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medic5678

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Posts posted by medic5678

  1. Hey everyone.   We support my wife's family in Thailand.   What I'd like to do is create a Binance account in my wife's sister's name.    Then gift her enough to fund the account, which would be enough to generate enough income for her family to live on.   What would the tax rates be for a Thai person and how would they be applied?  My wife's sister is basically a full time care giver for people in my wife's family, so she is unable to work and has zero income.   My tax rate in America is high enough that I'm considering this scenario.  Since it will not be in my wife's nor my name, there should be zero tax implications to me.  I wouldn't be hiding anything from the government, etc.

     

    So, how would this account be taxed by the Thai government?

  2. On 3/21/2021 at 4:32 AM, Xbeemer said:

    Where did you read that no one has saved money for hard times? All the Thai people I know are remarkably thrifty and have a strong ethic about saving money. Those that had a bit of money put away have, a year plus later, had to use most of it to survive. 

    My personal experience tells me differently.  All of them have borrowed money to the hilt and are slaves to the bank.  At least all the ones I know (my wife's family).

    • Like 1
  3. My wife is in her 2nd day of quarantine now in Pattaya, I think.  I guess the government is using hotels sitting empty because there's no tourism at all now.  She flew back on a Thai repatriation flight and they took her from Bangkok airport to quarantine by bus.  Her mom is in the hospital now.   Things don't appear to be going well.  Just hoping she lasts until my wife and daughter can see her again.  This entire thing has been an absolute heartbreaker.   We just built an awesome house to give her mother some golden years.  We finished the house, mom moved in and got sick 2 days later.   When I saw the scan report, my mouth hit the floor.   My wife and her family didn't understand how serious it was but I made my wife go to Thailand asap.  I didn't want her to regret it later if she didn't go.  So my wife is sitting in quarantine, essentially paralyzed for 14 days.  She's talking with her mom using LINE, but it's not the same as seeing her in person.  This whole thing has been horrible.  It teaches me to just be grateful for every day of health you have.  The thing to hope for now is just some decent quality time for my wife, daughter and mother in law.  We are asking for prayers that this happens.

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  4. On 2/20/2021 at 1:55 AM, Sheryl said:

    Sorry to hear this. Quite possible that the lung lesions are nto the primary cancer but rather a metastasis fro ma primary tumor elsewhere such as the ovary. Ovarian cancer often ,metastasizes to the lung and is also often symptomless in earlier stages.

     

    Her family should definitely contact the palliative care group in Lampang, see my prior post.

    Wife is leaving in for Thailand this week.  Of course, the quarantine doesn't help.  I would like to get medical marijuana for my mother in law to help her appetite and maybe help her gain a little weight (typically a battle for cancer patients).   I can give her a good couple of months without worry, that's a realistic goal.  I've told my wife not to worry about anything and to spend lavishly on her.   We're going to buy her a few baht of gold when my wife gets to Thailand.  They're going to go visit Temples and do the things Thai women love to do.

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  5. It is a metastatic pulmonary effusion.  Very bad prognosis.  They are going to give her radiation in an attempt to prolong her life a bit.  No surgery, it's beyond that.  Sending wife and daughter back to Thailand to be with her until the end.  Very sad time in our house.

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  6. She went to the hospital in Nakhon Sawan, where they did multiple thoracentesis and removed quite a bit of blood each time.  She is much more comfortable, since the thoracic shift is much improved.  They were told the blood would be tested and it would take 2 weeks.   They said she definitely has lung cancer, but did not stage it or do a PET Scan.  She only saw a hospital physician, not an oncologist.  I only wish I could get her to America for treatment!  

  7. 3 hours ago, ChipButty said:

    From what I know now regarding cancer treatment they do have some good hospitals they seem to be right on it, My wife had the operaation here in Phuket but for all the treatment, Chemo and Radio she was able to go to Bangkok to one of the cancer hospitals there you can go private pay extra save having to be there at 5 am to get a ticket in the que.

    It was cheaper for us to fly up the day before stay one night get the Chemo the following day and fly back to Phuket and be home before the Chemo kicked in.

    I must say ALL the doctors and nurses where fantastic even to this day my wife can call them at any time.

    When she had the Radio treatment she had to stay there for 30 days that treatment was everyday.

    Dont worry to much at this stage, 

    How much did this cost you?

  8. 2 hours ago, Sheryl said:

     

    Actually this is not at all sure from what you say. All that is known is a mass present with lymph node involvement, and even that should be taken with a grain of salt unless/until a specialist has reviewed the scan (the radiology reports one with a scan here  aren't worth the paper they are printed on).  I have seen several cases where supposed lung masses turned out not to be present at all. And even if a mass is present, there are other potential causes besides cancer.

     

    And if it is lung cancer, cannot stage it without getting liver, bone and brain scans done.

     

     

     

     

    'At this point, I'm hoping it is only a simple stage 3.  Prepare for the worst and hope for the best.  I haven't actually seen the scan myself, but the report sure seemed pretty thorough.  Stage 3 is the most common in terms of initial diagnosis.

    • Like 1
  9. 5 hours ago, lopburi3 said:

    Actually for the most part government hospitals do have access to first class medications.  Perhaps a better use for funds would be for hire of nursing help (at least until family can provide)?  Most government hospitals have staff ready to work in a private capacity during off-time.  This may not be required now but perhaps home help is?  I know in the past mail order medications from India is sometimes advised for advanced items without high markups but that would be specific to a handful of items and doctors will sometimes recommend doing this.  But I am not medical so just providing experience and hearsay so the more you can tell Sheryl the more help she can be.

    Her daughter will quit working and stay with her around the clock.  We'll be sending her to Nakhon Sawan for oncology.  We have just finished building a house so she's got a great place to live.  There is more than enough family available so she will have excellent around the clock care (assuming she doesn't need skilled nursing).

    • Like 2
  10. I can spend about $10 to $15k on this.  Not sure if that is enough to really make a difference vs. the traditional medical system.  Unfortunately, I have had a huge investment loss and that has severely affected my ability to afford treatment for her.  Again, this is stage 3 lung cancer, with mets to lymph nodes.    

  11. 6 hours ago, Sheryl said:

    P.S. forgot to mention - free care under the government system includes only a ward room. Which is especially difficult for accompanying relatives. A private room, which will have some sort of sofa for a family member to sleep, will cost around 1,500 - 2,000 baht a night.

     

    So I think in terms of what you might want to help with financially it would be:

     

    travel costs

    private room

    maybe scans done privately to avoid long wait

    Thank you so much for your advice.  First we'll have to find out exactly what we're dealing with.  If I could only get her in the U.S., I could get higher end treatment but that is just a pipe dream.   Now trying to send my wife and daughter back to Thailand for the summer.  It's a challenge to get into Thailand from the U.S.  Not sure if we'll get mired in red tape.

  12. 2 minutes ago, Sheryl said:

    She can receive treatment for free through the government hospital system. There are a number of regional cancer hospitals within the public health system and care is free with a letter of referral from the hospital where she is registered under the universal health care system (there is supposed to be a reform whereby the referral letter is nto longer required but I am nto sure how that is working. Should not be a problem to get the referral).

     

    Certainly no reason to pay for private chemo or radiation, nor for surgery if indicated (yo udo nto indicate where the tumor is located). However, if the hospital which treats her is located far from home (often the case), there will be travel costs which the family has to bear and might need help with.

     

    What she will probably not get from the public system is:

     

    (1) an honest and detailed explanation of her options and prognosis, the norm is to tell the patients very little other than their appointment dates. And while patients have the right to refuse treatment, that right is seldom utilized both for cultural reasons and lack of understanding. If she and/or her family want to get a detailed, frank explanation and to make informed decisions they would do well to have a private consultation with an oncologist. A simple consultation will nto cost more than 1000 - 2000 baht max.

     

    (2) optimal palliative care. For that, should be under the care of a palliative specialist and these rae available in only a few places. Also, need to specifically ask for it.

     

    I could advise better if I knew where in Thailand she was and at what hospital she has so far been treated. And where the tumor is.

     

    if it is breast cancer and the spread is only to adjacent lymph nodes, or even axillary lymph nodes on the same side, the prognosis is actually good with treatment.

     

    2 minutes ago, Sheryl said:

    It is lung cancer, with mets to lymph nodes.  She is in Kamphaeng Phet.  Thus far, just a CT scan done, which I paid for.  They thought initially she had fluid on her lung and tried to do a thoracentesis, when they realized that there was no fluid, but instead a hard mass.  Thank you for your help here, it is much appreciated.  I can come up with $1000 a month for treatment, if it will make a real difference.  No biopsy yet, so I don't know exactly what we're dealing with.  They will begin testing on Wednesday.  From the CT, it appears to be at stage 3.

     

     

     

  13. 2 minutes ago, longball53098 said:

    I went through having cancer here in LOS. 4 years ago had tongue cancer that metastasized to my lymph nodes in right neck. Had tongue surgery and neck surgery and then 6 weeks of chemo radiation treatments in early 2017. I survived all that in Bangkok. My surgeon was an ENT that works at BNH hospital and Bangkok med center also and other places too I assume. The surgery was hell on my body and mind and the radiation was terrible too. The effects of chemo for me were not bad as the treatment of chemo was a very mild chemo but the radiation on my mouth and neck was incredibly damaging to my mouth and neck. Rad was done at Chulalongkorn Hospital and chemo at BNH. We lived in BKK for 7 weeks during that time. 

    I am still here today thanks to them but my life is not great. The follow-up rehab and any treatments have been extremely poor and all my questions regarding what I can do or who I can see went unanswered. Now 4 years later I have a PEG tube in my stomach for all my liquid food since July last year due to my tongue and throat not co-operating and I started choking on any food or liquid and I was aspirating too much.  The docs I inquire to about do not have any more of a help than too do swallowing exercises to improve my muscles in my throat that control the automatic swallow function. I have tried this and it doe not help. I don' know what my next move/option is. I do not live in BKK but in Rayong. So I am better off than a local Thai neighbor. She had a very similar cancer as me. Strictly treated at government expense. She last about 6 or 8 months.  So position in life and access to care means a lot it seems.

    I was never made aware of any special cancer treatment centers even to this day. If there are any they would be in BKK. All of my follow-up MRIs and tests show I am still cancer free. The scar tissue in my throat area and my reconstructed tongue are the worst of this and the after effects of the radiation also and to date no one has recommended a way to improve this. I feel if I were in the US I would not be in the same condition. The docs and nurses here are good but I think they are still way behind.

    What did all this cost you?  I wonder if there are treatments for Thai citizens a tier above government expense, which would be affordable and produce a better outcome.  

  14. My mother in law just had a CT done and it shows a mass with mets to lymph nodes.  She is a poor Thai woman and I am wondering what our treatment options are and what they will cost if I pay for health care at a cancer treatment center.  Anyone with information and experience, your input is much appreciated.  I am sure this is a death sentence, but I would like to make her more comfortable and extend her life to give her quality time.   I am sending her daughter and granddaughter to Thailand so they can be with her through the summer.   

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  15. Hi everyone.  My Thai wife is getting a 10 year green card and she has the 18 month extension letter, I've adopted my 8 year old Thai daughter.  So they are good to go as far as getting back into the USA.   My wife's mother just got diagnosed with metastatic lung cancer.  The CT is horrid.  I am sending my wife and daughter back to Thailand until she dies, time being urgent.    They both have their valid Thai passports for reentry to Thailand.  The question is what they do with Thai nationals who need to enter Thailand from the USA, given the Coronavirus?    I can't find anything coherent online that I can read in English.  

  16. Hi everyone.   I'm looking for 500 feet of bulk internet outdoor etherenet cable, solid copper.  I need this ASAP.   The problem is that I'm in the USA and my wife's family will have to pick this up in Thailand.  I want to run this in our house before we put the ceiling in, or have my wife's family do it.   I will crimp the connectors on the ends when I get back to Thailand.   Anyone with an idea of exactly where I can buy quality cable?  I can live with Cat 5, would like to have Cat 6.  We need to go and pick this up immediately.  Thanks!

  17. 1 minute ago, Yellowtail said:

     

    It was a joke

    I knew that, just satisfying any curiosity.  People hear prison, don't know exactly what to think.  One thing is for sure, there's no shortage of customers!

  18. 8 hours ago, Yellowtail said:

     

    Making license plates?

    Hardly, heath care provider.  Cake job, less money than I'd get in an aggressive trauma unit but zero liability.  Just flying under the radar for 11 more months, then retirement.

  19. I work in a high security prison.   Can't access Youtube and a host of other sites.  They don't mind if you browse the internet (assuming your work is done) but Youtube is off limits.  I'll check it out in the morning. ????

     

  20. 6 minutes ago, bankruatsteve said:

    Not certain, but I don't think render ever goes under tile.  Just the mortar they use for tiling.

    so the tile thin set will stick directly to Qcon?  I am going to call Qcon :).  Hope someone there speaks English.

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