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Emergency repatriation of UK citizen


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Where is "John" living now? What city?

Pattaya. And, no, I don't think he burned through whatever money he had in the first place.

Steady girlfriend for years, which apparently broke up two weeks ago.

Could not make much out of his ramblings how that came to pass.

Had some sort of income from the UK, but that must have broken away.

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^ pity you mentioned the broken relationship. That will bring out the usual narrow-minded suspects with their usual vitriolic and misogynist rants.

Maybe a word with this ex- may shine a light? It may be the straw that broke... etc., but she could have some salient information that he hasn't been able to share due to his condition or otherwise.

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ok... the (UK) media might be interested in this, especially about a guy in distress needing medical help

Interested in what exactly ?

Reporting the "I don't care" attitude of British Embassy civil servants towards a British citizen in medical distress, possibly even with impaired judgement ?

And also possibly having him thrown into a Thai jail that can be potentially lethal to someone in his state ?

Makes a good story for sure.

If that was an option we'd be reading a lot more about this. I suppose there have been stories, but...

The way I see it, that Embassy's page is featuring about half a screen of information of things they cannot do,

including getting someone better medical inside jail for a reason.

Because they just don't, and there hasn't been much public outcry over it.

Two sides of the a coin, really. Freedom and self-reliance on one side, on the other side... yes, I suppose he's really blown it, including the health-cover bit.

Hopefully, if things really go south they will help him in some underhanded manner.

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Overstay bit might work hand himself in explain he can't pay overstay fine then deportation to UK. Might be an option

But you have to pay for your deportation, IDC will keep him locked up until he can pay for the ticket

...and the fine, immigration don't let you off that.

From what I know it'd be 100 days in detention to "pay off" the 20.000 max fine, i.e. 200 Baht a day. And then detention until he finds the money for a flight.

Eventually, don't ask me when, either Thailand or the Embassy would pay him the flight and try to recover the costs, the blacklisting part is probably the least worry.

But, no, this is "the hard option".

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OP

The delusional state you describe your friend as suffering from is usually treated (in the West) on an outpatient basis.

The problem associated with the delusional state you detail is that many suffers reject/refuse psychiatric help.

Unless this man is a danger to himself or others there is little that can be done.

There will be no "emergency repatriation" unless he agrees and family/friends pay the expenses.

Consider also , depending on the mans demeanor , airlines may refuse him unless medically certified as fit to fly and the airlines may also require that he be accompanied by suitable escort.

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He has some family back home. Told me his mum finally got her pension and it amounted to the princely sum of 100 GBP a week.

And there's a brother he's not speaking to.

So... I guess I'll have to talk to him about drawing on that. Might work, the problem will be when he does not snap out of the parasite bit and decides to lay down until "they" get him.

I've been through the "psychology bit" with him, like asking if he would feel a failure if he had to return home, if he enjoyed his present life in Thailand,

if he could imagine a life back in the UK (on welfare, obviously). That went well enough.

I suppose I'll have to meet him and do some more talking to see him through.

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The delusional state you describe your friend as suffering from is usually treated (in the West) on an outpatient basis.

The problem associated with the delusional state you detail is that many suffers reject/refuse psychiatric help.

Unless this man is a danger to himself or others there is little that can be done.

There will be no "emergency repatriation" unless he agrees and family/friends pay the expenses.

Consider also , depending on the mans demeanor , airlines may refuse him unless medically certified as fit to fly and the airlines may also require that he be accompanied by suitable escort.

I've personally seen a bit of psychiatry, and I think he'd be going to a ward for some 4-6 weeks so they can check on the neuroleptica to work, determine the exact nature

of what he got, and impress the need for treatment on him. Not a closed ward, voluntarily.

He's functional so far and acting normally (speech is very rapid, he appears to be "on edge"), he's not a danger to anyone, unless he's getting himself so worked up he might

consider suicide the better option over getting blind an becoming a vegetable because of "the worms". That could happen if he is left to fend for himself.

If the airline part is the only problem, I'll chuck some Quetiapine into him on the airport and he'll just sleep through his flight.

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He has some family back home. Told me his mum finally got her pension and it amounted to the princely sum of 100 GBP a week.

And there's a brother he's not speaking to.

So... I guess I'll have to talk to him about drawing on that. Might work, the problem will be when he does not snap out of the parasite bit and decides to lay down until "they" get him.

I've been through the "psychology bit" with him, like asking if he would feel a failure if he had to return home, if he enjoyed his present life in Thailand,

if he could imagine a life back in the UK (on welfare, obviously). That went well enough.

I suppose I'll have to meet him and do some more talking to see him through.

Unless you are skilled and knowledgeable best stay away from "the psychology bit"!

Do not support or deny the delusion(s) but encourage him to seek medical help. Outpatient consultations are not expensive.

Your friend needs skilled psychiatric assessment/help and appropriate prescribed medication.

You could ask in the Health forum where such help can be obtained.

Edited by nowretired
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He has some family back home. Told me his mum finally got her pension and it amounted to the princely sum of 100 GBP a week.

And there's a brother he's not speaking to.

So... I guess I'll have to talk to him about drawing on that. Might work, the problem will be when he does not snap out of the parasite bit and decides to lay down until "they" get him.

I've been through the "psychology bit" with him, like asking if he would feel a failure if he had to return home, if he enjoyed his present life in Thailand,

if he could imagine a life back in the UK (on welfare, obviously). That went well enough.

I suppose I'll have to meet him and do some more talking to see him through.

Unless you are skilled and knowledgeable best stay away from "the psychology bit"!

Do not support or deny the delusion(s) but encourage him to seek medical help. Outpatient consultations are not expensive.

Your friend needs skilled psychiatric assessment/help and appropriate prescribed medication.

You could ask in the Health forum where such help can be obtained.

I am not playing psychologist, but I had to test out whether he even considers "going home" an option. He does, so that's good.

As to not denying the delusions, well, I was rather blunt as I needed to get the psychiatry part into his head. He considers himself "probably too far gone" with

his supposed infection for medical help, After "self-diagnosis", days and weeks on the internet where he determined his sort of parasite was not even

found in Thailand so the doctors about here wouldn't know what to do anyway, having got himself repeatedly on anti-worm medicine of some sort....

You see the dilemma? He told me he would "actually be happy" if it turned out to be psychiatric, sounded doubtful enough though.

The assessment part is going to be hard, with the English even doctors hereabout speak. He is presently talking so rapidly I can only make out some

2/3 of what he is saying, and my own English is not normally the problem.

I've got a buddy a back in Germany who is a physician with a psychiatrist wife, could ask them. It's Wednesday, so they'll have their half day off.

I am thinking neuroleptica myself, but we need to get the going home part on the way.

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If you check with your doctor friend I think you will discover that "neuroleptica" is an obsolete term which not used -----Even in Germany.!smile.png

Your observations describe a "classic"case. Suffers will make extraordinary effort to "prove" the bugs are real and will sometimes cut the "bug" out and present. a piece of tissue as "proof"

Clearly the man is in need of help which is probably best provided at home.

Which leaves the original problem of how this person can returned to his country of origin.

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If he has "parasite that has made his way to his brain" He does not need psychiatric help.

Parasites can indeed attack the brain and give neurological and psychiatric symptoms if not treated.

Sending him to a psychiatric hospital would be a serious mistake, because psychiatric medicines won't help him and he could be locked up for life when he's just infected and NOT MAD.

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If he has "parasite that has made his way to his brain" He does not need psychiatric help.

Parasites can indeed attack the brain and give neurological and psychiatric symptoms if not treated.

Sending him to a psychiatric hospital would be a serious mistake, because psychiatric medicines won't help him and he could be locked up for life when he's just infected and NOT MAD.

Thank you for your input, but this is exactly the type of discussion that will not get us one step further. We don't know squat about these things and we cannot examine him or anything.

While parasites that go into your brain exist, I am refusing to read the slightest bit about this and the symptoms. If you hear a clatter of hooves think horses, not zebras.

Apart from the misconceptions of psychiatry "locking people up".

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If he has "parasite that has made his way to his brain" He does not need psychiatric help.

Parasites can indeed attack the brain and give neurological and psychiatric symptoms if not treated.

Sending him to a psychiatric hospital would be a serious mistake, because psychiatric medicines won't help him and he could be locked up for life when he's just infected and NOT MAD.

As a "knowledgeable" person why not give details of these parasites which attack the brain together with detail of how "they" are diagnosed and treated.

Name the county which locks up mentally sick (not criminal) people for life ...................

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I am saying this because I am in contact with forum loads of people who wasted months sometimes years in psychiatry when they just needed anti parasite treatment. The saddest is when it happens to kids,they can't properly express what's going on and end up in psychiatric wards when they are just infected.

Do you want to be that person who took the responsibility to send him to psychiatry?

These places are easier to get in than out

Give your friend some credit and do try to find out what's his infection.

I am personally dealing with a parasite that does have neuro and psy consequences.

If I had not taken things in hands I could have ended like your friend

I know it could go pretty bad if I don't take care but it is possible to manage parasites.

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I am saying this because I am in contact with forum loads of people who wasted months sometimes years in psychiatry when they just needed anti parasite treatment. The saddest is when it happens to kids,they can't properly express what's going on and end up in psychiatric wards when they are just infected.

Do you want to be that person who took the responsibility to send him to psychiatry?

These places are easier to get in than out

Give your friend some credit and do try to find out what's his infection.

I am personally dealing with a parasite that does have neuro and psy consequences.

If I had not taken things in hands I could have ended like your friend

I know it could go pretty bad if I don't take care but it is possible to manage parasites.

What is the name of this "parasite" you are dealing with, how was it diagnosed and what is the treatment. ?

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I am saying this because I am in contact with forum loads of people who wasted months sometimes years in psychiatry when they just needed anti parasite treatment. The saddest is when it happens to kids,they can't properly express what's going on and end up in psychiatric wards when they are just infected.

Do you want to be that person who took the responsibility to send him to psychiatry?

These places are easier to get in than out

Give your friend some credit and do try to find out what's his infection.

I am personally dealing with a parasite that does have neuro and psy consequences.

If I had not taken things in hands I could have ended like your friend

I know it could go pretty bad if I don't take care but it is possible to manage parasites.

Yes, I want to be that person who sends this chap to a psychiatrist for assessment and treatment. If that turns out to be wrong, nothing bad has happened.

Actually, those places are harder to get IN than OUT, unless you are an emergency, with a waiting list of up to two months.

Getting out is quick and easy, you just tell the doctor you're leaving against medical advice, and unless you have been diagnosed as being a danger to yourself or others, that's it.

The chances of a theoretical infection being overlooked here are pretty slim. It'll be the first thing he tells them, pointing to the dried spot of scab on his forehead where he is

suspecting the next "exit wound" (when it looks like scar tissue with a little indentation where he supposedly dug at it with his fingernail.)

I actually just met him to talk things over, and I dug a bit into his former life in the UK. Has been repeatedly out of work for depressions, always as an outpatient.

Reciting a list of medications I know to see if any of them rang a bell he answered positive on citalopram and lithium. The latter is probably bad news, not necessarily though.

So yes, psychiatry it is. In any event.

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I am saying this because I am in contact with forum loads of people who wasted months sometimes years in psychiatry when they just needed anti parasite treatment. The saddest is when it happens to kids,they can't properly express what's going on and end up in psychiatric wards when they are just infected.

Do you want to be that person who took the responsibility to send him to psychiatry?

These places are easier to get in than out

Give your friend some credit and do try to find out what's his infection.

I am personally dealing with a parasite that does have neuro and psy consequences.

If I had not taken things in hands I could have ended like your friend

I know it could go pretty bad if I don't take care but it is possible to manage parasites.

Yes, I want to be that person who sends this chap to a psychiatrist for assessment and treatment. If that turns out to be wrong, nothing bad has happened.

Actually, those places are harder to get IN than OUT, unless you are an emergency, with a waiting list of up to two months.

Getting out is quick and easy, you just tell the doctor you're leaving against medical advice, and unless you have been diagnosed as being a danger to yourself or others, that's it.

The chances of a theoretical infection being overlooked here are pretty slim. It'll be the first thing he tells them, pointing to the dried spot of scab on his forehead where he is

suspecting the next "exit wound" (when it looks like scar tissue with a little indentation where he supposedly dug at it with his fingernail.)

I actually just met him to talk things over, and I dug a bit into his former life in the UK. Has been repeatedly out of work for depressions, always as an outpatient.

Reciting a list of medications I know to see if any of them rang a bell he answered positive on citalopram and lithium. The latter is probably bad news, not necessarily though.

So yes, psychiatry it is. In any event.

Probably best not to engage with a likely troll.

I read and understood what was being said with absolutely no difficulty.

You should be congratulated for your efforts to help this gentleman.

I am awaiting a detailed response from "kitsune" but doubt I (we) will receive one (post No. 46)

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I am saying this because I am in contact with forum loads of people who wasted months sometimes years in psychiatry when they just needed anti parasite treatment. The saddest is when it happens to kids,they can't properly express what's going on and end up in psychiatric wards when they are just infected.

Do you want to be that person who took the responsibility to send him to psychiatry?

These places are easier to get in than out

Give your friend some credit and do try to find out what's his infection.

I am personally dealing with a parasite that does have neuro and psy consequences.

If I had not taken things in hands I could have ended like your friend

I know it could go pretty bad if I don't take care but it is possible to manage parasites.

Yes, I want to be that person who sends this chap to a psychiatrist for assessment and treatment. If that turns out to be wrong, nothing bad has happened.

Actually, those places are harder to get IN than OUT, unless you are an emergency, with a waiting list of up to two months.

Getting out is quick and easy, you just tell the doctor you're leaving against medical advice, and unless you have been diagnosed as being a danger to yourself or others, that's it.

The chances of a theoretical infection being overlooked here are pretty slim. It'll be the first thing he tells them, pointing to the dried spot of scab on his forehead where he is

suspecting the next "exit wound" (when it looks like scar tissue with a little indentation where he supposedly dug at it with his fingernail.)

I actually just met him to talk things over, and I dug a bit into his former life in the UK. Has been repeatedly out of work for depressions, always as an outpatient.

Reciting a list of medications I know to see if any of them rang a bell he answered positive on citalopram and lithium. The latter is probably bad news, not necessarily though.

So yes, psychiatry it is. In any event.

Probably best not to engage with a likely troll.

I read and understood what was being said with absolutely no difficulty.

You should be congratulated for your efforts to help this gentleman.

I am awaiting a detailed response from "kitsune" but doubt I (we) will receive one (post No. 46)

I know of a fifteen year old that was recently treated for porkworm, which had attacked her brain. ( Chiang Mai, treatment June 2015 ). The condition is inoperable - apparently they have killed the worm(s) using medication. It was explained to me that the girl continues to have fits ( that's what drew attention to her condition, and as Kitsune said, it took a while to obtain a proper diagnosis ). It's believed that the severity of the fits could prove fatal at any time

As for the worm, I believe it's still within her skull cavity, and they are waiting/hoping for the body to break it down. Some of this info could be lost in translation.

You seem keen to get an accurate medical diagnosis? why? do you think you are suffering from parasites? How long have you been in Thailand? when was the last time you were tested?

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OP - £300 one way flight to the UK next week - £400 overstay fine.

Do your pal a favour, book the flight, drive him to the airport and pay his fine - it's only £700.

That's what good pals do.

http://www.skyscanner.net/transport/flights/bkk/edin/150908/airfares-in-september-2015.html?rtn=0&includeOnePlusStops=true&browsePrice=303&age=0

When he arrives at the airport he can request an ambulance and he will be taken straight to hospital for treatment.

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I am saying this because I am in contact with forum loads of people who wasted months sometimes years in psychiatry when they just needed anti parasite treatment. The saddest is when it happens to kids,they can't properly express what's going on and end up in psychiatric wards when they are just infected.

Do you want to be that person who took the responsibility to send him to psychiatry?

These places are easier to get in than out

Give your friend some credit and do try to find out what's his infection.

I am personally dealing with a parasite that does have neuro and psy consequences.

If I had not taken things in hands I could have ended like your friend

I know it could go pretty bad if I don't take care but it is possible to manage parasites.

Yes, I want to be that person who sends this chap to a psychiatrist for assessment and treatment. If that turns out to be wrong, nothing bad has happened.

Actually, those places are harder to get IN than OUT, unless you are an emergency, with a waiting list of up to two months.

Getting out is quick and easy, you just tell the doctor you're leaving against medical advice, and unless you have been diagnosed as being a danger to yourself or others, that's it.

The chances of a theoretical infection being overlooked here are pretty slim. It'll be the first thing he tells them, pointing to the dried spot of scab on his forehead where he is

suspecting the next "exit wound" (when it looks like scar tissue with a little indentation where he supposedly dug at it with his fingernail.)

I actually just met him to talk things over, and I dug a bit into his former life in the UK. Has been repeatedly out of work for depressions, always as an outpatient.

Reciting a list of medications I know to see if any of them rang a bell he answered positive on citalopram and lithium. The latter is probably bad news, not necessarily though.

So yes, psychiatry it is. In any event.

Probably best not to engage with a likely troll.

I read and understood what was being said with absolutely no difficulty.

You should be congratulated for your efforts to help this gentleman.

I am awaiting a detailed response from "kitsune" but doubt I (we) will receive one (post No. 46)

I know of a fifteen year old that was recently treated for porkworm, which had attacked her brain. ( Chiang Mai, treatment June 2015 ). The condition is inoperable - apparently they have killed the worm(s) using medication. It was explained to me that the girl continues to have fits ( that's what drew attention to her condition, and as Kitsune said, it took a while to obtain a proper diagnosis ). It's believed that the severity of the fits could prove fatal at any time

As for the worm, I believe it's still within her skull cavity, and they are waiting/hoping for the body to break it down. Some of this info could be lost in translation.

You seem keen to get an accurate medical diagnosis? why? do you think you are suffering from parasites? How long have you been in Thailand? when was the last time you were tested?

Read all about "porkworm" in the link ...

https://en.wikipedia.org/wiki/Trichinosis

A link to the published detail of the case you mention would be welcome.

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Making some headway here.

I just made "John" an offer he could not refuse, as in inviting him for dinner to talk things over.

His girlfriend split up with him in February and has so far "not managed" to send him his papers, rental contracts and the like I suppose,

he claims to still have some money in the bank, but can not get it, would not be much anyway. His steady income of 25k THB from

the UK dried up for good as recent as December. Doesn't sound like he's been burning his money.

We talked the procedures through to get him on a plane home, including the need to gather some 1000 GBP for the ticket, emergency passport, short stay in Bagkok to get the latter,

and immigration. He will need to stay out of sight of police, so it'll have to be a taxi to Bangkok, not the bus.

He is on somewhat tense terms with his mum and step-dad, but will phone them up for support, along with his estranged brother and some friends. Tonight.

Should work, we're not talking about a fortune here. If mum is not forthcoming, we might contact his Embassy "for advice", so they may make a

phone-call home and impress the urgency on his folks. I've decided against running up a medical bill in Thailand. Won't do any good.

In October he got scammed out of his passport and someone tried to blackmail him for it. So while it apparently is still valid, it's gone.

So, while John is working on the financial side of things, there still is the nitty-gritty.

He might have to go to Thai police to report his passport as stolen, will that be a problem considering his visa-less state?

There will be a need for timing getting those travel-papers, booking a flight and accommodation.

Has anyone a clue how long it will take him to get the papers from the British Embassy?

Edited by Saradoc1972
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OP - £300 one way flight to the UK next week - £400 overstay fine.

Do your pal a favour, book the flight, drive him to the airport and pay his fine - it's only £700.

That's what good pals do.

http://www.skyscanner.net/transport/flights/bkk/edin/150908/airfares-in-september-2015.html?rtn=0&includeOnePlusStops=true&browsePrice=303&age=0

When he arrives at the airport he can request an ambulance and he will be taken straight to hospital for treatment.

He is more of an acquaintance.

I definitely am willing to drive to Bangkok with him, might even book a room in my name (so the missing passport will not be the problem),

see him through the Embassy business and to the airport. It's like I'm going on a little holiday and sightseeing, and just share a room for 2-3 nights.

And if the last 5 or 7k THB are missing, well, ok.

Once he is in the UK, worries are over. I suppose it will not so much be the ambulance but couch-crashing for the first few nights so he does not

have to go to a homeless shelter, and at some point he will then go to a hospital and get housed by them. He apparently has done it before.

They've got social-workers to see to that.

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You are a great friend to this guy.

He will need a police report about the stolen/lost passport. Making that report will not cause a problem but he will need to retain( and keep copies) of the police report.

Eventually the overstay will show up and he will have to be able to pay the fine of 500 Bht/day to a max of 20,000 Bht.

Emergency travel documentation is issued rapidly (sorry, I cannot remember the exact timescale ) by the British Embass at a cost of <>£100

The Embassy will contact relatives (no charge) if required and they will also accept money sent from the UK and attempt to ensure it is used for the purpose intended.

This man needs no "papers" from immigration.

If needed a medical consultation should not be more than 1-2000 Bht and if the man is displaying florid symptoms an appropriate prescription will not add much to the cost.

I hope it all works out.

Edited by nowretired
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So Embassy here must be different from other Embassies then seen this situation a few times all over the world and always the British Embassy has been there for people especially on two occasions where mental health issues were involves. Personally I would go to Embassy explain problems if they refuse help sit there don't move remember Embassy is British soil therefore cannot be arrested by Thai Police. Make sure someone goes with him with a camera. But I don't belive it will go that far I belive there would be help in the case of mental problems

Most cases of British citizens in these kinds of circumstances (and there are many of them) are partly the result of mental illnesses of one kind or another. I know there are embassies (the US one for instance) that will advance money for repatriation under certain circumstances. The British never ever do that now, and very rarely did it in the past. If the media was interested in these stories, they would need a separate daily paper to report on all of them.

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Making some headway here.

I just made "John" an offer he could not refuse, as in inviting him for dinner to talk things over.

His girlfriend split up with him in February and has so far "not managed" to send him his papers, rental contracts and the like I suppose,

he claims to still have some money in the bank, but can not get it, would not be much anyway. His steady income of 25k THB from

the UK dried up for good as recent as December. Doesn't sound like he's been burning his money.

We talked the procedures through to get him on a plane home, including the need to gather some 1000 GBP for the ticket, emergency passport, short stay in Bagkok to get the latter,

and immigration. He will need to stay out of sight of police, so it'll have to be a taxi to Bangkok, not the bus.

He is on somewhat tense terms with his mum and step-dad, but will phone them up for support, along with his estranged brother and some friends. Tonight.

Should work, we're not talking about a fortune here. If mum is not forthcoming, we might contact his Embassy "for advice", so they may make a

phone-call home and impress the urgency on his folks. I've decided against running up a medical bill in Thailand. Won't do any good.

In October he got scammed out of his passport and someone tried to blackmail him for it. So while it apparently is still valid, it's gone.

So, while John is working on the financial side of things, there still is the nitty-gritty.

He might have to go to Thai police to report his passport as stolen, will that be a problem considering his visa-less state?

There will be a need for timing getting those travel-papers, booking a flight and accommodation.

Has anyone a clue how long it will take him to get the papers from the British Embassy?

You seem generally to be on the right lines. Just a couple of thoughts.

There might be an advantage in seeing a doctor to confirm his condition and get a statement that he needs a short extension of stay on medical grounds. If he had this before dealing with the police on the lost passport report, it could remove the worry that he could find himself locked up.

A police report on the lost passport will definitely be necessary.

Ensure when applying for the emergency travel document that he has some means of proving his identity. Assuming this, the emergency travel document will likely be ready the same day.

Good luck! I hope he can raise the cash.

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The Embassy will contact relatives (no charge) if required and they will also accept money sent from the UK and attempt to ensure it is used for the purpose intended.

Best piece of advice ever. If in doubt, this is going to turn the tides.

Just got back to "John", and while he has not received word from mum as of now, he thinks this escrow-thingy "might sway her". And everyone else.

He did ask me if I could lend him any money back in May and I declined. Self-protection. Putting any money in some sort of escrow would be another story, personally speaking.

And doing so is first-most the responsibility of mum, step-dad, brother, and other family,

I don't want to appear heartless, but I have some sort of upper limit in what I would be willing to invest in an acquaintance, I prefer the "hands-on" approach when doing charity, no money involved, but still.

He now appears to have his mind set on actually going home. Good. Just ... good! I just so hope I am not misreading him.

I had considered him totally devoid of any papers whatsoever, but from what he says he has still got a driving license and a birth-certificate.

The Embassy-part is going to be a breeze with those.

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I hope everything works out. Beware scams I'm sure you have a good head, but reading your post seems another piece of info appears in every post. Family in UK/has money but can't get to it/has birth certificate and driving licence. So why can't he get to his money for instance. I wish him and yourself well just be careful ok

Edited by Sutty
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