Sheryl

@Felt 35 Forgot to ask, what hospital are being treated at and by what type of specialist? Wondering since you express such doubt about the doctor. This is certainly not something to try to deal with at a small upcountry hospital.

Already asked and it seems not.

The list is current. Invasive procedures like TURP, Rezum, laser (usually preferrable IMO to the former two, but less widely available in Thailand) are to be considered only after medical therapy alone has failed. From what you say, you have not yet even tried medications other than supplements. Medical treatment of BPH is something any urologist can manage but as it sounds like you want one with particularly good interpersonal manner/willingness to talk at length about potential side effects etc, I suggest https://www.bumrungrad.com/en/doctors/Charuspong-Dissaranan Usual medical management of BPH consists of a combination of these 2 classes of drug: Alpha blockers like doxazosin, tamsulosin, alfuzosin and silodosin. These work by relaxing the neck of the bladder to make it easier to urinate and effect is very fast, what it has not done for you in a week or two, it likely won't. These drugs tend to lower blood pressure, so if on a BP med may need dose adjustment. Retrograde ejaculation may occur especially if prostate is very large. Thus is harmless and does nto affect sexual sensations or performance, but some men dislike it for psychological reasons. Alpha-reductase inhibitors like finasteride and dutasteride. These work very slowly by actually reducing prostate size over time. Takes 6-12 months to see full result. As this class of drug works by partially blocking the action of testosterone, reductions in libido and sometimes (about 10%) erectile dysfunction may occur. On the plus side, they promote hair growth.

You need to specify the symptoms. Thai internists (generalists) are by no stretch of the imagination expert diagnosticians. There is a good GP (American) I can recommend in Bangkok but none I know of in Pattaya.

Brands of Felidopine in Thailand are: Besides other brands of Felopidine there are several closely related drugs in same class with same action eg Mandipine Amlodopine Amlodopine is the cheapest but also hss the highest rate of side effects. Though many people tolerate it fine. You need to be careful uf converting from one drug in this class to another as some are extended release and some are not

No it does not. That requirement is for visa exempt entry not for entry on a TV.

He is making money on TikTok. His real problem will be visa. Won't set in immediately but once he has had multiple border bounces it will.

Not everyone has polyps. Not all polyps are pre-cancerous. It usually takes many years for a polyp to (1l develop and (2) then turn cancerous (if it does so at all). The standard recommendation for screening frequency were developed with great deliberation taking into account risks of both cancer and the endoscopy itself. While coloniscopy risjs are small in.people wirhout special risk factors, the risk is not zero. You had a single, very very small, polyp which has been removed i.e. you now have no polyps. Unless the path exam shows domething worrisome you will be advised to re-screen in 10 years.

Yes, a CT woukd show an abdominal tumor. CTV on the other hand visualizes the blood vessels in the leg. Since the problem is bilateral and ultrasound was negative, as previously mentioned you might defer this, but the abdominal scan should be done as soon as possible. From the information you provide the doctor has solid reason to suspect (not know, suspect) an abdominal mass or fibrosis impeding return of blood to the heart. I can appreciate that this idea is frightening to you but he is making a sound recommendation. As for returning to your home country, if it were me I'd have the CT here then go home if it shows anything significant. Because going home at this stage woukd likely mean starting ftom scratch and led to inadvisable delays whereas if you return with CT resukt in hand that shows a mass you will be fast tracked.

Yes, amlodopine and related drugs are notorious for this. But does not sound like he is on any BP meds let along those.

Given all the other findings, (including anemia, elevated d-dimer) and the severity of the swelling, I very strongly disagree. Unless there is already a known cause, foot swelling severe enough to prevent putting on of shoes should always be referred to a doctor in any case. Of course, there are people with known chronic conditions (heart, kidney) whose feet may swell a bit from time to time and this can be managed more conservatively as they are already, presumably, on treatment for the known underlying conditions. Sudden severe foot swelling such as he reports, of no obvious cause, needs thorough workup. And there are now other worrisome findings as well. Excessive salt intake is a bad idea but will not cause such marked foot swelling in a healthy person.

Heart lung check would be just listening to your chest with a stethoscope. Did they not do that? Heart failure bad enough to cause ankle swelling would usually show up on chest Xray.

TikTok apparently and he already has it

Of course. That is what any normal, civilized person would do -- or just let it go altogether since it was night, they were just sitting on bottom steps facing out to the water and making no movement towards his house. (what I would personally do). Maybe put up a sign next day if problem were chronic and it really bothered him.

Neither PAD nor gout would explain this and he has symptoms of neither. From the information provided, either heart failure, an abdominal mass of some type or fibrotic changes in the liver seem most likely. The anemia and elevated d-dimer (with negative LE ultrasound) further add to suspicion of an abdominal tumor. But cannot be sure without scans. The cardiac workup described (treponin levels and EKG) would rule out only acute heart attack, not heart failure. Hopefully he also had a chest xray and they listened to his heart and lungs and checked his oxygenation.

I think not included in the number system at Revolut. They added Thailand as a country only recently and I would not be surprised if the bank code list they have is extremely incomplete and limited to main cities and tourist spots. Anyway it has been a bad experience wasting a lot of time. Doesn't look lik Wise would necessarily be any better.

As it seems he has an income stream from TikTik his problems will soon be with visa status.

First digits are not the problem . Problem comes with the 8th digit. Which I suspect gas to fo with the branch. I can enter the card number myself if they can just turn off the cross check function. Or add code for my branch to the list. Branch code is entirely separate from account number.

How could a UK citizen (native born) come here on refugee status? Obviously not. And further Thsiland is not a signatory to the convention on refugees so no protections and certainly no support for coming here as a refugee. Presumably he entered either visa exempt or on TV. And indeed he needs to find a job.

Ok from this the issue is with the issuer identification number and not with my specifc account . And it is with the very last digit of the IIN. Which would differ ftom those of you who report success with Kasikorn debit card due to different branch. I am thinking that maybe Revolut has a limited list of IINs for Kasikorn that includes only some branches, not all. And that entries are automatically matched against said incomplete list. Card should still work fine and if there was competent support available they ought to be able to override this system check and manually enter it for me. But there is not.

Sorry I mispike. First digit is indeed 4.

It is enabled. Use it constantly.

I don't recall if I evenr went hrough an adfitional verifucation process but I use this card online all the time. Also if the issue was specific to this exact card I would not expect to get the "unsupported" message before entering the whole number.

Yes and I use it all the time for online payements.

THE problem sets in after entering digits 5-7. Do you know if this includes identifying bank branch? Might that be the issue?