Sheryl

@giddyup You need to see an orthopedic doctor. Pain such that you can't walk 30 minutes at a normal pace needs intervention. If it is due to arthtitis there are alternatives to surgery that can help. eg HA injections. Targeted physical therapy to strengthen specific muscles that support the knee may also be beneficial. In the meantime should stop at the point of pain as continuing will lead to inflammation and worsen matters. Maybe try 15 minutes twice a day instead of 30 minutes once?

Speaking as one who has been certified and (innumerable times) recertified in CPR, and actually performed it scores of times over the years: It is s physical skill and cannot be adequatly learned ftom a video. Hands on practice is needed. There are mannikins specifically designed for this purpose . Even among people properly trained and certified, if they never actually do it, skill level is often poor and confidence lacking. Note that CPR and first aid are not the same thing. As for the utility of CPR in a situation where defibrillation etc not available, it really depends on the cause of the arrest. And how quickly medical aid arrives. CPR by a lay person in a community or home setting does the most good when the victim is comparatively young and healthy, and arrest was due to a sudden event rather than underlying medical condition. e.g. cases of drowning etc. For that matter, even CPR by medical personnel accompanied by defibrillation if indicated (it is NOT alwsys necessary) often does not have a very good outcome if the arrest resulted ftom an underlying medical condition as opposed to sudden event. Especially in older people.

These tiers refer to government hospitals..and are not widely used as too complicated. Some government hospitals charge foreigners more than Thais, some do not. Mostly this occurs in locations which get a lot of foreign patients (Bangkok, CM etc). Private hospitals likewise may or may not have diffrtent pricing tiers, it is up to them. To date there is no effective government regulation of the private medical sector. Overcharging is a very well known issue at private hospitlas and also affects Thais.

SSO will pay only for care at the one hospital you are registered at under SSO. ...and (in theory) for emergency care at sny hospital if too unstable to be transferred, for no more than maximum 72 hours. This last is poorly enforced. So unless your nominated SSO hospital is a private hospital (rarely the case but sometimes occurs), you cannot use SSO at a private hospital, period. Private insurers may pay costs not covered by SS provided you went through the necessary steps for pre-authorization. This requires paperwork ftom the hospital which can be hard to impossible to obtain at most SS hospitals, hence the scenario rarely arises. Which is your nominated SS hospital?

The above is correct, except that D&C is rarely used as there are much simpler surgical techniques e.g. manual vacuum aspiration - (a large syringe connected to a straw- like tube ) and vacuum aspiration (same but using a suction machine). In early pregnancy often neither of these as medication can be used. It is only later in pregnancy that more extensive surgical approach msy be used. Abortion is now legal on demand in the first trimester in Thailand.l and legal therafter under certain conditions. It is a comparatively recent change and there is resistance from some health providers and administrators with the result that it is still hard to obtain at many government hospitals. At private hospitals it depends on the individual doctor but more seem to refuse than agree and the process of finding one who agrees can be time-consuming, costly and emotionally traumatic. With the PDA clinic there is no doubt, they will always provide the service unless the pregnancy is too advanced.

I meant how many weeks pregnant. ("Very little" doesn't help. Need to know how many weeks since last period). PDA clnic does abortions every day, no problem at all provided her pregnancy is early enough. I don't know it by name "Arthit clinic", so not sure it is same place. This is the correct link https://maps.app.goo.gl/4zDgzP5TTt2AU2hM8 I take it she already tried at the main government hospital in Prachinburi?

Daktacort is available in Thailand but I don't know how easy it is to find. There is also something called Trimicon which is also a combination of micronazole and a steroid (not hydrocortisone, but same action). And there are several other preparations here that combine different antifungals with steroids.

Do not try to self medicate, it is lkely to worsen matters. You may have an anxiety disorder. You need to talk to a psychologist or trained counselor. Where in Thailand are you?

Where in Thailand is she, and how fsr pregnant?

"Gold card" is one term for the universal free health care system which covers Thai citizens not under Social Security. Not available to non Thai citizene.

The technicians (sic) who do the EKG are neither trained nor expected to read it. Cardiologist and cardiology nurses can. General doctors should also have a basic understanding but in practice, this is variable. The EKG machines often generate an automatic interpretation but yhis needs verification and correllation to the clinical presentation.

It is a general hospital, so unlikley to have a specialized heart clinic but might have a cardiologist available. Government hospital outpatient clinics generally open up around 8 AM but queue numbers are given out well beforehand. The above refers to the public channel. Most general and regional hospitals also have a semi-prIvate channel through an "after hours" clinic (Thai " clinic nawk wela" ) that is typically from 4 pm onward (queue starting around 3 PM) and Saturday mornings. I am not 100% sure but probably Bang Lamung has this as well, perhaps others can advise. If available, this will cost a frew hundred baht more but is much preferred. Not only does it avoid the break of dawn arrival but you directly see a more senior doctor whereas in the public channel most care is from doctors in training (supervised, of course, but still....). For a suspected heart problem I would definitely advise this route, assuming it is available. Re the building layout, will have to wait for a Pattaya resident to reply.

@delgarconyou might also try https://www.saintlouis.or.th/doctor/dr.photsawee-khemaphiphat/dbafe795-29e5-493a-ab2d-8bcc8ed1af42 As St Louis is a nonprofit and has some sort of fund for indigent Thai patients which might possibly help. I don't really know how the fund works but I've seen the office for it when there.

In area where you shave, gollivuliyis or razor bumps or ingrown hairs come to mind. See https://www.mayoclinic.org/diseases-conditions/folliculitis/symptoms-causes/syc-20361634 And https://my.clevelandclinic.org/health/diseases/17692-folliculitis And https://www.nhs.uk/conditions/ingrown-hairs/ If descriptions/ pictures seem to fit there are self cate suggestions in these threads. If those fail - or if descriptions don't seem to fit - then must see a dermatologist. For which I suggest https://www.bumrungrad.com/en/doctors/niyom-tantikun Probably about 2000 baht for consultation. Don't get meds at the hospital, buy at pharmacy as there is a big markup.

https://www.samitivejhospitals.com/doctor/detail/suradej-hongeng Is an excellent choice if you can afford private care. Even if you cannot, might be useful to consult him. Otherwise for government hospital, Ramathibodhi is good choice (and where Prof. Suradej is on faculty). If you want to try to first contact Prof. Suradej his email is listed here https://www.rama.mahidol.ac.th/en/aboutus/administrative-team (He is very busy so no guarantee he'll reply but no harm in trying) Sounds like the girl may need a splenectmy, which should be free under the govt scheme. Do not feel that you must wait for the next appointment at Surat Thani... . that is for routine follow up. Can return now citing the difficulties you mentioned. Follow up appointment dates are meant as "when to come back if no problem before then" but this is often not well communicsted. With government hospitals it is often necessary to keep coming back before a patient finally gets admitted (which she msy need to be).

There are many hematologists in Thailand who perform bone marrow transplants. While a small number specifically focus on pediatrics, most treat both adults and children. A pediatrician is not who you would consult for this. Where in Thailand are you located? Either Bangkok or Songkhla would be best for this, which is easier for you? I assume when you say surgery you actually mean the bone marrow transplant (which is not surgery). This is a complex procedure as it is first necessary to treat with immunosuppressant drugs or radiation , during which period the patient is very vulnerable to infection. There are other significant risks as well, including rejection of the donor marrow, for which reason this is not commomly performed in management of thalessemia and reserved for very severe cases which cannot be adequately managed with standard treatment (transfusions, chelation, folic acid, sometimes splenectomy). Ftom what you say it does not sound like she has yet maxxed out on standard therapy. Risk vs potential benefit of bone marrow transplant has to be carefully assessed for the individual patient so I would not be so certain she will end up being advised to have this procedure. Risks are significant. The potential benefit is tied to likelihood of success which in turn relates to availability of a good donor match. Unless there is a matched sibling able to donate, this will be an issue. Anyway please indicate which location works better for you and I will suggest a doctor who can assess her and advise more specifically.

Completely off topic post removef

You apparently used the aftrr hours private channel rather than the public channel. Hence the pricing. Thais would pay same if using that channrl.

Cost estimate is meaningless unless you know if it is the 1 shot or 3 shot type and, if the latter, is the price per shot or course of 3. Do not discount the skill of the doctor doing the injection i.e. don't just go anywhere. Choose doctor with care. Intrarticular injections are not same as ordinary injections.

I stopped watching CNN years ago because way too much "talking heads" vs actual news. In their heyday it was news, news, news. Hourly updates, live coverage. Not anymore.

OP is this 150k a month your sole income or do you have other income you won't remit to Thailand? Because if you can show total invome of US $80,000 a year ، you could apply for the LTT visa which provides tax exemption. Otherwise you will indeed have to pay tax unless the inome is already taxed in yolur home country to an equivalent or greater amount. Please ignore those advising tax evasion, could come back to bite you badly.

Moved to Wellness subforum which, unlike health, allows social media clips.

Both are available (though not necessarily at all places). The 1 shot costs much more than individual shots of the multidose regimen. Important to bear this in mind when comparing costs. The lower costs mentioned in this thread may have been individual doses of 3 injection course. There is also a newer preparation (Arthrosamid) that lasts much longer, several years. Available in Europe not yet US FDA approved and AFAIK not yet available/approved in Thailand.

There is a TCM clinic at St Louis Hodpital on Sathorn. No idea re pricing.

https://paleorobbie.com/grocery_search?query=kefir