Jump to content
BANGKOK 19 March 2019 22:35
Poopyface

Any recourse ($?) for bad medical diagnosis?

Recommended Posts

My friend just returned to the USA after a private hospital (name removed)  told him he needed cardiovascular care and possibly intervention (angiogram + stents).

After experiencing chest pain, they ran a stress-test which they claimed proved myocardial ischemia and CAD. As well as several blood panels. He was seen by a few cardiologists in CM who all referred to the stress test, he was put on several meds and encouraged to get an angiogram and probably stents.

 

Problem is, upon returning to the USA (which he jumped on the next plane at no small expense), he saw his GP who sent him in for an echo-stress test.

Results were normal.

 

So he showed the printout of the entire test done at (hospital name removed)  (some 50 pages) and his American cardiologist said

"well, now I am looking at 2 normal stress tests results. I don't know how any competent cardiologist could look at these results and say they were anything but normal. They got it wrong."

 

Diagnosis: digestive reflux and GERD. Taken off heart drugs prescribed in Thailand. Given antacids.

 

So my question is this:

Is it possible to approach the hospital in CM and request some compensation of the billing?

My friend incurred some sizable expenses due to this fiasco: upwards of 30,000 baht medical in Thailand and also an emergency flight home ect.

He is simply looking to cut his losses at this point.

 

Is there any recourse for a clearly faulty diagnosis in Thailand?

 

  • Like 2
  • Sad 1

Share this post


Link to post
Share on other sites



Blatantly fraudulent diagnoses are rampant in Thailand.

 

I politely suggest that 'incompetent' might better replace 'fraudulent'.

  • Like 2

Share this post


Link to post
Share on other sites

Tell your friend to go on with his life knowing that he didn't waste it on trying to get a Thai to admit a mistake. I went to one of the top private hospitals and told the doctor I'm almost certain I've been infected with (rhymes with giffalous) gifted during a dodgy romantic encounter. I had read that in 99% of the cases penicillin is the treatment of choice. After the doctor confirmed the diagnosis of giffalous, I asked "so penicillin, yes?"  He said no. I said "are you sure?" He was sure, and sent me off with some pills. 3 weeks later and still oozing and itching, i booked an appointment with the dept. head. I showed her the pills her colleague prescribed. She said "that was stupid, you need penicillin." I was charged full price for the penicillin, all the fees for the two doctors, no consideration of any discount or compensation despite my raising the issue politely. And, yes, the penicillin worked. 

  • Like 1
  • Thanks 1
  • Sad 2

Share this post


Link to post
Share on other sites
10 minutes ago, Puchaiyank said:

It's a scary thought...but I believe healthcare professionals...including dentists succumb to greed at the expense of the patient...I almost always seek a second opinion...do not really trust any of them...including hospital administrators and insurance companies...most would not pass close scrutiny...

As a retired healthcare professional, I resent your implication. Which "opinion" do you trust? The first, the second or do you then seek a third opinion? 

  • Confused 1
  • Sad 1

Share this post


Link to post
Share on other sites
5 hours ago, Just Weird said:

Who says the US doctor cannot be mistaken?

Always a possibility, he was seen by a highly rated 'interventional cardiologist' who came highly recommended. The doctor has his own practice in addition to working at one of the best hospitals in the county.

An interventional cardiologist is one who specializes in angioplasty, and this specialist said "the angiogram is the gold standard, but in your case I simply see no signs to recommend it. We can do it if you insist, but if it were me, I wouldn't at this time. These are 2 normal stress tests"

So my friend trusts him.

 

3 hours ago, Sheryl said:

I don't know what the 30k in medical expenses in Thailand was for, stress test, blood tests and meds are all that were mentioned and should not have come near that amount.

 

The decision to return to the US for second opinion/further treatment was his own. (Though maybe he did this in order to have the angio + stents done under Medicare?)  He could also have gone to another  cardiologist here in Thailand  -- even a US trained one -- for a second opinion.

 

Important: before doing #1 or #2 get full copies of the hospital records. It is not at all unknown for them to redacted after the fact.  It will be important to be able to show that the stress test result was wrongly interpreted  as showing ischemic changes. If the misreading of the stress test was truly egregious then this may have been blatant fraud. Otherwise the doctors may just say "we only said it might be that and sent him for tests to find out" and to claim he misinterpreted what they said as a definitive diagnosis/recommendation when in fact they were only explaining the possibilities, and it was all a misocmmunictaion.  (And since you are basing all this on what your friend told you, maybe question him closely first as well to be sure this was not in fact the case.)

Wow, great advice! 

Yes he's on Medicare.

I just called him and he said he saw 4 different cardiologists before leaving Thailand, but they all took the diagnosis of the first who administered the stress test as gospel, they didn't review the test itself, just the diagnosis. 

In hindsight he should have insisted they review the test.

He did get the records that state in writing ischemic changes but the US doctor looked closely at all of it and disagrees with the interpretation.

 

He hung up before telling me how the 30,000 baht was spent, as I forgot the time change and woke him up in the middle of the night 🤪

Oops.

 

Thanks everyone for your perspective!

  • Like 1

Share this post


Link to post
Share on other sites
19 minutes ago, Poopyface said:

.....I just called him and he said he saw 4 different cardiologists before leaving Thailand, but they all took the diagnosis of the first who administered the stress test as gospel, they didn't review the test itself, just the diagnosis. 

In hindsight he should have insisted they review the test.

He did get the records that state in writing ischemic changes but the US doctor looked closely at all of it and disagrees with the interpretation.

Do PM me the name of the first doctor.

 

I can rather understand the next 3 taking it as a given that the 1st one's interpretation of the stress test results was correct, and with a history of pain in the chest region (as gastritis can also cause) and (supposedly) ischemic changes on the stress test, the recommendation for an angiogram is standard. So really it all goes back to the interpretation of the 1st stress test, which any cardiologist should be well able to do correctly.

 

He might be including his costs in the US into that 30,000 baht (Medicare deductible/Part B copay)?

 

While as I mentioned compensation is highly unlikely he should take some effort to at least make sure the hospital administrator is aware he has a cardiologist practicing in his hospital who is either incompetent or unethical.

  • Thanks 1

Share this post


Link to post
Share on other sites
1 hour ago, Christophers200 said:

As a retired healthcare professional, I resent your implication. Which "opinion" do you trust? The first, the second or do you then seek a third opinion? 

My impression of health care professionals (in the US anyways) is that the vast majority mean well, but are not as informed as I would like regarding things like naturopathic approaches and Eastern medicine.

 

But I tend to "trust" the opinion of the one who tells me I have the best chance at recovery!

I seek optimistic opinions.

  • Like 1

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recently Browsing   0 members

    No registered users viewing this page.

×
×
  • Create New...