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PPMMUU

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  1. Changing the primary health service spot is actually easy and has little to do with tabien ban and voting rights. Tabien ban is just one way of obtaining health service rights in the area, but there are several other ways, such as having a telephone bill with their name and so forth. Additionally, one can change service spots several times in a year. There is very little reason not to do so. However, many Thais are unaware of this.

  2. 41 minutes ago, JackGats said:

    Apparently. However, some EU countries still do not recommend it for the non-previously infected. Reason: the older vaccine only proved to be catastrophic for the non-previously infected 3 years after being launched. When was this new vaccine launched?

    A few months.

  3. The reason it is not authorized for use in people older than 60 is because there is no data on whether it is safe for such a population. Any doctor who gives this vaccine to people older than 60 is at risk of legal responsibility if anything bad happens to the recipient. A consent, no matter how strong, cannot protect them from being sued, so I doubt anyone will do so.

     

    In the future, there may be emerging information about safety concerns in those older than 60, and the recommendation may change. However, that future is not today.

  4. 52 minutes ago, thaibeachlovers said:

    Also, ancient humans didn’t live long enough to experience problems with prostate enlargement, so this is a trait we have to live with.

     

    Along with eye degeneration, stroke, heart attack, arthritis, deafness, gout, body stiffness,  hair moving away from the top of the head, menopause, memory loss, alzheimers, dementia, tooth loss, etc etc etc.

    Exactly my point.

  5. Evolution does not seek the best way to achieve something. It aims for the easiest way to make things work just well enough for organisms to survive and reproduce.
     

    Also, ancient humans didn’t live long enough to experience problems with prostate enlargement, so this is a trait we have to live with.

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  6. There had been a case of a person carrying a DNR card, not telling anyone, and the doctor didn't see it. They were treated anyway, and when they recovered, they said they did not intend to have a DNR anymore but had forgotten to get rid of the card. Had the doctor been honoring the DNR card...

     

    Having a DNR card AND also informing your relatives or friends to confirm your intentions is a good idea.

  7. On 8/13/2023 at 2:36 PM, Tropicalevo said:

    This is probably an accurate view on living wills.

    I have one and I took it to my doctor at the local (expensive) hospital where I have my annual check ups.

    She said that she would honour it, but some places may not. There appear to be no definitive rules on that.

    I suspect that money may come into play here but that could just be me being cynical.

    I 'dress down' when I go to the hospital and my doctor knows that I self insure. I get discounts.

    Another hospital may keep you alive for the possible returns. Also, where do you keep your living will?

    I carry a DNR card and an organ donor card in my wallet, but not all medical staff would know what they meant.

    Money is unlikely to be the issue. Having patients receive palliative care will reduce hospital costs, and they can allocate resources to save other survivable patients. Even if we are cynical and assume the doctors will do everything for the money, they will still opt for palliative care because they can admit new patients and charge them.

  8. How old are you, if I may ask? If you are older than 50 but not more than 65, you might need only one dose of Pneumovax23. If you are older than 65, you might need to receive the Prevnar13 vaccine first, and after 6 to 12 months, you can then get the Pneumovax23.

     

    Keep in mind that it's called the pneumo vaccine because it prevents infections caused by the bacteria known as Streptococcus pneumoniae, or pneumococcus for short. Other causes of pneumonia are not prevented by this vaccine.

  9. Since ISO 15197-2013 (E) for blood glucose monitoring systems used for self-testing in managing diabetes mellitus allows for a range of ± 15 mg/dl for glucose concentrations below 100 mg/dl or within ± 15% at glucose concentrations ≥ 100 mg/dl, the range of 95 to 115 mg/dl that you've observed in your wife's FBS readings could be considered acceptable according to these standards.

     

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523734/#:~:text=According to ISO 15197-2013,average measured values of the

  10. While these medications do raise my eyebrows, it's not entirely unreasonable. There could be additional context that justifies these prescriptions. Unfortunately, as internet users, we may never have access to that context, and thus, we may never fully understand whether these prescriptions are justified or not.

  11. I doubt that Trat Hospital will have a hand specialist. You can visit the orthopedic department, which is only open in the morning before noon, except on Wednesdays when the orthopedic doctor will be on service in the afternoon.

     

    I would suggest you go to the nearest university hospital, which is Burapha University Hospital. You’ll have a better chance of getting to see a hand specialist.

  12. Yes, there are specialized hand doctors in Thailand. They could be orthopedic surgeons with expertise in hand-related conditions or plastic surgeons focusing on hand issues. If you visit a large government hospital and explain that you’re seeking a hand specialist while showing them your hand, they will likely guide you to the right doctor.

     

    Keep in mind that in these hospitals, you might initially see a general practitioner before getting referred to a specialist. While it’s possible to have this process completed in a single day, it’s best not to set overly high expectations.

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