Sheryl

I have had good experience with both Bria and RSU. And with Medconsult. The latter two send the samples out. I know that Medconsult uses an ISO certified lab to send to. All will send results by email. Only went to Pathlab once, very bad experience re the blood draw itself (inept staff) but that may be specific to the branch and maybe even who was on duty that day. Others use them without complaint that I have heard.

Not Life care but there are a number of other sources for labs in Bangkok. https://www.brianet.com/en/blood-test/ Lad Prao area https://pathlab.co.th/ (several locations. Warning, the one on Silom not very skilled in blood draws, at least not when I went there recently) https://rsuhealth.com/rsu-medical-center/ Sukhumvit around Soi 31-33. (Website lists only packages but you can request stand alone tests and, in the past, I have been able to get very unusual tests done through them) https://www.medconsultasia.com/health-check-ups/ Sukhumvit Soi 49 inside the Racquet Club. Do not try to order or book online. Call, email or contact via LINE app.

Please see two posts above. But colonscopy will still be costly at those places (25 - 35K) For routine screening colonoscopy the best low cost option is Chulabhorn Hospital https://www.chulabhornhospital.com/Medical_Detail/74/ศูนย์มะเร็ง_โรงพยาบาลจุฬาภรณ์ If the colonoscopy is for a diagnosed condition or special risk factors, it is worth having it done by a really good specialist. The best colorectal specialiist in the country is at Bangkok Christian once a week, Prof. Chucheep. He is also on faculty at Chulalongkorn and it might be possible to see him privately through the after hours clinic (but not sure). He is heavily booked, please do not try to use him if it is a routine screening, only if there is a specific need.

Dextroamphetamine/ Desoxyn is completely banned in Thailand. Serious jail time for possession. Adderall, Ritalin and the like are strictly controlled and can only be gotten from a hospital after consultation with a psychiatrist. They will not provide large quantity, if they agree to prescribe it at all. The following are Prescription-only, must get from a hospital or clinic after doctor consultations - usually have to see an approrpriate specialist e.g. neurologist or psychiatrist · Donepezil · HGH (you will not be likely to find a doctor willing to give it for off label use except possibly in one of the anti-aging clinics. They will not provide large quantity but rather ask you to come in for consultations and injections). · Quetiapine Not available in Thailand with possible exception of anti-aging clinics, where you would have to get the actual infusion (at considerable cost) · Injectable Choline · Injectable L-Carnintine Not approved for use in Thailand., You might find it on some body-building websites (quality unknown) or from some of the TRT clinics like http://www.maximumclinic.com/ (no guarnatee, and will be costly) · Masteron · Primobolan Not available /approved for use in Thailand: · Semax · Selank · Vorinostat · lisdexamfetamine Most large pharmacies will have these: · Insulin · Propranolol · Nebivolol · Telmisartan (only in expensive import as Micardis. May cost more than in your home country). · Sodium Valproate · Ursodeoxycholic acid (UDCA but don't ask by that acronym. Local brands are Cholemax, Ursode, Ursolin) · Piracetam · Testosterone -- Cypriate will be hard to find (only one brand and may be off market) but can get test. enanthate and test undecanoate Can get TUDCA online (imported) at https://shopee.co.th/

The hospitals I am sure you know already, Bangkok Chrsitian (which you refer to) and St. Louis. Two other non-profits in Bangkok located elsewhere are Camillian (Thonglor) Mission (near Democracy Monument) Thailand does not really have GPs as such and there are less than a handful of internists (closest thing to it) I could recommend. If you truly need GP like care, Bangkok options are: Dr. Nick Walters at Mission (American) https://mission-hospital.org/en/our-doctors/40-clinics-centers/internal-medicine-clinic/959-dr-nick-walters.html Dr. Donna Robinson (British) https://www.medconsultasia.com/gp-consultation/ The first is based in a hospital and can provide full range of GP-like services. The second is a small clinic catering to expats and tourists, less range medically but fine for simple lab work, vaccinations etc. If all that is needed are labs, no need to go to a doctor at all, there are a number of labs you can go to directly in Bangkok https://www.brianet.com/en/blood-test/ Lad Prao area https://pathlab.co.th/ (several locations. Warning, the one on Silom not very skilled in blood draws, at least not when I went there recently) https://rsuhealth.com/rsu-medical-center/ (Sukhumvit around Soi 31-33. Website lists only packages but you can request stand alone tests and, in the past, I have been able to get very unusual tests done through them medconsult (already listed) - you don't have ot see the doctor to get labs done there And of course the health screening centers of just about all hospitals. Whether it makes sense to get a screening package really depends on what it is you need to check. I could advise you better if I knew what the issue was.

Bangkok Christian Hospital on Silom St Louis Hospital on Sathorn With both, as with any hospital in Thailand, you should pre-select your doctor as there are good and bad doctors everywhere. Please indicate what the problem is. If not comfortable posting it, send me a PM.

Microneedling is a cosmetic technique usually done on the face to stimulate collagen production. Nothing whatsoever to do with accupuncture. Also nothing to do with "dry needling" which is a physical therapy technique similar to accupuncture.

About 6,000 baht a session. Not as widely done here as some other cosmetic treatments, but available.

I doubt that what is going in is your long term weak bladder tone getting worse, rather you likely have an enlarged prostate, most men your age do. More than a PSA is needed. (PSA cannot diagnose enlargement at all, only provide some indication if there is cancer - some of the time. Most enlargement is benign.) You need a manual prostate exam and then, assuming findings are consistent with BPH, medications. See a urologist.

Daytime there is also now a public or private channel. Private as others said, under 1000 baht. Public 50 baht (for the consultation only, not including any tests or medications). But you will have to arrive by 7 AM to get in the very large queue, it will be very very crowded, and it will take all day and sometimes more to be seen (add more days if you need a specialist). Other than the doctors (and not even all of them, as in public channel you will be seen by young interns/residents in training) no one speaks much English. Really need a Thai speaker to help you navigate what can be a very confusing bureaucratic maze. Frankly the public channel is not worth the time and hassle just for a doctor consultation. If one is going to have expensive surgery it's a different matter. Any particular reason why you specifically want to go to Chula? Unless what you need is expected to involve expensive tests and treatments, there are some not very expensive good nonprofit hospitals right nearby. Should also note, in case you are thinking of doing this for a medication prescription, that Thailand does not really have a prescription system as such and most medications that at home need a prescription, here can be bought over the counter at a pharmacy.

No.

For a significantly lower cost you would need a government hospital. Long waits, crowded, lots of red tape. But for this type of surgery, about a third the cost. Tibia factures are not a sub-specialty per se but you'd want a very experienced orthopedic trauma surgeon. At Samitivej I suggest https://www.samitivejhospitals.com/doctor/detail/harit-tuchinda

AFAIK he can, yes. 60 + 30 on a standard tourist visa seems a reasonable option for him free of any uncertainty or return flight booking requirement.

I don't think you need to be physically in your country to apply for an evisa. And most European countries also use evisa You can check eligibility for evisa here (click on "am I eligible ot apply online?") https://www.thaievisa.go.th/

In CM area I would suggest here, closer, more structured instruction in both Thai and English https://www.dhamma.org/en/schedules/schsimanta

Need to know names of the medications, makes a big difference. If not comfortable posting then send me a PM. Thai pharmacies usually won't order things in for non-regular customers. You'll need to find a place(s) that stocks what you need or else ask a local pharmacy to order it -- where do you live? Are you looking for local generic brands?

What you report peeing from before was way too little and as it was extreme hot season might have been that you were not properly hydrated. Peeing 2-3, even 4 or 5 times while awake is fine. One would rather not have to get up during the night more than once or twice and that can usually be achieved by limiting evening fluid intake. Less important than how often you pee, is if you are able to fully empty your bladder. Try pressing on your bladder right after peeing to see if it feels like it is still a bit full. If it is (somewhat full) then likely prostate has worsened and a return visit to your urologist is in order. By the way, are your ankles at all swollen towards end of the day?

Not into the eye. Injection of a nerve block is commonly done below the eye (upper check area).

Where in Thailand do you live?

Unlike some posters I find your comment about finding meaning and purpose to make complete sense. The way many expats live in Thailand is not, however, conducive to this. Rather it is often oriented to short term sensual pleasures and the older one gets, the harder it becomes to find lasting satisfaction in that. I think a serious introspection of how you live and why, and what you actually want in the years that remain to you, is in order. The psychologist Carl Jung once remarked that the underlying issues of the people who consulted him varied by age and that, for those in the latter stages of life, most of their problems were at heart spiritual. He did not mean that in terms of organized religion but rather in terms of fundamental spiritual (or, if one prefers, philosophical) issues. If so inclined a course of Vipassana meditation would be very helpful, can be done in Thailand or most other countries including probably your home country.

The E visa can be extended for as much as one year on various grounds (employment, retirement etc). The T visa can only be extended for 30 days once. Unless you plan on possibly staying more than 60 days T visa is fine. Note that not all land border crossings accept evisa.

Any number of psychaitrists there -- and a government psych hospital -- but few if any who trained and worked in a Western country. With psychiatry in particular this is very important. Cultural differences can seriously impede diagnosis. I suggest you stick to the western trained psychiatrist I recommended by PM. You will not find anyone of her caliber upcountry. Note that the air in Chiang Mai is unbreathable (literally the worst air pollution in the world) for a couple of months a year. So even if you choose to live there should plan on traveling at least once a year for a couple of months.

Please avoid the term "Bangkok Hospital" alone as this could mean any of dozens of hospitals. It might just mean a hospital in Bangkok. Or it might mean a hospital in the Bangkok Hospital chain of which there are a number in different provinces and each quite different from the other. Far, far more English spoken in the main Bangkok branch of Bangkok Hospital than some of its provincial affiliates. Though having been an inpatient there twice and an outpatient innumerable times, I would agree that even in the main Bangkok branch, English language ability of other than the doctors is limited to none, and that of the doctors variable...ranging from completely fluent to stilted with poor comprehension. There is no question that English language skills are much better in Malaysia than in Thailand on the whole. Selecting a doctor who trained and worked in a western country -- easily done in large Bangkok private hospitals -- will ensure not only good English but also usually comfort with western style approach to patients (accepting questions, providing detailed explanations, involving patient in decision making etc).

I just last month bought Bravecto on either Shoppeee or Lazada, forget which. It has always been expensive, it's imported.

It is perfectly normal for moods/feelings to constantly change. If the "downs" are so bad that you feel suicidal and/or unable to function, or if the "ups" involve going without sleep , nonstop talking and activity and doing reckless things that cause problems later, then you need to see a mental health professional. Otherwise, it's probably just normal ups and downs BPD usually has its first onset in the teens or twenties. A first time onset after age 50 would be unusual. Are you drinking much, using "recreational" drugs, or taking sleep medication? All of these can cause emotional swings.