Pappap

Anyone any experience of renting a car in the uk with a 5 year Thai licence? Ta

6 hours ago, BangkokHank said:

Can you share the names of these books please?

Eat to beat disease on shoppee 162 baht

Thank you as always extremely helpful 🙏 

Hi, has anyone had a knee replacement  done in Samitivej  and what was the cost please, seen a lot of recommendations for Bummrungrad, accepted the quality would be good but a bit pricey, or any other experiences? Thank you.

10 hours ago, JoeK said:

I went for BeautUp Clinic for stem cells and PRP treatment for my knees. Very very happy with the results. Cost was about 85,000 baht.

Thanks, how long do these last for? Presume pain free and normal use of knee/s was it both? Thanks

On 12/18/2024 at 5:50 AM, rumak said:

 

What have you found out so far ?  I would be interested in what prices you have been getting ............ and which brands of HA  is being offered. (also 1 shot or 3 shot version?)

thanks,  rumak

Hi, had quotes from Medpark Hospital, estimate 15-30k plus 5k fees. Bangkok Christian Hospital  12 to 20k plus fees. Both say need to see a consutant first. None stipulated brands/shots. The Arthromasid seems to be about 2500 pounds but apparently as Sheryl mentioned not here yet

9 minutes ago, Sheryl said:

He means Bumrungrad

 

Best knee doctor there is  https://www.bumrungrad.com/en/doctors/panya-wongpatimachai

 

If cost is a concern (Bumrungrad is expensive) then

https://www.medparkhospital.com/en-US/doctors/prof-dr-aree-tanavalee

or

https://www.saintlouis.or.th/doctor/dr.aree-tanavalee/d39d763d-0ca2-4b2d-b865-967c61a380e2

Same doctor, different hospitals. Can call or email for injection cost

As always, thank you very much Sheryl.

22 minutes ago, Hummin said:

You still lifting max ? Do any stretching?

No stopped max, more time under resistance and more stretching..

Hi, I've had one injection about 7 months ago, (in south Thailand, now in Bangkok for a while) and it really worked well, no pain and full gym exercise again, but the pain is coming back, said it prob would after about this time, usual bone deteriation, had xray and showed onset of osteoarthritis, 73 but fit etc. Does anyone have any recommendations for this treatment here? Thanks

What if the assetts/gains are held in an ISA  or simlar to which ever country you're are from, these are tax fee holdings, consequently the tax implications are where the funds are raised. Presuming the person concerned still has an address they are using of tax based country and still registered for tax payments there. If not then the tax requiremnents here will probably still apply? 

2 minutes ago, Sheryl said:

One of these doctors (do nto be put off by fact they are on the cancer service, they handle any type of pain)

 

https://www.bangkokhospital.com/en/doctor/asst-prof-dr-pornpan-chalermkitpanit

 

https://www.bangkokhospital.com/en/doctor/dr-laksamee-chanvej

 

https://www.bangkokhospital.com/en/doctor/dr-pramote-euasobhon

 

They work with other specialties like neuro etc.

 

If they cannot address headache prevention, suggest you also see

 

https://www.bangkokinternationalhospital.com/doctors/dr-chakorn-chansakul

 

and ask specifically if you are a candidate for Botox or triptans

 

Re NSAIDs, concurrnet use of PPI likeo meprazole can help prevent stomach issues and you might alternate between the tramadol and an NSAId i.e. each just 2-3 times a week

Thank you ever so much, this is so much appreciated. 🙏😊

14 hours ago, Lorry said:

25mg Tramadol is such a low dose that you should be able to leave it away completely or use other forms of pain management (Paracetamol, physical therapy,  acupuncture)

yes my thoughts as well but for some strange reason non of the over the counter pain killers even touch it, and have done the physio acu etc, acu did start to ease the heads so will prob go back to that, thanks..

3 hours ago, Sheryl said:

I still think you should see a headache specialist and consider botox or preventive med. Where in Thailand are you? why would you prefer to kerp taking these meds ehen the headaches csn be prevented or reduced in frequency?

 

as to other treatments for the back pain it depends on cause. If due to inflammation, NSAIDs will do more than tramadol.  Be sure to take with food and lowest dose needed as heavy usage can be rough on the kidneys. A single dose a few times a week shoulx be fine if you have no kidney or stomach problems. 

 

If the pain is due to muscle spasm then heating pad, massage, maybe accupuncture (in addition to PT) are helpful.

 

If the pain is voming ftom a doecific nerve, nerve blick migjf help.

 

You should see a pain specialist. Again, where in Thailand are you? 

 

 

 

 

 

 

Thank you, am in Krabi but am happy to travel up to Bangkok which may be the sensible answer. As mentioned the back pain is caused by incorrect walking posture for many years, weak muscles due to severed nerves in the neck, actually started the Tramadol/Ergot route after taking way to many NSAIDS over the years, stomache started complaining!!!... I'll go with your first suggestion and decrease the regularity, using various Physio/Acu and gentler painkillers, when it flares up. Was hoping that longterm small dosage of Tramadol may be ok but seems not to be the case as you kindly pointed out. Will ease up for a month or two and reasses after that. Once again thank you for your time, and a pain/nerve specialist in Bangkok would be much appreciated.

2 minutes ago, Pappap said:

Is that Gabapentin?

Blimey seems worse than I'm using! 🙂 worth a look though ta..don't think so though..

Just now, Pappap said:

Thanks will have a look..

Is that Gabapentin?

18 minutes ago, bubblegum said:

Nerve damage would be cabapentin, no?

Thanks will have a look..

42 minutes ago, Sheryl said:

First of all, ergotamine has no effect whatsoever on back pain, it is not a pain killer as such. Its utility is only for throbbing (vascular) headaches i.e. migraine.

 

Are you actually having severe throbbing  headaches 5-6 times a week? If so, you need a preventive treatment and should see a specialist in migraines.  There are medications suitable for long term use that can prevent, or at least decrease, these headaches. Also, botox injections work well for some people (repeated about every 3 months). Botox is especially helpful for people with 15 or more headaches a month. Such treatments should make it possible to greatly reduce the ergotamine usage to an occasional level.

 

Note that Cefergot also contains caffeine, also an issue if taking regularly.

 

The back pain is a different matter. Ideally, the cause should be addressed. Prior nerve damage will not cause pain now (though it could cause functional limitations -- but sounds not so for you if you can regularly work out), but current compression of nerves will cause pain (as I know all too well first hand myself! This  can often be effectively treated with newer, minimally invasive surgical techniques. Have you seen a good spine specialist? (There are only a handful in Thailand, all in Bangkok).

 

Long-term tramadol use is definitely unadvisable. Addiction aside,  it is highly likely to cause GI problems (chronic constipation, IBS-like symptoms), and can also cause liver and kidney damage, cardiovascular problems, and weakened immune function. Nobody can tell you exactly how many doses/how often will have this effect but 5-6 times a week  is pushing it IMO. If you can get it down to say not more than 3 doses a week and never 2 days consecutively, you'd be safer.

 

 

Thank you, no the egotamine is only for the head pain and for some reason it seems to work even in a very small dose, not throbbing heads but seems to clear them, may be related to the back issues which are caused by bad walking gait due to neck nerve damage years ago, nothing I can do about it, hence the gym to build spine muscle support. Yep if I can cut them down to fewer times a week would be a sensible solution, think I've tried most other remidies! diet acupuncture physio etc, had enough! Maybe someone will suggest a similar pain killer with less side effects, thanks..

HI, I've done a lot of research but can find no definitive answer to long term use of Cafergot (ergotamine) and Tramadol in "small" doses.

 I know it's suggested that both are not for long term use and Tramadol can become addictive, but since using for constant back pain (nerve damage) and headaches (possibly linked) life is much happier. Been taking for a year or so, and am not needing to increase the doseage as the body gets used to it.

 I’m only taking half a tablet (25mg tramadol 50 mg Cafergot) prob 5 or 6 days a week,sometimes together, sometimes alternated, when necessary.

Mid 70s very fit, gym 5 days a week, minimal aclohol and no other health issues whatsoever, but need to know if anyone else has been using any of these for a long time? And any issues that may have developed. I've tried all the usual pain killers etc but none really work. Any info/advice much appreciate thanks.

2 hours ago, AAArdvark said:

incorrect, i did not have to,  Did not have the 800K and I was able to get an extension using 12 65K deposits after my 1st year..

That would be brilliant, if the OP's friend is able to do this then I can use mine a lot earlier than I thought..ta...

25 minutes ago, Brick Top said:

I am doing the same thing   switching from.the 800k to the 65k monthly. 

I renewed my recent extension in Mid January as my visa expired on March 1st. I strated sending 65k via Wise on 3 January 

I checked with the immigration officers in Phuket , they were very helpful and told me everything will be ok next year but to make sure i dont go below the 800,000 for a full 3 months from March 1st 2024.

They informed me they will still require a 12 month bank statement next year showing i did not go below the 800k and another 12 month bank statement showing the 12 International 65k bank transfes .

I use different banks , Krungsri for the 800k deposit and Bangkok bank for 65k transfers.

They did confirm that after the 3 months is up from March 1st  to June 1st , i can use the full 800k to spend ot transfer out if i want to .

Asked the same question re changing from 800k to 65k a few months ago and this seems to be the correct proceedure, therefore if OPs friend has used the funds from the 800k before the 3 months was up seems whole procedure, eithere 800 or 65 metchod has to be started again. as Brick Top did aks the IO then you'll def know  😉

Just been on a quick return to UK, LHR...1 week  with Thai Airways, business, 130.000 baht, excellent, from the lounges to the service and food on the plane. Have improved a lot since pre covid, can't be bothered with a stopover just want to get there..and back!!

Been taking these for years, slowing trying to ease of the amount taken, Tafago doesn't seem to like me but no problems with Cafagot. Average twice a week but can feel when a migraine is coming, moods, different food wants etc so ! tablet usually stops it. Now using Tramadol 50mg as an alternative to get the body away from the Cafegot, yep I know addictive but use sparingly and at then back to the Cafegot.

The big one is I've started Accupuncture once a week, 5 weeks now and down to ! attack a week and not so severe, also the general well being is improving, probably because of less meds. been through all the foods, drinks, sleep tests etc. Very fit,etc for an old git!! Good luck. 

16 hours ago, bbko said:

Yes, after a few months of me doing monthly transfers and feeling sure about how to do it, I started using that money for other things. 

One small mistake I learned about was; that time I was using that one bank account for daily shopping, cash w/d, bill payments, etc. and I didn't update my bank book right after the overseas transfer and after several weeks, all my payments, deposits, w/d got consolidated and the FTT code wasn't in my bankbook but easily obtainable from the bank.

Now I have 2 bank accounts, one only for the monthly transfers, and the other for daily transactions, less photocopying during visa extension time. 

Perfick 🙏 yep have two accounts already to keep transfers easily visible, thank you 🤗

4 hours ago, bbko said:

About 3 years ago I switched from parking my money in a Thai bank, to doing monthly international transfers using Wise.

The way I did it was about two-three months before my annual extension using the money in the bank method, I started doing FTT transfers (just to learn the system), then once my money in the bank extension was approved, I let it sit there for a few more months but continued the monthly transfers.  The following year, about 3 weeks prior to my extension, I requested the bank letters (they take 5-7 business days) and got my extensions from then on, no problems.

Thanks,thats exactly my plan...just one unknown, did you use/withdraw the 800k after a few months?