ginooooo Posted September 2, 2011 Share Posted September 2, 2011 Because my wife and I decided to move to Phayao early next year, been checking for a rheumatologist in Chiangmai but having difficulty with google searches for Chiangrai hospital doctors who specialize in that treatment. The hospitals I have located on Google there seem not to have websites or email addresses to ask questions in English. Thank you for any input. Link to comment Share on other sites More sharing options...
brianmarinus Posted September 3, 2011 Share Posted September 3, 2011 Hi! It is early morning now,but later when people get up, I will ask my the couple next door,as they are both doctors here in Chiang Rai,and maby the know. I will let you know as soon as I know enything. Link to comment Share on other sites More sharing options...
ginooooo Posted September 3, 2011 Author Share Posted September 3, 2011 Hi! It is early morning now,but later when people get up, I will ask my the couple next door,as they are both doctors here in Chiang Rai,and maby the know. I will let you know as soon as I know enything. Thank you, sir. Driving to Chiangrai will be so much easier than Chiangmai, especially during the raining season if my wife can get her 8 week treatment of Remicade. Without it, she would become crippled within 1 year. Ram 1 in Chiangrmai does it for the injection but a pain in the butt to schedule/drive there. Appreciate your help. Link to comment Share on other sites More sharing options...
sceadugenga Posted September 3, 2011 Share Posted September 3, 2011 A quick Google reveals that the drug is administered by intravenous infusion, rather than orally or injection. There would have to be somewhere in Phayao where you can get that done so how difficult would it be to get... say a year's supply in and keep it at home? Not sure what it's shelf life is. Link to comment Share on other sites More sharing options...
brianmarinus Posted September 3, 2011 Share Posted September 3, 2011 (edited) Hi! Sorry it took so long,but the doctor was at work on hes private clinic,so I had to go there. He told me,that we dont have that kind of doctors in Chiang Rai-you have to go to Chiang Mai-and there is a proffessor by the name: DR:Worrawit.Sripat.-so thats the man you have to call or go to. Edited September 3, 2011 by brianmarinus Link to comment Share on other sites More sharing options...
ImageDude Posted September 3, 2011 Share Posted September 3, 2011 Hi there, I was having Infliximab (Remicade) infusions every 8 weeks in the UK. It was not an option for me to live in Chiang Rai and have to travel back to the UK every 8 weeks. I had already made enquiries at Suan Dok Hospital in Chiang Mai and the Doctor explained that although any drug could be ordered, they did not have any specialized staff to administer the infusions. I discussed this with my consultant in the UK and he suggested that I change medication to self- administered injections of Humira. It comes in either a pen type syringe (very much like Diabetic Pens), or a pre-filled normal syringe, It is administered every two weeks and it has to be kept refrigerated. That is what I am currently having and it may well be worth your while looking into this solution. The main differences between the two products are: Infliximab (Remicade) is developed using mouse proteins and Humira is developed from human proteins. I hope you find this information useful. Good Luck ImageDude Link to comment Share on other sites More sharing options...
konjianghai Posted September 3, 2011 Share Posted September 3, 2011 (edited) Sorry to hear about your wife. As for searching on google, what i came across are these informations, hoping they can help you out. In this link you have 3 specialist on Rheumatologists in CM. All 3 of them working at Suan Dok except the one in middle also works at CM Ram hospital. You can try to mail them. http://www.med.cmu.a...f/rheumato.html 1 Specialist have his own clinic as Brianmarinus mentioned. He's the first picture in above link. วรวิทย์คลินิก 191 ถ.ช้างเผือก อ.เมือง จ.เชียงใหม่ โทร 053 - 218950 Worrawit Clinic 191 Changpuek amphur Muang Chiang Mai Tel. 053-218950 Map Location : N 18 ๐ 48.23779 E 98๐ 59.12539 Email : [email protected] Mobile 081.8837953 fax 053-357959 Home nr. 053-210788 You can call him if not working by email. As his clinic is open in the evening and saturday before noon. Good luck with this and i wish your wife will get the right treatment. Edited September 3, 2011 by konjianghai Link to comment Share on other sites More sharing options...
konjianghai Posted September 3, 2011 Share Posted September 3, 2011 (edited) sorry dubble post Edited September 3, 2011 by konjianghai Link to comment Share on other sites More sharing options...
ginooooo Posted September 3, 2011 Author Share Posted September 3, 2011 A quick Google reveals that the drug is administered by intravenous infusion, rather than orally or injection. There would have to be somewhere in Phayao where you can get that done so how difficult would it be to get... say a year's supply in and keep it at home? Not sure what it's shelf life is. It is also expensive stuff. Her every 8 week treatment runs about $8000, including blood work, and my insurance pays it all. In Thailand, I would have to pay for it upfront and hopefully get some or all of it back by filing a claim after. Link to comment Share on other sites More sharing options...
ginooooo Posted September 3, 2011 Author Share Posted September 3, 2011 Hi! Sorry it took so long,but the doctor was at work on hes private clinic,so I had to go there. He told me,that we dont have that kind of doctors in Chiang Rai-you have to go to Chiang Mai-and there is a proffessor by the name: DR:Worrawit.Sripat.-so thats the man you have to call or go to. Thanks, kinda figured that but worth the try asking. Any idea where he works? Google search does not show anything on him. Link to comment Share on other sites More sharing options...
ginooooo Posted September 3, 2011 Author Share Posted September 3, 2011 Hi there, I was having Infliximab (Remicade) infusions every 8 weeks in the UK. It was not an option for me to live in Chiang Rai and have to travel back to the UK every 8 weeks. I had already made enquiries at Suan Dok Hospital in Chiang Mai and the Doctor explained that although any drug could be ordered, they did not have any specialized staff to administer the infusions. I discussed this with my consultant in the UK and he suggested that I change medication to self- administered injections of Humira. It comes in either a pen type syringe (very much like Diabetic Pens), or a pre-filled normal syringe, It is administered every two weeks and it has to be kept refrigerated. That is what I am currently having and it may well be worth your while looking into this solution. The main differences between the two products are: Infliximab (Remicade) is developed using mouse proteins and Humira is developed from human proteins. I hope you find this information useful. Good Luck ImageDude Thank you so much for the feedback. She has been on it for about 10 years now and I have talked yo her doctor, which I will again soon, about alternatives. There is a 3rd one he uses also. I guess you get your Humira there? How much does it cost? My wife and I hate needles but we have good friends at Phayao hospital and perhaps they could get a supply and give the shots. Worth the try. Last Feburary we went to Ram l in Chiangmai, did not get to see the specialist but some nurse said they did the injections. Because of my military insurance, we are authorized to go to approved hospitals, only 3 in Chiangmai to get back my prepaid bills. Sorry to hear you also have had problems with arthritis. Nasty stuff. Link to comment Share on other sites More sharing options...
ginooooo Posted September 3, 2011 Author Share Posted September 3, 2011 Sorry to hear about your wife. As for searching on google, what i came across are these informations, hoping they can help you out. In this link you have 3 specialist on Rheumatologists in CM. All 3 of them working at Suan Dok except the one in middle also works at CM Ram hospital. You can try to mail them. http://www.med.cmu.a...f/rheumato.html 1 Specialist have his own clinic as Brianmarinus mentioned. He's the first picture in above link. วรวิทย์คลินิก 191 ถ.ช้างเผือก อ.เมือง จ.เชียงใหม่ โทร 053 - 218950 Worrawit Clinic 191 Changpuek amphur Muang Chiang Mai Tel. 053-218950 Map Location : N 18 ๐ 48.23779 E 98๐ 59.12539 Email : [email protected] Mobile 081.8837953 fax 053-357959 Home nr. 053-210788 You can call him if not working by email. As his clinic is open in the evening and saturday before noon. Good luck with this and i wish your wife will get the right treatment. Thank you so much. We also went to the university hospital and never got to see anyone and the email contacts are just what I need. Much appreciated. Link to comment Share on other sites More sharing options...
ImageDude Posted September 5, 2011 Share Posted September 5, 2011 Hi there, I was having Infliximab (Remicade) infusions every 8 weeks in the UK. It was not an option for me to live in Chiang Rai and have to travel back to the UK every 8 weeks. I had already made enquiries at Suan Dok Hospital in Chiang Mai and the Doctor explained that although any drug could be ordered, they did not have any specialized staff to administer the infusions. I discussed this with my consultant in the UK and he suggested that I change medication to self- administered injections of Humira. It comes in either a pen type syringe (very much like Diabetic Pens), or a pre-filled normal syringe, It is administered every two weeks and it has to be kept refrigerated. That is what I am currently having and it may well be worth your while looking into this solution. The main differences between the two products are: Infliximab (Remicade) is developed using mouse proteins and Humira is developed from human proteins. I hope you find this information useful. Good Luck ImageDude Thank you so much for the feedback. She has been on it for about 10 years now and I have talked yo her doctor, which I will again soon, about alternatives. There is a 3rd one he uses also. I guess you get your Humira there? How much does it cost? My wife and I hate needles but we have good friends at Phayao hospital and perhaps they could get a supply and give the shots. Worth the try. Last Feburary we went to Ram l in Chiangmai, did not get to see the specialist but some nurse said they did the injections. Because of my military insurance, we are authorized to go to approved hospitals, only 3 in Chiangmai to get back my prepaid bills. Sorry to hear you also have had problems with arthritis. Nasty stuff. Hi Ginoo, I don't take this medication for arthritis, I suffer with Crohn's disease, however the treatment is the same as for arthritis and a few other conditions. I use the Humira Pen, and inject myself every two weeks. http://www.humira.com/global/injecting-humira-pen.aspx The cost is 500 GB Pounds per injection, very expensive ! Currently I am travelling to the UK every 6 Months and collecting a 6 month supply. It is not difficult to transport in a coolbag with a couple of ice packs. Good Luck, I am sure you will find a suitable solution to your wife's problem, and don't forget you are not on your own. Contact me anytime you wish. Best Wishes ImageDude Link to comment Share on other sites More sharing options...
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