Sheryl

Mived to wellness subforum, hopefully you'll get some replies there

PPIs fo not stop reflux. They just make the reflux contents less acidic.

Screws etc are quite likely what OP received and will have been the largest ticket item in his bill. Again -- government military hospital doctor, who had nothing to gain by doing so, recommended he have this surgery and also indicated it was technically complex.

Quite a wide range of GERD pilliws on Lazada.

Directly see senior doctor rather than intern or resident inn training. Comparatively less crowded and quicker. But the need to go ayway in thd morning for queue number is s definite drawback. @Lorry thanks for the info

Re-read the OP. He had surgery. Recommended by the surgeon at the government Military Hospital he went to initially, but that hospital did not have the capacity to do what was needed and advised him to go elsewhere for it, which he did. What is "normal" for a clavicle fracture depends very much on the nature of the fracture. Sounds like he had a displaced, and possibly cominuted, fracture. These do often need surgery, unlike simple fractures.

TURP is the oldest procedure (and te4chniques have improved). No one can guarantee lifelong relief as it rather depends on how long you live, but TURP usually provides relief for 15 years or more. Newer techniques like Prostatic Artery Embolization (PAE), Urolift, Rezum etc lack data for that long (which does not mean relief won't last as long....just that they do nto yet know because haven't been in use that long). There rae patient specific factors that need to be factored into treatment choice, including prostate size, any co-morbidities that might affect surgucal risk etc. Best thing to do is to consult a good urologist for personalized discussion. You say "flomax etc", does that "etc" include a 5-alpha reductase inhibitor like finasteride or dutasteride? As medication options should be exhausted before trying other treatments, and normally both an alpha blocker like tamsulosin (Flomax) and an 5-alpha reductase inhibitor would be used. The former provides only symptomatic relief whereas the latter actually shrink prostate tissue over time.

https://www.pattayainterhospital.net/doctordetail.php?id=5&name=DR.DANAI PANDAENG Has been recommended by other board members Not taking the pain meds is no biggie, but altering the steroid and antinflammatory doses on your own is unwise as these meds can help with tendon healing. Steroid doses in particular need medical supervision/advice.

As a general rule, pain medications need not be taken if not needed i.e. no pain or pain mild enough to be relived by simple paracetemol. Exception for NSAIDs which, while helping pain, also have an anti-inflammatory action. But rather than deviating from doctor's advice on the other meds (especially the prednisolone and the NSAID) I suggest you change doctors altogether, to one whose judgement you trust and who can clearly discuss with you what medications are and are not needed. Have you already had the surgery? Or is it scheduled for future? I am unclear as some of your posts sounded like the former and some the latter. Are you located in Bangkok? Which tendon is involved?

Clavicle fractures are not all the same. It can be a simple fracture without dislocation. Or it can be dislocated. Dislicated fractions can sometimed be refuced without surgery and sometimes not. . The bone can be in shards. There can be one or several points of break. Etc etc. Treatment will vary accordingly. Sounds like you had a simple non dislicated fraction. OP's situation was different. Noteworthy to me in OP account is that surgery was recommended by surgeon at government military hospital. No possible profit motive there, and military hospital doctors have a lot of trauma experience. Also noteworthy that the needed surgery was compkex enough that the military hospital could not do it.

Flaming/bickering posts removed. Please kep it civil and helpful.

Size and location of stone(s) is critical information. With smaller stones pain killers plus extra hydration may be enough to enable you to pass them. Larger stones may need to be broken up ny lithottopsy and/or surgically removed, especially if lodged in the ureter. It is also possible the pain is from other than kidney stone, e.g. a spinal priblem or muscle spasm Simple ultrasound (few thousan baht) would be first step if Dr agrees renal stone a possibility. This eill dhow stone*s), size and location.

If PIH does not work out other private option in Pattsya itsrlf is Pattaya Memorial. https://www.pattayamemorial.com/ Or (further north) Phyathai Sri Racha and Samitivej Sri Racha. Good government hospital options include Ban Lamung and Queen Sirikit in Sattahip. Waits, red tape and language barriers will be much more but costs much less. One thing that will influence cost wherever you go is type of doctor who removes it. If scarring is a concern you might be referred to a plastic surgron which will cost much more so discuss this frankly with the doctor you see initially.

I suggest rsu. https://rsuhealth.com/

Not for a night in the hospitsl and "a few bandages". He underwent specialized surgery which was sufficiently complex that local military hospital was unable to perform it. The bulk of the cost will have been the surgery itself. Which may have required use of titanium screws/other hardware. Certainly cost would gave been less at a government hospital (had he been anld to get to one with the capacity to do this). But for a private hospital the charges do not seem unusual.

I already listed one above. Another possibility, andvperhaps the best if issues are outcome of drug abuse, is this very good specialist in addiction psychiatry: https://www.bumrungrad.com/en/doctors/pichai-saengcharnchai

YOU might be happy to be prosecuted for defamation, but the Forum is not. Bear in mind that in Thailand, the truth of a statement is not a defense against defamation, and defamation is a criminal charge. If anyone wants to know hospital name, they can PM OP and ask. Nothing OP described rises to the level of "scam".

There are no neurologists in Thailand with specialization such as you describe, as far as I know. There are a few specialists in neuropsychiatry but their focus is on dementia. For that matter, psychiatrists with training in neuropsychiatry here are also mostly focused on dementia and geriatrics. One exception is this doctor, you might try him. https://www.bumrungrad.com/en/doctors/spain-uneanong

Post title and content have been edited to remove name of the hospital in keeping with Thailand's defamation laws. OP: you did a number of things "wrong", not least becoming a bit paranoid over what sounds like typical, if inefficient, processing. Not really clear how much was the hospital's inefficiency vs the insurer, may have been both. My last hospitalization (different hospital, different city) it also took a full 6 hours, and multiple complaints from me, to process the insurance claim. This delay did not make any money for the hospital (once they start the processing, all charges have already been compiled). I did not view it as greed or any sort of plot though I was annoyed, of course. But this is very typical. And your case would have been more complicated given that it was a motor vehicle accident. What to do now? At the moment I would suggest, nothing. Leave it between the hospital and in the insurer(s). If and only if, you receive a bill from the hospital, at that point insist on a detailed itemized bill showing all charges and what was paid by the insurer. Depending on what this shows, you might then either contest parts of the bill with the hospital OR make a complaint to the OIC about the insurer (assuming it is a Thai company, otherwise then applicable complaint channel. Or both. https://www.oic.or.th/en/

You have already received numerous suggestions. Dr. Anna in Pattaya would probably be my top pick, if cost not a concern. Otherwise the government Derm Institute in Bangkok.

Troll post removed

First of all - you are not going to get the same level of care in Nakon Sawan as is available in Bangkok. Whether this matters at all, and if so how much, depends on the specific need/issue. Many things can likely be handled satisfactorily in province but not everything. In particular I would not recommend follow up related to your throat cancer to be done in Nakhion Sawan. So you may need to revise your expectations from receiving all care in a local hospital, to rather using local hospitals for many, but not all, needs. You are also going to find that doctors upcountry (and for that matter, even sometimes in Bangkok) often do not review past records much anyhow i.e. there is not as much advantage to getting care ta the same place as one might expect, especially in upcountry locations. An added consideration is the need for documentation, in English for insurance purpose; this is often impossible to get from provincial government hospitals (though on the other hand, their charges are low). In Nakon Sawan, the only private hospitals of any size are (1) Srisawan Hospital and (2) PRINC Hospital (Princpaknampo). Srisawan has a website in English and it is possible from that to see what doctors are there, but not any details on qualifications. https://srisawan.com/en/doctors PRINC website is only in Thai but if you open it in Chrome you can get English translation. Here too, no information on doctor qualifications. But on both hospitals' websites you can at least identify area of specialization...and pretty much all the specialist doctors up there are likely to be young without any training abroad, because that is simply the reality with upcountry locations unless located near a University with a medical program, which is not the case in Nakon Sawang. The main government hospital in the town, Sawanpracharak, is a regional level facility and certainly where to go in an emergency. Like most government hospitals at this level it has 2 tracks of care, the main public channel where waits are very long and most interaction is with medical students or interns/doctors in training (often not speaking much English), and an "after hours" clinic where you can directly access (comparatively) more senior doctors for a few hundred baht more, this latter is much to be preferred unless your condition is emergent enough to warrant going in through the Emergency Room. However even these more senior doctors will not always speak English, and the nurses and clerks will usually speak none. It may also be difficult, if not impossible to get medical summaries and receipts in English from the government hospital, which may affect your ability to claim insurance reimbursement. Probable that the doctors at Srisawan and PRINC are the same doctors you would find at Sawanpracharak, and given that you have insurance makes sense to use these instead. I assume you already know that most medications, including heart medications etc, can be bought directly at a pharmacy in Thailand without prescription. If you have been going to a hospital instead in order to get it paid for by your insurance, then using either of the above private hospitals may work for you, but you might want to still come in to Bangkok say once a year or so for more comprehensive review of your conditions. You can tell the specialists in Bangkok that you will be getting routine follow up in your province and ask them to give you written recommendations accordingly that you can share with local doctors. If your visits to dermatologists involve skin cancer, this is not something that you can get well addressed In Nakon Sawan. See this thread currently running https://aseannow.com/topic/1372276-best-dermatologists-for-possible-skin-cancer-on-nose/ If I knew what your various hospital visits are for (other than med refills), I could give more specific advice.

Australia is pretty much the skin cancer cspital if the world. But unless suffering ftom something serious lke melanoma, pretty drastic to travel that far. A number if good recommendations here in Thailand already given in this thread. Please specify where in Thsiland you are.

As I have explained several times, the initial loading dose is 3 injections about a month apart and effects are often not seen until this has been completed. Also as explained several times, the injections will usually (about 90% of patients) prevent further deterioration but will only sometimes (about 30% of patients) result in improvement. Unless you think further loss of vision (to the point of blindness) isn't worth preventing then yes you should definitely continue and it is not a waste of time and money. But you need to understand what has been explained repeatedly about expected outcome of treatment. You also need to talk to your doctor.

Off topuc trolling posts have been removed.