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Sheryl

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Everything posted by Sheryl

  1. Bring the ultrasound report with you. If it actually says "cyst", specialist might feel biopsy not needed. And in any event, needs the ultrasound report to know where to aspirate.
  2. You might actually find it cheaper to take a longer term lease even though you might not stay the full duration. Short term rentals are always costlier.
  3. As above. Endocrinologist at any hospital can do this and it is a simple office procedure. However if it is clear from ultrasound that the mass is a cyst biopsy is usually not indicated. There are very clear criteria for when a thyroid mass should be biopsied. Check your ultrasound report it should give a classification for the mass e.g. cystic and benign, low suspicion, intermediate suspicion etc. What does it say? (I am assuming you had an ultrasound since that is only way you could know it is a cyst).
  4. Exactly. Obesity, high sodium consumption, lack of exercise are all risk factors/ exacerbating factors for hypertension but not sole causes. Some people no matter how thin and fit have hypertension. Such people should certainly avoid the above risks as they will make matters worse, but will also need medication. My mother has always been thin and active, consumes little sodium, but has had hypertension since around age 45 -50. Thanks to medications she is now 94 & still going strong. Her mother, on the other hand (also slim and active) died of a hemorrhagic stroke brought on by hypertension at age 50. It is fine to urge people to control their weight, eat healthy and exercise but untrue to say or imply that this will always prevent need for BP meds. Sometimes will, sometimes won't.
  5. I just completed this quiz. My Score 100/100 My Time 50 seconds  
  6. Loceryl and the like can clear it up faster than that (i.e. in a month or two) IF nail is mechanically filed down first prior to application , for which you need a podiatrist. Unfortaunetly they are rare in Thailand,. In Bangkok I can recommend https://www.footcare.co.th/treatment
  7. These top specialists are in senior teaching positions in large university-affiliated government hospitals. This also affords them research opportunities and chances to publish. Really good doctors have genuine interest in, and enthusiasm for, their work and care about being known in their fields. Typically they also have some hours at a private hospital to augment their income thus getting the best of both worlds. To encourage such doctors to stay closer to home, and also to encourage usage by middle and upper class Thais who are unwilling or unable to deal with the long waits etc of the public channel (and want to get direct treatment from these senior docs, rather than interns and residents under their supervision), many government hospitals have established semi-private wings or channels. SIPH is Siriraj's.
  8. flaming/name-calling posts, obscene/offensive remarks, and posts quoting same, have al;l been removed.
  9. Flaming/name caling posts and replies to same have been removed. Please keep it civil.
  10. A post with misinformation and replies qoting it have been removed
  11. If you are a director of the bompany I think you may not be eligible for section 33 and need to just continue under Section 39. Suggest you call SS head office to confirm.
  12. Before paying ask to see what the medications are. If you find a different BP med has been given despite old one working well (and no special reason gjven by doctor) just refuse it. Easiest wy of doing that without making waves is to just say you already have it. The savings in getting most BP meds from govt hospital vs outside pharmacy are negligible.
  13. I just completed this quiz. My Score 30/100 My Time 135 seconds  
  14. Many people (including me) take losartsn with no problem, no fatigue. But if it has that effect for you then certainly take something else. Enalapril is still widely used. No reason to switch from it if it is working and no side effects. It is also readily available at pharmacies at very, very low cost. I think you need to be more assertive with these various doctors and not agree to change medication unless there is a reason.
  15. If using this for rehydration, the glucose is absolutely essential, this is what enables the water and electrolytes to be rapidly absorbed. If just concerned about electrolyte intake in the diet, best solution is just to get what you need in food, niot realy that hard even on a keto diet.
  16. And of course cost is about 20% less than Bumrungrad etc. Additionally there are some top Siriraj doctors who are not available at other hospitals. And Siriraj is usually the very first to get new cutting edge equipment and treatments etc.
  17. Posts with baiting/flaming language have been edited or removed.
  18. This recommendation is specific to children under the age of 5 years in areas where soil-transmitted helminths are prevalent. As noted these include non-tropical locations such as East Asia and China as well as the tropics. WHO does not recommend routine deworming of older children, much less adults. Exception in the case of pregnant women in areas with high prevalence of hookworm infection.
  19. The hours shown pertain only to outpatient visit. The doctors will attend hospitalized patients as required, typically visiting daily and also being on call at all times. Many of these same these doctors also have hours at nearby Thonburi Hospital and waits there for surgery and scans is usually less, cost only very slightly more. Typically will be there on a different day than at SIPH and no problem to sometimes see Dr at SIPH and sometimes at Thonburi. Most treatments available at SIPH ard also available at Thonburi but a few exceptions eg radiation therapy for cancer. One warning. Hours shown on Thonburi website sometimes inaccurate, need to call to confirm.
  20. I am unclear: are you still working with monthly SS deductions from your salary, or are you no longer working and opted to self pay to continue cover? Or are you still working but at a private school so not included in SS?
  21. I suggest you bring these results to the following hand specialist https://www.phyathai.com/en/doctor/dr-panupan-songcharoen Whild I cannot read the actual results, the conclusion seem to suggest a possible issue with the radial (not ulnar) nerve
  22. Dr. Wicharn is a spine dpecialust. To knterpret this test OP needs a hand specialist. @ravip surely you already saw one? If not, then who ordered this test?
  23. https://www.imglobal.com/travel-medical-insurance/patriot-travel-medical-insurance?gad_source=1&gclid=EAIaIQobChMIz8LV663khwMVIYBaBR2V0iWaEAAYAiAAEgKXwvD_BwE
  24. I just completed this quiz. My Score 60/100 My Time 71 seconds  
  25. Dulcolax is not a stool softener. It is a stimulant laxative. Generic name is biscodyl and while Dulcolax brand is not available in Thailand there is a locally made equivelent called Biscodyl YSP. Same thing. The Senna I recommended is also a stimulant laxative but because it is classified as herbal medicine it can be legally sold outside of pharmacies whereas Biscodyl cannot.
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