I have been in Thailand over a month now and my methadone that I am prescribed for pain has run out. I have my big empty bottle that shows I was given 180 pills a month in the US but unfortunatly I did not read your forum about bringing documentation with me. I spent years in the US health care system due to my chronic acute pancreatitis and have had lots of cat scans and surgeries until it got to the point where they just said they were going to do pain management.

So now I was hoping to just go to a similar pain doctor and get the same prescription. I like methadone because it kills the pain and does not make me feel tired or lightheaded as with the other opiates. So after visiting many hospitals I finally found a pain clinic at Ramathipbordi but needed a general practioner to refer me there. No problem right! I waited all day to see one, and she was good but did not seem to understand or care what I was saying completely. She asked if I had had a cat scan to check the cysts on my pancreas and i told her I had at least 4 in America and had 2 procedures done. I told her that they put stints in to drain the big cyst then it came right back. I then told her they tried to cut it out and ended up killing most of my pancreas and that at that point it was decided to just leave them alone.

So she says I'm going to make a refferal for you to get a can scan and see a surgeon. I told her I already had cat scans in america and I do not want to risk another surgery because I only have a little bit of pancreas left and the cysts are not cancerous and just come back. She said, "We take cat scan and let surgeon decide what to do". I said will you refer me to the pain doctor and she said she would give me pills for until I see surgeon.

To me this is not giving me any choice but to pay for another cat scan and let a surgeon who does not even do the same procedures decide my fate. I was one of the first ones in Minneapolis to get the stints put in endoscopically. If they did the endoscopes here they would not keep checking me for a scar when I have told them my I had pancreas surgery.

So now I need to either have someone who speaks Thai call the doctor and tell her my view or try to find another clinic with a pain doctor. It took 15 hospitals to find this one and I am trying to advoid the expensive Bangkok international ones. If anyone knows a good pain clinic that speaks english that would be great. I really want to advoid having to go back to american for a bottle of pills!

There are no pain clinics in Thailand and precious few specialists in pain management, Thailand is decades behind the west i nthsi respect.

And even amiong the few pain managemrnt specialists I doubt any will agree to treat you without at least having medical records from the US.

I suggest you obtain your full medical records from the US before trying anything further. Once you have that, try this doctor at Bangkok Hospital:

http://www.bangkokho...rofile&DrID=960

She is based in the Cancer Hospital part of the Bkk Hospital complkex and usually treats people with terminal cancer. You will likely need substantial documentation.

And it is unlikely she or anyone else in Thailand will prescribe methadone for pain management.

There are also 3 pain management specialists at Bumrungrad, I think 2 of them traiend i nthe QWest, go to their website and look under specialties for paina management, but likewise, need toi have full documentation of your condition before a pain specialist is likely to take you on, and even then you will likely be given a different regimen than you have been on.

I have already gotten methadone from 2 doctors here. Both were only for 30 and 40 pills though. There was a pain clinic at Ramathipbordi hosptital as well. At least that is what they told me. I would think they would prefer prescribing methadone to the other opiods.

Thanks for the information. I will surely put it to use. I wish I had brought more information with me and will have to have it shipped here. I stupidly listened to the people who said all you need is a pill bottle.

Yes there is a pain management Dr at Param 9. I will probably need him as my use of tramodol effectiveness is not so good!