Doctor Knows best!!

[Suradit69]

On 6/6/2017 at 1:28 PM, kannot said:

doctor confirms " youve got a cold" nothing more.

So the doctor wrote a medical certificate stating "you've got a cold and nothing more"  (possibly "acute viral rhinopharyngitis and nothing more") or did you prompt the employee by asking  him if he had a cold and he said "yes?" Probably if you had asked him if he had a pulmonary embolism he would have said yes to that too.

 

 

 

 

[partington]

8 hours ago, dotpoom said:

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.

 

Tell that to the 30-60% of Europe's population that were killed by the Black Death before antibiotics.

 

 You need two heads.

[atyclb]

6 hours ago, dick dasterdly said:

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.....

 

 

why would nails be removed under general anesthesia ???

[Sheryl]

6 hours ago, Beats56 said:

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.

 

 

Well, I personally have never been able to get through a cold without medications (decongestants etc) to ease the symptoms.

 

I have also never had one last less than a week.

[JHolmesJr]

Never taken meds for colds. Havent had one in years

 

drink hot water and lemon every morning. 

 

No dairy as it creates mucus

 

hate tablets

 

only zithromax if necessary...hehe

 

 

[George FmplesdaCosteedback]

17 hours ago, AhFarangJa said:

Great cartoon, I hope it's not a suppository?

[George FmplesdaCosteedback]

Always the same story. I bet there were antibiotics in the bag too.

[Sooo Upto Me]

On 2017-6-6 at 2:04 PM, 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.....

Just like all the unnecessary paperwork here in Immigration & Banks. They all like to feel important. ?

[George FmplesdaCosteedback]

4 hours ago, JHolmesJr said:

Never taken meds for colds. Havent had one in years

 

drink hot water and lemon every morning. 

 

No dairy as it creates mucus

 

hate tablets

 

only zithromax if necessary...hehe

 

 

The common cold is a virus, zithromax is an antibiotic and unless you have a bacterial infection will do no good.

[AhFarangJa]

6 hours ago, George FmplesdaCosteedback said:

Great cartoon, I hope it's not a suppository?

How about a political one........

[lvr181]

20 hours ago, atyclb said:

 

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.

The application of the anti-bacteria cream was to stop any infection happening POST operation, therefore leading to a clean heal.

 

Picture of operation about five days after, attached, and you would see why such preventative treatment was given. Apologies for size of pic.

[impulse]

8 hours ago, George FmplesdaCosteedback said:

The common cold is a virus, zithromax is an antibiotic and unless you have a bacterial infection will do no good.

 

If I get a cold, there's about an 80% chance the sinus drainage will get down into my lungs and I'll get bronchitis that will linger for a month.  (Edit: 90+% in the tropical humidity)  I'd just as soon nip it in the bud rather than put up with a month of coughing.

 

[atyclb]

5 hours ago, lvr181 said:

The application of the anti-bacteria cream was to stop any infection happening POST operation, therefore leading to a clean heal.

 

Picture of operation about five days after, attached, and you would see why such preventative treatment was given. Apologies for size of pic.

thanks for the pic and sorry you had to go through such a big excision. if you read agin what i wrote about mechanism of injury you will understand.

[bbi1]

On 2017-6-7 at 1:51 PM, bazza73 said:

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.

Do Thai docs get a commission kickback for each meds they prescribe to patients by the hospital pharmacy? If so, how much is it? Curious to know...

[bbi1]

On 2017-6-7 at 4:56 PM, Beats56 said:

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.

 

Exactly, no need for meds. Just rest and the usual natural remedies, soup, hot tea with lemon & honey, etc.

[lvr181]

2 hours ago, atyclb said:

thanks for the pic and sorry you had to go through such a big excision. if you read agin what i wrote about mechanism of injury you will understand.

Thanks, yes it was not a good look but a successful op and not the last one either, unfortunately.

 

I understand what you are saying about the mechanism of injury, but I am thinking forward of that, about infection or the possibility of infection and the successful treatment or prevention of said infection. 

 

 

 

[Sheryl]

2 hours ago, bbi1 said:

Do Thai docs get a commission kickback for each meds they prescribe to patients by the hospital pharmacy? If so, how much is it? Curious to know...

 

No, they do not.And Thai doctors working in government hospitals (which this was) are on a flat salary. As for the hospital, they are reimbursed by the various health  schemes on a capitatiion basis i.e. flat amount for the number of people they have enrolled or living in their catchment area, irrespective in treatment given. So they not only do not make money by over-prescribing medications, they lose it.

 

Nonethless, over-prescribe they do.

 

This is something deeply rooted in Thai culture. The "quality" of care is equated to the number of different medications given. Patients are apt to complain or be dissatisfied if given only one med (or god forbid, none).

[George FmplesdaCosteedback]

16 hours ago, impulse said:

 

If I get a cold, there's about an 80% chance the sinus drainage will get down into my lungs and I'll get bronchitis that will linger for a month.  (Edit: 90+% in the tropical humidity)  I'd just as soon nip it in the bud rather than put up with a month of coughing.

 

Yes, I do understand that. It is not unusual that the cold can lead to a bacterial chest infection, so as a last or preventative measure it is worth considering, Just be careful how you take them or you will gradually become immune to the beneficial effects of antibiotics. Here they are given out like sweets at a kids birthday party.

[George FmplesdaCosteedback]

On 6/7/2017 at 10:51 AM, bazza73 said:

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.

The "information sheet" in boxed meds list all that (the same as the online info), but they are legally bound to do so, and also their own lawyers insist as it stops them getting sued.

Side effects are normally dependent on other meds you might be taking and your own health situation.

[George FmplesdaCosteedback]

9 hours ago, Sheryl said:

 

No, they do not.And Thai doctors working in government hospitals (which this was) are on a flat salary. As for the hospital, they are reimbursed by the various health  schemes on a capitatiion basis i.e. flat amount for the number of people they have enrolled or living in their catchment area, irrespective in treatment given. So they not only do not make money by over-prescribing medications, they lose it.

 

Nonethless, over-prescribe they do.

 

This is something deeply rooted in Thai culture. The "quality" of care is equated to the number of different medications given. Patients are apt to complain or be dissatisfied if given only one med (or god forbid, none).

Well, that might be so, but I've known them ask for x-rays to be done for no good reason.

[NickJ]

He will take about a third of them. Then save them for next time or give them to a family member. And that's how you spell drug resistance. 

[MuntyC0re]

doctor knows best how to get more money from U!

[thaipod]

Went to a local hospital the other day to get a xray on my injured hand on Monday and had to wait for 4 attractive girls in front of me from  pharmaceutical companies chatting up the doctors before i could see her,  next to her table were many boxes and samples that she said were samples from medical reps.I was surprised waiting to pay the bill next to the pharmacy at how many different drugs prescribed to each person . But here it's normal to cover all bases.