Price of CT scan Korat

[IvorBiggun2]

I know most of the hospitals in Korat do CT scans but does anyone know at what cost? I don't really want to phone around and I was hoping someone would on here would know the simple answer and a recommendation. I need a scan to detect if I have asthma. Thank you.

[Sheryl]

Scan with or without contrast media? Makes a difference to the cost

[IvorBiggun2]

18 minutes ago, Sheryl said:

Scan with or without contrast media? Makes a difference to the cost

Whatever it takes to show what I'm diagnosed with, which is Asthma. I had a CT scan done about 4 years ago and no Asthma was found then. Now I'm getting the same symptoms as 4 years ago and the doctor's telling me I have Asthma without seeing a CT scan. Before he diagnosed Asthma he said I had COPD. Hence why I need a CT doing to be sure.

[Sheryl]

41 minutes ago, IvorBiggun2 said:

Whatever it takes to show what I'm diagnosed with, which is Asthma. I had a CT scan done about 4 years ago and no Asthma was found then. Now I'm getting the same symptoms as 4 years ago and the doctor's telling me I have Asthma without seeing a CT scan. Before he diagnosed Asthma he said I had COPD. Hence why I need a CT doing to be sure.

Has the doctor ordered a CT? Getting one  will require a doctor's order. And then one has to consider the doctor's skill in reading the results. Which may be especially problematic if the doctor has already formed a diagnosis and does not see the need for a CT.

 

Frankly sounds to me like you need to see a different doctor. In Issan best option is KKU University Hospital (Srinagarind).  Suggest you go through their after hours clinic and consult Assoc. Prof. Watchara Boonsawat who is a Western-trained  pulmonary specialist and President of The Thai Asthma Council and Association. Or if you prefer you can see him at private hospital as follows:

https://rph.co.th/en/doctor/watchara-boonsawat-md/

 

 

 

 

[Boomer6969]

9 minutes ago, Sheryl said:

Frankly sounds to me like you need to see a different doctor. In Issan best option is KKU University Hospital (Srinagarind).

From Korat going to Bangkok would make a lot more sense.

[IvorBiggun2]

33 minutes ago, Sheryl said:

Has the doctor ordered a CT?

No and I didn't realise I need a doctors order. It does look like I'm gonna have to look at this problem in a different way. The doctor I'm seeing at the mo is a government doctor but it doesn't mean he's not knowledgeable. He's limited on his advice on what to do next so that's why I'm here. I'm now considering the Suranaree University of Technology in Korat as there's no way I'm going to Bangkok. 

Thanks both for your opinions and advice.

[VinnieK]

For what it's worth...I was quoted 28k for a chest CT scan in a govt hospital (in the South)

Recently and with the tracer injection

Btw... didn't know asthma can show up on CT scans

Edited September 17, 2022 by VinnieK

[IvorBiggun2]

Currently I'm being prescribed medication by the ton for Asthma. Asthma, or COPD, I do not believe I have. I went down the same road about 4 years ago. Different doctors different diagnosis. I need a definitive answer not have me wasting money on meds that don't work. I was led to believe a CT scan would do that.

Quote

A chest CT scan is currently the gold standard to make a diagnosis of asthma, 

 

Edited September 17, 2022 by IvorBiggun2

[Pumpuynarak]

10 hours ago, IvorBiggun2 said:

No and I didn't realise I need a doctors order. It does look like I'm gonna have to look at this problem in a different way. The doctor I'm seeing at the mo is a government doctor but it doesn't mean he's not knowledgeable. He's limited on his advice on what to do next so that's why I'm here. I'm now considering the Suranaree University of Technology in Korat as there's no way I'm going to Bangkok. 

Thanks both for your opinions and advice.

I paid 8000 bht at this hospital for a CT scan approx 6 months ago.

[lopburi3]

10 hours ago, IvorBiggun2 said:

Currently I'm being prescribed medication by the ton for Asthma. Asthma, or COPD, I do not believe I have. I went down the same road about 4 years ago. Different doctors different diagnosis. I need a definitive answer not have me wasting money on meds that don't work. I was led to believe a CT scan would do that.

 

Just remember a CT scan delivers about 70 times the amount of radiation as a normal x-ray so great when really needed but not something you want if not really required.  As for being a "gold standard" that site seems to be alone with any reference to CT for Asthma from a quick search.  As Mayo Clinic does not mention it suspect it is not a first line test.  The NIH (gold standard for US) says:

Quote

Computed tomography (CT) scans in asthma are typically indicated to either identify associated conditions, such as, bronchopulmonary aspergillosis or detect conditions that mimic asthma, such as, hypersensitivity pneumonitis. In severe asthma, the potential role for CT is considerably wider

And mentions of x-ray/CT seem to be used to rule out rather than in.  But admit am only a user of medicine and have no medical knowledge beyond some reading of PDR many years ago and use of internet today.

[Sheryl]

13 hours ago, IvorBiggun2 said:

No and I didn't realise I need a doctors order. It does look like I'm gonna have to look at this problem in a different way. The doctor I'm seeing at the mo is a government doctor but it doesn't mean he's not knowledgeable. He's limited on his advice on what to do next so that's why I'm here. I'm now considering the Suranaree University of Technology in Korat as there's no way I'm going to Bangkok. 

Thanks both for your opinions and advice.

There is no comparing to  the expertise of the Prof at KKU I mentioned. I realized it's a 2 - 2 1/2 hour drive but it would be worth it.

 

Y

[Sheryl]

BTW from other recent thread it seems KKU  has a new hotel close by for around B 900/night (connected by shuttle bus). If you don't want to drive round trip same day.

[Neeranam]

On 9/17/2022 at 9:32 PM, IvorBiggun2 said:

Currently I'm being prescribed medication by the ton for Asthma. Asthma, or COPD, I do not believe I have. I went down the same road about 4 years ago. Different doctors different diagnosis. I need a definitive answer not have me wasting money on meds that don't work. I was led to believe a CT scan would do that.

 

I'm in a similar boat. 

I think I had breathing problems caused by Covid, but maybe triggered some asthma that I was told I had as a kid. 

 

I think you'd be better with the LFT. 

 

I don't know if I can stop the Steroid inhaler in taking, and just found a promising contact in the UK, and written to them on WhatsApp. 

 

 

[IvorBiggun2]

2 hours ago, Neeranam said:

I'm in a similar boat. 

I've never been diagnosed with Asthma even though 4 years ago I did have a CT scan. Nothing showed. When I go to a doctors with wheezing they automatically prescribe Asthma medication even though there is no proof I have the bloody condition. I/they just cannot pinpoint my cause for wheezing. 4 years ago they came up with the conclusion it was due to me suffering from H Pylori infection getting into my lungs. Sheryl, at the time, linked the idea of that as being quackery as I recall.

Anyways at the time I was given antibiotics to kill the H Pylori. It worked in my opinion and the wheezing stopped. Now my belief is I've re infected. Unfortunately it's seen as not the obvious and the doctors ignore my previous medical history and H Pylori infection. So I've gotta start from scratch all over again.

 

 

Edited September 19, 2022 by Sheryl
unattributed quote removed

[Neeranam]

3 minutes ago, IvorBiggun2 said:

I've never been diagnosed with Asthma even though 4 years ago I did have a CT scan. Nothing showed. When I go to a doctors with wheezing they automatically prescribe Asthma medication even though there is no proof I have the bloody condition. I/they just cannot pinpoint my cause for wheezing. 4 years ago they came up with the conclusion it was due to me suffering from H Pylori infection getting into my lungs. Sheryl, at the time, linked the idea of that as being quackery as I recall.

Anyways at the time I was given antibiotics to kill the H Pylori. It worked in my opinion and the wheezing stopped. Now my belief is I've re infected. Unfortunately it's seen as not the obvious and the doctors ignore my previous medical history and H Pylori infection. So I've gotta start from scratch all over again.

 

 

I'll have to Google that. 

 

My dog has had goose honk for a few months, I wonder if I've caught some similar thing ????

[Neeranam]

1 minute ago, Neeranam said:

I'll have to Google that. 

 

My dog has had goose honk for a few months, I wonder if I've caught some similar thing ????

I should have known as I worked on a bacteriology lab in my youth for 2 years. 

[lopburi3]

5 minutes ago, IvorBiggun2 said:

I've never been diagnosed with Asthma even though 4 years ago I did have a CT scan. Nothing showed. When I go to a doctors with wheezing they automatically prescribe Asthma medication even though there is no proof I have the bloody condition. I/they just cannot pinpoint my cause for wheezing. 4 years ago they came up with the conclusion it was due to me suffering from H Pylori infection getting into my lungs. Sheryl, at the time, linked the idea of that as being quackery as I recall.

Anyways at the time I was given antibiotics to kill the H Pylori. It worked in my opinion and the wheezing stopped. Now my belief is I've re infected. Unfortunately it's seen as not the obvious and the doctors ignore my previous medical history and H Pylori infection. So I've gotta start from scratch all over again.

 

 

So would expect a test for H Pylori might be your priority - there seem to be several types available from stool to breath with this easy if offered here:  Am sure most doctors would be willing to test - even if they do not believe it is what you have.

https://my.clevelandclinic.org/health/diagnostics/5217-h-pylori-helicobacter-pylori-breath-test--urea-breath-test

 

 

[IvorBiggun2]

13 minutes ago, lopburi3 said:

there seem to be several types available

Back four years ago the doctor that diagnosed me with H Pylori infection was a Gastroenterologist. All pulmonary specialists I saw prior didn't help until the last one who recommended I have a camera stuffed down my throat and see what was there. Nothing serious was found other than a high reading for H Pylori. I did have a stool sample taken and it showed positive. I was given a course of AB's and the wheezing stopped only to return a few weeks back. Unfortunately even though I've told them my past history they just won't prescribe the H Pylori AB's. I'm going around in circles. 

The last doctor I saw I asked him for the H Pylori AB's but he declined saying they didn't stock them due to insufficient need and carried on treating me for Asthma.

[Sheryl]

28 minutes ago, IvorBiggun2 said:

Back four years ago the doctor that diagnosed me with H Pylori infection was a Gastroenterologist. All pulmonary specialists I saw prior didn't help until the last one who recommended I have a camera stuffed down my throat and see what was there. Nothing serious was found other than a high reading for H Pylori. I did have a stool sample taken and it showed positive. I was given a course of AB's and the wheezing stopped only to return a few weeks back. Unfortunately even though I've told them my past history they just won't prescribe the H Pylori AB's. I'm going around in circles. 

The last doctor I saw I asked him for the H Pylori AB's but he declined saying they didn't stock them due to insufficient need and carried on treating me for Asthma.

 

You can buy h. pylori meds over the counter. Does not require a prescription.

 

Are you sure you have actual wheezing (audible through stethoscope?) 

[Sheryl]

1 hour ago, IvorBiggun2 said:

I've never been diagnosed with Asthma even though 4 years ago I did have a CT scan. Nothing showed. When I go to a doctors with wheezing they automatically prescribe Asthma medication even though there is no proof I have the bloody condition. I/they just cannot pinpoint my cause for wheezing. 4 years ago they came up with the conclusion it was due to me suffering from H Pylori infection getting into my lungs. Sheryl, at the time, linked the idea of that as being quackery as I recall.

Anyways at the time I was given antibiotics to kill the H Pylori. It worked in my opinion and the wheezing stopped. Now my belief is I've re infected. Unfortunately it's seen as not the obvious and the doctors ignore my previous medical history and H Pylori infection. So I've gotta start from scratch all over again.

 

 

 

1 hour ago, IvorBiggun2 said:

I've never been diagnosed with Asthma even though 4 years ago I did have a CT scan. Nothing showed. When I go to a doctors with wheezing they automatically prescribe Asthma medication even though there is no proof I have the bloody condition. I/they just cannot pinpoint my cause for wheezing. 4 years ago they came up with the conclusion it was due to me suffering from H Pylori infection getting into my lungs. Sheryl, at the time, linked the idea of that as being quackery as I recall.

Anyways at the time I was given antibiotics to kill the H Pylori. It worked in my opinion and the wheezing stopped. Now my belief is I've re infected. Unfortunately it's seen as not the obvious and the doctors ignore my previous medical history and H Pylori infection. So I've gotta start from scratch all over again.

 

 

I had to remove ther quote you put as it was without attribution.

 

All the studies I have seen fail to show a relationshiop between h. pylori and asthma

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461765/

[IvorBiggun2]

1 hour ago, Sheryl said:

All the studies I have seen fail to show a relationshiop between h. pylori and asthma

I'm not saying there is a relationship between H Pylori and Asthma. All I'm saying is I believe I have a H Pylori infection that gives me the wheezing problems. It's the doctors who believe my condition/wheezing is caused by Asthma. I have to go through a process of elimination to sort my problem. 

Rather than go down the CT scan route I may as well start again where they finished off 4 years ago and take a stool test, to confirm H Pylori, and take a course of AB's to see if that does the trick again.

By the way other than the wheezing, and a slight cough, I am physically fit and healthy but the docs keep shoving Asthma meds down my throat.

Edited September 19, 2022 by IvorBiggun2

[IvorBiggun2]

2 hours ago, Sheryl said:

Are you sure you have actual wheezing (audible through stethoscope?) 

Sorry I forgot to quote the above question.

I'm a million percent sure. You don't even need a stethoscope at times it's that loud. Plus I just spent 4 full days in a government hospital with them trying to stop the wheezing. 4 days in bed did nothing.

[IvorBiggun2]

Thanks to all who replied. I've decided to go down the route that I believe first sorted my problem 4 years ago. Failing that working I'll go for a CT scan once again.

I'm gonna take Amoxicillin and Clarithromycin, backed up by Omeprazole, for 2 weeks. Cost about 400 Baht over the counter for the 2 antibiotics. I already have the PPI's.  

Edited September 21, 2022 by IvorBiggun2