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Sheryl

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Everything posted by Sheryl

  1. If it is 2 hours to towards the north, there is a Palliative Care Center at Khon Kaen University Hospital - https://www.karunruk.org/about-5/ Try to see Assoc. Prof. Srivieng Pairojkul directly through the "after hour" clinic (clinic nawk wela) I do not have any firsthand feedback on this place but should surely do more for you than the hospital you have been to. If you can get to Bangkok, I highly recommend the Palliative Care team at Bangkok Hospital (in Bangkok): https://www.bangkokhospital.com/en/doctor/dr-laksamee-chanvej https://www.bangkokhospital.com/en/doctor/dr-darin-jaturapatporn Among the measures they might advise are 1) fentanyl patch (gives continuous blood level of analgesia and then morphine can be used for any breakthrough pain) (2) nerve blocks (they can identify the nerve(s) that are transmitting the pain and either ablate or numb them) (3) radiation therapy (not to cure but to shrink specifically areas of tumor that press on nerve) (4) transcatheter embolization. There are other places/doctors in Bangkok as well but an advantage to Bkk Hospital is that, once a treatment plan for pain management is developed, you can probably arrange to get follow-up/med refills at one of the upcountry affiliates i.e. Bangkok Ratchasima or Bangkok Khon Kaen (whichever is closest).
  2. Where your reading is at home at all elevated? Or just this reading in the hospital? It is not unusual for BP to rise temporarily due to stress of being in the hospital (so-called "white coat syndrome"). Also, sometimes the machines used in hospitals are not well calibrated. Did Doctor check the pressure manually (with stethoscope and old style machine)?
  3. You were right to stop it as your BP was too low. Now it is on the low side but within normal limits. How high had your BP gone when you were prescribed the hydralazine? I think another consultation with our doctor is in order. Bring records of your BP with you. The pulse of 52 is to be expected on atenolol.
  4. This site appears to be sellingf it online http://androgel.takraonline.com/ I have no excperience with that site sio no idea re quality/genuiness Testosterone replacement therapy is a not a simple matrer and as others have said, you need to get baseline lab tests and should best be under the supervision of a doctor specializing in it, at least in the beginning.
  5. My only day surgery did not require any medications on discharge but I assume that if it had, it would have been covered. During the 30 day follow up period yes, meds are covered (if provided by the hospital...not if you buy them yourself at an outside pharmacy). I don't follow the last part. Once the 30 days have past after hospitalization, outpatient treatment (including meds) ate no longer covered. Most medications in Thailand can be bought over the counter at a pharmacy and most ate inexpensive.
  6. There is no such thing as "best" hospitals only best doctors. You need to choose the best doctor for your specific issue. Clinics in Thailand are located inside hospitals, all hospitals have outpatient clinics. This actually makes a great deal of sense, and is very cost effective, as the outpatient services have direct access to the hospital lab, imaging, pharmacy etc. With the notable exception of Chinag Mai, stand alone clinics are rare here and often dodgy. There is, however, a British GP with a clinic in Bangkok (medconsultasia) and this is an excellent source for simple things. https://www.medconsultasia.com/#
  7. This (nothing more they can do) is quite untrue. Or, it may be that it is all that one specific hospital can do. There are many other options for pain, however. Fentanyl patches, nerve blocks, implanted nerve inhibitors to name but a few. You need to get under the care of a palliative/pain management specialist. Where in Thaland are you?
  8. Well they are supposed to look at you. (just in the unlikely event you do have one of the listed diseases...). But there is no requirement for a blood test for work permit medical clearance, that is the hospital or clinic's own doing. https://www.medconsultasia.com/services/ Couple hundred baht I think. No blood test required.
  9. Bear in mind that the siren needs to be heard by drivers who are inside their cars, windows shut, often with music playing. There is good reason for the volume. And no, informing the city government would not make a difference.
  10. As you can see, a $500 deductible reduces your premium by virtually $500 - so a no brainer to take, you will come out ahead every year that you do nto have a claim and break even in years you do have a claim. By contrast the $1,000 deductible lowers your premium by just $624 each year. You will still come out ahead overall provided you (on average) go 2 years at a stretch without a claim etc etc I don't think you will find better rates for comparable coverage from a reliable international insurer
  11. 20mg https://wikem.org/wiki/ACE_inhibitor
  12. Never did need a separate syphilis test unless employer requires it. For work permit, only need doctor to sign off that you don't have tertiary syphilis, elephantiasias et .
  13. I think by Suan Doc you mean Sripat (many people use the terms interchangably). This is actually a private annex to a government hospital. And it has in recent years introduced two tier pricing with room rates, especially as high as private hospitals and then some.
  14. I have to disagree with those saying the doctors always speak English. True of most (though not all) doctors in tertiary level hospitals. Not true in all regional and provincial hospitals, to put it mildly. I have had extensive experience with the regional level government hospital out where I live and have yet to meet a single doctor who speaks any English - and that includes the senior ones in teaching capacity. Literally, not a word.
  15. Minimal, and low cost - the big ticket stuff (infusions, scans/films) all fell well within the 30 day window. All I had beyond that were simple consultations, which in Thailand are very inexpensive. I have a feeling you have not yet priced the Premium plan. The jump in premium just from Essential to Comfort is huge (which is why I did not get it, despite the limit on private room charge for Essential - the difference was simply more than any remotely probable scenario could justify.) I am sure you will find that true of Premium. By the way, the outpatient follow up after hospitalization is also limited to 30 days in Premium. It is only the physical rehab benefit that is longer.
  16. It will vary enormously according to: - location/hospital level - whether private rooms are available (they aren't always, and ward rooms upcountry can be rough to say the least) I know you said Chiang Mai, but maybe be more specific: do you mean Chiang Mai town? And are you considering Sripat as private or government? (it is actually a quasi-private annex to a government hospital) I have not heard of foreigners being refused admission to government hospitals under normal conditions. It can sometimes happen when a government hospital has no available bed and the case is not urgent (this was actually common during COVID) but that's about it. Otherwise, I would question such a story - perhaps the hospital did not think admission was medically necessary, or the patient needed a higher level of care than they could provide and was advised to go elsewhere for that reason. I also have not heard of any government hospital having "paid member cards", this is something usually limited to private hospitals.
  17. yes, some hospitals will allow you to stay in a private room alone, some will not. Evidently Siriraj will not. What I was getting at is that you can always stay in a ward room without someone with you (in fact there is no facility for someone to stay with you 24/7 in a ward).
  18. In this scenario do you still have to go to Immigration yourself? I would gladly pay to avoid that (extreme, in case of my particular IO) unpleasantness. But if I would still have to bring all the paperwork in person, and endure the usual abuse and shenanagins, then I don't see the point. Getting the paperwork in order per the actual rules is quite easy (if one meets the financial requirements). But it is no protection against suddenly made up nonsensical "rules", demands for bribes, verbal abuse etc. If any one knows an agent who would handle that, and at the correct imm office (as opposed to sending my passport to some remote place where I do not live), please advise, either here or by PM. Thanks.
  19. Note that we have all been responding based on your specific request for a doctor to extract the tooth (which is one of the simplest dental procedures there is, and any dentist can do). If you are open to possibly preserving the tooth you would need a different type of dentist. It is always better tio save a tooth where possible. Even if the tooth per se wouldn't be missed, its removal will affect the alignment of, and burden on, your other teeth.
  20. There is no test that confirms tertiary stage syphilis per se. There are blood tests that can confirm or rule out a current syphilis infection. If positive, the determination that it is tertiary stage (very, very unlikely) has to be made clinically. Most doctors will be fine signing that you do not have tertiary syphilis based solely on physical examination. I have heard of a few workplaces insisting in blood test as well as medical certificate. (Nothing in the government requirements for work permit says this) Be aware that there are several types of blood test: TPHA test is specific to syphilis but, since it is antibody based, can remain positive if you had a prior infection already cured. Hence, while a negative TPHA rules syphilis out, a positive one needs to be followed by something called an RPR titer. RPR is not syphilis specific (can be elevated for other reasons) but will help distinguish between past and current infection in someone who is TPHA positive (only worth bothering about if the person is known to have been previously treated for syphilis).
  21. Enalapril, as mentioned by poster above, is in same group of medication (ACE inhibitor) and very inexpensive, readily available in many local brands. In terms of dose equivalence, it is not the same so be careful on that. Comparable enalapril dose would be 1/2 that of quinapril (accupril etc). So if you were on 10 mg , the equivalent dose of enalapril would be 5 mg etc etc. Always wise to confirm a switch with your doctor, but if quinapril suited you likely enalapril will do as well.
  22. No. I do not keep track of threads, and I also get a lot of my feedback via PMs. Prof. Chayaprop, besides Grace Clinic, is also at Bangkok Hospital. He specializes in oral surgery, and is on faculty at CMU. https://www.bangkokhospital-chiangmai.com/en/doctor/asst-prof-dr-asst-prof-chayarop-supanchart-d-d-s/ If your issue is wanting general anesthesia, that would be a better option than the clinic. But if not, seeing him at the the clinic will cost likely less.
  23. It is, though need to clarify if there will still be possibility of 30 (or better yet, 45) day extension. Other thing they ought to do is stop requiring people to upload private financial data onto an insecure government website to get a tourist visa. Asking people from the countries required to use evisa to prove they have $1,000 in the bank is completely absurd, their airfare along will equal that in most cases. Contrast this to the Cambodian evisa, which requires nothing more than upload passport page, application form and payment.
  24. Based on feedback from members in CM: Asst. prof. Chayarop Supanchart Grace Dental Care Clinic 45 Soi 11 Nimmanhemin Rd. 053 894 568/69 https://www.gracedentalclinic.com/gracedental-theteam/
  25. While government hospitals are the least expensive place to get this test, they won't do it on demand or for someone not under their treatment. OP can get a VL done here https://ccsmedicallab.com/services/#STD But would have to call for the price
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