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Felt 35

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Posts posted by Felt 35

  1. 9 hours ago, motdaeng said:

    just don't let every criminal into thailand ... a win win for the thai people and also for the "normal" foreign living in thailand ...

     

    and ask yourself, why is thailand a favourite destination for criminals and scumbags ...

     

    what goes around comes around i.e. with a law in any aspect made for misuse due to cultural inherited corruption on any level in the population.

    Felt

  2. 2 hours ago, Sheryl said:

    @Felt 35

    Forgot to ask, what hospital are being treated at and by what type of specialist?

     

    Wondering since you express such doubt about the doctor.

     

    This is certainly not something to try to deal with at a small  upcountry hospital.

     

    Sent you a PM

  3. 3 hours ago, Sheryl said:

    Yes, a CT woukd show an abdominal tumor.

     

    CTV on the other hand visualizes the blood vessels in the leg. Since the problem is bilateral and ultrasound was negative, as previously mentioned  you might defer this,  but the abdominal scan should be done as soon as possible. 

     

    From the information you provide the doctor has solid reason to suspect (not know, suspect)  an abdominal mass or fibrosis  impeding  return of blood to the heart.  I can appreciate that this idea is frightening to you but he is making a sound recommendation.

     

    As for returning to your home country, if it were me I'd have the CT here then go home if it shows anything significant. Because going home at this stage woukd likely mean starting ftom scratch and led to inadvisable delays  whereas if you return with CT resukt in hand that shows a mass you will be fast tracked.

     

    Ok thanks, then I do as you recommend. Btw, do you know if mri.thailand  have CT scans as a service?

    Felt

  4. 22 hours ago, Sheryl said:

    Neither PAD nor gout would explain this and he has symptoms of neither.

     

    From the information provided, either heart failure, an abdominal mass of some type or fibrotic  changes in the liver  seem most likely.

     

    The anemia and elevated d-dimer (with negative LE ultrasound) further add to suspicion of an abdominal tumor. But cannot be sure without scans.

     

    The cardiac workup described (treponin levels and EKG) would rule out only acute heart attack, not heart failure. Hopefully he also had a chest xray and they listened to his heart and lungs and checked his oxygenation.

     

     

     

    Will a CT/ and or CTV for sure show a tumor? I can do this here with or without insurance and it will not ruin me. However, I also have the option to get it done in home country where any sign of tumor / cancer will be treated quickly and no question about price, our taxes cover that. I have always been skeptic about health and especially "care" when the system is business oriented so I can see for me a long row with test and a nurse standing behind the doctor listing up prices for tests but no secure result for the correct treatment whatever they find. 

    Thanks

    Felt

  5. 16 hours ago, Sheryl said:

    Heart lung check would be just listening to your chest with a stethoscope. Did they not do that?

     

    Heart failure bad enough to cause ankle swelling would usually show up on chest Xray.

    No stethoscope listening. 😕

    Felt

  6. 4 hours ago, Sheryl said:

    25k for an abdominal CT with contrast is pretty normal for private hospital. While it can be done for less at a stand-alone imaging center it is not safe to receive contrast injection outside of a hospital.

     

    I honestly don't know usual cost of CTV. While it is an excellent way to see what is going on with the blood flow from your legs, the fact that ultrasound was negative and both legs are involved make an abdominal cause more likely so if you are concerned about expense you might ask to do the abdominal CT first and reserve the CTV for if the abdominal film fails to show a cause. Though to do both would be the most throrough approach.

     

    For that matter could do a less expensive abdominal ultrasound first, but there is good chance you'd still need to progress to CT.

     

    You can get a good iron supplement on Lazada or Shoppee.  eg https://www.lazada.co.th/products/exp032026nature-made-iron-65-mg-365-tablets-i4603746759-s18867340247.html?c=&channelLpJumpArgs=&clickTrackInfo=query%3Airon%2Bsupplement%3Bnid%3A4603746759%3Bsrc%3ALazadaMainSrp%3Brn%3A61474271fd2f497c20f06abd0590e7c8%3Bregion%3Ath%3Bsku%3A4603746759_TH%3Bprice%3A630%3Bclient%3Adesktop%3Bsupplier_id%3A100199451277%3Bbiz_source%3Ah5_hp%3Bslot%3A5%3Butlog_bucket_id%3A470687%3Basc_category_id%3A6966%3Bitem_id%3A4603746759%3Bsku_id%3A18867340247%3Bshop_id%3A2899879&fastshipping=0&freeshipping=1&fs_ab=2&fuse_fs=&lang=en&location=Bangkok&price=6.3E 2&priceCompare=skuId%3A18867340247%3Bsource%3Alazada-search-voucher%3Bsn%3A61474271fd2f497c20f06abd0590e7c8%3BunionTrace%3A2102fc1a17096951609447239eb714%3BoriginPrice%3A63000%3BvoucherPrice%3A63000%3BdisplayPrice%3A63000%3BsinglePromotionId%3A-1%3BsingleToolCode%3A-1%3BvoucherPricePlugin%3A1%3BbuyerId%3A0%3Btimestamp%3A1709695161466&ratingscore=5.0&request_id=61474271fd2f497c20f06abd0590e7c8&review=11&sale=42&search=1&source=search&spm=a2o4m.searchlist.list.5&stock=1

     

    Thank you for the recommended Iron supplement. (Is this on the gentle or harsh side of constipation)

    Btw, and as mentioned they did a chest x-ray, but no heart, lungs or oxygenation 😕check as far as I know test procedures.

    Felt

  7. Thank you for replying. They tested hTSH T3 free T4. (Negative) / Troponin I (Negative) and then the thing which of all the test I think the doctor put most weight on the FDP D-Dimer (Sysmex) 2.540 ug/ml (H) / Glucose (Random) 88L mg/dl /

    Total Protein, Albumin, Globulin (L) / Sodium L, Anion gap (L) / Pro Brain Natriuretic Peptide 340 pg/ml / Red Bloodcells 3.83 (L), Hemoglobin 12.0 (L), Hematocrit 35.0 (L). Remark H = above reference, L= Below reference range.

    They did a chest x-ray and this electro thing with a a lot of cables to chest /legs and got no negative comments about that so probably normal. I have been quoted 25K for a CT whole abdomen with contrast and 20K for CTV extremities is that more or less the price in a private hospital? Btw, my blood pressure was in hospital yesterday 98/64 and have recently been lower than expected and admittedly I've been a bit low on energy lately. Lastly Iron, can I get good Iron supplement over the counter in Thailand or is Iherb best option?

    Thanks, 

    Felt

  8. In the last 2-3 weeks both my ankles have swollen up and as of today I can barely fit my feet into a pair of trainers. I have taken various blood tests and an ultrasound of both legs (negative) Now the hospital will do a CT scan with contrast of the abdomen + CTV extremities as the doctor believes the swollen legs are due to what he think is a problem in the abdominal region which may be linked to cancer. (For the record, I rarely if ever have a stomachache) I have never had swollen ankles before in my life and with an active lifestyle of road cycling, jogging and swimming as well as a smoke/alcohol free existence, I have some issues with sharing the doctor's view. Anyway, If there is anyone on the forum who has experienced something similar, I hope they will share their experience.

    Thanks

    Felt

  9. Does anyone know if there are hospitals / doctors in Bangkok and possibly can recommend a hospital that as far as possible use non-surgical treatment where the doctor will try to set the bones without surgery and use plastering / spica-cast for a broken thumb? 

    Thanks

    Felt

     

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  10. 2 hours ago, bamnutsak said:

    No, I don't think so.

     

    Did your better half add you to the property? Inform Accommodation>Add

     

    Did they export the PDF, and print it?

     

    If they did this in the last seven days you can search for the record.

     

    After seven days you'll have to refile if you want a PDF.

     

     

     

    Thank you for replying. 

    Did your better half add you to the property? Inform Accommodation>Add- Yes

    Did they export the PDF, and print it? - Do you mean print it out for me to keep in passport? If so- Yes

    If they did this in the last seven days you can search for the record - Yes and just searched now and I'm approved on the record.

    Felt

     

  11. 2 hours ago, Mike Lister said:

     

    It was always the case that anything earned by foreigners overseas and not transferred to Thailand was not taxable in Thailand. It was also always the case that anything earned before 1 January 2024 and transferred to Thailand was not taxable in Thailand. You really do need to read the following:

     

     

     

    I have in all modesty read that list but as the publishers themselves say in plain text The authors are not lawyers or tax advisers. You, the reader, remain entirely responsible for your own financial and tax affairs. Having said that, I'm skeptical of nature and especially when it comes to tax departments, immigration etc. and I think that's common sense. Anyway, thank you for replying.

    Felt

  12. 5 hours ago, J Branche said:

    The deductible is thought of as a way to Save a little money for people who rarely need Medical Treatment or for who medical treatment

    would be less than or equal to the Savings from the deductible,   Example Only. Deductible is 20,000 baht Original Premium 50,000 Annually

    Deducible Discount 8000 baht Premium 42000 baht Deductible 20,000  You may spend up to 8000 baht and Break even.

     

    But wait there is more. Some Health Insurance Offers a discount Example 5% for No Claims in 1 year. (I believe if you are paying within only the deductible that is considered No claims) Check with your Insurance Broker.  

    1 yr No Claims Policy Renews within same Age Bracket Next Years Premium 42,000 X .95 (or 5% disc) 39,900 Baht a 2100 savings.

     

    As you can See NO ONE on this Internet knows.  You know your health needs and costs bests.  Time for a little Maths to figure your needs.

     

     

    Thanks for that one. I have, knock on wood rarely needed medical treatment but getting older so that can change quickly but maybe I should go for their top plan covering 50million and premium 130K annually, but with a 300K deductible ending up with 50k premium:smile:

    I have got discount every year because I never have had any claim but last year that all turned when insurance company sent me a letter explaining that due to general increased cost for insurances, they upped the price with 10%. :sad:

    Felt

     

  13. Probably a stupid question for those who know more about health insurance, but anyway, how does a health insurance with a deductible of, for example, THB 100,000 work if the hospital visit, for example, only costs THB 30,000? I've never had any "major" cases in terms of health, but 2-3 less serious, like last year suddenly for unknown reasons an infection in the skin which was inflamed, and a small operation had to be done plus going in and out of the hospital cleaning wounds for several weeks etc. In total, this cost no more than about THB 28,000 so my question is with a 100K deductible who paying then, the insured or the Insurance company? Btw, I have insurance but did not use it for the above occasion.

    Thanks

    Felt

    • Confused 1
  14. 1 hour ago, newnative said:

       Rather a meaningless article, in my opinion.  According to the article, the median bank account was $5300.  Really tells nothing, as it is only surveying bank accounts, and not other assets that many have. 

       My Dad probably never even kept that much in his bank account.  He was fond of saying that he wanted his money working for him, rather than sitting around in a bank account earning practically nothing.   So, he owned real estate and, especially, a large stock portfolio.  

        Together, the real estate and dividends from the stock portfolio kept my Mom in a nice nursing home for 10 years after my Dad's death, to the tune of $70,000 a year, with the stock portfolio still intact after Mom's death, at age 101.

     

    Well, I was meaning median:ohmy: and not Hollywood riches with the average American.

    Felt

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