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Everything posted by Sheryl
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Just bruising. Nothing to be concerned with.
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Different cases have different causes - may be fungal, may be bacterual, etc. There is no substitute to seeing a good dermatologist. One poster has already recommended one. Another that I would suggest is https://www.bumrungrad.com/en/doctors/Niyom-Tantikun
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In any case my recommendation would be not get an international expat policy. I suggest you go through a broker, explain the nature of your pre-existing conditions, and get their advise. Thai insurers tend to be more extreme in what they consider a "pre-existing" condition ad the exclusions they apply. International insurers are more nuanced and have qualified medical people helping to assess applications. For example - say you had had an appendectomy or gall bladder removal. An international insurer would likely not apply an exclusions for such things. A Thai insurer might. Of course, for something like heart disease or diabetes, any insurer, Thai or international will have an issue with that. But international insurers are more likely to offer options like a higher premium, or exclusion, while Thai insurers often just refuse to insure. Another thing you could consider, depending in how much you expect to travel vs being continuously in Thailand, would be to get a travel insurance policy. Some of these will cover "acute exacerbations" of pre-existing conditions. This only makes sense if you will be returning to your home country t least once a year and would also be prepared to go back there for treatment if necessary as, with travel insurance, the insurer has the option of paying for treatment abroad or paying to bring you back "home".
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The only way to find that out would be to apply. But I am doubtful Even when there is a time limit on an exclusion it is typically at least 5 years. As other poster said, you should consult a good broker.
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Nothing whatsovere to do with immigration. But indeed, by law it requires an FDA livense to import phar,maceuticals by mail and customs may seize them. in practice, provided (1) sent by regular post (never a courier) and (2) small in quantity. customs often lest them through. Of course this means you'd likely have to split it into several mailings and the added postage may offset savings vs buying here, especially if there are inexpensive locally made generics. Also, while experience to date is that small amounts sent by regular post usually get through, there is no guarantee.
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P.S. on expiration issue one important caveat - for most drugs, the worst that will happen if expired is that they will lose potency/effectiveness. However tetracyline and related drugs (doxycycline etc) are an important exception. This class of drug, when past expiration, breaks up into toxic chemicals which can cause serious illness and death. (I know someone who died as a result of raking expired tetra). NEVER us this class of drug past the stated expiration, too risky.
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Expiration ates are the date through which tests have shown the drug is still effective. Think of it as a sort of warranty. That does nto mean the drug turns bad the secind that date has passed, often it is just that there is nio clear data on efficcay past that point, And indeed, storage conditions matter. The 15 - 30 C (which is not all meds, but it is most) is likewise the temperature which has been shown to be safe for extended periods and there is usually a lack of data on the effects of storing above or below those temps. Where data does exit (e.g. for vaccines which by their nature need to be moved from place to place, and sometimes used in outdoor settings, so storage temp is a significant issue) it generally shows that the duration of exposure to higher temperatures is important in whether degradation occurs. I store all my meds in the refrigerator and like you use many well past the stated expiration date, but pharmacies do nto sell beyond that date. However I do not think expiration dates have anything much to do with the large price differences you mention. Some price variation among stores s normal but the magnitude of what you report is not and I believe reflects the price at which the lot being sold was purchased. Pharmacies are businesses, just like any other store. They buy the products they sell from a wholesaler and then resell at a higher price - they must do so if they are to cover their own operating costs (rent, utilities, staff etc) and still make a profit. Nothing wrong with any of that. Operating costs vary by shop as do profit margins, but only by so much -- The biggest cost driver is the wholesale price. The higher prices you found were likely meds bought recently, after price hikes set in, and the lower prices likely were in stock longer. Which also means that in time the lower prices will cease to exist at those stores as they exhaust existing stock and buy more from distributors at what are now much higher prices.
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I suspect the extreme variation reported has to do with the date on which the retail outlet purchased the drug. In recent months increased fuel prices have led to increased costs for just about everything including pharmaceuticals. Drugs that have been in the store since before the rate hike will be sold at price reflecting prior wholesale cost. Drugs recently purchased will have been at a much higher wholesale cost and this gets reflected in the retail price. Now would be a good time to stock up on meds at lower prices (provided you can use before expiration).
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Green and I unlikely event you are stopped show the prescription if asked.
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Time for a new Samsung phone - which to get?
Sheryl replied to Sheryl's topic in Mobile Devices and Apps
Very helpful, thanks. -
There is no need to send then anywhere. (And Thai Enbassy will have no idea what it is for). Just have prescription with you
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He does not suffer from depression, he suffers from anxiety/panic attacks.
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I don't know what you mean by "legalization". Have a prescription to show, or have the medication in labelled prescription containers.
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The rule (for non-narcotics) used to be 3 month supply (90 days) but it has recently changed to 30 days, I don't know why. In practice it has, to date, not been strictly enforced and they don't usually count out doses as long as it looks consistent with personal use.
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You could try the government pysch hospital https://www.somdet.go.th/ https://www.google.com/search?client=firefox-b-d&tbs=lf:1,lf_ui:2&tbm=lcl&q=Somdet+Chaopraya+Institute+of+Psychiatry&rflfq=1&num=10&ved=2ahUKEwigqd6n9fn4AhUXZ2wGHXMMB_sQtgN6BAgQEAY#rlfi=hd:;si:,13.726566219976394,100.50681791490751;mv:[[13.733850330490705,100.51600179857451],[13.722448288815658,100.49950084871489],null,[13.728149378942437,100.5077513236447],16] But mostly they do medication, not therapy
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That is a clinic, it does vasectomies, not female sterilization. For female sterilization, you need a hospital. Any gynecologist can do it, but there may be requirements in terms of number of living children.
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I've got a J7 which is of course pretty old and it is time for a new phone. Not looking for anything fancy and most of what I read onine is either Greek to me or unimportant so hoping I can get soem pracrtical tips here. My priorities are: - stability/reliability - long battery life - dual SIM is must, triple would be great if any have them - lots of storage space and by that I mean free storage space not space already used up by pre-installed apps that I cannot uninstall. -phone will work on US phone networks (turned out my J7 was not compatible with some, which was a problem when back in the US). -pricewise, not more than mid-range suggestions?
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It is great, thanks Huge difference compared to before.
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recommendation for colonoscopy doctor in bangkok.
Sheryl replied to pilothk's topic in Health and Medicine
Highly recommend this doctor at Bangkok Christian Hosp - top colorectal specialist in Thailand. https://www.bch.in.th/find-doctor/doctor-profile/?smid=4581 Mondays only. He can also be seen at Bumrungrad on Thursdays but the colonoscopy will cost more there https://www.bumrungrad.com/en/doctors/Chucheep-Sahakitrungruang -
the way I read the HCMC site, they have both 13 and 23 (as one would expect.) So does this clinic: https://www.cmmediclinic.com/pneumococcal-vaccine.html You an also try at the main provincial hospital in Phayao but no guarantees
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Before deciding yourself that you need a gastroscopy, consult a good GI specialist. Depending on the symptoms, even if endoscopy is indicated, it might be a colonoscopy rather than gastroscopy. Or possibly neither. In Kalasin itself the only possibility would be the provincial hospital but not certain you can find a GI specialist there. the closest source if sure expertise is at Sringagrind (KKU) Hospital in Khon Kaen. Suggest you go through the "after hours" clinic and consult: Assoc.Prof.Dr. Phisan Mairiang (UK trained)
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Most hospitals can do this. Where exactly in Northern Thailand?
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Banglamung or Sattahip Hospitals -- Which is better?
Sheryl replied to yerrot254's topic in Health and Medicine
There is a very small community hospital called Sattahip Km 10, perhaps he means that. In which case of the 2, Bang Lamung is better choice. However the very best choice in that area is Chonburi Hospital in Chonbururi town and hard to believe it does not accept new SS enrollees. It is slightly further, but close enough, and bein ga regional level hiospital has a far wider range of expertise and capacities than any other in the province. -
https://www.medparkhospital.com/en/doctor/dr-sombat-kunakornsawat https://www.ekachaihospital.com/en/dr-sombat-kunakornsawat/ https://www.bumrungrad.com/en/doctors/Sombat-Kunakornsawat Same doctor, different hospitals. Bumrungrad will cost more. I'd try Medpark first.