Sheryl

That had been my understanding but the article states all remittances are declarable. (Declarable not necessarily assessable...but no way to show that on a tax form).

Exactly the problem. And especially a concern for the elderly, precisely the group now being limited. I am right now sitting outside the cardiac ICU at a major hospital for a Cambodian friend who just had a quintuple bypass (4 grafts, 5 vessels). His family is scrambling to sell some land to cover costs but as he could not safely wait I fronted them the money. 2 deposit payments so far: 52k before the angiogram, 1 million before the surgery (and these will not fully cover costs, there will be more due later). First deposit paid with mobile banking, Thai bank (thankfully the 50k cap nto yet instituted as I could not have left the hospital to go in person to bank at this juncture). Second deposit exceeded my Thai bank balance (excluding the 800k visa account) so used 2 US credit cards. One tripped a fraud alert, one didn't. Cleared the fraud alert with a phone call, no need to "come in person", just answer a series of ID verification questions. No one presumed to try to ascertain if I was being "scammed", just that I was I. But not all expats have credit cards with high credit limits from their home country, many have all their assets with them here in Thailand. A huge problem looming for expats in situations like this if there is a 50k cap automatically applied. Going in person to the bank in such situations not possible. Extra security, including phone call to the bank, would be fine, but an absolute cap is not warranted.

No English language version No way to declare income that is non-assessable under DTA

Needle prick is not arterial. Far fom it. It is capillary blood.

My concetn was sparked by your statement about it spreading to what sounded like the other leg. You have now clarified that it is on one leg only. I am familiar with this beetle (spelled Rove). In fact I have a cat that has several times been affected. (You'd think she'd have learned by now to leave them alone , but no....). There is a very toxic chemical in their bodily fluids that cause what is in effect a chemical burn. Just would not have been likely to affect 2 different limbs.

I agree that a second opinion should bd sought -- from an internist not dermatologist -- if it does not improve.

A nonsensical post of no apparent relevance to the topic has been removed

Likely location of a vascular specialist is precisely what OP asked for, and that advice has been provided.

A post with posted text and no source has been removed. Please DO NOT post text ftom Chat GPT and the like here, and when posting information from the web provide a link. Also please note that the information OP requests is for Leftose not Azithromycin. Leftose is a naturally occurring enzyme purporting to help thin phlegm and ease sore throats. AFAIK there is no evidence backing this claim. https://drlesliekoh.com.sg/leftose-tablets-lysozyme-hydrochloride/ Has a good overview

Antihistamines, the " Z" class sleep meds and certainly benzos should not be taken every single night, and best not any 2 nights in a row. 2-3 times a week is best. Otherwise tolerance will develop.

https://www.medparkhospital.com/en-US/disease-and-treatment/trigger-finger-and-ultrasound-guided-finger-release

When I said Buriram might have it, I meant the government hospital, not a private hospital. The government hospital is a 900 bed regional level facility. Buriram private hospital is quite small and might nto have a vascular specialist. Personally I'd try the after hours clinic of the government regional hospital instead. For PAD -- of doctor suspects that - tests would be Ankle Brachial Indix ( comparison of blood pressure in the arm and at the ankle), Doppler Ultrasound, and sometimes angiogram. Doppler will also identify venous thrombosis which is also a possibility. If a vascular cause is not found, next stop would be an ortho doctor to check for arthritis or spinal issue.

OP describes pain that eases with exercise ("I've also started using my treadmill again after a layoff for a few months, (tedious) now using twice a day for 15 minute's, painful for the first 5, then eases up.") Intermittent claudication is exactly the opposite, progressively worsens with exercise and eases with rest. He also mentions foot swelling and heel pain. There are several possible differentials for this and he does need to have it diagnosed by a doctor.

Can get it from a number of sources, including pretty much all private hospitals and some clinics like https://www.medconsultasia.com/?s=ozempic which will ship nationwide It is used for weight loss in Thailand, even in non-diabetics, but for people with significant obesity Besides injection there is an oral form (Rybelsus). Something to be said for taking it orally at least at first in case the side effects are intolerable, since the injectable dose lasts a week. There are side effects, contraindications and also important potential drug interactions. For those who tolerate it, definitely works, but the problem is to then keep the weight off after stopping.

Who made this diagnosis? As it is not something you can self diagnose, and what you describe (initial leg pain that eases up as you walk) does not sound like it. Buriram hospital (min government hospital in Buriram town) is a Regional level hospital so has specialists, may or may not include a vascular surgeon (which may or may not be what you need). Worth a try. If you have not had a recent test for diabetes (fasting blood sugar or HB1Ac), you certainly should.

Yes, the restriction on the "elderly" (which knowing Thailand will be anyone over 60/65) is worrisome for expats. They should have some sort of opt-out provision, or some way to authorize with additional (online) steps.

June and July are not too bad as the rains usually start in mid to late May. it is March, April and May that are the scorchers. Late February to late May to be more exact.

Back pain can have many different causes so there is no "one size fits all" solution. Pain from nerve compression is different both in origin and quality from myofascial pain but only those who have suffered both can subjectively differentiate and even then it's not certain. Myofascial pain can arise from issues in different muscles, ligaments and tissues so even that is not the same across individuals. And in some cases - of which there was recently one in this forum -- what seems like a back problem can actually be something altogether different like shingles. Exercises and stretches will certainly help pain of muscular origin and may, to an extent, sometimes help with nerve compression issues. But it needs to be the right sort of exerciser/stretch according to which muscles/ligaments etc are involved, and that varies. Minor aches and pains that come and go can be managed by oneself with simple analgesics, trial-and-error exercises/stretches, weight loss (if needed) and sometimes mattress/pillow adjustments, but chronic or severe pain needs to be professionally evaluated. The best way to go about that is to start with an ortho doctor specializing in spine then, if no clinically significant issues found, proceed to a physical therapist.

People who are adjusting their insulin dosage based on blood glucose readings would normally be doing so according to instructions from their doctor, and that would not be considered "self prescription".

Still in diabetic range. You need better blood sugar control, obviously. In terms of brands of meters, , AccuCheck is the most commonly used & reliable type here. The strips are expensive but easy to come by, pretty much any pharmacy has them. And the company provides good tech support. For periodic assessments at a lab or hospital/clinic, Hb1ac is better than fasting sugar for a number of reasons. The fasting sugar captures only your glucose at one point in time, before eating. It is fairly easy to "game" this by following a better diet for a few days before testing, and people may do this even without consciously realizing it. Hb1ac on the other hand is an average over several months and captures nto only glucose before eating but after eating as well. So a better overall picture of what is going on.

A post containing only response from Chat GPT has been removed. It is a good bet that anyone able to use this forum is able to use Google and Chat GPT so there is no value added. In addition, AI (and for that matter, Google) is far from accurate when used for this type of thing. There are AI applications specifically developed or in development for use in aiding medical diagnosis but those are far different from chatGPT and not designed for use by lay people. Google is useful only if you know what sort of medical search terms to enter and which links are reliable.

Varies with the antihistamine, and the patient. Some antihistamibnes have been linked to cardiac issues especially in elderly people or people wih pre-existing heart problems. At normal dosages, this specific antihistamine (Sominar, which contains doxylamine) rarely causes cardiac problems. The most common side effects are sedation, dizziness, confusion and balance problems (sometimes leading to falls). These are all more pronounced in the elderly Contraindicated for people with glaucoma, and people on other medications should research possible interactions. That said, it is considered safe enough that it is sold over the counter in the US. Can even get it on Amazon.

If for biopsy, it will have included MRI/US fusion guide. Would not have included a stand alone MP MRI. (Or it could have included MP MRI but not biopsy. Will not have been both). Due to the anatomy, and the need for advanced imaging to guide sample selection, a prostate biopsy is not such a simple matter and certainly not comparable to many other types of biopsy. General anesthesia, at least 1 night stay in hospital (often longer if urinary retention an issue) and use of advanced MRI equipment all involved. Prostate biopsies are also not without risks: bleeding, infection, urinary retention on top of usual risks of anesthesia. Which is why it is often preferrable to first do a MP MRI - it reduces the number of unnecessary biopsies (i.e. biopsies that prove negative) considerably. But at a cost as it requires a special, new type of MRI machine and specially trained technicians etc.

Market food prices have greatly increased. Both for fresh food and for the prepared food in little baggies. Of course they remain comparatively low by we4stern standards, but they are significantly higher than before. Pre-Covid, most plastic baggies of prepared foods in my local market were 20 baht. Now 30 or 35. Egg prices are now the highest on record, though sellers have offset this by often selling only smaller sized eggs https://www.bangkokpost.com/business/general/2589810/egg-prices-at-new-high It doesn't affect my personal budget noticeably either, because local foods comprise such a small proportion of my costs. But if you talk to Thais and migrant workers living on much lower incomes, they feel it a lot. As in the US, inflation in Thailand peaked in 2022 (was over 6% for that year). From Dec 2023 - March 2024 there was some small drop in prices then inflation resumed at levels that are now averaging around 1% a month. The small drop occurring during those 4 months did nto remotely bring prices back to pre-2022 levels https://tradingeconomics.com/thailand/inflation-cpi (click on either 3 yr or 5 yr on that link to see clearly)

Putting aside the about 1/3 of the electorate who will always vote for Trump when he's running, what swung this election was the (rightly or wrongly) massive unpopularity of the Biden administration, something that has been evident in repeated opinion polls ever since the administration first took office. Harris was viewed as part of the administration/an incumbant. No way she could have been seen otherwise given that she was the serving VP. Had Biden run, would have had this effect exacerbated by the further issue of his mental/physical fitness. Delusional to think otherwise. Even if there had been open primaries leading to a different candidate, one not part of the Biden administration, it would still have been very difficult for the incumbent party to win. I can't off hand think of a case where an administration's approval ratings were this low yet their party retained the White House. The take-home here: nothing to do with the campaign but rather with the extreme importance of heeding approval ratings from day 1. You can't the next election campaign starts is way too late.