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Posted
3 hours ago, Sheryl said:

It's just a topical steroid. May help and won't do any great harm unless there is an infection present but with no increase in the size of the red area and no pain, probably is not.

Actually have been using Betnovate-N Cream for many decades and it is designed to also fight bacterial infections N =  (neomycin).  Find it much more effective as one product first aid kit than Vaseline.  ????

 

  • Thanks 1
Posted
1 hour ago, rumak said:

not everyone is smart so if you are not you can skip this and go to next post

No need for me to skip this post ???? read it twice and agree!

Posted
3 minutes ago, CGW said:

No need for me to skip this post ???? read it twice and agree!

you caught me off guard ...........was pretty sure you were gonna tell me how full of kwai doo doo i was !

Posted
1 hour ago, rumak said:

you caught me off guard ...........was pretty sure you were gonna tell me how full of kwai doo doo i was !

There may well be times in the future when I will need a decent doctor, hope not but the chances of passing in great health are pretty remote!

So far, I'm 63 I have managed to take care of myself, folks are encouraged by the "health" business to see there "health care provider" for any and all ailments, great way of drumming up business, which is all it is, good diet and common sense can take care of most things, prevention is a lot easier than "cures"

IMO the original poster did the right thing in asking rather than going to see a drug salesman who would have loaded him up with all sorts of crap, most of which would have some sort of side effects.

Posted
7 minutes ago, CGW said:

good diet and common sense can take care of most things, prevention is a lot easier than "cures"

yes, 100% ! and don't forget that exercise   haha  .   I have been through a few health "issues" as i get older.  I just read about things ( yes, google) and try to figure out what makes sense TO ME.   I haven't fallen for things like

magical mushrooms from the Borneo forest.....  but do sometimes simplify my diet or take a vitamin or two.

Getting close to 70 and still no "daily pill (s) "  for blood pressure,  ibs, blood sugar,  depression,  etc etc.

Staying healthy takes work........... no trade-ins for a new body.

  • Like 2
Posted
21 minutes ago, rumak said:

Staying healthy takes work........... no trade-ins for a new body.

Exactly, folks expect to have good health with no effort, yes I forgot to mention the exercise, it takes effort, I don't particularly enjoy it, but there's no other option, pills and doctors just don't work as well!

Cheers

Posted
2 minutes ago, CGW said:

Exactly, folks expect to have good health with no effort, yes I forgot to mention the exercise, it takes effort, I don't particularly enjoy it, but there's no other option, pills and doctors just don't work as well!

Cheers

I went out for a jog the other day, after about 2 minutes it became a fast walk, but still felt good. Wish I had taken a green sponsor though, because I climbed up the local mountain to see the phra yai.

Posted
4 hours ago, pr9spk said:

I went out for a jog the other day, after about 2 minutes it became a fast walk, but still felt good. Wish I had taken a green sponsor though, because I climbed up the local mountain to see the phra yai.

After reading all the comments so far, I will say I have the same thing on the back of my leg. It is exactly what was described, living in the city, I was, and am still convinced mine is from a spider bite. Mind you, mine is about a year old, and went from the red color described, to tannish shade of color. Its still there, so whatever it is, it leaves a scar. All the family has ever seen in our house are mosquitos, spiders and the geckos that eat them. 

Posted

If anyone wants to try something natural and inexpensive.....  make a paste with a little baking soda and plain water (thick, not runny).    i make it in a tiny bowl and can add water throughout the day when it is dry.   Just put this on when you get a bite .....or even try it on the discolorations you have.  Great for itchy bee bites,  even mosquito bites.  Apply often during day.   try it  

 

Posted

Some very interesting comments. I experienced something similar which was treated by doctors and pharmacists as an infected insect bite. I was prescribed "broadband" and "specific" antibiotics with no success. It became larger and I was then told that it was a basal cell carcinoma (skin cancer) and advised to have a biopsy. Fortunately it was benign and now no problems. Such carcinomas are very common among white skinned people living in the tropics. White skin and UV light are not compatible!!

Posted
14 minutes ago, Burma Bill said:

Some very interesting comments. I experienced something similar which was treated by doctors and pharmacists as an infected insect bite. I was prescribed "broadband" and "specific" antibiotics with no success. It became larger and I was then told that it was a basal cell carcinoma (skin cancer) and advised to have a biopsy. Fortunately it was benign and now no problems. Such carcinomas are very common among white skinned people living in the tropics. White skin and UV light are not compatible!!

A basal cell carcinoma is a cancer - you did not have that if biopsy did not indicate so suspect doctor just suspected it might be.  Any suspect such growth should indeed be checked and good that doctor did so as uncommon among Thai so doctors often are not proactive.  Any growth that bleeds easily (my experience) should be especially suspect and checked immediately - they are normally very slow to grow and easy to remove/kill but the sooner the better.

Posted (edited)
17 hours ago, rumak said:
18 hours ago, CGW said:

I avoid them like the plague! the majority are glorified drug salesmen! & yes I do have medical insurance so attain your criteria for staying here ???? 

generally a smart person will know more about what ails them then a doctor.  one reason being you are living with the problem and another you care a lot more.  ( not everyone is smart so if you are not you can skip this and go to next post)  .

I just broke my own "rule" and went to an "eye specialist"  that looked into my pink eye for less than a minute,  gave me some drops, and said pay the cashier.  Four days later i was much worse than before (no, not an allergic reaction).  Did my research to locate a very good specialist I last saw eight years ago. 

She corrected the diagnosis of previous "doctor".   

glorified drug salesman is pretty accurate in many cases.  finding a good and caring doctor takes some effort ,  necessary at the few times you cannot help yourself.   

 

the first eye specialist treated you for the "presumptive diagnosis" the thing is treatment for the presumptive diagnosis fails sometimes. the second doctor you saw had the benefit of knowing the first treatment and with this in mind re-evaluated you and already knew which treatment did not work.

Edited by atyclb
Posted (edited)
45 minutes ago, atyclb said:

 

the first eye specialist treated you for the "presumptive diagnosis" the thing is treatment for the presumptive diagnosis fails sometimes. the second doctor you saw had the benefit of knowing the first treatment and with this in mind re-evaluated you and already knew which treatment did not work.

your presumptive analysis of my situation......is not correct.   just like doctors who immediately give antibiotics for anything....presuming that it works in many cases.  Like in any field, there are people that are more skilled than others at their craft.   I am not presuming that.... i have lived and experienced a lot .

My MISTAKE was presuming that going to any "eye clinic" would serve my purpose.  You are correct that not every first treatment will work....but wrong in assuming that the two doctors i saw had similar skills.

Edited by rumak
Posted
14 minutes ago, rumak said:
59 minutes ago, atyclb said:

 

the first eye specialist treated you for the "presumptive diagnosis" the thing is treatment for the presumptive diagnosis fails sometimes. the second doctor you saw had the benefit of knowing the first treatment and with this in mind re-evaluated you and already knew which treatment did not work.

your presumptive analysis of my situation......is not correct.   just like doctors who immediately give antibiotics for anything....presuming that it works in many cases.  Like in any field, there are people that are more skilled than others at their craft.   I am not presuming that.... i have lived and experienced a lot .

My MISTAKE was presuming that going to any "eye clinic" would serve my purpose.  You are correct that not every first treatment will work....but wrong in assuming that the two doctors i saw had similar skills.

 

ok. can you elaborate on what the first doctor missed or misdiagnosed and why you believe so?  would help us to understand better

Posted
13 minutes ago, atyclb said:

 

ok. can you elaborate on what the first doctor missed or misdiagnosed and why you believe so?  would help us to understand better

you will not like my reply...but its all i can elaborate.   If your car doesn't start and you bring it in and the

guy says you need a new battery.  sells you one.  it still doesn't start.   oh, you need a new starter.  still doesn't start.  oh, sorry, it must be the voltage regulator.  Well,  shouldn't he have checked for those things first ?  A good mechanic can DIAGNOSE things better than one who is not as good.  

My original post said that the first doctor very briefly looked at my eyes and then prescribed.  Much like the mechanic who sold the battery.   The second doctor gave a more thorough examination and I also know that she is very knowledgable.   Like i said,  my mistake for just thinking anyone would be as good. The first guy might have hit it right ( there is that chance).   I will not be going back though.  end of post,  thx for your interest.

Posted
2 hours ago, rumak said:

you will not like my reply...but its all i can elaborate.   If your car doesn't start and you bring it in and the

guy says you need a new battery.  sells you one.  it still doesn't start.   oh, you need a new starter.  still doesn't start.  oh, sorry, it must be the voltage regulator.  Well,  shouldn't he have checked for those things first ?  A good mechanic can DIAGNOSE things better than one who is not as good.  

My original post said that the first doctor very briefly looked at my eyes and then prescribed.  Much like the mechanic who sold the battery.   The second doctor gave a more thorough examination and I also know that she is very knowledgable.   Like i said,  my mistake for just thinking anyone would be as good. The first guy might have hit it right ( there is that chance).   I will not be going back though.  end of post,  thx for your interest.

Perhaps good diagnosis comes with experience. Example. When my son returned to Switzerland after holidaying here, he and his wife developed itching on the soles of their feet. Their local doctor said he had not come across this before and referred them to the Tropical diseases hospital in Zurich who diagnosed parasites in their feet through walking where dogs a had defecated.It was treated and cured at some expense. I had the same problem here. My wife went to the local chemist who immediately said "Oh, worms in the feet. That's common here. Take one of these tablets tablets daily for three days." Miraculously or otherwise, the problem disappeared. Experience.

Posted
49 minutes ago, Gandtee said:

Perhaps good diagnosis comes with experience. Example. When my son returned to Switzerland after holidaying here, he and his wife developed itching on the soles of their feet. Their local doctor said he had not come across this before and referred them to the Tropical diseases hospital in Zurich who diagnosed parasites in their feet through walking where dogs a had defecated.It was treated and cured at some expense. I had the same problem here. My wife went to the local chemist who immediately said "Oh, worms in the feet. That's common here. Take one of these tablets tablets daily for three days." Miraculously or otherwise, the problem disappeared. Experience.

I am definitely on board about Experience !  The fact remains though that in every profession there are

many degrees of aptitude for those in that profession.  Even those with low success rates will be right some of the time.  The best ones are the bright ones who continue to get better with experience.  To do this, they

have to have the ability and desire to THINK.  The "wrong diagnosis" is always a possibility....but less so with

some doctors than others.  I have lived in villages in Thailand for many years..... any serious problem almost always is beyond the scope of what the local doctor can correct ( yes, lack of equipment is one reason).

 

I have to admit it is truly miraculous that by your wife taking the tablets the worms in your feet disappeared. (or did i read that wrong? )      555

Posted
54 minutes ago, rumak said:

I am definitely on board about Experience !  The fact remains though that in every profession there are

many degrees of aptitude for those in that profession.  Even those with low success rates will be right some of the time.  The best ones are the bright ones who continue to get better with experience.  To do this, they

have to have the ability and desire to THINK.  The "wrong diagnosis" is always a possibility....but less so with

some doctors than others.  I have lived in villages in Thailand for many years..... any serious problem almost always is beyond the scope of what the local doctor can correct ( yes, lack of equipment is one reason).

 

I have to admit it is truly miraculous that by your wife taking the tablets the worms in your feet disappeared. (or did i read that wrong? )      555

You read it correctly. My failure with the written word is to blame. But there a lot to be said for auto suggestion.???? 

Posted
6 hours ago, rumak said:

you will not like my reply...but its all i can elaborate.   If your car doesn't start and you bring it in and the

guy says you need a new battery.  sells you one.  it still doesn't start.   oh, you need a new starter.  still doesn't start.  oh, sorry, it must be the voltage regulator.  Well,  shouldn't he have checked for those things first ?  A good mechanic can DIAGNOSE things better than one who is not as good.  

My original post said that the first doctor very briefly looked at my eyes and then prescribed.  Much like the mechanic who sold the battery.   The second doctor gave a more thorough examination and I also know that she is very knowledgable.   Like i said,  my mistake for just thinking anyone would be as good. The first guy might have hit it right ( there is that chance).   I will not be going back though.  end of post,  thx for your interest.

 

 

its not that i dont like your reply, i was hoping for an objectively reasoned critique.  it seems you gave us your subjective perception.

 

if the mechanic believes you need a new battery and after puts it in discovers the car still wont start he will continue looking.

 

the eye doctor unfortunately does not get the immediate feedback when drops are prescribed as many drops do not take effect immediately except for topical anesthesia.

 

a reply that would help us would be the first docs diagnosis aka misdiagnosis .  and the second docs diagnosis.    if both their dx are the same then the first medicine tried did not work.

Posted
4 hours ago, Gandtee said:

Perhaps good diagnosis comes with experience. Example. When my son returned to Switzerland after holidaying here, he and his wife developed itching on the soles of their feet. Their local doctor said he had not come across this before and referred them to the Tropical diseases hospital in Zurich who diagnosed parasites in their feet through walking where dogs a had defecated.It was treated and cured at some expense. I had the same problem here. My wife went to the local chemist who immediately said "Oh, worms in the feet. That's common here. Take one of these tablets tablets daily for three days." Miraculously or otherwise, the problem disappeared. Experience.

 

 

the best quadruple board certified alaska trained and practicing doctor would likely not recognize a scorpion sting nor what to do about it.

Posted
54 minutes ago, atyclb said:

 

 

the best quadruple board certified alaska trained and practicing doctor would likely not recognize a scorpion sting nor what to do about it.

who is this guy ????   more painful than a scorpion sting !

Posted (edited)
3 hours ago, rumak said:
4 hours ago, atyclb said:

 

the best quadruple board certified alaska trained and practicing doctor would likely not recognize a scorpion sting nor what to do about it.

who is this guy ????   more painful than a scorpion sting !

 

the inference relates to what i quoted regarding geographical scope of practice/experience.  if a doctor trains in nebraska and practices in nebraska he wont be likely able to diagnose/treat jellyfish stings.

 

Edited by atyclb
Posted

Hi,

 

I am never a big fan of posters opening new threads, asking questions and then never ever post anything else when the replies and answers are posted by other users.

 

So, first of all, I´d like to thank everyone who took the time to reply to my original question! 

 

Secondly, I would like to "close" the thread (from my side) by giving a final update since I went to see a dermatologist earlier this morning. The diagnosis was a local infection of the skin and subcutaneous tissue / early abscess. The doctor said it could have been a bite by a mosquito, an ant or something else. She prescribed Augmentin tablets (an antibiotic) plus Mupirocin (Bacidal) ointment. If there is no significant improvement within 48-72 hours after taking the prescribed medication, the doctor advised to go back to the hospital and have the abscess opened and the puss drained. Oh joy.... :-))

 

Anyway, that´s it from my side. Thanks again for all your replies above.

 

Cheers

DUS

  • Like 1
Posted
16 minutes ago, DUS said:

the doctor advised to go back to the hospital and have the abscess opened and the puss drained. Oh joy.... :-))

Don't worry about that - they will not cause more pain than a pin so be sure to go back if required.  

  • Thanks 1
Posted

My wife has a similar spot on her leg since 15 years,

if it is an about 8mm red spot, the skin of the outer area of the spot peels its almost sure a small bug the cause.

She doesn't know the name but its commonly found in Isaan and if you sleep and lay your leg on it it will bite without creating pain more than a Mosquito bite. 

 

A spider bite would seriously hurting and giving some real discomfort and the flesh slowly dissolves and created within a week a hole of a size of a 25 Satang coin and 3-4 mm deep which grew out to about a 2 baht coin size. 

That was in Panama and even with twice a day seeing the doctor it just continued to get bigger and deeper. After 6 weeks of treatment he finally could stitch the wound.

Posted
Hi,
 
I am never a big fan of posters opening new threads, asking questions and then never ever post anything else when the replies and answers are posted by other users.
 
So, first of all, I´d like to thank everyone who took the time to reply to my original question! 
 
Secondly, I would like to "close" the thread (from my side) by giving a final update since I went to see a dermatologist earlier this morning. The diagnosis was a local infection of the skin and subcutaneous tissue / early abscess. The doctor said it could have been a bite by a mosquito, an ant or something else. She prescribed Augmentin tablets (an antibiotic) plus Mupirocin (Bacidal) ointment. If there is no significant improvement within 48-72 hours after taking the prescribed medication, the doctor advised to go back to the hospital and have the abscess opened and the puss drained. Oh joy.... :-))
 
Anyway, that´s it from my side. Thanks again for all your replies above.
 
Cheers
DUS
No need to close a thread really, they naturally will die
Posted
On 10/22/2018 at 5:12 PM, scubascuba3 said:

Possibly just a passing spider in bed at night

A friend of mine had something similar a few years back and that was diagnosed as a spider. He didn't have any pain and initially thought it was a mosquito. After a few weeks he saw a doctor and it took a bit of clearing up.

Posted
20 hours ago, See Will said:

My wife has a similar spot on her leg since 15 years,

if it is an about 8mm red spot, the skin of the outer area of the spot peels its almost sure a small bug the cause.

She doesn't know the name but its commonly found in Isaan and if you sleep and lay your leg on it it will bite without creating pain more than a Mosquito bite. 

 

A spider bite would seriously hurting and giving some real discomfort and the flesh slowly dissolves and created within a week a hole of a size of a 25 Satang coin and 3-4 mm deep which grew out to about a 2 baht coin size. 

That was in Panama and even with twice a day seeing the doctor it just continued to get bigger and deeper. After 6 weeks of treatment he finally could stitch the wound.

My wife had something similar just above the ankle about 10 years ago. Something ate away the flesh and it wasn't until the hole was about 10mm in dia and about 6mm deep that she became worried enough to go to the doctor. It was diagnosed as a parasite often found on chickens, and we have a lot of them, took some serious antibiotics and a fair length of time to get it sorted.

Posted (edited)
On 10/25/2018 at 4:39 AM, sandyf said:

My wife had something similar just above the ankle about 10 years ago. Something ate away the flesh and it wasn't until the hole was about 10mm in dia and about 6mm deep that she became worried enough to go to the doctor. It was diagnosed as a parasite often found on chickens, and we have a lot of them, took some serious antibiotics and a fair length of time to get it sorted.

here you go. It's quite a common critter living under us and to that time the father in law had fighting chickens.. 

The pests got reduced to almost zero as I brought guinea fowls into the game.

They are pretty stupid (and loud, I mean LOUD) but great hunters for tics and other insects beside they are not scared of snakes, they wont kill them but they make such a "drama" about it that the snake just gets annoyed and escapes. 

These running Gucci Bags are worth to have if you have enough land around you or especially problems with tics.. 

Edited by See Will

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