After years of problems, I finally had surgery for carpal tunnel syndrome 2 weeks ago. However, I am now in even more pain than before. The surgeon says that this is because the nerve has been clamped for a long time.

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I arrived in Bangkok a few days ago. And I'm afraid I have a bladder infection. Now I went to a pharmacy for a test to see to what extent it really is a bladder infection and whether I should take a course of antibiotics. She immediately wanted to give me antibiotics, but due to an operation on my stomach I can't just take anything.

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I would like to have your opinion on the usefulness of a dengue vaccine. According to Bangkok Hospital, this would reduce the risk of becoming seriously ill by 90%. The vaccine is especially recommended for those who have previously contracted dengue. However, the majority show moderate to no symptoms when infected. So many people may have been infected without knowing it.

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I took your previous advice to heart and underwent a major comprehensive medical examination (5 Baht) at Bangkok Hospital Pattaya on October 32,000, which took more than half a day.

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A few weeks ago I started experiencing severe itching in the back of my right leg. The skin began to peel, similar to after sunburn. Vaseline brought some relief. The itching has now disappeared, but my doctor says I have a skin infection. He prescribed me Clindamycin.

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I have diabetes and use Ozempic 1 Mg syringe, but due to delivery problems in Belgium, they are often no longer in stock.

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This week I tripped in the garden, forcing tendons around the ankle joint. Yesterday at night I got pulsating burning pains on the inside of the ankle joint. they persist now. I take ibuprofen for the pain, but I wonder if that trip may have pinched nerve pathways.

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I had my cholesterol level measured, HDL is 4.8 and LDL is 4.4 on average 6.0. According to the doctor there is a reason for tablets, but I doubt this.

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I've been a truck driver all my life. And much of that time was spent driving at night. My doctor at the time told me that I could suffer from this for a long time. And he was right. I used Dormicon during my working life and it worked well. Now this is no longer prescribed.

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Recently Dr John Campbell had an interview with the very highly regarded Professor Dalgleish. During this broadcast, an explanation was given regarding our T cells that are present in our body. The effectiveness of the T cells decreases from the age of around 55 and decreases almost completely from the age of 70. The T cells are involved in inactivating cancer cells. That is why you see that cancers mainly develop from the age of 70 and older.

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I recently had an inguinal hernia of 1 centimeter and will soon receive an invitation from a Dutch hospital to undergo surgery. My question is whether it is better to have this done in Thailand or in the Netherlands?

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I would really appreciate it if you could give me some advice based on this report. As you know from the previous information, I am now 80 years old, do not smoke and drink a bottle of beer every day and do not excessively use alcohol. I eat quite little and not very fat, yet I am now 84 kg, while when I came here in 2012 I was 75 kg. Only take 1 aspirin per day for good blood circulation. I don't feel sick, but I do feel lazy. You know the rest from my previous questions.

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As previously emailed, bronchitis was diagnosed a month ago. Lung capacity was then 55, now 58. The X-ray shows little improvement. My question now is (again) whether I chose the right path?

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In connection with the latter cerebral infarction, thyroid 'problem' and epileptic seizures, she now uses the following medicines on a daily basis. Are the last five medicines, or similar ones with the same effect, also available in Thailand?

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Emailed earlier that after visiting a clinic here in Laos I was diagnosed with pneumonia. I had myself re-examined at a private hospital in Thailand with the diagnosis: bronchitis. Lung capacity now 55%, but should be a lot better within one or two weeks. Received the next medication for 1 month and then take another picture, test lung capacity and determine medication.

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Because my Dutch medicines had run out, I went looking in Khon Kaen. I found aspect 81 for the ascal, the amlodipine was well available, but the Perindopril 8 mg was not. Is there a Thai alternative to this?

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Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand. Do you have a question for Maarten and do you live in Thailand? Send this to the editors: www.thailandblog.nl/contact/ It is important that you provide the correct information, such as: Age Complaint(s) History Medication use, including supplements, etc. Smoking, alcohol Overweight Possibly laboratory results and other tests Possibly …

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