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JESSVANPELT

Stroke care in Thailand

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Recently I have known of 3 Thai's who have experienced strokes and none were given the medication to reduce the clot. In most countries this medication if given within 4.5 hours of the stroke can dissolve the clot and minimize damage done, thus loss of mobility , speech etc.

 

Does anyone know why these drugs are3 not administered in the country, at least they are not in government hospitals.

 

I appreciate any good information.

I dont need reply like this is Thailand or the like.

please be constructive , we may all reach that age and experience and I'd like to know where to get treated and how

Edited by JESSVANPELT
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I had a stroke a few years ago and sat in ER for 6 hours before any treatment as they were waiting on payment confirmation from my insurer.

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Good question. I'm going to ensure I don't go to a government hospital for this one and have my credit card ready

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It may also be the case in the Private hospitals, anyone know.

And if you have a stroke you cant tell the people around you where you want to go, in Pattaya the emergency services folks automatically take you to a government hospital, I dont know about other places....

It would be nice if we could get a reply from Bangkok Hospital

Edited by JESSVANPELT
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I understand there is a specialist stroke care unit in the Pattaya area. A friend was telling me his farang friend had a stoke was sent to this place, he wasn't able to provide insurance or money details (he was unconscious) so he was transferred to Bang Lamung hospital which didn't go too well

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1 hour ago, JESSVANPELT said:

Does anyone know why these drugs are not administered in the country, at least they are not in government hospitals.

My wife's uncle suffered his second stroke recently. They live in a rural area in the mountains near the Burmese border in Prachuap Province. He was given medication and made it through to the hospital in Prachuap Khiri Khan. He's subsequently recovered fairly well, mobility is OK, just a slight droop in the face and speech is a little off. His daughter has since moved him to live with her, closer to medical treatment. I don't think it was a private hospital they used, they're just farmers.

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If you are in any danger of suffering a stroke in the future I would recommend taking an aspirin before going to bed(blood thinner) and eating plenty of dragon fruit (is good at dispersing blockages in blood vessels)

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Thailand is generally not a good country for speedy interventions (it's not a good country for anything speedy).

Ambulance services are usually too slow, helicopter EMS almost non-existant.

Admission at government hospitals can be very bureaucratic.

Admission at private hospitals can be slow because they wait for the insurer's payment guarantee.

 

That said,  things can move surprisingly fast. It depends a lot on who is on duty, which nurse,  which doctor,  which admin staff. Not really so different from rich countries. 

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Thanks everyone thus far for there comments, unfortunately most are off subject.

Does any one know of an actual hospital that will use these drugs for stroke victims? 

 

Yes we know there are good and bad hospitals, same the world over, and good and bad staff...... 

 

Does anyone see a Doctor for high blood pressure, ask them about this?

 

Does anyone have Ian Corness contact info ask Pattaya Bangkok hospital?

 

PEOPLE!!!!  this is a very important topic, if you or your mates has a stroke and you dont have access to these drugs your basically going to be disabled.

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48 minutes ago, JESSVANPELT said:

Thanks everyone thus far for there comments, unfortunately most are off subject.

Does any one know of an actual hospital that will use these drugs for stroke victims? 

 

Yes we know there are good and bad hospitals, same the world over, and good and bad staff...... 

 

Does anyone see a Doctor for high blood pressure, ask them about this?

 

Does anyone have Ian Corness contact info ask Pattaya Bangkok hospital?

 

PEOPLE!!!!  this is a very important topic, if you or your mates has a stroke and you dont have access to these drugs your basically going to be disabled.

Looks like you are in Pattaya. Chonburi  city govt hospital is a level 2 (or whatever its called) many a stroke victim from surrounding areas are taken there

Bangkok hospital Pattaya will definitely give you a stroke at their pricing regime

Edited by zorrow424
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The drugs OP is asking about are called tPA. 

They should be given within 3 hours after onset of symptoms (4.5 hours in certain cases), a CT scan is necessary before they are given. 

 

The number of patients needed to treat for tPA to benefit 1 patient is about 7.

 

tPA is available in many government hospitals and, of course, in places like Bangkok Hospital.

Unfortunately, the schedule given above is unrealistic for most cases in Thailand. This probably explains why OP has never seen it. 

 

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Yes we can all google this topic and state figures, and the correct figure of success without a stent is 37% but if you dont get the treatment you have 0% chance. All Western world Hospitals give it to the majority of stroke victims

in all three cases none of the patients having a stroke were even given a ct scan, let along in injection of any type.

 

Does anyone know of any hospital that actually does administer the drugs (after the CT scan)?..same question?

 you say its available in many public hospitals and Bangkok Hospital...have you confirmed this? Please tell us how?

 

I have not named hospitals these people were treated in for obvious reasons.

 

Thanks again.

Just trying to get actual facts.

Edited by JESSVANPELT
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