Sheryl

It is without question, very clearly, taxable only in the US. (And needs no expertise to see that, just read sections 20 and 21 of the DTA). If the only income coming into Thailand is from SS, there is 0 assessable income...and therefore no need to file a tax return or pay tax in Thailand. (You may, of course, need to pay tax on it in the US, depending on overall income).

Correct assuming the income is not Thai-sourced.

Am I correct in assuming that where it says "if your income does not exceed 120,000 baht per year, you do not need to file a tax return" it really means if your assessable income income does not exceed..." ?

For this particular items, southeast Pharmacy which is on Sukhumvit between Sois 13 and 15 would be fine.

It clearly states the Voluntary category is limited to Thai nationals. (Not to be confused weith ocntinued insurance by someone after leaving employment)

Are you sure that is Hemodialysis and not Peritoneal Dialysis? In Thailand they mostly do Peritoneal Dialysis. Hemodialysis eligibility is very limited and only a few places do hemodialysis; it needs special and expensive equipment and facilities.

They call to make sure you will be home, to save themselves time. These delivery people make small salaries and work long hours, and are often expected to make an unreasonable number of deliveries in a day. They need to maximum efficiency. Unless he specifically asked where you are located, no reason to think the call had anything to do with funding the address. The local delivery guys in my area all know exactly where I am but still call to make sure I'm there/alert me that they are coming. I use that opportunity to verify the amount due so I have it ready. This advance notice also lets me know when i need to get dressed or put a robe on as they often come in the morning. I prefer it to an unannounced arrival. Most tourists do nto order delivery ,and most people getting deliveries are Thai. There is no reason on earth why these staff should speak English. Anyone staying here long enough to be using delivery services should learn at least basic every day Thai, and most importantly how to give directions in Thai to where they are. Could be important in an emergency.

I am able to find unsweetened fruit juices at main supermarkets without much difficulty. Just need to read the labels. Several of the Doi Kham brand juices are unsweetened (and very tasty). Even Mali brand has an unsweetened apple juice.

If OP is not diabetic, no reason to avoid fruit juice. Not all fruit juices are high in sugar. Unsweetened apple juice for example is not - Glycemic index only 41.

Again - he was nto talking about electrical grounding. OP was looking for a stick to aid in walking in soft ground. A wooden stick was suggested as preferrable to metal in that instance since it will be able to sink a bit into the ground.

He has already recovered from dengue. He is talking about the post-dengue fatigue. And no suggestion that, when ill, his platlets every dropped significantly. This whole papaya leaf business stems from an anecdotal report of just 45 patients with acute dengue (not people like the OP who are convalescing). It had no control group, so does not remotely meet scientific standards. It nonetheless keeps cropping up because of how search engines work: people convinced there is a "natural" cure for everything google "natural treatment for dengue"(or words to that effect), this pops up because it is all there is, they click on it, and it then keeps popping up in similar searches etc. etc. Simple dengue is a self-limiting disease which naturally gets better with time. Easy for people to attribute the natural resolution with something they did.

That is correct. It is also the case that there were legal proceedings against him (though a civil lawsuit, not a criminal prosecution - the latter was not possible due to the Statute of Limitations) which included presentation of evidence that these things took place, and he opted to settle it with a large cash payment rather than contest it. So not exactly the case that he did not have his day in court.

The US- Thai Taxation treaty very explicitly states that SS is taxable only in the US. Full stop. "ARTICLE 20 Pensions and Social Security Payments 1. Subject to the provisions of paragraph 2 of Article 21 (Government Service), pensions and othersimilar remuneration paid to a resident of a Contracting State in consideration of past employment shallbe taxable only in that State. 2. Notwithstanding the provisions of paragraph 1, social security benefits and other similar public pensions paid by a Contracting State to a resident of the other Contracting State or a citizen of the United States shall be taxable only in the first-mentioned State." (emphasis mine) (paragraph 2 pf Article 21 refers to the case where a person is a citizen of the country.) Taxable only in the US means Thailand cannot tax it, period. Even if - as happens to many people whose sole income is SS -- no taxes were due in the US.

Well the dizziness mystery is resolved then: - Energy drinks can cause dizziness...and even cardiac arrythmias. I'd steer clear of them. - Fermented teas, like all teas, contain caffeine which are OK in moderation, but too much can likewise cause the above. Limit that to just a cup or two in the morning. For hydration, stick to water, coconut water, fruit juices. If sweating a lot then rehydration salts in water, otherwise just water, or fruit juices or both, are enough. There is nothing you can take that will help the dengue fatigue. Just be patient, rest when you need to, and give it time.

People sometimes confuse "cannot be cured" with "fatal". Not the same thing. There are many diseases that are chrionic and cannot be completely cured, but can be controlled or managed.

Yes, the after effects are very, very prolonged, much longer than the acute illness. Can atke several months with improvement coming very gradually. In case no one warned you, in addition to being very weak and easily fatigued, a normal after effect is emotional depression, which can be severe and also take an out-of-character form (I remember bursting into tears over a cartoon in the New Yorker magazine...I normally never cry). Sometimes people think they are going crazy. It is normal, and it will pass. Regarding the dizziness, are you keeping well hydrated?

No, do not take it every other day. It works as a preventive, to prevent problems by keeping the breathing tubes open. Regarding dosage, it varies with the form of Spiriva. 2.5 mcg is the usual dose for Spiriva Respimat (2 puffs) whereas 18 mcg (one capsule) is the usual dose for Spiriva HandiHaler which is presumably what you were given. There is no harm in using an eye massager provided you have no eye disease. It will not cause or make you more susciptible to glaucoma. But do get a proper eye exam including test of intraocular pressure every year as mentioned.

However to my reading of the UK DTA, both State Pensions and private pensions can be taxed in the country of residence (i.e. Thailand). It is only government pensions that are clearly exempt from taxation in Thailand. Which I'm told means things like armed forces pension.

OP does not mention suffering from pain. His issues are a slight occasional hand tremor and vertigo after taking an elevator to a high floor. Pain management center would not be appropriate for that. (But good to know you had a good experience with it!)

OP is confusing 2 very different things. (1) Thailand provides a taxation exemption for overseas income for people with the LTR visa, which requires an income on at least $80,000 a year. (2) Some (not all!) DTAs specify that some types of pensions and equivalent can only be taxed in one's country of nationality. Fore example, the US DTA clearly states that government (not private) pensions and US Social Security are taxable only in the US. The UK DTA states that government pensions are taxable only in the UK but this does nto apply to State pensions e.g. the Old Age pension. Every DTA is unique so people must read their own specific DTA on this matter. It is not at all clear to me that there is any format for filing a Thai tax return showing income that, under the terms of a DTA, is non-assessable in Thailand. To my (limited) understanding you simply do not declare such income. Of course, if doing that be very sure that the income you do not declare (which might mean not filing at all) is indeed clearly exempt. There is a way to claim a tax credit for taxes paid to your home country on a Thai tax return but that is a different matter than income being non-assessable in Thailand under a DTA.

I don't think he meant electrical grounding but rather giving you stability. Walking on soft dirt surfaces (which seemed to be the OP's issue), a wooden stick will sink in slightly and help give you purchase.

Spiriva is a bronchodilator only and does not contain a steroid. Brionchodilators tend to have a stimulant effect hence the doctor's advice to take i nthem orning. Not everyone experiences this, though, so if it does nto affect your sleep then it doesn;'t matter whether you take morning or night, just try to make it around the same tiem every day. Between Spiriva and Seretide there is really no clear-cut evidence of one being better than the other in mild emphysema. One thing to be aware of is that Spiriva can soemwhat increase the risk of glaucoma. Get eye pressure checked yearly. (old er people should do that nayway). "Prognosis There is no cure for emphysema. But the condition can be controlled. People with mild emphysema who quit smoking have a normal life expectancy. Those who adopt good health habits can enjoy a fairly normal lifestyle for a long time. Even people whose emphysema is severe have a good chance of surviving for five years or more. In people with emphysema who continue to smoke, smoking dramatically increases the severity of the illness. It may reduce life span by 10 years or more." https://www.health.harvard.edu/a_to_z/emphysema-a-to-z

I see. Normal pressure hydrocehalus (NPH) is a very common funding in people over age 60 and can sometimes cause tremor and other Parkinson-like symptoms, However "fluid increases to the limit acceptable for my age" suggests you do nto, at this point, meet the definition of hydrocephalus (which would be fluid amount over the normal limit for your age) hence the advice to just repeat the MRI in a year. I don't think any one is going to perform surgery for hydrocephalus with your current findings and symptoms. However, the MRI finding does not seem to explain your tremor (assuming the radiologist's report is accurate - should certainly have the actual scan re-read by a skilled specialist) A neurologist with expertise in hydrocephalus (even though you seem to fall short of that diagnosis) at Siriraj is Prof. Sarun Nunta-aree https://www.siphhospital.com/en/medical-services/find-doctor?doctor_id=239&medical_id=59&day=&startTime=&endTime= He can also be seen at Bangkok Hospital https://www.bangkokhospital.com/en/doctor/dr-sarun-nunta-aree-2 You will nto get a different result at a different hospital seeing the same doctor. But SIPH maybe be a bit less costly than Bangkok Hospital. Be sure to bring the actual DVD of the MRI with you, not just the report. If the result of this consultation is that your MRI findings do not explain your symptoms (quite possible), you could then consult specialists in MS and Parkisnon's, as tremor can be early sign of both. There are many MS specialists at Siriraj, ask Prof. Sarun to suggest one. For Parkisons's that seems to be more a Chukalonhgkorn specialty while Siriraj's neuro department ism ore focused on autoimmune neuro problems like MS. If you want to see a neurologist at Chula let me know. Wherever you go, you should have some basic tests to rule out non-neurological causes of tremor such as: - B12 level - serum sodium, calcium, magnesium - HB1Ac (for diabetes/hypoglycemia) - thyroid panel The light-headness after getting off elevator at a high floor is actually more suggestive of an inner ear issue than anything else. Do you have vertigo at any other times, like when rapidly getting out of bed or otherwise changing position? Lastly: - how much do you drink? (alcohol) - What if any medications are you on?

This thread is closed in keeping with Health Forum rule: "The forum is for members to seek advice on health/beauty related matters. it is not the place for general dissemination of news, research findings etc. Members are not to post news, articles, research findings unless in the context of a discussion specific to an ASEAN NOW member's health/beauty related problem." https://aseannow.com/topic/224498-health-forum-rules/ In addition, it links to Facebook postings that would clearly qualify as defamation under Thai law, and in so linking could be considered to be disseminating this content. Doctor misdiagnoses happen everywhere. It is necessary to select one's doctor with care, simply showing up at a hospital and taking pot luck is never a good idea. It is also important to persist and get additioanl opinions if one doubts the diagnosis given, or the intitial treatment is nto working. This too, is true everywhere.

Please indicate the type of problem, as neurologists have sub-specialties.