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BANGKOK 21 March 2019 22:41
Poopyface

Any recourse ($?) for bad medical diagnosis?

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On 2/13/2019 at 6:40 PM, 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? 

 

 

I knew a fellow who at a minimum wanted four opinions.    I told him he was daft if he didn't get at least 7 and then flip a coin.    Some people??

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My experience with Thai doctors has been less than stellar. Not very effective diagnosticians, and the first thing they do is sling a fistful of pills at you. They don't seem to have any interest in my previous medical history. On two occasions, I have rejected taking something they prescribed, because when I looked at the interactions on line, they were high risk to someone of my age. It's quite odd, because the dental people I deal with here are highly professional.

IMHO the possibility of recourse is quite limited, and there is also the matter of face. Complaining here is the same as insulting a person.

If it is within my power to do so, I will be on a plane back to Australia for any treatment level more complex than simple ailments.

 

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4 minutes ago, Lacessit said:

My experience with Thai doctors has been less than stellar. Not very effective diagnosticians, and the first thing they do is sling a fistful of pills at you. They don't seem to have any interest in my previous medical history. On two occasions, I have rejected taking something they prescribed, because when I looked at the interactions on line, they were high risk to someone of my age. It's quite odd, because the dental people I deal with here are highly professional.

IMHO the possibility of recourse is quite limited, and there is also the matter of face. Complaining here is the same as insulting a person.

If it is within my power to do so, I will be on a plane back to Australia for any treatment level more complex than simple ailments.

 

 

It is kind of perplexing how Thailand seems to have developed this tourist-oriented reputation for high quality medical care in SE Asia... But as a lot of the posts here indicate, a lot of folks who live here on an ongoing basis have had a variety of substandard and worse experiences with private hospital doctors here.

 

Perhaps it's relative based. Compared to typical medical care in say Cambodia or Vietnam or Laos, then yes, perhaps Thailand deserves a reputation for better quality medical care. But in my experience in a variety of private hospitals and doctors here, that by no mean means you're necessarily going to get a doctor who knows what they're doing or can properly diagnose and treat your specific ailment. It often seems to be a bit of a cr** shoot, even when starting out with doctors who have some western training.

 

On the other hand, is the typical private hospital medical care here better or worse than one's home country doctors?  I know for certain, the Thai version is certainly less expensive on average in the private hospital setting than the same in the U.S. But are the typical doctors here on a comparable scale in terms of skill and capability, that, I'm not sure about.

 

 

 

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Here is an example of recourse for a bad medical treatment in Thailand. How would you feel about getting 240,000 baht for this? Apologies if I ruin anyones dinner/breakfast.

 

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53 minutes ago, Lacessit said:

My experience with Thai doctors has been less than stellar. Not very effective diagnosticians, and the first thing they do is sling a fistful of pills at you. They don't seem to have any interest in my previous medical history. On two occasions, I have rejected taking something they prescribed, because when I looked at the interactions on line, they were high risk to someone of my age. It's quite odd, because the dental people I deal with here are highly professional.

 

 

I've had very similar experiences here in BKK private hospital / outpatient settings over the years:

--poor or wrong diagnosis where the doctor makes up their mind about a cause, and even when the symptoms and other details don't fit with their diagnosis, they stick to it -- even when their treatment doesn't work after all is said and done.

--little or no interest in pertinent past medical history, unless you go out of your way to inform them.

--over prescribing of medicines, as in, virtually any malady can best be treated by taking some pills.

--I've been prescribed (but didn't take) medicine here that had been banned as flatly unsafe in 1st world countries, and when I challenged the hospital pharmacist about it, they knew nothing about it.

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6 hours ago, RotBenz8888 said:

Did they diagnose stomach cancer without any gastroscopy? 🙄 

Yes...they said from blood tests!

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37 minutes ago, Pdavies99 said:

Yes...they said from blood tests!

There is no way to diagnose stomach cancer from a blood test. It requires an endoscopy and then biopsy.

 

there are certain "cancer markers" that can be tested and, if elevated, it increases the possibility that you have cancer but they are not diagnostic.

 

Are you certain that they told you 100% you definitely had stomach cancer? And not that you might have it?

 

Something wrong with this story, even an uncompetent doctor would nto do this, and even a deliberately fraudulent one would go through the motions of endoscopy.

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6 hours ago, Sheryl said:

There is no way to diagnose stomach cancer from a blood test. It requires an endoscopy and then biopsy.

 

there are certain "cancer markers" that can be tested and, if elevated, it increases the possibility that you have cancer but they are not diagnostic.

 

Are you certain that they told you 100% you definitely had stomach cancer? And not that you might have it?

 

Something wrong with this story, even an uncompetent doctor would nto do this, and even a deliberately fraudulent one would go through the motions of endoscopy.

Well I can assure you that's what I was told, they diagnosed Heli Bacter pylori and cancer, now as to how certain they were I don't know, thay just told me how much and I need keyhole surgery. I shied away from this and jumped on a plane to the UK! Are you in the medical industry? I wonder? We all know how diagnosises are done in Thailand!! I'm not saying all Doctors are of a certain type but you can see here from other comments that is a trait seen in Thailand and I can offer what happened to me.

 

Edited by Pdavies99

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9 hours ago, Pdavies99 said:

Well I can assure you that's what I was told, they diagnosed Heli Bacter pylori and cancer, now as to how certain they were I don't know, thay just told me how much and I need keyhole surgery. I shied away from this and jumped on a plane to the UK! Are you in the medical industry? I wonder? We all know how diagnosises are done in Thailand!! I'm not saying all Doctors are of a certain type but you can see here from other comments that is a trait seen in Thailand and I can offer what happened to me.

 

You could always ask for a copy of your medical records to find out.

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3 minutes ago, RotBenz8888 said:

You could always ask for a copy of your medical records to find out.

Yes you right and I do not want to go further into my records in public.... this is a forum for people to offer comments, I just felt that some, not you, just want to argue of course!

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My two cents on this would be much as some others have said: there are some very competent specialists and GPs in the Thai medical system, but there are also some useless ones, just as in any country. 

 

My sense is that over-prescription, whether drugs or tests or both, is exacerbated if you have insurance. The logic seems to be: "if you are not paying for this, what difference does it make?" Of course this is a deeply flawed approach, but sadly I think it is quite prevalent. Recently, at one of Bangkok's best known private hospitals, one of my kids was treated for what turned out to be an MRSA infection on a limb. The treatment (specialised antibiotics aside) required the wound to be cleaned and dressed every day. After 3 days of this, costing around THB 2,000 a time, I queried the cost of the swabs, saline and dressings. The doctor told me that, because it was all covered by insurance, they used "the best", the implication being that if it wasn't covered by insurance, they'd use cheaper supplies. I bought exactly the same supplies at a local pharmacy for literally 30% of what the hospital charged and dressed the wound at home (for the next month, but with weekly visits to the hospital to check that all was healing properly).

 

Of course it is also because of rampant over-prescription of antibiotics that MRSA infections are much more prevalent (and, worryingly, they are now becoming resistant to classes of antibiotics that used to be effective). 

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id say their dentistry and doctoral skills are on a par with their driving and logic skills.

 

sub-par at best!

 

#flame on

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