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Sheryl

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Everything posted by Sheryl

  1. Cosmedtic use is much less frequent than 6 week interval. As mentioned, 3-8 month intervals.
  2. Does anyone know how many COVID tests (after arrival) are now required for: 7 quarantine of fully vaccinate people 7 day Sandbox ? I have not seen it mentionaed anywhere Under old 14-15 day quarantine there was 1 test aorun dday 5-6 and another on day 12. So logivally one would think just 1 test in a 7 day quarantiobne/Sandbox. But I see that they says "prepaid COVID tests" plural. ?
  3. Indeed it is not the hospital you should choose but the doctor. All hospitals have some bad doctors and most have at least some good ones. There is no reason at all to think you need an operation because you are hypertensive. You might well want to have a noninvasive proicedure to correct your AF, but that is another matter (more on that later). AF does not cause hypertension - instead the opposite relationship is more true though it is not a direct causation. Hypertension is a risk factor for AF. You need to start on medication to control your BP immedfiately. Many people require medication for hypertension without being in anyway out of shape or overweight etc. If you are on blood thinners (aspirin, warfarin or other drug) -- as you should be if you have AF -- then controlling your high BP is especially urgent as you are otherwise at risk of a cerebral hemorrhage which could be catastrophic. Do not delay. There are noninvasive surgical approaches to AF (ablation) and from what you describe of yourself, you may a good candidate for it. It is often worth correcting AF through ablation, especially in younger people, as it can avert the need for blood thinners and improve cardiac output. But even if successful it would not correct your hypertension, because the AF is not causing the high BP. I highly recommend this US trained cadiologist at Bangkiok Christian hospital https://www.bch.in.th/find-doctor/doctor-profile/?smid=4730 Once your BP is under control you should discuss the pros and cons of ablation with him. If you decide to proceed he might refer you to someone else as only a few doctors in Thailand are really experienced in it. I would trust his referral.
  4. Medconsultasia would not sell you a bottle of 100unit. Can't imagine why any place would as it would be a waste. I usually pay abut 4,000 baht there for 34 units. I have had Botox at literally cores of clinics in Bangkok over the years, all have cost significantly more. Should note that the skill of the person injecting is very important, it is nto a simple matter of paying for the drug. The usual practice at clinics is to consider 17 units "one area" e.g. forehead or crows feet etc.
  5. Thsi refers to at maximum four weeks. Most people get Botox every at 6 month intervals (3-8 being the range, shorter for new users, longer for old ones). Mine lasts 8 months. If buying a 100cc bottle you'd need to store it for 1-3 years (depending in how much you use) which is certainly not recommended. The "buy a bottle" approach would work only if shared by several people.
  6. Ranitidine has been pulled from the market in many countries as ti has been found to yield a toxic carcinogen upon disintegration. (NMDA) While Thailand has not issued a recall as far as I know, most doctors have stopped prescribing it. You really do nto want ranitidine. Famotidine is a better choice if you want a drug in this class.
  7. It will be a little more than the full retail cost of the drug in Europe, whatever that is. And it will be less than what you have been paying if getting it from a private hoispital, if that is what you have been doing. I cannot give you an exact amount, but you can price it at pharmacies. I would start by emailing this place, which has an online service [email protected] Or just visit some large pharmacies in your area (actual pharmacies, not a Boots or Watsons). You could also directly contact the distributor and ask (1) if you can buy say a 1 yerar supply directly from them; (2) if not, at least find out what pharmacies in your area they have supplied to. GlaxoSmithKline (Thailand) Limited 12th Floor, Wave Place 55 Wireless Road Lumpini Patumwan Bangkok 10330 Tel. + 66 (0) 2659 3000 With psychiatrists as with any type of specialist in Thailand you need to choose the doctor carefully. There are some good, Western-trained ones to be found but they are not the majority and have to be specifically requested by name. For mood disorders (depression, panic etc) I highly recommend this US-trained doctor https://www.bumrungrad.com/en/doctors/Suttiporn-Janenawasin She is worth travelling for, if you are not in Bangkok Besides being very good, she is extremely nice and kind Bring all records with you. It is especially important that she know what drugs have been tried in the past.
  8. I am not sure it is available here anymore - according to MIMS (listing fo all drugs in Thailand) it is now off-market. However it still shows up on the distributor's website, see here https://www.atlantamedicare.co.th/product/epipen/ I suggest you contact the company to find out what the story is - and please post th4e outcome here If it is no longer available, alternative would be to get an amp of adrenaline and some 1 cc syringes. Each amp has 1 mg in 1 ml, Epi-Pens (full size, nto pediatric etc) contains 0.3mg. In other words, 0.3ml of adrenaline from a vial of 1mg/1ml will contain same. You would need to self-inject, good idea to practice on some oranges first. As it is sc injection, nto difficult (though of course a little harder than a self-injector - and you need to first draw it up into the syringe).
  9. It is available and sold without pre4scription. However it is going to be extremely costly as the only form available in imported brand name Seroxat. It may also be hard to find, since other drugs in the same class are much more widely used here e.g. sertraline and escitalopram, both of which have locally made generic equivalents. I suggest you contact your doctor and ask if a switch to sertraline or escitalopram is feasible for you.
  10. This is a H2-receptor antagonist in the same drug family as (and chemically related to) ranitidine. Like PPIs (omeprazole etc), these drugs decrease the production of acid in the stomach, thus reducing the acidity of stomach contents. One would not usually take it along with a PPI, but rather take one or the other class of drug.
  11. 1. Nobody is coming in through land borders these days (not since COVID) and entry requires a COE issued by the MFA and it is during that application process that this paperwork would be reviewed. 2 He needs a medical certificate that specifically states he had COVID, with dates, and has recovered as indicated by negative PCR test(s) (dates). Nobody is going to wade through hospital or other treatment records. He needs a straight, to-the-point medical certificate stating these key things. I am not sure re 3 vs 6 month interval being accepted, should check most recent guidance. One thing to be aware of in coming here having previously had COVID is that it occasionally happens that there is still a small amount of viral material in the body abd hence a small risk of a positive PCR at some point (even though othet PCRs have been negative). PCR does not distinguish between active infection and dead viral particles from an old infection. Might not happen (probably won't) but it could and consequences of a positive PCR after arrival are not good.
  12. There are 2 approaches for him to get free treatment in Pattaya area. 1. Change his house registration (tabian ban) to anywhere in the province - for this he needs someone listed as house master in a registration book in the province who is willing to add his name. Renters can do this but getting landlord's cooperation is sometimes difficult (landlord would have to go with him in person to the ampur office). Or if he is friendly with anyone else in the area who is a homeowner they could add him to their regstration. Once listed in a tabian ban he is eligible for free care at the hospital which serves that location as well as any hospital to which they refer him (which in Chonburi would surely be the Chonburi Cancer hospital). Note however that once he changes his house registration he is no longer eligible for free care in his home province, so need to consider how sure he is of staying in Pattaya area etc. And whether that would hold true if he became seriously ill, unable to work etc. (2) Other approach is to get a letter from Chonburi Cancer hospital stating his diagnosis and that they are able to treat him if his "home hospital" issues a letter of referral. Ideally they should indicate expected duration of treatment so that the referral letter shows enough time (common issue with referral lettets is having too short an expiration). He then takes this to the hospital where he is registered for free care and asks them for a referral. They would have to refer him somewhere anyhow and might agree to refer him to Chonburi once referred care is free. Before pursing either of these options he should call the NHSO (call center 1330) as there was supposed to be a change whereby cancer patients could be treated at any government hospital without needing a letter of referrral. I am not sure of the status of implementation of this change but NHSO can tell him.
  13. Even if he gets the meds free in UK shipping costs will likely exceed cost of buying locally made generic equivalent in Thailand. I suspect he has not priced local generics.
  14. Importing through DHL will be prohibitively expensive and difficult -- if possible at all. Please see pinned topic on this. You will have to get an FDA import license and while a few (very, very few) people have managed to do this, all the cases I know of involved drugs not available in Thailand. It is questionable whether you could do this for a drug that is available here and even if you did, by the time the courier costs ,(inclusive of processing the license application etc) are factored in, cost would likely exceed buying the medication in Thailand. While it is technically illegal to bring in medication by mail without an FDA license, in practice customs usually (not always, but usually) will let through small quantities if sent by regular mail rather than a courier. (Using a courier guarantees problems, delays and demand for FDA license). There is certainly no reason at all to do this for Plavix since there are locally made generic equivalents that can be inexpensively bought at a pharmacy without a prescription. Apolets is one common brand name. For the rest of your medications, please list what they are and I will tell you if there are local brands. In thinking about moving to Thailand, please do not think of the cost of your current medications as the only consideration in terms of health care. Even if you retain a UK address and registration with a GP under NHS, you need to consider how you would pay for medical care in case of emergency hospitalization. With pre-existing heart condition you will not be able to get health insurance so unless you already have a policy that will cover you in Thailand, you will have to self pay. A major accident, stroke, heart attack etc can easily cost 3-5 million baht in a private hospital and 1 million in a government hospital (worst case scenarios i.e. prolonged ICU stay, specialized surgery etc-- but worst case is what you should plan for).
  15. I use Dr. Donna at medconsult asia. Definitely the best price and she knows what she is doing. https://www.medconsultasia.com/ She tends to be conservative in amount, if you like more extensive effect will need to tell her. Also she has a range of brands including many from Korea. Your mileage may vary but for me, they did not work so I had to request actual Botox brand. (which she does have, though costs more than the Korean brands).
  16. No discount for being Thai, but she may not be eligible for some of the policies that you are e.g. expat policies. I assume you know that as a Thai national your wife already has access to free health care through the government systam? Most This do not get private insurance for this reason. You can always pay insurance premiums annually and there is often a savings in doing this vs monthly. Some insurers offer a small premium discount for a second family member, typcially about 10%. Should go through a broker, I reccommed AA. www.aainsure.net
  17. As the original question has been answered and this thread is now veering off into general discussion of COVID (for which we have a whole sub-forum), the thread is closed.
  18. I would try it. You may still regurgitate stomach acide (which will be all the mroe acidiic for nto having food in it.). Also use the pillow when reclining for any reason (i.e. reading, watching videos etc). Regarding weight loss, you do not have to be overweight to benefit from it. Especially for someone with a hiatus hernia, weight loss is very helpful and the only situation where I would nto recommend it is where someone is already underweight. It is simple physics; the more mass you have in your abdominal area, the more upward pressure there is on the stomach.
  19. There is no "word" to be kept as the government never made a definitive commitment to do this. It was announced only as a tentative plan, contingent on things like progress with vaccination, case count etc. Also please note that the details were never announced and it was certainly never suggested (and probably never intended) that there would be no conditionalities and people could just fly into Bangkok and then go on to other parts of the country. indeed the discussion was specific to Bangkok and referred to the existing Sandboxes, so very likely that there will be as required pre-paid Bangkok hotel booking, COVID tests after arrival, etc etc.
  20. I assume you have already tried entering just your ID number and no phone number? Do you know what the incorrect phone numer they provided was? As if so, try registering with that.
  21. An unhelpful reply has been removed
  22. I had similar problems recently despite having previously done it online with no problem. Got to the site, entered the data, but could nto save it, kept get non-specific error message. And I too could nto find a TM30 app to download (did nto realize it might be same as "Section38"). Gave up and did it in person.
  23. You fill out a form. Some imm offices want a photocopy of your passport with it. Some imm offices will take just the passport and no form and do it right into the computer, others insist on the form. It can be done online by computer at this site https://extranet.immigration.go.th/fn90online/online/tm47/TM47Action.do Can also be done by mail The reporting per se is not hard, it is the hassle of keeping track of every 90 day interval, especially for those of us here for years and years.
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