One area that seems to be lacking in Thailand is a primary care physician who focuses on disease prevention. In particular I have some risk factors for heart disease (high cholesterol, CAC score that is high for my age) but was never told by any of the doctors I saw that I should be on a statin. When I did my own research and asked for it only then did they give me the statin but it was probably 5 years too late. The couple of cardiologists I have seen are (understandably) more interested in dealing with people who already have serious heart disease where they can use their skills, put in stents etc and seem to have little interest in managing my cholesterol and minimizing my other risk factors so that I am less likely to develop the disease in the future. I am wondering if anyone can recommend a good internist or cardiologist who more focussed on aggressive prevention?

Where jn Thailand are you located?

 

The medical industry makes money when people are sick, not when people are well.

 

There is not enough money in preventative care.

 

So you need to do your own research. 

 

Dr Ford Brewer is a recommendation I could give you. He is a doctor (not sure if he's a cardiolist though) and his whole  channel is about preventative care regarding heart issues. 

 

 

37 minutes ago, Sheryl said:

Where jn Thailand are you located?

 

Bangkok

31 minutes ago, save the frogs said:

The medical industry makes money when people are sick, not when people are well.

 

There is not enough money in preventative care.

 

So you need to do your own research. 

 

Dr Ford Brewer is a recommendation I could give you. He is a doctor (not sure if he's a cardiolist though) and his whole  channel is about preventative care regarding heart issues. 

 

 

Oh yes there is a lot of info one can find on internet and in research papers etc, but I am not qualified to be the one prescribing my own medications and tests, determining the right dosages, worrying about interactions between drugs, deciding if my LDL should be under 60 or 100 etc. The division of labor should be I take care of the lifestyle side (diet and exercise) and my doctor takes care of the medical side (statins, and whatever else I might need)

BNH Cardiometabolic Center. I use Dr. Jiranut.  I think they have preventative programs.

you may want to reconsider you statin use, and go with diet & exercise.  

 

 

double post

Edited August 6, 20241 yr by voyagerUSA
double post

23 hours ago, Yagoda said:

BNH Cardiometabolic Center. I use Dr. Jiranut.  I think they have preventative programs.

Thank you I do live near BNH and have used them for other medical issues but have not thought about their cardiology department. They are sort of a low key place compared to the more famous Bumrungrad or Bangkok Hospital. All these places have centers for this or that but in my experience there is no holistic approach all that happens is they book you an appointment with one of the specialists but perhaps BNH is more holistic

18 hours ago, KhunLA said:

you may want to reconsider you statin use, and go with diet & exercise.  

 

 

 

Bravo.... 

 

On 8/5/2024 at 11:29 PM, voyagerUSA said:

One area that seems to be lacking in Thailand is a primary care physician who focuses on disease prevention. In particular I have some risk factors for heart disease (high cholesterol, CAC score that is high for my age) but was never told by any of the doctors I saw that I should be on a statin. When I did my own research and asked for it only then did they give me the statin but it was probably 5 years too late. The couple of cardiologists I have seen are (understandably) more interested in dealing with people who already have serious heart disease where they can use their skills, put in stents etc and seem to have little interest in managing my cholesterol and minimizing my other risk factors so that I am less likely to develop the disease in the future. I am wondering if anyone can recommend a good internist or cardiologist who more focussed on aggressive prevention?

 

Change your diet ....  sounds like the classic case of the SAD ( Standard American Diet ) coupled with the totally expossed  cholesterol lie.

the statins will only make it worse

4 hours ago, Luuk Chaai said:

 

Change your diet ....  sounds like the classic case of the SAD ( Standard American Diet ) coupled with the totally expossed  cholesterol lie.

the statins will only make it worse

 YouTube has some good information available.  

Look up Dr. Pradip Jamnadas, M.D. He’s a practicing cardiologist in Florida. Anyway, he has lots of good videos addressing the topic of our diets and how to stay healthy.

7 hours ago, Luuk Chaai said:

 

Change your diet ....  sounds like the classic case of the SAD ( Standard American Diet ) coupled with the totally expossed  cholesterol lie.

the statins will only make it worse

I eat very healthy have normal weight and low body fat % and exercise hard 5-6 days a week... so is not that. Anyways I am looking for information about a doctor in Bangkok not dietary advice...

Officially, those are the jobs of family medicine practitioners.

On 8/5/2024 at 12:29 PM, voyagerUSA said:

One area that seems to be lacking in Thailand is a primary care physician who focuses on disease prevention. In particular I have some risk factors for heart disease (high cholesterol, CAC score that is high for my age) but was never told by any of the doctors I saw that I should be on a statin. When I did my own research and asked for it only then did they give me the statin but it was probably 5 years too late. The couple of cardiologists I have seen are (understandably) more interested in dealing with people who already have serious heart disease where they can use their skills, put in stents etc and seem to have little interest in managing my cholesterol and minimizing my other risk factors so that I am less likely to develop the disease in the future. I am wondering if anyone can recommend a good internist or cardiologist who more focussed on aggressive prevention?

 

Which statin did they give you? 

4 hours ago, TedG said:

 

Which statin did they give you? 

Rosuvastatin, but in fact all the statins are pretty similar just a matter of finding the one that at the right dose hits your LDL target, but what that target should be depends on your risk factors and this is where the judgment of a cardiologist up to date on latest research comes in. If you cant hit the target with just a statin then usually a second medication is added to the mix.

2 hours ago, voyagerUSA said:

Rosuvastatin, but in fact all the statins are pretty similar just a matter of finding the one that at the right dose hits your LDL target, but what that target should be depends on your risk factors and this is where the judgment of a cardiologist up to date on latest research comes in. If you cant hit the target with just a statin then usually a second medication is added to the mix.

I’m on Atorvastion, which combined with a second drug drove my LDL down to 38.

14 hours ago, voyagerUSA said:

I eat very healthy have normal weight and low body fat % and exercise hard 5-6 days a week... so is not that. Anyways I am looking for information about a doctor in Bangkok not dietary advice...

If  you eat healthy .   then why take poisonus statins ?

you're being lied to .....Cholesterol is not the cause or contributing factor of heart disease ..   you're being fed information that is  50 years old

it's worth it for you to take a look and see the alternatives to being force fed medications

here's a few suggestions for you to take a look at..  you owe it to yourself to be informed

Dr. Anthony Chaffee   

Dr. Philip Ovadia    Cardio Thoracic Surgeon    

Dr. Ken Berry

 

 

15 hours ago, voyagerUSA said:

I eat very healthy have normal weight and low body fat % and exercise hard 5-6 days a week... so is not that. Anyways I am looking for information about a doctor in Bangkok not dietary advice...

here's a good one for you

 

Looks like georgegeorgia has a new account.

I hope you were referring to the last post of a video by "Luuk Chai" which was honestly the longest, most boring, and totally useless few minutes of my life.