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Sheryl

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Everything posted by Sheryl

  1. Hardly a "champ" if his systolic BP at rest is 163.
  2. As People age their body makes less Melatonin. And traveling to different time zones confuses your circadian rhythm and timing of melatonin production.
  3. Not in Thailand. Some Western countries have what ard called compounding pharmacies (would still need a prescription). CmI can't give any specifics on them though.
  4. I have never had any problem with communication with the admin (though I do speak Thai, so can't say how it would be jor a non-Thai speaker). and my waits have not been excessive.
  5. No. I do know that in Cambodia all the pharmacies are temporarily out of stock. Likely a supply issue for this part of the world. One can certainly still get it through iHerb
  6. Bear in mind that people tend to post reviews only if they have an axe to grind. I have been using that place for some 30+ years. Go there at least twice a year. Over the years, I havd had multiple RCTs there. Never had the problems you mention. Doesn't mean they never happen. But they are certainly not the norm.
  7. I think he means the Dental Hospital near Onnut http://www.dentalhospitalbangkok.com/ Which is where I go myself
  8. How do you know it is the eustachian tube as opposed to other hearing issue? ENTs have sub-specialties and there are a few excellent ones specifically for hearing issues. Where in Thailand are you located?
  9. NAC nasal spray is not available anywhere in Thailand that I know of. I also doubt it would help much if at all since all it does is thin mucous. From the sounds of it this woman has either allergies or nasal polyps or both. That the treatment she received so far from the doctors she has seen so far did not help does not mean "doctor can't help". It just means the correct treatment has not been tried yet. Also good chance she has not even yet been seen by a proper ENT specialist. Nasal congestion is a very common complaint and her local hospital under the 30 baht scheme will initially just treat it like a common cold, and by a general doctor, not an ENT. Would take multiple repeat visits with her stressing the duration of the problem and that treatments have not worked, to make her way up the system to an ENT (which, unless she lives in the ampur, would involve a referral to another hospital). I find Thai patients often hesitate to return to a doctor and tell them a treatment is not working. There is a tendency to assume that if what was first prescribed did not work then "the doctor cannot help". This is not how medical practice works. There are a range of treatments available for most complaints and what is given initially does nto usually represent the full range of possible approaches, but the burden is on the patient to keep going back and be frank in telling them if something did not help. If her issue is allergies, identifying the culprit and minimizing exposure if possible will be important. If you really want to help this woman, pay for her to see an ENT specialist through the after hours clinic at Buriram hospital (regional government hospital). Probably just a few hundred baht. Odds are same doctor can be seen at this private hospital in Buriram https://www.buriram-ram.co.th/ but will cost a bit more there If even ENT specialist at the regional hospital can't get to the bottom of it for her then next recourse should be Khon Kaen University Hospital ENT clinic but depending on where in Buriram she is, might involve a long trip so start in Buriram.
  10. I was able to register for DeeMoney without a work permit (I'm on a retirement extension). I don't recall that being a particular issue, but it was some 5-6 years ago. My larger issue was living where they had no office so needing to do it all remotely. It worked out but I believe took a few emails and maybe a phone call.
  11. https://www.bumrungrad.com/en/doctors/Saowaros-Patarapak She is in great demand so there may be a wait list to see her. Some types of tinnitus have a detectable underlying cause and some do not. Sometimes there are treatments that can help and sometimes there are not. Good overview here https://www.mayoclinic.org/diseases-conditions/tinnitus/symptoms-causes/syc-20350156
  12. Rheumatoid Arthritis is a serious and complex auto-mimmune disease. It cannot be self- diagnosed nor can it properly be self-prescribed for. Indeed, most of the disease modifying drugs used are prescription only. I am not sure why you specifically suspect RA (as opposed to say, osteoarthritis which is far more common) but you need to see a rheumatologist to confirm or rule this out. If you do have RA, it is essential to gert on appropriate treatment early to prevent development of permanent deformities. Colchicine is not used for either RA or osteoarthritis, it is specifically a gout medication.
  13. Swimmer's ear is a problem of the outer, not inner, ear and would nto cause vertigo. In addition, you would have pain and redness in the outer ear. Dehydration/electrolyte imbalance could well have been the culprit. In this climate one has to be very careful to not only be adequately hydrated but to replace electrolytes (sodium, potassium etc) after sweating. Have you done as advised and checked your BP first thing in the morning before and after standing up? What were the results? Ditto heart rate?
  14. It is available at larger/higher tier public hospitals (i.e. regional or university hospital, or government pysch hospital). And will indeed cost less there. Hospitals do not know or care anything about the various types of visas and will ask for your passport only for identification purposes. HOWEVER: 1. Red tape is considerable, you need a Thai speaker alonfg especially on first visit, and it may take several visits (and possibly long wait i.e. days or even weeks) before you actually see a psychiatrist. Will go better if you go to a psych hospital (obviously they have psychiatrists every day) and use the "after hours" channel. That adds 200 - 500 baht to the consultation fee but does nto affect drug cost and is which quicker plus you see a more senior doctor. 2. Many, arguably most, Thai psychiatrists are unfamiliar with ADHD in adults and view it as a pediatric condition. Together with the high sensitivities about abuse of this class of drug (which is a huge problem in Thailand) and general stereotypes about foreigners you may have a lot of trouble getting it prescribed. If you can show a prescription from your home country it will help but still no guarantee. Odds are better at a psych hospital or major university hospital as psychiatrists there are more knowledgeable. 3. Even if you get a script, they will limit how much they dispense. No way can you "stock up". Even at a private hospital they will do this. A month supply is likely the most you could get at one time if you get it at al (see above). Might even be given less e.g. a week or two supply and expected to return in person for refills. These drugs are seriously controlled substances in Thailand. Government hospitals are a viable channel for people who live here and are willing to put in the extra time, but I can't see that working for someone just flying in for a short stay and seeking to stock up.
  15. Nothing I have ever said in any way advocates being unimmunized for COVID. Very much the opposite. Not have I ever dismissed basic measures for prevention, such as hand washing or (in high risk situations, like very crowded gatherings and hospitals etc) masking. Again, much the opposite. It is true that there is cellular immunity to COVID which lasts longer than antibody immunity. But to have this immunity, you must first either be fully immunized or have COVID. (In fact the combination of full immunization and then a subsequent COVID infection seem to give the best protection of all.) Not everyone survives their first COVID infection. In fact millions of people did not. There was a member of this board who allowed himself to be scared off vaccination. After several grueling months in an ICU he died of the severe lung damage his first COVID infection caused. That was just a few months ago.
  16. In order for workers from neighboring countries to get a work permit they need to get a certain type of visa which cists about 20k baht and takes 6 months to arrange. Not feasible for daily laborers like this to afford and pretty sure bet the Thai rmployer won't pay for it. The Thai economy is heavily dependent on cheap unskilled labor from neighnoring countries but Thsiland has fsiled to develop lefal systems to facilitate this. The result is hundreds of thousands of underpaid illegals living in fear and dubject to all manner of exploitation.
  17. Normal bank SWIFT transfer (assuming he is sending to bank acct in US) is fine and makes sense if the amount bring sent is large. Dee Money is better for small transfers.
  18. No problem at all. There is no requirement to keep the money in Thailand once transferred in (for the income method) and no rules about how you spend it once brought in. The 800k method of course is different.
  19. The network does not apply to Thailand. It is applicable in US (if you have worldwide cover that includes US) and maybe a few other countries.
  20. A post advocating illegal activity and replies to it have been removed. These drugs are strictly controlled in Thailand and can only be obtained at a hospital. Buying or having it in your posession without prescription can lead to lengthy jail sentence. @tremsy you need to see a psychiatrist at a hospital. You can easily make an online appointment for most of the private hospitals here. To name just a few: Bangkok Hospital BNH Hospital BumrungradlMabarzm (psych hospital) MedPark Samitivej
  21. Same place I listed in my first post.
  22. I strongly urge you to get another opinion in Bangkok. In particular I suggest this doctor: https://www.bumrungrad.com/en/doctors/Parit-Mekaroonkamol Bring endoscopies with you on DVD. Hiatal hernia should not cause significant weight loss such as you report. There may be more going on. I have also sent you a PM
  23. Botox is noninvasive and still very much used. Often in combination with fillers and/or various laser or RF treatments, and/or thread liftes. These various treatments do different things. Botox (in this context) paralyzes small muscles removing small lines and helps to prevent further wrinkles. Fillers add volume, can help reshape the face a bit, and help with deep furrows/lines. Laser, RF etc help tighten the skin. Thread lift as the name implies, helps pull up sagging skin though I would call it minimally invasive rather than non-invasive.
  24. off topic posts and replies to same have been removed
  25. Yes. (House owner or "house master" which could be other than owner).

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