Sheryl

Yes I had Lasik. With great results. I did it at TSRC (Thai Refractive Surgery Center). It was the first place in Thailand to do it and has more experiebce in it than everywhere else. I opted to go for monovision(one eye fully corrected and the other undercorrected,( to avoid the need for reading glasses later) and 22 years on it still works. They did my worst eye first as they knew they probably eouldn't be able to get it to 20/20. Waited a couple of months to let it stabilize then based on it they ppanned thd next eye. I ended up 20/20 one eye and 20/40 the other and it works very well. No glasses needed for distance or reading. Note though that 5he various risks assiciated with myopia (greater incidence retinal detachment etc) remain even after correcting vision with surgery

Blepharoplasty is most definitely cosmetic surgery, and opthalmic surgeons do not perfrom it. there is no instrumentalization of the eye itself, the surgery involves only the skin around the eyes and eyelid.

Another possibility would be Camellian Hospital, also a nonprofit. Smaller than Bkk Chrstian and St Louis but for a common procedure like this not an issue. And as they see far fewer expats, they may be cheaper. When inquiring specify you want it done as a day surgery. Note though that with that you will have to plan on multple outpatient visits afterwards for wound care.

Sorry that was typo, it is Dr. Roy https://www.rutnin.com/en/doctor/detail.36.1_Roy_0_0.html#thumb He is also at Bumrungrad and you can see his CV tere https://www.bumrungrad.com/en/doctors/Roy-Chumdermpadetsuk But treatment at Bumrungrad would cost substantially mroe than at Rutnin so better to see hiom at the latter Re optomap, I agreed to have it because exam was showing some retinal degeneration. It wasn't suggested prior to that, but in that instance i felt it was well worth it to be sure. (Turned out to be what is called "paving stobne" degenration which is benign). Like you I am a "high myope". (-14 pre-LASIK)

I reocmmend you go to Bangkok, not treat in Pattaya. Rutnin Hospital.

Yes, Rutnin has retinal specialists and is able to treat retinal detachment. I recommend Dr. aroy there for this. This thread mentions costs https://aseannow.com/topic/930942-detached-retina/ Last time i did full retinal exam there it can to about 5,000 baht. This was using some sort of special equipment that takes special photos - I forget the name of it - and was because there was some abnormal finding. Might not always be necessary.

This. Or just get a 3 month travel policy. It is not required that the policy be from a Thai company. US company is fine - but they do need to fill out the certificate. But make sure you are applying for a non-O and not a non-OA Or just come in either on a Tourist visa or Visa exempt then apply to change to a non-O visa.

It is available under these brand names: Hyrimoz Amgevita Exemptia Hullo It is a controlled drug. Requires a prescription which in ppractice usually mmeans it can only be obtained from a hospital

Make sure to have no sexual activity or bike/moto riding for 48 hrs before PSA test

1. Impossible to state this without biopsy. 2. Even when benign polyps can later turn malignant. Finding and removing polyps in early stage is one of the key purposes/benefits of having a colonoscopy.

A cream will not help much. At the very most it may reduce the infection but the pilonidal tract remains and will infect again. And odds are it won't even reduce the infection as the infection is deep inside. You need surgery. And no, an insurance policy taken out now will not cover it. Have you tried St Louis and Bangkok Christina Hospitals? Best to see general surgeon first and then get estimate, when you call or email it is clerks who respond and they tend to estimate high. They also estimate based on charts and their idea of what an equivalent procedure is, may not be correct. One night stay is not really necessary. It can be a day surgery. Other option is to go to a government hospital. There will be long waits and red tape (you need a Thai speaker with you) but I think cost only about 20k.

1. No 2. No 3.See a good urologist. You have already likely spent more in your attempts to manage this on your own than was necessary. There are some excellent Western trained urologists in Bangkok if you are not comfortable with local options. Treatment of prostate cancer is a complex subject and much depends on the size snd stage. Don't get ahead of yourself.

Certainly exercise in moderation would be good.

Exactly -- these are common side effects of the drug. If they become intolerable ,she can ask her doctor about changing to a different drug. But that may not make much difference. See also https://breastcancernow.org/information-support/facing-breast-cancer/going-through-breast-cancer-treatment/side-effects-letrozole-femara For general tips on managing these side effects. I do not think a change of doctors, or seeing a different doctor, will be of use. Also I suggest you consider the possibility that in mentioning these things to you she is seeking sympathy rather than a solution. Men often assune that when women relate their problems they are expecting the man to come up with a solution. Usually not the case. Just be a supportive friend.

Why on earth was the polyp not removed snd biopsed? Should have been

I am not sure what you mean by "total health care cover". Expatriate healht policies (non-travel) come in various forms, from complete in and outpatient (prohibitively expensive) to emergency care only. They also offer deductible (excess) options which lower premiums. Even so, premiums at your ages are not low. It is a huge mistake to assume past medical costs are a predictor of what they will be going forward, especially for people over 70. At your ages the best option I know of is Cigna Global https://www.cignaglobal.com/individuals-families/international-health-insurance ytou can get quotes online for varying levels of cover & deductible options. I recommend not to enter your real phone number as you will be inundated with sales calls. If you decide to get it, do so through a broker as they can help with any claims issues later.

See Prof. Charoen Choonhakarn in Khon Kaen http://www.khonkaenram.com/en/doctors/2 https://www.smckku.com/profile/assoc-prof-charoen-choonhakarn/ https://rph.co.th/en/doctor/charoen-choonhakarn-md/

Thanks for the update. By "Suthep" do you mean Sriphat?

the problem OP has is that travel insurance is very much based on where you reside to begin with, and they have lived in Thailand for many years now. So cannot get a Western-issued travel policy. And Thai issued policies won't cover their ages. OP I am confused as to why you want cover only for your trips and not for your stay in Thailand? Given your ages your best bet would be general expat policy which would cover you both in Thailand and other countries. Do either of you have any underlying chronic health ocnditions?

The lobe referred to is a lobe of the prostate. Finasteride and related drugs (dutasteride etc) help prevent further increase in prostate size and sometimes cause some shrinkage of an existing enlargement. Both these and drugs to improve urine flow by relaxing the neck of the bladder (e.g. doxasozin, tamsulosin etc) are the first line of treatment for BPH. Other treatments, including Rezum, are usually considered only if medications alone are insufficient or the patient is unable to tolerate them. Note that Rezum is indicated only in BPH patients with prostate volume less than 80 cubic centimeters, so nto suitable for really severe enlargement.

I think rather your specific problems were all down to excessive anticoagulation (from your warfarin which presumably you take for other reasons) leading to a hematoma. I don 't know how they handled this for you, but usually when someone is on warfarin they have them stop at least a week before surgery and switch to a shorter acting drug which can then be withheld for 12-24 hours pre-op. And not operate until/unless the INR is normal. Then immediately after surgery resume a short acting anticoagulant for a few days then switch back to warfarin..with of course careful lab monitoring. Whatever it was they did in your case the result was excessive anticoagulation (INR over 10 if memory serves) ---> hematoma.

Yes, constipation is important to avoid as straining will be painful. You can buy Senna capsules at any 7-11 and they work very well. Also stock up on prunes. Thai hospitals keep patients longer than do Western ones. In the west a hernia repair is often a day surgery. In Thailand they will usually keep you 2 nights, sometimes 3 -- the extra night especially if you are requiring more than paracetemol & NSAIDs for pain as Thai hospitals do not like to discharge people on opiods. And indeed, as above poster says -- one would not normally need a helper at home after an inguinal hernia repair. You are already fully ambulatory in discharge and able to bathe, cook, eat, toilet etc unaided.

Yes, private schools are exempted from the mandatory SS scheme.

Neither Tavaborole (the correct name for Kerydil, kavaborole is an altogether unrelated drug) nor Efinaconazole are available here. Loceryl is the only thing I know of. Needs to be used for a long time, and filing the nail down first is important.

You certainly will not need a nurse. In fact unless your daily routine involves heavy lifting I don't see why you would need a helper of any sort. You will be fully ambulatory on discharge from the hospital (including able to climb stairs) with the only limitation being slight soreness that will gradually resolve, and a restriction on heavy lifting. You won't be up for jogging, and you may move a bit slower than usual at first due to soreness, but will certainly be able to handle bathing, toileting etc yourself after a simple hernia repair. The only "wound care", if any, would be changing a gauze and you can easily do it yourself. More commonly a waterproof dressing is applied and no need to change it, just remove it altogether after a few days. They may have you come back to the hospital for suture removal. But if you want to hire someone, any one will do, does not need medical training. Who cleans your living quarters, do you have a maid or housekeeper? If so ask her if she'd be willing to stay for a few days (1-2 weeks makes no sense at all). Or just put the word out where you live (apartment/condo management, guards etc) ask at local shops etc. You may find this references useful in understanding the post op situation for this very common surgery: https://herniaspecialists.com/hernia-surgery-post-operative-instructions/