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Posted (edited)

Good read as mostly Rooster. I have been enjoying 'The week that was in Thailand' for many years already. Reading and enjoying it is a weekly routine for me, to make the Sunday a good Sunday.

 

Well balanced view on Thailands hospitals and doctors on the one hand, and on the multiple reasons to desperately being in need of them on the other hand. However I doubt that the standard is on par with your good experiences in every hospital in the county qualitywise, and for each foreign patient pricewise.

 

Having spent far less time in Thailand than you, I was lucky so far to be in need of a doctor in Thailand only once having the squitters more heavily than ever before in my life. So, I clearly lack experience in this field, thankfully.

 

Edited by Flying Saucage
  • Like 1
Posted

In 1987 I spent four days in hospital after my liver nearly burst from complications from amoebic dysentery. While it was poor medical practice at a cheap clinic and my own stupidity that led to my nearly dying, the actions of the staff at St Louis hospital saved my life. Even if they did wheel me to accounts 

 

There is really nothing wrong with making you pay first. I had hernia surgery and I was required to pay in advance. My final bill was less than the deposit and I was refunded the difference. I think it is a good way to protect the medical system you hold in such high regard. Requiring advanace payment is one good way to avoid mandatory insurance which I think is not far down the road for all foreigners. There could be exceptions for people who require emergency treatment who lack funds.

 

Posted (edited)

Thailand is a relative safe country (ok, not on the road if you go upper than 40 km/h).

Also good for health care at very cheap price. Even in deep country there is some good doctors.

 

But the actual big problem is the national panic crisis around the COVID and the blackmail practice around.

It is a country where you can not access if you don't have big money enough, even if you are married there, because of there panic attitude AND the blackmail they use to practice with that situation.

But, it is not representative to all the country because there is no democracy and the leadership in charge stole the power by 2 consecutive coups.

So, it should change one day to something more respectful for his own population.

Edited by jerolamo
  • Like 2
Posted
7 minutes ago, superal said:

There are without doubt some highly skilled medics in Thailand but as Flying Sausage said probably not country wide especially away from the big cities .My local government hospital is staffed by newly qualified doctors who are basically journeymen learning the skills at the front line under the guidance of a senior doctor who cannot be there to advise on tap . Medical reference books are their best friends . 

My main gripe is the cost of treatment in Thailand that was once so much more affordable than western hospitals and Medical holidays in Thailand were common but some Thai prices are not far behind UK prices and when the flights are factored in they are comparable . Also you have to remember post op  re-visits need to be considered . Indeed as an example a return to the UK for op under the NHS may well be a cheaper option . 

Then there is the 4 tier charging system in Thailand , 1/ Thai price 2/ Asian , 3/ Long stay foreigner , 4 the tourist . I know I am going to rattle a few cages with this statement but it is true from both my experience and a friend whose wife works as a nurse in my local hospital .

Finally the government hospitals are often over subscribed with out patients . The system allows you or a friend to take a ticket early am when the doors open and this is what my wife did for me recently . We had ticket number 17 and yet it was not until 11 00 am that I was seen and with 3 doctors on out patient walk in duty . I soused out why . The numbers were never called out , only surnames so you never knew where you were in the queue . Not until I enquired did I get told  " not long now "  after some 40 or 50 Thais went before me and I watched them arrive to the hospital whilst I was sat waiting . I was finally seen by an excellent doctor who sent me for a ct scan where they charged me 3 times that of the Thai price .

 

wow...

In Loei hospital they didn't charge me upper than the real effective price to care about my foot (who had a very big dirty and rusty nails gone deep inside). I had to wait as everybody and i see nothing abnormal there. It should depend where you go maybe.

What i see is that doctors come late (and everybody know that) because they have other shop or business to care about in the morning. They don't start early in the morning, so people wait....

no one is perfect.

Posted

I was 69 when I arrived in Thailand. Now 74, and only have good experiences of the Thai medical system. My first, in the October after I arrived was at Khon Kaen University Hospital. You’re correct about the waiting times though Rooster. We drove down from Loei the previous day, and stayed in a small hotel. Oi and I arrived at 6am, and were still over Number 1000. Anyway, after eventually getting to see the orthopaedic specialist, it was confirmed what I already knew, as I’d been diagnosed previously in UK. I needed hip replacement surgery. I can’t remember why we had to go back, but a few weeks later, we made the trip again. Not such a long wait time, however, as we bypassed most of the registration and pre-diagnosis units. The doctor, a most amenable elderly gentleman, surrounded by a sea of students, said he could perform the operation for ฿80,000 (£1,600 at that time).
 

A few weeks later, and we returned to Khon Kaen for the surgery. I was placed in a mixed sex ward of about 30 - though some beds were empty (Oi took in a straw mat and slept on the floor next to my bed). The operation ran smoothly and a few days later we returned home. 
 

Until recently, I never needed the ‘system’ again (except for rabies jabs at Erawan Hospital - my fault, not the dogs that bit me). Though, I do report to our village Rong Payabaan whenever they’re doing routine tests. A couple of months ago, I had a minor contretemps with my bicycle whilst dismounting. Somehow I scraped my calf on the gear sprockets. I called at the aforementioned village medical facility on my way home for a clean up (Oi gives me grip when I so much as scratch myself). A few days later and the wound went septic, so I returned and was given a course of antibiotics. A couple of weeks after this, I suffered severe bowel problems, including blood in shxx. It was a Sunday. Oi popped round to the doctor’s home and came back with a course of really strong antibiotics. I never actually saw the doctor, and never fully understood what was wrong with me, but think it was probably C difficile. Anyway, that’s not relevant. The problem cleared up after a few days. Total cost for all my trips to the village ‘hospital,’ including routine check ups. Zero, Zilch. Nada. And, I never had to wait more than a few minutes. Now that’s what I call service. You wouldn’t get that on the UK National Health Service. 
 

Although I always enjoy your Sunday read, Rooster, and get all my weekly news from it, on this occasion I must take exception. <deleted> the football results. What about a mention of the two excellent test match series with West Indies and Pakistan. 

Posted

Nice what you say about the hospitals and doctors. My experience to. Maybee folks dont know there is a good healthcare and good public service in Thailand. Ore maybee to bussy complaining..

  • Like 1
Posted

"The way things are going the tourists will probably have one ministry each."

 

Nicely put, and not far off the truth!

Posted

Thanks Rooster for another great weekly update.  I have had only a couple of

trips to a clinic, for a very cheap amount of cash, just to get a shot in the hip after

scrapping my leg and not treating it properly, as well as a couple years later scrapping my 

arm and being careless in treatment. I have had a friend go to the Pattaya hospital

for dengue fever treatment and after 10 days he paid a fair ransom for his time there.

  Still I think he will be compensated a bit in Canada on his return. I agree that it looks like for most

people like be, 2021  Winter will be the earliest I will return to Thailand, and that is only if there

is a vaccine that I can get before hand. I will not go to the USA for at least 4 years, as that will

likely be the length of time they will need to get the corona virus under control with a loss

of nearly a half a million of their citizens. looking forward to your next column, thanks

Geezer

Posted
17 hours ago, jerolamo said:

What i see is that doctors come late (and everybody know that) because they have other shop or business to care about in the morning.

Like morning rounds, and emergencies you mean.  I only have praise for the large govt. hospitals, doctors, surgeons, and nurses.

  • Like 2
Posted
On 8/23/2020 at 7:57 AM, rooster59 said:

 It is absolutely no surprise to me that Thailand has passed the first tests of the coronavirus pandemic with flying colors.

A good read rooster ;Much of that can be because of the huge effort put in by the health volunteers, which i think deserves a mention, in my area they went to every house, and shacks up dirt tracks, advising on how to avoid the virus, including staying fit  with exercise, volunteers have been seeing the sick mainly elderly at home for years, they take on a set amount of houses each (up to them) and visit every month, they give their time for the community. I will now blow the trumpet for my wife ???? runs a small shop, but still finds time for 10 home visits a month. ????

  • Thanks 1
Posted

Well done on the health care.  I admit i was a little skeptical about rural health care but I have become a believer.  I have mart many excellent professionals in MOH and MOPH, a product of Thailand’s indentured servitude, and have often wondered how they manage when the folks on top are politically appointed dunces.

Posted

Yes, (G’day Rooster, and Thanks ! As usual, … )

  I feel sorry for Alexei Navaluy, and well, the Russian People !!! ...

 

… Like they never have had much luck throughout History have they ! … And well though life MUST be getting better for them ... I am sure ... the Dictators just seem to keep Rolling on ! ... Though well ... a Good place to become a hero right !  (If you can live long enough I suppose ???) ....  Like plenty of scope for that !!!...

 

Like in Adelaide Australia at least ..... About the best we could do is Hijack a garbage truck, and tip it out on the eastern side of town in the front of the Feathers Hotel !!! Right !!! 

 

I used to work with Russians on Exploration ships ... and well this WAS one of the best this that ever happened to me in my Work Carrera, ... well apart from stopping working for American companies, and starting with the Norwegians !!! ... …  Well working with Russians that were on your own level ! … Like the supervisors could be just a Bit !!! ... Testy let’s say ... Like European "Face" ... But if you were in with the rank and file ! …  If you had "Chief Navigator" written on your cabin door, … well that is what you were ... No Australian or British, Tall Poppy cutting syndrome, by the Russian rank and file work force. ... Like even the Philipinos were worse at that !!! ... Like a family, Mafia system.

 

… Any way Alex once sat with me in the recording room,, while we were operating,  ... and Told me about how when he had Joined the company, they had sent him to "York" !!! In England, ... to learn how to speak English Properly !!! (???) …  and He said that it was Really embarrassing in the Pubs after classes … as all the Leftie Unionists would come up to them, and put their arms around then and say "Hey ! Welcome !!! … It’s Great to have some REAL ! Socialists here at last" !!! … And get all teary and emotional about it !!! ….  Like Alex just said ..... <Deleted>  ...  How could I tell them !!!  … That we had ALL been quite honestly just been staying !!!  For 10 Years !!! After the Soviet Union collapsed, !!! … And well the Whole place has always has been just totally <Deleted> and we always have known this !!! ... (The system just never really worked, well except for the dictators ?)

 

Still I bet Alex would have liked Alexei Navaluy ... though he probably would have kept his voice down any time that he was not on the ship. Like they all supported their own country !!! Regardless how Politically <Deleted> it was.

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