Sheryl

I am not aware of anyplace that has it

I recommend she consult this doctor: https://www.vejthani.com/doctor/dr-napa-parinyanitikul/ She is a professor at Chulalongkorn with specific interest in tripe negative breast cancer and completed a fellowship in medical breast oncology in the US at the prestigious MD Anderson Cancer Center. She is only at Vejthani on Saturdays so make appointment well in advance. Otherwise might be possible to see her at the Chulalongkorn after hours clinic but that can be crowded, she'll likely be able to spend more time talking with your sister if seen at Vejthani. Obviously, have her bring all records with her. Has your she been tested for the BRCA1 mutation yet?

I suggest DR.SONGKLOT AEUMJATURAPAT Can be seen at: St Louis Hospital Sunday mornings & Thursday evenings https://www.saintlouis.or.th/en/FindDoctor MedPark Hospital 2 wednesdays a month https://www.medparkhospital.com/en/doctor/assoc-prof-dr-songklot-aeumjaturapat Bangkok Hospital on Saturdays https://www.bangkokhospital.com/en/doctor/dr-songklot-aeumjaturapat Can probably also be seen through the after hours clinic at Chula

I suggest one of these: https://www.bumrungrad.com/en/doctors/Krairerk-Athirakul https://www.bumrungrad.com/en/doctors/Khajohn-Tiranathanagul You can save on costs by getting labs done at an outside lab such as https://www.brianet.com/en/labolatory/ https://pathlab.co.th/ https://rsuhealth.com/rsu-medical-center-en/ (although the above site lists only check up packages I have in the past been able to get a la carte labs doen there including some fairly esoteric ones)

Oral prednisolone cannot be bought OTC on Thailand, at least not legally. And no one should self prescribe this very potent medicatoon. In addition probably not relevant to OP's very specific stlitustion.

Where in Thailand are you located?

Yes I know. And yes, Cambodia is much worse. drive on any side of the road, any time, and are less skilled in driving than the Thais (the Thais are reckless but usually skilled). I was slammed into by a motorcycle at too speed walking across a crosswalk in clear daylight. When I started across, there was nit a vehicle within 200 meters of the crosswalk. They were all stopped at a red ,light some ways up, and they all clearly saw me. When their light changed, came down at breakneck speed and ploughed right into me. I was lucky to get away with only 3 fractures, 2 surgeries and 2 weeks in hospital. The moto which hit tme's passenger probably died.

Moved to general forum for more responses

This drug is indeed not yet registered for use in Thailand. Alternative drug in the same class (thaizide diuretic) is Hydrochlorothiazide Available in many local brands and quite cheap. Studies I have seen found no advantage to bendroflumethiazide over hydrochlorthiazide. https://pubmed.ncbi.nlm.nih.gov/6369883/ Nonetheless double check with your doctor before making the switch. Also note dosages are different. I believe the equivalent for 2.5 mg bendroflumethiazide would be 12.5 mg hydrochlorthiazide which is 1/2 of a 25 mg tablet (it does not come in less than 25mg. Make sure to get scored tabs so easy to break in half).

Actually in terms of accidents it is much worse The "driving" is indescribably bad Though at least in Siem Reap not as heavy traffic as in Phnom Penh

P.S. Cambodia has Grab taxis so download that app if you don't already have it. They are very inexpensive and safer than motorcycle taxis and "tuk tuks". Fares will show in local currency but if you don't have you can pay in dollars(small bills only) 4000 riel = 1 US $.

I am also an older woman and feel very comfortable walking around alone in Cambodia. One of the easiest countries for a woman on her own. Just take sensible precautions as previously described. Big vulnerability for women is handbag/purse. Either - don't carry one when out walking. Use money belt or the like (but do have photocopy of uour psssport, heslth insurance detsils and emergency Contact with you) Or Carry the purse but remove valuables (passport, credit/debit cards) first and carry only what cash you need for the moment . Likewise have passport photocopy etc though. In case you have an accident (see below) Your biggest risk is not crime. It is traffic accidents including as a pedestrian (I have scars to prove it). Be very careful on that score. Don't assume motorcycles and cars will stop for you, even in a crosswalk. In fact assume they will head straight for you at top speed. Sometimes while on wrong side of the road. Stay well on sidewalk wherever there is one (but still beware of motos, they won't hesitate to drive on sidewalk). And make sure you have good health insurance at least for energrncies/accidents.

Never, ever let a hospital pick a doctor for you. It seldom ends well. It would help me to have an idea of the nature of the kidney problem. Some nephrologists are exclusively focused on renal failure and/or transplants etc

I don't know how twitter clipped it but on the actual video nothing at all mocking about it, on the contrary she was describing bow awed she felt to meet the Queen.

I don't know, it's pretty boring. I couldn't make it past the first 10 minutes.

As others said, most Thai vehicle insurance covers the vehicle, not the driver, unless the person getting the policy opted otherwise (in which case a named driver will show on the policy) Of course this only applies to drivers with a valid license

I would not worry too much about the quality of a hospital lab. Government hospitals, especially in the provinces, may not bother with international accreditations. It is the private stand-alone labs that can sometimes be dodgy. That said, errors can happen anywhere, even at an accredited lab, so results that do not seem to fit the clinical picture should always be repeated.

Blood test results will not have constant values. Even at the same lab on the same day, there will be some fluctuation. This is normal. Only if the differences were very large would I wonder about accuracy.

What is contained in a check up package and the tests done on a consultation for symptoms are 2 very different things. Likely not the same tests that were done. Exactly what type of test(s) do you refer to? Cancer where? It is important to note that no check up package checks for everything, and a clean bill of health on a check up package does not mean there is no chance of anything being wrong. It means only that the results of the specific tests done were normal. No more, no less.

At your age I would add the eye exam, PSA and C-reactive protein (CRP) Note that the retina exam will involve drops to dilate your eyes so you cannot drive afterwards If you have never been screened for HBC (Hepatitis C) then get that, it is recommended that all adults be screened for it once A digital exam of the prostate would also be advisable but not on their list Likewise an exercise stress test and HB1Ac

Not everywhere all the tome but it does happen occasionally. From your qurstions you have an exaggerated sense of the dangers. Just use common sense. And observe the locals. Don't walk down a deserted street at night; a street full of people is fine.

You do not have to be married to a Thai to do that. How much time and hassle to get yellow tabian ban seems to vary greatly by Ampur.

I haven't had problems with Kerry either but that is of no help to OP. Obviously there is an issue with the local Kerry branch where he lives. OP since you have already paid, I suggest you make a trip to the Kerry office to pick up the goods and then never order from a supplier who uses Kerry again, unless you have reason to think whatever their problem was, has been resolved. If when you go, Kerry is unable to produce the package then that tells you they have in fact lost it at which point report it to Lazada and demand a refund. If they have it, then you will know the issue is with either their staffing, their vehicles or their management in that office.

Yes it could be a DVT and you should immediately seek medical care. Standard of care for diagnosis is an ultrasound. They will also usually do a blood test cslled D-dimer.

Your wife is definitely incorrect. Visa type has no bearing on access to health care in Thailand (though it can effect whether private insurance is mandatory (and don"t look for logic there) . There are only 2 circumstances where a non-citizen is eligible for free health cover in Thailand: 1. If legally employed and enrolled in Social Security or opting to continue such enrollment after leaving work through private payments. Note that private schools and very small businesses are exempt from requirement to enroll employees in SD. 2.If married to, or a dependent of, a government civil servant. The Civil Service SS scheme (not the same as SS referred to above) is the only of the three schemed comprising universal health cover in Thailand to include spouses and dependents. Aside from the above the only free eligibility would be for special services like COVID vaccine decided on ad hoc by the government as being in the national interest to provide. Migrant workers from neighboring countries can get under the so called "30 baht" scheme but have to pay a yearly fee for it. In fact it is now a mandatory condition for them to work here legally. There is so far no such option for foreign retirees.