Melanomas - who to see in Chiang Mai

[elektrified]

Ajarn Siri, the guy all the other dermatologists in town consult with (or turn the scalpel over to in difficult cases), always gives the patient the pathology report the minute they walk in for the results. It would be foolish for a patient not to know the severity of their malignancy.

[chiang mai]

Here is the list from the pinned topics up above.

Not sure how up to date it is.

DERMATOLOGY (Skin)

Prof Dr. Siri Chiewchanvit

119 Moonmuang Road, A Muang,

Chiang Mai 50200. Tel: 053 357085

Dr Ekarach Amornrungsun

Rajavej Hospital, 053-801999

CHATBONGKOCH KHEMACHEEWAKUL,M.D

My own recommendation

Chiang Mai Ram Hospital

VACHIRAPORN SUJARITWANICHPONG, M.D.

Recommended by several members

Chiang Mai Ram Hospital

It's current, none of them died or got struck off.

[beau thai]

Ajarn Siri, the guy all the other dermatologists in town consult with (or turn the scalpel over to in difficult cases), always gives the patient the pathology report the minute they walk in for the results. It would be foolish for a patient not to know the severity of their malignancy.

What would be foolish would be to deal with other than trusted professionals with years of training and experience- and then collect information from them which a layman may misinterpret- lacking years of training and experience surely.

[uptheos]

The one from Boston University is Dr. Vachiraporn Sujaritwanichpong and has been highly recommended by members for sometime here. Her CV (pdf) here.. Believe she is in the new clinic on the 5th floor as I saw her to diagnose Shingles.

went a couple weeks back, for my 3 month check up to the above doc

she found a small spot about the size of a pin head, right in the middle of my back ,just below the shoulder blades

a couple days later she cut it out and sent it for a biopsy

last thurs i returned for the results, lo and behold malaignant..melanoma

instead of shock , i was overjoyed that my cutie doc, had discovered it in its early stages

back next tuesday to cut it out completely(i hope) then another biopsy,to see if its done that(and keep my fingers crossed)

my cutie doc is right up to tywais above comments,and my post confirms it

plus sincerely hope , that if one has doubts about skin spots etc etc a check up should be a very high priorty, get this nasty bastard in the early stages and your chances are multiplied of a complete recovery

a very nice morning to all

They would have given you the level of invasion if it was malignant.

What was the Breslow's Depth and the Clarks Level?

These are extremely important factors in prognosis.

They would be stated on the biopsy result sheet that you were given or shown......if not given get a copy!

honestly uptheos i could nt give a toss about your above post^^^^ in fact it is very inconsiderate of you to post such tripe

my doctor is a very professional person, employed by chiangmai ram hospital, arguable the best hospital in northern thailand

futhermore , i have great faith in my doctors ability to deal and beat this deadly cancer,with the biopsy taken, and my consulation with her, in which she demonstrated her professionals skills at the highest level, not to mention her supporting nursing staff, who are also real pros...

If you think knowing the Breslows and Clarks biopsy results are tripe, then there's nothing more to say that you would understand. However, I've posted something below up to you if you read it or not, I couldn't really care less.

Your doctor will want to know the level of invasion if it's malignant, even if you don't!

Melanoma Diagnostics Indicators

To determine the specific stage of a melanoma, there are two common diagnostic indicators:

Breslow Thickness

Tumor thickness as defined by the Breslow's Depth of Invasion is the most important determinant of prognosis for melanomas. Increased tumor thickness is correlated with metastasis and poorer prognosis. The Breslow thickness is a better melanoma stage diagnostic indicator than the Clark’s level; it is a continuous variable and more accurate in its determinations.

The Breslow thickness is a measure (in millimeters) of the vertical depth of the tumor measured from the granular cell (very top) layer downward. An instrument called an Ocular Micrometer is used to measure the thickness of the excised tumor.

Tumor thickness remains the most powerful prognostic indicator that can be determined from evaluation of the primary melanoma itself. Because of the accuracy of determining outcomes, the Breslow thickness is commonly included in a melanoma diagnosis.

Tumors are classified into four categories based on the depth:

• Less than or equal to 0.75 mm (equivalent to Clark's Level II)
• 0.76-1.5 mm (equivalent to Clark's Level III)
• 1.51-4 mm (equivalent to Clark's Level IV)
• Greater than or equal to 4 mm (equivalent to Clark's Level V)

Breslow Thickness and Survival Rate:

• <1mm: 5-year survival is 95-100%
• 1-2mm: 5-year survival is 80-96%
• 2.1-4mm: 5-year survival is 60-75%
• >4mm: 5-year survival is 37-50%

Clark’s Level

The Clark’s level is commonly misunderstood as the melanoma stage diagnosis. The Clark’s level only refers to how deep the tumor has penetrated into the skin. Research has shown that the Clark’s level diagnosis is not a great predictor of outcome.

Clark's Level I - Confined to epidermis – also called “in situ” melanoma

Clark's Level II - Invasion of the papillary dermis (upper)

Clark's Level III - Filling of the papillary dermis (lower)

Clark's Level IV - Extending into the reticular dermis

Clark's Level V - Invasion of the subcutaneous tissue

[uptheos]

The one from Boston University is Dr. Vachiraporn Sujaritwanichpong and has been highly recommended by members for sometime here. Her CV (pdf) here.. Believe she is in the new clinic on the 5th floor as I saw her to diagnose Shingles.

went a couple weeks back, for my 3 month check up to the above doc

she found a small spot about the size of a pin head, right in the middle of my back ,just below the shoulder blades

a couple days later she cut it out and sent it for a biopsy

last thurs i returned for the results, lo and behold malaignant..melanoma

instead of shock , i was overjoyed that my cutie doc, had discovered it in its early stages

back next tuesday to cut it out completely(i hope) then another biopsy,to see if its done that(and keep my fingers crossed)

my cutie doc is right up to tywais above comments,and my post confirms it

plus sincerely hope , that if one has doubts about skin spots etc etc a check up should be a very high priorty, get this nasty bastard in the early stages and your chances are multiplied of a complete recovery

a very nice morning to all

They would have given you the level of invasion if it was malignant.

What was the Breslow's Depth and the Clarks Level?

These are extremely important factors in prognosis.

They would be stated on the biopsy result sheet that you were given or shown......if not given get a copy!

I too have had significant malignant melanomas excised in the west by a very very competent professional plastic surgery team. I neither asked for nor was given the 'extremely important' factors you describe.

I am happy that the team made a very deep excision to assure no metastasis, and their work was backed up by quarterly checks for 3 years by a leading consultant dermotologist.

Help me understand please why I should have a copy of the Breslow's depth and Clarks level-whatever they may be. (which no doubt google would reveal...)

You don't, it's a personal thing.

I like to see the actual lab results, before anyone cuts chunks out of me (I too have had a wide incision)

Keep well

[evenstevens]

your post number 34 is hilarious

as i have previous posted, my doctor said it is in the early stages, a small op tomorrow.and further tests will see if they are sucessful in getting it all

as beau thai has correctly pionted out. my doctor has told me in laymans terms where i stand right now

and uptheos on the other two occassions,where i have had melonama which were theatre operations,(one in c/mai ram) they have used the same laymans approach in terms of my illness

and again i have the highest respect for my doctors professionalism in my case, and not reading a google google tripe that u have posted,

and i am sure if i requested further details. they would have given them to me

as i posted earlier i am very happy that my doc located my spot during routine check up

and the main reaon i have posted this , is to try to put the word out there about the dangers of melomama, and how a routine check up can possibly save your life

uptheos you need the good luck... not i ,

Edited August 4, 2014 by evenstevens

[uptheos]

your last post is hilarious

as i have previous posted, my doctor said it is in the early stages, a small op tomorrow.and further tests will see if they are sucessful in getting it all

as beau thai has correctly pionted out. my doctor has told me in laymans terms where i stand right now

and uptheos on the other two occassions,where i have had melonama which were theatre operations,(one in c/mai ram) they have used the same laymans approach in terms of my illness

and again i have the highest respect for my doctors professionalism in my case, and not reading a google google tripe that u have posted,

Good luck

[uptheos]

The best skin doctor in town is Ajaran Siri Chiewchanvit. He is considered one of the best doctors in Thailand. You'll have to search the forum for his contact details. Many times when another dermatologist in town recommends surgery for skin cancer, it is Doctor Siri who who is the one who will actually be your surgeon.

The g/f just tried calling him this morning to see if she could get in to see him at his 9-12:00 Sunday clinic but apparently he no longer has Sunday clinics. I think he no longer has Sripat or RAM clinics but has evening clinics at his Moon Muang clinic.

Indeed, he is recognised as the best by the rest.

He's not at his clinic on Thursday or Sunday and you are correct, the only other place he now works is Chiang Mai University. His evening clinics are packed mostly with spotty teenagers, so you need to get there about 4-30 for a 5-30-6pm slot. He's quick, but if you tell him you need a bit of time he will either ask you to wait or in my case he just shut the doors, much to the huffing and puffing of the lady who was running the conveyor belt.

He will always give you the pathology results, no cloak and dagger stuff, very confident and up front

[onthedarkside]

Unnecessary and inflammatory post removed. And a reply removed.

[hmficc]

Get your lumps and bumps checked ASAP. Melanoma is a killer, ever heard of Bob Marley? One of my tennis buddies got diagnosed early, took a huge flap out of his back, saved his life.

Bob declined the dr. Recommended treatment.

[beau thai]

Get your lumps and bumps checked ASAP. Melanoma is a killer, ever heard of Bob Marley? One of my tennis buddies got diagnosed early, took a huge flap out of his back, saved his life.

Bob declined the dr. Recommended treatment.

Yeah and according to my dermo his melanomas were on the soles of his feet - not a normal place for sun damaged skin, especially on someone with BM's skin type.

She then said only 50% of melanomas are caused by the sun and they do not yet know what causes the others. Mine was caused by sun damage blistering my shoulder over 40 years earlier when I was kid- in the days when sunscreen was uncommon, but calamine on sunburn very common. It still scares me to see pale skinned folks sunbathing for hours around the pool for a 'healthy' tan...

[beau thai]

your post number 34 is hilarious

as i have previous posted, my doctor said it is in the early stages, a small op tomorrow.and further tests will see if they are sucessful in getting it all

as beau thai has correctly pionted out. my doctor has told me in laymans terms where i stand right now

and uptheos on the other two occassions,where i have had melonama which were theatre operations,(one in c/mai ram) they have used the same laymans approach in terms of my illness

and again i have the highest respect for my doctors professionalism in my case, and not reading a google google tripe that u have posted,

and i am sure if i requested further details. they would have given them to me

as i posted earlier i am very happy that my doc located my spot during routine check up

and the main reaon i have posted this , is to try to put the word out there about the dangers of melomama, and how a routine check up can possibly save your life

uptheos you need the good luck... not i ,

' a small op tomorrow.and further tests will see if they are successful in getting it all'

Best of luck with the op and the outcome Evens- I assume they arrange for you to have quarterly check ups for a few years after??

[evenstevens]

your post number 34 is hilarious

as i have previous posted, my doctor said it is in the early stages, a small op tomorrow.and further tests will see if they are sucessful in getting it all

as beau thai has correctly pionted out. my doctor has told me in laymans terms where i stand right now

and uptheos on the other two occassions,where i have had melonama which were theatre operations,(one in c/mai ram) they have used the same laymans approach in terms of my illness

and again i have the highest respect for my doctors professionalism in my case, and not reading a google google tripe that u have posted,

and i am sure if i requested further details. they would have given them to me

as i posted earlier i am very happy that my doc located my spot during routine check up

and the main reaon i have posted this , is to try to put the word out there about the dangers of melomama, and how a routine check up can possibly save your life

uptheos you need the good luck... not i ,

' a small op tomorrow.and further tests will see if they are successful in getting it all'

Best of luck with the op and the outcome Evens- I assume they arrange for you to have quarterly check ups for a few years after??

many thks bea thai, that is very nice of you, truly it is greatly appreciated

i have been having r regurlar 3 month c/ups for approx the last year or so at the c/mai ram,as my skin was in a mess,during this period

my doc has done two skin grafts on both of my arms plus approx 250 burn offs to get me back to looking very handsome again

she has proven to me over this time to be a very capable professional,

, in fact outstanding

at all of my consulations and ops plus burn offs, she has constantly given me advice on what to do,and what she is doing, hence my great faith in her capalbiltys\

she pick up this spot at my last routine c/up, immediately took a pic and showed it to me, i shooked at the time, but now feel comfortable that we appear to have caught it in time, due to her great dligence

as for seeing a pathog, report , why should i need one to look at , as firstly i would nt understand it, and secondly she gave me the report that i have melonama and a full brief on what she is going to do ,and my confidence in docs at the c/mai ram is very high, really i just got to deal what has been put in front of me, and keep my fingers crossed that my doc gets me through it

i addressed the o/p with a recommendation of my doctor, and posted one the day before yesterday, to warn how dangerous this bastard is , without a c/up, and it being in the centre of my how would i picked it up , it would have grown more dangerously with out me knowing it

that was my sole intention , i appolgise to the mods for my bad post which was rightfully removed, on my way to c/mai ram now with my fingers crossed and a small prayer also

will give a full report in due course, oh yes what a great singer bob marley was,and so young to die

a very nice morning to all

Edited August 5, 2014 by evenstevens

[beau thai]

your post number 34 is hilarious

as i have previous posted, my doctor said it is in the early stages, a small op tomorrow.and further tests will see if they are sucessful in getting it all

as beau thai has correctly pionted out. my doctor has told me in laymans terms where i stand right now

and uptheos on the other two occassions,where i have had melonama which were theatre operations,(one in c/mai ram) they have used the same laymans approach in terms of my illness

and again i have the highest respect for my doctors professionalism in my case, and not reading a google google tripe that u have posted,

and i am sure if i requested further details. they would have given them to me

as i posted earlier i am very happy that my doc located my spot during routine check up

and the main reaon i have posted this , is to try to put the word out there about the dangers of melomama, and how a routine check up can possibly save your life

uptheos you need the good luck... not i ,

' a small op tomorrow.and further tests will see if they are successful in getting it all'

Best of luck with the op and the outcome Evens- I assume they arrange for you to have quarterly check ups for a few years after??

many thks bea thai, that is very nice of you, truly it is greatly appreciated

i have been having r regurlar 3 month c/ups for approx the last year or so at the c/mai ram,as my skin was in a mess,during this period

my doc has done two skin grafts on both of my arms plus approx 250 burn offs to get me back to looking very handsome again

she has proven to me over this time to be a very capable professional,

, in fact outstanding

at all of my consulations and ops plus burn offs, she has constantly given me advice on what to do,and what she is doing, hence my great faith in her capalbiltys\

she pick up this spot at my last routine c/up, immediately took a pic and showed it to me, i shooked at the time, but now feel comfortable that we appear to have caught it in time, due to her great dligence

as for seeing a pathog, report , why should i need one to look at , as firstly i would nt understand it, and secondly she gave me the report that i have melonama and a full brief on what she is going to do ,and my confidence in docs at the c/mai ram is very high, really i just got to deal what has been put in front of me, and keep my fingers crossed that my doc gets me through it

i addressed the o/p with a recommendation of my doctor, and posted one the day before yesterday, to warn how dangerous this bastard is , without a c/up, and it being in the centre of my how would i picked it up , it would have grown more dangerously with out me knowing it

that was my sole intention , i appolgise to the mods for my bad post which was rightfully removed, on my way to c/mai ram now with my fingers crossed and a small prayer also

will give a full report in due course, oh yes what a great singer bob marley was,and so young to die

a very nice morning to all

Wow - that was a lot of work: 250 burn offs and 2 skin grafts. Amazing. And she is still finding more?

I had 3 excised which turned out to be benign and it was only the big one that needed deep excision and plastic surgery. But maybe many of the burn-offs were benign too and 'safety first' (good idea) as I guess they cant not tell if malignant without biopsy.

Many of us have a lot of 'normal' moles ( and if we are careful, watch out for any changing shape-plenty of google melanoma images to show what to look for). I just wonder if I showed up at a dermo here with my history (albeit 5 years ago) whether they would start burning off moles that I have had for ever. Hmm...

Yeah, stil playin Bob Marley- so many of these very talented guys die way too young while untalented old f*rts like us soldier on-- funny old life.

Anyway Evens I may not like quite a few of your posts (reciprocal maybe?!) but will say a prayer for you at the temple next trip..

Good luck mate. Seems like you are in very good hands.

[evenstevens]

your post number 34 is hilarious

as i have previous posted, my doctor said it is in the early stages, a small op tomorrow.and further tests will see if they are sucessful in getting it all

as beau thai has correctly pionted out. my doctor has told me in laymans terms where i stand right now

and uptheos on the other two occassions,where i have had melonama which were theatre operations,(one in c/mai ram) they have used the same laymans approach in terms of my illness

and again i have the highest respect for my doctors professionalism in my case, and not reading a google google tripe that u have posted,

and i am sure if i requested further details. they would have given them to me

as i posted earlier i am very happy that my doc located my spot during routine check up

and the main reaon i have posted this , is to try to put the word out there about the dangers of melomama, and how a routine check up can possibly save your life

uptheos you need the good luck... not i ,

' a small op tomorrow.and further tests will see if they are successful in getting it all'

Best of luck with the op and the outcome Evens- I assume they arrange for you to have quarterly check ups for a few years after??

many thks bea thai, that is very nice of you, truly it is greatly appreciated

i have been having r regurlar 3 month c/ups for approx the last year or so at the c/mai ram,as my skin was in a mess,during this period

my doc has done two skin grafts on both of my arms plus approx 250 burn offs to get me back to looking very handsome again

she has proven to me over this time to be a very capable professional,

, in fact outstanding

at all of my consulations and ops plus burn offs, she has constantly given me advice on what to do,and what she is doing, hence my great faith in her capalbiltys\

she pick up this spot at my last routine c/up, immediately took a pic and showed it to me, i shooked at the time, but now feel comfortable that we appear to have caught it in time, due to her great dligence

as for seeing a pathog, report , why should i need one to look at , as firstly i would nt understand it, and secondly she gave me the report that i have melonama and a full brief on what she is going to do ,and my confidence in docs at the c/mai ram is very high, really i just got to deal what has been put in front of me, and keep my fingers crossed that my doc gets me through it

i addressed the o/p with a recommendation of my doctor, and posted one the day before yesterday, to warn how dangerous this bastard is , without a c/up, and it being in the centre of my how would i picked it up , it would have grown more dangerously with out me knowing it

that was my sole intention , i appolgise to the mods for my bad post which was rightfully removed, on my way to c/mai ram now with my fingers crossed and a small prayer also

will give a full report in due course, oh yes what a great singer bob marley was,and so young to die

a very nice morning to all

Many of us have a lot of 'normal' moles ( and if we are careful, watch out for any changing shape-plenty of google melanoma images to show what to look for). I just wonder if I showed up at a dermo here with my history (albeit 5 years ago) whether they would start burning off moles that I have had for ever. Hmm...

Anyway Evens I may not like quite a few of your posts (reciprocal maybe?!) but will say a prayer for you at the temple next trip..

Good luck mate. Seems like you are in very good hands.

paid my pilgrimage to the c/mai ram skin cancer doc y/day,and the path reports showed that my trusted doc got all the melonama out, very happy boy i am

back to the quartley check ups

beau thai,again many thks for your support and matey( and for anyone else reading this post) ,pay a visit to my cutie doc,if u have any doubts, a very small price to pay (around the 600 baht consulation plus medical costs if needed) to clear your mindset , in particular if u are a aussie/kiwi oringin, finding melonama in its early stages as my doc did,gives you a enormous advantage on a complete recovery

my doc is a top pro in her profession and her supporting nursing staff are truly magnicent,in melonama cases please do not listen to the google tripe posts

get it from the horses mouth,my cutie doc at the c/mai ram skin clinic will do this for you

a very nice morning to all

[Saan]

The one from Boston University is Dr. Vachiraporn Sujaritwanichpong and has been highly recommended by members for sometime here. Her CV (pdf) here.. Believe she is in the new clinic on the 5th floor as I saw her to diagnose Shingles.

went a couple weeks back, for my 3 month check up to the above doc

she found a small spot about the size of a pin head, right in the middle of my back ,just below the shoulder blades

a couple days later she cut it out and sent it for a biopsy

last thurs i returned for the results, lo and behold malaignant..melanoma

instead of shock , i was overjoyed that my cutie doc, had discovered it in its early stages

back next tuesday to cut it out completely(i hope) then another biopsy,to see if its done that(and keep my fingers crossed)

my cutie doc is right up to tywais above comments,and my post confirms it

plus sincerely hope , that if one has doubts about skin spots etc etc a check up should be a very high priorty, get this nasty bastard in the early stages and your chances are multiplied of a complete recovery

a very nice morning to all

I had one in the same place. It was spotted by a cardiologist who was almost as happy as I was that he spotted it. Just a pin head. Too long sent in the surf at Bondi.

[hmficc]

If you love life it is best to see your travel agent for a ticket to a first world country. Poor people do things in the poor way.

[evenstevens]

y/day had my quartly melonama check up at c/mai ram hospital with my dermo ,dr vachiraporn sujaritwanichpong (5th floor)

by crickey she is a real stunner

after her complete professional scan of my muscular body, and approx 30 burn offs

e/s got the green light until next feb,and i look as hansom as ever

this doc I.M.O is top draw in her profession,anyone who may have doubts about any moles etc etc, i recommend her big time

total cost 2500 baht, and worth every baht

[mudscrubber]

y/day had my quartly melonama check up at c/mai ram hospital with my dermo ,dr vachiraporn sujaritwanichpong (5th floor)

by crickey she is a real stunner

after her complete professional scan of my muscular body, and approx 30 burn offs

e/s got the green light until next feb,and i look as hansom as ever

this doc I.M.O is top draw in her profession,anyone who may have doubts about any moles etc etc, i recommend her big time

total cost 2500 baht, and worth every baht

Don't think we're allowed to name names her but some of us may recall A.T. who was once involved with the expats club. He went to see a stunningly beautiful doctor at Ram - I'm not saying it was the same doctor - who gave him the all clear on a mole on his ear. Got it rechecked later in the States and it turned out to be malignant. If you do a little research you can figure out who this person is. And then you can go ask him. Oh, wait a minute, you can't. He's dead. Died from that metastasized tumor.

[hmficc]

Until we find out otherwise we all think our doc is the best of the best. It makes us feel wise and safe.

Never underestimate your ability to self soothe and fool yourself.

[whatsupdoc]

Unfortunately, Dr. Siri does not perform operations anymore. I went to his clinic and he told me to get an excision done by a surgeon (at any hospital).

[evenstevens]

y/day had my quartly melonama check up at c/mai ram hospital with my dermo ,dr vachiraporn sujaritwanichpong (5th floor)

by crickey she is a real stunner

after her complete professional scan of my muscular body, and approx 30 burn offs

e/s got the green light until next feb,and i look as hansom as ever

this doc I.M.O is top draw in her profession,anyone who may have doubts about any moles etc etc, i recommend her big time

total cost 2500 baht, and worth every baht

Don't think we're allowed to name names her but some of us may recall A.T. who was once involved with the expats club. He went to see a stunningly beautiful doctor at Ram - I'm not saying it was the same doctor - who gave him the all clear on a mole on his ear. Got it rechecked later in the States and it turned out to be malignant. If you do a little research you can figure out who this person is. And then you can go ask him. Oh, wait a minute, you can't. He's dead. Died from that metastasized tumor.

my post clearly says I.M.O.

thks for your no contents post,which i feel is just pot stirring a professional person

i quote the following line which u have posted...# i.am not saying it was the same doctor..#

if this is the case ,why post anything at all????

my main purpose of my post ,was to highlite that a normal regurlar check up ,can perhaps saves ones life

and a very good professional doctor to go to if required

a super morning to all

[evenstevens]

just a update

had my regurlar c/up today with dr vachiraporn at the ram skin clinic (5th floor)

the costs as follows

physician evalutaion and mangerial services, 500 baht(no discount)

physician prodedures , 400 baht (no discount)

general medical equipment,( approx 20 burn offs spray) 600 baht( no discount)

nursing and service charge 120 baht less 20%, 96 baht

grand total 1596 baht

the above physician procedures service(400 baht) given by dr vachiraporn includes a total scanning from head to toe,back to front,one side to the other,ears ,mouth, around the eyes

also included was advice in changing my lap swimming and walking times, to a earlier hr ,where the sun is less dangerous,also she has noted a spot on my right ear lobe

which she will evaluate(perhaps a biopsy) at my next visit which was brought forward by 1 month to 28/7 due to this finding

not only is she a stunner, dr vichiraporn services are of the highest degree,that one can ever asked for

my appointment was at 10 am, gallopped out at 10.45 am

to all readers. if u notice any unsual spots etc etc ,please get a check up immediately,it will possibly save your life

[uptheos]

I must say that after using Ajarn Seri for so long I was apprehensive about changing.

However, I have been very satisfied with Dr. Vachiriporn and yes she's a looker too.

[Dante99]

Have you guys who go to Dr Vachiriporn ever seen Dr Charbongcoch another skin doctor at RAM? She is good.

[evenstevens]

Have you guys who go to Dr Vachiriporn ever seen Dr Charbongcoch another skin doctor at RAM? She is good.

no , but have seen a tallish slender dr darting around,and a very nice looker as well

am sure your doc is very good too,the entire clinic is ran very efficiently,and a nice waiting lounge,to boot

a very good morning to all

[Saan]

just a update

had my regurlar c/up today with dr vachiraporn at the ram skin clinic (5th floor)

the costs as follows

physician evalutaion and mangerial services, 500 baht(no discount)

physician prodedures , 400 baht (no discount)

general medical equipment,( approx 20 burn offs spray) 600 baht( no discount)

nursing and service charge 120 baht less 20%, 96 baht

grand total 1596 baht

the above physician procedures service(400 baht) given by dr vachiraporn includes a total scanning from head to toe,back to front,one side to the other,ears ,mouth, around the eyes

also included was advice in changing my lap swimming and walking times, to a earlier hr ,where the sun is less dangerous,also she has noted a spot on my right ear lobe

which she will evaluate(perhaps a biopsy) at my next visit which was brought forward by 1 month to 28/7 due to this finding

not only is she a stunner, dr vichiraporn services are of the highest degree,that one can ever asked for

my appointment was at 10 am, gallopped out at 10.45 am

to all readers. if u notice any unsual spots etc etc ,please get a check up immediately,it will possibly save your life

You've convinced me. Thanks.

Just checked for phone number for appointment and saw picture of said doctor. You are right, very gentle on the eyes.

[chingmai331]

Can male doctors, who treat expats, find work in CM?

[Saan]

Can male doctors, who treat expats, find work in CM?

The number one consideration is still ability. Anything else is icing. Very sexist, I know.

The head of the anatomy department at CM University is also very attractive but I would prefer not to see her for some time.

Edited June 3, 2015 by Saan

[Oscar2]

who cares what the doctor looks like? i care about having a good doctor and could care less about appearance.