Sheryl

Do you have a (non AI) link for this? As these banks have told me differently i.r. no POD provision for Thai Bank accounts. I have a Thai will specifically for this reason.

The term you want is "vascular surgeon". There is one at Bangkok Hospital Udon, Dr. Anucha https://bududon.com/en/doctorprofile.php///doctorprofile.php?cntype=CN0008

Ringworm is unlikely to appear so suddenly, in one location only, immediately after a bite.

Probably not, but a nephrologist can do additional tests to be sure.

EGFR is not a separate test. It is a calculation made from the creatnine level (and sometimes, in Thailand, not very correctly).

yes, Bria is quite good but location not so convenient and OP specified Sukhumvit area.

The various packages you see tend to be poorly designed and aimed more at marketing considerations than medical ones. Tend to contain unnecessary tests that are nto suitable for screening purposes and likely to lead to unnecessary further tests. What you need, assuming no special problems/history, is: complete blood count AST/ALT (liver enzymes) Creatnine BUN uric acid Lipid panel: HDL, LDL and triglycerides HB1Ac PSA TSH These are blood tests and can be done at a lab. In addition, I would suggest an exercise stress test if you have not had one in recent years. And a colonoscopy if you have not had one in past 10 years. These last 2, you'll need a hospital for.

@Bill Poster is it possible for yuou to go to Khon Kaen instead? As KKU Hospital (Srinagarind) would be best

The pain distribution matches C6 nerve ennervation exactly. You will likely need an Xray of the cervical spine (neck) and an MRI. I'll be back with doctor revommendation.

Pinched nerve, probably at C6 in cervical spine, is certainly a possibility. Pain alone, with no neurologic signs, make stroke or TIA unlikely. Heart ischemia can cause shoulder and upper arm pain but would not usually cause pain all the way down to thumb. That said, since you are probably going to need to see a doctor anyway, would be wise to get a cardiac check up anyhow unless you have recently had one. In terms of what else you can do yourself, could try applying heat around the shoulder, sleeping in different position/different pillow (with or without a cervical collar to keep head ftom slumping forward), gentle (emphasis on gentle) shoulder massage, use of cervical traction device like this https://th.shp.ee/n6jQ7JR If any if these measures help that will be useful diagnostic information. For sleep position, on your back is best. If you must sleep on your side, lie on the unaffected dide and elevate the affected atm on a pilliw. When you see doctor, I suggest an ortho preferrably one specializing in spine. What city are you nearest to?

Sorry meant to say Soi 31.

RSU health on Sukhumbit around Soi 32 Not necessary to get package you can request just the tests you need They'll email you results https://rsuhealth.com/

I am not aware of anyplace in Thailand doing PAE.

People with COPD often have high blood pressure but there is no reason to measure BP differently in people with COPD. What these doctors are doing is their own idea and not supported by medical science.

There are various treatments for varicose veins: surgery, radiofrequency ablation, laser, sclerotherapy (the injections this doctor proposed). The choice of method depends in part on the size of the veins. I can't say re usual cost for sclerotherapy vials. Nor can I comment on the recommended number of vials though does sound like a lot. What most concerns me is: 1. The lack of physical exam 2. The high sales pressure 3. The scare tactics. To say you might lose the leg in 10 years is quite a leap and not justified. It would take a whole series of events for that to occur and usually it does not. I recommend you get a second opinion at a hospital with a vascular surgery clinic such as https://wattanahospital.net/patient_services/vascular-surgery-clinic/

Actually rule gor bringing in is 30 day duppky but not sttictly enforced. Would have been perfectly safe, and chesper, to buy omeprazole and napraxan locally.

MRI (spevial type for prostate) does not eliminate need for biopsy in all cases. What it does do, is help identify which men may need biopsy thus avoiding many unnecessary ones.

Since you felt a bite first, spider bite is my guess. If redness starts to spread into surrounding tissue (cellulitis) you'll need antibiotics....has happened to me in past. Suggest you circle the area with a pen so essy to see if redness spreads.

I believe next step will be an interview at the Embassy. Having had previous US tourist visa and assuming never overstayed, his chances are good.

If it moves easily and feels sort of rubbery (and painless) then may be a lipoma. Harmless if so.

1. Best place in Thailand for glaucoma treatment would be Rutnin Hospital in Bangkok. I highly recommend this doctor there https://www.rutnin.com/en/doctor/resume.32.1_Medical_history_0_0.html You will not find care of that caliber in Pattaya. 2. You also will nto find the sort of psychological help you have in mind at a hospital. The doctors there indeed pretty much only prescribe drugs. There are some good psych resources outside of hospitals, though, in Bangkok. See this pinned thread https://aseannow.com/topic/90910-mental-health-resource-list/ If your wife is Thai then suggest one of the Thai female counsellors at either https://ncsbkk.com/ncs/index.php/counseling/about/ or https://psiadmin.com/psis-professionals

How long have you been on the Duodart? I ask because it takes 12 months to see maximum effect on prostate size. Besides the 2 drugs contained in Duodart (dutasteride and tamsulosin) there are other drug types that can be added to try to reduce urinary frequency. And/or, could switch the tamsulosin to silodosin (somewhat more effective drug of the same class) plus dutasteride. No doctor is going to recommend complete gland removal in the absence of malignancy -- not necessary and carries greater risk of long term adverse effects than resection. When it comes to deciding whether to have a resection of the prostate as opposed to continuing with medical management alone there are several considerations, some objective and some subjective. Objective indications of a need for resection would be if, despite medical therapy, you were encountering significant urinary blockage leading to a need for cathetrization and/or recurrent urinary infections, in such cases really no good option but to have a procedure done to reduce prostate size around the neck of the bladder. Subjective indications relate to quality of life in the absence of problems such as the above. If, to you, the degree of retention/frequency is not tolerable, and assuming you have no unusual risk factors, then you might opt for a procedure. This is not something a doctor can tell you, only you know how you feel about living with the inconveniences etc. Foir resection, besides TURP, laser enueculation (HOLEP) and other types of laser resection are options. Assuming you have been on the Duodart at least 12 months, and find your current level of symptoms intolerable, I recommend you consult this US trained doctor at the private wing of Siriraj Hospital. He can perform HOLEP & laser procedures as well as TURP and should be able to review the various options with you: Assoc. Prof Sunai Leewansangtong https://www.siphhospital.com/en/medical-services/doctor-biography?id=247

No doctor will recommend (or perform) complete removal of the prostate for benign enlargement. Only resection which can be achieved in a variety of ways - TURP, laser enuclueation, steam (Urolift) etc etc. Complete removal of the gland carries considerably more risk of impaired sexual function etc than resection does.

Anywhere in the workd, endiscopy neans use of an instrument with a camera. There are many types of endoscopic procedures.

Sorry to hear this. Fingers crossed for a good outcome. Even Stage 3 breast cancer still has an 86% survival rate. So reason for optimism.