Sheryl

Less than 2,000. Population of NY metro area is 16 million.

It is essential that she have annual thin preps (pap smears) as she is at elevated risk of cervical cancer. Highly likely you are already carrying the HPV virus yourself and have for years. You may or may not eventually get genital warts. The most serious risk is for women due to cervical cancer.

Moved to health forum. As this is not a routine screening test but rather being done because of symptoms and CT findings it is important to have it done by a good colorectal specialist. Suggest either of these doctors https://sriphat.med.cmu.ac.th/find_doctor?lang=en&doctor_name=&spec_name=15&special_name=53 They can both also be see at Bangkok Hospital but will likely cost less at Sriphat. Bring all your records with you including CD of the CT scan (not just the report) and any other test reports. It is not usual to get a chest Xray before colonoscopy.

You need to wear a mask throughout the flight. Having recently flown out of Heathrow and gotten COVID in the process I strongly recommend you wear a mask in the airport as well though not required and most people don't. And use hand sanitizer etc. Pretty impossible to keep distance from prople. Unless it has improved in past few weeks, that airport is a chaotic mob scene. Allow extra time...a lot of it.

Try to get him to go to AA. They have meetings in many locations in Thailand. You can probably get some of their literature online.

A large number of ttolling/unhelpful posts have been removed along with replies to them.

You need to see a cardioligist immediately. Self EKG is not designed to detect coronary ischemia. And any EKG will detect arrhythmias only if they occur during the brief interval captured by the EKG. Many arrythmias are intermittent or occur only on exertion. You need a much more thorough evaluation than you can do on your own. This will likely include 12 lead EKG, blood tests, stress test (if 12 lead normal) and possibly a longer period of cardiac monitoring if these other tests failed to detect cause of the palpitations (but good chance stress test will). If initial work up (blood test and 12 lead EKG) show coronary ischemia they won't do stress test etc. Rather coronary angiography will be advised. Do not delay. If worse during the night go directly to an emergency room. Otherwise see a cardiologist in the morning.

Obviously not. Exclusions come into play for things that put you at above average risk. Diabetes for example put you at above average risk for a host of diseases. So do dyslopidemias. Someone who has had heart disease in the past is at above average risk of it i the future. The setting of insurance premiums is s complex thing requiring detailed computations of risk by age performed by actuaries (people with special training in this). The calculations are for the population as a whole and assume people at average risk at time of enrollment. The whole calculation goes out the window if the insured person is at above average risk for certain conditions. If the above average risk is limited to specific conditions, the insurer may solve this by applying an exclusion or offering to cover everything at a higher than normal premiums. It needs sophisticated individualized actuarial calculations to arrive at such personalized premiums so only some insurers are able to do this. All that said, many Thai based insurers come up with bizarre/far fetched exclusions based on history that make no medical sense at all. They appear to have non-medical people doing this and no real review by medically qualified people. International insurers usually have medical staff and their reviews are far more reasonable and nuanced. Their enrollment forms are also clearer and better worded. Worse yet, some Thai based insurers apply exclusions retroactively after a claim is made even though full and accurate history was provided on application. And even insurers who claim to do full medical underwriting, which ought to prevent that.

If you already have the policy then they can't create new exclusions for conditions that newly developed after the policy was already in effect.

I was exactly the same at age 65. Never an insurance claim except for some really minor day surgeries. Now had 5 claims in just the past 3 1/2 years. Didn't see it coming and thought it unlikely I'd make much use of my insurance any time soon, but I was wrong. 2 of the 5 were accident related so totally unpredictable (and no, there was no negligence or risk taking in my part that contributed). The other 3 related to spinal degeneration I was blissfully unaware I had until suddenly severe symptoms struck. Similar to what happens to many with their hips or knees (and for all I know, though feeling fine now, those could go on me too at any time). The likelihood of claims really does shoot up as you age and previous state of good health is no guarantee against it.

I try go tell them initially that I don't need the medication before they print up the bill. I find it easier to just say I already have the meds. Actually try to forestall it by telling the doctor so he knows not to order any. But sometimes things like paracetamol etc get gratuitously tacked on. In more than 3 decades here, never been unable to avoid meds from hospital pharmacy. But if one waits till bill is already printed it does mean extra time/delay.

There are many past threads on this. Use google and not the forum search function which does not work well. No advantage whatsoever in doing this in Thailand given that you live in Canada.

More like 2000 for top specialist at private hospital in Bkk. But OP in no way indicated that cost was nn issue.

I do it all the time. No problem.

They may be easy now but with dementia this can change. The best place for this in Thailand is Dong Kaew gardens in Chiang Mai. Affiliated with McKean hospital and non profit.

There are doctors who specialize specifically in rehabilitative medecine. They don't specialize by body part. You will find them listed on the Bumrungrad and Samitivej websites. You might be able to appoint directly with them if you bring your records and letter of referral from your home country ortho.

And can still be very costly. How much, depends on the drug needed. Some of the newer drugs may not even be available at a govt hospital.

As I said, depends on type of surgery. Lung resections etc cost considerably more than simple hemicolectomy. Chemo costs depend on the drug with newer agents bring especially expensive. What your specific treatment for one type of cancer cost does not represent the upper limit of what treatment for any type of cancer can cost.

What makes you think it has been? This "Green Book" applies only to vaccinations. Inconceivable that British RNs no longer aspirate on any injection, even those that may be fatal if inadvertently injected into a blood vessel. Further you excerpt -- which pertains solely to vaccinations -- says aspiration is "not necessary". Not that it should not be be done or is forbidden. I suspect this is to provide flexibility so that, if necessary, non professional injectors can be utilized. Nothing in the wording would prevent a British RN from aspirating and they would surely do so as an automatic reflex.

Spreading of cancer is not what might make a second biopsy more definitive. Rather it is skill of the doctor and the pathologist. Time interval is not relevant. AFIRMA GEC would certainly be best if you can get it but I am not sure you will get an accurate answer to that by email unless you can find a way to email the doctor directly. The clerks who answer emails will not even know what it is and it won't show on any test of procedure lists they might refer to. If possible to do it would likely involve sending specimen elsewhere.

There are not, and never have been, statistics on survival rates for "cancer surgery" per se . Cancer is not one disease, but many, and it exists in different stages ranging from completely localized to regional spread to distant metastasis. Survival rates differ greatly according to type of cancer and also its stage. In most types if cancer, prognosis for full cure with surgery is high if the cancer is still localized. Benefits of chemo also vary enormously depending on type and stage of cancer. There are some types of cancer which are completely curable by chemo alone . Others where chemo given at certain stages together with surgery significantly improve chances of full cure. And yes, cases of advanced cancer where the benefit is just a fews months more of life. In which case one might indeed want to consider carefully whether worth it. Certainly no readon to assume that any cancer treatment you might need would be of uncertain benefit. And, of course, cancer is just one of many, many, many things that might lead to significant medical expense.

Do you have a link to this? It is very hard to imagine how aspirating would gave any cost implication. Also hard to imagine that IM injection technique by nurses would be of concern to WHO. Might they have been talking solely about vaccinations and in scenarios where there aren't enough health professionals to administer vaccinations requiring use of nonprofessionals to do do? There are a number of drugs which cause serious adverse effects -- even death -- if inadvertently injected into a blood vessel. I cannot believe it is UK policy to never aspirate with any injection. Would cause unnecessary and completely preventable harm with no upside. The aspiration stage literally takes 1-2 seconds only.

Of course he did not. None of us knows if or when we will need insurance, and having had no claims till now in no way means you won't have a major claim tomorrow. The statistical likelihood of a claim rises exponentially as you age Which is why insurance premiums do.

Easily 3 - 5 million in a private hospital (depending on type of operation needed etc).

The populations of France, Germany and many Scandinavian countries -- all with well functioning universal health care access systems based on insurance and a well regulated insurance sector -- would likely disgree.