Sheryl

Nowadays they mainly use propofol which has antiemetic properties, in fact it is used to treat post operative nauzea and vomiting. I too vomited after sedation and anesthetics in the past but never with propofol. In addition they can administer an antiemetic drug before taking you out of sedation . Just tell the anesthetist your history. Getting the "virtual" (camera) colonoscopy as I explained runs the risk of still needing a colonoscopy afterwards thus doubling the expense. In addition in Thailand especially I worry about the thoroughness of the review of the resulting photogeaphs. Easier to miss something in a large number of photos than something directly before your eyes with an endoscope.

It is also recommended for persons over 65 (slightly different vaccine schedule) especially if they have any chronic conditions. If you received Prevnar 13 next step (at least 1 year later) is Pneumovax 23.

AA no longer handles international policies. So I switched to AOC. My broker confirmed that at this time the only network is in USA (actually not an April network, rather April uses that of Aetna). Also confirmed that when April issues a GOP to a hospital this assures that they consider the costs "reasonable" so cannot be any copay issue (other than any excess you chose in your policy). Since GOP is required for all inpatient direct billing I suspect the whole "network" bit is mainly for outpatient care....and currently just in USA. Though this latter could eventually change.

It is available and all the private hospitals have it but not most government hospitals. you will need to recrive 2 different ones . PCV 15 followed a year later by PPSV23

In terms of doctors I would suggest Prof. Supranee Fooanant, who can be seen at either Sripat or Bangkok Hosp CM https://sriphat.med.cmu.ac.th/en/doctor/detail/40 https://www.bangkokhospital-chiangmai.com/en/doctor/dr-supranee-fooanant-m-d/ But before trying other doctors, personally I would first address the potential allergens in your environment as this sounds quite likely to be allergy-related. Have your a/c professionally cleaned (do not be in same room while they do it). Thoroughly clean the apartment with diluted bleach to remove dust and kill mold (wear a mask, or hire someone else to do this). Remember that dust and mold do nto have to be visible to cause a problem. So be sure to include under and behind furniture and inside of wardrobes etc. Put dehumidifying beads (Farcent etc) and a light bulb (can get battery operated ones) in closets and other places that are enclosed and likely to grow mold. Get a dehumidifier or run your a/c (once cleaned thoroughly) on dry. Get allergy pillow covers and maybe also allergy mattress cover. If none of that works then yes see another doctor...and consider allergy testing. Worst case you might need to think about moving. Test out other locations first to see how your symptoms do. CM is probably about the worst place for someone prone to respiratory problems and allergies to be.

Maybe try the gel?

There is no registered product of this type here. If anyplace has patched they have imported them without FDA clearance. I have heard of that occcurring for non-registered injectable types of T but not of patches. In any case, in my experience, this hot humid climate is not very suitable for using patches.

It definitely grows here, I have it in my garden. But as to what is used commercially, that could be imported. No idea where the turmeric capsules sold as traditional Thai medicine comes from.

What type of specialist? this needs an Oral & Maxillofacial Surgeon at the Hospital Dental Center. It does not sound like it is getting worse if the pain stopped with anti-inflammatory. If it were me I would just continue the anti-inflammatories for a while and wait and see before proceeding to more expensive tests. Being sure to avoid chewing anything very hard. This sort of problem often resolves on its own. See https://my.clevelandclinic.org/health/symptoms/24665-jaw-popping

What type of doctor did you consult? Sounds like temporomandibular joint issue which is best treated by a dentist (oral surgeon) Have Xrays been done? These issues often go away on their own with time. Sometimes a night guard helps.

Never choose the hospital. Choose the doctor - in your case a colo-rectal surgeon. As success depends totally in the surgeon's skill. The best colo-rectal surgeon in Thailand is Prof. Chucheep. He can be seen at either Bumrungrad (expensive) or Bangkok Christian Hospital (less expensive) - https://www.bch.in.th/find-doctor/doctor-profile/?smid=4581 He can also be seen through the public channel at Chulalongkhorn hospital but there will indeed be long waits, lots of red tape, you'll have to arrive very early (i.e. crack of dawn) to get in the queue and much of your interaction will be with residents in training under his supervision.

Since you are having such trouble with funguds worht considering underlying causes: 1 - Are you wearing closed shoes? Socks? Open toe sandals with no socks is much better. 2- Are you/could you be diabetic?

It depends on whether the hospital has both the necessary equipment and doctors trained in the procedure. Even my 800+ bed regional hospital does not, and has to refer to a university hospital in a neighboring province. But it will vary. The poster who said he got on at Koh Samui told the doctor he has unexplained weight loss i.e. it was not done as routine screening but for specific symptoms. And evidentally (and surprisingly) the hospital had the equipment. Most Thai government hospitals in the provinces will nto understand, let alone respond to, a request for a colonoscopy for routine screening purposes but again, this can vary.

https://www.healthcaremedicalclinic.com/ Used by many CM residents

No. Camera does not enter by the head. It is something you swallow. What I am saying is that if they see polyps, these need to be removed and that means still having to get an endoscopy.

As far as I know, everyplace that does PRP does it autologously. I have not heard of PRP done any other way and can't envision why it ever would be. (Be warned though that some stand alone clinics claiming to do PRP may in fact not really be doing so. They are not well regulated). The amount of blood that needs to be taken depends on the site that will be injected and the reason (e.g. sports injury versus arthritis). 30 - 60 cc is usual but in some cases less might be OK. I doubt whoever replied to your question at various hospitals even understood it. They may well have confused it with ordinary blood testing. Emailed inqueries are not responded to by people directly involved in the process of preparing PRP. In fact usually nto even responded to by medically trained people. You need to discuss this face to face with the relevant provider. I would worry a lot less about how many cc's are drawn and a lot more about how beneficial it is likely to be in your specific case, given the considerable cost involved. And how much expereince the specific provider has had doing it.

There is no effective routine screening for the small intestine nor for tumors in the abdomen in general (other than colon cancer). Colonoscopy does often reach to the very last portion of the small intestine. Small intestine cancer is quite rare. 97% of intestinal cancers are in the large intestine. You should certainly not have a PT scan just for routine screening. Ditto CT or MRI etc. If you have specific symptoms need first to see a good specialist and get a differential diagnosis then proceed to tests appropriate to the most likely causes. There are a wide range of different tests that might be recommended depending on exactly what pathology is suspected. This is not a "do it yourself" undertaking. The simple fact is that there are, as yet, no appropriate screening measures for many cancers. Focus on those for which there are effective screening tools and on a healthy lifestyle. If you have specific symptoms that worry you, see an appropriate specialist.

Costs about the same and cannot remove polyps at same time, with result that will often need to proceed to a regular colonoscopy anyhow thus risk end up paying twice as much.

All posters: Please do not confuse the use of PRP for different conditions. The evidence base is quite different for say sports injuries vs chronic osteoarthritis. OP is asking about its use for a rotator cuff tear. @oobar PRP treatment is available in Thailand but quite costly (and would require multiple injections). Studies do suggest it reduces the incidence of re-tears but I have not seen evidence it substantially affects the need for surgery (which largely depends on the type and extent of the tear). Indeed it is often used in conjunction with surgery. But have you been told your tear requires surgery? As >80% of tears do not. If so, what type of surgery? as there is a range of surgical treatments depending on size and extent of tear and other factors. Unless an good orthopedic surgeon specializing in shoulder injuries has specifically told you your tear requires surgery there is an excellent chance it can be managed without either surgery or costly PRP injections. But it does depend on the size and extent of the tear and other factors. Every case is somewhat unique and you should consult a good shoulder specialist first to discuss the specifics of yours. I do not think there are any in Ubon, if that is where you are located. There are some good ones in Khon Kaen but may be just as easy to come into Bangkok. Best shoulder specialist there is: https://www.bumrungrad.com/en/doctors/mason-porramatikul Bring Xrays and any scans with you actual films nto just reports). If you do decide to try PRP injections, get them from a board certified ortho specializing in at least sports injuries (if not shoulder) and only at a major hospital as stand alone clinics are not so well regulated, especially those specializing in things like stem cells and PRP. you may find these links helpful: https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears/ https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/

Was it a laparoscipic procedure? As this requires use of specialized endoscopic equipment with additional cost, which at government hospitals is around that amount.

Please see https://www.mountsinai.org/health-library/discharge-instructions/hip-replacement-discharge and, for exercises, https://orthoinfo.aaos.org/en/recovery/total-hip-replacement-exercise-guide/ Do not be surprised if little or none of this information is provided to you in hospital. Follow it nonetheless.

As I understand OP, he needs investigation of an upper GI problem and is also due for a routine screening colonoscopy so (assuming the upper GI issue needs a gastroscopy - other studies might be proposed instead) wants to combien them in a single endoscopy. Prof. Chucheep and (in Phuket) Art Hiranyakas are colorectal specialists. Overkill in the extreme for a simple screening colonoscopy and, while excellent in their own fields, not who to see for a suspected upper GI absorption/motility issue.

Whether they would cover it will depend very much on the information provided by the hospital in their request for GOP and the specific arrythmia being treated. Ablation is generally indicated for atrioventricular re-entrant tachycardia, atrioventricular nodal re-entrant tachycardia (AVNRT), unifocal atrial tachycardia, and atrial flutter. In atrial fibrillation, it is indicated only if medications have been unsuccessful in controlling the ventricular rate. Please see https://www.ncbi.nlm.nih.gov/books/NBK470203/ and note carefully the significant risks associated with this procedure. The other issue besides whether they would deem it medically necessary is the reasonableness of costs proposed which is often a problem with Bumrungrad etc. There is no way to know if an insurer would pay for something until a hospital submitted the necessary paperwork. But as you are overseas I do suggest you get a second opinion from a cardiologist in your own country if possible. You may find they do nto concur with the idea of immediate ablation in which case, problem solved, at least for now. It appears doctors at some private hospitals in Thailand are deviating from accepted medical standards and urging people to have ablations who probably should not, at least nto as first approach.

Because fecal blood test does not detect all cancers. And will certainly not detect pre-cancerous polyps. Colonoscopy is the gold standard for colon cancer screening.

https://www.bumrungrad.com/en/doctors/parit -mekaroonkamol None better. You will need to have a consultation with him first. And if he proposes other tests instead (e.g. motility studies) take his advice.