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Everything posted by Sheryl
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Best MRI machine with best neurologist in Bangkok
Sheryl replied to Lim Yuan Hai's topic in Health and Medicine
There is no real cure for TMD. Anti-inflammatories (if not contraindicated) help and with time it usually subsides. Sometimes a night guard, to prevent jaw clenching during sleep, is advised. From your description i am not sure it is TMJ pain as that is usually an aching pain whereas you say no pain, just a sensation of tension. If not TMD it could just be from trauma to the nerves and if so will also likely subside with time. And anti-inflammatories would also still help (assuming no contraindications). As the symptoms directly followed dental work, if it were me I would just wait it out and take anti-inflammatories (iubuprofen, diclofenac, ponstan etc). When I had TMD after dental work the pain lasted a number of months and very gradually became less and less frequent. Even now - a good 15 years later - I get an occasional twinge, but just very occasional and not lasting long. But if you want to see a specialist about this I suggest Dr. Panupen Sitthisomwong, US trained specialist in orofacial pain. She can be seen at a number of hospitals and dental clinics as follows: https://www.bumrungrad.com/doctors/Panupen-Sitthisomwong https://mdk.dental/dentists/assist-prof-dr-panupen-sitthisomwong/ http://www.asavanant.com/staff.php She is also on faculty at the Mahidol dental hospital and it might be possible to see here there through their after hours clinic -
The information he eas given was wrong. Pink ID card is not required. The problem is that many SS offices do not know how to process the paperwork for non Thai nationals. He nay get further problems once he has the pink card since the numbering system differs from that gor Thais and there is no scannable chip. Best to call the SS main office when given tun around like this from local offices. Note that he must bomplete the conversion within 6 months of leaving employment.
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More specifcally: There are 2 aspects to the immune response triggered by immunization: humoral immunity (antibodies) and cell-mediated immunity. The second one usually lasts longer but also takes longer to kick in. The COVID vaccines currently available in Thailand produce antibodies to earlier strains of COVID which have been superceded by newer strains that can elude the vaccine induced antibodies. Hence even fully vaccinated people are being infected by the new Omicron strains. But the vaccine-induced cellular immunity remains able to contain infections and prevent serious disease.
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This thread has gone completely off topic into arguments about diet. Closed.
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Best MRI machine with best neurologist in Bangkok
Sheryl replied to Lim Yuan Hai's topic in Health and Medicine
Do not self prescribe an MRI. It may not be needed, or may not be the best test for your condition. The process needs to start with a differential diagnosis. and then proceed from there, not start with shotgun testing. Where exactly are you feeling the pain, what is it like, and does it radiate to below your ear? Have you already seen a prosthodontist? (Dental speciality that includes TMD. Not unusual for extensive dental work to trigger TMJ pain, happened to me.) -
Yes test is test. Normal reference ranges are pre-set by individual labs. They usually do not take age nor ethnicity into account. You should always double check this. And the "high" or "low" notations are automated and unable to take the multipel factors that need to go into such a determination into account. Friends of mine recently received lab results of a thyroid panel on a newborn baby,. The normal ranges shown on the report were for adults - newborn levels differ greatly. Thai labs use an abnromally low cut off for AFP levels, thsi is because of high incidence of primary liver cancer in Thais but nto at all applicable to westreners. Lab reports will automatically kick out "high" or "low" comments for a white blood ocunt differential even though overall WBC count was normal. Actually differential is not usually indicated if WBC count is normal . etc etc etc It is never as simple as just comparing your results to the normal range listed.
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what's on my face, and how do i remedy it?
Sheryl replied to BananaBandit's topic in Health and Medicine
If it continues to not improve you need to consider possibility of a skin cancer. (if it improves then never mind- skin cancer lesion will nto improve in its own) Where in Thailand are you? -
While i understand the issues regarding BPH, nowhere in Thailand will you find the same level of experience and expertise regarding skin cancers than Dr. Anna at BPH. You need to consider the costs (both financial and physical) of an inaccurate diagnosis further down the line Personally I go only to Dr. Anna, despite the BPH costs and ambience, and that it is a 6 hour round trip drive for me. If you insist on nonetheless doing this in Bangkok, understanding how little experience Thai doctors have with this, I suggest you attend the skin tumor clinic at Chulalongkorn. It is a government hospital so costs will be minimal but waits long and considerable (and confusing_ red tape, you should have a Thai speaker with you https://chulalongkornhospital.go.th/kcmh/en/dept/department-of-dermatology/
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If you are in the Sukhumvit area many people use Southeast pharmacy which is onSukhmvit between Soi 13 snd 15.
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You can extend the 45 day visa exempt entry for another 30 days. Nothing needed but your passport, application form and photo.
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Where in Thailand? And yes these medications are readily available without prescription
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BS between 70-90 after 16 hours fasting is to be expected. HBac1 is a much better indicator than fasting blood sugar, especislly on a diet like yours, as it captures your overall blood sugar over time including non-fasting periods.
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Hernia operation Costs / Doctors / Hospital recommendations ???
Sheryl replied to RedArmy's topic in Health and Medicine
Open procedure at government hospital, even going through after hours clinic, will likely be well under 50k. -
About 80-100k in a government hospital, 3-4 times that in a private hospital.
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Ultrasound would usually be first step Then possibly MRI As other poster said biopsy is indicated only if there are suspicious findings.
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Hernia operation Costs / Doctors / Hospital recommendations ???
Sheryl replied to RedArmy's topic in Health and Medicine
I would hardly call it new, been around for decades It is technically harder to do but easier for the patient (smaller incision, quicker recovery). Requires special equipment and training, and cost significantly more. Probably about 200k at Bangkok Hospital Phuket, give or take -
Hernia operation Costs / Doctors / Hospital recommendations ???
Sheryl replied to RedArmy's topic in Health and Medicine
Many, many TV members have had surgery here for inguinal and umbilical hernias. Cost depends very much on whether done in a government or private hospital, and whether by open or laparoscopic approach. (Note that laparoscopic approach may not be available in some government hospitals). in Krabi itself the only place for this would be the provincial hospital, a government facility. I doubt laparoscopic approach will be available there but you can ask. There may be a long wait as there are a lot of backlogs for elective surgery post COVID. Go through the "after hours" clinic (clinic nawk wela) and ask for an "acharn surgery." Bring a Thai speaker with you and expect long waits and lots of confusing red tape. -
It is available. I don't know the cost but quite expensive.
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No way is hospice care worse in Oz than in Thailand, where it is essentially non-existant. However no reason to think this is a terminal situation. OP just said he had health issues, not that he is dying. There have been well publicized arrests of elderly farang with health problems, disabilities etc by Thai immigration in the past. Thai immigration can and will nab any over-staying who comes to their attention regardless of age and health.
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what's on my face, and how do i remedy it?
Sheryl replied to BananaBandit's topic in Health and Medicine
Sounds like a bite, infected pimple or abrasion which is unable to heal because you keep picking at it. There isn't a way to get it to resolve without ceasing to pick at it. Apply an antiseptic, cover with a bandage and leave it alone. Try one of those transparent bandages and then tape strongly around the edges so that you can't easily pull it off. -
"should he go straight to the airport buy a ticket pay the fine and go" Absolutely. And since OP specificall yasked this I think we can assuem his friend does have the means to do this. This is the only option that will avoid risk of imprisonment in the IDC. Advice given by immigration volunteer in Pai is totally wrong. When passport is checked at airport it is usually just the face page, for purposes of identification. But if really concerned, travel by bus/van.
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what's on my face, and how do i remedy it?
Sheryl replied to BananaBandit's topic in Health and Medicine
The picture is blurred and totally unclear. Can't tell anything from it. is tyhe lesion raised or flat? Was there a scab that you pulled off? Is there discharge etc etc -
On the contrary, highly effective in protecting against severe disease and death.
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Generic option for Fosamax / Fosamax Plus available in TH?
Sheryl replied to DUS's topic in Health and Medicine
There are only 3 brands of alendronate/ alendronic acid available in Thailand: Alendronate Sandoz Maxlen (made by Mega) Fosamax Plus Note that Fosamax Plus also contains a second drug, Colecalciferol which makes it more effective. There is no other brand availabel with those 2 drugs combined By the way, pharmacies do nto usually make more money selling imports. In fact the profit margin may be lower, simply because the wholesale cost is so much higher.