Sheryl

There is no OTC medication for this per se. First step is to determine if there is an underlying cause or if it is idiopathic. in children, common underlying causes include various hormonal and metabolic disorders (hyperthyroidism, diabetes etc) and infection, so some blood tests will be in order. I suggest you see a pediatric endocrinologist such as: https://www.samitivejchonburi.com/en/doctor/83/doctor-detail.html https://www.phyathai-sriracha.com/doctor/pediatrics-en/พญ-ดบัสวินี-สุขโขใจวรัตถ/?lang=en These are in Chonburi town and Sri Racha respectively, AFAIK there are no pediatric endocrinologists in Pattaya itself. If underlying cases are excluded then botox injections into the areas affected can bring relief. Will need to be repeated a couple of times a year.

Notice how? again - what symptoms?

I do not think the doctor you spoke with is expert in cardiac electrophysiology (not the same as just being a cardiologist) nor experienced in ablation. Only a handful of doctors in Thailand are. And they would nto recommend anything based just in a home ECG monitor. Regarding Holter monitoring it can be done for any duration desired, 24 - 48 hours is usual and I doubt 7 days would be required. Nobody is likely to do an ablation for an arrhythmia that is so infrequent it does not occur even every 2 days. While wearing the monitor you cannot shower whole body per se but can do sponge bath or use showerhead/ bidet nozzle to wash only lower body then sponge bath the rest. Not onerous for just 1-2 days. Please disregard your prior discussion and see recommended doctor in Bangkok .

He does not want to drop April. He wants to change the broker who represents him in dealings with April. AA has already dropped him from their end and supposedly referred his file to AA World but latter seems not functional yet. His record with April likely still lists AA as the broker (mine did). What he needs to do is sign form changing broker assignment which new broker will provide. New broker will then file with April. No need to do anything with AA Thailand. If / when "AA World" ever contacts him he can inform them he already changed brokers.

Me too and never heard from AA World. Even when my premium came due for renewal. Hence I changed brokers.

Try email to [email protected]

And did these show retained metal fragments? If so I don't see what a repeat MRI can achieve. If not then I don't see why a repeat MRI would. As mentioned an MRI cannot say if specific symptoms are linked to an MRI finding. That needs to be determined by a physician taking a host of factors into account...and perhaps excluding other causes. You would probably do better to take existing MRI to an appropriate specialist. As I doubt you can get what you are looking for by having another MRI. What exactly are your symptoms?

He was not referring to hospitsls but to imaging crnters. Like www.mrithailand.com But recommended only if it is MRI without contrast media. Risky (in Thailand especially) to do scans with contrast outside of a hospital.

RF ablation is a highly specialized procedure and only a handful of doctors have much experience in it. Would definitely need to be Bangkok for this at this time. For this or anything else, Choose the doctor not the hospital. As another thread akready running on this subject complete with specific doctor recommendations this one is closed.

Cost me $208 at Walmart with Good rx a few months ago i.e. over 7,000 baht.

I don't know what cost is at Bumrungrad. Doctor would need to make his own diagnosis. Nobody is going to do an ablation (or anything else) based on home ECG device. Not only are the durations short but the interpretation is not so reliable. It really needs a skilled human to read the rhythm strips, machine generated reports are quite fallible especially when it comes to diffrrentiating between types of premature beats and types of tachycardia. Occasional PVCs and PACs are usually not a big concern but if you are actually having bursts of V-tach that is worrying. In addition ablation may not be indicated if the "events" are just occasional. Instead medication and reduction of triggers (like caffeine and smoking) might be tried first. No substitute for an evaluation by a specialist in arrhythmias. See the suggested doctor for a thorough evaluation. What exactly are your symptoms?

Of course. Why wouldn't they? In Thailand they usually admit overnight for this but even if they did not, it would be a day surgery, which is covered under IP policy.

He seems to no longer be at Bangkok Heart Hospital but rather at Bumrungrad now

Of course.

You don't need to tell AA anything. They have already dropped you if your policy is international. You just contact the broker you want and they will send you the necessary forms.

A number of flaming posts removed per Forum Community Standards

This doctor is expert in it: https://www.bumrungrad.com/en/doctors/Koonlawee-Nademanee?gclid=Cj0KCQjwm66pBhDQARIsALIR2zDdEHAXJa9pAQiDELL1rmH1gLs_M9a4wCgko4WzzalxYwoCspp5T6gaAkEkEALw_wcB You can read more about his expertise specific to RF ablation here: https://myacare.com/doctor/prof-dr-koonlawee-nademanee-thailand Pulsed field technique is extremely new, the results of the first random controlled trial were only released in August 2023. It is not widely available yet anywhere and not available in Thailand at all as far as I know. Doesn't seem to offer much advantage that I can see. https://www.acc.org/Latest-in-Cardiology/Articles/2023/08/23/19/16/sun-555am-advent-esc-2023

You are confusing Thai tax regulations (which is what I referred to) with the DTA. DTA outlines how the respective countries' taxation policies will interact. It does not go into detail about what each country's tax code is. Thailand's tax code has never taxed income earned abroad that is never remitted to Thailand and the new Thai tax regulation does not change this. What it does do, is make taxable income brought into Thailand from foreign sources taxable regardless of whether brought in the same year as earned or not. Previously, it was taxable only if brought into the country in the same year. Thailand's tax code has always been residence based, that is not a change.

MIMS www.mims.com Have to register and it is limited to health professionals Many pharmacies have a hard copy of the book, it comes out annually

Moved to appropriate forum. They are not interested in your exact address. Just what country. Passport will suffice if you live in the country you are a national of.

https://www.who.int/teams/global-influenza-programme/vaccines/vaccine-in-tropics-and-subtropics Thailand uses the Southern Hemisphere vaccine and the flu "season" starts in May. So yes, you are covered. Thread moved to health forum and a number of posts with misinformation/quakery removed along with trolling posts and flames. Good nutrition and adequate Vitwmin D levels certainly help resistance to disease but do not negate the need for flu vaccination in the elderly or otherwise at high risk.

Go to another hospital, see an ENT. don't show that note as it in no way gives diagnosis or looks like it was written by a doctor. Just tell him your history and the pseudophedrine works for you.

But by definition must occur within 3 months oa confirmed COVID infection. OP had COVID a full year ago.

@atpeace What exactly was your interaction at the hospital that led to this refusal? Did you first consult an ENT? Walking into a hospital and asking for a specific drug - -especially one that is a controlled substance as this unfortunately is -- will set off all king of alarm bells. Have a consultation with a doctor, explain your history and symptoms and that this drug usually works for you.

Suan Dok is just the informal term for the general area of the city which includes both Sripat and Maharaj Nakorn, the government hospital. Actually Sripath is a sort of private wing of Maharaj. Surgery at Maharaj Nakhorn itself would be less expensive but there might be a long wait and you would probably not be able to choose your doctor..and the actual surgery might be done by a resident in training.