Sheryl

The quality of autopsies here is poor in the extreme. Often just say "heart failure" or "cardiac arrest" with no further explanation. And unlike in the west there is no direct linkage between the autopsy process and forensic investigation. This is true even in Bangkok. Down on the islands, rudimentary in the extreme. If they want answers the only way is to get the body back as quickly as possible for a post mortem in Oz. Bear in mind that the "cyanide killer" was able to kill more than a dozen people -- young, healthy people suddenly dead without warning - and no questions raised on cause of death.

Totally aside from the facial recognition for large transfers business, Kasikorn has updated its online terms and app. I'm out of the country now but as far as I can tell, no major impact. Your password etc from prior online app migrates over.

It needs not just a dentist but a specialist on oral & maxilofacial surgery. Cheapest option: Chonburi government hospital (in the town, big hospital). BUT there may be a wait list6, and they likely won't give more than local anesthesia. Otherwise, Pattaya Memorial Hospital is the least expensive of the private hospitals. See Dr. MANIT RATTANAKIJKAMON there. https://www.pattayamemorial.com/ShowContent.aspx?id=302086

Good. As you are post ablation they will surely do an EKG

For a solid mass rated BIRADs 4a biopsy is indeed standard and normally done under local. If necessary an oral or IV tranquiluzer may be given to reduce anxiety. This is much safer than general anesthesia. The preferred approach is something called Vacuum assisted breast biopsy (VABB) with ultrasound guidance. This is also a needle but very large gauge , enough to get a solid mass, and attached to a vacuum device. I do not know if Sukhumvit Hospital does this. There is a small hospital in Bangkok purely for breast issues, run by one of the country's foremost breast surgeons, a woman. Most of the staff are also women and the whole ambience is designed to make women feel at ease. I suggest getting all records from Sukhumvit Hospital and taking your wife there for the biopsy. www.namarak.com

Melatonin (get online from Shoppee, Lazada or iHerb). Personally I need 5 - 10 mg but everyone is different. Stick to known brands like Puritan Pride, Natrol, Nature's Bounty. Sominar (doxylamine) 25 mg or hydroxyzine 25 mg can both be bought over the counter. They are actually antihistamines but have a sedative effect and often used for sleep especially the Sominar. Action tends to be prolonged so take only when you have plenty of time to sleep. Some people feel groggy next day.

This And once cleared up zinc oxide to prevent recurrence

EKG will show evidence of any current myocardial ischemia, past heart attacks and present cardiac rhythm. It cannot really predict future arrhythmias. Is it possible to get and post a longer rhythm strip, keeping very still during?

Not easy to find as rarely used by Thais. Best bet is probably pharmacy in area with a lot of tourists. I suggest you try Southeast Pharmacy on Sukhumvit https://www.facebook.com/SEPharmacy/ And also 1-2 large pharmacies on opposite (south) side of sukhumvit near Soi 2 and the freeway overpass If these fail, medconsult can almost surely find it for you but there iwll ba about a 300baht surcharge https://www.medconsultasia.com/contact/ Best to communicate with them via Line app or email, webpage doesn't work so well Absolute worst case, the following more readily available pills all contain the same estrogen dose and same progestin as Triquilar, but with the progestin in same dosage throughout the cycle i.e. not triphasic: Anna Cleo Microgynon 30 Microlenyn 30 Milly Nordette

Is that your EKG on the right directly above? As it looks normal. The rhythm strip you posted in the post before that, on the other hand, does not. It is a bit too short to be sure what it is, maybe atrial flutter or heart block? Anyway definitely not sinus rhythm. As you say you are also feeling unwell I suggest you not wait for Friday but see the cardio doc sooner. The height and shape of QRS complex differs in different leads. I have no idea what your home machine equates to in that respect. I don't think those machines are suitable for much more than heart rate and identification of a few obvious arrythmias.

As your symptoms ard visual see the dictir I recommdnded previously. He will know to check for all possible causes. If tumor or aneurysm is found hdme will refer you accordingly.

If you can find an aloe vera plant apply the gel. And stay off the foot as much as you can. If only raw and no sign of infection there isn't much a podiatrist can do even if you could find one.

That is indeed high. I understand your concern. If you decide on prostatectomy ask about nerve-sparing surgery.

Very few podiatrists in Thailand. What exactly is the problem?

In that case first step might be a biopsy. Which can not only tell if it is cancer but give an idea of how aggressive. If it is cancer they will not do a TURP. The surgical option is prostatectomy. There are nerve-sparing techniques for that which can reduce risk of adverse effects. As mentioned brachytherapy is also an Non-surgical option insome cases. What is your PSA?

An inaccurate conspiracy theory post has been removed. Note that this thread is 9 years old.

Moved to health forum. Suggest https://www.bumrungrad.com/en/doctors/Bavornrit-Chuckpaiwong https://www.siphhospital.com/en/medical-services/doctor-biography?id=202 (same doctor, different hiospitals. 2nd one will cost slightly less).

Sedation can be given for MRI or CT at any hospital if you can convince the doctors of the need. (Be aware that what Thais consider sedation and what you might need may differ. 2 mg oral valium knocks most Thais out, doesn't touch most farangs. You'll need to specify IV sedation. ) It will cost more as an anesthetist will have to be present. Bangkok Hospital is said to have an open MRI machine, which might be an option. In any case it is not certain you need an MRI. You need to first consult an expert in neuro-opthalmology. Suggest https://www.bumrungrad.com/en/doctors/Supanut-Apinyawasisuk

The evidence linking calcium supplementation to risk of heart disease is mixed and weak. There is no evidence of causation and while some studies found correllation others did not. Notd that correllation does not always -- or even usually -- equal causation. Osteoporosis significantly worsens quality of life as well as increasing mortality. As you have osteopenia you definitely need to ensure you get enough calcium and magnesium. (Don't overlook the magnesium). Whether you need supplements to achieve that depends on your diet, age and sex. It is extremely difficult for postmenopausal women of any age, and people of both sexes over age 71, to get enough calcium by diet alone. In other words don't hesitate to take calcium (a prepartion that includes D3) if you need it but also supplement magnesium. As for cardiac screening, calcium scans are useful but costly and involves radiation exposure. I would certainly not recommend them annually. Every 3-5 years would be more reasonable. Exercise stress tests are a completly non-invasive test with no radiation exposure and inexpensive. It picks up coronary artery disease in 80-85% of cases so not perfect.. but has the added benefit of also assessing overall cardiac fitness and thus can give an early indication of a need for more exercise etc. I would suggest a baseline calcium scan and repeat in 3-5 years depending on results, and exercise stress test evey 1-2 years depending on results.

CT is not as small and tight as MRI but people with extreme claustrophobia may still have an issue. But if not, may be an option. OP where are you located?

Do you have prostate cancer or BPH? TURP is a procedure for BPH and removes just part of prostate (the R stands for resection) whereas for cancer a prostatectomy (complete removal of the prostate) is done. An alternative to prostatectomy for some cancer patients is brachytherapy.

Stop life-prolonging treatments and enter Hospice care. But the patient has to decide on/agree to it. Possible your friend is not yet ready to do so. Be aware that how things look to an outsider and how they feel to the person in question can be quite different. It is far easier to say "not worth it, I'd rather die" when you are not actually in that situation. When the time comes, it usually takes some time to fully accept a terminal diagnosis. And hospice care is available only in some parts of Thailand (but becoming more common).

In Issan without question best place is KKU Hospital (Srinagarind) Dr. Wichien Sirithanaphol if possible

This is because you are at above average risk for it in the future.

Not for a reliable dkin cancer check. Suggest you try to arrive a day earlier.