Sheryl

Agree with the above should the seizures recur or other symptoms emerge. In interim, suggest he see either of these doctors in Bangkok, bringing with him all records from Pattaya City Hospital including the CT scan on CD.: https://www.bumrungrad.com/en/doctors/Sikawat-Thanaviratananich https://www.bumrungrad.com/en/doctors/Kanokwan-Boonyapisit Consultation will run a few thousand baht. Tests would be extra but since he already has CT may not involve too much (EEG though will be essential if not already done). The main priority is to rule out possible underlying causes. The diagnosis of epilepsy (as opposed to seizures from other causes) is in part one of exclusion. I would not rely on what was determined by the doctors he has seen so far. As it has so far been only one seizure, if the EEG and neuro exam is normal and no underlying cause has been found, neurologist might opt to wait before starting him on meds, as sometimes these are a one-off event. In fact about half of people will not have a second episode (speaking of those without underlying known cause). Those who do, will usually have it within 2 years of the first. If it turns out he has epilepsy which requires medication ), there are a wide range of medication options, both newer and older drugs (newer is not necessarily better). I would not worry about that at this stage. The priority is to (1) rule out underlying causes and (2) if ruled out, determine, based on EEG findings, neuro exam and history, whether to start treatment or take a wait and see approach first. With no history of head trauma or family history of epilepsy, if EEG and neuro exam are normal the latter is likely advice but see what recommended neurologist advises. It is also possible it is due to something he ingested. While cannabis itself will not cause seizures, local product can contain insecticides which might and as you mention he regularly uses cannabis this has to be considered a definite possibility. For future reference, for general medical problems in Pattaya best to go to one of these: Pattaya Memorial Hospital Bangkok Pattaya Hospital Pattaya International Hospital Phyathai Sri Racha Samitivej Sri Racha Bang Lamung Hospital (government) Chonburi Regional Hospital (main government hospital, in Chonburi town) Queen Sirikit Naval Hospital in Sattahip For something specialized and acute (i.e. needing immediate treatment) I would narrow that down to: Pattaya Memorial Hospital Bangkok Pattaya Hospital Phyathai Sri Racha Samitivej Sri Racha Chonburi Regional Hospital (government hospital, in Chonburi town) As PIH , Ban Lamung and Queen Sirikit are smaller and do not have every type of specialist on hand daily.

Rutnin is the best https://www.rutnin.com/en/home/index.php

Likely not (they will usually nto even provide a written script when you purchase glasses) and more to the point the prescriptions issued by most glasses shops in Thailand are not very reliable and the people doing this are nto really opticians. You are better off seeing an opthalmologist at a hospital or clinic and getting an overall eye exam inclusive of, but nto limited to, vision tests. This would also help rule out any other problems that may be affecting your vision (cataracts, glaucoma etc)

6,000 is for the low dose CT only. Useful for screening for lung cancer in people with history of smoking. No reputable chest specialist is going to start with a CT i nthis lady's case. rather, PFTs and perhaps chest Xray. Basic blood work to look for allergy and inflammation markers as well.

This is for lung cancer screening. Not for diagnosis of asthma. If CT is needed to confirm diagnosis of asthma (usually it is not), it needs to be a hi-res CT. As noted by poster above CT would not be initially done, rather PFTs with CT only if diagnosis remains unclear. Seeing a pulmonary specialist at BPH and having PFTs done will likely run about 10k on total. But that is just a guess. Would be less costly at Pattaya Memorial or Phyathai Sri Racha.

While 23 C may be optimal most meds can be stored at up to 30C especially for short periods. Using the crisper (vegetable) compartment of refrigerator is an option as that is not as cold.

This is still going to be expensive and he needs also to consider that palliative care here is not as well developed as in the West. Frankly think he should reconsider this. As for your original question, there are a number of specialized government cancer hospitals but he is in for crowds, long waits, limited or no explanation from doctors, and quite possibly difficulty in getting his wishes about care honored. The norm is just to continue treating (with no patient input) and simply "tell" the patient what to do. In Bangkok, government cancer centers are: Chulabhorn Hospital (website seems not working) National Cancer Institute https://www.nci.go.th/th/New_web/index.html Chulalongkorn Hospital Cancer center https://chulalongkornhospital.go.th/kcmh/en/ec/ศูนย์ความเป็นเลิศทางก-17/ Of these, Chulabhorn likely to be less crowded/easier to deal with Personally I would suggest he get care at St Louis Hospital as they have an unusually good palliative care service including a special wing of the hospital for end of life care, are mid-range in price and will be much more patient-centered in approach. But it will cost. Even the government hospitals, will cost. Does he have a strong support system here in Thailand that is lacking in US? Certainly there is better hospice care in US than in Thailand so a better support system would be the only reason I can see why the move might make sense. And remember that family and friends will have to provide all the nursing care if he uses government hospital so need to be sure he has enough people willing and able to do this.

The government psych hospitdl for Bangkok is over in Thonburi https://www.somdet.go.th/public/Eng/main.php There is also a smaller govt psych hospital in Korat https://www.jvkorat.go.th/

A government psych hospital would be the best option. Where in Thailand are you?

It would help to know more about your friend's cnollondition and what he is looking for. What stage is his cancer?Are we talking about chemotherapy/ radiation therapy? Or just palliative care? Makes a huge difference. And lastly doees he have a lot of money? As this will run to quite a bit. Millionns of baht if chemo/radiation and even palliative card can run far into the 6 figures.

If neck is also giving her problems could be an issue with cervical spine.

Herpes simplex does not confer immunity to shingles. The risk of of shingles increases steadily with age. About 1 in 4 elderly people will get it eventually if unimmunized. That you have not had it yet in your late 60's in no way means you won't get it in the coming years..and believe me, it is no fun plus it can lead to permanent pain and disability.

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Thanks for the feedback and glad to hear no cancer.

Do not self prescribe this. Can cause serious electyolyte and sometimes kidney problems. The situation where diuretics would be indicated is when there is an element of heart failure contributing to the accumulation of fluid. In that case other meds will also often be indicated and supervision by a cardiologis is essential.

No orthos usually do this. In some western countries it is occasionally also done by neurosurgeons but not, in my evperience, here. Best to see an ortho specializing in hands.

No reason to assume surgery is required. There may be other options. Some as simple as exercises he can do at home andoral medication. . As already stated needs to see a good shoulder specialist. Prof. Mason will not recommend surgery unless absolutely needed. If he has not much pain and his range of motion is not too currtailed then likely it is not. Please disregard ill-informed comments claiming surgton will always want to operate. Not at all the case with reputable orthos.

Monkeypox vaccine is not currently available in Thailand. In countries where it is available it is provided only to high risk groups which are mainly men who have sex with men and/or transgenders, and people with impaired immune systems.

The first shingles vaccine (Zostavax etc -- what is currently available in Thailand) is about 51% effective in preventing shingles altogether and 67% effective in preventing post shingles neuropathy. It also lessens severity in those who still get shingles. The newer vaccine, Shingrix, is over 90% effective in preventing shingles. In addition to being very painful shingles can lead to prolonged (sometimes life long) complications including long term nerve pain (post herpetic neuralgia), scarring of the eye/loss of vision (which can be permanent), facial nerve paralysis and deafness (ditto). The risks of these serious complications well exceeds the extremely small risk of serious side effects from the vaccine.

A neurologist is not who to see for this but rather an orthopedist, preferrably one specializing in hands. There are 2 at BPH. https://bangkokpattayahospital.com/services/find-a-doctor/?jsf=jet-engine&tax=centerclinics:5526;specialty:5677 One if them sefms to be there fulltime. The other, Dr.Natthawat, can also be seen at Sdmitiv Chonburi hosputal (located in Chonburi town and probably a bit less expensive than BPH). Might also have hours at Sdmitivej Sri Racha (not sure)

I can assure you that orthopedic surgeons do not always -- or even usually -- recommend surgery.

By law they have to provide notice and pay severance. Sounds llke they may be trying to harass people into quitting to save themselves that expense. If they start to do anything formal (written warnings etc as opposed to verbal) go talk to your local Labor office for advice.

The best hospital in Khon Kaen is KKU university (Srinagarind). https://srinagarind.md.kku.ac.th/ Try to see Prof. Supatcha Prasertcharoentuk there. In addition if not already doing do, should: 1. Wear compression stockings 2. Elevate legs when sitting down 3. Lose weight if at all overweight 4. Control diabetes if you have it A thorough cardiac workup may also be indicated if not done recently as insufficieng cardiac function can cause or contribute to pooling of blood in the legs

It is best to have a will in every country whrre there are assets. Sk yes, nake a Thai will and I'd suggest to keep it as simple as possible e.g. just 1 heir if possible. AFAIK there is no way to designate who will get the money after death on a Thai bank account.

A baiting/trolling post and replies to same have been removed.