Sheryl

The only place in Bangkok I can recommend for this is the government Derm Institute near Victory Monument. https://www.iod.go.th/en/ Cost of consultation will be modest. If biopsy is done (and you should insist on it; do not rely on the experience of the dermatologist looking at your moles as experience with skin cancer is very, very limited in Thailand. ) then that adds to the cost but probably still just a few thousand baht per mole. Alternatively if you can get to Pattaya then this doctor specializes in skin cancer https://bangkokpattayahospital.com/doctor/anna-jaruwarn-m-d/ Cost will be more, though. Probably about 15k per mole give or take If the cosmetic result is a concern (note that wide incision may be necessary) then you might need a plastic surgeon to remove and that would up the costs Whenever you go, be insistent re biopsy even if the doctor dismisses them are simple moles. And do not delay; in the case of a mole the issue is potential melanoma which is a much greater danger than other types of skin cancer.

Still had it this summer when i entered Wasn't working so well, though

This equipment can also be rented. The larger question is why she needs it, which in turn raises issues about whether she is really rerady for discharge, has a long term condition etc etc

This is impossible to say as it depends on specifics of her medical condition: her oxygenation levels both on oxygen and on room air, the condition of her lungs as seen on Xray etc. This is not something hospitals often require, there must be a reason for it. If her oxygenation is still iffy enough to need O2 at home then she should also have a pulse oximeter to monitor O2 levels.

He is asking for places in Bangkok Safety not a big problem anywhere but the cosmetic results is a concern, presumably she wants this removed for cosmetic reasons so want to be sure she doesn't trade a mole for a scar. Suggest she contact Yanhee hospital. Can do a free online consult first to get their idea about best approach (eg excision vs laser -- upload pictures including close up) https://yanhee.net/virtual-consultation/

If your problem is mainly at night consider the possibility that allergy is a factor. Have your a/c thoroughly cleaned, also have the bedroom thoroughly cleaned and by that I mean in all the places you can't readily see -dust and mold do not have to be visible to cause an issue and the amount of same that can be present in a room that looks clean is considerable: - under the bed - behind the bed - within the bed itself e.g. between mattress and box springs or board etc - inside closets/wardrobes - around the baseboards - window screens, panes etc Also consider getting allergic proof mattress and pillow covers like these https://www.amazon.com/s?k=mattress+cover+allergy&crid=28RECXP0QK4U3&sprefix=mattress+cover+allergy%2Caps%2C343&ref=nb_sb_ss_ts-doa-p_1_22

As others said, add the PSA. I also suggest an Exercise Stress Test. If the FBS comes back at all elevated you'll need to do an Hb1Ac so maybe just add it to begin with.

Are you referring to peritoneal dialysis or hemodialysis? And us this for yourself or for a Thai National? If the latter are they already receiving dialysis in the government system?

Hospital is not the issue. The issue is, does your problem have a surgical solution (I would not assume this) and, if so, who is the best surgeon to do it. I recommend you come to Bangkok and consult Prof. Songklot at St Louis Hospital https://saintlouis.or.th/th/index Or (same doctor) at Bangkok Hospital https://www.bangkokhospital.com/en/doctor/dr-songklot-aeumjaturapat

+1 for Dr Roy at Rutnin. Excellent choice.

Moved to the Health Forum. 1. The fact that she has detectable cataracts does not necessarily mean she needs cataract surgery now. Cataracts should be removed only when they have begin to seriously affect day to day activities. This can be many, many years - even decades -- after they first develop. Although it is very much not good medical practice, I have come across some doctors in Thailand pushing for cataract surgery well before it was necessary. So we cannot assume that she needs cataract surgery at this time let alone in both eyes (often one eye needs it before the other). 2. What you were told re "correct her vision" is at best questionable. Cataract surgery will remove the cloudiness in vision that cataracts can cause. The lens that is then implanted usually ensures 20/20 distance vision but most people still need glasses for reading/near vision. There are special lens types that are supposed to avoid this but they do not work well for a lot of people....and they cost a great deal more. Other than when to have cataracts removed, the type of lens that will be implanted is the biggest decision and warrants some thought and research on your part. From the cost estimate the doctor may have been proposing the so-called multifocal lenses. If so, this should have been clearly explained along with the risks/downsides which include haloes/glares, difficulty with night vision, 2-3 month adjustment period (and some people apparently never do adjust well),less precise visual correction (such that some people still end up needing glasses) etc etc. See https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003169.pub4/full An alternative to multifocal lens is monovision whereby one eye is intentionally left (or made) a little myopic (near-sighted). This avoids the cost and other disadvantages of "multifocal" lens and works well for some people but not for all, so if thinking of doing this it is a good idea to first try out monovision using contact lenses or glasses designed to create same effect. If there is any astigmatism, then that has to be factored into the selection of the artifical lens as well. 3. If in fact both eyes need immediate cataract removed (a definite "if", as per #1) it would be usual to do one eye at a time, and this is essential if opting to go for monovision. Normally the second eye would be done after vision in the first eye has stabilized which may take a month or more. in terms of cost, with standard lens implants a Bangkok private hospital would nowadays run about 65-85k per eye all in. What I suggest you do is consult this US trained and very good doctor at Rutnin eye Hospital for (1) second opinion as to whether cataract surgery is needed now in both eyes and (2) in depth discussion of lens options. https://www.rutnin.com/en/doctor/resume.36.1_Medical_history_0_0.html

Impossible to say re reversability given lack of clear diagnosis. But it does not sound severe nor like you are very limited by the problem at present? While CT scan etc may shed more light they are nor likely to smalter management. The vaccines had nothing to do with it. The COVID and your smoking history likely do.

You mean Pattaya City Hospital and she should not go there. Chonburi Regional Hospital (in Chonburi town) is best option in terms of government hospitals. But for free care she will need referral ftom whatever hospital she is registered at under either the universal health care system or SS as applicable. Nowadays endoscopy is usual means of diagnosis and besides identifying HH if present this will also detect ulcers, gastritis and h. Pylori infection (common csuse of the last 2 things).

As aboive, the results -- if they can be relied upon -- suggest mild obstructive lung condition but would need to be interpreted together with your clinical picture and history (which, if memory serves, includes a long bout of COVID?) It has been my experience that these tests are often poorly administered in Thailand )(incorrect/inadequate instructions etc) leading to results often being not so reliable. If you are really troubled by persistant or worsening respiratory symptoms you should invest in a trip up to Siriraj, Hua Hin is not the place to try to investigate this

I am nowhere near Chiang Mai and in any event, no place I can recommend for this there. Khon Kaen would be a better option. This doctor there (US trained) http://www.khonkaenram.com/en/doctors/2 He can also be seen at Srinagarinbd (KKU Hospital) Otherwise, come to the govt Derm institute in Bangkok as previously advised, unless doing this back in your country is an option.

Prof. Permsak Paholpak at KKU Hospital But if surgery is contemplated -- or results of conservative treatment are unsatisfactory -- you should come to Bangkok. There are only a handful of spinal surgeons in Thailand I can recommend and they are all in Bangkok.

Experience with skin cancers is extremely limited in Thailand. Thsi applies to both dermatologists and pathologists (who interpret the biopsies) Best advice I can give for Bangkok is to go to the government derm institute https://www.iod.go.th/en/ But retain a healthy degree of scepticism and if the lesion does nto resolve consider seeking care in your home country

bickering/flaming posts removed

Yes, neither needs a prescription in Thailand. Readily available in cheap local generic brands. Though the HTCZ will need a larger pharmacy.

I think you are confusing Biotox with fillers. Fillers do last up to a ear. Botox, never. 3-5 months is usual. Typically shorter interval when you first start using it and gradually lengthens. I've been using it for decades and mine now lasts 5 months but it lasted only 3 when i first started. I mostly use allergan but I think last 2 times were xeomin and it seemed to work OK.

Losartan is in the same drug class but is not a generic equivalent to valsartan and certainly not to the combo of valsartan/amlodipine which he is taking.

You do nto bneed a prescription. There is no locally made generic for the single pill combo of amlodopine+valsdartan, only brands are Amval and is Exforge, both imported. You can get Exfordge online from: https://bangkokdrugstore.com/product/exforge-5160-mg-14s/ https://bangkokdrugstore.com/product/exforge-10160-mg-14s/ Under 1,000 baht for 28 tabs Might also ask here, use their Messenger function https://medisafepharma.com/ Both are very reliable pharmacies that deliver. If you want to save even more money ask your doctor if you can switch to Losartan (same drug class as valsartan) and amlodipine and take them separately. Both come in very, very cheap local brands. 80 mg of valsartan is equivalent to 50 mg losartan.

I get my Botox at Medconsultasia https://www.medconsultasia.com/services/botox/ Don't try to book on the website (cdoes nto work well). Call, email or use LineApp Yanhee as a hospital is fine for eyelift procedure but main issue is to choose best doctor. This one has gotten good reviews https://www.yanhee.net/doctors/dr-pramote-manurangsee/

You are fine. No need for statins or any other change.

Great! Have you gotten the direct LDL result yet?