Sheryl

Please give the names of the creams/lotions already tried.

This place can arrange everything, including paperwork with your Embassy (important if you have any assets or entitlements in your home country, or relatives who might every need to prove you are dead for any reason) and you can prepay for it. While the site talks about funerals, they can and will arrange no frills local cremation without funeral. (though if your wife is still living she might be more conmfortable having at least basic Buddhist ceremony). https://www.amarinternational.com/pre-planning-funeral.html

Hydroxyzine is not physically addictive. Neither is doxylamine, another available OTC sleep med in Thailand in the antihistamine family (brand name Sominar) BUT both of these can cause grogginess next day and this class of drug (first generation antihistamine) is not recommended for regular, sustained use (e.g. every night) especially in the elderly. In the elderly, may cause or worsen confusion and cognitive decline especially if taken regulalry. Though as with all side effects, individual response may vary.

Puritan Pride is my preferred brand. And personally, I take a full 10mg. But YMMV. There have been some anecdotal reports from people buying on Lazada (unspecified which seller) that product seemed fake. So please update if it works for you and, if so, specify the seller. (Lazada is just a platform not a merchant, so quite possible to get different quality products using it depending on the store/seller).

iHerb is easy to order from and totally reliable https://www.iherb.com/c/melatonin

Prof. Watchara Boonsawat Besides KKU Srinagarind Hospital he can also be seen once a week on Wednesdays at Ratchapruek Hospital in KK https://rph.co.th/en/doctor/watchara-boonsawat-md/

Places that as of 2 weeks ago had the JN.1 vaccine (newest one that is available at this time): https://www.thaitravelclinic.com/cost.html note that there is a doctor add-on fee of 200-500 baht depending on when you go https://www.medconsultasia.com/ (does not show on their website, but they have it, I got it there myself about 2 weeks ago) https://www.bnhhospital.com/ https://www.vibhavadi.com/en/package/covid-19-vaccine-strain-jn1 There may be others, my impression was that hospitals had just started to order it in.

@carlyai do you mean mean this doctor? (Nappaporn not Natapong) https://bangkokpattayahospital.com/doctor/napaporn-ketvatanawes-m/?srsltid=AfmBOoowJZ5zQqiw7FO2owfRFW8gp05hSi3skp7n0vzxyQYGDYeueZz0 @TimBKKGoing to BPH will cost quite a bit vs free care through the government system for what may be an extremely common problem. It is the most expensive private hospital in the area. Personally, I would at least start in the government system. She can use the "after hours" channel top see a senior doctor directly for a small extra fee. If things prove to be more complicated than expected, then could always switch to private. Note that fibroids do not require treatment unless the symptoms are intolerable or interfering with desired fertility. Diagnosis made by ultrasound (which she may have already had). First line treatment, if not desiring pregnancy at this time, would be hormones (and these, only if symptoms are bothersome - the majority of women develop fibroids sooner or later and most never need to be treated).

There is no such thing as H. Pylori of the lungs. You must be thinking of something else. Are you perhaps confusing this with GERD?

This is not correct. The most recent estimste (2021) is a prevalence of 21% among symptomatic Thai people. Prevalence in overall population would likely be a bit less. https://pmc.ncbi.nlm.nih.gov/articles/PMC10290267/#jgh312916-bib-0009 H. Pylori us a major risk factor for gastric cancer as well as peptic ulcers and should be aggressively treated for this reason. Thailand is not considered to be a developing nation. It is classified as a newly industrialized nation.

Moved to insurance forum. Note that for OA visa, only specific companies are accepted. All are Thai and some will not enroll over age 65. All will exvclude pre-existing conditions. Premiums rise sharply with age and some fldo not guarantee lifetime renewal so examine closely.

She can get this done for free at the government hospital where she is registered under the universal ("30 baht") or SS scheme. This is an extremely common problem which any Gyn can handle

A post conta9ining ony AI text has been removed. Please do not post AI search results. They are not accurate.

that would have been the stool antigen test, not the (more accurate) breath test

As it should. There is no need to be checking your oxygen saturation anyway when feeling fine and heart rate normal. And, if feeling short of breath with elevated heart rate, you should go to hospital or clinic. Where O2 sat and other things can be checked with reliable equipment.

Scapho, Tremfya and Ilumya ard available here. Imported and prohibitively expensive. Some people go to India for this. See this thread https://aseannow.com/topic/1083310-psoriasis/ When topical meds are insufficient, Thai doctors usually try older non biologic meds first like methotrexate.

This. Might also be fake or substandard model.

See a dermatologist. Could be skin cancer.

Yes, Dr. Anna will do complete skin check. But she's pretty unique, and in Pattaya.

As others mentioned there are different types of tests and they are not of equal reliability. Breath test is preferred to stool antigen test but more complex to do. As it includes administration of a medication it is unlikely to be available from a lab. And -- important -- should not be done while taking PPIs (omeprazole etc). You can inquire at https://rsuhealth.com/ If they cannot do the breath test, they might be able to do the stool antigen test.

I got it done this way (monovision) when I did Lasik some 25 years ago - one eye left nearsighted and one eye 20/20. Haven't decided yet, but might opt for same approach when my cataracts need to be removed which will likley b e io nthe next few years or so. I can drive as is, but since I like to wear sunglasses when driving on the daytime anyhow, and need yellow tinted glasses to cut glare at night (a problem that preceded the Lasix) anyhow,, I just had pairs made up that correct the near sighted eye to 20/20 and use these for just for driving. For more than 20 years after the LASIK, I was fine without reading glasses and I can still manage without them at age 72, but to make life easier I had a pair of glasses made up that correct the one eye (the one that is 20/20) only and use that when doing crossword puzzles. I can still read books as is. Should note though that note everyone can adjust to monovision, so anyone considering it would be well advised to do a trial run using contact lens(es) to make sure they can tolerate it OK.

this is what IO do. It is very difficult to get a meaningful skin check in Thailand. Even the government Derm Institute in Bangkok - the best place to go for skin cancer treatment - does to really offer preventic screening. A few of the "international" private hospitals offer it but one cannot be sure of the skill of the doctor doing it, there is limited experience with skin cancer here. The problem with DIY is that one can't see one's back.

HRT: Beyond possibly the initial determination that she is in menopause (if then...this is usually decided based on age and absence of menstruation), there are no blood tests involved. It is worth getting initial doctor consultation to ensure no contraindications to HRT (mainly through review of medical and family history). If there is not, then the HRT regimen is titrated to the lowest estrogen dose that produce symptomatic relief. The progesterone dose is pretty much fixed though there are alternatives in terms of duration e.g. continuous estrogen plus progesterone versus cyclic progesterone. Given the apparent lack of knowledge, this woman would be best advised to get doctor advice throughout. If she is Thai this can be done at no cost. Thai doctor will likely prescribe synthetic progestin and perhaps also synthetic estrogen, she can tell the doctor she only wants bioidentical and ask specifically about Oestrogel plus Utrogestan, Hyperthyroidism is a very serious condition and should be closely managed by an endocrinologist. Though your statement that thyroid levels were "low" a few years ago raises some doubt as to whether she is hyper or hypothyroid.

These hormones do nto require a prescription, and can be bought at a pharmacy, but availability varies by type. 1. Estrogen (estradiol) Easily found. Most common brand being Oestrogel, made by Besins (French pharma company) any large pharmacy will have it. It is an alcohol based gel, easy to apply and easy to titrate dosage. Personally I find that much less than the amount indicated on the applicator suffices, and one tube lasts me many months. 2. Progesterone: much harder to find, especially in the (preferred) transdermal form. You can get oral forms, brand names GynProgesterone and Utrogestan. the latter also made by French firm Besins and micronized for better absorption, I'm not sure about the first. Besins also makes a dermal progesterone gel called Progestogel bit it is offmarket in Thailand; it is what I use and I get it in Cambodia. Lacking that, Utrogestan is your best bet. 3. Vaginal estradiol/estriol (using systemic estrogen alone usually not enough for vaginal dryness). Several preparations, all rather expensive and can be hard to find: Femiest (Medisafe has this - but note dose is low, only 10 mcg so would likely need to use every other day after initial period of daily for 2 weeks) Ovestin (Very hard to find in Thailand but great preparation, I get it from Cambodia) Gynoflor (also contains lactobacillus)

Melatonin is not addictive. It is a natural body substance.