staff. Do not increase salt intake and do not take BP/ cardiac advice from a dentist. No harm in seeing a cardiologist to be sure, but if you can, first get your BP taken the old fashioned way (stethoscope and manometer) by an experienced human. May well rurn out that yoyr diastolic is actually normal or even a bit high.

Annual check ups are not that expensive (and would not be covered by most insurance policies anyhow). What you need insurance for, is serious accidents and major illnesses (heart attack, cancer, stroke, kidney failure etc). These can easily run into millions of baht. Most policies offer options whereby you accept an excess (deductible) in exchange for a lower premium. They also usually offer about 10% saving if you pay premium annually rather than monthly.

There are several local brands Gabapentin GPO Berlontin Gabutin Neupentin Rontin Vultin And a few othrrs. Does not require a prescription. But I don't recommend self prescribing it.

You have been taking the tartrate only once a day? As needs to be twice a day due to short duration of action Metopropolol succinate is available here in brand name Betalic Zok but comes only in 100 mg tabs. Although you have been getting sub-therapeutic dose should still not discontinue without discussing with your carfiologist

Locally made brands of Valsartan are: Diforge-160 Valsartan GPO Viotan They can be hard to find, and still cost more than Losartan, though less than imported brands of Valsartan. What does of Losartan are you on? Because the difference in length of action mainly pertains at lower doses e.g. 50mg. At 100mg dose, Losartan effects last 24 hours.

This. So yes, definitely less expensive in Thailand than in Oz.

"In most circumstances, it is illegal for individuals to import drugs or devices into the U.S. for personal use because these products purchased from other countries often have not been approved by the FDA for use and sale in the U.S. If a drug is approved for use in another country but is an unapproved new drug in the U.S. it is illegal to import. " https://www.fda.gov/industry/import-basics/personal-importation#UScitizen In addition, it is quite possible the specific medication contains one or more substances banned in the US, in which case could incur serious legal consequences. it would help if you would post the actual name of the medication. "Weight loss" pills cover a wide range of products. Some are just laxatives, others are seriously banned (and dangerous) substances.

It is not yet available in CM AFAIK. Only became available in Bangkok a few years ago and even there, still just a few hospitals. Note that to be a candidate for this (1) it must be BPH i.e. need to be reasonably sure not prostate cancer or other cause. (2) Prostate must be below a certain size.

Renovation of the hospital building is not important. It is the level of the hospital that is important. If you will be 60 km from the town then this will be a small community hospital so capacities limited, few if any specialists, doctors very junior/new graduates. Fine for routine things but for anything at all complex or specialized she will have to be referred on to Buriram Hospital. How readily that happens varies with the hospital. With some it is just a small formality, with others it is difficult to get them to refer. From the standpoint of an insurer (who look at statistical risk) your pre-existing hypertension, even if well-controlled, will be an issue as will the fact of prior thyroid cancer (increases risk of other cancers, statistically speaking). Some will refuse cover altogether. Between that and your age, it may take some doing to find an insurer willing to cover you. Definitely unlikely any Thai company would, but Thai insurers are best avoided in any case and their rates become absurdly higher at older ages. You want to find an internationally based expatriate policy. I suggest you start as follows: https://www.aoc-insurancebroker.com/ https://www.cignaglobal.com/quote/pages/quote/PersonalInformationLiteV5.html https://app.william-russell.com/health-quote/about-you/ https://application.globality-health.com/?locale=en#!/ https://morgan-price.com/individual/ (choose the Evolution Health Plan Asia Pacific option) https://expat.acs-ami.com/en/form-step-2 The first one listed is a biorker so will likely provide you with a a number of possible policy options. The others are actual insurance companies. So there may be some overlap in the info you get. With Cigna and Globality you will see the quote online and can then play around with it by adjusting the excess and copay options. At age 60 onward it is usually best to accept at least a modest excess. I am not sure with the others if you will see quote online or only get it by email. Note that any quotes you get are just illustrative and do not mean the insurer would cover you as that would come out only when/if you apply, which is the point at which health history is obtained and any issues related to same will arise. Also be aware that putting in your actual phone number on these sites may lead to being inundated with phone calls from agents. Definitely will in the case of Cigna, I have no experience with the others. (And what the sales agents tell you is often unreliable). If the web pages do not let you leave phone number blank then maybe put in just a series of 9's as the number. If you want to talk with them, you call them but bets to avoid letting them have your number unless you are prepared to be under siege from agents working in commission (might not be true of all but definitely the case with some). You should select only hospitalization cover, including outpatient will virtually double premium costs and outpatient visits in Thailand are inexpensive. But make sure the in-patient cover includes day surgeries and outpatient cancer care and dialysis (most do) as these obviously are more costly. If you are able to get a policy it will certainly exclude anything related to thyroid cancer but that is probably not important since you have had the surgery already. For the medication it is extremely cheap in Thailand and easily bought at a pharmacy with no prescription (ditto most blood pressure medications-- in fact most medications, period). There may also be some insurers based in Germany who provide expatriate policies for Germans living abroad. I have no way of identifying these but suggest you ask around. There may for example be options whereby you maintain your health insurance in Germany and pay something additional to cover you in Thailand. Maybe call your current insurance provider and ask them. As you are planning to settle in Thailand permanently, make sure any policy you get guarantees lifetime renewal. And ask for a chart showing current rates at various ages to get some idea of how high future premiums will be. When you get to the point of actually buying a policy it is definitely best to go through a broker as they can help with any claims issues later but no harm in doing some initial research on your own first.

Most of the larger private hospitals in Bangkok can do this. Suggest you price it at MedPark https://www.medparkhospital.com/en-US/contact-us Need to consider the skill and specific background of the neurologist who will interpret the findings in the context of clinical picture.

There is no "average price" as there is a 4 - 5 fold difference between public and private hospitals. Also, cost varied depending on whether it is an open repair or an endovascular repair. Endovascular is safer and recovery quicker, but only some hospitals can do it and it may cost more. In a private hospital, I would expect cost to be somewhere around 600-800K but you should email various hospitals to ask specifically. Government hospital about 1/3 as much. In any case should definitely not have this done in Chonburi. Only Bangkok or a University hospital center like the one mentioned in Khon Kaen. I recommend this US trained surgeon https://www.vejthani.com/doctor/dr-supachai-chanvitan/ https://www.phyathai.com/en/doctor/dr-supachai-chanvitan https://www.bangkokhospitalhuahin.com/en/doctor/supachai-chanvitan Different hospitals, same doctor. I suggest you email all 2 hospitals for price quote first. This doctor is also at Rajawithi Hospital, a government hospital located near Victory Monument and where I would suggest of you opt for government hospital route (be prepared for formidible bureacracy and wiats, and needing pergaps a week or more before you are finally face to face wioth cardiovascular surgeon. Take a Thai speaker with you) How large is the aneurysm and have you been advised to have surgery? As not usually required for small asymtomatic aneurysms.