There are many hematologists in Thailand who perform bone martow transplants. While a small number specifically focus on pediatrics, most treat both adults and children. A pediatrician is not who you would consult for this.
Where in Thailallnd are you located? Either Bangkok or Songkhla would be best for this, which is easier for you?
I assume when you say surgery you actually mean the bone marrow transplant (which is not surgery). This is a complex procedure as it is first necessary to treat with immunosuppressant drugs or rsdisyion , during which period the patient is very vulnerable to infection. There are other significant risks as well, including rejection of the donor marrow, for which reason this is not commomly performed in management of thalessemia and reserved for very severe cases which cannot be adequately managed with standard trestmrlent (transfusions, chelation, folic acid, sometimes splenectomy). Ftom what you say it does not sound like she has maxxed out on standard therapy.
Risk vs potential benefit of bone martow transplant has to be carefully assessed for the individusl patient so I would not be so certain she will end up being advised to have this procedure. Risks are dlsignificant. The potential benefit is tied to likelihood of success which in turn relates to availability of a good donor match. Unless there is a matched sibling able to donate, this will be an issue.
Anyway please indicate which location works better for you and I will suggest a doctor who csn assess her and advise more specifically.
Police Bust 14 Scrap Shops in Bangkok for Severe Pollution Issues
File photo for reference only
Police launched Operation STOP POLLUTION THE SERIES 3, targeting scrap shops on On Nut's waste alley in Bangkok for causing pollution with foul odors. Acting on complaints from locals in Phra Khanong, they addressed improper waste management and air pollution concerns.
Full Story: https://aseannow.com/topic/1346767-police-bust-14-scrap-shops-in-bangkok-for-severe-pollution-issues/
That's what I reckoned.
I don't see this as required.
I feel most strongly that the package person is working insane hours and my order volume is unusually high.
I'm conflicted about the doorman. Like I said, he's odd and I think a good chance of backfiring into the kind of attention I would find annoying.
If a customer doesn't tip someone does that mean their service will less than a customer who does. ?
They receive a salary and their job description is to serve the customer.
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