Sheryl

Dengue is a virus and completely unrelated to malaria, which is not a viral disease but rather caused by a parasite. While both are spread by (different species) mosquitos these 2 diseases are totally unrelated.

Pocitrin taklets here contain 231.5 mg potassium citrate. Available at pharmacies These are compressed tablets not a powder Lazada has what appear to be caspules 99 mg https://www.lazada.co.th/tag/potassium-citrate-now/?exlaz=d_1:mm_150050845_51350204_2010350204::13:12361258253!116250847885!!!dsa-19959388920!c!!!!593083946049!&gclid=CjwKCAjw3oqoBhAjEiwA_UaLtlCyVsH0qVpTwSoNG8SH8z-YWtslQ91vir_W4fpyNo_9S6Boo87AaRoCOgkQAvD_BwE I see some powders on Shoppee but from China and I am not sure can be considered pharmaceutical grade. But if what you already have is liquid, can you not just further dilute it?

Then you will need to avoid a number of foods, including bamboo shoots, spinach, almonds, lima beans, soy etc Small amounts of cyanide naturally occur in quite a number of foods and are harmless. As are the trace amounts of cyanide released from metabolism of synthetic B12.

What new booster / new strain do you mean? The Omicron one that came out about a year ago is available here. The one just approved by the US FDA this month is not yet available anywhere much less in Thailand.

Bear in mind that peptides are, in effect, just protein (more specifically, protein fragments ) There are a number of high priced clinics in Thailand offering untested/unproven "peptide" treatments and no real quality control or regulation of it. Personally I would just suggest s diet high in protein, or a protein supplement along with of course continued exercise.

Actually with GERD the problem is not excessive stomach acid. It is weakness of the lower esophagal sphincter. This in turn can be due to aging, obesity, eating too much at once (even if not obese), caffeine intake, smoking, alcohol, hiatal hernia . Anything that increases pressure against the valve will worsen it - such as overeating and also lying down after eating. PPIs like omeprazole reduce acid production. This does not stop the reflux at all, it just renders the contents less acidic so the reflux is less painful . Short-term PPI use is unavoidable in conditions like gastric ulcer and gastritis, where it is necessary to lower gastric pH to allow the mucosa to heal. For GERD it does nothing to correct the problem (though it will usually decrease the burning sensation) and long term use does carry some costs health-wise. Thus it is preferrable to try to address the causes of the reflux as the primary approach, with occasional antacid use if necessary (gaviscon, sodium bicarb etc). The following measures are recommended and will usually suffice if followed: lose weight if at all overweight (this alone will cure it in many cases) smaller amounts at a time- avoid overfilling stomach. take nothing more than sips of water for at least 2 hours before lying down avoid or minimize caffeine (coffeee, tea, chocolate) stop smoking minimize alcohol elevate head of bed or use special GERD pillow Sometimes if there is a severe hiatal hernia underlying the reflux surgery is required but this is rare. Some people recommend d-limonene as a supplement, it acts by supporting peristalsis (movement of foods through the GI tract). Hard to find in Thailand but iHerb has it. I haven't tried it personally.

https://www.bangkokinternationalhospital.com/doctors/dr-kiratikorn-vongvaivanich Also Prof. Nijasri SUmanwela at Chulalongkorn Hospital, can try through their after hours clinic

Unfortunately I know cases where serious injuries needing highly specialized care were brought to Pattaya City Hospital despite it lacking the necessary capacities. By the way Pattaya City costs these days aren't much less than BPH.

Tourist visa will give you 60 days on arrival and you can extend it for another 30 incountry.

This is a somewhat different issue than the use of "network" hospitals (which as explained applies only to USA. Many insurers have such arrangements in US.) April and pretty much every other insurer requires pre-authorization for hospitalization except in emergency when authorization should be sought as soon as possible after admission. Private hospital third party payment offices take care of arranging this. It is a process wherein the hospital submits anticipated treatment costs, sometimes there is back-and-forth negotiation on it, and it ends with the insurer giving the hospital something called a "Guarantee of Payment" (GOP) which promises to reimburse the hospital directly up to the approved amount. Hospital can go back to them at any time for additional GOP if additional unforseen treatments/costs become necessary. Again not unique to April, most insurers do this. What is perhaps less common is that April will potentially reimburse 80% of costs after the fact if pre-authorization was not otained either prior to admission or (if emergency) as soon afterwards as feasible. Some insurers will refuse to pay anything in that case. One exception worth noting in April policies is if total costs do not exceed US $2,000. In that case pre-authorization is not mandatory and you can pay up front and be reimbursed. You aren't likely to have an inpatient hospitalization costing that little (except at a government hospital for something fairly routine). But things categorized as day surgeries often do. I twice opted to go this route for epidural spine injections as I was in a lot of pain and wanted quick relief and was willing to pay first to get it. (In a non -emergency situation pre-authorization usually takes 5-10 working days). I was reimbursed in full but it did take a long time. A few other things to know about the pre-authorization process: - Although it is not required (or, obviously, possible) to get the authorization in advance in case of emergency admission many Thai private hospitals will not agree to expensive treatments (e.g. surgery) on direct billing basis without a GOP in hand and may therefore ask for a credit card deposit, refunding it once they get the insurer's GOP. The processing time for a GOP in an emergency admission is not limited to working days and is much faster than normal pre-authorization but may still take several hours to a full day. This happened to me after an accident in 2019. Hospital provided immediate emergency care and scans but then gave me a choice of either postponing surgery until the GOP came through or making an advance payment myself refundable upon receipt of the insurer GOP. I opted for the latter (my leg was torn wide open and while bleeding was by then controlled there was real risk of infection) and signed for something like US 10-15k on a credit card. By the time I was out of a 3 hour surgery and 1 hour recovery room stay the hospital had gotten the GOP from April so I never had to pay this (I forget if hospital just tore up the charge or credited the amount back but either way it worked). This was on a Sunday and I arrived at hospital 11 AM our time so around 5 AM in France. -- Thai hospital 3rd party payment staff vary in their competence and work ethic. Not unusual for them to try to make their work easier by asking you to pay something that the insurer had issues with or even just asked for a more detailed breakdown of. It is usually best to refuse and tell them you aren't paying, they need to work it out with the insurer. They almost always can, just by showing the cost breakdowns in more detail or differently broken out/described. Common situations where this arises is when there is a "package price" or regarding room rates. Some April policies limit reimbursement for private rooms but that refers solely to room charge not room + meals + nursing charge so simply breaking things out better and making sure the room charge is within their limit will usually solve it. And hospital can easily do this but as mentioned sometimes staff are lazy and will first try to hit you up for the cost. Happened to me on a back surgery in 2021. Hospital had a "package price" for it and whatever the hospital originally submitted put the room rate above the insurer maxium. They called me asking if I would pay it myself, I basically said no, you need to work this out with the insurer. Within a few days the problem had magically disappeared and hospital got a GOP for the full package price. Obviously just needed to resubmit the paperwork with more detailed breakown that was consistent with insurer limits on rate for room alone. I have even heard of some hospital staff trying to get out of doing their jobs altogether by persuading the patient to just pay and get reimbursed later (shifting all problems to the patient....and good luck getting the kind of paperwork details needed after the fact once the hospital has already been paid). Hasn't happened to me but I've had reports from others especially where smaller private hospitals were involved. If you encounter this stand firm. Tell them you will not pay, insurer will pay directly and they need to get GOP from the insurer or else you'll go elsewhere.

Glad it worked out and thanks for the feedback on this doctor. Spontaneous flare ups and remissions are common with lupus. Anyway wait to see what the tests show.

Amlodopine would not account for the belly. In a minority of people it causes some water retention (edema) in the ankles and legs. Not true weight gain. Majority of people do not experience this side effect but some do. BP medications have to be taken daily. Taking every other or 3rd day will not work. There are plenty of alternative BP drugs if amlodopine does not suit you. Consult your doctor.

Absolutely correct. Actually so could (comparatively) younger men. TRT should not be started without first ruling out prostate cancer. One of several reasons why it shuld not be self-initiated

Phnom Penh or Ventiene. Or, if open to actually using ticket and taking a short trip, Siem Reap where you can visir the Angkor temples for a few days. They are well worth it.

It totally depends on the airline. Many will not let you board without a visa without an onward flight within 30 days as this is what IATA guidelines state is required for entry. Nothing new about this. You did not get a visa on arrival. You entered visa exempt.

As above. Requires prescription.

Yes. However practically speaking no need to bother if you do not plan on attending immigration in-country for any reason. But ifyou might need to go to immigration (e.g.for an extension.of stay)thenmost officers insist onseeing a TM30.

As it founds likeyou would be flying in visa exempt be aware that airline may (probably will) insist on seeing a return ur onwsrd ticket not more than 30 days from arrival. So you will need to fleither have a flexible return ticket (one you can change datss on after youenter) or bug a "throw awsy" onwsrd ticket. (Or, if anyway planning to visit a neighboring country buy ticket for that...)

Very much a "biggie" as BPs in that range damage the heart and blood vessels over time...and permanently. Just because you don't feel something immmediately at that range doesn't make it OK. By the time you have any felt symptoms, the damage is already done. There is a reason hypertension is called "the silent killer".

Certainly you should see one of the listed rheumatologists at once. Lupus is a complex disease which can cause many different symptoms and affect many different organs. A liver biopsy does NOT cause lasting pain. Some people who have had liver biopsies done may have pain thereafter but it would not be due to the biopsy. Suggest you lay off the internet, see one of the excellent rheumatologists listed and follow their advice in full.

All BP meds have side effects. Both enalapril and amlodopine have good safety profiles and either can be used as first line treatment of high BP. Neither are incompatible with testosterone replacement therapy per se. His doctor was advising him to stop the T because it is not medically needed in his case and contributing to his hypertension. There is a big difference between. replacing T to normal physiologic levels (in men in whom it is low) and taking it to boost T above normal levels which seems to be what OP is doing.

Please specify what it is you want to ask regarding dentists. And specify where in Thailand you are/will be.

Pretty sure he means amlodopine. A commonly used anti-hypertensive and 5mg would be usual starting dose

It is, under several different brand names (including Nasonex) but as it is a steroid I do not advise self prescribing it. She needs to first see an ENT. Any sort of active infaction must first be ruled out. In addition there are sometimes systemic effects with long term use.

It actually does exist somewhere in writing already. In the Member Guide, the discussion of networks appears only on the page titled " Using direct billing services in the USA and Mexico". And if you then follow the link to find a network provider, it takes you directly to https://april.globalexcel.com/ which is for cover in US only. (It is actually a shared application with Aetna). Definitely does not apply in Thailand, at least not as yet . The "network" arrangement is new and so far limited to US