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timoti
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Posts posted by timoti
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1 hour ago, Sheryl said:
I do not think the doctor you spoke with is expert in cardiac electrophysiology (not the same as just being a cardiologist) nor experienced in ablation. Only a handful of doctors in Thailand are. And they would nto recommend anything based just in a home ECG monitor.
Regarding Holter monitoring it can be done for any duration desired, 24 - 48 hours is usual and I doubt 7 days would be required. Nobody is likely to do an ablation for an arrhythmia that is so infrequent it does not occur even every 2 days.
While wearing the monitor you cannot shower whole body per se but can do sponge bath or use showerhead/ bidet nozzle to wash only lower body then sponge bath the rest. Not onerous for just 1-2 days.
Please disregard your prior discussion and see recommended doctor in Bangkok .
That doctor you mentioned here is the expert i should see for consultation then?
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24 minutes ago, Sheryl said:
Notice how? again - what symptoms?
Basically I will immediately notice the heart palpitations like something is off. It always starts like that. Then after 20-30 mins or 1h or never, it might also have rapid heart beating. This feeling is different. If that happens, again my ECG shows me these if I grab it. In the rapid heart beating, I saw it go up as high as 170 beats and feeling a bit warm in the head as it goes higher and then the warmth is gone when it drops back down. Before I reckon even higher beats where my eyes were almost going full dark but then reverted back down. But then this cycle of up and down can repeat so many times as long as a few hours. I didnt have ECG then to confirm these.
But not always I get the rapid beating. Mostly it's the irregular beats where I hear skipped beats or closer beats in the ECG sound. I guess also sometimes the beatings might be strong enough that if I am lied down I will feel my body almost moving sideways because of the movement of the heart. Sometimes 2 months nothing but sometimes 5 days in a row. Doing exact same things don't always trigger it.
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16 minutes ago, mania said:
Yeah that sounds a little sketchy
Holter is always good as they have small wireless ones you wear now for up to 14 days & shower etc with it. It gives a good show of events if your having them often
If your young they will likely fade & also if it is certain types like I sad those are not dangerous but bothersome as of course folks worry.
But aside from learning triggers to keep from starting you can also learn ways to make them stop quickly
Valsalva maneuver usually woks for many. When I was young mine would run sometimes 10+ hours then I'd go to the ER & they would give me a shot of adenocard which stopped it instantly
But for me I found if I have one I lay on floor butt close to wall....feet/legs on wall pointing straight up...take a deep breath slowly in & slowly out & it usually stops right away 😉
Here is a pic of the new modern type monitor that can track you for two weeks
Good Luck & try not to worry too much. These things are quite common in many folks
I asked them for an event recorder they said they only have holter that can record up to 7 days it and it had something like a screen so bigger than that but she also said i cant shower for 7 days. she asked if that's ok.
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3 hours ago, Sheryl said:
I don't know what cost is at Bumrungrad.
Doctor would need to make his own diagnosis. Nobody is going to do an ablation (or anything else) based on home ECG device. Not only are the durations short but the interpretation is not so reliable. It really needs a skilled human to read the rhythm strips, machine generated reports are quite fallible especially when it comes to diffrrentiating between types of premature beats and types of tachycardia.
Occasional PVCs and PACs are usually not a big concern but if you are actually having bursts of V-tach that is worrying.
In addition ablation may not be indicated if the "events" are just occasional. Instead medication and reduction of triggers (like caffeine and smoking) might be tried first.
No substitute for an evaluation by a specialist in arrhythmias.
See the suggested doctor for a thorough evaluation.
What exactly are your symptoms?
3 hours ago, mania said:That is odd ?
AFAIK Cryo-ablation first freezes the pathway to check of your system will stay up....IF it goes down the cryo thaws & all is well. If there is no problem after freezing they then will burn which is permanent
But in the burn only method if your system goes down after burning a pathway then a pacemaker is needed
AFAIK the difference in using cryo is just a safer route & I remember many years ago checking & Bumrungrad had it then
All that aside as others have said you may want to check if your psvt is not life threatening then it is just a bother & will eventually fade in most folks.
Also folks who have an ablation many times will need more as they rarely hold long term.
I have had psvt,pvc's, pac,s on & off for decades now. As others have said see if you can note the triggers...keep a diary. In my case it was mainly stress & I occasionally had alcohol which I no longer drink due to that trigger.
Good Luck!
That's also why I am surprised because before he said I need holter for confirmation but when I asked isn't both ECGs the same, he said 10 mins is short but then he said we can do ablation. So not sure if they just want to get the money.
AI report said I have those but in the report they said paroxysmal afib and PVC. He was saying you can use cold if you like cold but later said heat is better because he can fix both issues.
For me it always seem to happen after eating some big heavy carb meal later in the evening, because I dont eat much early on so I might eat a big meal at 8-9pm and this happens then but not always. Sometimes i can even bigger meals and nothing happens, but when it happens I noticed always when I finish the meal or almost finish it.
Also the doctor said it's better you do ablation so these episodes dont turn into more serious complications.
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1 hour ago, topt said:
No you should inform April International if you specifically want to drop them - but they will only let you do that when you renew the policy - or did for me. They also insisted on 2 months notice and I had to send them a signed scan of my request.
However it may be easier if you are nominating a new broker as Sheryl mentions.
I tried to contact AOC but their website also is a bit iffy. They just have a 1 line message contact form. Not sure if that's what you contacted them @Sheryl?
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1 hour ago, TorquayFan said:
Timoti - "Also do you know if using a personal medical ECG device is enough for diagnosis? Almost like a holter but have time limit like 10 min for each recording. Using holter i never managed to capture episodes."
I don't KNOW Timoti but IMO a self-diagnosis approach is NOT advisable. Go to any good Hospital and get them to test you appropriately - (BTW I was tabbed up for a Holter for 48 hours so 10 minutes is not likely to be helpful at all.)
And this - "AI analysis in the software of the device i have says my ecg have everything under the sun . . . . " Again - Go to any good Hospital and get them to test and analyse you appropriately.
You don't mention what these 'episodes are.
Please put your kit in the cupboard and go to a Doctor !
Good luck . . . .
I went to the doctor and he saw the results. Their tests are ok. Just have to do holter. The trick is the catch the episodes because one day you might have SVT another day PVC etc. I think i was able to capture different events in 2 days but i didn't have holter.
Event recorder is better but they didn't have it.
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2 hours ago, Sheryl said:
You don't need to tell AA anything. They have already dropped you if your policy is international.
You just contact the broker you want and they will send you the necessary forms.
I contacted them recently and got a reply saying AA World will look into this and come back to me. Before it was very prompt replies by them.
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2 minutes ago, Sheryl said:
Of course. Why wouldn't they?
In Thailand they usually admit overnight for this but even if they did not, it would be a day surgery, which is covered under IP policy.
How much do you reckon ablation for afib would cost at Bumrungrad? BPH quoted 700K.
Also do you know if using a personal medical ECG device is enough for diagnosis? Almost like a holter but have time limit like 10 min for each recording.
Using holter i never managed to capture episodes. Doctor said it's better to confirm and 10 mins is too short.
And the AI analysis in the software of the device i have says my ecg have everything under the sun like Afib, PAC, PVC, Ventricular tachycardia, couplet PAC/PVC, supraventricular tachycardia, etc.
That's why i showed them to a specialist. He said heat ablation is better for you than cold to fix both of the issues be identified in the graph but no issues in ultrasound or treadmill.
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On 10/3/2023 at 3:01 PM, Sheryl said:
re the above: I am now in the process of transferring my account to this broker https://www.aoc-insurancebroker.com/
Based in France but (at least so far) easy to communicate with via WhatsApp and email. They specialize in expat policies and have an ongoing contractual relationship with April (as well as other providers).
The person I have been dealing with is [email protected]
I can't hope to get the level of service I previously had with H+Jenny at AA but I am hopeful to get ate least annual reminders of premiums and help with claims as needed. Will be (hopefully) a while before I can report on the latter though.
How to change brokers? You just tell AA to transfer your profile to AOC?
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Would April intl pay for this if you only have IP?
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Hi,
If you have to do ablation procedure for afib which hospital would you recommend from the two? Or is there a better hospital to go in Thailand for this procedure?
Thanks a lot in advance.
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On 10/16/2023 at 2:08 PM, Sheryl said:
This doctor is expert in it:
You can read more about his expertise specific to RF ablation here:
https://myacare.com/doctor/prof-dr-koonlawee-nademanee-thailand
Pulsed field technique is extremely new, the results of the first random controlled trial were only released in August 2023. It is not widely available yet anywhere and not available in Thailand at all as far as I know. Doesn't seem to offer much advantage that I can see. https://www.acc.org/Latest-in-Cardiology/Articles/2023/08/23/19/16/sun-555am-advent-esc-2023
Can someone request this doctor for this operation?
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Hi,
If you have to do ablation procedure for afib which hospital would you recommend from the two? Or is there a better hospital to go in Thailand for this procedure?
Thanks a lot in advance.
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9 hours ago, retarius said:
60,000....may as well get an elite visa or whatever it's called now.
Isn't the cheapest elite four 5 years is 1M now? I think it's a huge difference.
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19 hours ago, Caldera said:
Yes it's a well-connected and much recommended visa agent. I'd still be cautious. There's a lot of money in providing "creative" longterm visa options to those who aren't old enough for a retirement "visa" yet.
But keep in mind that those schemes are okay until they aren't. When the crackdown on volunteer visas happened, customers of that particular well-trusted agent were affected by the fallout just like anyone else.
From the sparse information available on that other thread, they use an obscure little immigration office in the South to obtain a one year extension based on business activities (without "working", so most likely a position on the board of directors of a Thai company).
I'd be concerned about two things: Firstly, if that office issues a suspiciously high number of those visas, that in itself could lead to scrutiny. Secondly, if people on the same kind of visa happen to get caught up in criminal activities unrelated to that visa as such, it's pretty much guaranteed that a wider investigation and crackdown will follow.
What happened to those people? Their visa become invalid or they couldn't get any other visa afterwards?
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16 hours ago, DrJack54 said:
I think they don't want to publicize this visa too much but if you ask them privately they will let you know.
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7 minutes ago, BritTim said:
That thread was highly confusing. On the face of it, he received a one-year extension of his permission to stay from a visa exempt entry without the previous necessary Non Immigrant visa. That would be out and out illegal, not just dubious.
I have a feeling it's the same thing my friend told me. There isn't so much info about this beside a few threads on reddit. I think it's relatively new.
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8 minutes ago, BritTim said:
Such a scheme would be possible but, as I posted earlier, dubious. They make you a director of a Thai company and provide the documentation for a multiple entry Non B visa as a director of the company. If the scheme gains traction, a crackdown is likely.
It's also mentioned here by someone else. It's from thai visa center. I thought that place was advertised here a lot.
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Just now, BritTim said:
There are also ongoing costs. In the past, a Thailand Elite visa worked out cheaper. With recent changes, Thailand Elite is a less attractive option than before.
Yes I was actually planning to get the 5y for 600K but I wasnt aware they were going to bump up the price so much higher. Otherwise that would have been a very good deal.
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Just now, BritTim said:
That is definitely more legit, but also a lot more expensive if actually paying the required four Thai staff. It is never a good solution unless you want to actually run a business here.
I was quoted 110K for the first year because of the initial things that needs to be done.
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Just now, DrJack54 said:
Scam...
"One of my friends told me"
What's your point.
He has that visa. Just asking if it's a good visa to get instead of ED or setting up actual company through a lawyer.
2 minutes ago, BritTim said:It seems dubious. A multiple entry Non B visa is theoretically available for directors of Thai companies to allow them to enter for business meetings etc. I suspect they are utilising that. However, the visa is not intended for long term residence in Thailand. I would personally stay away from it. I could imagine a crackdown similar to that which occurred with dubious volunteer visas/extensions. A crackdown on Chinese using a similar dodge with Non B visas has recently occurred.
That makes sense. Another friend said he set up an actual company by a lawyer so I guess that's more legit compared to this one.
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Hi,
One of my friends told me there is a visa agency making these visas just like described here:
Is this legit visa? Anyone has used this before?
I don't know if this one is worse than the business visa where you set up some company, etc?
Thanks in advance.
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Thanks a lot. The website says it's only available for bkk only so that's not applicable to my location: pattaya. I will see if there are other ways.
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33 minutes ago, Polar Bear said:
Where are you ordering from? Lazada has collection points and you get 3 days to pick up your stuff, with Shopee I think it's 5 days. Kerry also has self pickup options.
Lazada actually. Where can I find these collection points? I didn't know about this.
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pls recommend Bangkok doc for ablation for (paroxysmal) atrial fibrillation
in Health and Medicine
Posted · Edited by timoti
Ok they told me they charge 1.2m for the same procedure. I will have to see him first and see what he says of course.
I hope he can use the same treadmill and ultrasound results though because i paid 10k for these.
Additionally i wonder if i should go to a smaller clinic to get holter and capture an episode then bring it to him than trying to catch an episode in bkk with their holter, because i don't live there.