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BANGKOK 23 July 2019 21:00
Poopyface

Any recourse ($?) for bad medical diagnosis?

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16 hours ago, MiNombreEsFicticious said:

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. 

Jumping Mohammad, what's this "rhymes with giffalous", why not just be a brave fornicator, face the music and say syphilis?

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16 hours ago, MiNombreEsFicticious said:

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. 

Amoxicillin 500mg, 30bht for 5 days worth from Makro Pharmacy.

Why would you go to a doctor for something so easy to cure?

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Bumrungrud a year ago:

I went in to see an ENT doc with a problem in my right ear - it felt clogged and I wasn't hearing well that side. It was a walk-in and they assigned me to whoever was on the roster then. I didn't care as it clearly wasn't anything serious, an irrigation at best I figured.

 

As I am waiting to see the doc a nurse appears and says we need to do a hearing test before you see the doc. I protest - the doc needs to see me first I tell her. She looks mildly offended and goes off. Finally I get called to the doc who looks at me sternly and asks why I didn't take the test - "you have to take the test or how will I know?" I am already a bit annoyed and explain to him, look doc the hearing test is going to show a problem because I have a problem which is why I am here. Why don't you look in my ear and maybe clean it out a bit and then if there's still a problem we can test for stuff.

 

The doc isn't happy but he does his thing, cleans out my ear and I feel fine (oh, the equipment is fancy - I watch a fascinating real-time video of the inside of my ear on a wall monitor). Then I go up to pay the bill and it's a pretty large amount. I check the details. Yep, they had added on the test they never did. Again, I protest and a couple of phone calls between the cash counter and the ENT section gets the matter resolved.

 

Pain in the ass experience. I bet the doctors are pretty well incentivized to rack up a bill.

Edited by Bang Bang
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20 hours 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? 

An old mate of mine had his own mechanical workshop servicing cars and trucks in the local town.

Nobody is perfect.

He recalled an upset doctor complaining about some minor fault with his car. Doctor raved on about lack of professionalism etc etc. Said mate let him go for a while then said " the difference between your job and mine is my mistakes come back to me....you bury yours'.

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5 hours ago, BritManToo said:

Amoxicillin 500mg, 30bht for 5 days worth from Makro Pharmacy.

Why would you go to a doctor for something so easy to cure?

Perhaps it needed to be diagnosed first and not simply thinking it was Beethovens ear?

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2 minutes ago, Pdavies99 said:

Health diagnosis is I found very very hit and miss in Thailand, I was diagnosed with Dengue Fever, yet when immediately returning to UK was told the Thailand blood results showed no dengue fever and the UK blood trests showed noindication now or in the past, I actually had pneumonia!

 

When I was in Thailand I was diagnosed with Stomach Cancer, UK blood tests and a gastroscopy showed nothing, but I had a slipped disc.

 

What you do get in Thailand, is a differing diagnosis in every hospital, a bag full of unneccesary medicines and a large bill with requests to come back in 2 weeks. 

 

I'm sure some Doctors in Thailand get it right, it can't be harder than driving a car!!

I had the opposite experience some years back.  Arrived in the UK with flu like symptoms and heavy joint pain.  My Thai family kept telling me it was probably  'broken bone disease' (Dengue ) but the doctor wouldn't have it.  I had a private blood test done and it was confirmed as Dengue Fever.  What doctors don't know would fill a building full of volumes.   

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After X years in Thailand me and most of my friends understand that the Thai system is great for emergencies like broken bones and accidental damage. They are not known for diagnosis of undefined illness. 

There are of course exceptions like the guy at Bangkok Christian who correctly, as far as I was concerned, and immediately diagnosed me and started in-patient care. With just a verbal assurance from me that I could pay for it.

Dr Tanin, Neurologist. If anyone wishes to go and see him.

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22 hours ago, NilSS said:

I had a similar experience around 12 years ago, diagnosed with blocked coronary artery, immediately put on bags of meds and booked for further diagnostic procedures. I IMMEDIATELY went for a second opinion at a well known private hospital, the cardiologist scoffed at the diagnosis and the meds I'd been prescribed, stating it was absurd as I was in my mid-30s. Nevertheless I wanted checking out and fast, so I was in a CT scanner within a hour of walking into the place. Diagnosis, everything normal.

 

Blatantly fraudulent diagnoses are rampant in Thailand. If you find a doctor you trust, hang onto them. There are plenty of good ones too.

 

 

 

If the diagnosis I was given at a hospital nr Silom/Sathorn Rd. had been correct, I would not have left the check up centre alive. My GP back home just commented: this is Thailand.

However, in the less fancy hospitals in Bkk I've had very competent treatment over the years. 

Twice now I got a 2nd opinion in Singapore on a Bkk medical recommendation. Twice the recommended op wasn't necessary. Once about my knee, recently about a blocked tear duct. 

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30 minutes ago, Pdavies99 said:

When I was in Thailand I was diagnosed with Stomach Cancer, UK blood tests and a gastroscopy showed nothing, but I had a slipped disc.

Did they diagnose stomach cancer without any gastroscopy? 🙄 

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Forget it - you might be right but you'll never get to the cashier to get compensated.

A much more important lesson in the whole story is ALWAYS GET A SECOND AND THIRD OPINION.

A visual blur was diagnosed in a leading private Pattaya hospital and I was told "cataract", two multi-focal lenses (although just one eye was affected) and everything would be perfect. A second opinion in a leading private hospital in Sriracha diagnosed slight cataract, mono-focal lens for the UNAFFECTED eye (as per my insurance company). 

I then had it, decided to see the experts at the leading eye hospital in Bangkok; they found out that I had a developing age-related macula degeneration. Three years treatment and now I am OK; without NOT trusting the first and second medic I would have new lens(es) but suffer from irreversible tunnel-blindness. 

My six months old son (30+ years ago) was diagnosed with malaria due to high fever, little blisters on his skin - turned out he was teething two teeth which gave him the fever. 

My other sone, as an infant (also 30+ years ago) was diagnosed with food poisoning and pumping out his little stomach; all he had was a running stomach due to a milk bottle which was not properly sterilized. 

I could go on and on - lesson is ALWAYS RECHECK WHAT THEY SAY. Never heard a medic saying "I dont know, I have to pass you on to somebody else" and this, combined with the semi-divine status of Khun Acharn, kills queries and questions in most cases. Be warned and good luck to the OP for ......... getting a second opinion (which you hopefully had rechecked as well). 

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My first Thai Doc flaked on me, thankfully it wasn't a very serious matter.  I had accidentally kicked the bottom rung of a heavy, solid wood deck chair on the patio one night.  Now, I'd banged my foot before, we all have at some point, but this was next level painful, thought sure there was some damage done.

 

Xrays done, Doc, who looked to be in his mid 60s, went over it all with wife and I, alternating between English and Thai, explaining where the source of the pain was.  He was great, and I was pleased with my first visit to a Thai hospital so far.   So I asked him the big question I had - was anything broken/cracked/fractured, and he said no.  He suggested some physio 3x/week, meds to take the edge off, and I followed the plan.  By the top of Week 2, no improvement.  The pain was just as acute as it was on Day 1.

 

Went back to see him, he reviewed the Xrays and his notes and I sensed his demeanor change a bit.  So I asked him what was up.  He waffled then said something might have been broken or fractured.  Oh!  I kinda chuckled and said, yeah, I thought that might have been the case before and it sure still feels that way now, which is why I came back.  

 

So I asked him what's next?  He said it was probably too late now, it should have been addressed a couple weeks before.   The way he said it, it was as if he'd just met us for the first time and I had waited too long to seek care.  Or, as if I had gone to a different hospital, and he was pointing out another Dr.'s oversight.   It was surreal the way he was acting and talking.  He shut down, it went nowhere, so we left.  I did a few more physio sessions there but decided to chew on Motrin and suck it up.  Eventually the pain subsided and went away.  Never been back to that hospital.

Edited by 55Jay
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