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for such questions in my home country every town or village has a GP within reach....in Thailand the only option seems to be a consultation at a hospital????

my wife can access my account online with user ID and password

1 hour ago, Sheryl said:

 

There are several

 

1. Exercise Stress Test - noninvasive and not very expensive. 

 

2. Calcium CT - more expensive and involves some radiation exposure.

 

The results are not as simple as "positive/negtaive" and need to be interpreted by a doctor who is familiar with the patient's overall history and clinical condition.  Neither is 100% but both are very useful in  identifying coronary artery blockage and predicting the risk of heart attack and, to a lesser extent, stroke.

 

Aside from these tests, blood pressure and blood lipids (triglyceride, HDL and LDL cholesterol and their ratios) are excellent measures of major risk factors for heart disease and would be part of any routine check up.

Thank you for your always excellent information

From you explanation I understand that a BNP test is done mostly to evaluate the heart very probably after the damage is done.

I believe in preventive medicine.

I had hoped the BNP test would be something similar to the PSA test for men with a prostate condition.

Is there any test to show the status (or progress) of  blockages in the heart's arteries (it seems even an echocardiogram does not show this) or do we have no choice than to wait until a crisis develops.

21 hours ago, Sheryl said:

This test is not used for general screening anywhere in the world.  Nor is it used  to identify "potential heart weakness" in the general patient population.

 

This test measures a protein that is released by heart muscle in heart failure. It is done only when there are clinical signs of heart failure, and used to monitor progress or in some cases distinguish heart failure from other conditions producing similar symptoms.

 

Unless you have clinical signs of heart failure there would be no reason to do this test.

Thank you...

I live close to one of the leading Thai university hospitals where I undergo since 20 years - and every year - a general check up and a detailed blood analysis

As I am close to 80 years old I pay of course attention to the data about my heart and blood circulation.

Also I follow the interesting lectures on Youtube by a cardiologist in York (UK) and here I learn about a simple BNP test 

https://www.youtube.com/watch?v=LWsnNZvW7tk

Why was in my blood analysis never any mention of such a BNP test which is an indicator of potential heart weakness : is this test not known in Thailand?

My last visit to Samui was nearly 30 years ago and at that time it was already dangerous to cross the road because of extremely fast driving by cars and motorbikes

QUOTE

It purported to have been issued at the Thai embassy in Munich.

UNQUOTE

The embassies are always in the capital of a country...this does suggest Bavaria has become independent again ????

12 hours ago, sungod said:

So 1 in a million 'may' get a blood clot?

 

Will you be stayiong home today incase you get hit by a bus?

 

 

...and what about the risks of refusing to be vaccinated?

On 4/3/2021 at 10:45 AM, ThailandRyan said:

You can see the black mold covered under structures and such still down the center of the roads in places, just like the shells of buildings started but never completed. Sad state of affairs.

It will become the Thai version of Stonehenge in the 2525...... if man is still alive and woman can survive ...

(375) Zager And Evans - In The Year 2525 - YouTube

https://www.youtube.com/watch?v=R90JW1fTw8U&t=24s

You wrote : "  ALL the 1 inch thick pile of papers and photographs were then copied by them in their office."  

I am doing same the procedure in the same office since more than 10 years and I am very surprised they accepted to make all those photocopies in their own office.

I submit always everything in two copies (one remains in their office and the other goes to head office at CW for approval)

The only photocopy I needed was the B1900 receipt for which there is a separate office at 10 meters charging 2 Baht per copy

19 minutes ago, giddyup said:

Did my first trip to Europe and North Africa in the early 60's. Travelled from Australia to Spain by P&O line, the ship was a trip in itself, hitched around Europe and North Africa with no thought of being picked up by a serial killer, visited ancient monuments like the Acropolis, Coliseum, Stonehenge, Pompeii etc with no crowds to worry about. Visited Bali in the mid 60's when there were very few tourists there, and Kuta was just an unspoiled beach. No question it was a better time.

I am born in 1944 and grew up as a son from working class family in Belgium : like you I travelled all over the world during 1960ies and 70ies (including Bali in 1969).  My country adopted during the 1960ies "social democracy" which opened the doors for free university and free health care - this would be considered "communism" in the USA -  I don't think the generation born after 1990 will have the same opportunities for their future as I had.

On 3/24/2021 at 2:52 PM, Sheryl said:

There are not as far as I know Thai TM practitioners specalizing in spinal or neurologic problems.

 

And in general Thai herbal treatments are unlikely to help this sort of pain except for CBD. the place you mention has a medical marijuana clinic and she would need to appoint directly with that, see  https://ttcmh.dtam.moph.go.th/index.php/knowledge/cannabis.html

(if you open it in chrome it will translate to English)

Thanks for your always very informative contributions related to the medical sector

I made a visit 35 years ago and found it beautiful indeed but life on the very small islands cannot be easy (access to drinking water)

What is paradise ?  When I realized a dream and visited Bora Bora 40 years ago I was surprised how bored the locals were in the only hotel of the island ...they all wanted to be in Paris while may-be all the Parisians wanted to be on Bora Bora

Paradise is in our heart as the violent political struggles on the Maldives illustrate.

15 hours ago, foreverlomsak said:

If you come from the UK the "Pay tax in UK means no Tax in Thailand" agreement is dead. Was changed 2014 I believe, only limited parts can be taxed once, and that is by claiming a rebate of tax paid in Thailand from HMRC. However under Thai tax law 1) you need to be registered for Thai Tax, i.e. have a tax ID, and that is not mandatory even for Thais. 2) you have a personal allowance of 30,000 per year and taxable income up to 150,000 is currently exempt of tax.

Sorry...your write "that is not mandatory even for Thais" ...but do you mean ...."that is mandatory even for Thais"

Does this taxable income also apply to financial support to a Thai wife, which is required by law in case of extension for Non Imm O based on marriage?

On 3/23/2021 at 5:04 PM, finnsk said:

Hi Ubonjoe

 

Thank you for a serious an precisely answer, I appreciate that.

 

So there is no limits for how much shal be monthly income and how much min in bank ?

 

That means that I must begin now to be able to proof the monthly income.

 

Thank you again

 

 

I am returning to "money in the bank" and I will keep it there year to year because tax authorities told me I must declare the previous monthly transfers of my pension  as income despite the fact there is an agreement to avoid double taxation between my country and Thailand.

14 minutes ago, ThailandRyan said:

Has she thought about doing a cervical fusion.  If so I will ask my neurosurgeon I use to see if he can recommend any one. First off I will need a location of where you folks are.

Thank you but she wants to try first Thai herbal medicine

A person close to me suffers from cervical spondylosis which is an irreversible wear of the upper spine and the neck.

She is prescribed by a neurologist since several years very tough medication such as Ultracet (and more than this)

I am sure that for pain treatment the Thai traditional medicine has good alternatives.

The problem is when calling for an appointment and asking for a doctor knowing about neurology the receptionist does not seem to understand this.

Following leading hospital is not far : does anybody know if they have the name of a neurologist to be consulted?

https://ttcmh.dtam.moph.go.th/index.php/our-service/branch/yossa.html

how many people died from smoking tobacco?  Until now there is not one case of dead caused by overdoses of cannabis according to neurosurgeon Dr Sanjay Gupta on CNN (see Youtube)

25 minutes ago, Big Yuley said:

17,000,000 vaccinations world wide so far from AZ.

37 reported cases of blood clots.

A staggering 0.0002%.

I have a better chance of being struck by lightening, but yes of course its just drama for Astra Zeneca vaccine????

Not only a drama for Astrazeneca but also for the many thousands who will miss vaccination and will get ill  more than 0.0002%