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Everything posted by Sheryl
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I do not understand what these requirements are, as you quote them as having told you they will not cover outpatient treatment.
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Finding Good Reliable Generic Drugs in Thailand
Sheryl replied to kingofallasians's topic in Health and Medicine
Do not say "Lexaoti generic". In fact do not say anything. Please see my prior post telling you what to show them written down. You can also get this online fom Medtide. Small delivery fee. -
I suggest you attend an outpatient clinic at a hospital and then follow through with complaint as needed. Outpatient costs at not high here, just do not get meds from hospital pharmacy. I assume you have the overseas comprehensive cover and not just the energency travel cover? (،MSH administers both).
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Dr. Donna is a doctor (GP) but her clinic, like others in Bangkok, does not provide what you are looking for.
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Where have you read that they will outpatient cover care in stand-alone clinic but not in hospital outpatient clinic? A clinic is a clinic. AFAIK there are no stand alone clinics in Bangkok offering what you seek. There are some that do check ups and testing but not the sort of specialist consultation you seek. What exactly do your plan documents say?
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If they will refuse to reimburse outpatient treatment why would a stand alone "clinic" (virtually nonexistant in Bangkok) be any different? It sounds more like they simply will not cover outpatient care overseas.
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Outpatient clinics in Bangkok are located in hospitals. Your insurer will not pay for hospital admission. They will surely pay for outpatient treatment in a hospital outpatient clinic -- IF your policy includes optional outpatient cover. The issue is not the place of service, but whether the service is in or outpatient. And whether your policy covers outpatient care. Usually with outpatient care you pay first then get reimbursed, though may vary with insurer.
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Not an unusual price for that method in a Bangkok private hospital. Might be less at Yanhee https://www.yanhee.net/pricing-packages/plastic-surgery-prices/ Supplements won't do anything.
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Prostate problems (begnin vs malignant)
Sheryl replied to sanabavy IV's topic in Health and Medicine
Consult one of the urologists on the list. They can do blood test (PSA and, if PSA elevated, free PSA) which will give a baseline for future comparison. If PSA us elevated, fhe ratio between PSA and free PSA will help distinguish elevation due to benign hypertrophy (very likely at your age) from elevation due to cancer. -
I think you mean genetic, not "metastatic". If your Hba1c is consistently below 6 you are not borderline diabetic. The A1c is the best test for this. Fasting blood sugar (which I sssume is what you referred to as sugar tests) can be slightly elevated for many reasons including just the stress of having blood tested.
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Options for medical treatment for cancer (In thailand)
Sheryl replied to villageidiotY2K's topic in Health and Medicine
Rarely is this the case unless the cancer has already metastasized, except for a few specific cancers where chemo is curative. -
A CAC of 50 means you have a mild amount of coronary plaque and likely a mild degree of coronary artery stenosis. Moved to the regular Health forum accordingly. To pevent it from worsening, manage risk factors: Keep blood pressure well controlled (weight loss, diet, exercise medication if necessary) Control LDL cholesterol and triglycerides. If possible aim for LDL under 70. (Weight loss, diet, exercise, medication if necessary). If diabetic or pre-diabetic, address this as well. (Ditto). A cardiologist can do a more detailed assessment of your cardiac risk profile taking into account lipid profile and family history as well as CAC score.
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Assuming this is a skin reaction, best to start with a dermatologist. Suggest Prof. Siri Chiewchanvit at Sriphat. https://sriphat.med.cmu.ac.th/find_doctor?lang=en&doctor_name=&spec_name=21&special_name=66
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Options for medical treatment for cancer (In thailand)
Sheryl replied to villageidiotY2K's topic in Health and Medicine
Yes I am here. There are established immunothrapies for only a few cancers. Insurance will only cover established therapies, not experimental ones (which in any event are limited to people who do have not responded to conventional treatments). . In addition a hospitalization only policy might not cover outpatient immunotherapy. Cancer is not a single disease but a large group of very different diseases. Specifically what type of cancer are you worried about and why? Unless you have a specific indication of having a type of cancer treated by immunological agents, the likelihood of this exact situation arising is low. And if you do have such indication then it woukd be pre-existing and not covered by a new insurance policy, period. By the way immunological therapy can be as difficult as regular chemotheraoy in terms of side effects. -
As above. All drugs have potential side effects and you should resist the urge to second guess and self prescribe. The safety profile of nitrofurantoin is good. What type of doctor did you see and where? Blood in urine can have many causes including bladder/ureter/kidney stones, infection and, most seriously, bladder cancer for which it is often the only early sign. Important to be followed by a urologist.
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Prostate problems (begnin vs malignant)
Sheryl replied to sanabavy IV's topic in Health and Medicine
Yes, it is. Why are you concerned about a biopsy? Has a doctor recommended one? Nowadays prostate biopsies are advised only if a special type of MRI indicates probability of a clinically signifcant cancer... and such MRIs are done only if other tests and exams indicate a need. if you are on Tamsdulosin then unless you self-prescribed it, you have likely been diagnosed with BPH, very common in older men. How old at yoh and who prescribed thd tamsulosin? -
Sorry, I don't understand what you are saying here. If you mean that your local RD has told you no need to file if no taxes owed, then as explained this is not correct (filing is required if you have over 60k in assessabld income) but, as also explained, assuming indeed no tax owed then the most you risk by not filing is a small fine and that is seldom applied. If you mean your local RD told you no tax is ever payable unless working in Thailand, that is both untrue and dangerously misleading. There are many situations wherein people not employed in Thailand would owe Thai tax. Passive income earned in Thailand or remitted from abroad to Thailand, and earnings ftom employment abroad remitted to Thailand being examples of this. Be aware that verbal misinformation from RD staff will not be any defense if you are later found to have evaded tax payment. And the knowledgabilty of RD stsff, especially in matters foreigner specific, is quite variable and often low. It behooves everyone who us tax redident here to personally research whether or not they owe Thai taxes. Really not very difficult to do.
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A number (but not all) of provincial Revenue Depts are telling people no need to file if no tax owed. This is not technically correct -- by law must file if you have more than 60k in assessable income -- but the most you risk (assuming indeed no tax due) is a small fine, and that seems rarely enforced. Still, I personally would file in that circumstance. A few RDs are telling people only need to file if you work in Thailand. That is, and always has been, completly untrue and if as a result you fail to pay tax due, could come back to bite you in future.
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testosterone replacement therapy — recommendations?
Sheryl replied to cocoonclub's topic in Health and Medicine
Post with unreliable source/social media clip removed. In the main Health forum only scientific references should be used. Note too that this thread is 4 years okd. If you want to have a general discussion, post social media clips etc please start thread in the Wellness subforum. -
Please explssn what you mean by the "white inhaler". What drug, what dose?
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Family Rush to Rescue British Man With Mystery Illness in Thailand
Sheryl replied to webfact's topic in Thailand News
Room rates are usually just a tiny portion of total costs. Room rate is literally just the room and includes none of the treatment. ICU room rates are much higher than regular rooms. In the case of this man he is in an ICU and on a ventilator. Even at a government hospital that is quite costly. The various other experiences discussed above do not in any way compare to his situation.