Sheryl

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.

Constipation will easily add a kg or more to your weight. Suggest you take stewed prunes or prune juice daily (the actual fruit tastes better). In addition to Vit C, selenium supplement is helpful after thyroidectomy. .Adequate levels of selenium are needed for the conversion of T3 to T4.

Pencor = doxazosin

Not on the website, I just know he is affiliated with the Center.

Cardiac Center of Chulalongkorn Hospital http://www.chulacardiaccenter.org/en/about-us Cardiology, Physiology and Cardiac Laboratory Monday – Friday, 08.00 – 16.00 hrs. Bhumisirimangalanusorn Building, 4th Floor, Zone D Try if possible to see Dr. Nithi Tokavanich there. I am not sure if possible through the after hours clinic or not given that it is a specialized center.

1. The calcification is not in arteries. 2. And in any event "The best available evidence does not support the therapeutic use of EDTA chelation therapy in the treatment of cardiovascular disease. " https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1282574/

It was definitely closed (big sign saying so, and entrance sealed off) when I entered on the 30th.

Sometimes they do check.

The separate "Fast Track" entrance is closed, but there is a "Priority Lane" to the far right of the general immigration area (walk past where the lines enter and go in on the far, far right First/Business class over people aged 70 and over can use this

This doctor is a neurologist who specializes in memory and cognition issues https://www.bumrungrad.com/en/doctors/ketchai-suavansri

70

You have been lucky,. I've clocked in 2 hours+. Arrived on Saturday, lines stretched way out into and down the concourse, end could not be seen. From the looks of it 3 hours easy. Luckily I now qualify for the "Priority" lane due to age.

I have done 5 trips in the past year, all of them with checked baggage and all arriving at Suvannabhumi. Never had an excessive wait.

OP = Original Post or Poster o/s = overseas

I suggest Naresuan University Hospital Located in the town of Pitsanoluk within University grounds. Bring a Thai speaker with you the first time at least, the registration procedures can be confusing and everything is in Thai. They don't see many foreigners. Also bring patience and something to read, waist may be long. Possible that the opthalmologist is nto there every day, you'll have to check. I don't know what your problem is, but if anything seriouc or complicated, the best thing is to come to Bangkok and go to Rutnin Eye Hospital. But for routine things Naresuan should be OK.

Radiologist can certainly measure size and compare to prior sizes Of course there are anti-epileptic medications here, many in fact. But it sounds like you do not have seizures? In which case they would not be indicated. The article you site is specific to people with intractable seizures. Meaning epilepsy that cannot be controlled by medication. Not the mild symptoms you mention. Nobody is going to surgically remove a brain calcification for the sort of things you mention (even if they are due to the calcification, which they might not be since these are common phenomena especially as one ages. ) Could you please specify what the actual problem/symptoms are that you are concerned about? Calcifications are found in brain CTs of about one third of older people and usually require no treatment. There are no medications that will cure these calcifications. Rather, medications are used to treat serious symptoms like seizures if present.

I was lucky then, just bought my new one in 2022. Good to know about the resale value though I have no plans to sell anytime soon.....

??? low TSH and high T4 = hyperthyroid which would cause weight loss, not weight gain

To have a Medicare Advantage Plan you must live at least 6 months of the year not only in the US, but in their coverage area. Giving false info on that can invalidate the policy.

The levothyroxine itself (which I also take) does nto cause weight gain. What will cause weight gain, is being hypothyroid i.e. if your levels are still too low. When you see the doctor be sure to mention the weight gain issue and that it occurred despite strictly limited food intake.