Long term concussion or worse

[2008bangkok]

I had an accident a couple of months ago where I slipped and fell off an 8ft gate into my head.

I cut it up but also immediately got pain in my head which I thought would be OK in a few days.

Move forward 1 month the and the pain was still there so I went and saw a Neurologist and had a CT scan which they said was no bleeding and no brain fracture and just perhaps the brain just moved a bit and had trauma and it will sort itself out.

 

Roll on 2 months and the pain is still there constant all day all night, so I am wondering if it will go away on its own or to have an MRI scan.

What makes it more frightening is that if I drink alcohol (which I have stopped now) the pain is so intense for 3 days or so it makes me think something more sinister is going on which the CT scan hasn't picked up.

Am I right to worry or should it take this long for the pain to disappear.

TIA

[flyingtlger]

Get an MRI for peace of mind (no pun intended)....

[bbko]

A couple of years back I had a motorbike accident and besides the scraped knee I had a concussion, with the main symptom being occasional dizziness when I moved my head and it gradually went away after 2 months.

You can google "Persistent post-concussion syndrome" to help understand what you're going through.

[Don Chance]

Quote

Fortunately, most headaches following head injury gradually taper off within the first three to six months. Even those unfortunate individuals who experience symptoms much longer can be helped.

https://www.brainline.org/article/headaches-after-head-injuries-post-traumatic-headaches

[Gaccha]

Don't drink for at least one year. 

 

"If you have had a brain injury, there is no amount of alcohol that is safe for you to consume. In fact, you should avoid alcohol completely, especially during the early recovery stage when your brain is healing.

 

Besides the risk of worsening the effects of a traumatic brain injury, if you have experienced an injury to your brain, alcohol should be avoided for the following reasons:

 

•    As a toxic and foreign substance in your body, alcohol can interfere with your brain’s natural healing process. This can be detrimental to a full recovery.

•    Your brain won’t be able to absorb alcohol as well as it used to, causing the effects of alcohol to be stronger than they were before."

 

[Source]

[Pink Mist]

A post with only written laughing has been removed.

[FritsSikkink]

2 hours ago, BritManToo said:

Most posters on this forum know better than many Thai doctors.

So far Thai doctors have insisted on 3 unnecessary operations for my family.

Gall bladder removal, appendix removal, prostate reduction.

We got better each time without any cutting.

 

If you like Thai doctors, you use them.

 

As to the OP, best to return to your home country for an opinion.

Never happens in the West? Or does it: 

 

[Sheryl]

As the headaches have persisted several months (and, apparently, not lessened in intensity) you should definitely see a neurologist again.

 

Where are you located, and what neurologist did you see previously? 

 

Depending on answer I might suggest you go elsewhere but if so need to bring prior CT film (on CD) with you for comparison.

[2008bangkok]

9 hours ago, Sheryl said:

As the headaches have persisted several months (and, apparently, not lessened in intensity) you should definitely see a neurologist again.

 

Where are you located, and what neurologist did you see previously? 

 

Depending on answer I might suggest you go elsewhere but if so need to bring prior CT film (on CD) with you for comparison.

I saw the Nerologist at.Bangkok Pattaya, I didn't catch his name.

 

The weird thing is that after the CT scan where he tells you the results he asked do I want it on CD, I said yes.

When it came to paying as the nurses hold ya hand to payment counter, they didn't give me the CD nor did they even give me the little piece of paper with a write up of the results, when I asked they just said "No don't have that" and me being stupid as the doc basically said it will heal itself, I didn't question it.

I should have done really.

 

Im very disappointed with that hospital after a couple of issues like that example for one, and a misdiagnosis on a previous matter which meant the insurance company wouldn't pay based on my DVT being a pre existing condition when IV never had it before in my life.

They linked thread veins in my ankle (which IV had all my life) to DVT, so they were able to get out of paying.

[onthedarkside]

An unhelpful troll poster has been reported & removed along with replies.

[Sheryl]

15 minutes ago, 2008bangkok said:

I saw the Nerologist at.Bangkok Pattaya, I didn't catch his name.

 

The weird thing is that after the CT scan where he tells you the results he asked do I want it on CD, I said yes.

When it came to paying as the nurses hold ya hand to payment counter, they didn't give me the CD nor did they even give me the little piece of paper with a write up of the results, when I asked they just said "No don't have that" and me being stupid as the doc basically said it will heal itself, I didn't question it.

I should have done really.

 

 

Should still be easily able to get it. Just bring your passport and hospital number to the medical records dept (they might provide it there or might tell you to go to imaging dept, varies with the hospital but start at Medical Records). No need to consult doctor to get records.  It is usually free but they might charge a small fee to burn the CD.

 

Sometimes slow bleeds occur after a head in jury and the leakage can be so slow that nothing is evident on scan in the first few weeks or even month. Hopefully not the case with you but needs to be checked with a repeat scan  comparing it to the first.

 

If you can get to Bangkok I suggest

 

https://www.bumrungrad.com/en/doctors/Kraisri-Chantra

https://www.bumrungrad.com/en/doctors/Methee-Wongsirisuwan

 

 

 

 

 

[2008bangkok]

1 hour ago, Sheryl said:

Should still be easily able to get it. Just bring your passport and hospital number to the medical records dept (they might provide it there or might tell you to go to imaging dept, varies with the hospital but start at Medical Records). No need to consult doctor to get records.  It is usually free but they might charge a small fee to burn the CD.

 

Sometimes slow bleeds occur after a head in jury and the leakage can be so slow that nothing is evident on scan in the first few weeks or even month. Hopefully not the case with you but needs to be checked with a repeat scan  comparing it to the first.

 

If you can get to Bangkok I suggest

 

https://www.bumrungrad.com/en/doctors/Kraisri-Chantra

https://www.bumrungrad.com/en/doctors/Methee-Wongsirisuwan

 

 

 

 

 

Thanks, I will take a look at those Doctors 

[thailand49]

On 7/20/2023 at 1:27 PM, FritsSikkink said:

Never happens in the West? Or does it: 

 

This is true but there are much more people in the US, more access to medical treatment and people have greater numbers of Doctor to gain different opinion. 

I go home have access to a half dozen medical buildings fill with doctors of all different types of specialties. 

You don't have that here especially in Pattaya.  Just from my experience I have a number of family, friends, as noted from the post you quoted recommended test, surgery, when it was necessary these procedure are so common tough to make a mistake why the recommend them to meet their daily quota.  Got a fever bit high you should be admitted for better care of course ICU. 

Thai in general don't have that luxury to get a second opinion majority wait hours to get a bag of pills or have you not been reading articles here. 

[FritsSikkink]

13 minutes ago, thailand49 said:

This is true but there are much more people in the US, more access to medical treatment and people have greater numbers of Doctor to gain different opinion. 

I go home have access to a half dozen medical buildings fill with doctors of all different types of specialties. 

You don't have that here especially in Pattaya.  Just from my experience I have a number of family, friends, as noted from the post you quoted recommended test, surgery, when it was necessary these procedure are so common tough to make a mistake why the recommend them to meet their daily quota.  Got a fever bit high you should be admitted for better care of course ICU. 

Thai in general don't have that luxury to get a second opinion majority wait hours to get a bag of pills or have you not been reading articles here. 

More access in the USA? It is free for Thais here.

In Bangkok are way more than half a dozen of hospitals.

[kingstonkid]

On 7/20/2023 at 10:03 AM, 2008bangkok said:

I had an accident a couple of months ago where I slipped and fell off an 8ft gate into my head.

I cut it up but also immediately got pain in my head which I thought would be OK in a few days.

Move forward 1 month the and the pain was still there so I went and saw a Neurologist and had a CT scan which they said was no bleeding and no brain fracture and just perhaps the brain just moved a bit and had trauma and it will sort itself out.

 

Roll on 2 months and the pain is still there constant all day all night, so I am wondering if it will go away on its own or to have an MRI scan.

What makes it more frightening is that if I drink alcohol (which I have stopped now) the pain is so intense for 3 days or so it makes me think something more sinister is going on which the CT scan hasn't picked up.

Am I right to worry or should it take this long for the pain to disappear.

TIA

Have you had. Concussion before. The more the longer to heal.

You say you saw Dr government or known hospital. There is a knowledge difference between a Dr at government hospital x and bnh for example

[scorecard]

1 hour ago, thailand49 said:

This is true but there are much more people in the US, more access to medical treatment and people have greater numbers of Doctor to gain different opinion. 

I go home have access to a half dozen medical buildings fill with doctors of all different types of specialties. 

You don't have that here especially in Pattaya.  Just from my experience I have a number of family, friends, as noted from the post you quoted recommended test, surgery, when it was necessary these procedure are so common tough to make a mistake why the recommend them to meet their daily quota.  Got a fever bit high you should be admitted for better care of course ICU. 

Thai in general don't have that luxury to get a second opinion majority wait hours to get a bag of pills or have you not been reading articles here. 

Many US Americans also don't have access to sophisticated scans, assessments, facilities, monitoring etc., because the costs are totally prohibitive. 

[thailand49]

2 hours ago, FritsSikkink said:

More access in the USA? It is free for Thais here.

In Bangkok are way more than half a dozen of hospitals.

Yes more access you born yesterday. Free yes and that is your answer maybe you missed last month report sbout their hospital I can see why it is free wait a few hours to see a free overwork doctor to have them tell you wait another hour for your bag of pill.  There is 72 million there are 50th states in the US. I think Calif has closed to that population. You bring price into the equation it is relative but California have more hospital than six with Thailand current election joke democracy try getting access to the number that have die or miss  diagnosed or even get a baht of tort if the do. 

Is US perfect without their own problem NO but don't try to compare. 

[thailand49]

59 minutes ago, scorecard said:

Many US Americans also don't have access to sophisticated scans, assessments, facilities, monitoring etc., because the costs are totally prohibitive. 

As I noted is the US perfect NO without it's problem but trying to compare the numbers to put a black on the US compare Thailand system is silly if not ignorant. 

Thai great Democracy being discussed now try finding data on how many have die just trying to get their free medical there is a big difference between their system, training, if a Thai had cancer and had the ability to fly to the US,  get free treatment or treatment here.  We all know what the choice would be. 

Sorry for me poor comparison.

My comment originally is someone trying to use data regarding death?  I commented the country is much larger more access to treatment and a process and openness to data that doesn't exist here. 

You comment is outside of the realm of what is being discussed. 

Edited July 21, 2023 by thailand49

[2008bangkok]

2 hours ago, kingstonkid said:

Have you had. Concussion before. The more the longer to heal.

You say you saw Dr government or known hospital. There is a knowledge difference between a Dr at government hospital x and bnh for example

I have never had any type of concussion before so it's weird but I am older since I last fell off something high lol.

I went to Bangkok Pattaya, best private in Pattaya 

[2008bangkok]

2 hours ago, FritsSikkink said:

More access in the USA? It is free for Thais here.

In Bangkok are way more than half a dozen of hospitals.

It isn't free for Thais here at all, don't know where you get that from, there was a 30 baht scheme for the village people in the taksin days, not sure if that's been grandfathered but after 2 kids in government hospitals, multiple times for them in hospital it certainly isn't free for Thais, unless you pay tax then the tax payer can nominate 1 hospital for free healthcare but only 1

Edited July 21, 2023 by 2008bangkok

[thailand49]

1 hour ago, 2008bangkok said:

It isn't free for Thais here at all, don't know where you get that from, there was a 30 baht scheme for the village people in the taksin days, not sure if that's been grandfathered but after 2 kids in government hospitals, multiple times for them in hospital it certainly isn't free for Thais, unless you pay tax then the tax payer can nominate 1 hospital for free healthcare but only 1

Correct some of the stuff you hear is nonsense as if they had a few beers and believe everything they hear. Many if you aren't register resident can't use the system in Pattaya for example if you are from another village. This was one of the biggest criticism during Covid, in Bangkok sending infected patients back to their village on buses and trains.

[swm59nj]

You should most definitely see a neurologist again.  I suggest a different one than who you saw originally.  Especially a doctor that Sheryl recommends.  She primarily bases it on experience and medical training according to the specific issue. 
As a side note.  There are very good doctors in Thailand.  I have had some medical issues come up during my three year stay in Bangkok.  And was treated for existing medical issues.  I also had my yearly physicals.  The majority of the doctors I saw were excellent.  Some even better than the ones I saw in the USA.  Of course I saw a  few that I wasn’t happy with.  And changed.  But that is everywhere. My experiences were based at private hospitals.  Samitivej and Bumrungrad. 

 

[Sheryl]

2 hours ago, 2008bangkok said:

It isn't free for Thais here at all, don't know where you get that from, there was a 30 baht scheme for the village people in the taksin days, not sure if that's been grandfathered but after 2 kids in government hospitals, multiple times for them in hospital it certainly isn't free for Thais, unless you pay tax then the tax payer can nominate 1 hospital for free healthcare but only 1

Thais most definitely DO have access to free health care.

 

The "30 baht" scheme is still very much in place and nationwide. Covers every Thai citizen  not covered under one of the 2 Social Security schemes (that would be what you referred to about paying tax).

 

There are however restrictions on which facilities can be used, just as there is one nominated hospital under the SS scheme, under the "30 baht" (AKA "universal" or "go0ld card") schemes a specific hospital must be used based on where the citizen is registered in a tabian ban.

 

And certain "extras" like a private room, or an elective (not medically indicated) C-section, would have to be paid for out of pocket.

[scorecard]

3 hours ago, 2008bangkok said:

I have never had any type of concussion before so it's weird but I am older since I last fell off something high lol.

I went to Bangkok Pattaya, best private in Pattaya 

If you're a billionaire and have no concern about obviously being ripped off on a massive scale.

Edited July 21, 2023 by scorecard

[2008bangkok]

1 hour ago, Sheryl said:

Thais most definitely DO have access to free health care.

 

The "30 baht" scheme is still very much in place and nationwide. Covers every Thai citizen  not covered under one of the 2 Social Security schemes (that would be what you referred to about paying tax).

 

There are however restrictions on which facilities can be used, just as there is one nominated hospital under the SS scheme, under the "30 baht" (AKA "universal" or "go0ld card") schemes a specific hospital must be used based on where the citizen is registered in a tabian ban.

 

And certain "extras" like a private room, or an elective (not medically indicated) C-section, would have to be paid for out of pocket.

Sorry Cheryl as your helpful, your wrong on this one

[natway09]

If you believe it has not repaired itself I would go & have an MRI just to be sure.

They are not a prohibitive price here at private hospitals

Did you at any time bleed from the ear ?. If so my suggestion above is imperative

[2008bangkok]

1 hour ago, Sheryl said:

I know for an absolute fact that I am correct. As countless people on this board can attest. You may have had to pay for your family but if so there was a special reason e.g. not their designated hospital under the "30 baht" scheme. 

Like I said your wrong on this one, why does my ex wife still continue to pay direct to the social fund after being made redundant , purely based on the fact free healthcare in her nominated hospital, kids dont have that luxury so we pay for any treatment.

I know for absolute fact also as IV paid many times so who wins this one?

 

[Sheryl]

19 minutes ago, 2008bangkok said:

Like I said your wrong on this one, why does my ex wife still continue to pay direct to the social fund after being made redundant , purely based on the fact free healthcare in her nominated hospital, kids dont have that luxury so we pay for any treatment.

I know for absolute fact also as IV paid many times so who wins this one?

 

I don't doubt you have been paying. I am trying to explain to you why this may be and how you can correct it.

 

Where do you live relative to where the children are listed in a tabian ban (house registration book)?

[2008bangkok]

3 hours ago, Sheryl said:

I don't doubt you have been paying. I am trying to explain to you why this may be and how you can correct it.

 

Where do you live relative to where the children are listed in a tabian ban (house registration book)?

About 1 mile, and they are not registered as they cannot be.

Infact the main hospital where I'm staying at the moment Bang Lamung hospital don't even accept SS or 30 baht villagers so you have to register well outside the area to a hospital that will accept you.

As a breakdown here is how it is, for the village people they introduced a 30 baht scheme to provide health care for the poor, this was one of Thaksins election policies and he made good on it.

The SS/tax payees can nominate 1 hospital for free healthcare which if that hospital doesn't have the equipment the person needs then they can use a different hospital also for free for the purpose of that procedure only.

 

But to suggest all Thai citizens have free healthcare is incorrect.

[Furioso]

You fell off an 8 foot fence onto your head? You're lucky to be alive. That's at least a severe concussion, I'm not surprised you still have headaches.

 

And you drank alcohol afterwards? What is it with people that come to Thailand, just obsessed with drinking all the time, even after a severe accident? 

 

You need to take care of yourself. Jesus.