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Everything posted by Sheryl
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Yes if you have part D it is fully covered. I only have Parts A & B si had to pay for it.
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Controlled clinical trials.
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I Suggested topical lidocainefor pain, not itching. Shingles does not usually itch.
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Totally aside from renewing the passport, a father traveling abroad with a child may be asked to show proof that he has the mother's consent (concerns about parental abduction, human trafficking etc). There have been reports of this happening. So get the POA and make sure it, or another document, clearly give you permission to take the child abroad.
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Have you consulted a doctor? It is important to start antiviral medication within 72 hours, not only shortens the duration but more importantly decreases the risk of long term complications. However there are contraindications to these drugs (e.g. kidney disease) so medical supervision is wise. Besides antivrals, drugs like gabaoentin may be given to reduce pain, as well as paracetemol and/or NSAIDs. I found topical lidocaine applied to the rash helped a lot.
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Agreed though diffrrence is not huge, and mainly because unlike some places there is no doctor fee add on.
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which vaccine did you get, Zostavax or Shingrix?
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You can get both at the same time. Studied and found safe. Theyt should use different arms, though "Recombinant and adjuvanted vaccines (like Shingrix) can be administered concomitantly at different anatomic sites with other adult vaccines. This includes COVID-19 vaccines." https://www.cdc.gov/shingles/hcp/vaccine-considerations/index.html That said, it is possible that minor side effects would be worse, but on other hand would go through it once rather than twice. Do you have Medicare Part D, or a Medicare Supplement/Advantage Pklan? Because regular Medicare (A+B) does not pay for Shingles vaccine. Part A will cover COVID, but not Shingrix or RSV (you might also like ot get RSV will you are at it, if you haven't already).
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If however you click further down, where it says "Shingrix Vaccine Patient Leaflet", it says 2 - 6 months. Which is also what vaccine manufacturer says. And CDC says. Digging further, in the NHS guidance for practitioners it indicates that "for operational reasons" they are using a longer interval of 6 - 12 months in England and Wales but 2nd dose can be given after 2 months. https://www.gov.uk/government/publications/shingles-vaccination-guidance-for-healthcare-professionals/shingles-immunisation-programme-information-for-healthcare-practitioners I can't find any study or literature supporting this longer interval (hopefully there is one, but I can't find it). I don't know of any other country doing this. Does explain what OP was told. But if he is still in UK, and at least 8 weeks have passed, he should try calling his GP and asking if he can receive his 2nd dose sooner since he is going abroad. Would save him almost 6000 baht, and be more in keeping with medical (as opposed to "operational") guidelines.
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Either she mispoke or you misheard. The NHS package insert states 2 - 6 months. You will find link here https://www.nhs.uk/vaccinations/shingles-vaccine/ You can also look up online the manufacturer's insert.
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Bettrr recheck this. GSK (manufacturer) package insert clearly says 2 -6 months. So does CDC https://www.cdc.gov/shingles/hcp/vaccine-considerations/index.html
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I didn't find it so. No pain at time of injection. Slight soreness in the arm a day or 2 after.
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Then any of these 3 places. The last 2 (Medconsult and WellMed) are quicker/less hassle to use. Call to make sure thry have it in stock then just walk in. The interval for Shingrix is 2 - 6 months, 6 months is maximum so don't wait too long if near the 6 month mark.
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Correct so he probably had Shingrix but should confirm.
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https://www.thaitravelclinic.com/cost.html Or https://www.medconsultasia.com/vaccinations/ Or https://wellmedbangkok.com/services/vaccinations-thailand/shingles-vaccine/ You need to know which shingles vaccine you had. All if the above clinics have Shingrix but I think just the first 2 have Zostavax/SkyRoster
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As above, hospital is not important, it is the choice of doctor. https://www.bumrungrad.com/en/doctors/Panya-Wongpatimachai Best knee specialist in the country Package price at that hospital for one knee is 356K https://www.bumrungrad.com/en/packages/total-knee-replacement-surgery But seems to exclude the prosthesis so total will be higher Also a good choice would be this doctor at either of 2 hospitals https://www.medparkhospital.com/en-US/doctors/assoc-prof-pongsak-yuktanandana package price (one knee only) 250K but as above, seems to exclude the prosthesis If you want to save money, my advice would be to look into having this done by the above doctor (Prof. Pongsak) at Chulalongkorn Hospital (government university hospital), you can consult him at Chula after hours clinic on Sundays and Mondays https://spcweb.kcmh.or.th/users/users/getDoctorClinic/f88ce567d5e36f817307cc9fb0e918a7-010514-
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Your benefits get suspended. This is indeed a concern since the lettters are sent only by snail mail. I almost never get mine. What I do is print out a blank form, fill it in and mail it in annually.
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SS income is NOT taxable in Thailand. US-Thai tax treaty clearly states it is assessable only in US. If it were assessable in Thailand (which it is not), having it go first into a US account would not alter that fact as you'd still be somehow remitting it to Thailand. You can do the whole application process through Manila, online then you'll get a phone interview at some point. No idea if budget/staff cuts have caused much delay in this process, could have. You can create a MySS account from abroad. Need an ID.me account so set that up. https://www.americansabroad.org/us-citizens-overseas-can-now-create-social-security-accounts-online
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1. Immigration is highly, highly unlikely to "come knocking at the door". 2. In the extremely unlkely event they do, it would not be in relation to thd Hotel Act but rather looking for overstays and (unlikely but possible) TM 30s. Hotel licensing law is not Immigration's responsibility to enforce. Investigations of short term rentals are usually triggrred by neighbor complaints and usually in context where there have bern a series of such rentals over time. Emphasis on the word rental. 3. Either you or your tenant could submit a TM30 for the guest. Can be done in minutes, online. (Need to create an account first, if you haven't already). Again, TM30 the Hotel Act have nothing to do with each other. If there was violation of the hotel act (i.e. the unit being commercially rented out in absence of hotel license) , filing a TM30 would not change that fact.
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The best spine doctor in Thailand is https://www.bnhhospital.com/search-doctor/entry/4093/ Consultation plus Xrays will run about 5k. Have to Xray at the hospital as Prof. Wicharn has speciai protocol he uses, with Xray views in different positions. But MRI can be done at this imaging center https://mrithailand.com/ where it will cost 9k vs twice that at hospital. Ask for MRI lumbar spine without contrast and get the scan on DVD, don't worry about report, Prof will ignore it anyway and read the scan himself. Main branch of imaging center is near Chatuchak but there is aldo a branch near Silom. Up to you whether to do MRI before seeing specialist or wait to see if he feels one is necessary. On the one hand, MRI might not be needed. But on the other, if it is needed, you'll incur 2 consultation fees instead of one (consultation without Xray = about 2000 - 2500 baht) if you wait till after initial consultation. I can't guess likelihood of needing MRI as I don't gave any sense of what your pain, what triggers it, how long you've had it etc.
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Thrre is a big difference between hosting a friend and renting out a room/bed. If you believe your tenant is doing this as a financial transaction then yes, against the Hotel act. But if they are just having a friend stay for a few nights, rent free, it is not and trying to forbid this would be extreme IMO. I certainly would not want to rent ftom someone who did not allow me to have friends/family occasionally stay overnight, it is a normal part of life. But neither would I, as a Landlord, tolerate a tenant renting out rooms/beds. TM30 is a separate matter.
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If I understand correctly you have a long term renter. I fail to see how him having a friend stay over would put you in violation of the hotel act. You aren't renting to that person. And in any event filing a TM30 is not going to trigger action under the hotel law. Totally different government entities.
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Incapacitaed and in hospital, how do I pay?
Sheryl replied to roywells's topic in Health and Medicine
Mist ATM cards diybke as drbit csrds. If he doesn't even have an ATM csrd, he can surely get one. Should also get Mobile banking on his phone if he doesn't already have it. -
Incapacitaed and in hospital, how do I pay?
Sheryl replied to roywells's topic in Health and Medicine
As long as you are conscious and coherent, you can pay the hospital, they will if necessary send cashier to your room. Debit card and online banking scanned payment will work as will credit card. Your problem will be if you are unconscious or mentally disabled. You need to have someone with power of attorney and health care proxy (aside from financial matters, health care decisions need to be considered). . Ideally someone in Thailand but if not, then someone abroad. Be sure to list this person as your emergency contact on all hospital registrations. Also make sure they know your wishes and financial details. And if possible add their name on the emergency account so that they can readily access it. Do not underestimate how expensive care can be in s major illness or accident. In a place like BPH a single hospitalization can reach 3-5 million baht. If your emergency fund is less than 5 million would do best to use government hospitals for anything major.