Sheryl

Above is a reasonable approach.

Certainly you should not undergo more surgery until/unless the cause of the problem is clearly identified. I suggest you consult this doctor in Bangkok: https://saintlouis.or.th/doctor/dr.aree-tanavalee/d39d763d-0ca2-4b2d-b865-967c61a380e2 https://www.medparkhospital.com/en-US/doctors/prof-dr-aree-tanavalee https://www.bumrungrad.com/en/doctors/aree-tanavalee Same doctor, different hospitals. listed in ascending order of cost. It might also be possible to see him at Chulalongkorn after hours clinic but as it is a government hospital, long waits and red tape so maybe not so practical for someone not living in Bangkok. If possible bring Xray films and any (post operative) scans with you

Certainly water diverted to the GI tract (as in diarrhea) will reduce the smount of excess water in the body and hence urine amount.

Do you mean Rivarox made by GM Pharma? Where did you buy it exactly? Does not seem to be registered in Thailand.

Government hospitals will have rivarobaxan. I can't say re 10mg dose since locally made versions currently are only in 20 mg dose. Tertiary govt hospitals will likely have imported 20mg but Xatelto brand will still be expensive. Indeed, if at one of the government hospitals which apply a foreigner surcharge, could be more expensive than if bought at a pharmacy (note that this does not require prescription in Thailand). People covered by SS do not pay anything for medications at their nominated hospital . Whether that hospital will have 10mg rivarobaxan depends on the hospital. The only way a retiree can be covered under SS is if they were employed in Thailand for over a year and enrolled under the SS scheme through such employment. In which case they must elect to continue the SS coverage on self pay basis within 6 months of stopping work.

They are film coated tabs, not scored.

Where in Thailand are you located?

First of all, forget "Dr. Google" and whst yoh have read online. Neither Google nor AI at at all suitable for medical diagnosis. Secondly, do not rush into expensive tests like MRI or CT. Such testing should be based on a differential diagnosis. Please describe exactly where the pain is, in your own words, and what it is like (e.g. sharp, cramping, burning, achy or what) and what if anything seems to make it better or worse. Also clarify if the pain seems to radiate to leg or thigh, and whether there is any numbness, weakness or tingling in the legs. And give your age and location in Thailand. Then I will suggest a doctor.

Does this policy have a stipulation that it only covers emergencies? Because if not, then problem was that paperwork submitted did not provide adequate medical justification to establish why surgery, rather than conservative management, was proposed. . Either that, or the surgery really is not medically essential i.e. the injury may heal without it. If so then conservative management would be better. As mentioned this surgery is not always successful. Overall, studies show outcomes with it not to be better than with conservative management https://pubmed.ncbi.nlm.nih.gov/33419401/ Though in specific individual cases there may be more reason gor surgical intervention than in others. I have no idea if this applies to you. Do not have this in Udon Thani. If you go elsewhere, go to Bangkok. In fact even using government hospital, Bangkok is far better choice e.g. Chulalongkorn or Siriraj. Continue to recommend consultation with Prof. Mason to get clear handle on what can be expected with and without surgical intervention. No

Sorry, I overlooked the dosage issue. The 2 locally made brands here ( Rivoxam and Roxaban) do nto come in 10 mg dose. So that would leave only Rivaxored as alternative to Xarelto. Quality would probably be OK but I agree, not as certain as for Bayer.

If you are set on Xarelto brand you are not likely to get this for much less, since it is an import. There are locally made generic equivalents that would be less e.g. Rivoxan Roxaban

Research on new antibiotics is ongoing and new antibiotics are developed all the time. As this thread does seem to have an actual point and is attracting the usual nonsense agendas, it is closed.

An iff-topic trollling post has been removed

A flaming/unhelpful post has been removed

Careful if your insurance requires pre-approval. Most do, at least above a certain cost threshold, and have significant penalties if not obtained. Is this travel insurance or regular insurance that you have? Travel policies indeed will only pay for emergency/urgent care, not elective procedures. A regular insurance policy would not / cannot disallow a procedure just because it is elective, provided it is still medically necessary. Can you clarify type of insurance, and share the exact wording of the disallowal notification? If it is regular health insurance (not a travel policy or otherwise limited to emergency care) then I would suspect that the hospital failed to provide sufficient information/justification, which would not surprise me. In which case a re-submission by a different hospital, providing more complete information and medical justification, might do the trick. Keep in mind the expertise of the surgeon is of paramount importance, this is not a simple procedure and it not always successful, either. Likelihood of success is very much dependent on the choice of surgeon. Cost aside, I would hesitate to do this outside of Bangkok, to be frank. You will certainly nto be able to get this for less than 350k at a private hospital. Vachira is a government hospital but has a private channel and I assume that is where your quote came from. You might investigate whether it can be done through regular public channel, but if so there may be a wait list and again, need to consider the skill and experience of hte doctor -- whom you might not be able to choose if using the public channel. There is no better shoulder surgeon in Thailand than Prof. Mason at Bumrungrad. You might try consulting him and having that hospital try to get the insurance approval, explaining the need for detailed medical justification (assuming he concurs that surgery is unavoidable). https://www.bumrungrad.com/en/doctors/mason-porramatikul

Aranyaprathet/Poipet is open today but absolutely mobbed. Lots of people were stuck on both sides ovetnight due to sudden closure yesterday without advancd notice. Unclrar if it will be open tomorrow or if today's opening was just to address that immediate situation.

Indeed, if she had had prior mammograms to compare to, biopsy now could likely be skipped.

The Thai side shut the border (main crosding, Aranyaprathet) at 3:30 today without any advance notice. Many people stranded there unable to cross.

They just closed the border.

One eye. These ard very exoensive lenses imported ftom Europe. Wholesale cost int west is around is around 70k baht equivslentb. Add to that the import tax on the device and hospital mark up, 92k perfecyly possible.

That is one option. Not the same as tri-focal lenses. OP should indeed read up on this, greatly adds to cost and not everyone is able to adjust to them. As to OP's question on cost, there is no way PanOptix lens can cost only 36k. likely the person respondng to the question did not know what was meant. Not every hospital will carry this lens. The 92k sounds about right.

May simply be a cyst

Open so far as usual

Vejthani is a private hospital, not public. Nothing wrong with it, but if you want to go private, I highly recommend this hospital which is solely for breast and run by one of the country's best breast surgeons: https://www.namarak.com/ Naturally, public hospitals are slower than private where one can often get biopsy done one first day there and results in a few days. Getting the initial diagnostic work up done at a private hospital and then switching to public IF the lump turns out to be malignant (note that most do not) is often a good strategy in terms of balancing speed and cost. IF it proves to be malignant the best public hospital option is https://qscbc.org/en/contact-us-2/

One thing, if you go on HRT, I advise to insist on a bioidentical progesterone and not a synthetic progestin. And of course bioidentical estrogen, but that is not usually an issue here, the progesterone is. Note too the hormones can be boughtvat pharmacy gor much less than at hosputal.