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Emergency medical treatment in Thailand

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  • Emergency medical treatment in Thailand

    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

  • #2
    Great post Mardi.

    Is there a way that one can pre-verify there credit card staus with the elite hospittals since we don't often carry around credit cards.

    Re Pattaya is bangkok-Pattaya hospital really better than Pattaya international on Soi 4 for things that aren't life threatening?

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    • #3

      excellent post. many thanks for the heads up. i'm putting the number in my phone now in preparation for my upcoming visit. emergency care and pharmacies right next to bars and ladyboys. be prepared for the worst then go for the best... thanks to posts like this, this forum has *everything*.

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      • #4
        Not 100% sure if if I got it right but from looking at another Forum, Steve was the owner of Mermaid's on Soi Whitehouse in Jomtien?

        On my first trip to Thailand I was looking around for a diveshop and droped into Mermaid's and it turns this super friendly guy from Brooklyn who owned Mermaid's was originally certified by the woman I had just taken lessons from in New York City. Small world.

        He spoke fluent Thai and was telling a Thai employee that i had the same instructor that he had many years ago.

        He was a good man.

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        • #5
          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#
          "It's not Gay if you beat them up afterwards."  --- Anon

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          • #6
            I staple the credit card sized insurance card with policy # Tel #'s of the insurance Co. etc into the front of my passport where my blood type/group is also written on the edge of the picture page. A number of customs people have commented positively about the Blood group being on there, and no one has said I should not have written it there.

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            • #7
              . .great tips. I carry my vaccination/inoculation card with me but the blood type is a great addition...and keeping it with passport makes sense. I may reduce and laminate a copy for my wallet too as I never carry my passport once I land in a country.....mahalo nui loa for the info..........ALOHA
              ....so,  you're really a guy?..............  

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              • #8
                I always take out a Blue Cross Travel medical plan before I go to Thailand... I keep that Blue Cross card in the top of my wallet with my credit cards... this way if I€™m even taken to a hospital they will know I'm covered and hopefully treat me... because in Thailand if they think you can't pay they won't treat you!

                No Money = Sorry You now Die  

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                • #9
                   Great post...

                  http://www.thaiwebsites.com/health_i...e_Thailand.asp

                  Interesting reading!

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                  • #10
                    Agreed, very good thought to post all this, mardhi.

                    June 2006 I got knocked over by a motorbike in Chiang Mai (red lights, who cares ), and sat in the road with blood flooding out from a badly cut leg.

                    Plenty of concerned bystanders, including 2 very helpful Aussies, but the local thai cop walked over to me... then made himself scarce.  I cant speak thai, I was on my own, and my insurance details were all in my hotel safe.  Not a very comforting thought.  Waited in vain for an ambulance, but then got offered a ride in tuktuk to A&E at Chiang Mai Memorial hospital.  Which I took.

                    I cant speak highly enough of the service I received, but was worried throughout that I had only 3000 THB in my pocket, no papers, no policy number, etc.  Fortunately, cost of local anasthetic, stitching leg, xray, 2 doctors, nurse holding hand to bring blood pressure down (wrong!), antibiotics & other medications.... came to 2600 THB.  Since found out that similar in BKK about twice that cost,   rungrad about 4 times I expect.

                    So I agree, think ahead, especially if on your own, and have everything to hand.  And I can endorse all that's said about Bumrungrad - a friend of mine from uk uses it for his cardiac exams, and has had superb treatment (albeit at very high cost).  Although I suppose some insurance companies wont use B'Grad - I was directed by AXA to Bangkok Hospital out in Petchburi (also very good to me, including recommendation for Business Class Thai Airways flight back to uk  )
                    TT

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                    • #11


                      Great post

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                      • #12
                        (PigDogg @ Dec. 15 2006,13:58) Not 100% sure if if I got it right but from looking at another Forum, Steve was the owner of Mermaid's on Soi Whitehouse in Jomtien?

                        On my first trip to Thailand I was looking around for a diveshop and droped into Mermaid's and it turns this super friendly guy from Brooklyn who owned Mermaid's was originally certified by the woman I had just taken lessons from in New York City. Small world.

                        He spoke fluent Thai and was telling a Thai employee that i had the same instructor that he had many years ago.

                        He was a good man.
                        Hi Pigdogg
                        I knew steve from running with the Hash House Harriers in Pattaya, I was only just talking with him on my recent trip Nov.
                        Yes he certainly was a really nice guy, always a cheerfull smile and a good word.

                        He will be surely missed

                        Tel
                        If at first you don't succeed, Skydiving is not for you !

                        Comment


                        • #13
                          found these folks...Bupa Insurance...anyone know if they are any good or know of any other company? The rates are reasonable....
                          BUPA are huge. I have used them for years
                          Mister Arse

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                          • #14
                            Thanks Mardhi. I never even considered carrying my insurance papers with me. I will certainly correct that.

                            Thanks again.

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                            • #15
                              Thanks Mardhi. I never even considered carrying my insurance papers with me. I will certainly correct that.

                              Thanks again.

                              Comment



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