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Antibiotics Question - Page 3
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  1. #21
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    Re: Antibiotics Question

    How very true, I take the same meds I took in the states for a few years, here they are exactly the same formulas, made by the same companys, sometimes with a different name, but on my first day here I found I could buy them here,, funny I could do that in a small town and not speak a word of Thai,, but I get them here at about 10% of what I paid there for them, and now as my condition has aged 10 more years it has gotten worse and I am on Bronchial dialators and another steroidal drug as well.
    I go to the govt hospital where they speak no English, see a Dr. that speak no English, go to the Pharmacy where they speak no English and get my meds, no cost anymore as I am now covered by ins. and go on my way.
    But still here by my PC is 2 different AB drugs that I was given last trip, and tho different names and chemicls they are both according to GOOGLE for upper respiraatory infections, which I do not have at this time, I just went to have the prescriptions renewed for 2 more months as has to be done for ins. to pay for my Seratide and Inhalex nebulizer fluid. and predesalone,, 2 of which are steroids.
    My Dialators that work and I am not alergic to cost more than any other drug and the govt does not stock them, are bought from a drug supply house and shipped direct to me and I pay for them with a bank transfer.
    So you see how easy it is to get meds here, a Dr. prescription is only so the pharms in the hospital will issue the drugs and th Dr. gets his cut, go to any drugstore and get them cheaper as there is no hospital mark up or Dr. cut.

  2. #22
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    Re: Antibiotics Question

    About "the doctor gets his cut", if you mean doctors in Thailand, it is not true all the times so please do not mislead others. Doctors do not get their cuts all the times, especially when they prescribe generic medications.

    BTW, what is good about Thailand? Anything? I am curious.
    Last edited by syn; 16-02-09 at 11:37 AM.

  3. #23
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    Re: Antibiotics Question

    I'm finding it frustrating trying to deal with hospitals and doctors at the moment.

    I went for a staph infection and the doctor said I had chicken pox. She could not speak a lot of english so after some sign language and pointing I think we got to the bottom of it. Apparently a few of the Thai's I fight with at the gym have staph at the moment.

    However after getting some antibiotics (from a doctor, not Google) and some bacterial cream, I went back for a follow up yesterday. Im getting better but she sent me to the surgery to allow some nurses to dig around my armpits with needles. Their english was limited to the word "sorry"..ever time I squirmed in pain. They also thought I have chicken pox. They finished up but didn't dress two of the wounds the doctor told them to and I was keen to get out of there so I left.

    However overnight my arm swelled up. I asked the doctor about this yesterday and she said it was ok and to keep taking the antibiotics but it's worse than yesterday. I tried calling the hospital last night when it got bigger but the receptionist couldn't put me through to someone who can speak english. So I got a thai friend who lives about one hour away to call and they wanted to know the name of the doctor I saw...which is printed on my receipt in thai.

    So I'm hoping the antibiotics kill whatever is wrong with me. It's an incentive for me to improve my thai. If there's any change in the skin condition I will go back but for now it's just some swelling, which apparently is common with this type of infection.

    Apart from that I love Thailand, even the visit to the hospital was fun until they started poking me with needles.

  4. #24
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    Re: Antibiotics Question

    I don't know where the difference disappears to, and I don't care, and I won't accuse anyone without knowing, but it is true that medicines don't have fixed prices like in my country, so they often cost double in a hospital. if you can be bothered, ask for a prescription or note, and get the medicine at a pharmacy.

  5. #25
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    Re: Antibiotics Question

    Quote Originally Posted by akirasan View Post
    I'm finding it frustrating trying to deal with hospitals and doctors at the moment.

    I went for a staph infection and the doctor said I had chicken pox. She could not speak a lot of english so after some sign language and pointing I think we got to the bottom of it. Apparently a few of the Thai's I fight with at the gym have staph at the moment.

    However after getting some antibiotics (from a doctor, not Google) and some bacterial cream, I went back for a follow up yesterday. Im getting better but she sent me to the surgery to allow some nurses to dig around my armpits with needles. Their english was limited to the word "sorry"..ever time I squirmed in pain. They also thought I have chicken pox. They finished up but didn't dress two of the wounds the doctor told them to and I was keen to get out of there so I left.

    However overnight my arm swelled up. I asked the doctor about this yesterday and she said it was ok and to keep taking the antibiotics but it's worse than yesterday. I tried calling the hospital last night when it got bigger but the receptionist couldn't put me through to someone who can speak english. So I got a thai friend who lives about one hour away to call and they wanted to know the name of the doctor I saw...which is printed on my receipt in thai.

    So I'm hoping the antibiotics kill whatever is wrong with me. It's an incentive for me to improve my thai. If there's any change in the skin condition I will go back but for now it's just some swelling, which apparently is common with this type of infection.

    Apart from that I love Thailand, even the visit to the hospital was fun until they started poking me with needles.
    I am sorry to hear that. If you are in Bangkok, you might want to try big private hospitals because a lot of doctors can speak English pretty ok. Again, it will cost you more than a governmental hospital but you might be able to understand more from your doctors. I cannot tell you the name of hospitals because it will be an advertisement.
    If you have Staph infection, gotta be careful.
    Hope you get better soon.

  6. #26
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    Re: Antibiotics Question

    Quote Originally Posted by syn View Post
    About "the doctor gets his cut", if you mean doctors in Thailand, it is not true all the times so please do not mislead others. Doctors do not get their cuts all the times, especially when they prescribe generic medications.

    BTW, what is good about Thailand? Anything? I am curious.

    Well if it wasn't for the food and the inconsiderate actions of most Thai, the crooked police and all the grafting and corruption it would be a fairly nice place.
    Not as good as some, but everybody got to be somewhere.
    I suppose that the USA is just a perfect place and you would not change anything?
    I see that you found the USA to be a better place, But my wife refuses to leave here so I might as well stay too, but it doesn't mean that I have to be a Brown nose as some and say only good things,, my what a beautiful language, and all that rot,, tell it like it is and then your friends are true and they know you are too.



    I am sorry if things at some hospitals are different than where you served your internship in the medical profession?, but there is a difference, the Dr. gives you a slip of paper, you go to the pharmacy counter and they give you the prescribed meds and the Dr. bill is paid at that time.
    If you go to his practise office then he will usually dispense the meds right there or have some go to get them while you wait in he doesn't have them in his stash.
    How do you know that he has prescribed Generics, it is by name and does not sat TAGEMET of a suitable generic on the paper. mine just says Prednesalone 5 mg and if I take it to my friends shop, she asks me which ones I want as some are more high quality that others, seems the ones he has been chrgibe 80 baht for are much cheaper in her shop.
    Last edited by FaranginPhetch; 16-02-09 at 04:02 PM.

  7. #27
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    Re: Antibiotics Question

    the question was, what do you like, what is good, not list all the things you don't. come on

  8. #28
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    Re: Antibiotics Question

    OK you aked for it.
    I do have quite a few Thai friends that would do anything for me and prove it often.
    I also know some that are crooked as a snake and when they die they will have to screw them into their coffin.
    Thai parents teach their children nothing and say that the school teacher is supposed to do that, it is her job.
    My wife and I do what we can for the poor children at her school and the kids do appreciate it.
    I have not bought a cord of firewood since I have been here and have not carried in one arm load of wood for the stove in 9 years,
    living has been cheap but is now gaining on the US prices I think
    we used to spend 2500 for a weeks grocerys with some incidentals during the week, now we went to the store yesterday and spent 2400 and it will not last 3 days and the beef roast that was with supper tonite came out of the freezer.
    But there is not that much that I think is great here that someplace else would not be better, but I am married here and I love my wife, she wants to be here, we made that deal when we were married, she would not leave here and I would not leave either, so as bad as it gets I am here til I die.Which might not be in the to distant future.
    When I came here 66 years old with 3 page medical files from my Dr. in the states for a lifetime of sickness's, that was for treatment for sickness and my emphazems was just getting going good and I was on steroids for treatment, now in the last 3 years I have a file that looks like a Sears and Roebuck catalog, been in the hospital a couple of time, house full of OX bottles and a cabinet full of meds.
    But if not for my wife, I would be off like a dirty shirt, First time in my life that I have been in a place that I would just as soon be somewhere else, but what the hell I guess everyone has to settle down sometime and I just hope I do not live as long as the Dr. says I will.

  9. #29
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    Re: Antibiotics Question

    Quote Originally Posted by syn View Post
    There are few things here I should make it clear. I am not talking about anybody in particular when I answer questions like this. I just give facts.

    First of all, I did not say that you have had the bum luck to see ONLY quacks. However, not all doctors are a pulmonologist. Please do not take it personally.

    Secondly, diseases are different. COPD is different than plain diarrhea or cellulitis that the doctors can use only one antibiotic to treat it. I agree that viral infection does not need anitbiotics. Having said that, COPDers are very sensitive to any changes in their breathing system. If they get infection, it can be really bad sometimes and they can end up intubated. Therefore, a lot of doctors are very careful and tend to have low threshold to give them antibiotics. Moreover, sometimes patients get superimposed bacterial infection after or along with viral infection. And that is also another reason for giving patients antibiotics. It is cost-effective.

    Even some viral infections would need treatment i.e., flu.

    Third, there is no optimal antibitoic regimen for an infection in COPDers. However, a broader antibiotic regimen will be used for patients who have risk factors for a poor outcome
    - older age (>65 years)
    - comorbid conditions (especially cardiac disease)
    - severe underlying COPD (defined as FEV1 <50 percent)
    - frequent exacerbations (three or more per year)
    - antimicrobial therapy within the past three months

    Again the reason is that some treatment failures are probably related to ineffective antibiotic treatment (using narrow spectrum antibiotics or using single ineffective antibiotic) and that some patients cannot afford to experience treatment failure.

    Antibitoics being used in COPDers with infection need to cover multiple organisms and that is why doctors use more than one antibiotics. Other antibiotics that can be used are doxycycline and trimethoprim-sulfamethoxazole (Bactrim), amoxicillin-clavulanate (Augmentin), azithromycin, cefpodoxime, cefprozil, cefuroxime, loracarbef, and the fluoroquinolones such as levofloxacin and moxifloxacin.

    However, sometimes, quinolone medicine such as levofloxacin and moxifloxacin can be given as a single agent and it works just fine but it is expensive.

    Fouth, because anyone can buy antibiotics over the counter from non-pharmacy personnel, resistant organisms become one of the main problems in medical community in Thailand.

    I hope this helps and like I said earlier. I am here to give facts.

  10. #30
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    Re: Antibiotics Question

    You are correct on part of what you say, but know nothing about my doctors or what I have been given and as to cost, as long as you are a farang cost means nothing.
    Just as when you enter a hospital here the first thing they do is put in a drip, needed or not that is SOP, well it will not happen to me again, just as a friend took his wife to a fancy hospital in Pattaya and the Dr. said that he would admit her because she needed a drip installed,, when asked why she would need a drip the doctor said that they always need one, and only just because she didn't feel good.
    Most times if you question anything a Dr says here you are asked to leave, not like there where they explain, here they are a class above and you are never supposed to question, and we were asked to leave a hospital in BKK because my wife had the audacity to question a Dr about his instructions to me in Thai.
    I think my Dr. here puts up with my questions because we have became friends and I have bought electronic med devises for his son who is bad asthmatic and he needed the thing so I bought it.
    My daughter had Pink eye here and we took her to McCormack in CM, she was given 3 AB and a tube of corticosteroids ointment, Paracetamol and a bottle of eye drops.
    I went into the private medical services at Suan Dok and just for a checkup with a specialist and when I left there I had to go to the Pharmacy for their part of the hospital and was given Puroxan, which I still use because I am sensitive to Theo dur, Poliroxin, Ciprofloaxin, and another that I have thrown away because they were all for the same thing and there was no infection, but I did find out that 70% of my lungs are shot and that my heart is good from the unneeded EKG, and I had my second flu shot and pneumonia shot of the year,, but after 3 years and 2 hospital stays without even a spirometer test they did confirm that I have Emphysema, which was diagnosed by my Dr in the states my first visit with a spirometer 20 years ago. which the hospital here does not even have as far as I know and you can get them for as little as $30.

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