Hiatal hernia + 3 fractured vertebrae = pain/fear for life

[Flustered]

2 hours ago, sailorjon said:

I think the plural for 'ye'  as in 'oh, ye of little faith' is 'youse'  like 'oh youse guys of little faith'  from the apostle gambino known as tony the wrench.

Is this the only forum you have asked questions on or have you tried  medical forums such as

 

http://www.medhelp.org/forums/list

http://ehealthforum.com

 

I know you are looking for help in Thailand but you will not find expert medical advice on this forum, just good natured advice and 12 weeks is pushing your luck with the problems you have outlined.

 

A medical forum would better address your issues.

[scubascuba3]

Is this the only forum you have asked questions on or have you tried  medical forums such as
 
http://www.medhelp.org/forums/list
http://ehealthforum.com
 
I know you are looking for help in Thailand but you will not find expert medical advice on this forum, just good natured advice and 12 weeks is pushing your luck with the problems you have outlined.
 
A medical forum would better address your issues.

Is is when certain BMs try to wash their hands of this? Just let the thread continue and hopefully people can help and we can hear how it all goes.

[NancyL]

At this point, after all the ignored good advice, and his apparent low income, I'm really thinking that the OP should return to his home country.  He doesn't seem able to manage his own situation and his income and insurance, lifestyle and insurance (and perhaps age) situation is such that his problems are not easy to resolve.

 

There is no evidence that he has a job, children or other reason to remain in Thailand.

[Flustered]

24 minutes ago, scubascuba3 said:

Is is when certain BMs try to wash their hands of this? Just let the thread continue and hopefully people can help and we can hear how it all goes.

You may view this as an interesting topic that makes good reading, but for the OP it is a life threatening event. He needs help now and not advice from a bunch of FMs with no medical qualifications (Sheryl excepted...from your input, I take it you are medically qualified) telling him what he should do when they have never met him or read his medical reports.

 

I do not often agree with Nancy but she is spot on the money with her observations in this one.

 

 

[howard ashoul]

To sum it up (sorry if not accurately, very long thread).

 

- You broke you vertebrae. And you got pain from it. (which is medically justifiable)

- Then you got series of of health issues (bowel movement, shortness of breath, pounding heart...). Which all of them have mysterious cause. Nobody can diagnose it. Nobody knows cause.

 

Can't it be just an anxiety, stress and pressure, that you are putting on your body? You are visiting 3 hospitals a week, 3 specialists a day, writing page long reports, planning trips to foreign countries, buying insurances, dedicated your life to your health... . Literally going crazy about your health.

 

You know? Only broken vertebrae is medically justifiable. Rest of it are all randoms symptoms, that nobody can diagnose.

 

I think that broken vertebrae and then putting too much pressure on yourself is more probable.

Than broken vertebrae and 5 different unidentifiable disseases, all starting at once.

 

Mind under pressure can play games. And even affect physical processes in body.

[balo]

If you only have 50000 left of your savings and no insurance , I would just take my chances with India.   If you can't go back to the US , then India must be a good place to start to get some treatment. But you need to make a quick decision , you already wasted several months. 

 

 

 

 

 

[teddog]

Quite involved Sailor the evisa,do that first  then airline booking,  the clock starts ticking as soon as your dates are entered, but doc will give overstay letter.  Do not book longterm in hotel,you may become longstay in the hospital, waste money.  Forget the lung specialist until stomach is done,better in hospital than clinic too.

                          Loose fitting shorts if hospital stay,the pyjamas will not fit you,tell them u want ward,they will upgrade for free.

Spinal ops are OK there,will separate the discs to stop grinding pain, better there than Thailand.

Keep to low level local hospitals the doctors flit high to low ,so no advantage at going international,theMercy looks good especially if urgent surgery,yes Ruby looks OK but might step up a few levels ,but quote from them in line with Desun for my operation and they will want you fixed up before departing,looks good for them on departure,pictures being taken 

If the doc is not there at hospital on the day you arrive he will be at another local one,just get taxi driver to catch up with him wherever he/she is

 

[Sheryl]

7 hours ago, howard ashoul said:

To sum it up (sorry if not accurately, very long thread).

 

- You broke you vertebrae. And you got pain from it. (which is medically justifiable)

- Then you got series of of health issues (bowel movement, shortness of breath, pounding heart...). Which all of them have mysterious cause. Nobody can diagnose it. Nobody knows cause.

 

Can't it be just an anxiety, stress and pressure, that you are putting on your body? You are visiting 3 hospitals a week, 3 specialists a day, writing page long reports, planning trips to foreign countries, buying insurances, dedicated your life to your health... . Literally going crazy about your health.

 

You know? Only broken vertebrae is medically justifiable. Rest of it are all randoms symptoms, that nobody can diagnose.

 

I think that broken vertebrae and then putting too much pressure on yourself is more probable.

Than broken vertebrae and 5 different unidentifiable disseases, all starting at once.

 

Mind under pressure can play games. And even affect physical processes in body.

 

You are missing a few important pieces:

 

- Due to a skin condition he has been on prednisilone long term. This may have led to osteoporosis, predisposing to fracture, but we do not know as he has not had a bone density scan

 

- After the fractured vertebra (which may not have been properly treated, and the healing of which is unknown as he has not had repeat films) he has been taking opiate pain killers (we do not know how much/how often) and been constipated, these 2 things likely connected. With this he developed a hard,  distended abdomen. CT of abdomen revealed nothing other than a hiatal hernia. He may have fecal impaction, we do not know as there has been no exam.

 

There are not 5 different diseases. there are fractured vertebra (unknown healing progress, unknown if the spine is now out of  alignment) then development of 2 symptom complexes which may or may not be related: abdominal distension/bloating, and shortness of breath,

 

Re the shortness of breath, an exam by cardiologist in Thailand found no signs of heart failure. A coronary calcium scan in Malaysia showed calcium score of around 500. He has not had a stress test. He has no chest pain.

 

There are many possibilities here.

 

1)  It could all  be just a combination of spinal mis-alignment, anxiety  and severe constipation or impaction related to opioid use (?over use? we don't know).  The tests/exams needed to determine that are simple and low cost but despite repeated advice he has not had them.

 

2) There could be underlying coronary artery disease or pulmonary disease - he was referred by cardiologist to pulmonary specialist to rule out the latter but did not go. Also advised by me to see a pulmonologist, ditto. Was advised by cardiologist in Malaysia to have an angiogram, has not done so yet due to cost.

 

3) There could be another underlying abdominal issue though it is hard to see how/what given the normal CT, unless the CT was not properly interpreted, which is always possible. He consulted a GI specialist at Chula who apparently did not think there was anything much but it is unclear whether this specialist was shown or reviewed the CT done prior.

 

These 3 things are not mutually exclusive,

 

There are many tests, some quite affordable, that would be useful but though repeatedly advises, OP has not followed through with them. He has  on the other hand wasted a lot of time and money trying to demand tests and surgeries no medical person considers appropriate. He even flew to Malaysia determined to obtain surgical repair of hiatal hernia despite having been told this was unlikely to be the source of his problems. Malaysian docs refused to do the op as well.

 

He has a marked pattern of seeing doctors and then not following through with their advise or having the tests and consultations they recommend. Instead, when they do not instantly produce a cure, he becomes irate and claims he is being swindled (in so many words).  If he maintains this pattern once in India that trip too will be a waste of time and money.

 

 

[teddog]

Just now, Sheryl said:

 

You are missing a few important pieces:

 

- Due to a skin condition he has been on prednisilone long term. This may have led to osteoporosis, predisposing to fracture, but we do not know as he has not had a bone density scan

 

- After the fractured vertebra (which may not have been properly treated, and the healing of which is unknown as he has not had repeat films) he has been taking opiate pain killers (we do not know how much/how often) and been constipated, these 2 things likely connected. With this he developed a hard,  distended abdomen. CT of abdomen revealed nothing other than a hiatal hernia. He may have fecal impaction, we do not know as there has been no exam.

 

There are not 5 different diseases. there are fractured vertebra (unknown healing progress, unknown if the spine is now out of  alignment) then development of 2 symptom complexes which may or may not be related: abdominal distension/bloating, and shortness of breath,

 

Re the shortness of breath, an exam by cardiologist in Thailand found no signs of heart failure. A coronary calcium scan in Malaysia showed calcium score of around 500. He has not had a stress test. He has no chest pain.

 

There are many possibilities here.

 

1)  It could all  be just a combination of spinal mis-alignment and severe constipation or impaction related to opioid use (?over use? we don't know).  The tests/exams needed to determine that are simple and low cost but despite repeated advice he has not had them.

 

2) There could be underlying coronary artery disease or pulmonary disease - he was referred by cardiologist to pulmonary specialist to rule out the latter but did not go. Also advised by me to see a pulmonologist, ditto. Was advised by cardiologist in Malaysia to have an angiogram, has not done so yet due to cost.

 

3) There could be another underlying abdominal issue though it is hard top see how/what given the normal CT. He consulted a GI specialist at chula who apparently did nto think there was anything much but it is unclear whether this specialist was shown or reviewed the CT done prior.

 

These 3 things are not mutually exclusive,

 

There are many tests, some quite affordable, that would be useful but though repeatedly advises, OP has not followed through with them. He has  on the other hand wasted a lot of time and money trying to demand tests and surgeries no medical person considers appropriate. He even flew to Malaysia determined to obtain surgical repair if hiatal hernia despite having been told this was unlikely to be the source of his problems. Malaysian docs refused to do the op as well.

 

He has a marked pattern of seeing doctors and then not following through with their advise or having the tests and consultations they recommend. Instead, when they do not instantly produce a cure, he becomes irate and claims he is being swindled (in so many words).  If he maintains this pattern once in India that trip too will be a waste of time and money.

 

 

Christ Sailor ,I would just do myself in

[perthperson]

21 minutes ago, Sheryl said:

He has a marked pattern of seeing doctors and then not following through with their advise or having the tests and consultations they recommend. Instead, when they do not instantly produce a cure, he becomes irate and claims he is being swindled (in so many words

The time span associated with the numerous complaints is now so long that any acute condition can be ruled out.

 

I am sure that an appropriate professional could, with the aid of the DMS*,  catagorise this behavior and provide suggestion as to how it could be modified. 

[Sheryl]

I would not assume that there is not one or more physical disease processes  involved. Just because a patient is anxious, or non-compliant with physician recommendations, does not rule  that out.

 

With a history of vertebral fractures that have not been followed up, along with continued steroid use and complaints of continued back pain, there is every possibility there is still orthopedic pathology.  Ortho specialist consulted at Chula recommended MRI (as yet not done), he would not have done so if he did not think there was a possible problem.

 

Abdominal complaint and complaints of SOB are of course subjective.  But persistant complaints of SOB should never be dismissed without thorough search for causes. Cardiologists he has seen have recommended pulmonary consult and angiogram respectively.

 

And it is perfectly possible for someone on opiates to develop chronic, intractable constipation.

[sailorjon]

I went to Samitive hosptital today and had a digital exam for fecal imaction.   

Result:  no fecal impaction

 

Doctor says there could be one in upper parts of the intestines though.

 

Reommends either:

xray with contrast 8000 bt  or

colonoscopy and biopsy 32000bt

 

also suggests:  barium enema to clear colon - 6000bt

 

examined abdomen, tapping sound shows I have gas in the abdomen

she said with decreased function of colon, ie not moving stuff out, the gas can go into the abdomen

 

then she prescribed medicines for movement of colon , gasmotin, agiolax granules, magesto f tablet

 

2800 bt cost total including meds.  they had no generic.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[teddog]

1 minute ago, sailorjon said:

I went to Samitive hosptital today and had a digital exam for fecal imaction.   

Result:  no fecal impaction

 

Doctor says there could be one in upper parts of the intestines though.

 

Reommends either:

xray with contrast 8000 bt  or

colonoscopy and biopsy 32000bt

 

also suggests:  barium enema to clear colon - 6000bt

 

examined abdomen, tapping sound shows I have gas in the abdomen

she said with decreased function of colon, ie not moving stuff out, the gas can go into the abdomen

 

then she prescribed medicines for movement of colon , gasmotin, agiolax granules, magesto f tablet

 

2800 bt cost total including meds.  they had no generic.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

'ello Sailor , Glad you have not topped yerself,

 

   Where do the hell these figures come from?  32000 baht for Colonoscopy with whatever, he can get that done for 400 baht, plus another 200 baht for results ,  where he is going.          8000 baht for xray...90 baht over there, probably another 20 baht for contrast....was the same for the guy wanting FNA a few weeks ago,think the figure Gavin wanted was 4000 baht...same place there  500 baht ,and I narrowed the figure down to 179 without publishing it ,it is not the case of witch doctor medicine there either,highly developed,world class ....its madness ,my god these figures are frightening

[perthperson]

18 minutes ago, sailorjon said:

I went to Samitive hosptital today and had a digital exam for fecal imaction.   

Result:  no fecal impaction

 

Doctor says there could be one in upper parts of the intestines though.

 

Reommends either:

xray with contrast 8000 bt  or

colonoscopy and biopsy 32000bt

 

also suggests:  barium enema to clear colon - 6000bt

 

examined abdomen, tapping sound shows I have gas in the abdomen

she said with decreased function of colon, ie not moving stuff out, the gas can go into the abdomen

 

then she prescribed medicines for movement of colon , gasmotin, agiolax granules, magesto f tablet

 

2800 bt cost total including meds.  they had no generic.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am pleased you have been to see the Doctor and sorry you have been provided with options, apparently without guidance about which you should choose.  

 

Personally I would choose the barium enema( A type of x-ray examination) because 1) it is 'cheap' and 2)because it will provide definitive information about the state of your large bowel but it is not guaranteed to "clear the colon" and that is not its prime purpose.  As explained before if in fact you do have a faecal impaction  it will not be possible to complete a colonoscopy and 32000 is a lot to pay for a procedure which may fail.

 

Finally let us clear a misunderstanding.  Any gas in your abdomen is contained within the bowel, were it not you would be very, very sick because if the gas were free within your abdomen it would mean that the bowel had perforated (burst). 

 

I hope you keep in contact with this doctor and let her know the results of the medication prescribed. 

[sailorjon]

11 minutes ago, perthperson said:

I am pleased you have been to see the Doctor and sorry you have been provided with options, apparently without guidance about which you should choose.  

 

Personally I would choose the barium enema( A type of x-ray examination) because 1) it is 'cheap' and 2)because it will provide definitive information about the state of your large bowel but it is not guaranteed to "clear the colon" and that is not its prime purpose.  As explained before if in fact you do have a faecal impaction  it will not be possible to complete a colonoscopy and 32000 is a lot to pay for a procedure which may fail.

 

Finally let us clear a misunderstanding.  Any gas in your abdomen is contained within the bowel, were it not you would be very, very sick because if the gas were free within your abdomen it would mean that the bowel had perforated (burst). 

 

I hope you keep in contact with this doctor and let her know the results of the medication prescribed. 

Yes, I was thinking of the barium enema option also.  The gas in abdomen is a mystery.   Another g.i. said as much without giving an clue as to treatment.  I tried today to get answer as to how it could get in abdomen and the answer seemed muddled.  but she seemed to be saying it is in the abdomen.  she was doing the thump abdomen test with stethoscope.  but you could hear the hollow sound without it.  So, I don't know, the abdomen is swollen, bloated 24/7 whether I eat or not.  Very uncomfortable but I don't feel nauseous or particularly sick.   The other g.i. who heard 'air' prescribed laxatives but with little result.  I'll take these pills for two weeks and then tell her what happens.

[perthperson]

26 minutes ago, teddog said:

Where do the hell these figures come from?  32000 baht for Colonoscopy with whatever,

I know you think you are being helpful but by suggesting the price quoted for this procedure is excessive you do not help. 

 

The cost compares well with the UK for example where the same procedure would cost at a minimum  52,000 Bht but more likely nearer 100,000 Bht. 

 

Tempting someone to travel to yet another foreign country with the promise of very low costs(which may not materialise) could be viewed as being, at least unethical. 

[teddog]

Just now, perthperson said:

I know you think you are being helpful but by suggesting the price quoted for this procedure is excessive you do not help. 

 

The cost compares well with the UK for example where the same procedure would cost at a minimum  52,000 Bht but more likely nearer 100,000 Bht. 

 

Tempting someone to travel to yet another foreign country with the promise of very low costs(which may not materialise) could be viewed as being, at least unethical. 

 

Ethics here in Thailand,especially private hospitals last as long as the purse strings.  Well he is not in the UK  , he is 2 hours away from a place the Uk positively encourages, especially for knee replacement, and other procedures

[sailorjon]

I disagree perthperson.  I had already come to the same conclusion but hadn't discovered the advantages of India over Malaysia.  In fact 32000 is a complete rip off.  As I've said before, the hospitals here operate like shakedown artists and I've had enough.  If you are a foreigner the price skyrockets.  Perhaps you are insulated from that but not me, as I said the last of my savings is not much more than 50000.  One colonoscopy in bangkok eats that up quickly.  I have been told many other prices for colonoscopy in bkk 23000,   26000, etc.  I'm an adult, noone is tempting me.  And the UK price is irrelevant.  What's relevant is what medical care can I get with the money I have left that might help me.  And there is no reason to believe the savings will not materialize, there are many reports online about this.

[jpinx]

7 minutes ago, sailorjon said:

I disagree perthperson.  I had already come to the same conclusion but hadn't discovered the advantages of India over Malaysia.  In fact 32000 is a complete rip off.  As I've said before, the hospitals here operate like shakedown artists and I've had enough.  If you are a foreigner the price skyrockets.  Perhaps you are insulated from that but not me, as I said the last of my savings is not much more than 50000.  One colonoscopy in bangkok eats that up quickly.  I have been told many other prices for colonoscopy in bkk 23000,   26000, etc.  I'm an adult, noone is tempting me.  And the UK price is irrelevant.  What's relevant is what medical care can I get with the money I have left that might help me.  And there is no reason to believe the savings will not materialize, there are many reports online about this.

Using Sao Paolo just outside Bangkok several times at the beginning of the year, I got various specialist consultancies, lab tests, prescriptions, and Xrays, and never had a bill much over 2,000Baht.  Take the prescription to your local street pharmacy to get the generic meds if you want to save a bit more -- there's usually a well-stocked street Pharmacy very close to the hospitals. 

 

Doctors varied in their approach, some very hands-on and some going with blood and other test results.  The Diagnosis was mixed and could be confusing, hence my simplistic approach to treating the things according to priority and cost.  My Thai helper would call the hospital and ask for the cost of one test and pin that down without confusing the issues with all the rest of the "maybe's".  It was always the Thai price, and the hospital didn't raise any eyebrows when a farang rolled up as the patient.  A lot depends on your attitude to the staff - they can load your bill with items like "Outpatient care = 500baht" if you are in any way awkward with them.  My Thai helper was invaluable and saved me a lot of cash and a lot of heartache. 

 

When I went back to UK the specialists were suitably impressed by the CD's of the Xrays, printouts of the ECG and the well written lab reports I was able to show them.  There was no hint of mis-diagnosis and they continued down the same path of treatment -- life-savers first and then the simple things.  Given how long this has been going on, you're obviously not in an acute situation, so there's no life-saving to do, just start with the basics, clear the constipation and sort out your life-style. 

 

[sailorjon]

that makes sense of course.  However non-life threatening it seems, the shortness of breath fatigue issue seems very serious to me.  The possibility of artery blockage being the cause has been presented as very serious to me.   And, it has severely limited my life.  So, that and whatever the g.i. problem is are the priorities.  To be able to do the required tests and possible procedures for treatment in these two areas for under 50000 I don't see another way but to go to India.   As should be clear by now, impossible here.  Thanks for the direction.   That was my experience when I was living in China as well.  I had helpers, students, friends and they would do the calls first.   I've become somewhat isolated from a Thai network here.  I don't know what happened, but the few people I asked for help couldn't find the time.  

[Sheryl]

Actually 32000 is the very high end of costs for colonoscopy in Thailand, it can be gotten for a little under half that privately and for about 1/5 that at a government hospital.

 

I think this "abdominal gas" bit is just language issue - the doctors do not mean free air in the abdomen, they are using the term "abdomen" to refer to the intestines.

 

Large amounts of air in upper colon is often the result of hardened stool blocking the normal passage o  it (plus retained stool promotes gas formation).

 

I agree Barium enema is a good idea though that too may run into problems if they cannot get you sufficiently cleaned out first (which they will try to do). If you felt comfortable with this doctor it may be worth continuing with her, as more than anything you need to stay consistently with 1 doctor and follow through on their recommendations rather than continuing to hop from doctor to doctor.

 

 

[teddog]

2 hours ago, teddog said:

'ello Sailor , Glad you have not topped yerself,

 

   Where do the hell these figures come from?  32000 baht for Colonoscopy with whatever, he can get that done for 400 baht, plus another 200 baht for results ,  where he is going.          8000 baht for xray...90 baht over there, probably another 20 baht for contrast....was the same for the guy wanting FNA a few weeks ago,think the figure Gavin wanted was 4000 baht...same place there  500 baht ,and I narrowed the figure down to 179 without publishing it ,it is not the case of witch doctor medicine there either,highly developed,world class ....its madness ,my god these figures are frightening

8

8

Got that wrong,it was 40,000 baht  ,hope the guy eventually went...no word,so must be broke

 

If sailor does go for colonoscopy,he can go hunting for polyps too

[perthperson]

2 hours ago, teddog said:

he is 2 hours away from a place the Uk positively encourages, especially for knee replacement, and other procedures

You could not be more wrong. People in the UK are actively discouraged from seeking major surgery, cosmetic surgery and dentistry outside western Europe. The returning problems are very expensive to correct. 

 

Before you continue advocating India as a good source of medical care you may wish to learn about India major problem with antibiotic resistant nosocomial infections.

[teddog]

Just now, perthperson said:

You could not be more wrong. People in the UK are actively discouraged from seeking major surgery, cosmetic surgery and dentistry outside western Europe. The returning problems are very expensive to correct. 

 

Before you continue advocating India as a good source of medical care you may wish to learn about India major problem with antibiotic resistant nosocomial infections.

1

Yes we have had this before,steel cabins have been introduced and,yes ,they are good at keeping infections down,unfortunately Thailand do not seem to have cottoned on either,will not publish infection rates as they tend to lose face,....and yes  poor 79 year old neighbour of mine as you state 'antibiotic resistant  nosocomial infection'  caught right here (up the road ,actually) private hospital,cost him £10,000 to get rid of it , India does indeed at times have infection,but will hold patient back until cured  thanks for the imput, but down the shitbin

[Flustered]

Rather than go by a comment that cannot be substantiated by an unqualified FM who going by his posting activity is an expert on everything, you may want to read this.

 

https://www.patientsbeyondborders.com/india  

 

You have been given excellent advice by several well qualified members and doctors but seem to listen to those who have no knowledge.

[sailorjon]

9 hours ago, Flustered said:

Rather than go by a comment that cannot be substantiated by an unqualified FM who going by his posting activity is an expert on everything, you may want to read this.

 

https://www.patientsbeyondborders.com/india  

 

You have been given excellent advice by several well qualified members and doctors but seem to listen to those who have no knowledge.

I'm unclear on who you mean?  Are you agreeing with the advice that India represents a good option for the possibility of quality care at a large discount from thailand?  If so, then I don't understand your comment about who I listen to.  I think this is a good idea for me.   And, you have made these comments before without knowledge of what I have done I think.   I've listened to Sheryl's advice and seen 3 of the doctors she has recommended and followed other advice.  Also, jpinx and others.  So I don't know why I'm getting this flak from you and others.  And I don't have the energy to have to defend myself from unfactual attacks.  I have enough on my plate.  I'm sure I have made errors in trying to get diagnosed and treated but I've been doing the best I can, I've taken the good advice offered more often than not, and there are real financial concerns limiting choices also.

[Sheryl]

There is no "India does..." as if all doctors and hospitals in India do exactly the same things and deliver the same standatd of care. In India or any othet country this us emphatically not the case.

 

Definitely medical care in India is less expensive than in Thailand. Whether this less expensive care will be of good quality depends entirely on the facility and individual doctors. I cannot advise on that as I have no experience with health care providers in India. Unfortunately the FM who has been aggressively pushing this option also appears unable to make informed specific physician recommendations and essentially implied that any facility and any doctor in India equals excellent care, which is emphatically not true.

 

 

[perthperson]

14 minutes ago, Sheryl said:

Whether this less expensive care will be of good quality depends entirely on the facility and individual doctors

Absolutely.

 

Most of India's government hospitals are very poorly resourced, understaffed and massively overcrowded.

 

There are only <> 30 JCIA accredited hospitals in the whole of India < http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations/>  and it would, perhaps, be unwise to seek medical treatment from other than an internationally accredited hospital.

 

Some 18 years ago I was associated with the Medical School/Hospital in Goa but my knowledge of India and what medical care now looks like in India is obviously dated to an extent that I would not make any recommendations. It is a matter of 'caveat emptor' for anyone thinking about seeking care in India and it is essential that facilities/doctors are researched with care.

 

[teddog]

19 minutes ago, Sheryl said:

There is no "India does..." as if all doctors and hospitals in India do exactly the same things and deliver the same standatd of care. In India or any othet country this us emphatically not the case.

 

Definitely medical care in India is less expensive than in Thailand. Whether this less expensive care will be of good quality depends entirely on the facility and individual doctors. I cannot advise on that as I have no experience with health care providers in India. Unfortunately the FM who has been aggressively pushing this option also appears unable to make informed specific physician recommendations and essentially implied that any facility and any doctor in India equals excellent care, which is emphatically not true.

 

 

5

Have never stated Sheryl I could not make informed specific recommendations, only the ones I have had and others who have experienced treatment.  Bad comment regarding treatment by a doctor/hospital here in Thailand will get you jailed and sued, opposite is true in India. Facebook and google are there to comment on individual performances of doctors and hospitals,and they do, and whichever hospital is being considered 98%,99% or whatever is there to be viewed.  Just taken to the cleaners here in Thailand through sheer lying and corrupt practice

[teddog]

Just now, perthperson said:

Absolutely.

 

Most of India's government hospitals are very poorly resourced, understaffed and massively overcrowded.

 

There are only <> 30 JCIA accredited hospitals in the whole of India < http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations/>  and it would, perhaps, be unwise to seek medical treatment from other than an internationally accredited hospital.

 

Some 18 years ago I was associated with the Medical School/Hospital in Goa but my knowledge of India and what medical care now looks like in India is obviously dated to an extent that I would not make any recommendations. It is a matter of 'caveat emptor' for anyone thinking about seeking care in India and it is essential that facilities/doctors are researched with care.

 

Yes is dated,and worthless