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Everything posted by Sheryl
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If there is no cardiac reason for taking this then you should discuss stopping it with your doctor (rather than adjust the other BP meds). Beta blockers are no longer recommended for hypertension alone plus your BP is fine and will probably stay fine without it. But, this class of drugs needs to be tapered off slowly. So discuss with your doctor how to stop it.
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Prescribed for what condition? This is a beta blocker. Use as an anti-hypertensive is obsolete, but it still has uses for heart failure, atrial fibrillation etc. Hence my question. You are on 3 medications all with the effect of lowering BP.
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Flaming/bickering posts have been removed.
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That is 2 BP meds (Losartan and Kerdica) as well as a beta blocker (Cardeloc) which also has the effect of lowering BP. Your Losartan dosage is already low but the Kerdica dosage is at the upper end (range is 10-20 mg) so might perhaps be lowered. Discuss with your doctor. Why are you on the Cardeloc?
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110/60 is not extremely low. It is normal range. Whether ior nto to adjust your BOP meds depends on what yo uare takinbg buyt the adjustment would nto be to every other day as these merds do nto have that long an action. More likely a reduction in daily dosage. What exactly are your meds? (list all not just BP meds as some others can reduce BO as a side effect)
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Depends on your age and your diet Dietary protein needs increase in old age at the same time that people are often taking less in
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on Shopee https://shopee.co.th/ผ้าพันแขน-สำหรับ-เครื่องวัดความดัน-ใช้ได้ทุกรุ่น-(มีหลายขนาด)-Blood-Pressure-Monitor-Arm-Cuff-(Sizes-Available)-i.842428.5377999928?sp_atk=0adccf15-72c3-4100-bfdc-1179a82d4116&xptdk=0adccf15-72c3-4100-bfdc-1179a82d4116
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You can separately buy a larger cuff. I got mine on Lazada
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There are very, very few stand alone "clinics" in Bangkok and most are best avoided. Clinics in Bangkok are almost entirely located in the outpatient departments of hospitals. Think of those as large clinics. Outpatient department in any large hospital will include a urology clinic.
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You are in excellent hands
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You will have to explain to me what you want and why these recommendations are not adequate. As far as I know you did nto yet consult these doctors?
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Another issue with Chinese medecine is that it usually takes time and multiple visits. OP is traveling to Thailand from I think Bangladesh for a short visit. So may nto be a very practiucal option for him.Language barrier also an issue.
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@TallGuyJohninBKKthanjs for this info, very interesting. Do you know if they also ship things ftom Thsiland to US?
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Thai pharmies carry little to no supplements of this type. IHerb online is best bet. Thoroughly reliable and dast drlivery (1-2 weeks)
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Authentic: chinese medecine clinic in St. Louis Hospital. Seems to help some patients and not others
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Pricing for biologic antibody drug "Xolair"
Sheryl replied to voyagerUSA's topic in Health and Medicine
Yes I think that is about right. Not under 20k. Getting information by phone seldom works with government hospitals. A vidit in person may be needed. -
Pricing for biologic antibody drug "Xolair"
Sheryl replied to voyagerUSA's topic in Health and Medicine
Suggest you go to the "after hours" clinic at Chulalongkorn University Hospital . Ask for an acharn (professor) specializing in allergy/immunology. You will have to go in person to make the appointment and there may be a wait list.https://chulalongkornhospital.go.th/kcmh/en/dept/คลินิกพิเศษนอกเวลาราชก/ It will still be quite expensive there, as it is imported and under patent. There is no locally made version. But it will be less than the private hospitals. -
IG is not recommended if previously immunized. Only for those never before immunized with a category 3 wound (which any catr bite would easily be, cat bites are very deep).
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boots and Watsons are indeed mainly for cosmetics and never wehere to gho for medication. You need a proper, large Thai pharmacy. If you want a specific recommendation please state where you will be/are living Most Thai generics are fine and that includes the many local brands of amlodopine and several local brands of agtorvastatin. For clopigrel, locally made Apolets is fine (Berlin Pharm)
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As I previously advised by PM: pediatric endocrinologist https://www.bumrungrad.com/doctors/Anuttara-Pothikamjorn?fbclid=IwAR2ItqG2bCrdJgvIxqYpGV9slOQl1JaPYH_F1IsfIN9CQhVDGNOYypSHe70 pediatric dematologist there (female) https://www.bumrungrad.com/en/doctors/pamela-chayavichitsilp For your spine the best doctor in Thailand is https://www.bnhhospital.com/search-doctor/entry/4093/?utm_source=adwords&utm_medium=ppc&utm_term=genetic There are countless mid-range hotels in both the Silom area (near BNH hospital, spine doctor) and along Sukhumvit (near Bumrungrad). You can compare and select on Agoda
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Any hospital can do a stress test, but you need to consider the qualifications of the cardiologist doing it. Some hospitals can do the CT calcium scan, some cannot (I don;'t know re Nthavej specifically) and one also has to consider how up to date the equipment is (not only for accuracy's sake but also because older machines use much more radiation) Bangkok Heart Hospital is offering a very good promotional price of 2,500 baht to the end of the year for the CT scan. https://www.bangkokhearthospital.com/en/package/ct-coronary-calcium-score You won't do better than that IF a CT scan is what you need. Might or might not be. Even the newer machines do involve some radiation exposure. For the OP's situation, where a decision has to be made about whether to treat an elevated LDL (based on what may be an indirect estimation, and with other lipid parameters being fine) it is worth it but for someone else might not be. It would help if I knew why you are considering these tests. One would not usually get both. Stress Test involves no radiation exposure and in addition to identifying about 80% of coronary artery disease, gives a picture of your overall cardio fitness. That may not be a concern if you already exercise regularly with no problems, but for a more sedentary person can be good to know.
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Just what I needed, thanks so much! I think it was the "proximity test" that had me stumped, I had no idea what I was supposed to aim for.
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Hi guys I'm going to renew my license tomorrow. Last 2 times i did this I was at a complete loss as to what I was supposed to do in the simulation test (?depth perception? reaction time? I am nto even sure what it tries to assess). Can someone simply explain what the idea is? Is there a specific point I am supposed to try to drive the car up to or stop at? I had a whole group of people (staff, other applicants) yelling instructions to me in Thai, while my Thai on the whole is pretty good I could make no sense of what they were saying. Appreciate any help. Last 2 times they just waved me through but would be noce to not need to rely o nthat happening.
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As above Also, if immune globulin is to be given it needs to be done immediately, on day of the bite I think you can proceed with the postexposure regimen the hospital recommended.