PMNL

Agreed with FBN, Thyroid function should be checked.

You may observe if she has frequent bowel movement, sweat allot, get frustrated/irritable easily, her hands shake(Tremor),her eyes bulging(Exophthalmos)?

Her weight has gone down recently together with rapid heart rate/tachycardia?

The blood test for TSH and Free T4 are basic thyroid function that you can get the asnwer whether it is yes or no and I do believe that you can do that at any reputable lab since you have a problem with thai doctor so much.

Did you eventually figure out the optimal dosage for yourself?

It sounds very interesting that they can not find the answer for it.

Did they test for the level of certain vitamins ( Bs?)

Can you tell us more about the problem, if you feel comfortable off course.

If you are in Chiangmai, Dr. Pisek is a good neurologist.

Available at most chemist as brand name and local made.

Local made : Stei 40-50baht/strip of 10.

I agree with the idea of starting Losartan 25 mg first then step up to 50 mg after a week or so if the blood pressure is not well controlled.

It is unlikely to have dry cough from ARB and I think that is why your doctor suggested you Loranta as an alternative to ACE.

Do you have low energy during day time?

How is your reaction ingeneral, slow?

Do you put weight on lately?

Constipation?

If the answer is yes,you might want to check thyroid function and blood count to rule out treatable condition.

Available at most hospitals and clinics.

Esan TOur. Not sure if Nakornchai air (NCA) operate on thi route. they are the best.

FACT :Dr. Morgan graduated from Khonkaen university, not UK.

Hopefully all goes well with Jaideejuy's POP.

I have no idea what it is but you might want to advise her to see a good dermatologist for a better advise and probably ask her/him if it is possible to use Aldar Cream.

The consultation fee should not bee that bad and you can always buy medication at chemist.

I did not advise anyone to use this cream.

There are quite a few good doctors in town.

Dr. Tawatchai on Loi Khro Road

Dr. Gregory at Sriphat

Good Luck

I do not think it is available in CNX but you can order from BKK.

As far as I can recall, it is SCHILLER, swiss made.

The company called MEdicare, based in BKK but have branch office at Chiangmai land off Changklan Road.

Hope this help.

there is also another one called RIA lab, dont know where it is but i am sure you can google it.

'mogoso' if she goes to the Hospital and ask for a blood/glucose test, if it is very high they will give her an injection.. Is she type 2 or type 1 ?

She has been going a lot including several hospitalizations and they spoke of diet and I think finally she gets it, and has quit eating rice and noodles. She kept saying how can I live without eating rice, the eating of rice was en"grained" in her. My wife kept telling her you cannot live if you eat rice. But even with diet its going to be a tough row to hoe for us to deal with this long distance. We were supposed to be in Thailand permanently at this point but it'll be 7 months before we get there now.

I want to thank all who replied

She can eat rice and noodles with no problem, but she needs to eat less than normal. Diabetes to me means I need to balance my food, not eliminate anything.

PM me for any details. I have been a diabetic for 10 years and have done okay

Very well said there, I do not think any health care professionals suugest their diabetic patient to stop eating anything but obviously sugar.

She needs to cut downs lots of rice, noodle, starch,sweet fruit with high glycemic index. Add more vegetable and whole grain meals on her diet.

It does not mean she can not eat those but as less as possible.

Take supplement such as B1-6-12 to help prevent diabetic neuritis( Numbness on legs and arms from high blood sugar damage the small nerves).

For the glucose meter by the way you can find a reasonble price at almost every single chemists.

'mogoso' if she goes to the Hospital and ask for a blood/glucose test, if it is very high they will give her an injection.. Is she type 2 or type 1 ?

She has been going a lot including several hospitalizations and they spoke of diet and I think finally she gets it, and has quit eating rice and noodles. She kept saying how can I live without eating rice, the eating of rice was en"grained" in her. My wife kept telling her you cannot live if you eat rice. But even with diet its going to be a tough row to hoe for us to deal with this long distance. We were supposed to be in Thailand permanently at this point but it'll be 7 months before we get there now.

I want to thank all who replied

She can eat rice and noodles with no problem, but she needs to eat less than normal. Diabetes to me means I need to balance my food, not eliminate anything.

PM me for any details. I have been a diabetic for 10 years and have done okay

Very well said there, I do not think any health care professionals suugest their diabetic patient to stop eating anything but obviously sugar.

She needs to cut downs lots of rice, noodle, starch,sweet fruit with high glycemic index. Add more vegetable and whole grain meals on her diet.

It does not mean she can not eat those but as less as possible.

Take supplement such as B1-6-12 to help prevent diabetic neuritis( Numbness on legs and arms from high blood sugar damage the small nerves).

For the glucose meter by the way you can find a reasonble price at almost every single chemists.

Is it something like Supraventricular Tachycardia ( STV)?

Accucheck adventage or performa are good and easy to used.

The cost is about 2300-2500 B with free 10 strips.

Accucheck adventage or performa are good and easy to used.

The cost is about 2300-2500 B with free 10 strips.

firide i mg by siam pharmaceutical, no need for prescription but it is best to consult dr before stating treatment.

It works for andrgenic alopecia.

Have no idea about specialist in BKK but I am sure you can find many of them. You are likely to have a problem with prostate as you mentioned.

The urologist will perform DRE,PSA and optionally ultrasonogram to evaluate the size of prostae.

In caucasian and asian, if PSA is less than 4 ng/mL, there is no need for furthur investigation but annual check up.

PSA is higher than 4 ng/mL, most of urologist will advise the patients to do free PSA/PSA ratio to check whether biopsy is indicated (the lower free psa the higher chance of having cancer) to rule out cancerous prostate. PSA may be high in many conditions: Prostitis, urethritis, prostate massage,surgery. Certain medication may reduce PSA level such as finasteride(Proscar, firide). Alpha-blocker ( doxazocin, Terrazocin) can reduce the size of prostae without lowering PSA.

The most important thing is to get the urologist do all the test to rule out prostate cancer before starting any treatment.

There is no inderal SR or PR in Thailand.

There are many beta blockers in the new generation that can control high blood pressure such as atenolol, bisoprolol,prenonol.

You actually can take them once Or twice a day in certain circumstance : Angina pectoris.

There are also many other types of medication to choose from according to the other co-underlying diseases.

The best is to consult your doctor before starting the new tablets.

Good Luck.

And, once in the system, how hard is it to change one's hospital choice?

Once a year you can change your elected hospital. Maharaj probably is the best choice as it has some of the top doctors, many ajarns at CMU. I found that being a farang in civil service that I usually get expedited to see a doctor. There was a specific room on the 2nd floor for seeing those on civil service insurance that I was always directed to rather then queuing at the outside desks.

Lanna has always been on the list of choices for hospitals for me so believe it is a government hospital. Also, I was always given a list of possible hospitals to elect so see if that list is available to you to look at.

There seems to be a misunderstanding here; most of the hospitals on the list of social healthcare providers are private, including Lanna. Some of those private hospitals have a separate section for patients receiving treatment under social insurance, again including Lanna.

I think Lanna is a good choice, but it's gotten VERY popular lately, meaning longer waits. No complaints about the treatments though or the level of care and attention.

Suan Dok is a government hospital. I went in there once 15 years ago. That was enough. Not sure if / how it improved or that it's still a zoo.

As mentioned, you can choose private and government hospital as a registered healthcare provider under SSO. There is a few things you might want to find out before making any decision.

As you know that the SSO health care system is provided by the fund from three parties ( Yourself, your enployer and the government). Each registered hospitals receive the budget from the SSO ~2000 baht per head per year, so they have to manage all the patients who register with them within the limited budget. If there were 10000 people register with them,for instance, they will have 20MB to manage for those 10000 patients in the whole year. Say, there were 10 cases of heat attack which require CCU and streptokinase drip,it would cost about 200K/person and equal to 2 MB, that is 1/10 of the whole year budget and think about the OPD cases and Other IPD cases??How would they manage?? the Private hospital work to gain maximum profit so they will try every way to lower their cost even though they have to postpone elective(Neccessary) surgery, they will do.For the gevernment hospital, they will give you the treatment as neccesary whether that will cost $$$ as they do not worry about the profit. They government will support them anyway.

For Suan dok, will not accept transfer from any other hospital during the year, because most of the case that need the transfer,need serious care.

I dont know if this make sens,but think and check carefully before choose any hospital.

Good Luck.

Check Out at Sriphat, special clinic and Chingmai University hosptal.

The price is lower by 30-40% with excellent care provided by professor from teaching hospital.

Unfortunately my oldest son has contracted Dengue as well , he's in his fourth day .

I think its mild till now , although he has got all the symptoms as many have descriped on this thread . Sometimes he feels better and later the fever comes up again , I try to let him drink a

lot of water , to keep him dehydrated , give paracetamol for the headache and aches and give him light food .

As I understand there's not much we can do , and I do not see the need to let him sleep at the hospital , I'm nursing him myself , unless I feel its getting worse ofcourse .

So yes Dengue is around , the hospital in Chiangdao , where I still am cause of my sons

sickness I stay at home this week , is full of people and the doctor told me they are seeing

more then 40 patients a day diagnosed with dengue , I think its high alert at this time .

Don't underestimate dengue .

You obviously understand the course of the disease and can manage to take good care of your son.

I would like to add some suugestion to provide him electrolyte fluid apart from just water to keep him rehydrated and keep the fluid in his circulation.

Too much water(Hypotonic solution) without any electrolyte could lead to excessive fluid in pleural cavity.

Some high vitamin C (Fruits/supplements) will booster his immune.

Good luck to your son and yourself.

>>>insisted to come with her inside the doctor's room because given Thai doctor's upsell reputation i didn't want him to scam her.

I asked if he spoke english and he said no, nid noy. How in hel_l can a doctor not speak english? I doubt if he really is a doctor.<<<<

You are in Thailand, what is wrong with the doctor speaking thai??

Many competent doctors here in Thailand can not spek english but THEY ARE REAL DOCTORS.

Open your eye and see the world. There are many language in this world apart from english.

You can not speak the local langage so blame the local not speaking your mother langage??