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Posted

Brian,

I am familiar with your thread in the Chiang Rai forum but posters in the health section may not so it may be helpful if you post your location & your friends specific medical issues & requirements. If your friend is prepared to be moved from ChiangRai etc.

Regards

Boo

Posted
Brian,

I am familiar with your thread in the Chiang Rai forum but posters in the health section may not so it may be helpful if you post your location & your friends specific medical issues & requirements. If your friend is prepared to be moved from ChiangRai etc.

Regards

Boo

Hi!

Yes, you are right!

My freind is in Chiang Rai puplic hospital,and have COPD and lounge cancer in 3.stadium-so there is not much hope for him.

Thr hospital will give him kemo tomorrow,and then he have to leave the hospital-we-my woman and I,cant take the responcebillity for having him,at our home-and he have no other place to go.

There for,I ask for a hospice-if there is something like that in Thailand.?

He have to move from Chiang Rai-I know,but we dont have any choice.

He will need:

a place to stay,until he die-and the docs quess about that, is around-3-6 month,maby before depend of how he take the kemo threatment-he is very week.

He will need:some one to take care-give medicin,cleaning,and offcourse food,help to get his oxygen-and a kind word, once in a while.

If eny one have an idea,for this-we will be very happy to here about it.

We have also talked about a privat home-if eny one may be interested-there will offcourse, bee a payment for this service and kindness.!

You are welcome to send me a message,if interested in this.

Brian

Posted
Brian,

I am familiar with your thread in the Chiang Rai forum but posters in the health section may not so it may be helpful if you post your location & your friends specific medical issues & requirements. If your friend is prepared to be moved from ChiangRai etc.

Regards

Boo

Hi!

Yes, you are right!

My freind is in Chiang Rai puplic hospital,and have COPD and lounge cancer in 3.stadium-so there is not much hope for him.

Thr hospital will give him kemo tomorrow,and then he have to leave the hospital-we-my woman and I,cant take the responcebillity for having him,at our home-and he have no other place to go.

There for,I ask for a hospice-if there is something like that in Thailand.?

He have to move from Chiang Rai-I know,but we dont have any choice.

He will need:

a place to stay,until he die-and the docs quess about that, is around-3-6 month,maby before depend of how he take the kemo threatment-he is very week.

He will need:some one to take care-give medicin,cleaning,and offcourse food,help to get his oxygen-and a kind word, once in a while.

If eny one have an idea,for this-we will be very happy to here about it.

We have also talked about a privat home-if eny one may be interested-there will offcourse, bee a payment for this service and kindness.!

You are welcome to send me a message,if interested in this.

Brian

you should contact his family back home. or find his passport and phone the embassy for emergency medical help or ask the embassy to find his family back home for you.

The money is an issue about your friend's situation. Everything needs money even medical treatment, place to stay, etc.

Posted

Hi!

I have contactet the Embasy but they dont care,becourse he have no insurrance,and hi s family have I contactet,but no respons.

I write to the Embasy,for 5 min. ago,and ask them for help,once more-and tell them,that if I had to-I am forced to put him on a corner,and then call the police-then it will be the Embasy s problem, enyway-so lets see if they dont come up,whit something,when they meet here this morning-I hope so.

Brian

Posted

the embassy should do something for its citizien..you also need to ask your friend that he wants go back home or stay in thailand.

He know his condition.

If no family can do, no embassy can do I may suggest you to ask Red Cross or Tzu Chi Fundation for help.

Here is one that you may ask them for help..but i am not sure how much they can help. They speak Chinese/Thai/English (maybe)

Tzu Chi Fundation

47/16~17 MOO 4 DAMBOON WIANG AMPHUR FANG CHIANGMAI 50110, Thailand

+6653-38-2026

http://tw.tzuchi.org/en/

You can see them around the world's disaster or hleping the community around the world. so try to ask them

Posted

I just did a google search & came up with this document that mentions the Mahavachiralongkorn Cancer Center. It might be worth calling them for advice.

http://www.wpi.edu/Pubs/E-project/Availabl...Deliverable.pdf

There is also on buddhanet mention of 2 AIDS/HIV hospices in Chiang Mai, I know he has cancer but they may be able to assist or at least advise.

http://www.friendsforlife.org/

• Baan Peuan Cheewit (Thailand)

Baan Peuan Cheewit

183 Moo 4, behind Wat Mai Huay Sai,

Suthep sub-district, Muang, Chiang Mai

Telephone: 053-283-272 or 01-952-5944

The Thai Buddhist monk, Phra Phongthep Dhammagaruko, established a temple hospice for people with AIDS in the Northern Thai city of Chiang Mai. Called Baan Peuan Cheewit [Friends of Life House], it assists people with AIDS who are abandoned by their families and trains families to care for people with HIV/AIDS.

Posted

Unfortunately hospice care has not come to Thailand. Neither the facilities nor the kind of hospice home care available in the West are known here.

Even when there is a home the person can stay in and caretakers there, it gets very difficult for pain control once the person is unable to take medication by mouth, as the machine-controlled morphine drips used in the west are not available here.

The closest thing are a few temple-based places. While I imagine the would take him in, it would be an all Thai-speaking envitronment and with little or no access to the pain killing drugs he will need.

It would be best to repatriate him to his own country so that he can be admitted to a proper hospice which will provide him adequate pain relief. I suggest you contact the Embassy again and specifically ask for their help in repatriating him, and that you also contact whatever family or friends he has back home.

In the interim, you could just hire in soem caretakers and return him to wherever he was staying before he entered the hospital. They don't need to be trained, jsut people to stay with him, help him bath and eat etc. . But as mentioned, once he is unable to take pain killers by mouth there will be little recourse except to readmit him to a hospital...where they may then carry out unnecessary measures which just prolong his suffering. There are signs of change but Thailand is still nmore than 50 years behind the West on this matter. And there will also be the problem fo paying for the hospitlization.

As he will only get weaker I urge you to work on getting him repatriated as soon as possible.

Posted

Hi!

Thanks,for your reply to this.!

Things have change again now-when we go to the hospital,I had talked whit this place,in Chiang Mai-a very butyfull place,whit good large rooms,aircon and tv,and so-and they are willing to take care for him...and have the staff,to do so.

But when we arrived at the hospital and told them about our plans-they change again-now it wood cost 15.000 baht,pr. time for kemo,and he dont have to leave the hospital.

They told us,that if he started whit kemo,here in Chiang Rai,he wood not be aple, to continue the threatment in Chiang Mai-I dont know why.?

About the payment-they agree,that we pay 10.000 baht now,and 40.000 baht, every month d.1.-he is 59.000 baht behind now.

We can get him to Chiang Mai and so,but then he have only mony, to pay for the dayly needs and medicin-not for the kemo threatments,and then what-and they told us,that now he have started kemo here,he will be unaple to continue that in Chiang Mai-so we have to keep him here in town,

So,guys,thats what have happend so fare-I will let you know,how thinks are going in the future.

Thanks for your understanding,help and kindness.!

Brian

Posted

Brian,

Chemo is of limited benefit in your friend's situation (Stage III cancer of lung with underlying COPD). It will not change the outcome and may only add a few months time, which depending on how you look at it equals prolonging his life by a few months or prolonging the process of dying by a few months. At a cost, not only in money but also in unpleasant side effects.

Your friend should ask the doctors specifically how much additional time, on average, the recommended chemo course provides and seriously consider whether or not it is worth it. If it were me I would seriously consider refusing chemo and using what resources I had to ensure adequate, comfortable care for my remaining time.

It is good you found a place in Chiang Mai, can you share with us the name and details as this problem comes up often? And, have you verified that this facility can provide pain medication including by IV? Because the time will come when that is needed.

Posted

Hi Sheryl!

Yes,you are right,I think-but I have not think about it,that way before....so I have to take that talk whit my freind,and let him decide-after all,it is his life.

The place in Chiang Mai is named..Dok [email protected] is, in a magasine named City-life, from Chiang Mai.

I talked whit the head nurce from this place,and she told me,they wood be aple to handle, Carstens situation-they have the staff and so,to do.

But she said in her latest mail,that she yhink,it wood be best,if he get the chemo first,and then came,when he has finish that.

The latest news,is that a journalist call mee,and wont to make something about Carsten,for a news paper in Denmark-and a video for Danish tv.2.

He will call me today,when he arrived Chiang Rai,and then we must have a talk..and tomorrow,we go to the hospital,and make this.

I hope that this, will wake up some one, in Denmark,there are aple to help,some how.

We just come from Carsten,and he was a litle better today,then yesterday-becourse of the chemo-but his mood was ok.

I will return and tell you, have things work out about Carsten.

Have a nice day-and take care.!

Brian

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