Medical treatment

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Old 31st October 2017, 04:30 AM
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Default Medical treatment

Does anybody know how to get good information on quality medical treatment in Thailand. I am coming to Thailand on vacation soon and I need some testing. If it is bad news, I will need to get treatment. I do not have insurance in the US and want to consider getting treatment in Thailand and I am also thinking about a long term move. I did not see anything in this forum dedicated to medical options.

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Old 1st November 2017, 09:11 AM
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How do you plan on paying for the treatment? Will you be depositing vast sums in a hospital account?

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Old 1st November 2017, 10:46 AM
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Quote:
Originally Posted by Ligaff View Post
Does anybody know how to get good information on quality medical treatment in Thailand. I am coming to Thailand on vacation soon and I need some testing. If it is bad news, I will need to get treatment. I do not have insurance in the US and want to consider getting treatment in Thailand and I am also thinking about a long term move. I did not see anything in this forum dedicated to medical options.
Medical tourism in many Asian countries is quite popular. Most people go to Malaysia for this. However, try checking here for Medical Tourism Providers In Thailand.
There is quite a list and making contact with some of them will give you information to go on.


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Last edited by Asian Spirit; 1st November 2017 at 10:51 AM.
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Old 13th November 2017, 08:07 AM
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In 8 years living in Thailand, I've learned there are 3 hospitals considered the best: Bumrungrad, Bangkok Hospital (flagship of the Bangkok hospital group), and a third I can never remember. Bangkok Hospital has a branch where I live. After 2 hospital stays following ER visits, I can confirm the common opinion about them: they do more procedures than necessary and over prescribe. Way over prescribe.

The 2nd tier hospitals in Bangkok most often mentioned on expat forums are BHN and St. Louis. BNH is the oldest private hospital in Thailand. Founded 118 years ago when the British Consul approached the King about creating a medical facility for foreigners. Bangkok Nursing Home was formed and evolved into a large, full service hospital. I chose them over St. Louis because BNH was one of the few in Thailand to be accredited by the Joint Commission International (JCI) . My first visit there was last week for an echocardiogram. Everything about the experience motivated me to return for the recommended cardio MRI.

FWIW the echocardiogram cost 6,400 THB (194 USD). My last one cost 12,500 THB at the Hua Hin branch of Bangkok Hospital.

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Old 7th February 2018, 06:35 AM
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Hospital fees are reasonable in Thailand when compared to US....

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Old 9th February 2018, 04:11 AM
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Hospital fees are reasonable in Thailand when compared to US....
Yes, they are. But, if you can't pay them, the hospital won't let you leave until you do.

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Old 16th February 2018, 04:26 PM
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Thank you! This is really helpful info.

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Old 20th February 2018, 06:16 AM
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Quote:
Originally Posted by dancebert View Post
they do more procedures than necessary and over prescribe. Way over prescribe.
.
Thanks for this very useful post.

I'd like to understand in more detail what you mean by 'over prescribe' - I assume you mean they recommend too many prescription drugs? Or too high dosage? Or two drugs when one will do? Or all of that?

I've read that it's pretty common in Asia to prescribe antibiotics when they aren't necessary - or even when they won't help at all, like for colds. Are you primarily talking about over prescribing antibiotics or other things like pain medication?

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Old 20th February 2018, 10:50 AM
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Originally Posted by eastwind View Post
Thanks for this very useful post.

I'd like to understand in more detail what you mean by 'over prescribe' - I assume you mean they recommend too many prescription drugs? Or too high dosage? Or two drugs when one will do? Or all of that?

I've read that it's pretty common in Asia to prescribe antibiotics when they aren't necessary - or even when they won't help at all, like for colds. Are you primarily talking about over prescribing antibiotics or other things like pain medication?
You're welcome.

My treatment included prescriptions that were one or more of the following:
- unnecessary but harmless because i didn't have the symptom, e.g. Tylenol when I hadn't complained about pain and could buy it OTC.
- to be taken for longer than the pharma company advised,
- given in a dosage and combination that reduced blood clotting ability to life threatening levels should I have been seriously injured - and never warned me. The combination and dosage was legitimate treatment, the lack of warning was unconscionable.
- a drug that was prescribed and necessary while in the ICU and for the following week. It was totally unnecessary a year later when prescribed by a doctor who read my medical history, and didn't test for it. I had none of the symptoms, and he didn't ask about them.
- a powerful drug I needed years earlier for a condition that I had long since controlled through what I ate and how I ate it, plus daily 1/2 of the smallest dosage available of a former prescription drug that was now OTC. I asked for how long I needed to take it, though I knew what the answer should be. 'For the rest of your life' he said. The pharma company states clearly to not take it for more than 2 weeks in a row.

For minor stuff, Thais and expats don't see docs for antibiotics because they're available OTC. For the few times they've been prescribed, the dose and course were in line with what the pharma company recommends.

Don't want some or all of the drugs? You could try telling the Doctor. But he knows he's the most important person in the room, that questioning your elders and your superiors is an insult in Thai culture, and he makes money off the prescriptions.

In Thai hospitals one pays and receives their meds at the same time. The most recommended way of dealing with over prescribing is if any of your prescriptions are for more than 1 week tell them you only want enough for 1 week because if you can't tolerate the side effects you don't want to pay for something you cant' use. Don't ask, tell. Politely. With a friendly expression, tone of voice, and body language.
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Old 21st February 2018, 02:28 AM
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Thanks again. Very useful.

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