Sheryl

Do you have the biopsy report or other records? I need to understand if endoscopic mucousal removal is possible or if you need laparoscopic surgery. Makes a difference in what doctor I would suggest. And do you have the initial endoscopy on DVD?

@PJ71 While you might indeed benefit from a different dose of allopurinol or an alternative drug it is unwise to self prescribe. This drug has signficant potential side effects and interactions with other medications (as does colchicine which is sometimes used during an attack). Liver and kidney function need to be monitored. Seek the advice if a rheumatologist for the medications. Diet, you can adjust on your own. See https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/gout-diet/art-20048524

Yelliw tinted glasses (like for skiing) rather than usual sunglass tints are best. I have suffered ftom light glare/haloes at night for decades now and use this when I must drive at night. If it is really bad, turning on light inside thd car also helps. But usually the yellow glasses are enough.

Spiolto-Respimat does not contain a steroid, however one of its known side effects is insomnia/nervous system stimulation which may be why (along with naps) you feel perked up in the evenings. I do not know if it would be feasible, and you should not change without consulting your doctor, but you could ask if it might be possible to alter the schedule of it a bit so as to get more doses earlier in the day. A sleep study, to check for sleep apnea, might also be helpful.

Have you always been like this ilor is it of more recent onset? Have you had recent evaluation of your respiratory function? Are you taking steroids or using a steroid inhaler? If so what is the scherule? And are you naping during the day?

Very common in government hospitals. OR space is at a premium and emergency procedures will often lead to elective ones being rescheduled. Much less frequent (but can still happen) at private hospitals but cost of course is higher.

Cataracts should be removed once they impair your vision enough to interfere with daily life. This is often many, many years after first diagnosis.

An unhelpful glaming pilost has been removed

Sorry I am not knowledgable about Life Insurance.

You located a doctor with experience doing PAE? Can you share the name? Good possibility he also works elsewhere

If she is Thai, should start with the hospital she is registered at under SS or 30 baht scheme. If you wsmant to pay for ptivate care then suggest https://www.samitivejsriracha.com/en/doctor-detail.html?id=1 Ask if she us consuming any weight loss drugs ir drinks ( including "herbal" ones) as these are frequent culprits in young women of that age, especially Thais. Also look into caffeine intake.

That is an excellent price for MRI. Makd sure to get the scan on DVD so spine specialist can directly review it.

It has been repotted elsewhere that her body was found on the boat. Apparently went to the toilet before the fire broke out.

Well med is an option. Others: https://rsuhealth.com/rsu-medical-center/ (Sukhumvit around Soi 33. You do not need to get a package, you can request a specific test. They will email results) https://www.brianet.com/blood-test/ Will also email results but less conveniently located, Lardprao area With PSA, if elevated, should also get Free PSA to calculate ratio. especially if you have BPH.

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I have no idea why the room charge shows that high, did you ask? It will nto have been do to add on nursinbg fee abnd meals alone, that would not more than double it. As for insurance, SIPH definitely does accept insurance and has direct payment arrangements with some insurers as listed here https://www.siphhospital.com/en/patient-services/mutual-clients While your insurer may not be among these, I have also had reports of people arranging direct payment to other insurers. Did you speak directly to the 3rd party payment office? And lastly, to be clear - is the estimate shown from SIPH, or from Siriraj the government hospital? As it is the latter which adds a 25% surcharge for foreigners. And which requires an attendant etc. I would be amazed if SIPH did either.

You can purchase Trental here and they will deliver it to your home https://bangkokdrugstore.com/product/trental-400-mg-10s-sanofi/ Could also ask here (use the Messenger function) https://medisafepharma.com/

An inexact use of terms. Possiibly stemming from an anouncrment initially made in Thai. If you read through the article, it is a cost effectiveness study of an already tested and approved vaccine.

Your passport will be examined as that is your identity document. Follow the advice given. If caught on overstay anywhere but the airport imm counter on exit, you risk detention in a very uncomfortable situation.

This is not a clinical trial of vaccine efficacy or safety. The vaccine in question has already completed such studies and is already approved for use in many countries, including Thailand. It does not have the problems associated with use in people who have never had dengue which were seen in earlier dengue vaccines. The study is of cost effectiveness to determine if it is economically advisable to offer this vaccine free of charge through the public health system. Currently it must be paid for out of pocket.

Are you referring to UHT milk or fresh milk or what? I can still readily buy both low fat and nonfat Foremost brand UHT milk where I am (Prachinburi).

A large Thai pharmacy (i.e. not a Boots or Watsons) located near a tertiary hospital would be the best bet. Where in Thailand are you located? Be sure to ask by generic name as Cerator and Flexital brands are more widely used than Trental.

Thank you for the update, I take it you mean Hope House? And as you researched a number ilif places, might you be able to confirm if these 2 are different places albeit both with "Hope" in the name and in Chonburi area? https://hopehousethailand.com/ https://www.hope-rehab-center-thailand.com/ Thanks in advance

From your description I think you'd do best to see a pulmonologist. There are 2 at BPH: https://bangkokpattayahospital.com/doctor/ong-ard-kosintarajit-m/ https://bangkokpattayahospital.com/doctor/nataphon-wuthithepbuncha-m/ And one at Pattaya Memirial https://www.pattayamemorial.com/our-experts/witaya-benjatamanont-md

An ENT would not be best choice for a pulmonary or cardiac issue. Can you clarify what you mean by "lung/breathing issue"?