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Technically speaking, the Thai word ฤษี should have a slightly different pronunciation than ฤๅษี. The ฤ (ru) sound in ฤษี is shorter than the ฤๅ (ruue) sound in ฤๅษี.

Regarding the difference between the Thai words ฤๅษี and ฤาษี, it is important to note that the correct form of the word for "astrologer" is ฤๅษี. The existence of ฤาษี is technically incorrect, as it should be written with the ๅ character as ฤๅษี. However, the newer form of the word has found its place in modern Thai text, possibly due to the infrequent use of the ๅ character.

It is likely that the owner of your favorite massage place, "Ratree Massage," is named Ratree, as this is a common practice among businesses to name themselves after their owner.

Although traditionally, the Thai letters ร and ล are not interchangeable, there seems to be an unofficial trend of using them interchangeably nowadays.

12 hours ago, ravip said:

There seems to be many 'Blood Pressure Classifications'. What would be the best and why so many types of classifications?

 

The ISH 2020 guidelines are the latest edition of the International Society of Hypertension Global Hypertension Practice Guidelines, released in 2020. As a result, they represent the most rigorous and evidence-based guidelines available. Based on this, I highly recommend considering the ISH 2020 guidelines when seeking hypertension practice guidelines.

I believe that Khon Kaen is a great place to reside in. The city has large shopping malls which are no different from those in Bangkok, yet still maintains a rural vibe and potential for growth. However, as a tourist destination, I am uncertain of its appeal.

Agatha Christie's books have always been adapted to suit modern sensitivities. Do you know the original title of 'And Then There Were None'? There is a reason you don't.

Spindoloysios may be a typographical error for spondylosis or spondylolysis, which are two distinct conditions.

Spondylosis is a degenerative condition of the spine that occurs due to wear and tear over time. It can affect any part of the spine, but it's most common in the cervical (neck) and lumbar (lower back) regions. Spondylosis can cause symptoms such as pain, stiffness, and reduced mobility, although some people may not experience any symptoms at all. You can think of it as basically old people's spine, though it's not exclusive to old people.

On the other hand, spondylolysis is a defect in the vertebral arch that can lead to a condition called spondylolisthesis (vertebrae slip.) Spondylolysis is typically caused by repetitive stress or trauma to the spine, and it most commonly affects the lumbar region. Symptoms of spondylolysis may include back pain, muscle spasms, and reduced flexibility. Honestly this is much more serious than spondylosis.

The stigmatization of single women in Thai culture still exists today. Hopefully, we can move away from this in the future.

The practice of Wai in Thailand is still prevalent, although its popularity has decreased somewhat. It is acceptable to Wai anyone you choose, but it is recommended to "Rub Wai" when someone of the same or lower status Wais you. This involves placing your hands together at your chest without lowering your head. While you can choose to fully Wai, not Rub Wai can be considered impolite. It's doubtful whether your friends were serious when they scolded you about this matter.

It's not unusual to find a Hindu shrine within a Thai Buddhist temple. The two religions have been blended together to such an extent that many Thais don't differentiate between the two. In fact, some Thais even argue that Ganesha is a "Buddhist god," while some maintain that Buddha is a Hindu god incarnated.

Personally, I don't have a preference when it comes to the brand of water I buy. I tend to go for whichever is the cheapest at the time of purchase. These products often have promotions and lower prices from time to time, so it's always worth checking to see if you can snag a good deal.

I should also mention that I don't trust coin-operated water dispensing machines. Additionally, I don't have access to well water, but even if I did, I don't think I would drink it due to concerns about its safety. Finally, I also don't trust the tap water in my area, which is why I prefer to buy bottled water.

It's highly unlikely that any licensed doctor would be familiar with the term "testereone" because it simply doesn't exist. The correct term is "testosterone," which is a hormone produced primarily in the testicles.

Based on your symptoms, it's likely that you should see a spine orthopedist. If you're not satisfied with the one you see, you can always find another. Alternatively, if you prefer, you can also see a general orthopedist. 

Based on my experience, I haven't come across any dual pricing in government hospitals. However, it's important to note that if you're not a Thai citizen, you won't be covered by the country's universal health coverage, commonly referred to as the "gold card."

While some procedures and treatments may feel inexpensive to patients, it's worth noting that this is because they are paid for by the government, and many of them are actually expensive.

However, I must acknowledge that my experiences may not be representative of the entire country.

The suspicion of herpes doesn't seem to be accurate based on the symptoms you described. The fact that the infection has cleared up in one area and then reappeared in another suggests that it may be a perianal abscess, which originates from the inside.

It's unlikely that this is melioidosis, as it usually doesn't respond well to amoxicillin. However, it's still worth mentioning to your doctor.

It's always a good idea to get an HIV test when experiencing unusual infections, but this doesn't seem particularly unusual to me.

My advice is to go back to the same doctor and ask if this could be a perianal abscess. If you're not satisfied with their answer, you should consider seeing a surgeon. This could be at a hospital or clinic, even a small one.

17 hours ago, Mark mark said:

They all call it a 30 or Go card, "Beff Tong" or something like that.

In Thailand, the "30-baht card", "gold card", and "But Tong" (gold card) are all nicknames used to refer to the country's universal healthcare program that is provided by the government.

Based on the information provided, it appears unlikely that your elderly expat friend's condition can be treated by a cardiologist working in a local clinic.

A central hospital may have a higher lethality rate simply because other hospitals tend to refer the most severe or difficult-to-treat patients to it. This does not necessarily indicate that the central hospital is inferior in quality.

The concept of a living will is well established among healthcare providers in Thailand. However, assisted dying and euthanasia are not legally recognized or practiced in the country. Many healthcare providers even consider these practices immoral. Recently, some political parties have been using this issue as a campaign platform, which raises the possibility that these practices may become legal in the future.

With a living will, you have the option to be as detailed as you want regarding your healthcare preferences. You can choose whether or not you want CPR, endotracheal intubation, pain management with morphine, and where you would like to pass away - either in the hospital or at home. This practice is recognized nationwide in Thailand, although there may be some areas where it is not as well organized. However, such cases are rare.

In Thailand, the opinions of relatives are often taken into account when making healthcare decisions for a patient. It is therefore advisable to discuss your healthcare preferences with your family or representative beforehand, in order to avoid any misunderstandings or conflicts. There have been instances where healthcare providers have had a hard time dealing with situations where the patient had already expressed their preference to not receive CPR, but their relatives were not aware of it. This is due to cultural factors, where the voices of relatives are often given significant weight in decision-making.

Withholding life support is a common practice in Thailand and is generally accepted nationwide without issue. However, withdrawing life support can be much more difficult but is not impossible. Some may see withdrawing life support as a form of passive euthanasia, but healthcare professionals in Thailand consider there to be significant differences between the two. If you would like to explore this topic in greater detail, I would be happy to discuss it further with you.

There is no such thing as a blood transfusion to build WBCs. Generally, if you are asked to find a blood donor in order to receive a blood transfusion, it mostly means that your condition is not as severe or urgent as other patients who are receiving a blood transfusion that day. Many patients receive their blood transfusion without being asked to find someone to donate blood because their medical condition indicates a need for it.

Legality aside, it is very possible that someone in Thailand will own and drive an unregistered car (or that the registration has expired)

It is not what it should be but it would not surprise me and many people.

I am likely late to the party but if someone have had abdominal pain for 3 months I strongly suggest that they should go for a doctor visit. The CBC is not wrong but I strongly advice that the CBC alone won't be enough. Some might say that one should not get a lab test before a doctor visit, such opinion is arguable.

Nakhon Phanom welcome.

Best Mekhong walk view in my opinion.

To give antivenom the doctor will need a VERY SIMPLE blood test (whole blood clotting time), or SIMPLE blood test (complete blood cell count), or VERY SIMPLE physical examination (see if your eyelid drop and by how much of your eye is visible to the doctor)

Every AMPHOE-level hospital could do this (but not TAMBON). And if they don't have the antivenom, when the antivenom is needed, they can send you to other hospital.

The odd are very low.

You can get preexposure rabies vaccine if you want to.

If you cannot go to  Sappasit Prasong Hospital in Ubon  then at least you should go to Sri Saket Provincial Hospital. From the hospital's website there are neurologists at Sri Saket Hospital.