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I understand why this hospital is considered the best in Thailand. Traveled all the way from Australia to get my treatment here after I heard good things about it. Superb staff, very friendly, attentive, and helpful. Many of the staff can speak English, so communication is not a problem. I asked many questions and told them my concerns, and they answered patiently and put me at ease. Had to stay for several days after my treatment. The room was super clean, well-designed, and definitely made me feel comfortable. The nurses checked on me every hour or so, and the food was surprisingly great. Though having to stay in a hospital is never a good experience, I would say my time in Bumrungrad was a pleasant one. A bit pricey when compared to other hospitals around the area, but with the quality service and high-level care offered, it was all worth it.
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A liver biopsy is a medical procedure performed to collect a small piece of liver tissue, so it can be examined closely under a microscope for signs of disease or damage. This procedure is usually carried out to detect the presence of abnormal cells in the liver, such as cancer cells. Your doctor may suggest a liver biopsy if the result of your blood tests or imaging studies shows that you might have a problem in your liver. Although biopsies are usually associated with cancer, it does not necessarily mean that you have cancer if your doctor recommends this test.
A liver biopsy is most often used to:
Identify the cause of unexplained jaundice (yellowing of the skin), persistent abnormal liver blood tests (liver enzymes), a liver abnormality found on CT scan, ultrasound, or nuclear scan, as well as unexplained enlargement of the liver
Determine the severity of the liver disease
Grade and stage hepatitis B and C
Monitor the liver after a liver transplant
Help develop the best treatment for liver damage or disease.
Laparoscopic biopsy
Laparoscopic biopsy uses a laparoscope, which is a tube-like instrument with a tiny camera attached to it, to collect the sample.
Before the laparoscopic biopsy, you will be given a general anesthetic. Your doctor will create several tiny incisions in your abdomen. The laparoscope and special surgical tools are inserted through these incisions. The camera within the laparoscope projects images on a monitor. Your doctor uses these images to guide the surgical tools to your liver to take some tissue samples. When the samples are taken, the tools are removed and the incisions are closed with stitches.
Transjugular biopsy
To start the procedure, a small numbing medication is applied to one side of your neck. Your doctor will then create a small incision at the numbed area and then inserts a thin, flexible tube through the incision into your jugular vein. The tube is then guided through the jugular vein and into the hepatic vein (the large vein in your liver). Once the tube reaches your hepatic vein, your doctor will inject a contrast dye into the tube and creates a series of X-ray images. The contrast dye will show up in the vein, which enables your doctor to clearly see the hepatic vein. Afterward, a biopsy needle is inserted through the tube to take the liver sample.
Percutaneous biopsy
Percutaneous biopsy, also known as a needle biopsy, is the most common type of liver biopsy. It involves the use of a thin needle through your abdomen and into the liver. To start the procedure, your doctor will tap your abdomen or use ultrasound images to locate your liver. Ultrasound is sometimes used to guide the needle into the liver. Your doctor will apply a numbing medication and then creates an incision near the bottom of your ribcage. The needle is then inserted through the incision and your doctor will remove a small tissue sample.
You can leave the hospital on the same day as the procedure. However, since it takes around a week until the result of your biopsy comes back from the pathology lab, plan to stay in Bangkok for about 7 days. Once the result is ready, you will have to attend a follow-up appointment to discuss the results with your doctor. If everything is fine, you will be allowed to travel home afterward.
You need to take it easy and rest for at least 1 day. You should be able to resume your normal activities after a few days. However, avoid strenuous activities and heavy lifting for a week following your liver biopsy.
Your doctor will give you detailed aftercare instructions that you need to follow. In general, you need to avoid taking aspirin or products that contain aspirin for a week. Your doctor will prescribe pain medication to help with your discomfort, make sure to take them as directed.
A liver biopsy is a safe procedure with high success and accuracy rates. Although it is safe, there are still some possible risks and side effects that you will need to be aware of. These include:
Bleeding
Pain
Infection
Injury to a nearby organ.
A transjugular biopsy carries very rare risks of hematoma in the neck, puncture of the lung, temporary voice problems, and temporary problems with the facial nerves.
In some cases, your doctor may be able to make a diagnosis of liver disease based on physical examination, medical history, and blood testing. Doctors may also use imaging techniques as an alternative to liver biopsy. The simplest imaging technique that’s used is elastography (mostly known as FibroScan), which is similar to an ultrasound and can measure the stiffness of a liver.
Before a liver biopsy, you may experience unexplained symptoms and your doctor may not be able to make an accurate diagnosis of your problem. After the procedure, your doctor should be able to make a diagnosis and know for sure the condition of your liver. The results will allow you and your doctor to create a treatment plan.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Bangkok is the Capital city of Thailand and is ranked as one of the world’s most popular holiday destinations. The city holds a magical spell over its visitors and is full of beautifully decorated Buddhist temples, Royal palaces, museums, restaurants, and nightlife. Recently, the city has become the gateway to a large number of medical tourists. According to a BBC report, more than 80% of all medical tourists travel to Thailand, aiming to get the best medical attention, of which Bangkok and Singapore remain the most popular destinations for expats. The trend is increasing by 10% to 15% per year and has been a strong economic driver for the country, next to the tourism industry.
Medical tourism in Bangkok is highly rated within the industry for many reasons, including:
Cost-Efficient Treatments
Experienced Medical Professionals
Top-Tier Facilities
Advanced Technology
Quality Dental Care: Short Waiting Times
Comfortable Recovery:
For starters, Bangkok is a well-developed city. There are plenty of places to stay; shop and explore and deciding where you want to stay can be a difficult decision.
One way to choose the place you will likely stay is to prioritize your activities. For example, if you want to shop then Sukhumvit may be the right district. This 18-kilometer long road is the commercial center and some of the best shopping malls and retail markets are dotted along this road.
The Siam district would be a great place to stay as the more popular and trendy shopping centers can be found here with a great selection of restaurants. There are various other attractions too, the Siam Ocean World, Kidzania, Erawan Shrine, Madame Tussauds, and the BACC, Bangkok's biggest art gallery, and cultural center.
Other popular tourist locations are Sukhumvit, Pratunam, Silom, Chinatown, Khaosan and the famous Bangkok Riverside.
Bangkok endures a tropical monsoon climate, it is hot and humid for the vast majority of the year with temperatures reaching thirty degrees centigrade. The best weather for visiting tourists in Bangkok is experienced between December and February as the temperature is much cooler and
There are three seasons in Bangkok –
The hot season that stretches from March to June
The Monsoon or the rainy season, which starts in July and lasts until October
The cool season is generally late November and ends late February.
There are two airports that serve Bangkok. All the international flights land at Suvarnabhumi International Airport and almost all of the domestic carriers, operate from Don Mueang Airport.
It takes sixty minutes to travel between the two airports and you must check with the airlines which airport your carrier is operating out of. You must also remember to check in for your flight at least two hours in advance to avoid the last minute rush.
Within the city, sky-trains and the underground MRT trains are the best ways to avoid heavy traffic. Taxis and tuk-tuks can also be used for shorter journeys around the city. Most taxis have meters, and you should avoid any that don't to protect yourself from scams. Ask your hotel to help you call for a cab, as they often have relationships with trustworthy companies. For a scenic view of the city, try hopping on a riverboat down the Chao Phraya River.
If you wish to visit Bangkok, you will have to go to your nearest Thai embassy to get a visa. The Thai government has a bilateral trade agreement with various countries. It allows citizens of 64 countries to enter without any visa. They can stay for a maximum period of thirty days before having to leave the country.
The latest price for a tourist visa to Thailand depends on the type of visa you apply for and your nationality.
For citizens of most countries, the following visa fees apply:
You can pay the visa fee in Thai baht (THB) at the Thai embassy or consulate where you apply for your visa.
To apply, you’ll need to visit a Royal Thai Embassy or Consulate in your home country. Required documents typically include:
Be sure to apply at least four weeks before your travel date. You can make your application online at the Thai E-Visa official website https://thaievisa.go.th/.
The local currency is the Thai Baht. Before you travel to Bangkok, it is advisable that you arrive with local currency. Your currency is exchangeable at most banks in Bangkok and at exchange bureaus. You will have to look out for specialized signboards that read “Bureau De Change”. 1 US Dollar is roughly 34.5559 THB as 2023. Exchange of foreign currency at the airport is also possible and it may not be at the best rate possible.
Bangkok banks and retail outlets accept all types of credit and debit cards. There are ATMs in most of the popular places for the convenience of tourists. Hotels and restaurants also accept credit and debit cards. Tipping is mandatory at ten percent of the value of the goods and services.
Thai is the official language of the country. Nevertheless, a majority of the population will speak and understand English.
Buddhism is the official religion of the city and yet nowhere else in the world will you find a sterling example of cultural diversity. A massive 94 percent of the city’s population practices Buddhism and the remaining six percent follow the other world religions such as Islam, Hinduism, and Christianity.
There are a lot of festivals and holidays celebrated in Bangkok. The Gregorian and the Chinese New Year are the major festivals. A host of Buddhist festivals such as the Makha Bucha Day and the Visakha Bucha Day are also celebrated. Important dates in relation to the royal family are also prominent as the people celebrate the coronation day of the Monarch.