Sheryl

It would much depend on the problem.

Lical pharmacist was probably not a pharmacist. They seldom are. Telling people to get something from a hodpital is standard response for anything they do not have.

I think he had a CT (which is what he demanded) with rectal contrast media. Not unusual. He certainly did not just have a BE xray.

I am not clear what the purpose of your post is. Are you complaining about the cost? it was you who insisted on the CT, which was likely the biggest ticket item. Might have been possible to diagnose the stones with ultrasound. Liver cysts are common and nothing to do with your pain. Gallstones and kidney stones (not clear which hyo uhave), o nthe otjher hand, would. There are no "best" hospitals only best doctors. Who often work at more than one hospital. Going to any particular hospital, expensive or otherwise, never guarantees you wuill get the best care. I suggest that next time, unless a life-threatening emergency, you select an appropriately qualified specialist and go when he/she is available,

As far as I know diclofenac is available only as tablet and gel in Thailand.

P.S. There is perfectly competent health care to be had in the Philinnes if you select carefully and will likely cost less. especially taking travel costs into account. Suggest this US trained hand specialist https://handsurgeons.ph/doctors/henry-calleja/ Or either of these senior members of the Philippine (Association of hand Surgeons (click on "onboard doctors) https://handsurgeons.ph/hospital/de-los-santos-medical-center/

This particular hospital is mid range in cost. While you can just show up (come an hour early so that you can register and get a patient number etc), it is best to call to confirm he will be there. Note that he is only there on Sunday mornings. The same doctor can also be seen at: https://www.siphhospital.com/en/medical-services/find-doctor?doctor_id=209&medical_id=&day=&startTime=&endTime= https://www.thonburihospital.com/searchdoctor However both these places are on the Thonburi side of the river, which may not be so convenient, and English speaking on the part of other than the doctor is minimal to none. In addition I am not sure prices would be any less, they might in the case of SIPH even be more. Phyathai2 by contrast is near Victory Monument so quite central and easily reached by BTS.

Most of the people behind pharmacy counters here -- even in white coats -- are not actual pharmacists.

Absolutely true and there is also a widespread tendency to shrug off the risk of side effects. Very necessary to yourself research any and all medications you take, including possible side effects and interactions with other medications. But be sure to do so on a reliable website. Lots of nonsense can be found through google. In particular, many Thai doctors seem never to have "gotten the memo" about risks of NSAIDs (they prescribe them like candy) and quinolones (often prescribe them when alternatives are possible).

This is an excellent hand specialist: https://phyathai2international.com/doctor.php?pid=148&lang=en

Overprescription/consumption of medicine is indeed a deeply ingrained cultural habit. Thai patients expect to receive multiple drugs at every visit. Government hospitals to only do nto make money by over-prescribing, they lose money (since the national health schemes pay on a capitation basis). Yet they still do it.

Closed as per He;lath Forum Ruile#4 4. Posting/pinning of news articles: The forum is for members to seek advice on health/beauty related matters. it is not the place for general dissemination of news, research findings etc. Members are not to post news articles/research findings unless in the context of a discussion specific to an ASEAN NOW member's health/beauty related problem. https://aseannow.com/topic/224498-health-forum-rules/ please note that mass media is nto a very good source of health information -- they tend to oversimplify and also exaggerate. Also please note the term "could". There is no indication to date that this is happening (over course, aging populations will have more Parkinsons). The research referred to was based on an army camp which had extreme levels of exposure.

I can't say for certain but in terms of government hospitals the most likely would be Chonburi regional hospital. Among private BPH is likely but I cannot verify.

You are right. I must have mispelled it in the search.

It is not a restricted drug and you will have no problems as long as you have proof of prescription and quantities are consistent with personal use for a month or so. Odds are you won't even be checked but if you are, this fully meets requirements. Technically the rule on quantity now is 30 day supply (used to be 90) but this does not seem strictly enforced as on gas it looks consistent with personal use.

Improvement after a stroke can continue for up to 6 months and is indeed quite gradual. Some deficits an be permanent but for now, stay hopeful. The most important thing is to prevent another stroke for which control of hypertension and lipids is essential. Most people do fine on statins and if you do not, there are other drugs (though more expensive). Just do not ignore the issue, it is a major risk factor for future strokes. They should also have put you on low dose aspirin or an anticoagulant -- did they? Lastly strokes are often preceded by what are called "mini-strokes" - -so if you have any more episodes of this sort (or other episodes of feeling "strange") do not delay, go straight to a (good) hospital. The effects of a stroke, if of the thrombotic type, can be averted if given a medication to dissolve the clot within 90 minutes of onset. Only higher level hospitals can do this. Where do you live?

Not avalaible in Thailand and also a quinolone which OP is afraid to take. Pripr poster's comment about seriosu side effects not being that common are, however, correct. In fact the tendon injury OP is concerned about occurs in less than 0.5% of people...and tmainly occur with prolonged use; MGEN needs only 7 day course. If I were OP I would go ahead and take Moxifloxacin provided the diagnosis has been confirmed i.e. PCR test and is not a self diagnosis.

No amoeba infection found with OP. But they did, about a year or so ago, find gastritis on endoscopy (he omits that in this post) and treated him for such and he did feel better for a while (the pain had not been continual as he now says - I know this from many prior communications). Apparently the pain is now back. He does seem to over use tramadol, dating back to when his abdominal pain first started years ago, which is why I suspect narcotic bowel syndrome. He has had scans etc that showed nothing. I forget if he ever had a colonscopy. If not narcotic bowel syndrome or unhealed gastritis (he is vague about where the pain is or what it is like) might be IBS. He is in Phuket, limited selection of specialists there and I think he has pretty much exhausted the local options.

Nobody has suggested anything that would require a large expenditure on your part, where is that idea and attitude coming from? Large tertiary government state hospitals cost the same as the small ones but are worlds apart in the level of care they provide. You do not need to go to a private hospital (up country ones are usually not very good anyhow), but unless you have a diagnosis (you still have not answered that), you need to go to a better, higher level government hospital. I think there must be information you have not provided. It is hard to believe that, with no known cause whatsoever, you have decided to simply to assume it is a terminal situation and given up rather than get properly diagnosed.= -- and, possibly, cured. but if in fact this is the case -- you have no diagnosis at all to explain why you suddenly have serious trouble breathing; you wnet into an ER and recieved no examination whatsoever, nto even a pulse ox measurement or listen to your lungs or Xray -- then it is madness not to seek proper care, and that cannot be gotten at a small community level hospital. In your location, I would suggest either the Pitsanoluk Regional Hospital or Naresuan University Hospital. The latter likely less crowded and as it is a teaching hospital, you will get a thorough work up. Both cost the same as your local hospital.

This is simply making no sense at all. What hospital was this? They did nto even do a blood count or Xray? Doctor did nto even listen to your lungs? You are saying you have never received a diagnosis of anything that would account for your shortness of breath? Diagnosis is the first step. Can't treat without it, and makes no sense to declare it untreatable without first diagnosing what it is. Either there was massive malpractice here or you are omitting vital background information.

Suggest you try iHerb/thailand. They are much more knowledgable about Thai customs rules and realities.

There is not a specific rule of more than one of anything. What there is, and always has been, is a rule that you cannot import pharmaceuticals (including supplements) at all without an FDA permit. In practice small quantities sent by regular mail have often -- but not always -- been let through. What platform was this? iHerb Thailand has an excellent "feel" for what is likely to get through and what is not.This has nothing to do with actual rules, since explained the actual rule is you cannot order in anything, period. Rather it has to do with the extent to which rules are enforced which is an ever-changing landscape.

Did he say what the cause of this shortness of breath is? Nothing you have mentioned about your medical history explains it.

1. What you refer to is "crowd sourcing", you post an appeal on something like GoFundMe. You will be competing with people in life and death situations so don't expect much. To get non-emergency care on the NHS you need to have permanently returned to the UK. There are no specific proofs/definitions for that, but the intent is definitely not for people living abroad to be able to fly in and out for care. That said, there are people who have maintained a UK address but live all or most of the time in another country and continue to get NHS care. on totally other subject - what was the total cost for your ablation at Chula?

The likelihood of the Reaper coming is directly proportional to you not seeking medical attention. As I have said repeatedly this should not wait for your next appointment and warrants an immediate visit to the ER.