Nephrologist needed in Bkk

[Letseng]

I need to keep an eye on my kidney issue. Can anybody recommend a specialist in Bkk? I made a start at the new hospital on Rama IV. Seem to have picked the wrong doc for me. Clash of personality. Paid 2400Thb just to be given a lab appointment 2 weeks later.

 

 

 

 

 

[Sheryl]

Never, ever let a hospital pick a doctor for you. It seldom ends well.

 

It would help me to have an idea of the nature of the kidney problem. Some nephrologists are exclusively focused on renal failure and/or transplants etc

 

 

[Letseng]

9 hours ago, Sheryl said:

Never, ever let a hospital pick a doctor for you. It seldom ends well.

 

It would help me to have an idea of the nature of the kidney problem. Some nephrologists are exclusively focused on renal failure and/or transplants etc

 

 

I have limited kidney function (70%) due to  part removal of left kidney 25 yrs ago. Suddenly, potassium has gone up to 5.3. Here limit is 5.1, In Europe it is 5.5. Last test end July was 4.9. I just got present test at Bangkok Christian, no doctor involved. 

Don't want to let this get out of hand. Question is why does it go up? 

Could medication be the cause? Had eye op @ Medpark where they gave me Diamox, 1 Adipine & Ciprobay. Neither is kidney friendly. Test was 2 days post eye op. 

Would be grateful for advise.

 

 

[Sheryl]

I suggest one of these:

 

https://www.bumrungrad.com/en/doctors/Krairerk-Athirakul

https://www.bumrungrad.com/en/doctors/Khajohn-Tiranathanagul

You can save on costs by getting labs done at an outside lab such as

https://www.brianet.com/en/labolatory/

https://pathlab.co.th/

https://rsuhealth.com/rsu-medical-center-en/

(although the above site lists only check up packages I have in the past been able to get a la carte labs doen there including some fairly esoteric ones)

 

 

 

[Old Croc]

I have CKD. Was initially at stage 4, now at stage 2 (almost normal for my age).

 

I've had high potassium levels and I now ensure regular checks. This includes creatinine (eGFR), uric acid and electrolytes.  

Medications can affect potassium levels, but correct diet is important. Check online here is much kidney health information. 

[Letseng]

10 hours ago, Old Croc said:

I have CKD. Was initially at stage 4, now at stage 2 (almost normal for my age).

 

I've had high potassium levels and I now ensure regular checks. This includes creatinine (eGFR), uric acid and electrolytes.  

Medications can affect potassium levels, but correct diet is important. Check online here is much kidney health information. 

Thanks. This gives me some hope. I've been careful with the diet but obviously somewhere is a "trap".  I haven't used salt in cooking for years. Also watch fruit veg. Coffee is hard for me.

Downloaded some charts about diet.

[Letseng]

11 hours ago, Sheryl said:

I suggest one of these:

 

https://www.bumrungrad.com/en/doctors/Krairerk-Athirakul

https://www.bumrungrad.com/en/doctors/Khajohn-Tiranathanagul

You can save on costs by getting labs done at an outside lab such as

https://www.brianet.com/en/labolatory/

https://pathlab.co.th/

https://rsuhealth.com/rsu-medical-center-en/

(although the above site lists only check up packages I have in the past been able to get a la carte labs doen there including some fairly esoteric ones)

 

 

 

 

 

 

Many thanks Sheryl. I will follow your recommendation. 

[Lorry]

11 hours ago, Sheryl said:

You can save on costs by getting labs done at an outside lab such as

He did that already:

Bangkok Christian Hospital is one of the hospitals where you can get lab tests done without seeing a doctor, and that's what he seems to have done.  St Louis Hospital is another one. Prices are similar. 

Quite a bit cheaper than RSU, by the way.

Vejthani used to offer this, too, not sure about today.

 

[Lacessit]

1 hour ago, Letseng said:

Thanks. This gives me some hope. I've been careful with the diet but obviously somewhere is a "trap".  I haven't used salt in cooking for years. Also watch fruit veg. Coffee is hard for me.

Downloaded some charts about diet.

Are you eating bananas? They are high in potassium.

Salt is sodium chloride. not potassium. A high salt intake is harmful to kidneys indirectly, via blood pressure increase. AFAIK there is no research that shows a person with normal blood pressure and normal salt intake ( added to taste ) is at risk of kidney damage.

OTOH, there are a host of medications that DO damage the kidneys.

Edited December 10, 2022 by Lacessit

[Letseng]

On 12/10/2022 at 9:47 PM, Lorry said:

He did that already:

Bangkok Christian Hospital is one of the hospitals where you can get lab tests done without seeing a doctor, and that's what he seems to have done.  St Louis Hospital is another one. Prices are similar. 

Quite a bit cheaper than RSU, by the way.

Vejthani used to offer this, too, not sure about today.

 

St. Louis no longer offers tests w/out seeing a doctor. My husband used to get PSA checked. Not anymore.

Just got 1 test at Bkk Christian & had planned to go to RSU. Will go back to Bkk Chr. for full profile. Tks for the tip about lab fees.

[Letseng]

On 12/10/2022 at 9:54 PM, Lacessit said:

Are you eating bananas? They are high in potassium.

Salt is sodium chloride. not potassium. A high salt intake is harmful to kidneys indirectly, via blood pressure increase. AFAIK there is no research that shows a person with normal blood pressure and normal salt intake ( added to taste ) is at risk of kidney damage.

OTOH, there are a host of medications that DO damage the kidneys.

No, I don't eat bananas, or any other high potassium fruit, veg these days. I'm determined to deal with it.

I'm grateful for any advice.

 

[Lorry]

6 hours ago, Letseng said:

St. Louis no longer offers tests w/out seeing a doctor

I did the last tests there last month,  and will do more this week.

They do have some leeway what to test without seeing a doctor, it seems to depend on the person you talk to.

[Letseng]

20 hours ago, Lorry said:

I did the last tests there last month,  and will do more this week.

They do have some leeway what to test without seeing a doctor, it seems to depend on the person you talk to.

Thanks for the tip. Husband can try again.

[Lorry]

On 12/13/2022 at 5:58 PM, Letseng said:

Thanks for the tip. Husband can try again.

I asked them 2 days ago, they still do PSA without seeing a doctor