Sheryl

https://sriphat.med.cmu.ac.th/en/doctor/detail/215 https://www.bangkokhospital.com/en/chiangmai/doctor/khunawuth-ngamsuprom-m-d

You have an absolute legal right to these. Just go to the imaging dept with your hospital ID number and passport. If you know the dates, also helpful. They will provide it on DVD. I have done this many times including at Bangkok Hospital group. Free or nominal cost at private hospitals, government hospitals charge small fee for the disc. I don't know re software used but scans on disc from various different places could always be opened by whatever hospital I brought it to. Including in different country.

I also received this.

Addendum: @Lorry is correct, Norgesic in Thailand does not contain aspirin or caffeine. It is muscle relaxant plus paracetemol. I am doubtful it will do much more than paracetemol alone. And will have more side effects than plain para.

It is a muscle relaxant plus aspirin and caffeine. Muscle relaxants in my experience don't do much. Also should not be used daily long term. Aspirin of course has pain relieving and anti-inflammatory effects. But can also cause GI irritation and bleeding problems. Should not take together with an NSAID....much increased risk of gastritis, ulcers, bleeding. Frankly if your pain is so constant and so severe that you must take pain killers daily, you should prioritizs getting to the bottom of what is causing it. Invest in an orthopedic consult to rule out structural cause in lower spine or hip joints. Then if nothing significant found, get a good PT evaluation to pinpoint the muscle(s) involved and advise on appropriate stretches and exercises. Yes, this will cost something. But remember the saying"pennywise, pound foolish". You will end up spending more in the long run on massages, meds, accupuncture etc etc.

You might also want to consider your mattress, does it give enough support while still allowing butt, hips & shoulder some give?

yes, almost everyplace is using that.

Could be, but might also just be a bruise, could you have stubbed the toe? Or dropped something on it? Bruises under the nails take a long time to resolve.

Nobody considers melatonin a "date rape" drug. There is a Thai FDA brand called Circadin available in.pharmacies. Or you can get various US brands from iHerb. https://www.iherb.co.th/en In terms of antihistamine drugs used for sleep, most common one here is doxylamine, brand name Sominar. Like other drugs of this type, regular (i.e. nightly) long term use is not recommended especially in the elderly but occasional use is OK gir most oeople. Most pharmacies carry it. It comes in 25mg scored tabs, personally I take just half as whole tab leaves me groggy in the morning but YMMV. Other option here is hydroxyxine, many brand names including Histan. Comes in 20 and 25mg forms.

Samitivej has some good ones but prices not much less than Bumrungrad. Ones I have dealt with are: https://www.samitivejhospitals.com/doctor/detail/paritas-sukriket https://www.samitivejhospitals.com/doctor/detail/patcharahatai-kraisak https://www.samitivejhospitals.com/doctor/detail/nopadon-noppakun also looks possible but I have never met him Would help to know type of problem.

Many inpatient only insurance policies do cover outpatient hemodialysis so check your policy. Roughly, anywhere from 20,000 - 40,000 baht a month depending on the hospital and the number of sessions per week. Labs and doctor consultations extra. I suggest you contact the following nonprofit hospitals in Bangkok for a quote as these may cost a bit less than the for profit private ones: [email protected] [email protected] [email protected] [email protected] https://camillianhospital.org/en/contact-form-2/ The first one listed, the BhumarajaKidney Institute, is under royal patronage and what I would try first as likely the lowest cost, and the whole hospital is purely for kidney disease. If they do not respond to email (quite possible) have a Thai speaker call them at 02-765-3000. There are also some stand alone dialysis centers but I can't find an up tp date list. Your nephorologist may know, however. But try the above places first esp. the Kidney Institute.

An unhelpful/flaming post has been removed.

As previously mentioned, enalpril has a good safety profile and no reason to switch unless experiencing annoying sidxe effects (dry cough being the more common of these) Occasional NSAIDs...depends entirely on what you mean by "occasional". Frequent use is inadvisable, infrequent use in someone without kidney or liver disease (or history of gastritis/ ulcers) usually OK.

I don't think anyplace does this in the NE. It only became available in Bangkok 5-7 years ago. In Bangkok, several hospitals offer it; BNH hospital was the first to do so. It is only suitable for prostates below a certain size. See these threads: https://aseannow.com/topic/1274732-rezum-experience/ https://aseannow.com/topic/1268392-rezum-experience/ https://aseannow.com/topic/1353263-rezum-again/ https://aseannow.com/topic/1348335-rezum-procedure-at-public-hospitals/ https://aseannow.com/topic/1316688-has-anyone-in-chiang-mai-or-lamphun-experience-of-rezum-treatment-for-prostate-problems/ https://aseannow.com/topic/1345381-prostate-surgery-user-reviews-turp-rezum-other/

Suggest you try this online forum https://myasthenia-gravis.com/forums

Your best option is to go up to Thonburi and consult any of the following: 1. https://www.siphhospital.com/en/medical-services/doctor-biography?id=1207 https://www.thonburihospital.com/en/doctorprofile/dr-thawatchai-mankongsrisuk/ (same doctor, different hospitals, little difference in cost). 2. https://www.siphhospital.com/en/medical-services/doctor-biography?id=246 https://www.thonburihospital.com/en/doctorprofile/dr-sittiporn-srinualnad/ (same doctor, different hospitals. He is also at MedPark and Bumrungrads in Bangkok but above locations more convenient to Hua Hin and also less expensive). I assume when you say "drainage", you mean surgical drainage i.e. hydrocelectomy as this is the best option. Needle aspirations are not recommended as the fluid quickly re-accumulates. In hydrocelectomy a small incision is made to drain out the fluid following which the anatomical flaw that allows fluid to enter is sealed. It is a very simple, minor operation.

He received the quote in person at the hospital and was asked to sign an acknowledgment for it (unusual for just an ultrasound).

Hospitals that do not see significant volume of foreigners usually do not have dual pricing. Simply not worth the administrative headache. This even applies to some private hospitals.

Thakjs. 4 - 5k sounds about right for private hospital. The 7k OP was quoted is high.

If you are having dry cough on ACE inhibitor then a switch to an ARB may help. If not having side effects ( you initially said "no issues" ) then no reason to change. Losartan (local brands) is cheap here though enalapril even cheaper. I think you have misunderstood an equivalency chart. Equivalencies listed for enalapril are relative to other ACE inhibitors only. Equivalencies listed for Losartan likewise are relative to other ARBs only. There is no direct equivalency between ACEs and ARBs as they are different drug classes. Usual dose of losartan is 50 -100 mg. Usually start with 50 mg Losartan and then adjust as/if needed based on BP monitoring. In terms of risk both ACEs and ARBs have a good safety profile. What is risky is your long term regular NSAID use. Chronic regular use of NSAIDs is hard on kidneys. By the time you have abnormal lab results, damage may be permanent. Ditto liver damage though its frequency from NSAID use is lower then kidney damage (but when it occurs, can be severe). NSAIDs can also lead to GI bleeding and ulcers, and increase the risk of heart disease. https://pmc.ncbi.nlm.nih.gov/articles/PMC3158445/ https://pmc.ncbi.nlm.nih.gov/articles/PMC2997980/ The main risk is regular use for a long time. Occasional use is much less risky. Risks are also higher in the elderly. If you can make the NSAID use occasional, you should. Has the cause of your back pain been identified? Have exercises/PT, epidural injection etc been tried?

Untreated, It can destroy the bone underlying the teeth leading to more extensive tooth loss. In extreme cases can also lead to serious infection of bones and even sepsis.

Where in Thailand ate you located?

Note that if you ard over 65, a higher dose vaccine is recommended. This is because older people's immune response is not as robust. Only a few places seem to offer this here. Mahifol travel clinic does https://www.thaitravelclinic.com/cost.html So does the Golden Jubilee Medicsl Center in Salaya, which is where I got it. For future reference, peak flu season in Thailand is roughly May through Novrmber (the rainy season).

As ultrsound of testes is not as common as some other ultrasounds, not generally posted on price lists. But I cannot see why it would cost much more than say carotid ultrasound or an echocardiogram (ultrasound of the heart). You can see the cost of these at other, usually more expensive, hospitals here: https://www.bangkokhospital.com/en/bangkok-bone-brain/package/carotid-doppler-ultrasound https://www.bangkokhospital.com/en/bangkok-heart/package/heart-function-scan-echo https://www.medparkhospital.com/en-US/packages/healthy-heart-screening-programs As both @Lorry and I have told you, what you are being asked to pay seems high. The doctor fee also a bit high though not enormously so. It is unusual in my experience to be asked to sign for a quote for a simple ultrasound. For surgeries yes, but not just for an ultrasound. But as you have already started the process with this doctor, the larger question is: how comfortable/ confident do you feel with his expertise? If you want to change, I suggest Dr. Charuspong Dissaraan at Bumrungrad. US trained. https://www.bumrungrad.com/en/doctors/Charuspong-Dissaranan Or if you prefer further down Sukhumvit then https://www.samitivejhospitals.com/doctor/detail/thanoo-choovichian It is not likely to cost you more, and may cost less. Bring all records, test results etc with you. You do not have to go back to the doctor to get these, just go to medical records dept with your passport and hospital number. Usually free.

Other than the medications, costs seem pretty typical for a private hospital here IF it was a pretty senior specialist. Medication costs are always greatly inflated at hospitals. Unless a controlled substance is involved, should always buy the meds yourself at an outside pharmacy. The ultrasound amount seems high to me, in general around 5k is more usual though I have no experience or feedback specific to ultrasound of the testes.