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BANGKOK 21 February 2019 12:35

Sheryl

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  1. Cambodia is even more liberal than Thailand in terms of what is sold over the counter. BUT care has to be taken to avoid counterfeit drugs and the quality of medical care, when you do need a doctor, is abysmal. Not a good location for an older person ir anyone with chronic medical conditions. Viet Nam is better in that regard but thete too, have to be wary of counterfeit drugs. In fact most of the counterfeits in Cambodia come in from VN. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  2. It is a potent antipsychotic medication used to treat schizophtenia etc. The symptoms you describe are known side effects of the drug. This medication is not a muscle relaxant and has no use for inner ear disturbances etc. There is a tranquilizer called clonazepam which does have muscle relaxant properties and one wonders whether that was what was intended to he prescribed and either doctor or pharmacist made a mistake. Though I am not sure why a muscle relaxant would be prescribed for an inner ear problem either. I would certainly stop taking it and go back to the doctor and show him/her the medication and ask if this was what was intended to be prescribed (and if so, why). Where are you being treated? There are a handful of doctors specializing in vertigo etc in Thailand. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  3. Sounds reasonable Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  4. I honestly do not know as it is nto a common procedure. Couln't the neurologist at BCH give you an estimate? Whatever it costs there will be as low as you will get at a private hospital. And govt hospital will be about 1/3 of that. For the MRI does it need to be with contrast?
  5. You should avoid taking medications at the same time as antacids. At least 30 minutes apart, preferrably 1 hour.
  6. One of these at Vejthani Hospital https://www.vejthani.com/doctor/dr-kamthorn-leelamali/ https://www.vejthani.com/doctor/dr-chayawat-sibunruang/
  7. For free (30 baht) care she can only go to Sena Hospital or to Ayutthaya Hospital IF Sena Hospital gives her a letter of referral. If she goes to Ayutthyaya Hospital on her own without referral she has to pay full price. Ditto anywhere else - she can go where she likes but has to pay full price if it is not the hospital she is coeverd at under the scheme. Sena is a 160 bed general hospital and would be able to handle most non-specialized things. For anything very specialized they will readily refer to Ayutthaya Hospital. She can change her house registration to Uthai if she wants, that will then make Uthai Hospital her hospital. But it is a tiny community hospital (30 beds, likley just 1-2 doctors, recent grads) with very limited capacity compared to Sena. No surgery, probably not even an Xray machine, basically they can handle simple injuries (stitch a wound etc), simple flu etc and that is about it. On the other hand, because its capacities are so limited, the range of things it will refer to Ayutthaya will be much greater than at Sena. Limiting which hospital people can go to for free care is quite typical of government health schemes around the world. They allocate budgets to hospitals according to the numbers registered in each. If patients could go anywhere, some hospitals would be completely overwhelmed and have insufficient resources to cope while others would be overfunded due to low utilization. It would be chaotic and very inefficient. If you want her to have ready access to the best hospital in the province, move to the Ampur Muang and change tabian ban listing accordingly. you, as a foreigner, have to pay full price wherever you go so of course, go straight to the regional hospital in Ayutthaya town.
  8. Touts are only in the tourist areas. Most of the city is free of them. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  9. Last 2 times I did evisa I got it within a few hours, same day. No guarantee of course. But it has never taken me more than 1 business day max. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  10. Swift code will show as international transfer in the internal records of all banks regardless of what appears in the passbook. Just get a detailed statement signed/stamped by the bank. If you want to be doubly safe also get copies of the incoming credit advice. I don't know re other branks but with Kasikorn it is free if gotten within a few days of the arrival of the funds and at that point can get at branch. Older credit advices have to come from the Head branch and cost maybe 100 baht. Credit Advice is a bank document on bank letterhead and shows full details of the transfer from point of origin, any correspondent banks and final arrival. Easy for a lay person or IO to understand. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  11. As above. The range of pain killers here is more limited than in the west. Fot outpatient use pretty much just NSAIDs, tramadol, paracetemol with codeine, and morphine. The last 2 can only be gotten from a hospital (ditto valium) and Thai doctors ard very, very reluctant to prescribe them for other than short term use or terminal cancer. For pain radiating from hand to shoulder you need to find out the cause. Likely either a shoulder or cervical spine issue with nerve compression. Treating the cause is far preferrable to masking the symptoms with sedatives and opiates. See a good orthopedist. For types of chronic pain not amenable to treatment of the cause the thing to do is to see a pain specialist. There are Pain Clinics in all major government hospitals and pain /palliation specialists in the larger private hospitals. These do not hand out opiates as freely as their Western counterparts, there is more use of things like nerve blocks and adjuvant drugs but this is not an altogether bad thing and they will give judicious amounts of opioid if absolutely necessary. Keep an open mind and avoid demanding specific drugs as this may cause you to be labeled a drug seeker/abuser in their minds. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  12. In a real emergency it is always best to go to the ER of a top government hospital (,e.g. Chula, Siriraj). For any issues re care should do as I previously advised: Letter to hospital director with cc to Medical Council and the NGO mentioned. Find out the actual name of the Director and send it by courier with signature required. Never send a general "to whom it concerns" letter to a hospital It will be read by a low level employee who will immediately discard it rather than risk "upsetting" their bosses. Compensation is possible only if real harm resulted and will be limited to at best actual expenses incurred. No punitive damages. Nothing for pain and suffering. Not like in some western countries. I do know cases where people have successfully gotten settlements from private hospitals here but these were really egregious cases with demonstrable serious harm resulting. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  13. But it does. Mri and ct are not less expensive in Thailand, in fact the opposite. The problem is the comparatively small population size. The machines are very costly and quickly become obsolete so the cost has to be recouped within a few years. Divide that by the number of tests performed. In countries with larger populations there is an economy of scale. These tests are cheapest in India due to large volune. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  14. I am not sure if either Phayathai Sri Racha or Queen Sirikit will have a nephrologist but you can ask. They are not very large facilities and certainly not able to do transplants. He is better off coming to Bangkok for this if willing. There are less expensive alternatives to Bumrungrad in Bkk. Let me know if that is an option and I'll suggest a doctor. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
  15. Most drugs, including warfarin, are sold over the counter in pharmacies, no need to go to a hospital for it. Hodpital pharnacies do not directly sell medications to the public. They only fill prescriptions for drugs ordered by their own doctors for hospital patients. All hospitals of any size have 24 hour emergency rooms. So I really don't understand what you are talking about. Possibly you went to a small (district level) government hospital? Or government dental hospital? After hours or on a weekend? If you have a problem that can't wait just go to the ER of any large general hospital. And if you just need to buy medication, go to a pharmacy. These aren't open all night but they are usually open till 8-9 pm and 7 days a week. Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
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