Sheryl

For the wife obviously not a threat in that sense since it pertains to after she has died. But most Thais do not find it easy or natural to discuss after death arrangements and many do believe it will in effect jinx them. For the future heirs and their significant others of course other motives come into play but not their decision if OP's wife -- their mother -- chooses to discuss things openly now. In fact it is in everyone's interests to minimize risk of conflict later. If one of them has hope of getting everything they may not be alone in that aspiration.

Thai law is quite clear that a long term lease is not the same as land ownership. Indeed, the land can be sold even while the lease is in effect and nothing the lessee can do to stop it (though they will continue to have the legal right to live there for rest of the lease duration.) Take those youtube videos with a grain of salt. They are a form of advertisement.

Understood. And exactly the sort of thing that can cause conflict later. All the more reason to push for discussions (and usufruct or land lease -- note that a simple "letter" does not suffice) now. Even these are not a sure protection against efforts to oust you later but your chances are a lot better if your wife has told her daughter -- in the presence of all concerned - what her wishes are and taken appropriate legal measures accordingly.

Yes. The pros and cons shift if it is found you have ischemic heart disease.

I think some posters missed the fact that there are children. In the absence of a will their rights precede that of her brothers assuming your wife has sole legal ownership of the house to begin with (something you should verify).

This. A properly executed usufruct or land lease will stand up in court (unless someone with "influence" creates mischief). A lot depends on the character of the people involved and their relationship with each other. Worst thing your wife could do IMO is leave it undiscussed and undefined. She should have frank discussions with her children now about who will get ownership and her desire that they continue to allow her father and you to reside there. Best case, the kids accept this and she then provides you with a usufruct/land lease with their knowledge so no surprises later. The pronlem is it can be hard to get Thais to have such talks/do such planning. Many think it is bad luck.

Exactly my thought (except maybe for the intern). The ambulance wasn't going to magically teleport him. They were going to get him immobilized on a guerney. One suspects the "few yards from the hospital" bit is an exaggeration.

What amount fo you want to send at a time? Makes considerable difference im terms of what is most economical.

You are being generous. I would have said thousands. Just wish he would take a look at my iO. Even filing a 90 day report requires an "unofficial fee".

I am doubtful a govt hospital would give you a ferritin infusion for that level, unless there is an underlying condition that prevents iron absorption. Even then they might prefer to do a transfusion of packed RBCs depending on other clinical factors. Not sure a private one would either, nor should they in most cases. Your level, while low, is not severely so and should respond to oral supplemention unless you have a chronic disease that prevents absorption. Ferritin infusions carry dangers. I almost lost a patient to anaphylaxis once from it despite his having had it before with no problem. Technically speaking did lose him, as he was clinically dead for a few minutes there and was able to get him back only because I happened to be standing right there when he went into cardiac arrest...and it was in a US health care facility where daily checks of emergency equipment are mandatory etc etc. Which is far from the case here ("mai pen rai" permeates its way into medical practice). The first priority with a ferritin level like this is to identify the cause if not already known as it could be something quite serious. What does the CBC look like? Have you had a colonoscopy in past few years?

Good that you attached all this. Your EKG shows several anomalies which, especially in combination, are suggestive (but not conclusive) of some issues with your heart. You should consult a cardiologist and request a stress test (or if available, CT calcium scan). Cardiologist may also advise a Chest Xray as your EKG findings are consistent with posdibly some enlargement of the heart. No need to panic but you should invest in doing this. It is possible for many (but not all) people to see a reduction in LDH cholesterol in 3 months time from diet and exercise alone. And statins, once started, can be hard to stop (there is rebound effect). On the other hand, if coronary artery disease is present then the argument for medication is stronger. If it were me I'd start on diet and exercise immediately and defer the statin until I'd had cardio workup then see where things stand. As I suspected your HB1Ac is normal. The slight elevation in FBS was likely just a transient stress reaction. I have exactly the same myself. You are not pre-diabetic. However you should still avoid/minimize processed carbs as they also affect lipid metabolism. No need to drive all the way to the hospital for written PSA report since they gave you value (which is indeed normal) on the phone. Just pick it up when next you are there and congirm it is as they said. And since you had a colonoscopy recently with negative findings you are OK on that score for now.

It would cerainly be helpful but more expensive than EST and unlike the latter involves some radiation exposure. Also less widespread availability in rural govt health facilities. OP appears to be in rural Issan.

In most parts of Thailand people never stopped wearing masks to begin with.

There is no age limit for Thailand Elite visa.

Thete is no such thing as replacing all teeth with a single implant. Implants are individual teeth and quite expensive in Thailand. If thinking of getting multiple implants (let alone a full mouthful) India would be a much better destination than Thailand. But still very expensive (and time consuming) to do a large number of implants. Average life ecpectancy for a 76 year old Australian male is 88 years. And almost half will make it into their 90's. So unless you have a diagnosed terminal disease, do not base your decisions on the assumption you won't live much longer. It is never a good idea to extract a healthy tooth and the fact that you've had a lot of dental issues does not mean that all your teeth are bad. No one can tell you the best solution without a comprehensive dental examination. Often partial dentures, with or without an implant or two to help anchor them, do the trick.

Thete is no such thing as replacing all teeth with a single implant. Implants are individual teeth and quite expensive in Thailand. If thinking of getting multiple implants (let alone a full mouthful) India would be a much better destination than Thailand. But still very expensive (and time consuming) to do a large number of implants. It is never wise to remove a healthy tooth. The fact that you have had a lot of dental problems does not necessarily mean all or even most of your teeth need to come out. You need a comprehensive evsluation to determibe best solution. Might be dentures, partial dentures or a mix of a few implants plus dentures.

Please attach the full lab results. In particular (if done) CRP. I take it you did not get an Hb1AC which is a far better measure of blood sugar than fasting glucose. The latter can be temporaily elevated just from stress. I suggest you get an HB1Ac done at a locsl lab. Normal fastng glucose is not 74 but anywhere from 70 to 99. so your result is only slightly elevated and quite posdible your Hb1Ac will be normal. Fasting blood sugar tells only your blood sugar at that one moment in time whereas Hb1Ac tells what it has averaged over several months. That said, on the basis of your elevated LDL alone you should avoid or minimize intake of processed carbs. Bestatin is simvastsatin, a statin drug. Read up on side effects. It was given because your "bad" cholesterol (LDL cholesterol) is elevated. Without knowing your willlingness and ability to make dietary and other lifestyle changes, it is impossible to say if necessary to go on a statin at once...but it was given for a medical indication and not as "bill padding" as suggested above. Given your age and now known risk factor getting an exercise stress test is certainly advisable. The tests you just had do not rule out heart disease, and in fact identify risk factor for it. You should also get a colonoscopy unless you have had one in past 10 years....or at an absolute minimum a stool test for occult blood. Nothing in the check up you just had would identify colon cancer. Was PSA and prostate exam done?

From years of experience: People do not usually die of what they think they will die of.

Asking why is seldom fruitful in Thailand, I find. The drug is category "D" and can be sold over the counter provided a grade 1 pharmacist is always in duty. Pharmacies are required to keep records of all sales and many just don't want to bother. If you have been unsuccessful at large Thai pharmacies, suggest you contact Medisafe and see if they have it, their prices are competitive and will deliver. You have to use the Messenger function on their facebook page https://medisafepharma.com/

This clinic specializes in it http://www.maximumclinic.com/about-us-maximum-performance-wellness-center/our-process-low-testosterone-therapy/ Can do the lab there as well Oral testosterone is not advisable. Injection or topical (injection better) It is normal for testosterone levels to decline with age and not necessary to diagnose or treat unless you are bothered by symptoms

Even people who are fit and exercise a lot (which we have no idea is true of OP) can get heart disease. Your cycling is not a "stress test" -- you are not hooked up to an EKG. A periodic (i.e. every 3-5 years) EST is very advisable for men over 45-50 years of age and women past menopause. They are not very expensive. Can spot potential problems well before symptoms appear.

Liver enzymes (ALT, AST) Hb1Ac (better than fasting blood sugar) Ultrasound upper abdomen PSA Manual prostste exsm (DRE) Lipid panel (HFl, LDK, triglycerides) BUN and creatnine C reactive protein Complete blood count I would slso recommend an exercise stress test if you have not had one in past few years

He's in Korat

Paxlovid has considerably higher efficacy than Molnipiravar. More than 2 fold difference. That said, the great majority of people will do fine without either medication. It is important to understand that these drugs have no measurable effect on outcomes (i.e. hospitalizations or deaths) except among people in high risk groups (over age 65, immunosuppressed etc). This is because the rate of hospitalization and death with current COVID variants is already minimal in non-high risk groups. Also need to be aware that both drugs have contraindications and potentially dangerous interactions with other medications. Paxlovid (or Molnupiravar if Paxlovid unavailable) has a definite place in treatment of COVID among properly screened high risk people but is not a panacea.

1-4 weeks is usual but ask your doctor. Depends too on the type of contact lens