Sheryl

Your blue card is from when you were under Section 33. You are now under Section 39 so old Blue Card number is invalid and you cannot get a new one, you are registered under Section 39 with the ID number on your pink card.

Yes, your systolic BP (top number) is too high if this reading was taken at rest. And your pulse pressure (difference between top and bottom numbers) is extremely wide. Sometimes this can just be due to an erroneous reading of the bottom number (common with home machines, even the best) and sometimes due to cardiac problems. You should consult a cardiologist, especially since you have a history of heart problems.

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The OP's description does not sound like GERD. In GERD the acid goes up into the throat. If it persists, might be gastritis but needs endoscopy to be sure.

Please provide clear details on where to donate as in most cases this would be at Thai Red Cross not the hospital itself (but this can vary).

Prof. Boonsri also has a very good reputation though I think a bit more focused on genetic issues. Any insurance you get, will not cover the pregnancy nor any rersulting complications since it is pre-existing. Once the baby is born, and assuming healthy, you can get a policy that includes him/her. Thai issued policies are best avoided as the regulatory framework is weak and track record for payouts is sub-par (some more so than others). What you need is an expatriate policy issued by a company in a developed country (but not US, US insurance market not geared to this and very costly). Should go through a broker who specializes in this, important since a good broker will help later with any claims issues. I use https://www.aoc-insurancebroker.com/ Note that if your wife is a Thai citizen he has access to free health care through the government system as will your child. But have to use a specific hospital (or one it refers her to) based on residence.

Off topic posts removed.

https://www.samitivejhospitals.com/doctor/detail/patama-promsonthi I have heard good things about the above doctor. That said, you may not be able to find the degree of detailed oversight/solicitude here that you had before. The Thai "mai pen rai" philosophy extends to medical care. Had to edit your post to remove doctor and hospital names as Thailand has draconian defamation laws. (Also, to be fair, the actions and statements of one doctor or dentist does not reflect the knowledge and practice of all at the same hospital. ) Be forewarned that, in unlikely case NICU care is required it is extremely expensive here (as in millions of baht, plural) Do you have good insurance that covers this?

You will not be able to find a doctor experienced with this in Chonburi, would have to come to Bangkok. Where/how has this been diagnosed? What treatment/medications so far? (I am assuming previously diagnosed in your home country as this is not something you can self diagnose). Treatment here can be quite costly. Do you have good insurance that would include outpatient care and medication?

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.

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.

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).

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.

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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

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.

flaming/name-calling posts, obscene/offensive remarks, and posts quoting same, have al;l been removed.

Flaming/name caling posts and replies to same have been removed. Please keep it civil.

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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.

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.

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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.

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.