Sheryl

In most people it gets better within a few months, but it does vary. https://ada.com/covid/covid-19-tinnitus/

No. They'll have no idea who I sm.

A CAC and coronary angiogram (what you are scheduled for) are not at all equivalent. The angiogram is never done for simple screening. It is done when there are significant symptoms of coronary artery disease (e.g. chest pains, changes on EKG), and if significant blockage is found a stent can be inserted during the same procedure. CAC on the other hand is done to estimate a person's risk of developing coronary artery disease in the future. It is suitable for screening of asymptomatic people. (And it is available in some places in Issan). What exactly led to you being scheduled for an angiogram? And where will it be performed?

Up to you. I don't think it matters. Is it possible you also had/have COVID? As COVID does cause tinnitus in some people.

You can get it at the Mahidol Thai travel clinic in Bangkok https://www.thaitravelclinic.com/cost.html (scroll towards the bottom of the list) I am going to get it there myself in a week or two, prior to travelling back to US.

Unlikely the tinnitus is due to the throat infection, but time will tell. Often it is due to hearing loss, hence the recommended audiogram. There are ENTs who specialize in tinnitus but you won't find them in clinics or, for tha matter, in Phuket. By the way Betahistine does nto treat tinnitus. It is for vertigo, specifically vertigo associated with Menieres Disease.

Your original post stated; "The fever has been in the 38.5--39.8 range and is lowered by taking those meds. Other than feeling achy and sweating at times, I have no other symptoms. I am having this problem now and also had it for a few days about 2 weeks ago. I had a similar bout a few months ago. " So that is 3 episodes of unexplained high fever within a few months. You need to see a doctor as previously advised. Going in to see the doctor does not give them "carte blanche" for anything. You will be told what tests are recommended and why, and you can ask the cost and agree or not. You will not be "told to get scans, x rays and more without the doctor giving me some concrete reasons for why they feel these tests are necessary". At least I have never experienced or heard of that happening, and should it (highly unlikely with the doctor recommended), all you have to do is ask the doctor why before agreeing to each test. The normal process is that, after having heard the history and perhaps done a physical examination, the doctor tells you the differential diagnosis (possible things it might be) and proposed diagnostic tests. You can at that point ask the cost/question the necessity of particular tests if you feel it necessary.

I can confirm it is not normal practice to do a root canal on milk teeth. If necessary they would do simple extraction. Yes, he will have to sort it out. She is not going to remain with him without financial support in exchange (neither would >90% of other potential Thai GFs) , but they could work out a more honest and transparent arrangement.

Usually need not only a US address but an address in the plan area (usually a state) and be resident there at least 6 months of the year.

A president is not obligated to stand for re-election. Nor does he have to give a reason for not doing so. Unless there is a dramatic change in his condition, there is not going to be any attempt to remove him from office for the few months remaining in his term. The problem is that he seems determined to run again no matter what, and the Democratic Party until very recently seemed equally wedded to the idea despite polls that consistently showed this is not a good idea.

Medicare will not cover you abroad and I doubt a Kaiser/Medicare plan would either...have you used it in Thailand? FepBlue is better suited for coverage in Thailand. Probably why you were advised to seitch.

I do not know exact details but dental cover under the 30 haht scheme is quite limited. As poster above noted, there is no fee to "join" the scheme. Actually any Thai citizen not covered under either of the 2 SS systems is automatically covered under the scheme. There is a small fee (usually 50 baht) the very first time one registers at a hospital to get a patient number etc, not sure if the 30 baht scheme covers that or not, but it is only 50 baht. Root canals usually cost much more than 1,600 baht even if that was per treatment (not pre root canal...a single root canal can entails 2 - 5 separate sessions). So certainly not excessive. The larger issue is if your friend is happy with a relationship in which he is expected to (and can afford to) financially support his GF (pretty much the norm here for farang-thai pairings). That's for him to decide.

Of course they do. Everyone in a hospital is sick, many of them seriously so. The population of people not in hospitals is by definition much healthier than those in. So naturally fewer of them die. As a percentage of population, death rate is highest in hospices. Because only terminally ill people are admitted to them. You may well as say "more people drown in oceans, lakes and rivers than anywhere else" (also true).

He is referting to a post here Not specific to tax issues and indeed the people referred to would be unlikely to owe tax.

Ignore the article, please. People like to think (or hope) that all the symptoms/discomforts they have can be explained by a single, unifying disorder. Rarely is this true, and mass media articles are not a reliable source of medical information. More often people's symptoms are a mixed bag of normal occurrences and different, unrelated, ailments. Vagal nerve damage in the absence if diabetes or past surgery is extremeley rare. The only autoimmune cause of vagal nerve damage I am aware of is Scleroderma and nothing you say is suggestive of it. The vagal nerve is highly sensitive to emotional and other stresses and is indeed often involved in feeling faint etc. This is not an indication of nerve damage. You will get nowhere trying to get a doctor to follow up on your self diagnosis. However it does sound like you may have a few, separate, issues that might warrant medical consultation: 1. GI issues : abdominal pain and bloating; occasional nausea and vomiting. You also say "GERD" but please tell me the actual symotoms as I find people often confuse GERD with symptoms of gastritis. Also please indicate if you have seen a GI specialist yet and, if so, what diagnosis and treatment were given. If you have not seen one, a consultation may be in order. Where do you live? Are you overweight? 2. Heart palpitations and episodes of fainting: have you ever seen a cardiologist to evaluate this? While this can be due to just anxiety (or too much caffeine) it can also be a sign of something more serious, and if these episodes are frequent then you should get a cardiac evaluation. Again, where do you live? As for waking up with pain down either arms or legs, this cannot be relsted to the vagal nerve and as it is not consistent (i.e. sometimes arm, sometimes leg) and goes away after getting up, I would not put much importance on it, could just be related to sleeping position, with or without some age related arthritis if you are over 50 (40 if obese) .How old are you. and are you overweight? You can see an ortho specialist if you want but they are likely to react as I just did. If the pain was consistently in same place and not limited to a few minutes in the morning then further investigation, like Xrays etc, might be warranted but it hardly sounds so. Also sounds like this was not an issue to you until you read this article. Feeling faint when overly hot or hungry or stressed is normal. Vagal nerve stimulation may be involved if the faintness is severe but this is normal vagal nerve reflex, not an indication of nerve damage. Again note thst the vagal nerve is highly sensitive to anxiety.

It does, thanks. I will have to check and see if it can be applied over tiles.

Unhelpful posts removed

@PouatcheeJust to be clear, the above poster's issue was that his doctor wanted to do 360 on both eyes, including an asymoptomatic one. That said, it would be very worthwhile for you to get a second opinion from Dr,. Roy at Rutnin (and might avoid the need for the 360 procedure, though no guarantee) if you can make the trip to Bangkok.

@carlyaiThe various clinics (and doctor schedules) for the SMC are here https://www.smckku.com/smc-doctor-timetable/ (open in Chrome for translation) No eye clinic listed. There is an Eye Clinic, and very good, but I think you have to use the public channel. They will certainly be able to diagnose a retinal tear if you have one. They will need to do a retinal exam which involves dilating the pupil so don't plan on driving yourself afterwards.

No. Chlamydia does not cause intermittent high fevers. A lot of well meant but uninformed suggestions in this thread.

Surgery is done as a last resort. Your fibromylagia could certainly be a factor here. Spinal cord intervention is probably use of a spinal cird stimulator. See https://www.sciencedirect.com/science/article/abs/pii/S109471592102208X Nerve ablation is possible only if a single nerve has been clearly identified as responsible. From what you describe (pain spreading to a wide area) this may not be the case with you.

Yes but they are assurred of payment based on the estimate they submitted prior to receiving the Guarantee. Apparently in your case the actual cost ran over by 21k. (Either that, or the insurer, after seeing the final detailed bill, objected to items totalling 21k. Less likely. but possible especially if there was a long delay before the clerk talked to you). You don't "argue" with the clerk. You just firmly tell them that they must work it out with the hospital. Full stop. Believe me, in my 30 years here I have encountered this over and over. Very common in Thai hospitals. The least little issue and the first approach is to sound out the patient and see if they will pay. You will encounter it again.

That means there is no cap on hop much benefits you can receive. (As opposed to most private insurance which has a cap). It does not mean that a hospital, on a specific admission, has carte blanche. The hospital has to submit estimated costs, these are reviewed for reasonableness and then a Guarantee of Payment (GOP, or GOB) is provided. For a specific amount. No insurer, ever, gives a hospital complete carte blanche without limit. If they did, they'd soon be bankrupt. In this particular case, apparently the Guarantee was for the full amount of the hospital's estimate, but for some reason actual costs ran over. The hospital needed to go back to the insurer and explain the difference, or else eat the cost themselves (since it was likely due to their own original mis-estimation or overcharging). Happens all the time. In most cases insurer will accept a small overrun once provided with the detailed bill. In others, they may demand an explanation. OP was taken advantage of by hospital insurance staff who wanted to avoid work or did nto know what they were doing.

There is no such thing as a hospiutal specialuzing in this one condition. But there are hospitsls with pain management teams who can treat it. Srinagarind would normslly be one. What treatments have you had so far, and what type of doctor (specialty) has been treating you? Have you been going through the Srinagarind public channel, or their "Special Medical Clinic"? Have you clearly communicated to your doctors that the pain remains severe? And where in Thailand do you live? As you may know, there is a range of treatments for this condition, starting usually with trigger point injections then moving up to nerve ablation and then, if all else fails, surgery. So it is important to know where you are on that spectrum.

You should stop self treating and see an ENT, preferrably one specializing in tinnitus. Where do you live?