Sheryl

As long as not more yhsn 40 day supply no. And they aten't strict on that. But why on earth have it brought in when you can easily buy equivalent here? Just have to take 2 pills instead of one.

Thank you. Can you suggest settings for: 1- pressure setting 2- jet width And a brand of washer? My hope was that using pressure spray washer machine would remove need to walk on the tiles, is that not the case? Can't find any workers where I live with any exprrience doing this. I have a resident handyman who will do it with 1-2 helpers So need to instruct them pretty clearly. Thanks!

Vomovo brand is off market in Thailand. It is just a combination of two drugs: Naproxen (an NSAID) and esomeprazole (a PPI, same class as omeprazole). You can easily get those 2 things separately here without prescription. Sither those exact things, or any otger NSAID and PPI. All of these things -- and voltaren, paracetemol, even vitamins - are considered drugs here. But being considered a drug (pharmaceutical) does not exclude being sold over the counter. Most drugs are sold over the counter in Thailand. Voltaren (diclofenac) and Naproxen are similar in safety, no significant difference.

thanks. I am aware of the benefit of using chlorine. What I don't know is how to instruct the workers in use of the pressure washer so as to avoid cracking the tiles. (Distance? Are there settings? Etc)

IMG has a travel policy that covers US citizens visiting the US -- but they must be resident elsewhere. I believe it is called Patriot. Prior to becoming eligible for Medicare I got this each year. (Never had a claim tho).

Hi, I put a new roof on 10 years ago, white tiles (concrete I think). Now quite dirty with soot and blackish mold. Can people advise best way to clean these without damaging the tiles? It's a a very large 2 story house so pressure cleaning is probably the easiest approach but how to ensure not too much pressure? Thanks in advance

I doubt you will consider price reasonable anywhere in Thailand, but you can get it for less than this hospital quoted. Around 75k seems the current norm. See this thread https://aseannow.com/topic/1327841-dentist-for-an-implant/

The manufacturer states this cannot safely be done in the case of Ultraset. They do not say why. I think it prudent to adhere to manufacturer warning.

The OP is taking more than 100 mg a day. And he is addicted. He also has no known reason for needing a pain killer as such, and what he is experiencing now is not return of chronic pain but withdrawal symptoms. No one is "demonizing" tramadol. The OP however posted about an addiction problem. Which he definitely has. His situation and yours are different.

No reason at all to think about costly inpatient programs. Sounds like you have now decided to remain addicted. If in the future you ever decide to come out of the addiction I can refer to doctor specializing in this who can help with medications to control/lessen withdrawal symptoms. But you need to make that decision, and to summon up the determination to follow through.

Tramadol is a capsule. Ultracet is s tablet but cannot be split. So 1/2, 1/4 etc are not options. He has to work wuth dosages of 37.5 or 50 and number of doses per day.

The cause of his pain is withdrawal. He is addicted to tramadol.

You CANNOT safely do this. It is very dangerous and not at all the same as spliutting plain paracetemol. "Cutting, breaking, crushing, chewing or dissolving ULTRACET can lead to dangerous adverse events including death" https://www.mims.com/hongkong/drug/info/ultracet?type=full

Presumably if it is not serious, it could wait until after your trip anyway. The point of travel insurance is to assure immediate availability of emergency care.

How much are you assuming a simple doctor consultation is going to cost?

It opens fine for me.

The issue is not so much length of stay (assuming less than a year) as it is: do you have ready access to free or affordable health care in your home country, and would you be willing & able to fly back unexpectedly for care? If so then travel policy is fine. If not -- it isn't.

Indeed no liquid form available here, and indeed cannot cut or split ultracet tablets. Which does make it harder. He can go from 50mg doses to 37.5 easily enough butiotherwise can only alter dose schedule. The mood issues are why doctors who mange addiction sometimes prescribe SSRIs temporarily to people coming off tramadol. Among other things.

Exactly. In fact, it is always at the discretion of the company whether to pay for treatment in Thailand or just facilitate a return home. Obviously the urgency of the situation and fitness to fly play a part in that decision. But definitely, one must be prepared to have to return home for treatment/follow up treatment if using a travel policy. And nothing non-urgent will be covered. In addition, a travel policy may be invalidated if the company learns the person was in fact permanently resident in Thailand. And many require that the insured person have health cover in their home country.

I can't say what any specific facility will offer her as it depends on the specifics of her case. For that matter, her difficulties might nto be fro mthe quality of the prosthetic but rather form poor fitting etc. What I can tell you is that the best place for this sort of thing is this specialized government hospital in Nonthaburi (outskirts of Bangkok). https://www.snmri.go.th/en-po/ They custom make all their prosthetics. There is a world of difference between giovernment hospitals in the provinces, and specialized government hospitals in the Bangkok area. She may need a referral letter from the hospital she is registered at under the 30 baht scheme to be treated there for free (though I am not certain on that point in the case of disabled people.). Sometimes it works best to go there first and then, if it looks like they can be of help, have them write a note to her home hospital explaining that they would like to treat her and asking for a referral slip. This usually works. The link I gave has phone numbers, she could also try calling to ask them clearly if she can get free treatment without a referral letter (but don't be surprised if cannot get through - often the case with government hospitals).

Depending on what exactly she needs --- which in addition to surgery, might also include radiation and/or chemotherapy, and almost surely involve costly scans and tissue-typing --- this could easily run to millions of baht at a private hospital. I therefore recommend yo ugo to the Queen Sirikit Breast Cancer center at Chulalongkorn Hospital, a major university-affiliated government hospital. https://qscbc.org/en/cancer-clinic-opd/ They are very well equipped and can provide everything she needs, but being a government hospital, you need to expect long waits and some language barrier with the admin staff and nurses. (The doctors will speak English.) If you can, bring a Thai speaker with you at least the first time, even if you have to hire one. And show up early. Once in the system, things get easier. And cost will be 1/4 to 1/5 that of a private hospital. For same or better quality. There are many reasonably priced accomodations on Silom Rd within walking distance of the hospital.

The fact that it has paracetemol is nto likley to make much difference but the 37.5mg dosage is a big help. One of the problems with trying to taper off tramadol is that it comes only in 50, 75 or 100 mg capsules. If you are currently taking 50 mg 3 times a day, try switching the middle dose to ultracet. (So 50, 37.5, 50 a day). Give it a week at least, then if feeling not too bad, change another dose to ultracet etc etc. Once down to ultracet 3 times a day try for twice a day. If that is too difficult then 3 one day, 2 the next, then 3 etc etc. In other words - go gradually. Do not give up, and do not back track, even if feeling uncomfortable -- but go slow.

Since the limit is per coverage period not per event, and sounds like you will be here many months, I would say not less than US$250,000.

@Maestro definitely yohu should request the shingles vacvine (Shingrix). Note that it requires 2 injections at least 2 months apart. (can be as much as 6 months apart, but not longer) do plan accirfingly. While it is availaboe in Thailand, it is costly, dmso if free back home get both doses there if possible. The newest pneumonia vaccine is Prevnar 20. Whether yoh should receive it depends on which of the older pneumonia vaccines you already had and your specific risk factors so discus with your doctor. https://www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/index.html#cdc_generic_section_3-adults-50-years-or-older RSV vaccine is now recommended for all people aged over 75; or over age 60 emwith soecific risk factors https://www.cdc.gov/rsv/vaccines/older-adults.html#cdc_vaccine_recommendations_section_1-who-should-get-an-rsv-vaccine