Sheryl

Since you felt a bite first, spider bite is my guess. If redness starts to spread into surrounding tissue (cellulitis) you'll need antibiotics....has happened to me in past. Suggest you circle the area with a pen so essy to see if redness spreads.

I believe next step will be an interview at the Embassy. Having had previous US tourist visa and assuming never overstayed, his chances are good.

If it moves easily and feels sort of rubbery (and painless) then may be a lipoma. Harmless if so.

1. Best place in Thailand for glaucoma treatment would be Rutnin Hospital in Bangkok. I highly recommend this doctor there https://www.rutnin.com/en/doctor/resume.32.1_Medical_history_0_0.html You will not find care of that caliber in Pattaya. 2. You also will nto find the sort of psychological help you have in mind at a hospital. The doctors there indeed pretty much only prescribe drugs. There are some good psych resources outside of hospitals, though, in Bangkok. See this pinned thread https://aseannow.com/topic/90910-mental-health-resource-list/ If your wife is Thai then suggest one of the Thai female counsellors at either https://ncsbkk.com/ncs/index.php/counseling/about/ or https://psiadmin.com/psis-professionals

How long have you been on the Duodart? I ask because it takes 12 months to see maximum effect on prostate size. Besides the 2 drugs contained in Duodart (dutasteride and tamsulosin) there are other drug types that can be added to try to reduce urinary frequency. And/or, could switch the tamsulosin to silodosin (somewhat more effective drug of the same class) plus dutasteride. No doctor is going to recommend complete gland removal in the absence of malignancy -- not necessary and carries greater risk of long term adverse effects than resection. When it comes to deciding whether to have a resection of the prostate as opposed to continuing with medical management alone there are several considerations, some objective and some subjective. Objective indications of a need for resection would be if, despite medical therapy, you were encountering significant urinary blockage leading to a need for cathetrization and/or recurrent urinary infections, in such cases really no good option but to have a procedure done to reduce prostate size around the neck of the bladder. Subjective indications relate to quality of life in the absence of problems such as the above. If, to you, the degree of retention/frequency is not tolerable, and assuming you have no unusual risk factors, then you might opt for a procedure. This is not something a doctor can tell you, only you know how you feel about living with the inconveniences etc. Foir resection, besides TURP, laser enueculation (HOLEP) and other types of laser resection are options. Assuming you have been on the Duodart at least 12 months, and find your current level of symptoms intolerable, I recommend you consult this US trained doctor at the private wing of Siriraj Hospital. He can perform HOLEP & laser procedures as well as TURP and should be able to review the various options with you: Assoc. Prof Sunai Leewansangtong https://www.siphhospital.com/en/medical-services/doctor-biography?id=247

No doctor will recommend (or perform) complete removal of the prostate for benign enlargement. Only resection which can be achieved in a variety of ways - TURP, laser enuclueation, steam (Urolift) etc etc. Complete removal of the gland carries considerably more risk of impaired sexual function etc than resection does.

Anywhere in the workd, endiscopy neans use of an instrument with a camera. There are many types of endoscopic procedures.

Sorry to hear this. Fingers crossed for a good outcome. Even Stage 3 breast cancer still has an 86% survival rate. So reason for optimism.

I rely on decades of experience with the Thai health care system and reports of board members. Also, I look for doctors trained in the west, holding a faculty appointment at a leading medical school, who have published on the subject in peer reviewed journals. Active membership in relevabt medical society also a plus. What type of prostate issue exactly? BPH or cancer or prostatitis or what? Have you been told you specifically need surgery? BPH and prostatitis aree normally treated medically, at least at first. Are you open to going to Bangkok? There is no comparison between quality available there vs Pattaya, the latter is a backwater as far as medical experts are concerned. (though if the problem is simple BPH doesn't matter that much, any urologist can treat that initially).

Correct. No reason for her to have to pay much of anything.

Post the question here and specify where in Thailand you are located

There are some perfectly reliable pharmacies in Thailand that take online orders and ship. https://medtide.com/ https://medisafepharma.com https://bangkokdrugstore.com/ to name just some. One can also buy this medication at a pharmacy. Only real reason to use online would be if living out in the boondocks with no large pharmacy nearby.

I'm back.

Any cardiac history? Diabetes? Other underlying health problems? Makes a difference as to what type of specialist to see

Where in Thailand are you located?

Note that the research is preliminary, only a subset of people with PD have gut dysbiosis, and there has not yet been any research on treatments/preventatives.

in keeping with forum rules a number of video clips from youtube etc have been remioved. these are nto authoritative sources of medical information. You can find someone saying just about anything on youtube, if you look for it. @swissie I don't know where you heard that it is no longer reocmmended to measure BP at rest but this is nto correct. It remains standard recommendation to measure BP sitting down, relaxed, at rest. https://www.cdc.gov/high-blood-pressure/measure/index.html Transient rises in BP while physically active or stressed are to be expected

@3NUMBAS please clarify if you are talking about implants or dentures Nothing at all wrong with dentures (full or partial) made here. But of course they are not same as implants, have to be taken off/put back on etc.

Prostatectomy - robotic and otherwise - is for cancer of the prostate. This thread is about benign enlargement. TURP stands for transurethral resection of prostate, it is not complete removal. OP. see this lengthy thread about people's experiences with Rezum here https://aseannow.com/topic/1274732-rezum-experience/ Important to note that with Rezum: * only certain patients are candidates (depends on prostate size) *skill of the operator is crucial and the procedure has not been done in Thailand for very long, be sure to get a doctor who has done many *Even worldwide it has not been around that long so not really knonw how long results will on average last, just that it lasts at least 5 years for most patients

Colonoscopy is recommended every 10 years starting at age 45-50 as a routine screening. More frequently if certain risk factors. Nothing to do with a blood test. Your friend could have avoided to colostomy had he done this. Routine screening colonoscopies will identify and allow removal of polyps well before they become cancerous.

Room rates are pretty irrelevant as not a significant part of the cost, and for a hernia repair he will likely only be there 1-2 nights. Rate will vary with room type, just avoid any sort of "VIP" suite. The surgery itself will cost differently depending in whether laparoscopic or open procedure. Laraporascopic costs at least 20k baht more but is easier on the patient, quicker recovery. Given your husband's age, laparoscopic is much preferred. Within government hospitals there are 2 channels" the regular public one (very slow, multiple trips, long waits, most interactions are with junior doctors/doctors in training) ) and the "after hours" clinic. The latter costs more but is still less than private hospital and well worth it. I suggest you go through the "special clinics" at Chulalongkorn hospital. Get an appointment with a general surgeon who does laparascopic surgery. https://specialclinics.chulalongkornhospital.go.th/

No prosecution, since not a controlled substance, they'll just confiscate it.

I suggest https://www.iod.go.th/clinic-and-treatment/คลินิกเส้นผมและเล็บ-en-translation There are many possible causes ranging from hormonal to autoimmune. Adverse effects of hair products can also play a role.

I don't know what you mean by an "everyday inhaler". It contains a powerful bronchodilator and should only be used if and as advised by a doctor. But like most such medications in Thailand, does not require a prescription to buy. Ask for it as Salbutamol, they may not recognize the term albuterol. (Same thing)

Actually street food that is cooked on the spot and served right after cooking is pretty dafe. Certainly more so than restaurant buffets. It is food that has been sitting out for a while that one needs to be wary of. Especially on hot days.