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All you need to know about the land of silk and smiles

Medical Vacations

                              Combining Health And A Holiday
More than a million people visit Thailand every year for medical attention. Many believe that the money they save on treatment pays for a happy holiday in the kingdom noted for its silk and smiles 
It is one of the faThe Bangkok Phuket Hospitalstest growing sectors of tourism in Thailand
but the least explored by guidebooks or promoted by the tourism authorities. It took a downward turn in early 2009 because of the worldwide recessions and the political problems in Thailand.
The attractions are the low cost and high quality of care that is available. Many of the kingdom’s 500 private hospitals and clinics are operated more like five star hotels than medical centers. They don’t have the smell or aura of a hospital.  Gone are the antiseptic aromas replaced by the gentle fragrances of jasmine, lemon grass and lotus. Soothing music plays in sitting areas and behind the scenes the most modern equipment is in the hands of top technicians and highly trained medical staff able to perform all modern day medical procedures.
Many of the medical vacationers come for minor surgery, dental check ups or eye examinations. Some take a day away from the beach for an extensive but inexpensive general physical examination. Others are here for major items like cancer treatments,
cardiac surgery or joint replacements. A major benefit for those undertaking major treatment is that convalescence can be taken at one of Thailand
’s luxury resorts.
Surprisingly, perhaps, the number one operation sought by foreigners is the sex change procedure from male to female for which
Thailand is noted as the world leader. Many of the country’s top surgeons give symposiums sharing their knowledge with visiting physicians from different parts of the globe. Thai doctors have also developed expertise in the complex operation of turning females into males, a procedure that has proved popular with many clients from Japan
.
The basic physical examination attracts a greater number of patients. Most hospitals don’t require appointments for these visits. You arrive early in the morning and a few hours later leave with a book giving you a breakdown of what’s right and wrong. If you take the more expensive packages you can expect an in-depth examination which will normally include a discussion with a specialist about how you can maintain or improve your health.
Others come for more elaborate procedures. Knee and hip replacements are a common procedure. And a great benefit here is that if you opt for a hospital in a tourist area you can enjoy all the benefits of a beach resort for convalescence.
To add to the healthy atmosphere many of the resorts have expanded their spas and renamed them wellness centers. There is an abundance of massage specialists in
Thailand and many been renamed therapists because of their prowess in providing soothing comfort for the tired and weary.
Patients from the
U.S. are attracted by the low costs.  Despite the weakened dollar some procedures can cost one eighth of the price charged in the U.S. There are no official figures of how many North Americans visited T hailand for a medical vacation but some estimates put it as high as 50,000 a year. Considerably more Europeans, dissatisfied with the health systems in their home countries, welcome the rapid response that the Thai hospitals and doctors offer.
A hospital official in Phuket said that in normal circumstances a patient can be seen the day after he or she arrives in Thailand. It is not unusual for a hip replacement, as an example, to be carried out within 48 hours of the patient first visiting the hospital.
An American woman who came to
Thailand for a breast implant was first seen within hours of arriving. She said she paid a total of $2,500 for the procedure. That price included all the doctors and nursing costs, medicine and an overnight stay in a very pleasant room. She was impressed with the attention she received, the fine food and most of all she was delighted with her new look. She said that she would have paid $5,000 in the U.S. for just the surgeon’s fee.

                           Why Is Medical Care Cheaper In Thailand
The cost of medical attention is much lower in Thailand than in the U.S. and Europe. Major reason is lower payroll. Many Thai doctors who are qualified to practice in the U.S. and other parts of the world opt to work in their homeland. And the reason isn’t money. Doctors’ salaries in Thailand are a third lower than their counterparts in the U.S. Another major cost saving is that Thai hospitals and doctors don’t have to pay the extraordinary costs to protect themselves against horrendous malpractice claims.

It is extremely unlikely that western doctors would recommend or forward their patients to Thailand, however, two U.S. doctors who visited hospitals in Phuket offered no negative comments about medicine in Thailand. One, in fact, had previously had dental work done in Bangkok and he was extremely complimentary about the work.

Insurance companies, in business to make money, normally have no problems settling claims with Thai hospitals. Provided their client has coverage for a particular medical procedure the lower the claim the better. Most insurance companies insist that they give approval prior to any work being undertaken. One insurance agent did tell us that many insurance companies were now asking for more than one quote for elective surgery since there had been wide deviations in prices from Thai hospitals.

Thai hospitals don’t disclose how much of the medical vacation income comes from insurance companies but one source said it was less than 50 percent.

What happens if something does go wrong? Unhappy patients can make a formal complaint to the Thai Medical Association which investigates. On some occasions that organization has taken criminal proceedings against doctors and hospitals. It is also possible to sue doctors and hospitals. Most of these cases get settled out of court but don’t expect the mega compensation payments that plague the U.S. medical system.

Many visitors say that the amount they save on their bills with doctors and hospitals more than covers their airfare and hotel stay. There are those contemplating surgery who first visit for a medical check up just to get an insight into the hospital’s operations before committing to something more extensive.

The idea of coming to Thailand for medical help is not new. Things began in 1997 at the time of the Southeast Asia financial crisis when Bangkok’s Bumrungrad Hospital, searching for new sources of income, decided to look overseas to promote its procedures.

Since then things have grown to the multi-million dollar business th at we see today. Experts tell us that something close to 23 billion Baht will be injected into the Thai economy thanks to medical vacations. Many hospitals and clinics report that more than 30 percent of their income is derived from foreigners. If that money was to diminish it would have a tremendous impact on the Thai medical service forcing many institutions to either downsize or close. Other countries in Asian have attempted to attract foreigners to their medical facilities, but none have been as successful as Thailand.

The government saw the benefits of the medical vacation and decided to establish three areas in the country – Bangkok, Phuket and Chiang Mai – as the kingdom’s major medical centers. All three continue to attract the medical visitor but the major markets for North Americans and Europeans have been Bangkok and Phuket.

Hospitals catering to the foreign visitors deliberately train their staff in creating a friendly environment more like a hotel than a hospital. Gone is that cold antiseptic aura. Replacing it is pleasant music, delicate aromas from scented oil burners and quiet cafeterias.   

If anyone doubts the efficiency of the hospitals, they should have been here after the tsunami struck southern Thailand on December 26, 2004. Phuket’s hospitals were swamped with patients and handled everything efficiently. In addition to handling the medical problems, the hospitals set up special multi-lingual teams to help foreigners who were searching for relatives and friends lost in the tragic event.

                                           

                                                        The Major Providers
The four hospitals, described below, handle more than 70 percent of the medical vacation market in Thailand. All have elaborate websites and international sales departments. The downturn in tourism, the global credit crunch and the closing of Bangkok
’s airports by anti-government protestors in December 2008 severely damaged their business. Many of these hospitals and clinics will handle fewer patients in 2009. Will that mean still lower prices?
The Bumrungrad Hospital is where the Thailand medical vacations began. And it has to be the number one spot in Thailand for foreigners seeking medical help. The hospital – the entrance is pictured on the left - sees more than a million Thais and foreigners a year. Patients come from over 100 countries and the hospital’s web site is available in 15 languages. You can select prices from a menu for operations or for specific needs they’ll promptly send you a quote. This is a big hospital with centers for everything. Prices in Bangkok
will tend to be higher than in Phuket simply because capital cities are always more expensive than other areas.
Hospital charges start as low as $45 for a basic check-up and if you’re prepared to share a room with three others the nightly charge is only $25. A VIP suite costs $230 a night. The hospital also operates the BH Residence, a 74-room serviced apartment complex that caters to the needs of patients, family and visitors to
Bumrungrad Hospital. The Residence is connected by an air conditioned elevated walkway to the hospital and provides several kinds of accommodation at reasonable prices.

The Bangkok Phuket Hospital is part of the Bangkok Hospital group, the largest integrated hospital group in Southeast Asia.  The hospital is designed rather like a shopping mall with its varied assortment of services. They include a heart center, manned by some of the top cardiac surgeons in Thailand including the King’s personal physician; the rejuvenation center where Thai traditional medicines are combined with modern day techniques to help alleviate stress-related illnesses; an aesthetic center devoted to all forms of cosmetic surgery including sex change operations, a procedure in which Thailand leads the world;  dental center which handles everything from laser cleaning to denture construction; and cancer center offering a full range of treatments and support services.

The entire operation is operated more like a quiet resort. In the central lobby, where you wait to settle your account, gentle Thai music is provided by a lady playing a khim the Thai instrument that looks like a small xylophone.  The hospital rooms are large, fully equipped with TV and refrigerator and enjoy pleasant views. They cost a reasonable $92 a night. You can pay more for a very elaborate suite. Contact details: 2/1 Hongyok Utis Road, Phuket. Tel: 07625 4421, fax 07625 4430. www.phukethospital.com  

The Bangkok Hospital is the parent of the Bangkok Phuket hospital. The hospital, by far the largest of all the Bangkok hospital chain, offers all the services of the Bangkok Phuket Hospital, plus a few more.
Contact details:
Tel: 02310 3101, fax 02310 3367 www.bangkokhospital.com

The Phuket International Hospital is a major competitor for the Bangkok Phuket Hospital and has undergone a multi million dollar major expansion.  The hospital offers many similar services, some of which are at a lower price. The hospital is centrally located amid pleasant gardens across from the Tesco Lotus shopping center. In addition to modern day medicine, the hospital has a large unit devoted to traditional Oriental remedies. The hospital was founded in 1982, the first private hospital to open in the area. It has over 50 full and part time physicians. The hospital has an International Office with multi-lingual staff that assists international patients and referring physicians looking for a consultation, a second opinion or treatment for a complex illness or injury. The hospital’s motto: Caring People, Curing People.
Contact details: 44 Chalemprakiat Ror 9 Road, Phuket. Tel: 07624 9400, fax 07621 0938.

www.phuket-inter-hospital.co.th

                                                           Check Up In Chiang Mai
Like so many men I kept on delaying having a medical check-up. When I was in Chiang Mai I decided to take the plunge. I called the Chiang Mai Ram hospital to make an appointment and was told just to arrive early and I would be attended to. One stipulation: Nothing to eat or drink on the morning of the test.
The hospital is in a fine looking 12-story building – more the elegance of a hotel than that of a hospital located close to
Chiang Mai’s largest shopping center Kad Saun Klaew. The facility can handle up to 1,000 outpatients a day with accommodation for 350 in patients. There is a heart center and there are clinics to tackle infertility, pain and plastic surgery. And every Saturday morning there is a varicose vein clinic.
After completing the necessary forms about name, age, aches and allergies I met Dr. Kiti Ratdilokpanich, a genial medic  who I learned later is not only the general service director of the hospital but was one of the founders of the establishment and is a member of the board of directors.
He asked about family history and life style and checked a list of tests I should undergo. Having agreed on what was to be done, my tour of the facilities began. I was scanned, scoped, weighed and X-rayed. Several hours later I was sent off to eat – something much needed by this time – and told to return in the late afternoon when all would be revealed.
Dr. Kiti was clutching a large yellow folder when I returned for the results. All was well he said. After explaining about excess weight and several things I never knew I had, he said all would be put in order with a little less eating and a little more exercise. He handed me the folder, which bore my name, and had all the test results tabulated inside.
The whole visit cost just under $160 and that included some calcium tablets which the good doctor had prescribed. He had me take a bone density scan which showed I needed a calcium boost. I am told that scan – which took some 40 minutes – would have cost more in the
U.S. than I had paid for the full medical. Contact details: Chiang Mai Ram Hospital, Boonleungrit Road. Tel: 05322 4851, fax 05322 4880. www.chiangmairam.com

                                                 Dentists in Thailand 
For several years Dr. Supachai and his team of dentists have been at work on my teeth at the Bangkok Phuket Hospital. When I last left Phuket a filling fell out on the way to the airport. I contacted Dr. Supachai and asked if he knew anyone in Chiang Mai who could replace the filling, not one inserted in Thailand, but put there many years earlier.
He suggested the Grace Dental Care Clinic. When I returned to Thailand
, and Chiang Mai, I went there was greatly impressed with the quality of treatment. It is a large facility with dozens of dentists specializing in everything from cleaning to braces.
I was kept informed of what was happening by a camera and TV screen (pictured below) something that was new to me. They also have digital scanner
that have replaced X -ray machines. The joy of that I could actually make sense of the larger images and see where problems and infections were.
Many of their clients were foreigners who were repeat customers. Replacing the filling wasn’t a simple job. The dentist rebuilt the tooth and it took him close to two hours. The bill for his efforts was $56. It had been a while since I seen a dentist and he suggested I return the following day for a cleaning. That was with a young lady Thai dentist who spent an hour cleaning and the bill for that was $40. Contact details for the
Phuket Bangkok Hospital appear above. The Grace Dental Clinic is at 45 Soi 11, Nimmanhemin Road. Tel: 05359 4568. www.gracedentalclinic.com 

For some reason Chiang Mai is filling up with dentists and dental clinics. It could be thanks to the fine dental school at the University of Chiang Mai. Whatever the reason, you see these clinics all over the city. Some are advertised with great smiles or large pictures of teeth with names about smiling and being happy.

I have been treated by other dentists in Chiang Mai and can highly recommend these two clinics. The first is the M Square Dental Clinic, telephone 05328 4959 and the second is the Payon Dental Clinic at 10/1 Chaiyapoom Road. This clinic is headed by Dr. Julniyom Nigrotha, a young and talented dentist. Telephone 05387 4497 and e-mail payondc@hotmail.com. Both clinics have parking available, communicated well in English, and can perform anything from cleaning to crowns. I found the prices at these clinics to be lower that at Grace and I preferred the more personal service.

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