Jump to content
BANGKOK 12 December 2018 12:50

TerraplaneGuy

Members
  • Content Count

    267
  • Joined

  • Last visited

Community Reputation

22 Excellent

About TerraplaneGuy

  • Rank
    Senior Member

Recent Profile Visitors

The recent visitors block is disabled and is not being shown to other users.

  1. Hi All, Anyone renewed a 5 year driver's licence recently in Bangkok (probably at the Land Transport Office at Sukhumvit 99/1)? Looking for an update please. I'll be renewing both my car and motorbike licences. Questions: 1. How long before expiry can I go to renew it? 2. I hear I have to watch a one hour video and that it's shown only at 9:30 AM and 1:00 PM. True? 3. Is this list of documents complete: i Photocopy of Passport pages showing identity and visa/visa extension stamp ii [Work Permit - I don't have one] iii Original Residence Certificate from Thai Immigration or your Embassy not more than 30 days old (if you do not have a Work Permit – see item ii) iv Photocopy front and back of expiring 5 year Thai driving license (have original available for examination) Correct? Anything else? I've seen people mention a medical certificate but some say it's not needed. Thanks! TG
  2. Sheryl, thanks. It wasn't a sports injury. I'd been having occasional stiffness and looseness in that knee and then one night I was walking briskly and it just suddenly seized up or buckled, with a lot of pain. Couldn't walk. Since then I've rested it, taken some NSAIDs and it's improved a lot. I'm in my late 50's, and the X-ray and MRI showed no significant problem except a torn meniscus with large flap. My understanding is that at my age it is unlikely they can repair it (although the surgeon said it was a possibility) and more likely they'd just cut away the bad part. Anyway, I guess I'm not unlike the patients in the NEJM study although probably I'd be at the very mild end of the osteoarthritis spectrum. According to the surgeon at Bumrungrad, the meniscus was probably getting worn and torn to the point where finally it got caught in the joint. Make sense? Of course even if the NEJM article is correct, it is so new that I doubt it will affect standard practice for quite a while. But it does make me think ...
  3. Sheryl, I think I posted a link to the NEJM studies above. If you can't get these links just google "2013 arthroscopy meniscal new england journal of medicine '' Here's the recent one, just last month: abc news summary: http://vitals.nbcnews.com/_news/2013/03/19/17371367-therapy-often-as-good-as-surgery-for-knees-study-finds?lite the journal article: http://www.nejm.org/doi/full/10.1056/NEJMe1302696 You'll see the journal refers to two earlier studies from 2002 and 2008 that found arthroscopic knee surgery was no more effective than placebo or physiotherapy. Those studies excluded meniscal tears but this new study specifically focused on them and found the same thing.
  4. Sheryl, thanks. What the MRI report said was a horizontal tear with "large flap displacement". I don't want to sound paranoid but after my visit to Bumrungrad I wondered whether just possibly they were exaggerating the "large flap" bit. I doubt it, but the reason it came to mind is that the surgeon was so definite about operating and gave such a high fee estimate. What I wondered was whether maybe they are getting push-back from insurers since there are those studies questioning the efficacy of the surgery, and in order to make sure they get a green light they exaggerate the size of the problem. I hope not - unfortunately I can't make any sense myself of the MRI (I got the pictures) so I can't tell. I'll definitely get at least one more opinion (and estimate) from another hospital before deciding.
  5. Thanks - do you recall whether you had a large tear (or flap as they call it)? That's what they're saying I have.
  6. Please bear with me as I'm trying to get clear on how these hospitals work (it's my first time). So Siriraj has two arms, public and private. Let's take this orthopedic fellow, Dr. Borwornraat (whom I called Dr. Ba). He's listed on the private website. But I understand he also does work at the public side because apparently he is available Tuesdays from 9-11 am (and only then) for a walk-in clinic (so says my Thai friend who called the main hospital switchboard a couple days ago). If so, I'm wondering whether I would save a lot of money trying to get him via the walk-in public clinic rather than book him through the private arm. I realize it would be more cumbersome and annoying and, from what Sheryl said above, maybe when it came to the surgery I couldn't be sure he would do it, maybe they'd substitute an entirely different doctor or have residents do it under his supervision. But still, presumably a much cheaper alternative to at least consider. Or am I getting this all wrong? Any clarification much appreciated. TG
  7. Macleans, thanks a lot. I didn't realize that link in my original posting was from the private arm. I'm going to try to call them after Songkran and see if I can get an appointment with Dr. Ba. My Thai friend translated his name for me and he seems well-qualified. I might take you up on your kind offer if he turns out not to be suitable or available. I'm hoping their fee is significantly lower than Bumrungrad's.
  8. Macleans, thanks. I see you're Thai, I'm not and the problem I'm having with the Siriraj site is that I don't see any English version. So I can't figure out how you get involved in this private arm. Do you have any info in English you can shoot me about where I'd go, whom I'd talk to, etc. to get registered there and try to see this Dr. Ba or another good orthopedic doctor? I don't want to go and stumble about the public arm aimlessly.
  9. Wow, get this: I just googled some more and there was a study published just a few weeks ago in the New England Journal of Medicine which found that physiotherapy was just as effective as surgery for meniscal tears. Here's a summary from NBC: http://vitals.nbcnews.com/_news/2013/03/19/17371367-therapy-often-as-good-as-surgery-for-knees-study-finds?lite Here's the NEJM article: http://www.nejm.org/doi/full/10.1056/NEJMe1302696 This is important because major studies, also in NEJM, from 2002 and 2008 showed that surgery for knee osteoarthritis was ineffective, but those studies EXCLUDED meniscal tears, so people thought surgery was still good for them. This new study looked specifically at meniscal tears and concluded surgery is no better there either. This is really making me think twice!
  10. Steve, were both your operations for the same knee? I'm curious about whether these things tend to recur. Also, if your last surgery was just a few years ago, that's quite a difference in cost, between yours at THB 90K versus my Bumrungrad quote of THB 250-270K! (and I don't believe there is anything unusual about mine, it's a first, single tear).
  11. Pluto, thanks, I'm curious about what they did with your tears. I'm told that sometimes they can repair them (some kind of stitching I believe) but more often they just trim them back, I assume to make them smooth and prevent further tearing. What did they do to you and how well did it work? Sounds like you have ongoing issues unfortunately.
  12. Sheryl, thank you. Do you have thoughts on Lerdsin hospital? My Thai nurse friend (recent grad) suggested it for osteo.
  13. Hi All, I'm in BKK and went to Bumrungrad with knee pain. Diagnosed with torn meniscus. Dr. Tanuk, orthopedic surgeon, advised me to have it repaired by arthroscopic surgery. The estimate was THB 250,000-275,000 which I thought was very high. I'm looking for high-quality alternatives that would be cheaper and heard Siriraj would be a good choice. I don't speak Thai (although I have a Thai friend who might be available some of the time to interpret). One doctor at Siriraj, Dr. Ba Vorn Rat, looks very experienced in this: http://www.siph.ecgates.com/doctor_detail.php?id=261&cat=18 I'd be grateful if anyone has any thoughts/experience about going to this guy or another at Siriraj for this procedure. Any other hospitals that would be good choices? Thanks! TG
×