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Emergency medical treatment in Thailand

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  • #16
    (mardhi @ Dec. 15 2006,13:02) I thought I would post this as a reminder to any visitors to Thailand.   Stogie, you may wish to pin this as the information is not widely known or understood.

    This has been prompted by the death yesterday due to a heart attack of the owner of TQ2 gogo in Pattaya while playing a game of squash at the age of 41.    Having read on another forum of the circumstances, I think its prudent just to alert people to the state of emergency medical treatment in Thailand.  Hopefully you will never need it - but forewarned is a better situation than being on the receiving end of poor treatment.

    In a nutshell their is NO emergency ambulance/paramedic service in Thailand.  There is an institution which basically consists of volunteers using pick-up trucks who listen in on police frequency radios and try and do a good a job as they can.   However by Western standards, the level of training is very poor and the service hit & miss to say the least.

    For someone staying in central Bangkok in or around Nana- I would strongly recomend that you store the emergency telephone number for BUMRUNGRAD hospital in your mobile phone which is 02 667 2999.  The hospital is between Sukhumvit Soi 1&3 and approx 500m from Nana Plaza.   It also happens to be pretty much the best and most expensive of Thailands private hospitals.      This hospital has a fleet of regular and critical care ambulances - the key is to say what you believe is wrong in order for the correct ambulance and team to be despatched.   If you are having a suspected heart attack, its vital that you say that - they have a couple of fully equiped Coronory care ambulances just for that purpose and they will despatch these ambulances if someone calls saying they are dealing with a suspected heart attack.     In Thailand, most ambulance staff are NOT in any shape or form medically trained - for that they supplement additional trained staff - hence another reason why its important to try and identify the suspected reason for the emergency.    

    Equally a lot of hospitals will page specialist doctors to be on hand when the ambulance arrives - ER room's in Thailand are NOT like the TV shows of Casualty in the UK and ER in United States with loads of experienced ER veterans able to deal with pretty much anything.   They have to bring in specialists, hence the 10-20minutes notice period can allow them to get the right doctors on the scene of the ambulance arrival.    I have experienced that myself when I was rushed into Bumrungrad with a case of suspected spinal meningitis (Sp), they had brought in 3 specialists to examine me the moment I had arrived due to the seriousness of this condition (it turned out to be nothing more than severe food poisoning, but that was due to mis-diagnosis at a hospital in Pattaya).  

    So once you are in the hospital as quickly as the doctor is examinig you, a clerk is also examing your ability to pay - there is minimal free emergency treatment in Thailand and certainly not at private hospitals such as Bumrungrad.    You will need to have ready details of your insurance company and or credit card information.  Without that, you will gets lots of concerned and comforting smiles, but NO treatment.  Money is king in Thailand - without it, dont expect to get treated.    Promises of 'sort it out later' as you are doubled up in agony rarely work.   So keep your insurance details to hand and/or credit cards.    The Free or emergency hospitals have a reputation summed up nicely by an elderly Thai 'father' figure when I first came to Thailand - as we were driving past one of these 'free' hospitals' he remarked, something like "go in alive, come out dead everytime" - I think that nicely sums up how most Thais feel about emergency or police hospitals as they are known.  

    DO NOT ASSUME THAT OTHERS WILL KNOW WHAT TO DO IN AN EMERGENCY.    Thai's will rarely even know the number for Bumrungrad let alone suggesting that its the place to go - you need to know this information yourself.

    Incidentally, if you can walk, your often better of jumping into a taxi than waiting for an ambulance - odds are you will arrive at the hospital far more quickly.  

    Similar info will follow for Pattaya and anyone with up to date info on medical situation in Phuket might wish to add something as well.

    Cheers
    Mardhi
    thanks Mardhi,but to get the phone #correct,do we need the 8 in BKK?or is that just outside?
    WONDERFUL info Mardhi,its something i'd never given a thought to!

    Comment


    • #17
      (kahuna @ Dec. 15 2006,15:28) Thank you Mardhi...I plan on getting a traveler's policy for this trip and found these folks...Bupa Insurance...anyone know if they are any good or know of any other company?  The rates are reasonable....

      http://www.bupathailand.com/wwt_ins.asp#
      i will definitely take advantage of Bupa from now on!can qualify there for 6 more years,but does anyone have info for coverage after age 70?have a friend who hits 71 in "08!& hopefully i'll pass that age also!Thank you for the link!!!

      Comment


      • #18
        I used to think a heart attack or stroke only happened to the older folk, NOT SO !!! I have regular physicals, EKG, Blood work etc. I have a chloresterol issue along with high triglicerydes which medication and diet have under control. At my age I have acquaintances that are having strokes and heart attacks almost monthly. Most of them are between 58 to 62 but don't let the age fool you. Get a physical, blood work and blood pressure checked. Another life taker is diabetes. Just FYI !!!

        Merry Christmas and Happy New Year, hope we're around to take advantage of the time we have left !! Time flys.

        DANNO
        You no care me DIE !!!

        Comment


        • #19
          Regarding the ability to pay for medical care in Thailand and this is for the benefit of USA retired military. Just within the past year or two, there have been several hospitals in Bangkok, Pattaya, Cheing Mai and maybe Udon Thani that have started accepting CHAMPUS for proof of ones ability to pay. Before my next trip in April, I plan to have a list of those hospitals in my wallet.

          Comment


          • #20
            I just looked into my upcoming trips Blue Cross coverage...

            Medical Plan

            Hospital and Medical up to $5,000,000
            Travel Assistance included
            Medical Follow-up in Canada up to 15 days after repatriation

            Total cost of this plan : $97.00

            Half a million dollars of coverage is only $97 for a 3 week trip to anywhere in Asia. That $97 could end up saving your life in a place like Thailand.


            Hospital and Medical Benefit
            Benefits will be paid for expenses incurred following an emergency resulting from an accident or sudden illness which occurs on a trip during the coverage period to a maximum of $5,000,000, and provided that these charges are not incurred before obtaining the approval of CanAssistance.

            Eligible costs are limited to what is declared necessary for the stabilization of the medical condition.

            Eligible Expenses include:

            - hospital accommodation and related incidental expenses
            - doctor's bills
            - medical appliances such as canes, crutches and wheelchairs etc.
            - private registered nurse
            - laboratory tests and x-rays
            - emergency prescription drugs
            - accidental dental care
            - ambulance service including air ambulance
            - emergency flight back to Canada if medically necessary
            - transportation of family to visit covered person
            - emergency vehicle return
            - return of the pet
            - subsistence allowance
            - 24-hour emergency assistance
            - repatriation services
            - medical follow-up in Canada
            - baggage return
            Flight Accident
            This benefit covers you for accidental death or the loss of use of one or more limbs during your trip. You must be traveling as a paying passenger aboard an aircraft, helicopter, or a land or water conveyance provided by the airline company. It covers you whether you are victim of emergency landing, lost aircraft, or an accident occurring while you are waiting at the airport.
            Public Transportation Accident
            This benefit covers you for accidental death or loss of use of one or more limbs if the loss is sustained while in public transportation. The loss must be from an accident directly sustained during the period of coverage, that is, during the trip. The loss also must occur within 12 months of this accident.
            24-hour Accident Benefit
            This benefit covers you for accidental death or loss of use of one or more limbs. The loss must be from an accident directly sustained during the period of coverage, that is, during the trip. The loss also must occur within 12 months of this accident.

            Websites,
            http://www.bluecross.ca Canada
            http://www.bluecross.com USA

            Comment


            • #21
              Funny you should say that Bam as my Aus$130.00
              insurance policy saved my arse a few years back.

              I was playing tennis in Udon Thani and did the discs in my lower back. Went back to the hotel, took a few pain killers but the next morning couldn't move out of bed.

              Called the front desk and 20 minutes later I was in Aek Udon Hospital, of course waving my insurance policy in my hand laying flat on my back. 3 days in hospital, food, medicine, psysio twice a day came to 15,000 baht. Got back to OZ, sent the bills in and recieved a cheque for 100% of my expenses in the mail. It wasn't so much the money but the peace of mind in case it was more serious. By the way if you ever have an accident in Udon this is the best hospital in the whole area around Udon Thani. And the nurses are fucking hot!

              I am thinking of organising a ladyboy tennis tournament when next in bangkok. Something about short skirts and yellow fluffy balls just does it for me. May have to speak with Jay from Guess Bar and have the drinks their after the game.

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              • #22
                I'd go so far as to say if you can't afford medical Insurance for your holiday trip to Asia you can't afford to go. Period! It's not your lost bag you need to be worried about.

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                • #23
                  Medical Plan

                  Hospital and Medical up to $5,000,000
                  Travel Assistance included
                  Medical Follow-up in Canada up to 15 days after repatriation

                  Total cost of this plan : $97.00

                  Half a million dollars of coverage is only $97 for a 3 week trip to anywhere in Asia. That $97 could end up saving your life in a place like Thailand.
                  If you travel regularly, look at upgrading to an annual package.

                  I think I pay about US$300 for an equivalent set of benefits, worldwide including US/Canada, unlimited number of days travel.

                  Not worth it if you only do 1 trip a year, but starts to get cost effective if you travel more than twice a year, and just takes and the hassle of remembering when the last policy ran out
                  Mister Arse

                  Comment


                  • #24
                    For folk from the UK I use these people - http://www.gotravelinsurance.co.uk/ £43 for annual insurance cover and unlike most "holiday" travel insurance they cover you for most adventure sports and scuba diving.
                    Too old to die young!

                    Comment


                    • #25
                      (newcomer @ Dec. 16 2006,15:08) Funny you should say that Bam as my Aus$130.00
                      insurance policy saved my arse a few years back.

                      I was playing tennis in Udon Thani and did the discs in my lower back. Went back to the hotel, took a few pain killers but the next morning couldn't move out of bed.

                      Called the front desk and 20 minutes later I was in Aek Udon Hospital, of course waving my insurance policy in my hand laying flat on my back. 3 days in hospital, food, medicine, psysio twice a day came to 15,000 baht. Got back to OZ, sent the bills in and recieved a cheque for 100% of my expenses in the mail. It wasn't so much the money but the peace of mind in case it was more serious. By the way if you ever have an accident in Udon this is the best hospital in the whole area around Udon Thani. And the nurses are fucking hot!  

                      I am thinking of organising a ladyboy tennis tournament when next in bangkok. Something about short skirts and yellow fluffy balls just does it for me. May have to speak with Jay from Guess Bar and have the drinks their after the game.  
                      When & where newcomer?I'll be there end of May-1st of June!

                      Comment


                      • #26
                        Key questions are:

                        1) does your domestic plan cover you internationally?

                        2) will your insurance card or credit card get you treated?

                        I think my plan would have covered me for the ghonnerhea I had treated in Bali. But I didn't want my co-workers to overhear the converstaion so I just ate the expense.

                        But if you're going scuba diving I think it's probably worth the 40 bucks a year to have access to a decompession chamber if you need it.

                        Comment


                        • #27
                          Some very good tips guys but the best plan of all is
                          not to get sick or hurt
                          You Live and You Learn -- Hopefully!

                          Comment


                          • #28
                            (SamplerDoc @ Dec. 18 2006,01:56) Some very good tips guys but the best plan of all is
                            not to get sick or hurt
                            That is the best plan but you never know what can happen.

                            2 years ago I was bitten by a spider. This didn't happen in some shithole bar on Soi-6 or some dirty dump short time hotel... it happened at the 5 Star JW Marriott in Bangkok. I think the spider came out of the flower they left on my bed.

                            I was just getting ready to go to sleep... got on the bed and felt what seemed like a cramp in my foot... it really hurt and I jumped up and started to rub my foot... the pain then went away slowly. I then went to sleep as the next day I was checking out and everything was fine... I had totally forgotten about the cramp in my foot the night before. I checked out and went to the airport... got on my 8 hour flight to Australia. It wasn€™t until the last hour of my flight I started to notice my foot was hurting... when the plane landed I was starting to feel delirious and when I went through customs they noticed something was wrong with me... so what did they do? They searched me for drugs! I finally get out of the Airport and home... now I can hardly walk... damn it's killing me now. I figured I had pulled something... a sprain. For 2 days I keep off of it and keep ice on it... it's getting worse,,, I go to see the Doc and the first thing she says is "It's a bit" She seems to believe it's a spiders bit and it's very badly infected now... so badly it's climbing up my leg and she says one more day and I'd be Hospitalizes. She shoots me up with Antibiotics and give me a 2 week prescription for more. It took 2 months for it to heal to the point I could walk normally again. It was the first time in my life I ever experienced a crippling injury and I hope it's the last. What I learned from this is Spiders and Scorpions are extremely dirty little creatures and if they bit you you need to take antibiotics at once to prevent an infection from setting in... Because once it does it's going to be bad!

                            2 years later I still have what looks like a burn mark on the top of my foot... this was where I was bitten.

                            Remember... if you have been bitten... or think you might have been then take antibiotics at once!

                            I never saw what bit me but they think it was one of these... a Thai Bird Spider.
                            http://www.siam-info.de/english/spiders.html

                            If this Spider had bit me a day before I would have not been able to leave Thailand in the condition I was in. I would have missed my flight... this just goes to show you even if you€™re staying in 5 star hotels you can still end up without knowing with serious medical problem.. Don't take the chance and NOT have insurance.

                            Comment


                            • #29
                              Although having your own travel insurance is probably the best idea; if you travel to Bkk very often you might want to look into getting a Bumrungrad patient I.D. card. You can sign up to be a patient at Bumrungrad and they issue an ID card with you patient #. I've been there on a few occasions and when I flashed the card, I've never been asked for proof of my ability to pay. In affect, I'm probably "pre-screened" since my first visit there.
                              Also, Bumrungrad may be expensive by Thai standards; but here's an example of one of my visits: Having an ongoing shoulder problem I made an appointment with a Bumrungrad orthopedic surgeon. My appt was at 10 AM and I got in at 10 AM, not 10:30 or 11:00. I had an examination, was escorted to x-ray by a gorgeous little thing(who stayed with me the whole time), then escorted to the lab for some routine tests, then escorted back to the orthopedic guy for the results. Then I was escorted to the pharmacy for some meds. All of that including the Dr., the lab, the xray( and a set of x-rays to take home)and the meds came out to be about $28 U.S.!
                              Hell, last week in California I paid $280 for an M.D. just to write me a prescription.

                              Comment


                              • #30
                                The yearly cover method for Holiday or business.

                                Insurance Companies certainly wont shell out unless they have to. there have been many cases recently in the UK where alchahol was found in the bloodstream and so the policy voided.

                                if you have any existing conditions they may not pay out or they could even reclaim the money back later. These parasitical scum love taking your money but hate giving it back.

                                Its all embedded in the small print.

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