Sheryl

If the newest equations are used to calculate the eGFR (note that eGFR is not a direct test, but a calculation based on other things like serum creatnine) then it is independent of race (but not of sex). Older equations did include race but without a specific one for Asian. eGFR should never be treated as an absolute indication of kidney health, if low for age, needs to be evaluated by a nephorologist taking full clinical picture into account and results of other tests. It is important to note that eGFR normally declines with age. A low eGFR in an older person -- even if below 60 -- does not always mean kidney disease is present. Another very important consideration is that the eGFR is calculated in large part from the serum creatnine, and this can be artificially elevated if you are dehydrated when it is measured. There is a habit here in Thailand of telling people to take nothing at all by mouth prior to blood tests, with the result that people are often a bit dehydrated when their bloods are drawn. Actually there is no need to abstain from plain water before a blood test and doing so may skew results.

Up to 10% of people have gallbladder polyps. Removal is usually indicated if they are symptomatic or if size exceeds 1 cm. The latter is because a small minority of these polyps are malignant and likelihood of malignancy is greater if size is >1 cm. Rapid growth can also be an indication of malignancy, though malignant polyps are usually singular while multiple polyps are more likely to be benign. Good overview here https://my.clevelandclinic.org/health/diseases/21821-gallbladder-polyps

Moved to the health forum. Best place for this in Bangkok (and very affordable) is the government Institute of Dermatology https://www.iod.go.th/en/ Bring a Thai speaker if you don't speak much Thai.

Frankly if you need a CT scan you should best be getting care off the island anyway. One has to consider not just getting the scan but the skill/expertise of the specialist who would review it and treat you. If the CT does not require contrast media you can get it done at an imaging center in Surat Thani for much less than at a hospital - but make sure you first know the specifications for the scan. https://mrithailand.com/en/contact-us-2/ located inside Surat Thani government hospital which is large regional level facility. If you prefer private care, then depending in what your condition is, many people report favorably on Taksin Hospital in ST. https://www.thaksinhospital.com/thaksin/index_english.php

No obvious source then if it persists should see a doctor.

There is a type of infection of hair follicles called folliculitis which looks similar to what he has, and of course the location fits.

Ok. So your GF has enlarged lymph nodes. For how long? And is there an obvious infection source? e.g. sore throat or wound?

Yes, it should be. But may take time to come out. If you can find Cymbalta I'd suggest ordering a years worth just in case.

Sorry I don't follow. "In spraint eases the main." means what? She has had shingles for 4 full months? Shingles per se (with rash) does not last that long. Post-shingles neuralgia pain can, but would not cause enlarged lymph nodes. Enlarged lymph nodes can have many causes, including TB and various other infections, and cancer. Usually best to see a doctor if they persist. They do not need to be hard and red to warrant medical attention.

Prior to 2024, any remittance of funds not earned in the year of remittance, was non-assessable. In practice few paid From 2024, remittances of savings accumulated prior to 2024 are non-assessable and remittance of earnings after that time, regardless of when remitted, are assessable. The above had the predictable effect if decreasing remittances. So now there is serious talk of changing it going forward such that earnings remitted in the same year as earned will be non-assessable. In all cases, you do not attach any sort of proof. You just complete your tax return showing such income as is assessable under the current rules. Only in the (very unlikely) case that you are audited/questioned would you need to show any sort of proof. In which case just showing that you had at least that amount in your possession (bank account,bonds, etc) before 1 January 2024 would likely suffice to support a claim that the funds were savings rather than income. (I've yet to hear of anyone needing to do that. )

There is no procedure for reporting transfers as such to the RD. There is only self-reporting of assessable income on tax returns.

It would be a financial decision. Probably not enough sales volume. Not just Thaiiland, they are taking it off market in many countries. Patent has expired.

There is no tax on "incoming transfers" as such. Whether funds remitted to Thailand are taxable in Thailand depends on (1) whether you are tax resident in Thailand and (2) source of the funds (e.g. income vs savings, or income that is exempt under a tax treaty etc).

Carry on then. And continue for a full week after it ckears.

Eli Lilly has taken Cymbalta off market in many locations including Thailand. However some places may still have stock remaining. They have it at Medtide https://medtide.com/product/duloxetine-cymbalta-30-mg-28-tablets-box/ (you may have to create an account to view it) You should also check with https://medisafepharma.com/ (Use the Messenger function to ask) Since it is off market, resupply will eventually become impossible so, subject of course to expiration date consideratiopns, may be worth stocking up a bit