Ask Dr Michael

[Dr Mike]

I'll try again.
The worrying thing is the fluid beneath the surface. This can impair healing even if it not infected (puss) fluid.
I would ask whether this fluid could be aspirated and sent for culture. These DEEP wounds caused by traffi caccidents are very difficult--who knows what road dirt is in there, even the most carefull toilet of the wound does not always get it all.

[easyas]

The worrying thing is the fluid beneath the surface. This can impair healing even if it not infected (puss) fluid.
I would ask whether this fluid could be aspirated and sent for culture. These DEEP wounds caused by traffic accidents are very difficult--who knows what road dirt is in there, even the most carefull toilet of the wound does not always get it all.

Thanks for your reply - allied with advice from Big Boy earlier in this forum ii looks as though we're off to the Petcharat Hospital asap!

[nomad127]

Hi, I'm sure here is many people who sometimes suffers of insomnia. So do I...
In my homecountry I have got "fall a sleep" medicine.
Are those available here? (with prescription from a doctor)
In a pharmacy they just offer every kind of antidepressant drug or "atarax".
No need many times but good to have if needed

Have you tried using a product containing Melatonin?

[Pleng]

Are there any available here?

[Homer]

What, if any, relationship is there between the Hippocratic Oath (or similar) and Thai doctors? Only online references I found to the oath's use mentioned USA, UK & Canada.

[Dr Mike]

I have never heard of any medical school in the west asking graduates to swear this old Greek Oath in the last half-century.

[Homer]

A thread on a travel forum is currently discussing Thai private hospitals policy of refusing treatment without prior insurance approval or a credit/debit card that could cover the anticipated cost when the treatment cost is expected to be substantial. One person asked how could any doc turn away a patient in need, what with the hippocratic oath.

Given how useful you've been in the past on this forum, I wasn't expecting a non-answer response.

[Big Boy]

I thought the hospital would stabilise you, and then transfer you to a 'public' hospital if you couldn't prove funds.

[Dannie Boy]

A thread on a travel forum is currently discussing Thai private hospitals policy of refusing treatment without prior insurance approval or a credit/debit card that could cover the anticipated cost when the treatment cost is expected to be substantial. One person asked how could any doc turn away a patient in need, what with the hippocratic oath.

Given how useful you've been in the past on this forum, I wasn't expecting a non-answer response.

The thing is though, that you didn't explain this in your first question, all you asked about was the hippocratic oath and whether Thai doctors would follow something similar. Dr Mike simply replied that it is no longer common for any doctors in the West to swear against the oath.

These days, most hospitals (outside the UK and some other countries) are privately run and therefore are motivated by profit - it's not the doctors but the administrators that turn patients away.

[Homer]

The thing is though, that you didn't explain this in your first question

I didn't need to. Go reread the question. It takes a special kind of attitude or to be ignorant of the existence of modern forms of the oath to think the question was about the ancient oath, yet Doc Mike chose to interpret it that way. The question was about Thai doctors, Mikey wrote of western docs. In the US such a response is called a 'non answer answer'. It's stock in trade for politicians, lawyers and people who have such small lives they go out of their way to F*** with others.

[midlandmike]

Practising Doctors have less and less control of hospital policies. If admin will not let the patient past the admission desk then the Dr does not get to see them.
If there is a life-threatening situation then the patient usually goes straight to the ER and if no funds are available they are then transferred to a govt hospital.

[Takiap]

The thing is though, that you didn't explain this in your first question

I didn't need to. Go reread the question. It takes a special kind of attitude or to be ignorant of the existence of modern forms of the oath to think the question was about the ancient oath, yet Doc Mike chose to interpret it that way. The question was about Thai doctors, Mikey wrote of western docs. In the US such a response is called a 'non answer answer'. It's stock in trade for politicians, lawyers and people who have such small lives they go out of their way to F*** with others.

And for people with an attitude problem. From what I can see, Dr Mike gave you a perfectly clear answer. The oath you are referring to nowadays means nothing, no matter where are get your qualifications. As others have pointed out, doctors are not the ones who turn people away.

[sateeb]

It's stock in trade for politicians, lawyers and people who have such small lives they go out of their way to F*** with others

"Quote"


As opposed to someone who goes out of his way to annoy people on a regular basis

[Gregjam]

I would guess that Dr Mike is used to being asked loaded questions and chose to deal with it in the way he did. There have been many ariticles in the local newsapapers including today about the requirement for hospitals, public or private, to give emergency treatment and then move the patient when safe to an appropriate (private/public) hospital. I thought the idea of this thread was to enable people to get medical advice from a respected doctor...

[midlandmike]

I am not a practising Dr in Thailand I have no license and as I do not speak, read and write Thai I could never get one. Sadly, I am no longer working with the Bangkok Hospital in HH. In fact I am writing this at my desk in a hospital in Shanghai where I am setting up a Maternity unit (I have a China licence)
I try to be helpful and answer general health questions but obviously cannot answer the --Why do hospitals in Thai do this or that or Why do Thai Drs do this or that I am not evasive about these issues I often just don't know