Sheryl

I have used it. Signs are clearly parked for "long term parking". (for short term you follow signs to passenger terminal first). Costs significantly less if you will be gone more than say a week. The only down side is you have to wait for and take a shuttle bus, so allow extra time.

I go there for filler/botox, common lab tests and vaccinations. And during COVID I used them for travel COVID testing; they were and remain the go-to place in Bangkok for that. Also used them once for cryo on skin tags. Many TV members use them for work permit Health Cerificates and the like. They are good at knowing what documentation is needed and providing it in right format (ditto with COVID testing). I like Dr. Donna and have been satisfied with her care for the above things but I have not tried to use her as a regular GP. I think she'd be fine with everyday ailments on an ad hoc basis but if what you want is more someone who functions like a GP in a Western country does -- keeping track of your health over time, referring to specific specialists as needed but still coordinating your care -- that is very rare thing in Thailand and in Bangkok I would suggest Dr. Nick Walters at Mission Hospital https://www.mission-hospital.org/en/our-doctors/40-medical-services/internal-medicine-clinic/959-dr-nick-walters.html Mission is a small friendly nonprofit hospital and less expensive than the larger "international" ones. It does not have the same range and caliber of specialist expertise but for general care and common specialist issues it is fine. It is true that admin and scheduling at Medconsult is chaotic and there is a constant overturn of staff. (They are all very nice and pleasant though) Best not to try to use their online platform for anything but COVID testing. To make appointment I find Line is best. And reconfirm again just before you go.

If you are referring to entry visa exempt you are required to be able to show 20,000 baht (or equivalent in foreign currency) on you but they only rarely enforce this with Westerners. If you really mean entering on a pre-issued visa, you do nto need t show anything at crossing as you already showed financials to get the visa.

I take 10mg regular variety Melatonon before sleep. 5 mg sublingual type if I'm troubled by waking up middle of the night.

I have never known prices at any of these to be less than my local pharmacy. Usually 10-15% higher. I use them for things I can"t get locally.

Were these price differences for the same brand? Different suppliers often carry different brands of the same generic.

Your results are all normal as far as I can tell. Even the results in the 70 - 86% range are well above thresholds for diagnosing pulmonary disease to the best of my knowledge. But I am most definitely not an expert. I suggest you not continue with either this doctor or this hospital. Small private hospitals upcountry in no way have the level of expertise found in Bangkok even if affiliated with a Bangkok based chain. In fact, unless in Chiang Mai or maybe Pattaya, I generally advise people away from private hospitals in the provinces. Since all this started after you had COVID, the effects of COVID are indeed the likely explanation. After effects of COVID are many and varied and still not well understood. Fortunately most improve with time as it sounds like yours have done. Since you have no breathing issues now and can even run 5 km, swim etc without difficulty I think the only real issue is whether and how you can now safely come off the inhaler. Note that this has to be done through a gradual tapering, not suddenly as that can trigger problems with more than your breathing. I suggest you come up to Thonburi and see one of this pulmonologists there: https://www.siphhospital.com/en/medical-services/doctor-biography?id=68 Same doctor can also be seen at Thonburi Hospital on Tuesday evenings and Saturday mornings https://www.thonburihospital.com/searchdoctor

I think these results may be normal but you need to provide the column headings which are cropped off. I assume first column is the reference rsnge and second your result but I need to be sure. Which Bangkok Hospital branch is this?

Maldives?

OP's PSA more than doubled in a comparatively short time. This is not consistent with BPH and neither is a level of 10 and above. In addition OP's manual prostate exam found what felt like discrete growth in addition to an enlarged prostate (if only BPH, the manual exam will find enlarged but smooth and even prostate). Lastly his multiparametric MRI also found 2 masses within the prostate highly suspicious of malignancy. This too is not a normal finding of BPH. There is no question that OP needs a biopsy and the sooner the better. Prostate cancers can be slow growing OR aggressive. Not all prostate cancers are the same. While it is true that many men with prostate cancer die of other natural causes before the cancer becomes a serious issue, it is also true that prostate cancer is the 5th leading cause of death from cancer in men and more than 2 men out if 100 will die of prostate cancer (of, not with). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888523/#:~:text=Prostate cancer is the second,and 375%2C304 deaths in 2020. So it is not appropriate to promote a casual attitude towards prostate cancer. Biopsy can distinguish between slow growing vs aggressive prostate cancer and that in turn, together with patient's age and overall state of health, can help inform treatment choices. Active surveillance instead of treatment is an option for men with slow growing prostate cancer. It is not a reasonable option for men with aggressive type of prostate cancer. Regarding elevated PSA that finding always needs to corollated with other findings especially that of the manual exam and any indications of infection. in addition the trajectory (how quickly it has risen) is of diagnostic significance Generally speakling about 25% of men with PSA in the range of 4 - 10 have cancer and over 50% of men with PSA over 10 do. https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/tests.html

Unfortunately in the case of retirees they usually come here when already older. It is indeed a problem.

There are several rabies vaccines approved for use in Thailand and all of them AFAIK (including the TRCS produced one) can be administered either IM or intradermal.

@mrbilly As others have said the dosage here is 81 mg not 75 (won't make a difference) Also the pharmaceutical aspirin preparations here are not soluble or dispersable, in fact most of them are enteric coated to help prevent gastric distress. The action is the same, except that the dissolved powders both act more quickly and wear off more quickly - and can greatly irritate the lining if the stomach.

Moved to visa forum

Except that BPH does increase the likelihood of needing costly work up (MRI, biopsy) to exclude prostate cancer. But there is no knowing for sure what April would have done had he declared it on his application. Just an informed guess on my part that they would have excluded all prostate conditions. At least one Thai insurer routinely excludes all prostate conditions on policies issued to older men regardless of whether or not they have BPH at time of application.

Diabetes alone will not cause this but puts you at risk of things that will. See a doctor, you need to be evaluated for possible vascular, cardiac or renal disease.

As others have said, swollen legs are a symptom and the cause needs investigation. It is most unusual for feet and legs to swell during the night. Or did you mean swollen by the end of the day? Typically swelling occurs after being seated or standing/walking for some time. Cause can be vascular, cardiac or renal. If you meant that there is swelling by the end of the day (and not that the swelling develops after going to bed for the night), compression stockings will help and so will periodically elevating your legs during the day. Use a footstool when seated. But you still need to get to the bottom if what is causing it as it could be first sign if something that is or will become serious.

If she goes through the public channel she has no choice of doctor; this is a government hospital. There is an after hours clinic, which of course costs more. But there is no online listing of doctors or their CVs. Is she Thai or foreign?If Thai should go to the hospital where she is registered under 30 baht scheme or SS as applicable.

No, rbies vaccine for adults is IM https://www.cdc.gov/rabies/medical_care/vaccine.html

As you said you received 2 injections, only one will have been the tetanus. The other likely was rabies especially as you were told you need a series. But the scheduling is wrong. Current protocol is: 1 injection on days 0, 3, 7, 14 and 28 (for a total of 5) OR 2 injections each time on days 0,3,7 and 28 Is at all possible that you misunderstood the follow up dates? I suggest you get your complete medical records from the hospital so that you can be sure what you had. Then, unless them misunderstanding about dates was on your end, take the records with you to another hospital on day 3, 7 and 28 to complete the series.

There are lymph nodes in that area. So quite possibly that is what it is, assuming it is not a dermatological issue like acne, infected cyst or reaction to insect bite. A lipoma would usually not be red and painful. Hard to say what sort of doctor to see as (assuming it is lymph node) cause can be infection or malignancy. First step is a biopsy. This will give a definitive diagnosis. Might be possible to do via needle aspiration or might require excision. They might have her take antibiotics in the interim. She could start with a general surgeon for the biopsy. They will refer her to appropruate specialist depending on the biopsy results.

no (at the airport). I'm not sure about at immigration.

I have it and it has been fine for me. Claims all paid with no problems. Just be sure to fully disclose any and all conditions, meds taken etc on the health questionnaire. There will be problems with any insurer if one does nto do that and they later find out.

They contacted him and asked for more info and he sent him all his prior lab results etc. That is how they know it existed at the time of application. (On the other hand the fact that he readily sent them those reports can be used to support the argument that the omission on the application form was inadvertant and not an act if bad faith).

I very much doubt the compan reads this website or runs searches of fi=orums. Hardy worth their time and tey are very busy. As OP has already stated, BPH was mentioned on the form submitted by the hospital in the first place. The insurer then contacted OP asking for more information and OP sent them copies of lab tests dating back to before he got his policy.