Online Doctor Consultation — Rehabilitation Medicine, Stroke Recovery and Geriatric Medicine
For families caring for an older adult or a recovering patient at home · THB 1,000 per consultation, medication not included · appointment only

① Rehabilitation medicine — how much function can return, and how to train for it

• After a stroke — one-sided weakness, an arm that will not lift, a leg that drags — how often to train during the first 3–6 months, when recovery is fastest
• After surgery — knee or hip replacement, hip fracture, spinal surgery — when weight-bearing can start and which movements to avoid
• Bed-bound patients — preventing joint stiffness, muscle wasting and pressure sores — positioning and in-bed exercises families can do themselves
• Swallowing difficulty and frequent choking — whether to thicken food or to have a swallowing assessment by a speech therapist
• Unsteady walking and fear of falling — balance assessment, then a walking programme set at a level that can actually be achieved
• Choosing the right equipment — cane, walker, wheelchair or electric bed — which suits the level of help actually needed
• Planning the training — how many physiotherapy sessions per week, and whether to do them at home or at a centre

② Neurology — the brain, memory and movement

• Preventing another stroke — reviewing medicines and risk factors: blood pressure, diabetes, cholesterol and irregular heartbeat
• Forgetfulness, repeated questions, getting lost, misplacing things — normal ageing, dementia, or depression that looks like memory loss
• Tremor, slow movement, stiffness, shuffling steps — parkinsonism and other movement disorders
• Numbness and weakness in the hands and feet — peripheral neuropathy, common in people living with diabetes
• Dizziness and spinning sensations — separating inner-ear causes from blood pressure and neurological causes
• Evening or night-time confusion and behaviour change — seen in dementia, and worth assessing for other contributing causes
• Seizures — both newly started and recurring after a period without them

③ Geriatric medicine — several conditions at once and many medicines

• Several chronic conditions together — diabetes, blood pressure, cholesterol, heart and kidneys — which to bring under control first
• Taking many medicines — reviewing everything in use for duplication, or medicines causing drowsiness and raising the risk of falls
• Frequent falls — finding the real cause — medicines, blood pressure dropping on standing, eyesight or balance
• Poor appetite and unintended weight loss — assessing malnutrition, which is common and often overlooked in older adults
• Weakness, tiring easily, walking noticeably slower — frailty, which raises the risk of more serious illness
• Insomnia, chronic constipation, urinary incontinence — problems that affect daily quality of life for both the person and the caregiver
• Sudden confusion after coming home from hospital — a state that must be told apart from dementia, because the care differs
• Planning long-term care — care at home, day care, or a residential centre — matched to the level of dependency and what the family can sustain

④ Psychiatry — the emotional side, for patients and caregivers

Post-stroke depression · caregiver burnout · insomnia driven by stress — online every day 16:00–19:30, THB 1,500 for 30 minutes or THB 2,500 for one hour, call 095-884-2233. Full details in the next section of this page.

Read about the KIN Mental Health Clinic ›