Ten minutes later I was escorted to the eye
doctor's office. There I was given a short eye exam. After
seeing the doctor one of the white clad woman escorted me to a large room where
a number of people sat waiting their turn. Within five minutes my name was
called, and after walking up to the counter and paying my bill, I had the
opportunity to walk a few feet to the left to collect my prescription from the
pharmacy. This time there was no prescription since I had only had my eyes
tested while being advised by the eye doctor about whether either lasik or
SuperSight eye surgery was a viable solution for my vision problems. Had I
not had enough cash, there were two atm machines only a few feet away.
The entire visit as a new patient to the hospital had taken only forty-five
minutes.
One year later I was an over night guest at
Bangkok Pattaya Hospital. For years I had been having pain in my lower right
abdomen at the exact same spot where I had two hernia operations back in the
U.S. Since moving to Thailand the pains had subsided and then they had
flared up again and finally had gotten much worse. I met first with one
surgeon, and then I was transferred over to the care of Dr. Jimmy who prescribed
for me a two week course of antibiotics in combination with anti inflammatory
drugs. But unlike in the U.S. where I would have had to see a doctor
first, then having to go to a pharmacy after getting my prescription my
prescription was handed over to me just moments after I paid my bill.
When I still was having pain two weeks after I had started taking the drugs, Dr.
Jimmie prescribed another two week treatment after telling me, "I am trying out
a conservative inexpensive treatment for you because the greatest possibility is
you have an infection that has persisted for years and to get rid of it it's
going to take a long course of antibiotics." But after another two weeks
of antibiotics and anti inflammatory pills failed to stop the pain, Dr. Jimmy
had me get an MRI.
The MRI cost me several hundred dollars but
certainly not the $2500 it would typically cost in the U.S. After doing
the MRI Dr. Jimmy told me I had a kidney stone that had become lodged in a duct
at the base of my penis and that I'd have to be operated on. But first I
did an ultra sound which confirmed the results of the MRI.
On the morning of my operation I had my Thai
girlfriend drive me to the hospital on my motorbike. Bangkok Pattaya
Hospital is only an eight minute drive from my condo by motorbike. At the
hospital I was taken to a surgery preparation room to wait my turn on an
operating room table and where my anesthesia started. There were a number
of pretty nurses in the room when I got there. One of them told me that
although she wouldn't accompany me to the operating room, she's see me right
afterwards. Another pretty nurse came up to me on my left side,
introduced herself and told me she'd be at my side while I was getting operated
on. Another woman came over to my right side and introduced herself as my
anesthesiologist.
"I can put you to sleep if you want me to," my
advised me, "Or I can give you a local which will take away all feeling below
your waist. You won't feel anything but you will be awake. It is up
to you."
I thought about it for a moment before
replying, "I want to be awake during the operation." For one thing I
knew there was always a chance once you were put to sleep that you wouldn't wake
up again. Not a big chance but a chance nevertheless. Secondly,
I had once been operated on in the U.S. for a serrated septum in my nose and the
doctors kept on talking to me while they operated on me. Although I hadn't
felt any pain during the entire procedure I kept hearing these godawful grating
noises as they chipped away inside my nose. Still, I had an interesting
conversation with the doctors. Which here would be all the better since I
would have all these great looking nurses to flirt with while the doctor
operated on me.
"You won't even see the doctor, the
anesthesiologist continued. "But I'm going to give you a sedative right
now to make you relax. And I'm going to give you the anesthetic that will
paralyze you from the waist down."
So I got both, the needle that paralyzed me
from my waist to my toes and the sedative. After a few minutes I could
feel nothing in my lower body. But the anesthesiologist asked me,
"If you want more while you are being operated on I can give you more so you can
sleep a little."
Which is about the way it all went in the
operating room. I had the pretty nurse holding my hand to my left and I
had the anesthesiologist to my right holding my other hand. Someone put a
small hooded barricade near my lap which shielded me from having to watch Dr.
Jimmy who was working on me. But there was a nearby t.v. monitor upon
which I could watch the entire procedure, Dr. Jimmy put a small tube down
my penis and it was through this slender tube that he operated in.
Not only that, the tube contained a miniscule camera that went down my
penis with the instrument that would destroy the kidney stone. Watching it
all happen on television was like watching star wars. I could see the
probe going down my urethra and into my bladder and then I saw it blasting away
at objects that looked like meteorites. It was mind boggling.
Intellectually I knew everything was very small but it all looked like gigantic
stones being blasted apart. Although I kept watching the t.v. I kept
looking around the room as I talked with the nurse and the anesthesiologist.
After a few minutes the anesthesiologist asked me: "Want to sleep
for awhile?" But there was no reason to sleep through any of it.
There'd be lots of time for sleeping later.
When they had finished operating on me, they
took me back to the operating preparation room, and sure enough true to her
word, the pretty nurse who had promised she'd see me as soon as I came off the
operating table was there. I'd say they left me there for a half
hour, and then they wheeled me back to my suite.
My girlfriend slept in the same room as me.
There was a pretty nurse who would come in during the early hours of the
morning. I had a catheter up my penis. My lower extremities were no
longer paralyzed which meant I could feel the pain. But in spite of it all
I was looking forward to spending another night in Bangkok Pattaya.
Instead I was released in the early afternoon. But first I was
ushered into a much smaller cashier's office and given the paperwork for the
procedure. Bupa, my health insurance provider had done a great job.
The whole thing had some out to zero. And I even got a DVD of the whole
operation as seen by that little camera that had gone down my urethra with the
probe. There was a final check with my doctor two weeks later, and there
was no charge for that either.
Make no mistake about it--the
U.S. health care system is broken, perhaps irretrievably so. There's an
old joke that goes like this. How many Republicans does it take to change
a light bulb? The answer's ten. One to change it while the other
nine reminisce about how good the old one was. This Republican party is
living in the past and bound and determined to block any health care programs
introduced by the Democrats while offering nothing in return. You
got the Afghanistan and Iraq Wars, the most modern fleet of aircraft carriers in
the world, and believe it or not as of 2004 the U.S. still had 56,000 troops and
15,000 airmen in Germany, 33,000 in Japan, and 37,000 in Korea as of 2007
while the entire country went bankrupt and much of the world passed you by.
I moved to Thailand for many reasons, the food, the climate, the slender
beautiful women, the fact I could live cheaply on the beach, but the most
important reason of all---I had found I could not find acceptable medical care
even though I was paying over $3600 in health insurance premiums a year.
And those were climbing 25 % annually. So don't believe the politicians
who tell you we have a great system or that they are looking out for your best
interests--look at the Bangkok Pattaya video above, the pictures on this web
page, and if you get seriously ill, plan on getting very serious about looking
at Bangkok Pattaya Hospital as a far superior provider of health care than
anything you will be getting in the U.S.
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