Sheryl

A pist with unreliable information fom unqualufied source has been removed.

He was giving that as an example if an unrealistic attitude.

Depisit will drpend on estimated treatment cost. So quite variable.

Untreated, it will lead to blindness in most cases. But with treatment this can usually be prevented.

This will have been for "wet" age-related macular degeneration. (AMD). https://www.mdfoundation.com.au/about-macular-disease/age-related-macular-degeneration/amd-treatment/ Many older people have this and receive this treatment. Including expats in Thailand. The injections are costly, however as the drugs are imported. The injections prevent further vision loss in majority (90%) of patients so yes, worth it. https://www.optometrists.org/general-practice-optometry/guide-to-eye-conditions/guide-to-diabetes-and-the-eyes/how-is-diabetic-retinopathy-treated/how-do-anti-vegf-injections-work/#:~:text=Anti-VEGF medications have been,reduce any pain during administration. If you want to confirm availability in Thailand, find out and post the name.

There are well over a dozen different medicationd to conttol blood sugar and suitability for a specific patient depends on many factors. Trying to research med prices on your own is not the way to go with this. What you need to do is clearly tell your doctot that cost is a priority and ask for medications for which there are locslly made generics available. Do not buy the meds at the hospital or clinic, get the names & doses then buy at a pharmacy. Absent clear information from you, doctor will assume you prefer the newest and Western made brands.

There is no "universal" standard. Public health authorities & experts in different countries use different ones. But differences among these arr not great. The main differnce is how BPs with systolic in 130 - 139 range and diastolic in 85-89 range are classified : "high normal" vs "pre-hypertension" vs "Stage 1 hypertension". Choice of cut iff is not immune to financial considerations especially since the number of people in such borderline categories is quite large. At that level of hypertension/pre-hypertension, unless there are other risk factors like cardiovascular or kidney disease, the recommended management is lifestyle changes (diet, exercise etc) and often weight loss. These require time intensive counseling from health professionals, something very hard for overtaxed national health systems to provide. If the patient is also obese then treatment with GLP-1 agonists may be indicated, very expensive for a cash-strapped health system.

Yes, it is possible to have gastritis without h. Pylori. It is also very possible to get a false negative on breath test. Especially if PPIs (omeprazole etc) were taken within 2 weeks prior. Certain other medications also interfere including antibiotics and bidmuth preparations (includes Gaviscon and Pepto Bismol) https://www.ncbi.nlm.nih.gov/books/NBK542286/ But what exactly do you mean by "intermittent gastritis" and how was diagnosis made?

In the case if trichomonal nfection partner (s) must also be treated or reinfection will occur. (Not applicable to candidal infection).

There is no brand of that specific drug other than imported Jardiance. There are many diffrent drugs which can be used to control blood sugar, choice of which is used must be individualized based on the patient's medical history etc. Do not try to make substitutions yourself. This is s conversation you should be having with your doctor.

An insensitive post has been removed. No reason to assume this is an STI. Non-STI vaginal infections are extremely common. All women get them fom time to time and they can indeed be very uncomfortable. Conversely, STIs are often asymptomatic in women.

No, cold does not cause pneumonia. Pneumonia is an infection which can be due to many different organisms: viruses, bacteria fungi. The influenza virus is one of many viral causes of pneumonia. In temperate climates, influenza is most common in the winter months. In SE asia, influenza is most common in the rainy season.

They are different drugs though with similar action. Brilinta (ticagrelor) is slightly more effective.

If her sexual partners are asymptomatic, vaginitis may be more likely than an STD. But if not - or if this fact cannot be ascertained - then STDs must also be kept in mind. Putting STIs aside, there are many type of vaginal infections a woman can have and treatment for each differs. Excluding STIs, the main types are fungal (candida), trichomonal and bacterial. There are some "3 in one" preparations to be had which can be useful when it is nto clear which type is present, as follows: Gynecon Neo-Penetran Forte and some others. No presecription needed. These are vaginal suppositiories, to be inserted before bed. Use up the full pack. Please ignore the suggestion for Amoxicillin Clavulanate (clamoxil) as this is not effective treatment for vaginitis and indeed can make some types worse. If above treatment does not work then there is nothing for it but to see a doctor. Ditto if an STI is suspected.

I like https://rsuhealth.com/ On Sukhumvit around Soi 31. No need to get a full package, can just request what you want https://www.brianet.com/en/labolatory/ is also good but not so convenient location