Sheryl

Obviously, as others have said, you need to see a doctor to identify the cause.

Oddly enough, pharmacies in Pattaya seem not very good in terms of range of drugs and prices, and Fascino's is the best of the lot. If you already tried at the main Fascino store in Pattaya North, then I suggest you try ordering through one of these (compare prices first for your specific drug): medisafepharma.com bangkokdrugstore.com FulFil Pharmacy Line @223zwfee tel 095 524 9166 All 3 will deliver to your home.

You have to declare the conditions for which you take these medication. There are some travel policies that will cover "acute exacerbations" of pre-existing conditions and you should definitely look for that.

You can get an EST added to check up package there, I have done it. No problem with the check up process there, but (as is true in many hospitals) the review at the end by the doctor wasn't worth much. But you'll get all the results to take with you. by the way, at any hospital it is never necessary to get the package listed for your age, and often best to get a lower end package and just add on to it as needed. The "package" contents are seldom ideal. Among other things, they are geared towards Thai not Western health issues (e.g high incidence of primary liver cancer, which is rare in Westerners) . Looking at the BCH packages, the "Smart" package with PSA and EST added on should be fine. Note that abdominal ultrasounds are not recommended for routine health screening. Private hospitals like to do them because they tend to uncover a lot of unimportant incidental findings (eg cysts on kidney, liver) which in turn lead to other expensive and unnecessary tests. The abdominal ultrasound is main reason for higher costs in the packages listed for older ages.

https://www.samitivejhospitals.com/doctor/detail/thaninjitra-poonpedpun https://www.bangkokhospital.com/en/bangkok-bone-brain/doctor/prof-dr-kongkiat-kulkantrakorn https://www.bangkokhospital.com/en/bangkok-bone-brain/doctor/dr-kiratikorn-vongvaivanich Before seeing a specialist, might it be due to tense muscles in neck and/or shoulders? Often caused by prolonged computer use, or poor posture/sleep position, or stress. If it might be this, you might like to try gentle neck & shoulder massage and exercises to relax these muscles first. Like https://www.youtube.com/watch?v=ew3t1XiXLAk Also consider possible change of pillow to one that better supports the neck.

A neurologist soecisluzingbin headaches. I am away ftom my vomputer until evening, will podt suggestions later. Any specific hospital preference?

I duscussed this place in my post. Not in Pathum Thsni however. Thonburi side of the tiver near Rama III.

Nothing you have said suggests liver disease except for this unspecified "something in the images", which you need to look up and specify. I assume your liver enzymes are in normal range? And your blood count OK? Some people just have a genetic predisposition towards low copper. For what reason did you measure copper levels in the first place? Zinc competes with copper for absorption, how long have you been taking zinc and for what reason? Have you ever had any GI surgery? What medications are you on? Some can affect micronutrient absorption. Most importantly - what is your alcohol consumption like? Alcohol reduces absorption of both zinc and copper as well as oyher essential nutrients. There is an old saying, "treat the patient, not the numbers". Due to the ready availability of on demand lab tests I see a lot of people in Thailand unnecessarily treating/worrying about lab tests results despite being perfectly healthy. Putting these "numbers" aside, do you feel well? If not - in what way? Stay off the AI, it will just mislead you.

A number of troll replies removed. As others have explained, the card is issued based on (and links to) a yellow tabian ban, must have that first before you can get the pink card. How difficult/easy to get yellow tabian ban, varies greatly from place to place. It provides proof of address and also has your name and address written in Thai. Personally I have found it very useful, but not everyone does. Required to continue SS benefits after retirement. Post offices and delivery services will usually accept it in lieu of other ID. Some (but not all) hotels will as well. Some (but not all) parks etc will agree to local price based on it.

This is not a hospice. It is a center for diagnosis and treatment of breast cancer. There are some (few) hospices in the Western sense here, as I previously described. But not many. There are also foundations/temples that provide very basic, unskilled custodial care to homeless people with terminal illnesses. But I would nto really call that "hospice" in the palliative sense.

Yes, I discussed and linked to this in my first post. Looks quite good but I have no first hand feedback. However OP needs to clarify if he would accept this at some stage since his original post specified dying at home. That, much harder to manage as things progress, and needs a capable person to manage it. Besides Koon, as I previously said, St Louis has a wing for palliative care and I have had good feedback on it. https://www.saintlouis.or.th/clinics/palliative-care-center/40

I would not necessarily agree, there are other considerations, as I outlined. Money is essential but not sufficient. He will not remain in a condition able to direct his care and supervise paid attendants. Someone else has to be willing and able to do that, if he is set against going into a private facility even in the last stages.

Your pharmacy is breaking the law, big time. (not for the tramadol. But for the rest). And so are you, in buying these over the counter. What does Social Security have to do with buying meds from a private pharmacy?

Oral morphine is certainly available and not necessarily expensive. Even government hospitals will prescribe it for home use in terminal situations (though not necessarily in enough dose and quantity). I have never seen or heard of IV morphine drips in the home (and I know wealthy people who certainly tried). If you do, please share the details. By PM if not here.

Codeine (which comes only in oral form) would also not be enough for advanced cancer pain. At that stage one needs morphine or related drugs like fentanyl. Are you sure you got codeine from a pharmacy? It is a schedule 2 narcotic in Thailand and sale allowed only from hospitals and clinics.

Tramadol will usually not suffice for end stage cancer pain. Morphine or similar is necessary. Can be gotten, though through public hospitals can be a hassle and insufficient in dose (especially gor a Westerner....Thais are unusually sensitive to any sort of depressents so norm here is quite low doses). Privately, if under the care of a Westrrn-trained palliative specialist (there are some especially in Bangkok) adequate oral pain meds can be obtained and sometimes skin patches (they keep going off market here for some reason). The problem, as I explained previously, occurs when the patient can no longer take oral pain killers or they are no longer sufficient -- and in most cases that will occur. Cannot get IV narcotic at home here. Also the various other physical discomforts that arise in the dying process (e.g. choking on secretions, nausea agitation) will usually go untreated or undertreated at home. Except at a few private residential hospices there is a lack of expertise in handling these. Proper hospice care is more complex than people may imagine. Needs detailed protocols, special training and professional oversight. OP needs to consider: 1. Can he afford private care? If not, I would absolutely recommend staying abroad. 2 What sort of support system does he have in Thailand and how well prepared is the person who would be primarily responsible for coordinating his care? How well do they understand the hospice concept? How well equipped are they to advocate assertively with doctors? Hiring in home care givers is fine, but someone has to arrange and supervise this, as the patient will become unable to do this himself as the dying process proceeds . 3. How firmly wedded to the idea of dying at home (vs just dying in Thailand) is he and why? Is it more important than dying comfortably? Would he be open to moving into a residential hospice facility once completely bedridden and/or needing IV pain killers etc? (Should plan for/set that up in advance, and be under the care of a palliative specialist from that facility from the start so that whoever is in charge of their care can effect the move easily when the time comes). As previously mentioned, there are some good options in Bangkok. A lesser consideration but worth mentioning -- arrangements after death will be easier if it occurs in such a facility. Otherwise will have to let the police into the home and they will try to insist on taking the body for autopsy at the family's expense. Stressful business and not at all the same as when a Thai dies.

Thailand does not have the type of home hospice care found in the west. You can certainly get a caretaker, maybe even (if you can afford it) nurses to take care of you at home. But the big problem will be pain relief and other palliative measures to address the various physical discomforts that arise. .No at home morphine drips and the like here, no experienced home hospice nurses or protocols for at home end of life care. You can get oral pain killers of course, but will have to go into the hospital periodically for refills, and once no longer able to take oral pain killers it is a problem. I know cases where, with considerable difficulty and a determined (Western) spouse, willing and able to take on management of care, people successfully did this but it is not easy. Lacking a spouse or other close person willing and able to proactively manage care & communications with doctors, and be assertive with them on your behalf etc, it does not go well. Usually what happens is that once oral pain killers don't suffice, or other symptoms become bothersome, the person comes into hospital. There are some good in-hospital hospice type arrangements now (fairly recent). St Louis Hospital in Bangkok has a hospice wing; MacKean Hospital in CM has provided this for some time; and there is also now a hospital specifically for end of life care in Bangkok : https://www.koonhospital.com/

As others have said, go talk to thevLabor Dept.

I do likewise. Low shelf where not too cold.

More outright misinformation has been removed. As this thread had been taken over by anti-vaxxers with an agenda, it is closed. mRNA vaccines at not "gene therapy". They do not affect the cell's nucleus. They do not alter DNA. Individual anecdotal experiences do not prove anyyhing...especially now that the public had been conditioned to believe that anything at all that occurs subsequent to COVID vaccination, even years later, must have been caused by it. I know a case where a woman spotted a few grey hairs in her late 40's and is convinced COVID vacvcne 3 years ago must have caused it. The only way to identify causal linkages between a vaccine and subsequent events is a large scale study comparing the incidence of those events between vaccinated and unvaccinated populations. Which had bern done, extensively.

Well equipped But so is Siriraj Thonburi no. Not sure re MedPark. Siriraj location less convenient though unless you live on that side of the river

No to 2nd question if you mean widespread vaccination. People with specific risk factors for severe disease may be advised to vaccinate For the first, there exists an updated 2024-2025 COVID vaccine which targets newer variants but I have impression not available in Thailand. A numbet of posts with inaccurate info/promoting conspiracy theories have been removed. The COVID vaccines safety profile remains good. Mord than 13 billion doses have been given worldwide.

Still seems high. Friend quoted 550k from Siriraj private wing last year.

Cardiprin is still on market in Thailand. Can order it here https://bangkokdrugstore.com/?s=Cardiprin Or try Medisafe https://medisafepharma.com/

This is not correct, there are antibiotics that are white. In fact the white tablet shown could be one, but impossible yo say without knowing the markings. I cannot locate an antibiotic sold in Thailnd that comes in the blue and yelliw capules pictured. OP should provide info on markings .