Sheryl

Check if that includes the anesthetic or not. Some hospitals float prices that do not and are thus deceptive.

HoLEP is indeed not available in Thailand. But as OP is now in Switzerland, good chance he can get it there.

15-20k is old price. It has been more like 25-35 at private hospitals in Bangkok for several years now.

In Bangkok the best option price wise is Chulabhorn hospital. It is a government hospital so there may be a wait list. Otherwise it is fine if you are having it done as a routine screening. Cost will be around 10k. Maybe less if no polyps found. https://www.chulabhornhospital.com/ It may also be necessary to go in person to make the booking. If you are having this done because of a specific problem or had prior colonoscopies with abnormal findings then it would be best to have a good colorectal specialist perform it in which case I recommend Prof. Chucheep at Bangkok Christian Hospital where it will cost about 22k if no polyps found.

A baiting/inflammatory post has been removed. OP made it clear he & his wife are here as tourists. As such they can hardly be expected to know the local hospitals. Further, he indicated a desire for a second opinion which suggests a need for a doctor with socialized expertise in shoulder injuries. Just naming hospitals does not respond to this.

I assume you know this brand is not registered in Thailand (nor is oral minoxidil approved by Thai FDA for this purpose). Minoxidil is a very potent anti hypertensive (which happens also to stimulate hair growth). The highest oral dose I find mentioned in the literature for use for hair growth is 5mg and that comes with strong caveats about use in people with cardiovascular disease or on other hypertensive medications (due to interaction and possible hypertensive effect).

If you know of nonuniversity-affiliated upcountry hospitals which perform TURP with nerve-sparing technique by all means please list them.

Actually it does come in tablet form but in Thailand the only oral forms are in dosage for use in hypertension, not for hair growth. The hair growth preparations come in 2% solutions and sprays. If looking to take a tablet instead most would use finasteride, which comes in 1 mg dosage for use to stimulate hair growth (also comes in 5 mg dose but that is for prostate issues).

The very best shoulder specialist in Thailand (US trained, Harvard) is: https://www.bumrungrad.com/en/doctors/Mason-Porramatikul

If you are in Switzerland then there should be many options. Have a thorough discussion with your doctors.

Botox about 3 times a year (when you first start it, may last only 3 months, starts to last longer with repeat injections). Filler, 1-2 times a year. Fillers last 6-12 months, I could do it less often but I like to top up before my annual trips back to farangland. Thread lift by contrast lasts 1-2 years A lot depends on how vain you are - if you wait until things wear off totally then frequency can be less often but you won't look your best the last few months. What tends to happen is you get attached to hbw you look right after these treatments and as soon as you detect a noticeable change, you want to get it again. As I said before, I have not noticed any difference by brand of filler and I usually go with whatever she (Dr. Donna) has on special at the moment...and I don't even keep track of which I got. They are all HA (hyaluronic acid). There are some non-HA fillers that last much longer, e.g. Radiesse, but not available in Thailand. There is also something called Sculptra which is nto exactly a filler but rather stimulates collagen production, but I have nto been able to find it in Thailand so far.

What you describe is "retrograde ejaculation" and it is a known side effect of Urorec (silodosin). Occurs in more than 40% of men taking it. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507909/ Viagra etc will probably help with erection but is not likely to change hte retrograde ejaculation Is that the only medication you are on, or are you also on finasetride or something like it? Are you also on any medications for your blood pressure? As the dizziness you had with other medications may have been due to the combined effect on your blood pressure. Did you take your BP when feeling dizzy at that time? Peeing every 2 hours is not good - the issue is not just the inconvenience but the risk of infection (which can be very serious, even leading to sepsis) due to the bladder never completely emptying. If/when you reach the limits of what can be done via medication then it may be time to consider more definitive treatment. Surgery (TURP) carries some risk of impotence, though if nerve-sparing technique is used, this will usually be temporary. Another, less invasive, treatment now available in Thailand is water vapor therapy which seems to have no effect in sexual function. (see here https://www.bumrungrad.com/en/packages/water-vapor-therapy) Nerve-sparing surgery is available in only a few places in Thailand (mainly Bangkok and private hospitals) and water vapor therapy is available in only a handful of private hospitals in Bangkok. Costs of both will be significant i.e. 200-300K. If it is feasible you might prefer to return to your home country for this treatment. In the West there are, additionally, a wider range of treatment options. Do not have surgery (TURP) done upcountry if your priority is preserving sexual function. With possible exception of a few university hospitals, nerve-sparing technique is usually not available outside of Bangkok. However before thinking of surgery or water vapor treatment (or a return to your home country where there may be other treatment options as well) this you should make sure you have maximized what can be done via medication. The silodosin you are taking gives only a temporary symptomatic relief by relaxing the outlet of the bladder (and, as you have learned, at the price of retrograde ejaculation). Drugs in the finasteride,dutasteride group actually reduce prostate size over time. They do sometimes cause reduction in libido but only in about 10% of men. I suspect it is a drug of this type that you may have previously taken and stopped due to dizziness. However, this could have been due to interaction with medication for your blood pressure. If so, reducing the dose of your BP medicine might solve the problem. The usual approach is to initially prescribe finasetride or dutasteride (drugs that, over time, reduce the size of the prostate) plus a drug in the "alpha blocker" class (tamsulosin, doxazosin, silodosin etc) for immediate relief. It may become possible to stop the second drug after a few months as the finasteride/dutasteride kick in and reduce prostate size (not always, but some times). Both of these drug types tend to lower blood pressure so adjustment in dosage of any other BP medications may be necessary. And people not on BP medictaion who tend to have low blood pressure to begin with, might nto be able to tolerate these drugs Please do post the name and dosage of: 1 - all medications you currently take, for any reason 2- name of the medication you took before that made you dizzy

I do it several times a year, and also Botox I use Dr. Donna at medconsult - good prices and she really takes her time. She tends to be very conservative, more likely to give not enough rather than risk too much - just a tip as you may have to ask her to add more. https://www.medconsultasia.com/ Don't try to use online booking, does nto work well - send email, call or use LineApp. I have not found any difference in results with different brands of filler. Type is important i.e. some are suitable for volume and some are for fine lines. With Botox however I find the Korean brands just don't "take" and I have to request the US brand.Might just be me (and also the fact that I've been getting Botox for years). Forehead lines respond well to Botox. You might do best to get Botox there first then after 2-3 weeks see what remains before getting filler on forehead, you might not need it then, or need it in only 1-2 spots. Mouth lines, it is usually best to do volume filler high on the cheeks and to the side, this lifts things up. If things are really sagging around the mouth/lower face, thread lift may be worth considering and lasts longer than fillers. With fillers and thread lift you see the result immediately, with Botox it takes a few weeks.

If you are admitted then they will pay, yes. So would BUPA. I don't know of any hospital that would not pay if hospitalized. But they will all require pre-authorization for the hospitalization (or in an emergency, authorization as soon as possible i.e. they need to be notified at once). There is no expectation that hospitalizations will entail surgery, most do not.

I think you are confusing the "morning after pill" with the medications used to induce a medical abortion. Morning after pill is not used in miscarriage, and is (thus far) not banned anywhere. However, as many of the extreme anti-abortion movement insist that birth control methods that prevent implantation are also a form of abortion (contrary to the actual science and medical definitions of pregnancy and abortion), they may face ban in some states in the future. There is also the whole can of worms around fertility treatments since this often involves the laboratory creation of fertilized eggs most of which then are not implanted and end up being destroyed. If any destruction of a fertilized egg is considered an abortion then a large percentage of fertility treatments would have to be banned. Medically, of course it is not an abortion; abortion is the termination of a pregnancy prior to fetal viability, and in these cases no pregnancy exists because the fertilized eggs have never implanted in a uterus. But medical/scientific fact is at odds with the (religion-based) stance that conception = human life.

A bickering post has been removed. A reminder to all posters to keep it civil. You are unlikely to change anyone's mind by what you post here, and if you participate in this thread it is guaranteed you will read posts you disagree with. If you can't handle that and remain calm and polite, then please do not post.

The fetal period ends with birth, yes - a fetus is no longer a fetus once it is born. But whether, while a fetus of any gestation, it is also an "unborn baby" is a matter of opinion, "unborn baby" not having a medical definition. To show pictures of a full term fetus and imply this is what is removed from the womb during an abortion is completely misleading/dishonest. The whole point of doing that is to show something that looks just like a baby and not like a fetus at a much earlier stage of development, even though the latter is what is accurate.

Actually that is not true. The majority of fertilized eggs do not develop into viable fetuses, in fact in the majority if cases no pregnancy ever develops. Pregnancy requires 2 things: (1) fertilization of an egg by sperm, which occurs in the fallopian tube, not the womb; and (2) successful implantation of the fertilized ovum on the wall of the uterus. Only then is a pregnancy established. More often than not, this fails to occur. The woman's menstrual period occurs as usual and she has no idea that fertilization of an egg occurred. This happens very, very often. This idea that a unique soul is present from the moment of conception, in addition to being unprovable/based on a religious concept not everyone (or even all religions) shares, is also very hard to reconcile with biological fact. Why would all these souls fail to develop? Should women be grieving at every menstrual cycle for the possible death of a soul? etc etc Of course this has no direct relevance to abortion as an abortion, by definition, can only be performed after an embryo is present in the uterus. But it is very relevant to some types of contraception, e.g. the IUD and the "morning after pill" which many anti-abortion activitists consider to be "abortifactants" because they may prevent implantation of a fertilized egg. There is every likelihood that these forms of birth control will also face attempted legal bans in the near future.

A post with an unattributed graphic of what appears to be a full term baby in utero (and not a fetus as stated) has been removed.

Unfortunately all pain killers have side effects. Not the doctor's fault. It often boils down to: which is worse, the pain or the side effects of the pain killer? From the sounds of it, you were in severe pain and the tramadol relieved it. But gave you trouble sleeping etc. Not unusual. I don't know how often you were taking it, but it might be wise to taper before stopping altogether. Because aside from possible withdrawal effects of the tramadol (if you were taking it several times a day, very possible) you may again have severe pain. Would be worth addressing the underlying cause of the back problem. Depending on what it is, this might involve physical therapy , exercises and/or surgery.

If possible you should try to find and eliminate the cause of the allergy. Besides air pollution/pollen, common causes are dust mites and mould so look at your home environment. Remember that dust and mould do nto have to be visible to cause a problem -- a place may look clean but have a lot of dust under furniture, behind the bed etc and this will affect you. Closets often contain mould. So have a thorough house cleaning that emphasizes under and behind furniture and inside drawers and closets. Bleach (diluted in water) is very good for mold. Also suggest -- especially if it is worse at night -- that you get allergy covers for your pillows and mattress. These prevent any dust mites that might be in the pillow or mattress from affecting you. You can find them on Lazada or through Amazon. Steroid eye drops might help but should not be self prescribed as they will worsen some eye conditions. And there are some specific eye conditions that can cause itchiness, e.g. atopic keratoconjunctivitis, blepharitis. See a good opthalmologist for proper diagnosis and treatment. If after examination the doctor thinks steroid drops are Ok for you then they may well bring relief. But first make sure there is no other eye pathology causing the itching (since it has persisted despite antihistamines) and nothing that would contraindicate steroids.

Yes, you can get these without a prescription. Any pharmacy will have these and there are inexpensive local brands. I am assuming since specific meds are mentioned that the OP is already taking them on advice of a doctor. If not, then indeed it is wise to have a consultation with a doctor before self-treating hypertension.

You can't get tramadol online or by email order, at least nto anywhere I know of. You need to go in person to a pharmacy that always has a "real" pharmacist on duty. They may ask for ID, since they are supposed to keep a record of purchases.

This is untrue. Tramadol is still category D. It can be sold without prescription. However, a grade 1 pharmacist must be on duty at all times and records must be kept of all sales. Many pharmacies cannot meet this requirement or do not want the hassle, and thus choose not to sell it. Annoyingly, they then tell their customers it can't be sold by pharmacies rather than telling the truth i.e. that their particular pharmacy will not sell it. Although record of sales is all that is required by law, the drug has become a popular "recreational" drug among Thai youth and mNY pharmacies are skittish about selling it for fear that they will be blamed later if there is an issue. Some respond to this by limiting the amount they will sell (my local pharmacy limits it to 20 tablets, for example). Others will sell ultracet (tramadol plus paracetemol) but not tramadol alone. Still others may ask to see a prescription of some sort (Thailand does nto really have a prescription system - but a medical certificate that lists tramadol as treatment will suffice in that case). Reverting to OP - a single dose of 37.5 mg, once a day, is not very likely to cause dependence if you keep it at that dose and frequency. Whether or not it will keep working at that dose, you will have to see. The most common adverse effects with Ultracet are: Dizziness. Drowsiness. Nausea and vomiting Constipation. Dizziness Drowsiness Nervousness or anxiety Other mood changes Sweating. Itching. Headache.

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