Sheryl

I assume yhat's ronotic surgery? If cost is a constraint, surgery would probably be a few hundred k less at Siriraj and pethaps 100 - 150k less at Thonburi. May also be s bit less at MedPark. Radiation options are more limited as not all hospitals offer/ have the best equipment but Siriraj for sure does.

For what its worth -- I myself do not take worm pills & haven't for the 30 years I've lived in my current residence and no sign of worms. (I get a complete blood count anually, no anemia, no eosinophilia). Many many years ago (1980's) when working in refugee csmps on the Cambodian border I did take it. Different circumstance, much higher risk.

If you also do not walk outside barefoot, sounds like your risk of parasites is indeed extremely low.

A post discussing illegal activity has been remoived. The OP is seeking a government hospital for delivery. Nothing else.

The immune system gets plenty of use, without needing to be intentionally exposed to spoiling food etc. Our world is hardly a sterile bubble, we are surrounded by (and breathing/ingesting) million of organisms everyday.

Far from being immune diarrheal episides from food are extremely common among Thais and definitely linked to improper good storage, which is also very common. In both cases, also true in neighboring countries. Many Thais do not go a week without a brief episode of diarrhea...so common it is viewed as normal. Which does not mean that it is, or that it is harmless. The problem is that refrigerators were traditionally thought of as serving the purpose of making things cold, and thus used only for things one wants to consume cold. Only the unusually well educated know that refrigeration retards food spoilage. Add to this traditional practice of buying from a fresh market daily ...Which made unrefrigerated storage more feasible (but still not ideal). Of course times have changed, many households everyone works, people increasingly buy in larger amounts from supermarkets etc but old habits die hard, edpecially when there is limited knowledge of the relevant science. Obviously these are generalizations and more educated Thais differ. But people have grown up with the idea that a refrigerator is a luxury item designed to make things cold as a taste preference (hence so few large ones) while in the West they have long been understood as a means of preventing contamination and spoilage.

Try to have a native Thai speaker go with you next time, as there seem to have been communication issues. Hospitals you have not yet tried include Chulalongkorn and Srindihorn. A little further away for you but Srindihorn would be pretty quick by taxi using the expressway. https://maps.app.goo.gl/8wSNPR3E1kTpBSBN8 https://maps.app.goo.gl/TvyKiWGgSVoJm2DE7

This aopears to be ftom AI. And, as js oftdmen the case, it is incorrect (abd garbled). Thai citizenship at birth depends on at least one of thev parents being a Thai citizen. Place of birth is irrrelevant to this. Reverting to OP situation, the baby will NOT have Thai citizenship at birth dince bith oatrnts are fo SDMC is not the appropriate place to go. There appears to have been complete misunderstanding of the purpose of your visit. Both of these hospitals do treat foreigners, and foreign women do deliver babies there. Who is translating for you on these visits? And can I ask your nationality and form of identification (passport? Pink card? Etc) I could keep suggesting different government hospitals but I think the problems may continue until we get to the bottom ilof what is the cause.

No, it does not. Being born in Thailand does not confer Thsi nationality.

P.S. are you sure they did not misunderstand and think you expected free care? Foreigners indeed are not entitled to that, have to pay full cost (but it's much, much less than private hospitals) . In over 30 years here, I've never heard of a government hospitsl refusing to treat someone because of nationality.

It us untrue that they do not accept forriegners, can't think why you were told that. Did you register first for a patient card/number? Could also try Ramathibodhi https://maps.app.goo.gl/kcd7XXAK96jxyv1V8

I'd suggest Rajavithi Hospital at Victory Monument. Register there for a patient number and get antenatal checks there. That way they will have all your records when the time comes. If you don't speak Thai, have a Thai speaker come with you at least the first time.

Check with your doctor first as nebulizers use diffrrent snd specific medications that might or might not be appropriate for you. Usually a nebuluzer uses compressed air not oxygen unless you need oxygen therapy anyhow. Medical supply store or large pharmacy should have.

Before thinking of surgery I'd try Botox and maybe fillers.

A foreigner can use any government hospital. But be prepared for red tape and (if you don't speak Thai) language barrier. Government hospitals will not usually do c-section unless medically indicated. Where in Thailand fo you live? Government hospitals vary greatly in level, quality etc.

A post consisting of nothing but pasted AI content has been removed per new forum rule: 39a. Posts should be original, on-topic, and written in your own voice. This is a discussion forum—not an AI content dump—so keep contributions natural and personal. AI tools can be used for reference or to support facts, but your writing should reflect your own understanding and perspective. https://aseannow.com/forum_rules/ All AI does basically the same thing - it regurgitates content found in various places o nthe web, woven into text form. If what is on the web is inaccurate or outdated, the AI generated results will be likewise. Garbage in, garbage out. In the case of this issue, most of what is on the Web is from social media (indeed, this thread could end up incorporated in AI findings on the subject). As I have previously stated, the Food Act of 2522 (1979) makes no mention of melatonin whatsoever. Neither does it mention various vitamins, fish oil etc etc. The act is concerned with food. It has no bearing on this subject but do to an inaccurate posting on the web, and general scaricty of other info on the web, it pops up in AI. https://catalog.fda.moph.go.th/dataset/49200dfd-2b16-4513-8435-08c591882caa/resource/d99b7e26-8bb0-4f2c-90e3-7d39bb419fae/download/food-act-b.e.2522.pdf This is the current MIMS listing for melatonin in Thailand, note the classification:

I would recommend Prof. Sittiporn if you opt for surgery. Ask specifically about robotic surgery. He is at several hospitals (Siriraj, Thonburi, MedPark) as well as Bumrungrad so if cost is a constraint might like to have him do it at one of those but need to be sure it has the equipment, you can adk about this when you see him. If you opt for radiation you'll be referred to an intervention radiologist. Prof. Sittiporn can still oversee your progress/follow up.

It is no longer being marketed in Thailand by the manufacturer (likely due to low sales). But pharmacies may still have residual stock. Eventually this will be depleted.

He did not copy and paste an Act. He copied and padted AI generated text from Google which, as is often the case, contained inaccuracies. The Food Act makes no mention of melatonin one way or the other, and it's a moot point since not used as a food additive.

What you got from Google is incorrect (or at least, outdated). It is never wise to go by the AI results that appear at the top if all Goohle searches these days. It simply regurgitates things thst have been posted somewhere on the Web with no check on accuracy and can thus serve to perpetuate misinformation. Melatonin is approved in Thailand and now classified as a nutritional supplement though there are no brands of it currently registered in Thailand. There was previously a Merck brand, Circadin, marketed here and for some bizzare teason classified as a hypnotic. This is now off market. Melatonin generic is still approved and listed as a Nutritional Supplement. That said, it is illegal to import any pharmaceutical (including supplements) from abroad without an FDA license. You won't be criminally prosecuted or fined for it, it but package may be seized by customs. (iHerb packages seem to get through however).

It gets mailed to the States, Wilkes-Barre Pa. Address is in the form instructions. I go back to the US each summer so mail it priority express mail in July or August. if mailing ftom Thailand, I'd send either EMS or registered mail and not later than October.

You could start then by telling the hospital to contact the insurer for guarantee of payment, see what happens. International insurers negotiate, and would certainly zero straight in on the 2 night stay, for example. Thai insurers are less sophisticated and often lack medically trained staff, so might not know what to look at and just say "too much money". See what happens, if it doesn't resolve then either Thonburi hosp same doc, or doc I mentioned at BCH.

An unhelpful post has been removed. As this is a medical issue and not related to excessive drinking per se, moving it to main Health Forum. OP, in addition to the issues related to alcohol content (already explained), beer is carbonated and carbonated drinks should be avoided after throat radiation, at least until full healing has taken place. Both the bubbles and the acidity which accompanies carbonation are issues.

If you have insurance which would cover this, I'd tell them to send a request for Guarantee of Payment to your insurer and inform you once they have it. Let the insurance company sort it out with the hospital, very common for prices to be negotiated at that stage and no reason for you to be directly involved. If the insurer is at all capable they will certainly nix the 2 night stay, to start with, and demand an itemization of costs and then scrutinize that. Alternatively arrange to have it done by same doctor at Thonburi Hospital, cost is sure to be less. But Thonburi may have less experience dealing with insurers, especially if it is international insurer. Or, if you want to do this at BCH, they do have a hand specialist, I have no feedback on hm but looks well qualified https://bch.in.th/find-doctor/41

No need in case of Thai citizen