Doctor Knows best!!

[kannot]

So my staff member says he's  sick,  looks  nothing  more than a  cold to me but he "must" go to the hospital apparently......... I drop him off and 2  hours later back he comes with a bag of "goodies"

Unbelievable, doctor confirms " youve got a cold" nothing more.....................just  look at the crap they have given him though...!

All he needs is paracetomol but thats obviously way to simple.

[ezzra]

A. doctors will cover all the bases, if one med doesn't work, the others

may,

B. generating medicines sales for the clinic/hospital/himself by way

of merits and commissions,

C. doctors not necessarily knows best, they're good at guessing and

covering their asses,

D. they don't really care if you can afford the multitude of meds,

 

case in point, I went to see an eye specialist in one of the prestige

hospital in Bkk and he assumed that I can afforded the 8,000 baht bill

he stuck me up with for some unnecessary procedures and checks.....

[kannot]

21 minutes ago, ezzra said:

A. doctors will cover all the bases, if one med doesn't work, the others

may,

B. generating medicines sales for the clinic/hospital/himself by way

of merits and commissions,

C. doctors not necessarily knows best, they're good at guessing and

covering their asses,

D. they don't really care if you can afford the multitude of meds,

 

case in point, I went to see an eye specialist in one of the prestige

hospital in Bkk and he assumed that I can afforded the 8,000 baht bill

he stuck me up with for some unnecessary procedures and checks.....

I wasnt paying  I  assume the govt  does as hes  Burmese but has cover at  the hospitals

[tonray]

Standard doctor practice here. The sad part is the patient usually does not even ask or want to know what they are. They just take them blindly and willingly.

[timkeen08]

I assume from my experiences that malpractice is not a concern in the medical field here. Lucky that I know not to mix the three NSAID's that I was prescribed.

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[bbi1]

"All he needs is paracetomol but thats obviously way to simple." - Why does he need paracetomol? Does he have a headache or a very high fever? He probably needs no meds whatsoever for a cold.

 

I thought the standard was the docs prescribe 3 type of meds every time you go to see them. Did both he & his wife/gf go to the docs that's why he got 6 types? 

 

 

[timkeen08]

Looks like he got medication for sore throat as well, lozenges and a brown bottle of liquid. And, it's Paracetamol. You will often hear it referred to as Pala.

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[kannot]

8 hours ago, timkeen08 said:

Looks like he got medication for sore throat as well, lozenges and a brown bottle of liquid. And, it's Paracetamol. You will often hear it referred to as Pala.

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he hasnt got a sore throat, all he says is his arms  hurt he "not strong"

He has no Wife he went alone

[kannot]

10 hours ago, bbi1 said:

"All he needs is paracetomol but thats obviously way to simple." - Why does he need paracetomol? Does he have a headache or a very high fever? He probably needs no meds whatsoever for a cold.

 

I thought the standard was the docs prescribe 3 type of meds every time you go to see them. Did both he & his wife/gf go to the docs that's why he got 6 types? 

 

 

Headache.

[AhFarangJa]

[kwak250]

It always surprised me when I first moved to Thailand .

I recently had stitches on my ankle and was given a bag full of medicine and creams but told not to open the dressing or get it wet so asked what the cream is for?

They said it's standard tof give all the <deleted> for any operation .Glad I had insurance but it's such a waste as it all went in the bin.

Would have been good in the u.k when you tried to pull a few  days off sick for work to show all the <deleted> they give you.

[Gracas]

I guess he is set for lunch now for the next week. Shouldn't be hungry after taking those.

[dotpoom]

It appears to me that Thai people run to the hospital. clinic or pharmacy at the drop of a hat.

  I tell my Mrs. that when the human body was designed, it was done in such a way that it knows how to put itself right when it veers off course.

   She looks at me like I had two heads.

 

[Suradit69]

17 hours ago, tonray said:

Standard doctor practice here. The sad part is the patient usually does not even ask or want to know what they are. They just take them blindly and willingly.

Common practice in the west too. Go to the emergency room for every trivial thing and be certain you won't leave empty handed.

Then stop off at a pharmacy and self-medicate to the eyeballs. There's a reason why western drug companies make billions each year.

 

The difference is that farangs watch all the medical soaps on TV  & hit Google and think they're then qualified to diagnose themselves and others.

 

 

 

 

Edited June 7, 2017 by Suradit69

[Emster23]

18 hours ago, ezzra said:

A. doctors will cover all the bases, if one med doesn't work, the others

may,

B. generating medicines sales for the clinic/hospital/himself by way

of merits and commissions,

C. doctors not necessarily knows best, they're good at guessing and

covering their asses,

D. they don't really care if you can afford the multitude of meds,

 

case in point, I went to see an eye specialist in one of the prestige

hospital in Bkk and he assumed that I can afforded the 8,000 baht bill

he stuck me up with for some unnecessary procedures and checks.....

Oooh I love multiple choice tests! I pick B.... do I get a gold star?

[timkeen08]

he hasnt got a sore throat, all he says is his arms  hurt he "not strong"
He has no Wife he went alone

So my staff member says he's  sick,  looks  nothing  more than a  cold to me but he "must" go to the hospital apparently......... I drop him off and 2  hours later back he comes with a bag of "goodies"
Unbelievable, doctor confirms " youve got a cold" nothing more. '-----' So kannot, why have you changed your story?

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[Jonmarleesco]

You're in LoS where, if you hadn't realised, a selection of antibiotics is the default treatment.

[Jonmarleesco]

33 minutes ago, Suradit69 said:

Common practice in the west too. Go to the emergency room for every trivial thing and be certain you won't leave empty handed.

Then stop off at a pharmacy and self-medicate to the eyeballs. There's a reason why western drug companies make billions each year.

 

The difference is that farangs watch all the medical soaps on TV  & hit Google and think they're then qualified to diagnose themselves and others.

 

 

 

 

No. The westerners generally have a better idea of what they don't  necessarily need. Especially antibiotics.

[colinneil]

Sad fact is most people here are hypochondriacs.

Runny nose run to hospital, totally unnecessary, but they do.

Last week my f.i.l. came over, said to my wife you have to take me to hospital now.

I aked why, ohh he very sick bs i said, what is wrong, ohh his leg hurts, he thinks its cancer

Nonsense give him 2 para tell him go home and rest, no he has to go now

Off they go, come back 2 hours later, well i ask, doctor say it is old age.

Yes he was given para, and some pink ones, and some yellow ones.

[chuang]

When I have a cold I take "Decolgen"..10 baht for a pack of 4 tablets.....it always work.

[hkt83100]

I would have given him a hot tea with lemon and honey. But that would have been too simple, and I am no doctor.

[timkeen08]

Sad fact is most people here are hypochondriacs.
Runny nose run to hospital, totally unnecessary, but they do.
Last week my f.i.l. came over, said to my wife you have to take me to hospital now.
I aked why, ohh he very sick bs i said, what is wrong, ohh his leg hurts, he thinks its cancer:cheesy:
Nonsense give him 2 para tell him go home and rest, no he has to go now
Off they go, come back 2 hours later, well i ask, doctor say it is old age.
Yes he was given para, and some pink ones, and some yellow ones.

Yah, the one I like is you must go to hospital because someone told someone told someone told my wife so it must be true.

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[bazza73]

I've noticed Thai doctors tend to shovel the medications at you. And they can be less than thorough in checking your previous medical history.

 

I always check for side effects on the medical websites. I was once prescribed an antibiotic which gave me raging diarrhoea, and another which had the unpleasant side effect of snapping Achilles tendons.

[lvr181]

3 hours ago, kwak250 said:

It always surprised me when I first moved to Thailand .

I recently had stitches on my ankle and was given a bag full of medicine and creams but told not to open the dressing or get it wet so asked what the cream is for?

They said it's standard tof give all the <deleted> for any operation .Glad I had insurance but it's such a waste as it all went in the bin.

Would have been good in the u.k when you tried to pull a few  days off sick for work to show all the <deleted> they give you.

For the wound with the stitches just use an ointment containing the active ingredient, chloramphenicol. Broad spectrum antibacterial and certainly helps with the healing process.

 

How do I know? Recently had an skin cancer removed on my forehead (by flap surgery + 40 stitches) was given an ointment to use, containing chloramphenicol and now a person would be hard put to spot the scar.

 

HTH.

[sawadee1947]

...... looks  nothing  more than a  cold to me .......

 

Oh you are a doctor by yourself? So you can diagnose just by looking at someone?  Remember your member name here: KANNOT.

If the doctor's diagnose goes beyond.....a cold......there might be a reason  for it. But YOU don't have a knowledge at all. If you got a heart attack and feel dizzy someone would approach you saying you got a bad booze yesterday and some Paracetamol will do...?  What would you answer if you are still able?

If you are an employer.........you have to act as one and be responsible for your employees. Doctors here got the same education as in "our" countries, much better than in UK at least.

[fvw53]

A normal cold is caused by virus ...so that no antibiotics are helping

The standard cure is : rest and drink water

For a severe cold Decolgen can help and in Thailand it contains Chlorphenamine maleate for allergy symptoms as well as paracetamol for fever or pain symptoms.

[dick dasterdly]

Hospitals and doctors in Thailand do (in my experience) prescribe pointless medications as this is where they make a lot of their income?

 

Two 'funny' stories (although very unfunny at the time):-

 

UK - broke right wrist and being EXTREMELY right-handed, this left me pretty much useless.  Went to work every day (and was told later by friends that I was extremely bad-tempered!) - only to go back to the hospital to get the plaster removed and be asked if I needed a sick cetificate for "another" week.....  Why the hell didn't they give me a sick cert when I first broke my wrist and was pretty much incapable of work???  When they finally asked, I was capable of carrying out my job and so there was no need.....

 

Thailand - fungal nails (or something similar).  Went to the hospital for more than a year to be prescribed various expensive medications that didn't help at all.  Eventually, I gave it up as a waste of time and money.....  To be fair, one specialist did say that steroid (from memory) injections under the nails might help - but weirdly enough I had no interest in something so similar to torture methods....

 

Edit - To be clearer, after a year of no improvement - surely they should have suggested 'radical' methods (removing all the nails/injections under the nails - under general anaesthetic of course!) - rather than continually prescribing tablets/lotions/creams that didn't work.....

Edited June 7, 2017 by dick dasterdly

[atyclb]

1 hour ago, lvr181 said:

For the wound with the stitches just use an ointment containing the active ingredient, chloramphenicol. Broad spectrum antibacterial and certainly helps with the healing process.

 

How do I know? Recently had an skin cancer removed on my forehead (by flap surgery + 40 stitches) was given an ointment to use, containing chloramphenicol and now a person would be hard put to spot the scar.

 

HTH.

 

ever think the mechanism of injury for an ankle wound/laceration/cut is different from an excision of skin cancer using sterile technique and sterile instruments??  therefore the distinct possibility of bacteria (different-multiple) being introduced given the ankle cut was not produced by a sterile technique.  an extrapolation should be relevant and equivalent.

[atyclb]

although the common cold is viral it is reasonable to give medication to treat the symptoms.

[Beats56]

It's just cold. Big deal have some chicken soup. I resently had a cold first time in years. Lots of tissue blowing my nose. Probably got it from my little guy going to school. Cleared up in a couple of days. No need for meds.