Sheryl

It could be any number of different things. See a dermatologist.

Actually risk assessment now includes the PSA ratio not absolute PSA. The ratio is quite helpful in distinguishing PSA elevations related to BPH. The PSA trend over time is also considered. International Gleason groupings were revised in 2014 and it typically takes several years for new criteria to be widely known and employed, especially In Thailand. Under the 2014 revision your score was indeed low risk but obviously whomever uou condulted in 2018 was still referring to older criteria.

When?

Perfectly well published and accepted. No reluctance involved. It us just relatively new, due to recent advances in diagnosis.

In his specific case he has a multi-drug resistant bacteria, probably as a result of prior self treatment, and requires prolonged course of intravenous antibiotic of a very expensive type. Something to consider before self treating suspected prostatitis .

80%. Which stilll leaves 20% -- 1 in 5 -- that are aggressive. Nowadays diagnosis distinguishes between "clinically significant" (aggressive ) snd nonclinically significant (slow growing) prostate cancers and surgery or radiation considered only for the latter. For whom it is potntially life saving.

Indeed, oristatd cancers fiffer markefly in thrir aggresdivrnesd. Active surveillance is an option only gor slower growing types. For aggressive prostate cancers surgery if done in time is literally difference between life ( decades of life in the case of men under say 60-65) and death.

Thanks for the update and glad all went well. Incontinence typically improves with time but may tske many months. Can I ask the total cost of the surgety?

Interest in a Thai bank account is assesssble in Thailand (and will often have had tax witheld automaticslly). Interest earned in foreign banks is not assessable in Thsiland unless remitted here.

Nothing will happen that affects the returns due in March. Any changes would be for future years.

Samui is not the place to have this assessed. And while you definitely need to follow up on this cannot assume anything from an ultrasound report obtained there from a nonspecislust. Thrre are alternative diagnostic tests to CT that can be used, as well as altertnative contrast media safe for the kidneys. First step eould be a repeat ultrasound performed by specialist. You need to leave Samui and get under the care of a cardiovascular surgeon ASAP. Can you fly to Bangkok?

OP has clarified that he walks fine and is "sprightly", and speaks clearly. Just forgetful. This is not a wheelchair scenario. It is a fully ambulatory man who to any stranger would seem fine at first...and is currenyly living, bathing, eating etc on his own. Even callng/texting on financial affairs. But is increasingly forgetful. Which makes it definitely the time to make long term arrangements, and not a good idea to take an international trip solo. Even accompanied, very bad idea to travel with no one to receive him and take respinsiibility at the other end.

From OP's description the man is fully ambulatory and docile/cooperative. Just very forgetful. No suggestion of incontinence. Probably nothing at all in his appearance or manner that would alert check in staff and unlikely to be disruptive on the flight. But, highly likely to get lost and confused in both departure snd arrival airpirts, pkys he lacks a destination once in UK. People seem to be imagining a wheelchair bound, feeble person unable to communicate. Not at all what has been described. Right up to the day he died of complications of Alzheimers my father looked outwardly normal and would certainly have been issued a boarding pass (assuming he found the check in counter). But he would then have gotten list trying to find the flight gate on his own. The man in question does not sound like he is in terminal phase of Aozheimers by any means. Just too forgetful/confused to live (or travel) on his own. The iverriding issue is not just the mechanics of travel but the lack of a plan for his placement and unrealisrltic expectations of the NHS.

Any dermatologist can manage it. What went wrong at the after hours clinic?

It was LannaCare but it collapsed after she died, unfortunately.

It is probably going to cost more in the UK than in Thailand, and someone would have to arrange it. This is because NHS pays for care homes only when there is a need for skilled physical care as opposed to "custodial care". " NHS continuing healthcare and NHS-funded nursing care If the person with dementia has complex health and care needs, they may be eligible for NHS continuing healthcare. This is free and is funded by their local integrated care board (ICB). A diagnosis of dementia doesn't necessarily mean the person will qualify for NHS continuing healthcare. People who don't qualify for continuing healthcare, but have been assessed as needing care in a nursing home, may be eligible for NHS-funded nursing care. This means the NHS will pay a contribution towards the cost of their nursing care. Find out more about NHS continuing healthcare and NHS-funded nursing care." https://www.nhs.uk/conditions/dementia/care-and-support/care-homes/ It sounds like these friends of his are not knowlegeable about what services are available and at what cost in the UK for people with dementia. It is not a good situation and thus sending him back to UK is nto the solution they assume it to be. If his problems were of a different type (eg cancer, heart disease) it would be a bit different. See also https://www.alzheimers.org.uk/get-support/legal-financial/paying-for-care "Dementia care isn't free"

Definitely the exemption for SS income in the Thai tax code refers to Thai SS payments. Further, by no definition is the UK OAP "Social Security". The Thai tax code states pensions are assessable income. Some types of pensions from some countries are, however, non-assessable in Thailand under the terms of some DTAs. The UK OAP is not one of them, but UK government pensions (for retired military, civil servants etc) are. Note that assessable for tax purposes does nto mean tax will be owed. Unless there is significant other remitted income, no one is going to have to pay tax on the UK OAP. It is assessable, and filing is required, but once all the exemptions, deductions and allowances (TEDA) are taken no tax will be owed. A pensioner would have to have more than 500,000 baht in assessable remittances (more if married or with dependents) to owe tax here once all the TEDA is taken into account.

Just noticed this, they need to start working on passport extension straightaway. And extension of stay in Thailand, as I assume that current expiration does not go beyond current passport expiration. Situation will be dire is his passport and permission to stay expire while he is still here. and it really does not sound likely they can get him back to UK before 15 March. He could end up in the Immigration detention center, literally. I am curious as to just what they think simply showing up at a hospital in the UK with Alzheimers is going to achieve? He will not qualify for hospital admission just because of dementia. Care home placement in UK takes time and costs money. Where would he stay in the meantime? Who would handler the arrangements? Not feasible to send him back to the UK unless/until there is a plan in place addressing these points.

And make sure you understand the policy terms and follow the corrrect procedures if hospitalized (usually this means obtaining pre-authorization). Moved to Insurance forum.

We don't know what his physical condition looks like, he might be ambulatory and unremarkable in appearance in which case airline would be none the wiser and let him check in. Quite possible for someone with worsening dementia to look normal enough at a glance. But getting by himself through Swampy onto the correct flight, and then at Heathrow airport out to a cab and a hospital, all on his own, is not feasible for someone with dementia. In addition there does not seem to be a plan for his care once in the UK. Just showing up at a hospital when what he needs is longterm placement in a care home (for which there may be a long wait lists) is not a viable plan. Placement in a care home in Thailand may be an option IF he can afford it. In which regard it is imperative that someone reliable has power of attorney to manage his finances and legal affairs (including visa) for him. The best place in Thsiland taking cost, quality and long term reliability into account is MCKean in Chiang Mai . They have a memory Unit. https://mckean.or.th/

Where done? I have not heard of this being done in Thailsnd.

Do not send by Fedex!!!!!! The "correct documents" include a permit from the Thai FDA which is very difficult, if nto impossible, to obtain and you will have to pay storage charges in the meantimne. Use of Fedex or DHL guarantees customs problem. Regular post is the best way to send but there is always possibility of it getting stopped, as happened in your case. Remember that it is illegal to import pharmaceuticals by mail without an FDA import license. Which is usually only granted to hospitals and registered pharmacies.

Thai tax rules do not distinguish based on nationality, just on tax residence. The revised rule on remittance timing was done with wealthy Thais in mind but applies equally to foreigners with tax residency here. So will any changes. Hardly a surprise that people have responded to the change by remitting less money. Should have foreseen this would happen.

I am not aware of any private imaging places that do an mpMRI. You may have just regular MRI with contrast which is not reliable for assessing likelihood of prostate cancer. DRE can be useful if there is cancer present where it can readily be felt. Dometmes it is, sometimes it isn't.

Followed by Free PSA if the PSA is elevated. Culture of urine or (preferably) orostate fluid if prostatitis suspected. Then mpMRI if indicated by alk thd above findings.