Sheryl

Actually he was not denied insurance by April. They insured him. His policy was later cancelled when it was discovered he had failed to disclose a known chronic condition at time of application. Some insurer's intake forms ask about prior policy cancellation but many do not. More common to ask if ever had an insurance application turned down.

A number of unhelpful/off topic posts have been removed. The topic is tattoo removal not why people get them etc. @Luckyman999Note that any cost quoted is per area. From the pix she has numerous tattoos. So would have to multiple by number of tats. Also quotes are usually per session and multiple sessions are usually required. Lastly large tats will cost more per session. Getting all these off will be very costly. As in likely to reach 50-100k baht or more before all is said and done. Be very vary of quotes that are just for 1 session and 1 small area of the body. if you want more exact estimate you can get a free online consultation at www.yanhee.net (upload pix). This place us in Bangkok but whatever they quote you will be quite indicative. Are you sure she wants them removed and is not just telling you what you want to hear? (culturally very, very common).

A good example of why abdominal ultrasounds are not recommended for routine screening....and why private hospitals like to include them. From a for-profit hospital viewpoint, very high yield in terms of further tests and elective surgeries. Most of them unnecessary. Very often uncover unimportant asymptomatic and common anomalies like utetine fibroids, liver and kidney cysts small gallstones etc. Which patients then feel compelled to further investigate and which often lead to unnecessary treatments. Does more harm than good in majority of cases and is not recommended for routine preventive care by any public health authority. (Diagnostic use in sympomatic patients or patients with certain medical histories or abnormal lab results is an exception of course).

A Thai insurer would likely not accept you. But a Thai issued policy is not recommended and not necessary in order to be covered in Thailand. An international insurer (expat policy) might accept you but would definitely exclude all prostate related conditions.

No. Until recently only TURP was available. Only in past few years has Rezum become available and that is still in just a few places.

I would add that the stopping at age 70-80 is assuming prior colonoscopies were normal and you do nto have other high risk factors. . If cancerous or pre-cancerous lesions were found, would not advise to stop then, at least not if in otherwise good shape. The recommendation to stop at a certain age is because at some point the (small) risk of the procedure outweighs the potential advantages and because colon cancers are usually slow growing, i.e. if colonscopy at age 70 is clear the odds of later dying of colon cancer are small as you'll likely die of something else first. But that equation changes if prior colonoscopy found pre-cancerous lesion or there is a family history of colon cancer or other known risk factors. Also individual risk factors for the procedure need to be considered. For example, if on anticoagulants for a-fib or because of a stent etc.

PET scans (which are very, very expensive) are not done for routine screening. Much less total body PET scans. They are done (sometimes) when there is suspicion of a specific cancer in a specific location. OP is asking about routine screening.

NO. The Embassy has to authorize release of the body. This rule is in place to ensure that next of kin are notified. Nothing whatsoever to do with assets etc. (They also likley inform Social Security). Not sure why this disturbs you so much - it really is not difficult or a big deal. A phone call to the Embassy (hospital or police will call, or your wife or a friend could) and your wife fills out the next of kin form and sends it to them. Upon receipt of this, the Embassy calls the hospital and authorizes release. You can download the form in advance and give it to your wife. https://th.usembassy.gov/u-s-citizen-services/death-of-a-u-s-citizen/ click on "Affadavit of Next of Kin"

If she is not symptomatic (or symptoms are mild and manageable) there is no reason to treat. The average age for menopause in Thai women in 48 - 50, and fibroids usually regress after menopause. Simply wait it out would be my advice. Doctors in private hospitals are likely to want to operate. And hysterectomy is the single most common unnecessary surgery. If treatment does become necessary (i.e. if she becomes symptomatic) , emboilization is a much less invasive option than surgery and might be an option if it is just the one (albeit large) fibroid. I believe they do that at Maharaj Nakorn (government hospital affiliated with CMU). Out of curiousity - if she is nto symptomatic then how was this discovered?

Unlike finasteride, which takes time to have an effect, this class of drug works rapidly. If you are not seeing any improvement after a month you likely won't later and should go back to doctor now.

They can cause excessive menstrual nmbleeding in some eomen. And in severe cases can obstruct the urine flie. But indeed in most cases no treatment is necessary.

you may find the above thread helpful. That member had it done at BNH which was the first place in Thailand to offer it. as it is quite new here be sure to adk about number of procedures the doctor has done.

Is she severely symptomatic? As does not require treatment otherwise. And how old is she? (Menopause will usually resolve it).

Not currently available in Thailand.

Neither CEA nor AFP are recommended for general screening purposes. They can be elevated in a wide range of conditions other than cancer and/or for no discernable reason. Should also note that Thai labs and hospitals uses a much lower cut off for AFP than is used internationally because there is a high incidence of primary liver cancer here which is not appl8cable to expats. No public health authority anywhere recommends abdominal ultrasound as a general screening tool. Lots of incidental finfings apt to come up that may lead to further tests, some of them invasive and carrying risks. Private hospitals here like to do these for exactly those reasons. @simon43 other than PSA the only blood test recommended for routine cancer screening is a complete blood count (which will also detect anemia). Livee enzymes (ALT, AST) are recommended to check annuslly though not mainly because of cancer. A routine urinalysis will show if there is blood in the urine which while in no way specific to bladder cancer can be an early sign of it. The gold standard for early detection/prevention of colon cancer is a colonoscopy. More reliable than fecal tests and has the added advsntage of detecting (and allowing removal of) pre-cancerous polyps. if you have a history of smoking then depending on how much and how recently, a special low dose CT scan may be recommended for early detection of lung cancer. Cancer aside should have lipid panel and HB1Ac once a year. More often if results abnormal. And annual creatnine and BUN (kidney function).

Prices are quite reasonable. Much much less than anything you will find made in Thailand.

The best place to get vitamins and other supplements in Thailand is on Lazada or Shoppee. Look for good name brands e.g. Puritan Pride, NOW, Natrol, Nature's Bounty etc.

Not at all similar, no. Tanganil is a modified amino acid. There are other drugs used for vertigo here but unrelated to Tanganil and they have side effe4cts.

What was the outcome/conclusion?

There is no such thing as a kand crossing tourist visa. And there is no limit on how often you can enter by land border with a visa. I think you entered visa exempt. That does have a limit if 2 per year. Re medical extension it is very, very unlikey you can get it. Doctor letter (there is no special form) would have to state it is physically impossible for you to travel and explain why. As you are not an inpatient in the hospital, immigration is hoing to be very skeptical.

Is he already on medication for this? The reason hospital is recommending this approach is that he is likely not a good surgical candidate due to his age and co-morbidities. and his dementia would make Rezum difficult, needs a high level of patient understanding and cooperation.

1. Yes but usually the hotel does this (required by law) 2. You would not have gotten a visa extension by going to Laos. You either got a new visa, or made new visa exempt entries. Unless you have a multi-entry visa of some type. In which case you just got a new permission of stay. Which is it? If you are here on a tourist visa or here visa exempt, in either case yo ucan get a 30 day extension of stay.. 3. You can get a 90 extension of stay on medical grounds only if a hospital certifies that you are completely unable to travel due to a medical condition. This usual means being an inpatient in a hospital etc. Just the fact that your are undergoing medical treatment does nto qualify - the criterion is physical inability to travel.

Main indication is decreased cardiac output. With normal cardiac function, symptomatic PVCs would be preferrably treated with lifestyle changes and medications. Only if these failed and symptoms are really intolerable might ablation be considered. What medications have been tried so far? You could try https://www.bangkokhospital.com/en/doctor/assoc-prof-dr-charn-sriratanasathavorn No guaranatee he will think ablation indicated -- especially as you say the PVCs have been infrequent since March. But no harm in trying.

Even in the West, it is not customary to do ablation unless cardiac function is compromised. What is your LVEF?

https://www.bumrungrad.com/en/doctors?docid=072074