jimmiejackson
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Posts posted by jimmiejackson
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15 minutes ago, Sheryl said:
And they have removed the premature baby from the NICU and brought it to Thailand???
Or do you mean the brother in law is now in Thsiland and wants to talk to someone, and the baby is still in NICU in India?
Without being able to examine the baby not much a doctor here can say. This condition varies greatly in severity and prognosis.
Yes the brother (Uncle) of the baby is now in Thailand and wants to talk to someone. The baby is in NICU in India.
I realise there is probably very limited information they can give but I think it would just help put his mind at ease to at least ask questions or understand options for the future from someone who has the requisite skills and experience.
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26 minutes ago, Sheryl said:
How old is the baby now? Makes a difference in terms of whether to consult a neonatalogist or a pediatric neurologist
Thanks for your response Sheryl.
The baby was just over 27 weeks at birth, and was born on April 6 this year.
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Hi all,
I'm helping a friend in a difficult situation. I'm hoping someone has some personal experience or that Sheryl, who I am eternally grateful for due to her immense help over the years, has someone to recommend.
Short summary:
My friend's sister delivered a baby prematurely in India. The baby underwent several tests and has been given a diagnosis of periventricular leukomalacia.
Of course, the family are currently devastated and this is being compounded by a perceived lack of expertise, clarity of options, treatment options etc.
My friend is in Bangkok and I want him to consult with the best (I assume) Neurologist available to put his mind at ease that someone is available to discuss these things with and to give recommendations, second opinions etc. Money is absolutely not an object in this case.
Thank you for your help!
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Thanks all for your help and advice!
Will organise these things:
Copy of Blue Tabien Baan and wife's ID card.
Copy of Chanote.Ensure you've filed a TM30 informing of your new address.
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I could not find an answer to this exactly so trying to ask!
I have done several extensions of stay to a Non-Imm O based on marriage to a Thai citizen in CW.
This year I bought a house with a mortgage and my wife and child are already in the Tabien Baan but I am not. The person taking care of it said it may take 2-3 months to add me (I am not Thai) so best to do the extension first then deal with it.
Until now I have always rented in Thailand so the rental contract, letter from owner and their tabien baan was always used.
Now I'm not sure what to do, as I live with my wife and child in the house which we own/are jointly paying a mortgage on but there is no real "proof" that I also own the house yet.
If anyone knows exactly what paperwork is required for them to process the extension in this case that would be very helpful, thanks.
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As a final update on this one, unfortunately he passed away on Friday.
I feel confident we did the best that could be done with the circumstances that were presented.
That being said, the final bill for everything will probably approach half a million Baht and that was with us doing everything possible to keep prices down.
So as sad as it is I hope someone learns a lesson on how important it is to have good insurance, for the people you love as much as for yourself.
Thanks again to anyone who took their time to give us input and help.
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Again, thanks for the input everyone.
I'll keep updating this thread. Maybe someone will have some further input that will be useful and it could help someone out in the future.
I think it needs to be kept in mind that my info mainly comes from Thai Doctors>his Thai friend>me. So over and above the cultural differences in communication between Doctors and patients/friends of patients, there's translation issues too I'm sure.
So after some time at the Chest Institute they ran into a new issue, he had an obstruction in his colon (? I think) which meant he couldn't digest food, he wasn't clearing his bowels and they ended up having to suck out a lot of liquid food that wasn't being digested.
So the Chest Institute arranged for him to be moved to Ratchvidhi Hospital for emergency surgery. The surgery was performed and apparently it was a success and it was just some minor tissue obstruction.
So now he is in ICU at Ratchvidhi Hospital and won't be transferred back to the Chest Institute.
It seems like there really wasn't a full transfer of documentation from one hospital to another and so tests were repeated, his Thai friend had to explain a lot of things to the Doctors and nurses.
They tried to take him off the ventilator and he was able to breathe on his own for a few hours but then got so panicked they had to put it back.
So at the moment I'm not too sure what the status is of anything, I hope to get more information soon.
We were able to raise some money but it is fast running out, probably in the next few days. After that I don't know what we can do as everyone who is able or willing to donate has already done so.
As an aside, I walked through the Emergency Department of Rachvidhi Hospital and while I'm sure the staff are doing their best the sight of seemingly endless patients waiting in hallways on stretchers is something to behold. Nobody likes paying for insurance but if your backup is "I've got Thai Social Fund" I implore you to rethink it.
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Thank you to all for their responses and Sheryl for her valuable information and keeping this thread on topic.
I'm sorry I haven't updated earlier, as you can imagine it's been a challenging time.
I wanted to give an update as someone in the future may get some benefit from it.
There was never any clear answers provided by Camilian as to what would happen if the bills weren't paid.
In the background a lot of work was being done with everyone pulling in any contact or favour they had to get him transferred to a Government hospital, the two top choices being Chula and the Chest Institute.
Eventually, somehow, he got put as first on the list for an ICU bed at the Chest Institute, where he had already been receiving outpatient treatment and was recommended by many, including the Specialist I took him to see at one of the high end hospitals a couple of years ago, as the best place for him to be.
The call came through "he can transfer here now but it has to be now or never" from the Chest Institute.
Unfortunately I was unable to attend Camilian at the time due to work so his Thai friend dealt with Camilian for a bill that at that point had over 200,000 Baht outstanding.
She was able to negotiate them down to pay 150,000 there and then and the rest in monthly instalments. This was something we were explicitly told by them that they would never consider, however in the end I guess they knew it was that or nothing.
He is now in the Chest Institute which is running in the region of 10-15,000 Baht per day, as opposed to the 30-40,000 Baht a day at Camilian.
He has been knocked out on either Fentanyl or Morphine the whole time, the first time he was "awake" was yesterday however as he is still dosed up and on a ventilator he could do nothing much but nod or shake his head in between falling back to sleep. But it's progress.
No clear answers yet on how the Pneumonia treatment is going although it does seem that the standard of care there is very good.
So now we start the whole thing again I guess.
There is some money that's come through from friends etc but it won't last long. I don't know what happens if we can't pay the bill at the new hospital.
So we pray for his recovery and will deal with it day by day as we have been.
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59 minutes ago, Sheryl said:
OP - it is also possible there is a hospital social worker or equivalent. Who could help push gor transfer among other things. Worth looking into.
And look for an office of the "Saint Camillus Foundation of Thailand" which is somewhere within the hospital.
Thank you for both of your updates, this helps a lot and I appreciate your time.
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2 minutes ago, Liverpool Lou said:
What assets? Can he afford a lawyer to draw up the POA?
I could afford it but the price for a lawyer to sell a 3 year old phone and a barely functional laptop probably, I'm just guessing here, doesn't really make sense ????
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3 hours ago, Sheryl said:
You need to meet with the hospital administration (senior person) and tell them clearly there are no more funds available to pay his bills and request that they transfer him at once to a government hospital. Make clear in this discussion that you are not related to him and have no legal obligation and that he has no close family in US.
They will arrange transfer once convinced no more money but your problem will be that they may refuse transfer until existing bill is paid. You can try to negotiate a payment agreement over time (monthly payments).
There will still be the problem of paying the government hospital but costs will be about 1/3 to 1/2 that of Camillian.
Thanks to all who replied.
I was hoping Sheryl would respond so thank you for that.
Called the Embassy, they weren't interested in doing anything except informing his family where he was.
Hospital is going around in circles so I've informed his Thai friend of what you suggested and hopefully we can get somewhere with it.
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He isn’t on overstay but there is no money in the bank.
He has no assets to speak of, nothing that would be even worth taking the effort to sell.
He’s made decisions that are very contrary to the way I do things but I’m not going to just abandon him.
Appreciate the help so far.
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12 minutes ago, brianthainess said:
Absolutely don't take on the responsibility, let the next of kin and his Embassy deal with it, I know I was in a similar situation, it can stress you out, get a contact number at his embassy, and follow their advice. They can liaise between you and next of kin (if known).
From what I understand the Embassy was contacted before and not interested in helping but I can try again, thanks.
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33 minutes ago, VinnieK said:Why don't you tell the hospital that no more money will be forthcoming.
They will transfer him to the govt one in no time.
Not that it would be free there either
but it will be easier to stiff them.
That's where we're at..
Yes this seems to be the option we might have to take.
I doubt and believe I’ve read before they can’t just throw you out onto the street. So I assume it’s going to be their responsibility to offload the problem to another provider somewhere.
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12 minutes ago, proton said:
Has he no family back home to help?
He does have very little family and they have agreed to help within their ability but at the rate of $1K+ a day their ability to help won’t get us far and us slamming into a wall of having no more funds is coming up real quick.
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7 minutes ago, dj230 said:
Tell him to take out a loan, put it on a credit card or liquidate his belongings
surely he has assets in excess of 300k baht, house, car, cellphone, laptop, jewellery, gold, etc.
it sucks what happened but there’s no real easy way to say it other than someone has to pay and it should be him.
He doesn't unfortunately, I'm sure he did at one point but not working for 3 years has cut him to the bone. He's also barely conscious and on a ventilator so entirely unable to organise anything himself.
So whether or not I like it, I'm in the position of needing to figure it out.
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1 minute ago, Mitkof Island said:
30,000 to 40,000 baht a day in the ICU? There must be something cheaper in Bangkok.
I'm sure there is, although I think the actual ICU cost is around 12,000 a day. The rest is for testing, machinery and various other line items.
The bigger issue I guess is at some point soon we'll run into a brick wall where it doesn't much matter how much the ICU costs because we don't have anything left to pay with.
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Hi everyone,
This is a very long story so I'll try to keep it short.
Friend is a US citizen, has lived in Thailand about 20 years.
Worked and paid into SSF for at least 10 of those years that I know of. Left one job, got another, job turned out to be a mess, never paid him or his SSF.
This was in 2019 or so, he then got diagnosed with advanced TB.
Through treatment and related complications he hasn't been able to work since and through the support of me, friends and family has been able to keep his head above water just about.
Hasn't been able to travel to US due to requirement of Medivac which he can't afford.
Anyway a few days ago he was rushed to ICU at Camilian Hospital (the closest to his condo) as he couldn't breathe, it was touch and go.
He's now stable, on a ventilator and positive for Pneumonia which is being treated.
So far the bill is running to 30-40,000 Baht a day.
Between me, another friend and his family we've been able to keep the bills paid but today the specialist said he will likely be in ICU for at least 10 more days if not more.
We literally won't be able to afford it.
My Thai is ok but too limited to deal with something of this complexity and his friend who is Thai is doing her best but isn't in the best mental state as you can imagine.
I've tried calling in favours but my list has run out.
We have contacted Chula and the Chest Hospital where he was receiving treatment but haven't received anything resembling a go ahead to get him transferred.
I'm not asking for money, I know he should have had insurance etc but this is where we find ourselves.
If we take him home, he will certainly die in a horrific way (essentially drowning in sputum), but we can't afford to keep him there. There has been no clarity on what happens if we stop paying the bills (obviously a hospital isn't going to tell you that it's "ok" to do that) or what happens if we try to transfer him elsewhere, or even how that would be logistically possible.
So I'm looking for any guidance or advice you would kindly be able to give. Thank you.
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Thanks all for the replies.
I didn't think it would be a problem but best to check.
As for updating driving licenses etc, I'm still building up the serenity required haha.
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Hi all,
Preparing for my Extension of Stay based on Marriage at CW.
Have done many before so I'm all clear on most things but had a question come up.
I'm preparing my marriage certificate copies (was married in Thailand to a Thai National) and realise that on the back the field where they usually put the Thai ID card has my passport number, which has always been fine, however I have recently updated my passport for the first time since I was married (I still have the old passport, I have already transferred stamps to the new one at CW).
As my wife's Thai ID card number on the back is also "old" and it's never been an issue I doubt it's any problem BUT my experience tells me it's better to check first!
Anyone been through the same thing without any issues?
Thanks!
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3 minutes ago, TimBKK said:
https://www.bumrungrad.com/en/doctors/Hiroshi-Chantaphakul
This doctor lists Allergy & Immunology as a specialty although I saw him for other reasons - thought he was outstanding: thorough, well spoken, had all the time I needed for questions etc.
Best of luck to you and the wife.
Thanks a lot Tim, will check him out
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1 minute ago, The Hammer2021 said:
There is a list of doctors available. If the situation is as serious as you say please stop quibbling and get straight to the hospital. Bumrungrad doctors are reputedly very good.
Thanks for your recommendation
I'm not quibbling and it isn't that serious - I'm just looking for the very best Allergy Specialist in Bangkok
Have been to Bumrungrad several times, like every Thai hospital some Doctors are good and some aren't very good at all
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8 minutes ago, The Hammer2021 said:
Bumrungrad Hospital Soi 3 Sukhumvit
Thanks, do you have any specific Doctor to recommend?
My experience in Thailand has been that it's best to choose the Doctor and go where they are, the Private hospitals at the mid to high end are much the same price and service wise
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Hi all,
I'm looking for a good allergy specialist in Bangkok
Background:
My wife has terrible allergies, to the point where it's constantly and issue with her sneezing/getting red eyes pretty much all year round
She has seen various ENT in Bangkok and is prescribed different antihistamines and washes her nose out daily with saline
They work to a point but they barely keep things under control
I know allergies are a complicated thing to control and am looking for a recommendation for any excellent Doctor and/or clinic/hospital in Bangkok that can help manage them
Central Bangkok is preferred and cost (within reason) isn't really an issue
Thanks a lot!
Best Neurologist in Bangkok for options regarding periventricular leukomalacia
in Health and Medicine
Posted
As always, thank you so much for your help and kindness.