Sheryl

The online portal it is not really designed for that. It is a platform for your bills, premium payments and policy documents. If you need to contact them with a question, phone is best, or else email [email protected] That said, I never had to do it as until recently had an excellent broker who handled all communications for me. Now looking for a new one. This thread reminds me I should ramp up that effort.

Something is wrong with your premium this year, you should contact them to find out what happened. I have never heard of a $4,000 increase at a time and suspect some sort of error. You might also wish to consider taking at least a $500 excess. When I calculated it, it paid for itself if you averaged 1 claim in 2 years or less. There is an online customer portal where all relevant documents get posted, no need to rely on snail mail. https://extranet.april-international.com/members/private/accueil.jsf

I am your age and my April policy is about 1/3 what you say you pay. Which policy do you have? With what (if any) deductible? I have the Essential plan with $500 deductible. Annual premium $4,073 this year.

Your systolic BP is dangerously high. Return to the hospital with these readings. Request to see s cardiologist i.e. don't go only to the Diabetes clinic.

It should be understood thatthis research was conducting in the US and relates to antibiotic sensitivities in STIs in the US which can, and often do, differ in Thailand.

"Issan" is a large area and quite diverse. It includes several large cities with much to recommend them for a retiree (e.g. Khon Kaen, Korat) -- as well as many "back of beyond" rural spots.

One of those "rare" situations is prostate infections. Which do require lengthy courses of antibiotics. Other exceptions include osteomyelitis (infection of bone). 6-12 week courses are the norm for such infections. And it sometimes needs to be longer.

You can get a culture and sensitivity test at any hospital of lab but may gave to insist on it as Thai doctors often like to prescribe without it (not a good idea). I sm not sure what you mean by "whole tourist experience". You make a direct appointment with a urologist at a hospital outpatient clinic.. have a consultation (and hopefully a test as per above) and get medication advised. Unless it is a very rare medication, can usually skip on buying it from hospital pharmacy and save by buying it at an outside pharmacy

Actually insulin can be bought over the counter in a pharmacy in Thailand too. And always has been. Most medications can, big exceptions being barcotics, pyschotropics, hypnotics and steroids.

Since the drug in question is not registered for use in Thailand no point in asking anywhere.

Dehydration and low electrolytes will certainly do that. And there is nothing "only" about low electrolytes, can be very serious, even life threatening. Next time be sure to bring plenty of electrolyte balanced fluids along and drink as you go.

Prof. Rongroj is excellent and specializes in Parkinsons but he is in Bangkok. In Kalasin your best option is KKU University Hospital (Srindakarind). I suggest one of these neruologists there: Dr. Somsak Tiamkao Dr. Narongsit Kasemsap https://srinagarind.md.kku.ac.th/ Dr. Somasak can also be seen at Ratchapreuk Hospital, will cost a it more but quicker/less crowded https://rph.co.th/en/doctor/somsak-tiamkao-md/

I do nto believe any Imaging Center would agree to perform an MRI upon hearing the patent has retained metal fragments in their abdomen. SInce the MRI could cause these to rip through the body organs. In addition, even if a safe scan like Ct was done, at an imaging center all one gets is the radiologists report. The OP appears to want an opinion as to whether these fragments could account for his/her pain, this needs a doctor's interpretation combining scan findings with the clinical picture.

Not available in Thailand period. No registered brand of it here. If/when it becomes available here it will certainly be controlled, drugs of this type all are here. Which in Thailand means getting it from a hospital pharmacy.

You are not allowed to import medicines without an FDA permit (which can usually not be obtained). Doesn't matter whether from online seller or your own doctor back home or whetever. The issue is the importation aspect not who/where you purchased from. Exception being when you bring meds with you when yourself entering the country. In that cas3 a permit beeded only if it is controlled substance.

@rumak Is the tingling/numbness in the leg on ssme side as your hip surgery?

Are you sure you can safely get an MRI? Presence of internal metal fragments could make that dangerous and would normally be a contraindication. CT would udually be preferred in such a case. ??

Obviously this is incorrect. Speak to the head office

Swimmer's ear plugs. I think you can get from Lazada or Shoppee but if not then Amazon

My lumbar injection was not edpecially painful. They numb the skin with lidicaine first and then the dolution they inject is a mixture of strroud and lidicaine. The one in the neck area was extremely painful as needle first went in, so much tgat fictor had to stop and inject ludicaine jnto fhe underlying tissue just to be able to oass fhe needle jnto fhe epudural soace. . After that it was bearabke. Momentary pain wgwn he dud one facet joint none on the other side. You are still a ling wqy from both epudural and hodpitalization/syrgerg as your last MRI wasn't bad abd has nor yet been repeated. Yoy can get MRI and an initial exam up in CM but if these suggest the pain is from the found I stringly advice coming to Bangkok for next steps.

My point was that you should see a cardioligist now, regarding the erratic/poorly controlled BP and heart rate issues you currently have.

Consult spinal specialist as above. If he feels not due to spine then next stop would be assessment by a vascular specialist to rule out peripheral vascular disease.

When the top number (systolic) is do high like this but bottom number (duastoluc) normal it is often an indication of some sort of trmporary stress...pain, anxiety etc. Be sure to tske readings while you are comfortable and at rest Also make sure the BP cuff is not too small for your arm as that will falsely elevate readings. Most machines sold in Thailand come with cuffams too small for average farang arm and it is often necessary to separately order n extr large (by Asian standarda) cuff. If you have only been seen by "diabetes speialist" I sugfest a consult with a cardiologist.

I do have advice but it means going to Bangkok. Get your xray and scans (actual films in disc not just radiology report) and consult Pof. Wicharn in Bangkok at BNH hospital spine center. When you say you have to rest after walking 50 meters -- is that due to back pain or other issue like shortness of breath?

Unhelpful posts have been removed. It is the Health Forum, not the Pub forum. Serious replies only please.