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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 Thailand 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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Thailand is consistently voted one of the most popular travel destinations in the world, leading the way for Asian countries with over 60 state-of-the-art JCI-accredited facilities. The country is renowned for its tropical beaches, floating markets, stunning royal palaces, and Buddhist temples. The vibrant capital, Bangkok, blends tradition and modernity with its ultramodern cityscape featuring brand-new high-rise condominiums side-by-side with quiet, serene canalside communities. As per the Tourism Authority of Thailand, Phuket, Koh Samui, Chiang Mai, Hua Hin, and Pattaya are the most sought-after tourist spots outside Bangkok, each boasting excellent yacht chartering opportunities.
Each year, Thailand opens its doors to hundreds of thousands of medical tourists. These individuals traverse the globe to receive treatment, with a significant number hailing from the local SE Asia region, Australia, the United States, and the Middle East. Recently, there has been an upsurge in the number of visitors coming in from China for medical purposes.
The reasons for Thailand's popularity as a medical tourism destination are its outstanding private healthcare system, attractive tropical climate, and competitive pricing. In the list of top medical tourism destinations worldwide, Thailand currently holds the third position. The procedures that attract most patients are cosmetic surgeries, including breast augmentations, gender reassignment surgery, and CoolSculpting, along with cardiac surgery, orthopedics, and urology.
Thailand, with a population of just under 70 million people spread over an area of around 500,000 square kilometers, has several regions and cities that are widely popular with both natives and tourists. Offering a diverse blend of urban and rural experiences, beach life and inland natural beauty, each part of Thailand offers a unique angle into the rich and complex Thai culture.
Arguably the most popular area of Thailand is the capital city, Bangkok. Consistently ranked as one of the most visited cities in the world, Bangkok is an ever-buzzing urban hub with its busy streets, modern lifestyle, magnificent temples and opulent palace, alongside a pulsating nightlife. This city is typically the entry gateway for a vast majority of the 30 million tourists who visit Thailand each year. Known for its glimmering cityscape and vibrant food scene, Bangkok is indeed a compulsory stop in every traveler's itinerary.
While Bangkok is the country's urban heart, there's more to Thailand than just its capital. Among the other popular regions are the beachside island paradise of Phuket and Koh Samui, the city of Pattaya, and Hua Hin - each of them a haven for beach lovers and anyone seeking a laid-back vibe away from bustling city life. However, for those who prefer the call of the inland and a dash of adventure, Chiang Mai, nestled in the lush jungles of northern Thailand offers a refreshing and unique proposition with its derivative local culture, serene temples and interaction with native wildlife.
Known for its truly tropical climate and scorching temperatures, Thailand, in general, is hot and humid all year round. The coastal locations do benefit from the cooling sea breeze, a luxury urban Bangkok is denied. Average temperatures range from 28°C (82°F) up to 35°C (95°F). However, during the Hot Season (March to June), temperatures can top 40°C (104°F).
The infamous Rainy Season tends to start in July and continue through to October; during this time expect heavy rainfall, often amounting to flooding in some areas. It will remain warm to hot but humidity levels will rise and the mosquitos will come out to play!
November to February is often referred to as the Cool Season when less rain is expected and the temperatures tend not to rise above 35°C (95°F).
From a tourist perspective; the High Season lasts from November to March and the Low Season from April to October. But be aware of the Shoulder Seasons of April to June and September to October, when Thailand is less impacted by the Rainy Season and less busy with tourists – these can be the ideal times to visit.
In a nutshell, Thailand is a Shorts and T-shirt Country, you’re never really going to be cold, so pack light; shorts, t-shirts, vests, skirts, singlets, and light dresses. Maybe pack jeans and shoes if you’re planning on going to a swanky roof-top bar in Bangkok or to a temple where flip-flops are not acceptable.
Don’t forget mosquito spray as the little pests can get everywhere; big ones and little ones! Always protect against the sun; with high factor sunscreen and UV-protective sunglasses. The usual medications found at home should be available in most pharmacies.
With the Suvarnabhumi International Airport being serviced by some of the world’s major airlines, tourists can fly into Thailand from almost anywhere in the world, sometimes with a connection along the way. All the popular regions have their own international airports, with the exception of Pattaya, which is just a 90-minute taxi ride from Bangkok. However, arrival destinations are slightly limited outside of Bangkok, but the likes of Emirates and Qatar Airways will fly into Phuket International Airport. The rest, mostly fly in from local countries on budget airlines, including Scoot, SilkAir, AirAsia, and Lion Air to name a few.
For domestic flights, the airports are nicely linked in Thailand with flights from as little as $45 USD one way. There are several budget airlines servicing these routes, including Thai Lion Air, AirAsia, Nok Air, Thai Airways, Bangkok Airways, and Thai Smile.
The train allows for even cheaper travel within Thailand and is far more comfortable than spending hours sitting on a bus. Bangkok has the BTS, or Skytrain, which allows for fast transfer from the airport into the city. Given the traffic in central Bangkok, the BTS offers a great alternative to being stuck in traffic jams.
Taxis are great, however, be sure to confirm the price before you begin your journey or better still, insist the ride goes on the meter – that is how you guarantee the cheapest and fairest price. But expect traffic in the city and any built-up areas.
Before you travel to Thailand, it is important to stay updated with the latest visa requirements. While a number of countries are eligible for visa-free entry, the rules can sometimes shift, making it essential to verify before you travel.
If you are travelling from countries like the United Kingdom, the United States, Germany, Australia, Singapore, Canada, France, Italy, Japan, New Zealand, and South Korea can enjoy a stay of up to 30 days in Thailand without needing a visa. On the other hand, if you are visiting from China, India, Myanmar, Laos, Cambodia, Bhutan, Nepal, Bangladesh, Sri Lanka, Pakistan, and Uzbekistan, you will be granted the facility of a visa on arrival.
To get a visa on arrival here are the requirements:
1. You need to have a valid passport with at least 6 months of remaining validity.
2: You would need to show proof of a round-trip ticket within 30 days and confirmation of your accommodation for the first night in Thailand.
3. You need to demonstrate that you have sufficient funds for your visit, which is 10,000 THB per person or 20,000 THB per family.
Don't forget to carry a recent passport-sized photograph. The fee for a visa on arrival is 2,000 THB, and you can pay it via cash or credit card.
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