Sheryl

Have you tried Fascino?

People report being unable to get this form on request. And of those who do get it, I have yet to hear if it helping.

Dermovate is a brand name. While it ecists in Thasliland do do literally dozens of locally made brands of the same thing. It would be a rare pharmacy that did not carry at least one. Stop asking by brand name and instead ask for Clobetasol cream. And write that name down to show them as Thais have their own way of pronouncing things and might not recognize yours.

A post promoting a conspiracy theory documentary full of COVID misinformation has been removed. @david_je"only available to Thais" has never been an official government policy. Sounds like something the hospital decided on its own. Tends to happen with things in short supply, and Paxlovid supplies remain more limited than those of other drugs. No guarantee, but your odds of getting Paxlovid would be greater at the private "international" hospitals. Of course so would the cost. Having already had COVID infection once, and presumably also having been vaccinated, you will already have considerable immunity if re-infected. Do not be put off by accounts of declining antibodies, you will still have cellular immunity. COVID reinfection is significantly less likely than first COVID infection to cause severe disease https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961977/

1. There was no "conspiracy". 2. The Denvaxia vaccine (first Dengue vaccine developed, launched around 2016) is effective in reducing dengue infections by about 80% in people who have had dengue before but only by about 50% in people who have never had dengue. Most importantly, among people who did not previously have dengue, received the vaccine and still got dengue, a higher percentage of them got a severe form of the disease. There is no clear evidence of increases deaths as a direct result (much less "10% mortality") but there were definitely more complications leading to more serious illness and hospitalization among this group. This mainly played out in the Philippines which was the first place to widely launch the vaccine. 3. Far from being "banned" or "censored" this finding was widely publicized and led to a revision of guidelines for vaccine use, limiting it to people confirmed to have had dengue in the past. One could legitimately criticize the vaccine developers for not having known of this effect sooner (i.e. before releasing the vaccine), especially since a re-analysis of the clinical trial data also found this effect. But there was no intentional conspiracy and certainly no cover-up. 4. Revised guidelines limiting the vaccine to people with a prior dengue infection were issued in 2017 and the vaccine became available in Thailand only in that same year (and even now, is not part of the standard childhood immunization schedule and has nto been widely administered) so the impact of the original failure to recognize need to limit vaccination to people who had already had dengue in Thailand was minimal. It is certainly not an explanation for population decline. This - which began circa 2020 - is directly the result of a decline in birth rate. 5. The new vaccine (Qdenga) appears to be free of this effect i.e. rates of complicated dengue/hospitalization are nto higher in those without prior history of dengue before receiving the vaccine. Qdenga has thus far been tested only on people aged 4 - 60 years so recommendation for use is limited to that group. It decreases risk of getting dengue overall only by about 60% but risk of severe dengue by about 80% (some variation by dengue serotype and prior immune status).

Hiccups can happen to anyone. In some cases they are caused by alcohol, or eating too quickly; in other cases they are due to a medical condition (something that irritates the diapraghm) and in others, there is no identifiable cause. In rare cases they can go on for days or even weeks/months and elude all home remedies. Since most hiccups spontaneously resolve it is difficult to evaluate the efficacy of thew many home remedies advocated. People try XYZ until the hiccups stop -- but maybe they would have stopped then anyhow.

A flaming post has been removed. Please keep it civil

Definitely, rates vary with age. Broker info is incorrect. For me, I paid $3,229 at age 69 then $4,073 at age 70 (this is with a $500 deductible, and the Essential plan - years were 2022 and 2023 respectively). If I were you I'd try a better broker. Which you will need anyway even if changing policies (which they can advise you on).

At 56 with no known health problems I would suggest: CBC ALT/AST BUN Creatnine Lipid Panel: HDL, LDL, triglycerides HB1Ac PSA Exercise Stress Test (which includes EKG) Eye Pressure You should also get a colonoscopy if you have not had one in past 10 years, but that needs to be arranged separately. None of the hospital "packages" will exactly match what you need (usually the case). The basic packages will usually omit HB1Ac, PSA and EST. The more extensive packages will include the ofllowing unnecessary test which are not suitable for screening purposes and quite likely to give false positives leading to unnececessary and expensive further tests: - abdominal ultrasound -"tumor markers" - AFP, CEA etc - Hepatitis panel Abdominal ultrasound and Hepatitis panel are necessary only if liver enzymes (blood test) come back abnormal or you have specific known risk factors or symptoms. The so-called "tumor markers" are not recommended for mass screening and often positive in people without cancer; in addition the normal range used in Thailand for AFP is much lower than international. (This is because of a high incidence of primary liver cancer in Thais - not relevant for Westerners among who primary liver cancer is very rare). The "gold heart" package at Vejthani Hospital (8,700 baht) includes everything you need except PSA and eye pressure. You might contact them and ask if these 2 things can be added on. https://www.vejthani.com/packages-and-programs/cardiac-screening-package/ Alternatively: RSU Standard checkup (3,900 baht) has everything you need except for PSA, HB1Ac and EST (stress test). Contact them and aks what it would cost to add these https://rsuhealth.com/product/ตรวจสุขภาพ-24-รายการ-standard-check-up-package-สำ/

Pretty much anywhere you can opt for whatever package you want and add on additional tests. Age related "packages" are not well designed here and higher age packages often contain unreliable tests not suitable for health screening while still omitting things you need.

OP how old are you and what tests are you seeking? Any particular health problems or risk factors? One cannot rely on "packages" to include what you need. They tend to omit needed things and include tests not indicated for general screening. You need to start by deciding what tests to get.

These are the most current guidelines for BP https://www.health.harvard.edu/heart-health/reading-the-new-blood-pressure-guidelines It is usually possible for people in the "elevated" category to reduce BP through life style modifications (weight loss, exercise, reduced sodium intake). For Hypertension Stage 1 "Medications are recommended to lower blood pressure in Stage 1 hypertension if you've already had a heart attack or stroke or if your 10-year risk of a heart attack is higher than 10%. (You can find your 10-year estimation at www.cvriskcalculator.com.) For others with Stage 1 hypertension, lifestyle changes alone are recommended." https://www.health.harvard.edu/heart-health/reading-the-new-blood-pressure-guidelines

No.

Could be a mixture of both i.e. license might be required for moto but nto scooter. really no way of knowing the specifics of her policy (did nto cover moto altogether, or did nto cover moto unless had a valid license etc)

You have to base this on your INR. If/when it is <3.0 you can immediately start rivaroxaban and take no more warfarin. (Note that the INR cut off is different for different meds) https://www.acc.org/latest-in-cardiology/articles/2014/05/22/14/39/accel-2-1

A post describing illegal activity has been removed in keeping with Forum standards

Baiting/flaming posts have been removed

Retiring from US prosition. Still at Bumrungrad.

@popel If i understand correctly you are in VN now and planning to try to return via air to Chiang Mai. To maximize your chances of being let in: - get a tourist visa if you possibly can - have a return or onward flight ticket in hand to show them - this makes a BIG difference - and also have a hotel booking, make one online that allows cancellation. -Have 20k baht or equivalent in hand, though I must say I have yet to hear of a Westerner being asked to show it (including those being refused entry). Also if I understand correctly your plan once in is to arrange your stuff etc then return to Europe. This is a good idea. If you want to later return to Thailand, give it a few months at least and then re-enter only with a visa. If your future desire is just to spend just a few months a year here, a tourist visa will allow you 3 months (2 months given on arrival and can extend for another 30 days) and with your history and a documented refused entry in your passport this is a better idea than visa exempt entry followed by "border bounces". While there is nothing technically illegal about border bounces they are readily identifiable to any Imm officer from your history which they can call up online and generally frowned upon, now that you have a denied entry in your record you need to be more careful than most. Entries with a visa are always safer than visa exempt for people with histories that may raise a red flag. A visa plus a return (or onward) flight booking, after a reasonable period out of country (i.e. couple of months or more) will almost always get you through even if stopped for questioning first

Occasional twinges/fleeting pains at site of an old injury is common and not usually a cause for any concern. If you had any of the various problems posters have suggested (kidney stone, pancreatitis etc) the pain would be constant/nearly constant and much more severe. Personally I would ignore if unless it increases in frequency and severity. No harm in getting a stress test though just to be sure This will also give you an idea of your overall cardiac fitness so even though it may not shed light on this problem it will still be a worthwhile investment.

+1 to the above doctor

Please stop bickering. NOW.

Your situation differs from the OP in that yoyr anti-HBc was negative. So your profile is consistent with the immunity obtained ftom vaccination. While his is consistent with that obtained through a prior natural infection. You are both immune though and neither of you has active Hep B infection.

I think she was just saying you had high levels of antibodies.

Obviously if he is living here long term he is not a "tourist" in the usual sense, he is a resident expat. But this does not mean he is working here illegally. Most expat residents (however they manage their visa status) are not/do not.