potless Posted December 3, 2019 Share Posted December 3, 2019 2 hours ago, Spike1938 said: However, I now require the insertion of a cardiac stent and I may not be able to wait until Jan. If I get it sooner I will go under the required 400000 THB required. Are you or your wife in a position to obtain a bank loan? Do you have family in your homeland who may be able to help individually or collectively? Link to comment Share on other sites More sharing options...
Bruce Aussie Chiang Mai Posted December 3, 2019 Share Posted December 3, 2019 Once you have stent medical insurance expensive and heart probably not covered. I had stent in Australia they kept you overnight for observation. I don't have insurance keep 1m in seperate account incase emergency. 1 Link to comment Share on other sites More sharing options...
ChouDoufu Posted December 3, 2019 Share Posted December 3, 2019 7 hours ago, moontang said: heart operations are cheap in India...great success ratss, too. The American made stents are expensive...don't know what has been done about that. I heard 200k in Chiang Mai several years ago. i had a valve replaced in india 10 years ago. at the time the entire package (valve, operation, meds, 1 week hospital, 1`week beach resort, RT flight) was about $12k, or less than 10% the cost in a us hospital. at the time the same model valve alone cost over $10k in the usa. put the whole thing on a credit card, then transferred to a 0% credit card offer to delay paying immediately. i believe a stent install should be considerably less expensive, probably less than $5k. Link to comment Share on other sites More sharing options...
moontang Posted December 3, 2019 Share Posted December 3, 2019 6 minutes ago, ChouDoufu said: i had a valve replaced in india 10 years ago. at the time the entire package (valve, operation, meds, 1 week hospital, 1`week beach resort, RT flight) was about $12k, or less than 10% the cost in a us hospital. at the time the same model valve alone cost over $10k in the usa. put the whole thing on a credit card, then transferred to a 0% credit card offer to delay paying immediately. i believe a stent install should be considerably less expensive, probably less than $5k. What city/facility? Any hot nurses? Link to comment Share on other sites More sharing options...
Laurie Hansen Posted December 4, 2019 Share Posted December 4, 2019 Spike 1938 Q; how much are the stink /s and what hospital is it I have 1 at 40% and 1 at 60% Australian doctor just gave me tablets and though me out the door. Any help would be great Thanks Laurie. Link to comment Share on other sites More sharing options...
lopburi3 Posted December 4, 2019 Share Posted December 4, 2019 22 minutes ago, Laurie Hansen said: Spike 1938 Q; how much are the stink /s and what hospital is it I have 1 at 40% and 1 at 60% Australian doctor just gave me tablets and though me out the door. Any help would be great Thanks Laurie. Believe the current medical standard is not to do stents with less than 70% blockage unless symptoms involved. They appear to have been used way too much when they were the fad and current medical opinion is much less enthusiastic. https://www.washingtonpost.com/health/2019/11/16/embargoed-drugs-are-effective-invasive-procedures-patients-with-stable-heart-disease-major-trial-finds/ Link to comment Share on other sites More sharing options...
SurinRice Posted December 4, 2019 Share Posted December 4, 2019 May I kindly suggest you get a second opinion and complete additional medical research. Note: In new literature, in certain cardiac situations, it has been found medication as a solution is just as effective as a surgical procedure. My grandfather was a surgeon at the Cleveland Clinic -- he always suggested getting a second opinion without initially advising the consulting MD of the result of the first opinion. You may feel more confident moving forward if you have additional information. You may also seek cardiac professionals with a background in management of cardiac issues using medication-- good luck; however, I urge you, if possible, to investigate options before rushing into a surgical solution which may carry more risks than management of certain cardiac conditions via medication. 1 Link to comment Share on other sites More sharing options...
Spike1938 Posted December 4, 2019 Author Share Posted December 4, 2019 1 hour ago, SurinRice said: May I kindly suggest you get a second opinion and complete additional medical research. Note: In new literature, in certain cardiac situations, it has been found medication as a solution is just as effective as a surgical procedure. My grandfather was a surgeon at the Cleveland Clinic -- he always suggested getting a second opinion without initially advising the consulting MD of the result of the first opinion. You may feel more confident moving forward if you have additional information. You may also seek cardiac professionals with a background in management of cardiac issues using medication-- good luck; however, I urge you, if possible, to investigate options before rushing into a surgical solution which may carry more risks than management of certain cardiac conditions via medication. I actually have the opinion of 3 intervention cardiologists. Until now meds have worked but my condition is worsening. But thanks for your input Link to comment Share on other sites More sharing options...
Spike1938 Posted December 4, 2019 Author Share Posted December 4, 2019 15 hours ago, ChouDoufu said: i had a valve replaced in india 10 years ago. at the time the entire package (valve, operation, meds, 1 week hospital, 1`week beach resort, RT flight) was about $12k, or less than 10% the cost in a us hospital. at the time the same model valve alone cost over $10k in the usa. put the whole thing on a credit card, then transferred to a 0% credit card offer to delay paying immediately. i believe a stent install should be considerably less expensive, probably less than $5k. However, then there is cost of airfare, hotels etc. Link to comment Share on other sites More sharing options...
Spike1938 Posted December 4, 2019 Author Share Posted December 4, 2019 23 hours ago, Martyp said: Or get a non-O with extensions and insurance to meet your needs at 81 and existing conditions insurance out of the question Link to comment Share on other sites More sharing options...
lamyai3 Posted December 4, 2019 Share Posted December 4, 2019 1 hour ago, Spike1938 said: I actually have the opinion of 3 intervention cardiologists. Until now meds have worked but my condition is worsening. But thanks for your input Have you discussed with the cardiologists the urgency of the procedure? Obviously not encouraging taking any risks, but in the UK the average NHS waiting time for angioplasty is 6-7 weeks. Link to comment Share on other sites More sharing options...
Martyp Posted December 4, 2019 Share Posted December 4, 2019 1 hour ago, Spike1938 said: at 81 and existing conditions insurance out of the question Which means a non-O is perfect. No insurance necessary. Link to comment Share on other sites More sharing options...
Sheryl Posted December 4, 2019 Share Posted December 4, 2019 3 hours ago, Spike1938 said: However, then there is cost of airfare, hotels etc. As well as the question of whether it is medically safe for you to fly. You do not want to have a heart attack midair. And you are in imminent danger of one if you need stents. Link to comment Share on other sites More sharing options...
Sheryl Posted December 4, 2019 Share Posted December 4, 2019 6 hours ago, Laurie Hansen said: Spike 1938 Q; how much are the stink /s and what hospital is it I have 1 at 40% and 1 at 60% Australian doctor just gave me tablets and though me out the door. Any help would be great Thanks Laurie. Anywhere in the world, would not usually do a stent for blockage of 40 and 60%. Medication would be normal standard of care. Only when blockage exceeds 70% would stents be a consideration. Link to comment Share on other sites More sharing options...
Sheryl Posted December 4, 2019 Share Posted December 4, 2019 OP - what rice have you been quoted? At a government hospital a single stent will cost under 200K., probably around 150 - 160K if no complications. You can take 100K from your bank account and still have maintained the minimum balance required fro your current visa as well as for the upcoming marriage extension. Figure out a way to get the rest, is the best advice I think. Even if it means a loan. Rajawithi Hospital in Bangkok is excellent, was the first in Thailand to do heart surgery. Chula and Siriraj also excellent. Or CMU Hospital (Suan Doc), KKU Hospital (Srinagarind), Prince of Songkhla Univ Hosp. Then if there are complications and costs correspondingly higher than your case reserves, sign a payment contract with the hospital for the excess and pay it off in installments. Link to comment Share on other sites More sharing options...
ChouDoufu Posted December 13, 2019 Share Posted December 13, 2019 On 12/3/2019 at 9:03 PM, moontang said: What city/facility? Any hot nurses? sorry for late response. in china now, and vpn's have not been working. thaivisa won't allow logins from a china isp. anyhoo......i had the valve job done at apollo in chennai. food was great, nurses were professional. 1 Link to comment Share on other sites More sharing options...
ChouDoufu Posted December 13, 2019 Share Posted December 13, 2019 On 12/4/2019 at 12:21 PM, Spike1938 said: However, then there is cost of airfare, hotels etc. the entire package (valve, operation, meds, 1 week hospital, 1`week beach resort, RT flight) was about $12k Link to comment Share on other sites More sharing options...
tgeezer Posted December 13, 2019 Share Posted December 13, 2019 The answer is obvious, have the op. and pay as much of the bill as you can without dropping below 400000THB in your account. Link to comment Share on other sites More sharing options...
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