toast1 Posted April 9, 2023 Share Posted April 9, 2023 We've used the Udon Thani, government cancer hospital, which was excellent. Cheap and easy to get an appointment. And also the government hospital in Nong Khai, which has an oncologist. Couldn't find any Government cancer hospitals in BKK or nearby, do they exist? How easy is it to be treated in a government hospital in BKK or around Pattaya? We'll be looking for a government hospital around these areas that has an oncologist available. As easy as in Issan? Thank you Link to comment Share on other sites More sharing options...
Sheryl Posted April 9, 2023 Share Posted April 9, 2023 There is a government cancer hospital in Chonburi. In Bangkok, all the major (tertiary) government hospitals treat cancer and have oncologists. Some have specialty centers for treatment of specific cancers. I could advise more specifically if I knew what type and stage of cancer. Compared to upcountry the hospitals in Bangkok are more crowded abd likely to have longer wait lists. But on plus side have more experienced doctors and are better equipped (hence the larger number of patients coming). Some also have dual pricing for foreigners. 1 Link to comment Share on other sites More sharing options...
toast1 Posted April 9, 2023 Author Share Posted April 9, 2023 (edited) Thanks Stage 4 cancer. In Issan, no double charging. Edited April 9, 2023 by toast1 1 Link to comment Share on other sites More sharing options...
Sheryl Posted April 9, 2023 Share Posted April 9, 2023 Stage 4 cancer of what? Link to comment Share on other sites More sharing options...
digbeth Posted April 9, 2023 Share Posted April 9, 2023 There are about 11 government hospitals in Bangkok that has oncology that accepts referrals For Thais, they'd first get referrals from their local hospitals, but there is a scheme where they can take the referral and go to any hospital of their choosing in this list, The local hospital might do the diagnosis and surgery first and only transfer to the hospital in this list for Chemo/Hormone Therapy The 11 hospitals in Bangkok are Siriraj, Chula, Ramathibodi, Rajvidhi, National Cancer Institute, Bhumibol Adulyadej Hospital, Monkujklao Hospital, Vajira Payabal, Chullbhorn, Bangkok Cancer Center and Wattana Bhosot Link to comment Share on other sites More sharing options...
toast1 Posted April 10, 2023 Author Share Posted April 10, 2023 (edited) Thanks for the info Most useful its Mesothelioma. I know what chemo I need, what medication has been recommended, so was hoping to be able to ask a govt hospital to administer the chemo as per the instructions of my oncologist back home. Thanks Edited April 10, 2023 by toast1 Link to comment Share on other sites More sharing options...
Sheryl Posted April 10, 2023 Share Posted April 10, 2023 35 minutes ago, toast1 said: Thanks for the info Most useful its Mesothelioma. I know what chemo I need, what medication has been recommended, so was hoping to be able to ask a govt hospital to administer the chemo as per the instructions of my oncologist back home. Thanks For that, I would suggest Chulalongkorn Hospital's Cancer Center https://chulalongkornhospital.go.th/kcmh/en/ec/ศูนย์ความเป็นเลิศทางก-17/ Mesothelioma is quite rare in Thailand. Your knowing what chemo you need and getting an oncologist at a hospital to order it are not exactly the same thing. From my experience, in a situation like this you stand the best chance of at Chula and the worst chance at Chonburi (would probably get it eventually there but likely a lot of runaround at first.) 1 1 Link to comment Share on other sites More sharing options...
crouchpeter Posted April 11, 2023 Share Posted April 11, 2023 Usually, with mesothelioma, your lifespan is 18 months to 2 years. No cure, of course, but RNS Hospital in Sydney, ran a trial, and some patients were lasting an extra couple of years. Don't remember the drug, but might have been KERTRUDA. (sic). 1 Link to comment Share on other sites More sharing options...
toast1 Posted April 13, 2023 Author Share Posted April 13, 2023 On 4/10/2023 at 7:00 PM, Sheryl said: For that, I would suggest Chulalongkorn Hospital's Cancer Center https://chulalongkornhospital.go.th/kcmh/en/ec/ศูนย์ความเป็นเลิศทางก-17/ Mesothelioma is quite rare in Thailand. Your knowing what chemo you need and getting an oncologist at a hospital to order it are not exactly the same thing. From my experience, in a situation like this you stand the best chance of at Chula and the worst chance at Chonburi (would probably get it eventually there but likely a lot of runaround at first.) Sheryl shall I take it that you've been to these hospitals and this comes from your experience? I know what medication I need (Gemcitabine and Ramucirumab), so its not a complicated case. Did you have a bad experience of delay or poor service at Chonburi? Thanks Link to comment Share on other sites More sharing options...
Popular Post Sheryl Posted April 13, 2023 Popular Post Share Posted April 13, 2023 5 hours ago, toast1 said: Sheryl shall I take it that you've been to these hospitals and this comes from your experience? I know what medication I need (Gemcitabine and Ramucirumab), so its not a complicated case. Did you have a bad experience of delay or poor service at Chonburi? Thanks Again, you knowing what medication you need does not mean a doctor at a hospital will immediately prescribe it to you. Chonburi is a rural regional hospital, staffed mainly by interns and residents. It is large, crowded, busy, very bureaucratic and totally unused to a patient showing up with diagnosis from somewhere other than their own network of government hospitals. You risk being made to go through the whole diagnostic process all over, or at least a lot of delay. Chula is also crowded and busy but as a tertiary university hospital gets a lot of patients from elsewhere and it will not be such an anomaly for them. Just my advice, based on decades of referring people to Thai hospitals and their feedback. 3 1 Link to comment Share on other sites More sharing options...
PPMMUU Posted April 14, 2023 Share Posted April 14, 2023 In Bangkok, there is a dedicated government hospital for cancer patients known as the National Cancer Institute. It is conveniently situated adjacent to Ramathibodi Hospital and in close proximity to Victory Monument. Besides this facility, there are several other excellent options for government hospitals that specialize in cancer treatment in Bangkok, including renowned university teaching hospitals such as Chulalongkorn, Ramathibodi, Siriraj, Vajira, and more, as recommended by many others. Link to comment Share on other sites More sharing options...
toast1 Posted April 21, 2023 Author Share Posted April 21, 2023 (edited) Thanks for the information. I went to Chulabhom Cancer Hospital, they were very good, but said that it would take a few weeks to get the medication I needed. Is there a private hospital you have a good experience with for cancer? I've heard stories of people being over-charged at these hospitals, and thought a government hospital might be better. Is treatment at government hospitals lesser quality? Thanks Edited April 21, 2023 by toast1 Link to comment Share on other sites More sharing options...
itsari Posted April 21, 2023 Share Posted April 21, 2023 20 minutes ago, toast1 said: Thanks for the information. I went to Chulabhom Cancer Hospital, they were very good, but said that it would take a few weeks to get the medication I needed. Is there a private hospital you have a good experience with for cancer? I've heard stories of people being over-charged at these hospitals, and thought a government hospital might be better. Is treatment at government hospitals lesser quality? Thanks Most specialist in private hospitals work for the government hospitals full time . Enough said Link to comment Share on other sites More sharing options...
Sheryl Posted April 21, 2023 Share Posted April 21, 2023 Quality is not the problem in (tertiary) government hospitals. But things move slowly in them and long waits and a lot of red tape is the norm. There is a 4-5 fold cost difference between government hospitals and private hospitals. As the type of cancer you have is very rare in Thailand you would do better to go to the Chulalongkorn Cancer Center as they are more likely to have the drugs on hand. 1 Link to comment Share on other sites More sharing options...
Don Chance Posted April 21, 2023 Share Posted April 21, 2023 'According to the study, Thailand has used an estimated 60,000 to 180,000 metric tons of asbestos annually through the past 30 years. " I would think this type of cancer is quite common. Perhaps misdiagnosed. Link to comment Share on other sites More sharing options...
Don Chance Posted April 21, 2023 Share Posted April 21, 2023 "Almost 50% of the general population in Thailand will die with at least traces of asbestos in their lungs, based on one recent study. Asbestos fibers were discovered in the lungs of 48.5% of those who were part of a one-year, post-mortem analysis done by the Department of Pathology at Ramathibodi Hospital, Mahidol University in Bangkok. The toxic mineral was found during 97 of the 200 autopsies that were performed at the hospital without regard to occupation, age, sex or cause of death." I am guessing the OP is Australian, worked with asbestos in the past, might have smoked, in his 70's. Link to comment Share on other sites More sharing options...
norbra Posted April 21, 2023 Share Posted April 21, 2023 1 hour ago, Don Chance said: "Almost 50% of the general population in Thailand will die with at least traces of asbestos in their lungs, based on one recent study. Asbestos fibers were discovered in the lungs of 48.5% of those who were part of a one-year, post-mortem analysis done by the Department of Pathology at Ramathibodi Hospital, Mahidol University in Bangkok. The toxic mineral was found during 97 of the 200 autopsies that were performed at the hospital without regard to occupation, age, sex or cause of death." I am guessing the OP is Australian, worked with asbestos in the past, might have smoked, in his 70's As a teenaged smoker, in the mid 1950's I frequently worked in Australian brown coal fired power stations where all high pressure vessels and ducting were encased in asbestos and coal dust everywhere.. I hand crafted asbestos moulds to facilitate the renewal of white metal bearings in rotating, load bearing motor and generator shafts. I also installed woven asbestos cushions to fire doors in many commercial buildings. Thankfully I have dodged this dreadful disease. 1 Link to comment Share on other sites More sharing options...
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