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Trujillo

Mandatory drug purchase at hospital

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Posted (edited)

I thought this was already agreed that patients did not have to buy from the hospital.

 

Edited by stubuzz
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I did exactly as you, anticipating a real gouging: my quack suggested a 14 day trial of something I had never heard of.

I said no, 7 days is enough for me to do a thorough internet search on the product.

I was charged 100bt a tab plus 1500bt for a chat.

I found the very same tabs from the excellent pharmacy opposite the MCCormack for 40bt.

Glad I did because they were useless.

Dont under estimate the knowledge a pharmacist has and probably less biased......or rather will offer more choice

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Buy 2 or 3 days worth is enough. Tell them you need to be sure you don’t have a bad reaction to the meds.

 

Any Doc demanding mandatory purchase should be avoided for stupidity.

 

Sent from my iPhone using Thaivisa Connect

 

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I have never heard of that. That's ridiculous. Even C.M. Ram doctors just write down the meds and dosage on a blank paper and stamp their name and license number on it. There are quite a few however that one can not find in any pharmacy.

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I can understand the hospital having a rule about your having to buy a few days supply of a prescribed med so that they have a record in their file for you that you take a certain med in case you show up in their E/R unable to communicate, but anything beyond that is unnecessary.

 

And yes, you can develop an allergy to a new med.  In the U.S. I was prescribed an expensive new heart medicine and broke out in a nasty case of hives two days later.  I called the doctor's office and after consulting the doctor, the physician's assistant said to discontinue the new med and sure enough, the hives went away in half a day.  Nothing was every said about taking another type of med and I was left with nearly a month's supply of an expensive med.

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Posted (edited)
6 hours ago, stubuzz said:

I thought this was already agreed that patients did not have to buy from the hospital.

 

Yes, but the media coverage on this is backwards and forwards and it seems no really clear answer.

 

I'm aware of a case where the patient said to the cashier 'I will buy the meds outside' and mentioned what's been in the media indicating 'patient can buy outside'..

 

A senior hospital admin. person came and said 'yes that's true but the patient has to discuss this with the doctor before the consultation starts, and it's up to the doctor to say can or cannot buy the medicines outside'.

 

Patient refused to accept this line from the hospital saying that the fee transaction is between the hospital owner and the patient, not the doctor who is an employee and doesn't make hospital policies on such matters. , eventually patient indicted to call the police and a local TV station. Suddenly admin. guy changed his tune to 'yes can buy outside, please wait'. After 20 minutes wait admin. guy returned with the medicine names all typed beautifully on a hospital letterhead paper and politely asked if the police would be coming.

 

What a mess, as usual. 

 

 

 

 

Edited by scorecard
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23 minutes ago, FolkGuitar said:

I would NOT accept any medication from ANY doctor without knowing the name of the medicine. That is absurd! And I find it ludicrous that any physician would even suggest such a thing!  What if you take this medication and develop a severe reaction to it while away from that particular hospital? The first question you (or your conscious relative) will be asked is "Are you taking any medications?" How the hell are you supposed to answer that if your doctor won't tell you its name? To me, this is highly dangerous and tantamount to malpractice!

I've never experienced or heard of any Dr not advising the name of any medication.I find it hard to believe that any registered Doctor would do that here or in any civilized country. 

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5 hours ago, Sparkles said:

I've never experienced or heard of any Dr not advising the name of any medication.I find it hard to believe that any registered Doctor would do that here or in any civilized country. 

They've tried to do it to me a few times.  I wouldn't leave the chair until they told me what they were prescribing and in the end they all did, some very grumpily.  Paracetamol, every single time.  No thanks, got some at home.  Antihistamines. No thanks, plenty at home. Quinine?  I'm allergic to it, so no thanks.  Ibuprofen?  I have a stomach ulcer, so no thanks. 

 

After I had a bit of a funny turn or seizure a few years ago and ended up in ICU overnight at Rajevej, they gave Mr K something for me, I can't remember what, some kind of epilepsy drug.  I was away with the fairies for a couple of days afterwards, mostly sleeping and being woken up to take my tablets.  All of them.  Oops.

 

I was already taking Lyrica (pregabalin) for the electric shocks that have run down my legs since I had back surgery 20 years ago.  Once I was up and about I got on the internet and doctor google told me that under no circumstances should anyone take Lyrica if they were taking the drug he gave me.  Lyrica was originally an anti-epilepsy drug, once in circulation they found an unexpected side effect of it working on neurological pain.  So in effect, for 3 days I was taking 2 very strong anti-epilepsy tablets.  Maybe the reason I have no memory of those 3 days and why I slept so much.

 

Mr K told them I was taking Lyrica and that I'm allergic to quinine and amoxicillin (I'm really glad that he remembered that, bless his little heart). When I went back for a followup, I saw it for myself written down on the notes, so there really is no excuse for that.  If I can find it on google, doctors should be able to find it on the special search site that only doctors can access.  And this wasn't a little meds clashing with each other, it was a really, really serious one.

 

I'm sure that there are some very good doctors here, but they really seem to be few and far between.  I take nothing until I've googled it and found all of the contradictions and if any countries haven't licenced it yet, and my GP is a friend of sorts, if I'm not certain about something I email her with the symptoms and what I think we should take to make it go away and she says yes or no (that's how I know that the meds I was given were a massive problem, she had Mr K being on watch duty for 4 days, he wasn't allowed to leave me on my own at all).  And if it's going to interfere with the Lyrica, it can buggeroff.  13 years I suffered like you couldn't imagine.  Hundreds of tiny electric wires running from my hips down to my feet.  You could actually feel them buzzing if you put your hand on them.  There is no way, under any circumstances, that I will ever stop taking the only thing that takes that buzzing away - it hasn't completely gone, in fact I think it's still buzzing but I just have a dull sensation of it rather than electric shocks now that I've got used to.

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Posted (edited)
Quote

I would NOT accept any medication from ANY doctor without knowing the name of the medicine. 

Maybe you don't understand. It's not like the medicines are unmarked and I don't know what I am taking. 

As I posted, in the exam room he would not  -- per hospital requirements NOT because of a single doctor -- tell me the names of the medicines. I had to go to the cashier first and pay, THEN I could pick up the medicines that he prescribed. So I then knew what he'd given me. 

 

I was asked beforehand if I was allergic to any medicines and if I was taking anything. 

 

Edited by Trujillo

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You can always ask to see the bill before you hand over the money.

Then you can see what the medicine is.  Hand them back the bill, make 

some excuse, and walk away.  Will they be pissed?  Oh, plenty, but who gives AF what some cashier thinks?

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The problem with that is that you do need to pay for having seen the doctor, and any tests that were conducted. 

 

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Hospitals and their greed again. The hospital can't force you to buy drugs from them. The Dept of Trade has instructed them to allow patients to buy from a drug store. They are also supposed to post the prices of their drugs. Lots of luck enforcing it though as the penalty fines are too small.

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On ‎8‎/‎10‎/‎2019 at 8:53 PM, FolkGuitar said:

I would NOT accept any medication from ANY doctor without knowing the name of the medicine. That is absurd! And I find it ludicrous that any physician would even suggest such a thing!  What if you take this medication and develop a severe reaction to it while away from that particular hospital? The first question you (or your conscious relative) will be asked is "Are you taking any medications?" How the hell are you supposed to answer that if your doctor won't tell you its name? To me, this is highly dangerous and tantamount to malpractice!

LOL. That is Thailand. You're lucky if the Dr explains anything.

Re buying the drugs at the hospital; given the cost of seeing a Dr is so cheap, they probably need the pharmacy profits to subsidise the hospital, which I wouldn't gripe about. The cost of seeing a Dr in New Zealand is a rip off, IMO. Over $40 and get so little time that one doesn't even get half way through the problems and told to come back again ( and pay again ).

BTW, $40 is quite low; some places charge over $60. So much for the welfare state in NZ!

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