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Using a medical nebulizer at home is not hard. There are steps to follow, but overall it’s very manageable. The hard part is knowing when to use it and ensuring it does more good than harm.

If bronchiectasis is the culprit, you should have abnormal lung function test results. If you have chronic hypoxia severe enough to cause clubbing of the toes, it should have been detected with a simple oxygen saturation test (the clip-on device for your finger). It’s also unlikely for clubbing to occur only in the toes without also appearing in the fingers. Bronchiectasis is practically incurable, so it’s not useless that the real doctors have been trying to find a curable or treatable cause for you. A high-resolution CT scan can be done to confirm the diagnosis for peace of mind. N-acetylcysteine doesn’t help much, but it does offer a small benefit with minimal harm—so it’s okay to use.

It’s 1330. And there also are other way to do that including via electronic means. You can just tell them to google or give this url to them. https://www.sanook.com/money/855884/

That could be caused by almost any of dozens of respiratory viruses. And yes, it could be HMPV—not because it’s having an outbreak in China, but because HMPV is an old virus that has been everywhere for decades, including in Thailand. Anyone experiencing cold symptoms for longer than three weeks should visit a doctor again, whether it’s from HMPV or any other virus, as there may be more that can be done to help.

It should be fine most of the time. However, there may be some details about the type of test for certain items that could make it useless for the doctor to help you. I would suggest asking the doctor directly next time if you can do the blood test through a third-party lab. I’m pretty sure most doctors would be glad to help you.

If she is Thai or speaks Thai she can call 1663.

I think you should try to find the cause. Sometimes, you will find one, and some causes are even curable. Don’t be surprised—some causes are curable, but only within a certain period of time.

We can’t determine the speed of something that doesn’t exist.

That was very rude, and such a rude doctor doesn’t deserve any ounce of respect. However, his clinical approach and line of reasoning, while obviously different from yours, isn’t very far-fetched.

In practice, the most important aspect of this is that the people around you know, understand, and agree with your living will, or at least accept it. Thai healthcare professionals often follow the wishes of those close to you at the time it happens.

There is no easy, cost-effective, safe way to ‘check your aorta.’ One would only need a check if there are symptoms.

When you mentioned a mosquito-borne condition that could result in permanent neurological damage around the Mekong, the first disease I think of is malaria.

Definitely not all. Some still think that Australian advice is applicable in Thailand.

Australia is not Thailand. https://www.who-rabies-bulletin.org/site-page/occurrence-rabies

Myasthenia gravis is quite common, so I believe any neurologist in Chonburi (of which there are a few in the public hospital, so there are likely some in the private sector too) will have at least some experience with it and will have long-term patients under their care. Unless your myasthenia gravis is very complicated, they should be competent enough to take care of you. But then again, Chonburi is not very far from Bangkok, where many neurologists are excellent, so it comes down to your preference.