Sheryl

There is very limited expertise with skin cancer in Thailand and few doctors here even understand the concept of an overall skin check. Indeed I doubt whatever hospitals quoted you as s price, was actually this. More likely it wss for incision and biopsy. This doctor can/will do it: https://bangkokpattayahospital.com/doctor/anna-jaruwarn-m/?srsltid=AfmBOorHq69fcJYPWkj9SpgPYUgyG-iXcUaRk5k3k0RssOfGyVrZMJwh Cost is same as any consultation. Including hospital add on probably 2000 - 3000 baht (excluding any treatment or biopsy if needed). Don't expect the blue light. Just a quick visual exam.

That is a very high dose indeed. And hard to understand the rationale. What is the presumed diagnosis? Swelling of upper lip is often due to allergy. Suggest you seek another opinion.

Queen Sirikit in Sattahip is the Naval Hospital. But I think something off in his cost info, would not be that close to BPH nor that high.

How many stents? Hard to believe Queen Sirikit Naval Hospital and BPH are that close in price.

No. It is a cancer. But slower growing type compared to squamous cell

Some but not all.

40k all in seems very improbable as the stent itself costs about that or more. Maybe 40k for the stent, angiogram and hospitsl stay extra?

If you can afford it: https://www.bumrungrad.com/en/doctors/Kamthorn-Pruksananonda He is also at https://nawabutrivf.com/medical-team/prof-kamthorn-pruksananonda/ but that is fertility clinic and I am not sure if they can do myomectomy there Last option, and would need a Thai speaker along, would be to try to see at Chulalongkorn Hospital public channel. 7th Floor, Aupakaravejkit Building Tel : 0-2256-4000 ext. 2114-8

Good to know, thanks. Do you happen to know what it cost, number of stents and how long ago?

Are you planning to have children in future? As in that case would want a doctor with infertil8ty expertise. As I assume you know, the most definitive treatment is hysterectomy (uterus only so no hormonal implications) and only reason to do myomectomy would be to retain fertility. Also assume you kmow that no need to treat at all unless symptoms are intolerable or interfering with sbility to conceive.

Contrary to what expat lore says, the charge in question is not a fee for having your vital signs taken. It is a charge for use of the hospital facility. The consultation fee goes direct to the doctor, who in a private hospital is a private contractor, not a hospital employee. The hospital adds a charge for use of its facility. Everything from electricity, waiting room, building maintenance and repairs, , housekeeping, appointment scheduling, medical record keeping etc etc etc as well vital sign check. It is a flat charge not individually adjusted. In Thai the word for hospital is "house of nurses" often shortened to the word for nurse. So "nurse charge" = hospital charge. So yes. they have every right to still charge it.

If it is a ganglion cyst or lipoma, likely needs just a brief physical exam. It then becomes a question of whether you want to have it surgically removed. All hospitals have both good and not so good doctors and it is the choice of doctor, not hospital, that matters. Pattaya Memorial and PIH are both quite small so would not be best choice in an actual emergency. For that I woukd suggest Ban Lamung hosputal or -- if well insured or wealthy - Bangkok Pattaya Hospital. Queen Sirikit Naval Hospital in Sattahip and Queen Savang Memirial Hosp (Red Cross Hosp) in Sri Racha are also good options but further from Pattsya do fistance needs yo be considered.

There is very limited experience with skin cancer in Thailand. Best option is the institute of Dermatology in Bangkok https://www.iod.go.th/en/

Start with an orthopedic doctor. Either of the hospitals mentioned would be fine.

Moved to insurance forum. OP suggest you mention your age and any pre-existing conditions Ss these things affect your optikns

This As previously said, should not self prescribe or self adjust dosage.

I don't think so. Agsin, suggest slerp study. Most hodpitals offer them.

People with sleep apnea often have no awareness of it. While they awaken several times a night, it is just a partial awakening and by morning it's forgotten. Waking up in horror is unusual.

I am not 100% sure they can do this at Queen Sirikit but if they can, good choice and will cost much less than BPH. Otherwise (or if there is a wait involved) I would suggest Bangkok Christian Hospital in Bangkok, also much less expensive than BPH. See this doctor to arrange it https://www.bch.in.th/find-doctor/362

This is a drug with significant contraindications and adverse effects. Should only be used as a last resort and under medical supervision.

Not sure what you mean. Rutnin has inpatient facilities. But there as elsewhere, cataract surgery is usualky a day durgery. Most hospitalization-only insurance policies cover day surgeries.

Agree but the friend should have been more reasonable regarding the amount of compensation. The driver will loose time and fares dealing with the clean up..

Ditto. I stock up on groceries in advance and stay home till it's over. Not just because of the annoying water throwing (actually not a big issue in my immediate surroundings) but on account of the drunk drivers/unsafe roads.

Do you have the biopsy report or other records? I need to understand if endoscopic mucousal removal is possible or if you need laparoscopic surgery. Makes a difference in what doctor I would suggest. And do you have the initial endoscopy on DVD?

@PJ71 While you might indeed benefit from a different dose of allopurinol or an alternative drug it is unwise to self prescribe. This drug has signficant potential side effects and interactions with other medications (as does colchicine which is sometimes used during an attack). Liver and kidney function need to be monitored. Seek the advice if a rheumatologist for the medications. Diet, you can adjust on your own. See https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/gout-diet/art-20048524