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Everything posted by Sheryl
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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.
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Above is often true. But more to the point few people actually bother to read the actual research. Rather they glom onto mass media (or worse, social media) accounts of what the research supposedly says, which is invariably inaccurate or missing very important nuances and caveats (like, for example, the enormous difference between correlation and causation -- most studies that make the media simply show correlation. And sometimes one that can't even be replicated.). In the cause of "alternate" and social media, sometimes the claims are completely bogus and the studies do not even exist, and the footnotes if any are to unrelated articles. People simply do not check. The modus operandi seems to be to start with what one wants to believe then google until something is found that seems to support that, and accept it uncritically. Serious scientists do not post on YouTube, TikTok or the like. Those media simply do not lend themselves to proper presentation of science.
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LDL unless specified as direct is likely indirect measure and with a low triglyceride may not be accurate. Not all labs can do a direct LDL, you have to inquire. Stress test is not very expensive (2-3,000 baht usually). Coronary Ct Calcium scan used to be 2-3 times as much but lately there have been promotions as low as 2,500 baht in the Bangkok area. I don 't know what price you will find in CM. For purposes of aiding decision to treat or not treat elevated LDL, Calcium scan is best. There is no upper iimit to HDL. Should be over 40, preferrably over 60 and the higher the better. So yours is fine.
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3.0 cm (virtually your size) is considered large (not giant, but large) and associated with an increased incidence of gall bladder cancer. Is it opaque or translucent?
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Triglycerides are fine then. In fact lower than average -- which is good but also means that if your LDL measure was indirect it may not be accurate. So I suggest you make sure in future to get only direct LDL measurements. An EKG is not what I meant. Rather, I meant either an Exercise Stress Test or a Coronary Artery Scan. The latter can be of special value in deciding whether or not to take statins. An EKG tells whether or you are having or have had a heart attack or are in a chronic abnormal heart rhythm, or are currently experiencing lack of adequate blood flow to the heart., It does not tell you anything else about the state of your coronary arteries nor what blood flow to the heart and heart rhythm are like when not at rest.
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SS started direct international deposits to Thailand a few years back so the old system some used of ACH transfer into a Bangkok Bank account that then had to be physically collected is unnecessary. You can have your SS directly deposited into your regular Thai bank account. You could of course also have it directly deposited in the US and then arrange your own transfers as needed but that incurs bank transfer charges (SS direct deposit is free) and also would make it harder to establish source of the funds should you ever need to do so. While I am not one of those who think it at all likely that huge amounts of work and effort, including inter-departmental linkages of a type otherwise non-exist in Thai government, will be undertaken in future to track down relatively small amount of tax revenue from foreign retirees, it is still prudent to be able to readily show the source of remittances from 1 January forward just in case. You can find the direct deposit request form online, complete it and sent it to the FBU office in Manila. Takes a few months to come into effect but works a treat thereafter. As it currently stands (and as has been the law for along time) you are not required to file a Thai tax return if you do not owe any Thai tax, and you owe Thai tax only if you have >160K taxable income remitted into Thailand. Under the DTA US SS is completely exempt from taxation in Thailand, full stop (regardless of whether you have to pay any tax on it in the US, which will depend on your total income). So if your only remittances are your SS you are on solid ground in not filing (unless of course some totally new requirement is enacted in future) and even if the subject of an in-depth investigation (exceedingly unlikely) wold not end up owing back taxes and penalties.
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Paget's Disease - Treatment option for Bangkok resident.
Sheryl replied to CartagenaWarlock's topic in Health and Medicine
I have a feeling Paget's disease was a Google translate created mix up and she has an altogether different problem. Possibly what she meant was Paget's disease of the nipple which despite the similarity in name is a completrly clinical entity (and often connected to breast cancer). This would fit with seeing a dermatoligist receiving a cream and possible biopsy in the future. -
Comparing doctors in upcountry locations with, for example, the best available in Bangkok (where there are urologists with the suffixes you mention and US equivalent) is comparing apples and oranges. That said, the range of treatments for BPH available here is more limited than in the West with several types still not available and others (e.g. Rezum) available in only a few places and likely still on a learning curve.
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There is now (new) a way to get a pdf file showing that you did the report. What you do is first, do a search for the report you entered. on the main screen just put the report dayte (date informed) then selcting "all" search. The result will show at the bottom of the page as a long single row of data. Then on the far left where there is a search icon next to the person's name, click that and you get the whole report showing all the details. At the bottom towards the right there is an option to "export", clicking that s supposed to download a pdf file showing the report submisison. So far though all I get is a "Service Timeout" error message.
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"Genuine Cialis" is incorrect terminology when what what means is genuine Tadalafil i.e. generic equivalent to Cialis but not Cialis itself, that is a specific brand. Tdalafil has several different uses. Lower doses (2.5 mg, 5 mg) are for use in tretaing BPH. For ED, dosage is 10-20 mg. The only time it is used in dosages over 20 mg is for pulmonary hypertension ,a serious condition that must be managed by a cardiologist. For that purpose usual dosage is 40 mg. Hard to imagine why 60 and 80 mg preparations would be sold. In any event, wherever procured from, do not take more than 20mg when using it for ED.
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Paget's Disease - Treatment option for Bangkok resident.
Sheryl replied to CartagenaWarlock's topic in Health and Medicine
Not remotely sounding like anything to do with Paget's disease, which is a bone condition. Skin lesions are not a feature in that condition. Are you sure she said Paget's Disease and not Psoriasis? (Which unlike Paget's is a a condition with skin manifestations, and relatively common in Thais). There would be no reason to see a skin specialist with suspected Paget's disease. -
What is for search was the part you initially showed in your first post. Indeed, if on the left hand side (not shown in your initial post) you click "add" on bottom left it brings up the section for registration -- but in my case (not yours) instead of showing the address in the box there was an error message saying I need to add an address in my profile. But the address is already in the profile. Hence my problem. I have since resolved it. Although everything on initial profile page was completed (including my gender, a new field) what I had to do was click "edit" next to the existing address and then go in and re-enter my gender again there. in Chrome This solved it and I was able to submit rteport. Now struggling to get it to export the proof of submission...I keep getting a "Service Timeout" message. Will try again in the morning I tried Chrome, Safari and Firefox. All the same issue.
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Paget's Disease - Treatment option for Bangkok resident.
Sheryl replied to CartagenaWarlock's topic in Health and Medicine
What was suspicious was all "have no money or insurance" part. Your OP did not ask about whether it was life threatening etc nor what the treatment was, rather seemed focused on the money and insurance issue and where to go. She has health cover. Where to go, is as explained, the government hospital where she is registered under the 30 baht scheme. She will have to explain to them what her symptoms are. She cannot possibly self diagnose Paget's disease. Do you have any idea what gave her that idea? As she cannot walk into a hospital and just announce she has Paget's disease and ask to be treated for it. She will have to explain what her symptoms are and let the hospital go through its own diagnostic processes. Depending on what level of hospital this is and what her symptoms are they might or might not need to refer her onward to a higher level hospital. The work up is very, very unlikely to lead to a diagnosis of Paget's disease. That is rare overall, and especially rare in Asians and in people under the age of 50. The odds of an Asian women under 50 having it are extremely low. Paget's disease is chronic but manageable with treatment and prognosis for a full life, with treatment, is good. It is managed by an endocrinologist. But she almost certainly does not have it. If you can find out what (1) what the symptoms are that led her to make this self-diagnosis and (2) which hospital she is registered at under the 30 baht scheme I can better advise. -
You would think so, but it does not accept it, it gives me an error message that it needs address. If you look to the left of what you have shown there is a box that lists approved addresses. Mine is there. But if I fill out the rest and hit "add" I get this error message. Actually the part you are showing is to do a search, not to make a report. That comes up when one clicks "add" to the left of what you have shown. But I then get the error message about need for address in my profile, even though it is already there.
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Really hope someone can help. I have successfully registered but am stuck trying to submit a residence report. On the main page where it says "Inform accomodation >Search" the box on the left hand side shows my address as approved but the address bar is blank. Clicking "add +" does not add this to the bar (unlike what is shown in the User Guide) nor give that address as an option to select. Rather, I get the message "Please add "The address to receive foreigners to stay" at Profile Page" even though the address is already in my Profile page. If I try to "add" I get the error message "The address to receive foreigners to stay data Duplicate" because of course it is an exact duplicate of theo ne already listed. ??????
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Going through the government system cannot choose the doctor. If she wants recommendation for a specific doctor at a private hospital I can provide but looking at >800K cost (assuming valve replacement needed)