CanNot

Sorry a bit off topic. In Europe the "baby aspirin" dosage for blood thinning purposes is mostly 100mg. Thailand and US seems to be 81mg. 

Why this difference and is it significant? 

I can recommend Dr. Suntchai Wirotsaengthong which is also on the list. He did by far the most diagnostic testing in my case after trying out other urologist before. 

I went to one of the Rheumatologist you recommended. Thanks again @Sheryl

Now the Rheumatologist recommend me to get a second view from a Hematologist. 

Any recommendations for a Hematologist at Bumrungrad which is experienced in the Antiphospholipid Syndrome / blood cloth? 

On 1/9/2023 at 2:03 PM, Kinnock said:

For the compulsory insurance - you can get this from 7-11 (of Lotus's's's's or Big C) for 100 THB.  The insurance certificate has a tear off section along the bottom that is used by the DLT office for tax renewal.

 

With a bike - you don't need to queue up at the drive through lane, just drop into the DLT office, take a queue ticket for the tax (not the one for driving licence renewal, which can be a long queue), then hand over your insurance document and green book plus 100 THB for a small bike (107 THB for my 300), and 5 minutes later you'll get your tax sticker.

 

I went to the DLT office on Sukhumvit Road, tax renewal is on the upper floor, it took less than 10 minutes in total. 

 

Also possible to do the whole process in 7-11, but you need a Thai ID card, and you have to wait for the tax sticker, so better to go to the office.  All signage was in Thai, but it's easy to figure out the process, and staff were helpful.

 

Very helpful information, thank you a lot. Where is the DLT office on the sukhumvit road you mentioned? 

Indeed it was easy. I went to the nearest bike dealer and they will do it for me. However it will take 3 weeks until I can pick up the papers.

Hello,

about to do the first compulsory insurance & tax for my small motorbike. Nearest DLT is the on in Chatuchak (Bangkok).

With the car I always went through the drive through, but how if its done with the motorbike? Also can I get the compulsory motorbike insurance at the DLT?

Thanks in advance.

Hello,

back in my home country they did a Lupus anticoagulant blood test which came back "slightly positive". They recommend a second test 12 weeks later which will be soon.

I'm looking for a doctor recommendation in Bangkok for the Antiphospholipid Syndrome, preferably in Bumrungrad as they have all my records there already.

The original test was done by a neurologist but online resources are pointing to a rheumatologist or hematologist for this condition. 

I'm sorry about your condition. You can try amitryptylin it is cheap as generics are available and you can take it for chronic nerve pain. 

Also Thiogamma 600, it might be expensive in Thailand but I want to have it mentioned as its especially used for diabetic neuropathy. I think it's more a supliment then a medicine. 

When you try new medication please consult a doctor for proper dosage. 

Recently I was at a skin cancer screening in my home country. They used a camera and checked each mole. The doctor explained me what to look for and because of the camera zoom and a huge monitor it was easy to identify suspicious moles. 

Not a lot experience seem to be required. Do I miss something? 

Thank you for beeing considered of others. Have to be said. ????

@GarryP Thanks for sharing your journey. How is it going? 

As stated always choose the doctor first not the hospital.

That said I stayed in Bumrungrad hospital for a couple of weeks. 

I felt very well taken care of. The nurses where very attentive and when I called them they appeared immediately. Food was OK, had 3 different choices (western, Thai, Japanese) the Starbucks on the ground floor is a big plus.

Interesting was when I wanted something for pain or dizziness they called my doctor and confirmed that it was ok to give it to me. Even for things like paracetamol.

In my home country they nurses can provide simple medication independently. 

I'm just curious why is oral b12 supplementation not an option. I take them daily because neurological reasons. 

First of good that you actually care that you have proper insurance! Bad things can always happen especially when you don't except them.

As mentioned earlier have a look into travel insurances from your home country. In my experience they don't mind age or pre-existing condition when the duration of travel is reasonable (< 6-12 month). 

In my experience with forseable bigger bills the hospital will ask the insurance for a guarantee of payment. Then you know in advance what is covered. As the insurance response is quiet detailed about what it's not covered and why. 

Also some procedures are outpatient or when discussed with the doctor an inpatient option can be offered for observation for example. 

Found the sweetener in tablet form at my local BigC in BKK. Small tablet count (I'm also used to the > 1200 tablet dispensers) and price is higher compared to the powdered one. 

3 hours ago, slsmith38 said:

Not sure if the test is available but would suggest you contact Chonburi Cancer Hospital to ask. A friend of mine recently visited there for further screening after showing positive for HPV31 and HPV51 on a pap smear test so they should know about this one way or the other.

Thanks for the hint, will definitely go there an aske them about it.

Hello,

In my home country we have a blood test (Prevo-Check) to check for HPV16 tumor markers. Is this also available in Thailand?

51 minutes ago, Lorry said:

Dr Umaporn also works at Bumrungrad, twice weely.

At the other 2 places,  only once a week, which can be a problem. 

She doesn't do ultrasound. Bumrungrad has good specialists fir ultrasound, the other 2 places,  i don't know. 

 

Dr Suntchai works fulltime at BNH.

Very helpful thank you!

Based on personal experience I can reccomend https://www.bumrungrad.com/en/doctors/Saowaros-Patarapak

@Sheryl Do you know if those urologist make the ultrasound themselves?

I feel when the urologist do the ultrasound themselves, the experience and chance to identify small nuances of inflammation are better.

I also had increased D-Dimer. They did a lung and leg CT to check for blood clot. As they found nothing they said its most likely an ongoing inflammation, which in the end was true. 

However I was told that the D-Dimer test is not very specific and when the CT is normal there is not a lot they will do.

One warning to levofloxacin you take. As its a quinolone antibiotic it has a black box warning and can have devastating and long lasting adverse effects.

I don't want to scare you but as being affected I felt I need to let you know.

+1 for https://www.bumrungrad.com/en/doctors/Saowaros-Patarapak

She takes time to explain things, is empathic and I always felt well treated.

Hello,

In my home country I got diagnosed with an Epididymitis. I'm currently taking antibiotics which help but since the Epididymitis was present for quiet some time the doctor told me I need to get regular ultrasound to check healing progress and take the antibiotics for quiet some time (multiple weeks).

I need go back to BKK now and looking for a urologist experienced with Epididymitis to take over the treatment. 

Two urologist in Bumrungrad which I see recommended here quiet often actually misdiagnosed me. 

Any suggestion appreciated.