My 8 year old has Dengue Fever

[jimmyyy]

She was diagnosed today with Probable Dengue Fever.  Tomorrow they want her to go in for chest x ray and a CBC test at our local public hospital here in Issaan.  She has medical insurance but i have to pay first then file for reimbursement.  Any idea of what I might be looking at for a 3 night stay with Meds for Dengue Fever.  Thanks!

[lopburi3]

Sorry can not answer but it should not be very much as public hospitals are very inexpensive for blood tests/stay/medications.  The only time public hospitals costs are close to lower cost private hospitals is when specialized equipment/testing is required (MRI/CT scans and such).

Edited January 26, 2020 by lopburi3

[Sheryl]

If your daughter is a Thai citizen no need to use your insurance or pay anything at a government hospital.

 

Unless the platlet count is low or the child unable to keep down fluids, will not need to be admitted.

 

Otherwise cost  will depend on severity and treatment. Just a few days on a trip, no transfusion, no ICU (in other words, simple dengue not DHF) a few thousand baht only. ICU are, transfusion, of course another matter.

[PPMMUU]

Dengue symptoms varies between just a few days of fever and nothing else up to multiple organ failure and death.

 

The cost will varies.

[jimmyyy]

My wife called and spoke to the hospital, looks like about 6K all in for what we know about now.  No all My kids are American's not Thai. 

[jimmyyy]

Looking at all the meds she got issued today, i was surprised to see Tami Flu on the desk.  30 mg, wonder why they use an anti-viral to treat it.  Anyways very pleased with her pediatrics team in Borabu, same group of Doc's she has been seeing for 3 years now. 

[Gulfsailor]

2 minutes ago, jimmyyy said:

Looking at all the meds she got issued today, i was surprised to see Tami Flu on the desk.  30 mg, wonder why they use an anti-viral to treat it.  Anyways very pleased with her pediatrics team in Borabu, same group of Doc's she has been seeing for 3 years now. 

Because dengue is a virus. 

[Skallywag]

4 hours ago, jimmyyy said:

She has medical insurance but i have to pay first then file for reimbursement. 

 

36 minutes ago, jimmyyy said:

My wife called and spoke to the hospital,

25 minutes ago, jimmyyy said:

No all My kids are American's not Thai. 

Good news is mortality rate is very low, less than 1%

Best of luck to your daughter.

Peace.

Unrelated inquiries (optional of course)

So your wife is Thai? 

Not her kids?  You say "all my kids are American not Thai"?  

You bought insurance for your 8 year old or they are covered under your wife's policy?

 

 

 

 

 

[prakhonchai nick]

Good to know that Tamiflu is now available in Thailand. Some 6 years ago, my son had Swine Fever, Tamiflu was needed, but none could be sourced in Thailand. A friend brought some over from Dubai for him.

 

Most Dengue cases are mild. Don't worry too much

[mushroomdave]

I was diagnosed with it in Lam Plai Mat / Isaan / outside Korat in 2014. (Insurance same as you, pay / reimbursed later)  Can't believe they let her go home after your visit though as once I was diagnosed they threw the IV into my arm right there in the downstairs emergency area and whisked me away in a wheelchair within seconds.  Got a private room and was there 4 full days and pumped full of fluids (2 separate IV drips majority of the time) / meds the whole time.  Not sure today but back then I remember thinking the 7,000b bill was a deal!!

[AlQaholic]

Google "Papaya leaf extract"...

 

https://www.bmj.com/content/351/bmj.h4661/rr-4

 

As an alternative to the extraction method mentioned in the paper, simply expel the leaf extract with an expeller press. A juicer will not work as the leafs are too dry for that method (clogs the sieve).

Edited January 27, 2020 by AlQaholic

[steven100]

don't be concerned about how much it'll cost ... it's your daughter health your talking about.

you have the insurance so don't worry. just get her well.

[Rookiescot]

Hope your little one feels better soon.

Might be worth investing in a few tins of mosquito killer and giving the house and garden a good dose of the stuff.

The infected Mosquito may still be around.

[musicscene]

1 hour ago, Rookiescot said:

Hope your little one feels better soon.

Might be worth investing in a few tins of mosquito killer and giving the house and garden a good dose of the stuff.

The infected Mosquito may still be around.

Would a pest control company be useful to spray around the house inside and outside?

[Alidiver]

20 hours ago, lopburi3 said:

Sorry can not answer but it should not be very much as public hospitals are very inexpensive for blood tests/stay/medications.  The only time public hospitals costs are close to lower cost private hospitals is when specialized equipment/testing is required (MRI/CT scans and such).

Falang admitted to Pattaya City Hospital (Public Hospital) 2 days inpatient, saline drip, regular blood tests, platelet counts, no nursing 32,000 baht.

Edited January 27, 2020 by Alidiver
additional info

[Elkski]

I seem to be a good flavor for mosquitoes.   I hate how there are in condos, bars, restaurants .  The bites really  last on me for like 5 days.  1 on my finger  got a 1 mm puss pocket.  I worry much about dengue.   I read  it can have lifetime health  issues.   

[Sheryl]

3 hours ago, mushroomdave said:

I was diagnosed with it in Lam Plai Mat / Isaan / outside Korat in 2014. (Insurance same as you, pay / reimbursed later)  Can't believe they let her go home after your visit though as once I was diagnosed they threw the IV into my arm right there in the downstairs emergency area and whisked me away in a wheelchair within seconds.  Got a private room and was there 4 full days and pumped full of fluids (2 separate IV drips majority of the time) / meds the whole time.  Not sure today but back then I remember thinking the 7,000b bill was a deal!!

 

Most Dengue does not require hospitalization.

 

If it did, there would nto be enough hospital beds in the whole country.

 

If there are hemorraghic complications, or the platlet count drops below a certain level (indicating risk of hemorraghic complications) or the person is unable to adequately hydrate by mouth then only is hospitalization necessary.

 

Dengue runs a wide spectrum from illnesses so mild the person does nto miss a day of work or school to severe

 

 

 

 

[SoSoCNX]

Why wait until tomorrow?

Pay now, get money back later and for few extra baht get private hospital room.

 

[Sheryl]

27 minutes ago, Alidiver said:

Falang admitted to Pattaya City Hospital (Public Hospital) 2 days inpatient, saline drip, regular blood tests, platelet counts, no nursing 32,000 baht.

 

 

Pattaya City has dual pricing and is much more costly than an upcountry govt hospital will be.

 

Friend treated recently for a viral illness requiring IV rehydration etc at a government regional hospital came to about 3000 bahts (3 days there). Tamiflu is expensive so will add to costs but unless there are complications OP's daughter total should be under 10,000.

 

 

[johnnysunshine]

AlQaholic is precisely correct...assist your daughter with Papaya Leaf Extract and she should be free in a few days of Dengue!

Hospitals and doctors do not know shi* about this!   https://www.facebook.com/pg/Lanna-Herbs-625407210813583/photos/?ref=page_internal

[richard_smith237]

13 minutes ago, johnnysunshine said:

AlQaholic is precisely correct...assist your daughter with Papaya Leaf Extract and she should be free in a few days of Dengue!

Hospitals and doctors do not know shi* about this!   https://www.facebook.com/pg/Lanna-Herbs-625407210813583/photos/?ref=page_internal

 

The Op needs to get his 8 year old (who can be categorized as ‘high risk group’) to a hospital to be evaluated by specialists... the cost is surely not important.

 

Edited January 27, 2020 by richard_smith237

[Smithson]

I've had it (twice) and two of our kids have had it. We were all admitted once our platelet count dropped below 100,000 (from memory). Can't remember what it cost for the kids cost, but for me it was around B2,500 for two nights in the local public hospital.

 

Dengue fever is common, public hospitals are very experienced in dealing with it.

[mushroomdave]

1 hour ago, Sheryl said:

 

Most Dengue does not require hospitalization.

 

If it did, there would nto be enough hospital beds in the whole country.

 

If there are hemorraghic complications, or the platlet count drops below a certain level (indicating risk of hemorraghic complications) or the person is unable to adequately hydrate by mouth then only is hospitalization necessary.

 

Dengue runs a wide spectrum from illnesses so mild the person does nto miss a day of work or school to severe

 

 

 

 

I was severe for sure as I could hardly walk in the doors and had 2 Thai friends help me in.  Actually, I was misdiagnosed 2 days earlier by a young Sunday doctor and they were not too happy about that.  But I had shakes, bone soreness and like I said, barely could walk.  After them informing me I wasn't going anywhere and jabbed the first IV in, they said not to worry as only 1% of people die from it (2014 it was) Again, feel lucky 4 days in, private room and 7000b!!....made me somewhat happy on departure.  

[mr_lob]

4 hours ago, AlQaholic said:

Google "Papaya leaf extract"...

 

https://www.bmj.com/content/351/bmj.h4661/rr-4

 

As an alternative to the extraction method mentioned in the paper, simply expel the leaf extract with an expeller press. A juicer will not work as the leafs are too dry for that method (clogs the sieve).

Did that when I  had dengue. Most disgusting thing that has ever passed my lips.

[AlQaholic]

2 hours ago, mr_lob said:

Did that when I  had dengue. Most disgusting thing that has ever passed my lips.

I actually have started to like the taste, it's not bad and a good wake-up shot for the first thing you do in the morning:)

[StevieAus]

5 hours ago, Elkski said:

I seem to be a good flavor for mosquitoes.   I hate how there are in condos, bars, restaurants .  The bites really  last on me for like 5 days.  1 on my finger  got a 1 mm puss pocket.  I worry much about dengue.   I read  it can have lifetime health  issues.   

Have you never thought about using a mosquito repellant I seem to attract them as I did in Australia
There is a very good aerosol repellant in an orange can widely available that keeps them away from me or as an alternative many herbal types that seem to work

[jimmyyy]

Yes, my wife is thai but they do not have there Thai Citizenship as of yet, paperwork in process.  Why was I concerned about the price, because i don't want to go to the bank twice.  We pay for there health insurance every January, i just pay upfront and I am reimbursed within 30 days. 

 

She is doing alot better, the nose bleeds have stopped.  Her fever is pretty much under control now.  She spent 2 days at the hospital, getting fluids along with blood work and xrays and the like.  Looks like we are passed the danger point now.  Thanks for all the information provided. 

[jimmyyy]

She received a full day of treatment the day i wrote the post, and the hospital told us to bring her back the following morning when a pediatric Dengue expert would be there to see her, they left instructions a mile long, we waiting until 0430 and brought her in when we could not get her fever down.  She received really good care at the hospital i have no doubt they are proficient at treating dengue.

[mike787]

Cost is determined by individual hospital facilities.  Ask the billing department at the facility.  Dengue is serious, it causes high fevers and diarrhea, but it is manageable. If the child is important, Money cannot impeded your intervention or judgement, priority is to do anything and everything to make the child comfortable and treated.  

[jimmyyy]

Which is exactly what we did.  Money never impeded anything, i was just wondering if i had to take out 30K or 100K, i took out 100K and didn't need most of that.  Money was not the object of the post, just wanted info so i knew what to be prepared for.