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COSTS of HEALTHCARE in THAILAND - Post your cost experience with consultations/ tests/ hospitalizations


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Posted
8 hours ago, biggles said:

Udontony, thanks for the review. I have often thought that such a nursing home in Pattaya, with a private room, is a good care option as you age and if you have no one to take care of you. The cost seems very reasonable after looking at them in Australia. Could you share the name of this place, please? 

One thing I forgot to mention in the post was that it is a 20 minute and 160 baht bolt taxi ride from Beach Road in Pattaya.  Even thought there were several expat residents, most of the information was in Thai, that will be improved in the near future.  I left out the name before because I did not want anyone to think I had any business interests in the place and I was just advertising for them.

Yoodee  Nursing  Care.-

61/9  M.5  Nongplalai,   Banglamung    Chonburi.

Two telephone numbers, one is the boss ( Pui ) the other is her daughter, both speak decent English, can not remember which one is which,    0836414146     0628935998

The place has only been open for two years or so, no beds free at the moment, but when the extension is finished ( possibly later this year or early next year )  there will be around another 40 beds.  Then in another year or so there will be a further extension, this is why they are keen to make a brochure about the place, they will need to advertise.

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Posted

A recap of experiences from my trip last month (yes, my relatively short trip SUCKED due to all of these medical visits!)

Bumrungrad hospital (Bangkok) - my left ear would not pop after landing, and I had been having issues with it before the trip. Finally said "fuck it!" and went to Bumrungrad to get checked.  They got me in MUCH faster than I expected and Dr was great -- he had tools that were hooked up to the TV monitor, so I could watch what he was doing.  MASSIVE amount of ear wax had basically blocked my ear canal.  Watched him pull it out, then he cleared my right ear, too.
Given how long I wait to see my Dr here when I have an appointment, I was amazed at the speed in which they got me in and out of there. 
Total cost: 3,665 baht.  WELL worth it - would not hesitate to go back

Pattaya Memorial hospital (Pattaya) - after my return from Da Nang, I woke up feeling like I'd been hot by a truck - fever, chills, body aches.  Spent the day in bed, and made my way to Pattaya Memorial the next morning -- very close to where I was staying (Hilton), and I'd been there before.  Dr. ran blood tests and was very alarmed by a high white blood cell count (about 15,500).  He said it indicated a bacterial infection and was concerned i had a kidney infection.  They immediately admitted me, and started IV antibiotics.  Fever broke late the first night, and started feeling much better, but they kept me for 2 nights.  I wasn't very pleased with the explanation of what was wrong with me and basically had to insist they release me after 2 nights.
Total cost: 36,850 baht.  While that sounds high, as I said - 2 nights, a lot of antibiotics & blood tests + all meals.

Bangkok Pattaya hospital (Pattaya) - given that I wasn't thrilled by the communications, I took my medical records to Bangkok Pattaya hospital, and saw a internal medicine Dr.  She was great and ran a battery of tests - blood work, X-rays, ultrasound (to check my organs).  Took a couple of hours, but, like Bumrungrad, they got me in pretty quickly.  Also, I had to wait until 4 hours after my last meal before the ultrasound and I ate right before going to the hospital.
Once the results came back, she went through all of them and prescribed more antibiotics.  I still didn't get a "you have an XYZ infection," but she explained a bacterial infection can be from any one of thousands of bacteria.
Total cost: 8,766 baht. Again, IMO reasonable for the battery of tests they ran and got back to me on right away. 

From now on, no matter how trivial the issue may be, I will make the longer drive to Bangkok Pattaya hospital if/when I am in Pattaya.  Just much better/more modern facilities, and I felt much more comfortable with the Dr. there.

Trivial issue that bugged me:
Pattaya Memorial stops serving any kind of food/drink at 7 p.m.  I was told there was literally nothing they could get me after that time. 

 

Posted

March 2024

Urethra blockage while in Bangkok.

Took taxi to Bumrungrad Hospital, saw urology consultant about 9.30am.

Same day 11am he performed cystoscopy (clear the stricture in the urethra; insert catheter and urine bag; mild anaesthetic, no discomfort).

Recovery room. Discharged late afternoon with medications.

34,900 bahts

Went to Pattaya with referral to Urology at Bangkok Hospital (Pattaya). After five days, catheter and bag removed, routine check-up. Forget cost but not significant.

48 hours R and R, then out to play; equipment was in OK working order!

Very impressed by service and professional standards.

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Posted (edited)
On 08/09/2024 at 10:05, udontony said:

When I was in Pattaya last week I spent a morning at a nursing home, my Thai sister and I went to visit an old friend there.  He is 70 years old. from England and a fairly recent expat living in Pattaya.  (...)

  I asked my friend if they were putting on a show because we were there, he said no, it is always like this.  He has to pay 45,000 baht a month for his accommodation, all meals, nursing care and all the other facilities available to him.

The people in the multiple occupancy wards pay less, I think the price started at 36,000 baht a month.  Price varies according to how much nursing care they need.  Included in the price  there are many benefits, several times a week they are encouraged to go swimming with staff in the water to look after them.  Doctor comes round to visit all the patients twice a week, he is on call for them 24/7.  They have a massage lady comes every day, not sure if that was included in the price.  They also have an agent come to do all the immigration things like 90 days and extensions for all the patients.  Place is set in some nice grounds and there are places to sit away from all the other people if you want to.  The qualified nurses test for sugar and dispense insulin as and when needed, cost for that is extra.

Staff there were amazing, I had been to visit my old boss in a nursing home in the UK, standards of care here were far better.  They never left a patient waiting for anything, service with a smile all the time even through some rather dirty jobs.  My friend can not get his wheelchair over the threshold of the door, he rings his buzzer and staff come literally running to help.  The boss there employs many of her family and friends, the rest of them all seem to fit in and care.  Approximately 40 patients there, did not get an accurate count, but I did see 16 staff working.  I asked about night time and was told only 6 staff at night as they hoped most would sleep through the night.

Wow, thanks @udontony for this informative and useful post.  I agree with you such a facility seems a good place for people who seek a not too specialized rehab or long term care more akin to comfort care. 

Long term care in Thailand is in its infancy compared to western country.  Usually it is assumed by family members here but with the rapidly evolving demographics, birth rate etc, this is bound to undergo some changes. 

The price is not cheap (if you compare to a rent + food for non sick people living independently) but it seems more than fair given the description of services included.  Actually compared to what you can can get in most western countries for the same price, it is not expensive and probably much superior CARING indeed.  Which should be what most of the patients/ customers of this place need more, patient attendant type care, low level nursing care, physiotherapy activities. 
In many western hospital wards, the ratio of personal to patients is more like 2 nurses + 1 attendant for a ward of +/- 40 people at night time... 

Do you know if the doctor visits also included in the price?  
The pool could also use some touch ups to help lower mobility patients get in/ out (ramps or railings). 

Edited by hormone
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Posted
2 hours ago, hormone said:


The price is not cheap (if you compare to a rent + food for non sick people living independently) but it seems more than fair given the description of services included.  Actually compared to what you can can get in most western countries for the same price, it is not expensive and probably much superior CARING indeed.  Which should be what most of the patients/ customers of this place need more, patient attendant type care, low level nursing care, physiotherapy activities. 
In many western hospital wards, the ratio of personal to patients is more like 2 nurses + 1 attendant for a ward of +/- 40 people at night time... 

Do you know if the doctor visits also included in the price?  
The pool could also use some touch ups to help lower mobility patients get in/ out (ramps or railings). 

From what I saw when I was there, the level of nursing care was very good and very professional, I was assured that the nurses were well qualified.   Things like sugar level checks recorded on a board when they were done and any insulin injected was recorded against the patients name.  Doubt they would do that in the UK because of confidentiality problems!  

I think, but not certain, the lady did say the doctor checks were included.

No one was in the pool when I was there, but my friend assured me that he went in there several times a week.  I asked him how he managed, he said there were always staff in the pool when it was in use.  The picture only shows part of the pool but I can not remember just what the rest was like.  There are steps to help people out but can not remember any other railings.  If my friend is still in there when I am in Pattaya I will go and see him again and follow up on any questions anyone has.

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Posted
3 hours ago, udontony said:

From what I saw when I was there, the level of nursing care was very good and very professional, I was assured that the nurses were well qualified.   Things like sugar level checks recorded on a board when they were done and any insulin injected was recorded against the patients name.  Doubt they would do that in the UK because of confidentiality problems! 

I hope my post about "low level nursing care" did not come out the wrong way, I don't doubt the qualification of the nurses there!  :) .  My real question should have been: were they cute???  

I simply meant that it is suitable for "normal common tasks" for nurses, not requiring a more specialized training (for example taking care of patients with more acute diseases, needing monitoring or frequent respiratory treatments etc...
And.. YES!!  THE whole confidentiality issue has not reached Thailand yet... Maybe that is why patients don't tell much to the doctors 5555

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Posted

13 hours in Bangkok Pattaya Hospital for a PTSD anxiety attack that was building for 4 days, and I finally went in to get some help. 31,900 baht. They don't even treat you like a patient in there, just a walking ATM. Had a literal 3 minute face to face with a psychiatrist and it was 2500 baht on the bill. 

If it floats, flies or fucks, RENT IT!!!!! "He who hesitates, masturbates"

Posted
3 hours ago, hormone said:

I hope my post about "low level nursing care" did not come out the wrong way, I don't doubt the qualification of the nurses there!  :) .  My real question should have been: were they cute???  

I simply meant that it is suitable for "normal common tasks" for nurses, not requiring a more specialized training (for example taking care of patients with more acute diseases, needing monitoring or frequent respiratory treatments etc...
And.. YES!!  THE whole confidentiality issue has not reached Thailand yet... Maybe that is why patients don't tell much to the doctors 5555

Difficult to answer your question accurately as I was only there for the morning and more than half of that was taken up with talking to the boss and my friend.  I did see nebulizers and oxygen masks being used but again no further information.  As for cute nurses, yes there was one that I noticed, but most of them were older, not a bad thing with clinical nurses and their experience in my opinion.  The one thing that stood out with all of them was the high level of care that they were giving to patients, talking to them like they were family, impressive.

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Posted
15 hours ago, udontony said:

 The one thing that stood out with all of them was the high level of care that they were giving to patients, talking to them like they were family, impressive.

Very positive indeed, as many of the patients there need not only physical care, but also mental support to get them through a hard time in their life (sometimes the rehab is harder, because longer and can get discouraged than the acute phase of being more critically sick). 

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Posted
On 08/09/2024 at 18:11, Luv2Phuket said:

A recap of experiences from my trip last month (yes, my relatively short trip SUCKED due to all of these medical visits!)

Bumrungrad hospital (Bangkok) - my left ear would not pop after landing, and I had been having issues with it before the trip. Finally said "fuck it!" and went to Bumrungrad to get checked.  They got me in MUCH faster than I expected and Dr was great -- he had tools that were hooked up to the TV monitor, so I could watch what he was doing.  MASSIVE amount of ear wax had basically blocked my ear canal.  Watched him pull it out, then he cleared my right ear, too.
Given how long I wait to see my Dr here when I have an appointment, I was amazed at the speed in which they got me in and out of there. 
Total cost: 3,665 baht.  WELL worth it - would not hesitate to go back

Pattaya Memorial hospital (Pattaya) - after my return from Da Nang, I woke up feeling like I'd been hot by a truck - fever, chills, body aches.  Spent the day in bed, and made my way to Pattaya Memorial the next morning -- very close to where I was staying (Hilton), and I'd been there before.  Dr. ran blood tests and was very alarmed by a high white blood cell count (about 15,500).  He said it indicated a bacterial infection and was concerned i had a kidney infection.  They immediately admitted me, and started IV antibiotics.  Fever broke late the first night, and started feeling much better, but they kept me for 2 nights.  I wasn't very pleased with the explanation of what was wrong with me and basically had to insist they release me after 2 nights.
Total cost: 36,850 baht.  While that sounds high, as I said - 2 nights, a lot of antibiotics & blood tests + all meals.

Bangkok Pattaya hospital (Pattaya) - given that I wasn't thrilled by the communications, I took my medical records to Bangkok Pattaya hospital, and saw a internal medicine Dr.  She was great and ran a battery of tests - blood work, X-rays, ultrasound (to check my organs).  Took a couple of hours, but, like Bumrungrad, they got me in pretty quickly.  Also, I had to wait until 4 hours after my last meal before the ultrasound and I ate right before going to the hospital.
Once the results came back, she went through all of them and prescribed more antibiotics.  I still didn't get a "you have an XYZ infection," but she explained a bacterial infection can be from any one of thousands of bacteria.
Total cost: 8,766 baht. Again, IMO reasonable for the battery of tests they ran and got back to me on right away. 

From now on, no matter how trivial the issue may be, I will make the longer drive to Bangkok Pattaya hospital if/when I am in Pattaya.  Just much better/more modern facilities, and I felt much more comfortable with the Dr. there.

Trivial issue that bugged me:
Pattaya Memorial stops serving any kind of food/drink at 7 p.m.  I was told there was literally nothing they could get me after that time. 

 


To follow-up on this, as posted in a thread on travel medical insurance, it appears that ALL of my claims will go through.  Geo Blue took out my annual $100 deductible, and paid the rest (I even made about $10-12 in the exchange rate).

Best part is that this policy remains valid through August 3, 2025....so I still have PLENTY of time to get sick, be hospitalized, be injured, need surgery, etc.!  5555

(sadly, ALL of those things HAVE HAPPENED to me in Pattaya over the years!)

Posted (edited)
On 08/09/2024 at 20:11, Luv2Phuket said:

A recap of experiences from my trip last month (yes, my relatively short trip SUCKED due to all of these medical visits!)

Bumrungrad hospital (Bangkok) - my left ear would not pop after landing, and I had been having issues with it before the trip. Finally said "fuck it!" and went to Bumrungrad to get checked.  They got me in MUCH faster than I expected and Dr was great -- he had tools that were hooked up to the TV monitor, so I could watch what he was doing.  MASSIVE amount of ear wax had basically blocked my ear canal.  Watched him pull it out, then he cleared my right ear, too.
Given how long I wait to see my Dr here when I have an appointment, I was amazed at the speed in which they got me in and out of there. 
Total cost: 3,665 baht.  WELL worth it - would not hesitate to go back

Pattaya Memorial hospital (Pattaya) - after my return from Da Nang, I woke up feeling like I'd been hot by a truck - fever, chills, body aches.  Spent the day in bed, and made my way to Pattaya Memorial the next morning -- very close to where I was staying (Hilton), and I'd been there before.  Dr. ran blood tests and was very alarmed by a high white blood cell count (about 15,500).  He said it indicated a bacterial infection and was concerned i had a kidney infection.  They immediately admitted me, and started IV antibiotics.  Fever broke late the first night, and started feeling much better, but they kept me for 2 nights.  I wasn't very pleased with the explanation of what was wrong with me and basically had to insist they release me after 2 nights.
Total cost: 36,850 baht.  While that sounds high, as I said - 2 nights, a lot of antibiotics & blood tests + all meals.

Bangkok Pattaya hospital (Pattaya) - given that I wasn't thrilled by the communications, I took my medical records to Bangkok Pattaya hospital, and saw a internal medicine Dr.  She was great and ran a battery of tests - blood work, X-rays, ultrasound (to check my organs).  Took a couple of hours, but, like Bumrungrad, they got me in pretty quickly.  Also, I had to wait until 4 hours after my last meal before the ultrasound and I ate right before going to the hospital.
Once the results came back, she went through all of them and prescribed more antibiotics.  I still didn't get a "you have an XYZ infection," but she explained a bacterial infection can be from any one of thousands of bacteria.
Total cost: 8,766 baht. Again, IMO reasonable for the battery of tests they ran and got back to me on right away. 

From now on, no matter how trivial the issue may be, I will make the longer drive to Bangkok Pattaya hospital if/when I am in Pattaya.  Just much better/more modern facilities, and I felt much more comfortable with the Dr. there.

Trivial issue that bugged me:
Pattaya Memorial stops serving any kind of food/drink at 7 p.m.  I was told there was literally nothing they could get me after that time. 

 

I have a similar opinion of Pattaya memorial.  I went over with what I thought was a heart issue. It took what seemed like a very long time time to get an ER bed. At least long by US standards. If you say you're having chest pain, they put you in a wheel chair and straight back to a bed.

Anyway after about an hour of bloodwork and ecg monitoring, they told me I needed more care then they can give. Suggesting I go to Bangkok Pattaya. Bangkok Pattaya kept me 2 days, ran every test known to man. Total bill was $3,000 usd. All covered by travelers insurance.

Since then I've been back several times to see the same Cardiologist. Always a positive experience.

Edited by SlowlyMan
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Posted
On 17/09/2024 at 18:50, freedom42 said:

13 hours in Bangkok Pattaya Hospital for a PTSD anxiety attack that was building for 4 days, and I finally went in to get some help. 31,900 baht. They don't even treat you like a patient in there, just a walking ATM. Had a literal 3 minute face to face with a psychiatrist and it was 2500 baht on the bill. 

Hmmm that experience sucks, thanks though for putting it in here.  Sounds like you go to pay for "inpatient" and a lot of "nursing care/ surveillance"... which was not what you needed...

One major comment I can make is that in general in Thailand, psychological/ psychiatric issues are MUCH LESS well cared for than in the west.  I know of some people who have found a very caring psychologist or psychiatrist (in BKK), but in most cases... it's been quite sub-par.  PTSD/ anxiety/ "simple" depression is more or less regarded as less serious than an ankle sprain.  "Just smile and you'll be better"...

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Posted

Here is another one: 
1- "regular health check up" package  (one of my expat friends, 43 yo with diabetes). 
2-  BNH hospital in Silom
3- One full AM visit
4- Including chest x-ray, resting electrocardiogram (ECG) , abdominal ultrasound and liver fibroscan; basic blood tests including blood count, kidney function, liver function, Hb1Ac (which reflects long term blood sugar control) ; then a meeting with the doctor for a brief history, mostly centered on life habits, a cursory physical exam and discussion of blood results
5- Cost: 14 000 thb
6- This was for one of my expat friends, 43 yo with diabetes, borderline high blood pressure and overweight.  Basically he spent all AM there, being led from one test to the other.  He then met with the physician (general or preventative medicine, not sure) and had his results explained.   Because he had a very minor (and please trust me on this one...) non significant ECG anomaly, he was recommended to see a cardiologist during a further appointment (which he declined).  They discussed his liver and diabetes status. 
My friend left satisfied with the process, the nurses were very nice and smiling.  Let's see if he takes care of himself better...

My comment: the price is relatively "high" given the tests that were done (An ECG and chest x-ray are very low cost, so are the blood tests... ) and the lack of indications to do many of these tests. It's a one size fits all package, the tests are done as per the package you buy and BEFORE you even encounter a doctor to decide what should be done, usually in western medicine it would be doctor first and tests according to results of questionnaire. 
MOST of "health check up" packages in Thailand are structured like this; many will also be much more "comprehensive" including various cancer markers that just don't make any sense in a youngish asymptomatic with "no family history of anything" patient.  You run the risk of finding slightly abnormal results which will trigger patient anxiety and further consultation... and probably further testing (as could have been the case of the ECG here... ). 

Posted (edited)

Precious PA posted… “To save on hospital cost friends had him transferred to a hospital in Khon Kaen, about half the price for the same care when he got there.  When he was allowed out of the hospital some of our family took care of him as best as they could alongside running their business.  It was too much for them so they arranged for him to be transferred to this care home in Pattaya where we visited….”

Excellent post!  Kudos!  Can I please trouble you for the Year and month all this happened?    Also, name of the Khon Kaen hospital and the name of the Pattaya nursing home?

If you can’t post here then please to dm me?   
 

Again great post and Pics.

Edited by dickygozinya
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Posted

Two days ago I had a Colonoscopy and Gastroscopy done together at Bangkok Pattaya Hospital. Total cost was 35,000 baht.

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Posted (edited)
22 hours ago, spiderman said:

Two days ago I had a Colonoscopy and Gastroscopy done together at Bangkok Pattaya Hospital. Total cost was 35,000 baht.

A Thai buddy had a similar package — colonoscopy & gastroscopy — in June 2024 at Sukumvit Hospital in Bangkok:

• out patient;

• mild sedation (oral med; no anesthesiologist; a friend drove him home); and,

• no biopsy, for which a pathology lab report might reasonably be an extra.

All-in cost THB 33,000.

He explained that less expensive packages are available from the government hospitals, but did not cite their costs.. if a person is not in a rush, they typically involve a bit of hospital bureaucracy, waiting, and extra communication effort .. (and have no Au Bon Pain, or Starbucks).

Edited by brutox

 

Hunter S. Thompson Insert.jpg

Posted
1 hour ago, brutox said:

A Thai buddy had a similar package — colonoscopy & gastroscopy — in June 2024 at Sukumvit Hospital in Bangkok:

• out patient;

• mild sedation (oral med; no anesthesiologist; a friend drove him home); and,

• no biopsy, for which a pathology lab report might reasonably be an extra.

All-in cost THB 33,000.

He explained that less expensive packages are available from the government hospitals, but did not cite their costs.. if a person is not in a rush, they typically involve a bit of hospital bureaucracy, waiting, and extra communication effort .. (and have no Au Bon Pain, or Starbucks).

Useful info to see the price is about the same in different private hospitals.

Explanatory detail note: gastroscopies and colonoscopies can be performed by both gastroenterologists and general surgeons (although usually more common to be done by a gastro specialist).  If you have the procedures done for acute bleeding, it's pretty ok to be done by either specialist, depending on where in Thailand you are (some more peripheral hospitals might only have surgeons available).  But if it is for something like cancer screening/ detections or other illnesses, I would really want my tests to be done by a gastro-enterologist who is likely to have tons more experience in diagnosing the more subtle things...

Quote

the government hospitals...  have no Au Bon Pain, or Starbucks

hahahaha!!  Now THAT is super useful after you've been fasting for your procedure!! 
BTW, Chula hospital in BKK does have lots of good food options in the newer modern building. 

Posted
On 08/09/2024 at 04:05, udontony said:

When I was in Pattaya last week I spent a morning at a nursing home, my Thai sister and I went to visit an old friend there.  He is 70 years old. from England and a fairly recent expat living in Pattaya.  One morning he could not get out of bed or move his limbs at all, he was taken to a hospital and diagnosed with a virus that damages the exterior of all the nerves in his body.  The treatment was expensive and the recovery has already taken many months, but he is now recovering very slowly.

To save on hospital cost friends had him transferred to a hospital in Khon Kaen, about half the price for the same care when he got there.  When he was allowed out of the hospital some of our family took care of him as best as they could alongside running their business.  It was too much for them so they arranged for him to be transferred to this care home in Pattaya where we visited him last week.

That morning we spent a lot of time with the owner of the business, she wants us to help her to write a brochure in English for her business, mainly because she has bought the property next door and is expanding.  At the moment there are no beds vacant so no rush to do the brochure.   Any nursing or care home to me is a depressing place, just because there are so many sick people there and many will never be able leave the place, my friend should be one of the lucky ones and get out again! 

In the place there were some wards with six or eight beds in one room, some with two beds and also several single chalet type rooms outside.  My friend was in one of the outside rooms with en-suite facilities and full time care.  In the few hours we were there I was super impressed at the care that was given by the staff, nothing seemed to be too much trouble for them.  I asked my friend if they were putting on a show because we were there, he said no, it is always like this.  He has to pay 45,000 baht a month for his accommodation, all meals, nursing care and all the other facilities available to him.

The people in the multiple occupancy wards pay less, I think the price started at 36,000 baht a month.  Price varies according to how much nursing care they need.  Included in the price  there are many benefits, several times a week they are encouraged to go swimming with staff in the water to look after them.  Doctor comes round to visit all the patients twice a week, he is on call for them 24/7.  They have a massage lady comes every day, not sure if that was included in the price.  They also have an agent come to do all the immigration things like 90 days and extensions for all the patients.  Place is set in some nice grounds and there are places to sit away from all the other people if you want to.  The qualified nurses test for sugar and dispense insulin as and when needed, cost for that is extra.

Staff there were amazing, I had been to visit my old boss in a nursing home in the UK, standards of care here were far better.  They never left a patient waiting for anything, service with a smile all the time even through some rather dirty jobs.  My friend can not get his wheelchair over the threshold of the door, he rings his buzzer and staff come literally running to help.  The boss there employs many of her family and friends, the rest of them all seem to fit in and care.  Approximately 40 patients there, did not get an accurate count, but I did see 16 staff working.  I asked about night time and was told only 6 staff at night as they hoped most would sleep through the night. 

All in all this was an eye opener for me, the standard of care was far better than I could ever have imagined but it was depressing seeing so many sick people that would never get out of there.  To recuperate after an illness I doubt you could find much better, the care is the best.1725764477523.jpg1725764477443.jpg1725764477352.jpg1725764477039.jpg

Alternatively:

IMG_8304.jpeg

 

:)

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"Life is what happens to you while you're busy making other plans."

So remember to “Enjoy every sandwich”

Posted
2 minutes ago, davidge said:

Alternatively:

IMG_8304.jpeg

 

:)

Sounds fantastic but could be out of many peoples price range.

image.png.6eb5df3c4b99a4189996c2a21d8f14af.png

Posted
8 minutes ago, udontony said:

Sounds fantastic but could be out of many peoples price range.

Definitely!!!

"Life is what happens to you while you're busy making other plans."

So remember to “Enjoy every sandwich”

Posted (edited)
10 hours ago, davidge said:

Alternatively:

IMG_8304.jpeg

 

:)

A place to retire to? .. okay, as an independent senior requiring limited/no support.. their so-called 'Scarisbrick service fee' is no more than what serviced apartments offer.

The senior nursing care services this condo project offers are a fanciful sales pitch.. no more than hiring a private nurse who is unlikely trained in geriatric medicine — geriatric medicine is almost entirely absent in Thailand. 

Sorry to say, but this is not the assisted care retirement home some might think it is.. it is a typical, run of the mill condo complex, just like most every other wannabee, whizbang, latest and greatest, be everything to everyone disappointment by Pattaya developers, that is billed as providing assisted senior care .. it is not that. 

1 — Retirement homes are purpose-built for senior lifestyles .. ramps, rather than stairs, dead level doorway thresholds, large wheelchair accessible showers, extra wide doorways, accessible everything (light switchs, AC controls, shelves, hob, etc.), handrails everywhere, on-site medical clinic/rehabilitation facilities, community rooms for socialising, dining hall, and on and on and on.

There is a host of other important features to senior care facilities I won't go on about.

2 — Perhaps more important, units in real senior care facilities are not sold — rented only.

What still-active senior wants to move into a facility, looking down the hallway at where their now bedridden seniors are on oxygen, wearing branded senior fashion diapers with Teddy bears, and sporting drool cups?.. staring at their near future .. umm, no.

Seniors requiring full medical care who own their units are there permanently, until the ambulance permanently parked out front spirits them away.. not a particularly desirable environment.

For this reason, professional senior care operators have separate facilities for seniors with different levels of care .. bedridden and non-ambulatory seniors requiring daily medical support are in separate facilities from those selectively wanting elective assistance (cooking, house cleaning, laundry, etc.), who are separated from fully independent still-active seniors.

10 years ago, we analyzed the market potential here for a western standard assisted care seniors facility (not the more intensive medical care), professionally operated to Western standards, targeting farang retirees and we concluded it was a first-mover investment opportunity.

Fast forward to 2024 .. demand has only grown.

The Thai investor community could not get their heads around it and still thought of it as a real estate sales play .. it is not .. it is a recurring income serviced apartment with low-level medical care bolted onto it.

A professionally managed full medical care senior facility is not here .. neither are proper assisted care facilities.

Edited by brutox

 

Hunter S. Thompson Insert.jpg

Posted

Since (it seems) there are no government controls here, you can make senior care whatever you want to make it - most likely. 

High Care (basically bed-bound) facilities in my country (Australia) are not where I would like to end up. It's just shockingly depressing.

I have thought about market opportunities here and think there are great opportunities like @brutox concludes. 

In suspect what is important is:

  • Attendant and Nursing Care
  • Visiting Dr
  • Pharmacy services
  • Visiting allied care eg, podiatry, massage, hair salon
  • Transportation
  • Thoughtful architecture 
  • Recreational facilities and services

At it's best, the facility would be very client focussed, primarily aiming to extend his/her independence as much and for as long as possible.

Being freed from all of the compliance requirements that Farang facilities inevitably focus on (passing an audit becomes more important than caring about client and family needs) would be a breath of fresh air.

Having a reasonable monthly cost that clients could budget on would be a drawcard for the clients and provide a monthly recurring revenue model for the business.

In my experience, boring businesses are the best businesses! 

Posted
2 hours ago, brutox said:

The senior nursing care services this condo project offers are a fanciful sales pitch.. no more than hiring a private nurse who is unlikely trained in geriatric medicine — geriatric medicine is almost entirely absent in Thailand. 

Sorry to say, but this is not the assisted care retirement home some might think it is.. it is a typical, run of the mill condo complex, just like most every other wannabee, whizbang, latest and greatest, be everything to everyone disappointment by Pattaya developers, that is billed as providing assisted senior care .. it is not that. 

1 — Retirement homes are purpose-built for senior lifestyles .. ramps, rather than stairs, dead level doorway thresholds, large wheelchair accessible showers, extra wide doorways, accessible everything (light switchs, AC controls, shelves, hob, etc.), handrails everywhere, on-site medical clinic/rehabilitation facilities, community rooms for socialising, dining hall, and on and on and on.

There is a host of other important features to senior care facilities I won't go on about.

2 — Perhaps more important, units in real senior care facilities are not sold — rented only.

(...)

For this reason, professional senior care operators have separate facilities for seniors with different levels of care .. bedridden and non-ambulatory seniors requiring daily medical support are in separate facilities from those selectively wanting elective assistance (cooking, house cleaning, laundry, etc.), who are separated from fully independent still-active seniors.

10 years ago, we analyzed the market potential here for a western standard assisted care seniors facility (not the more intensive medical care), professionally operated to Western standards, targeting farang retirees and we concluded it was a first-mover investment opportunity.

Fast forward to 2024 .. demand has only grown.

The Thai investor community could not get their heads around it and still thought of it as a real estate sales play .. it is not .. it is a recurring income serviced apartment with low-level medical care bolted onto it.

A professionally managed full medical care senior facility is not here .. neither are proper assisted care facilities.

Very valid points from @brutox , especially about the real infrastructure needs of elders and when you are ready to go there... You don't buy, because you are going in the direction of more dependency, inevitably.  Your needs change, sometimes rapidly, and so your infrastructure will also need to change.  If you buy a unit and want to stay while more dependent you will need to modify your unit at your cost as your needs grow.  When you cannot continue living there anymore, you will need to sell.  I can imagine the pressure to sell at a loss to "the promoter" who will resell to another elder willing to dilapidate his savings...
 

  • Like 3
Posted

I did read more about the 6 star project on their website.  Some Singapore and Australian input in the project. 
Some big seller points:  the push button in every room to get "assistance". A concierge service and valet parking... 
Hmmm maybe it's like true luxury hotel style, having your butler... But what seniors really need is not an emergency button out of reach in all the rooms when you fall to the floor and cannot get up (broken hip...).  It's a portable emergency device that detects your fall and allows you to press it when you are on the floor.  And independent seniors also usually like to continue doing as much as possible of their daily activities-- use it or lose it.  
I would say: if you want someone to clean your unit and buy food/ cook for you, hire a housekeeper!! 

Your "qualified experienced caregiver aka companion" can not only take your blood pressure, change your dressings but serve drinks to your guests!  And the companion can watch over your wife while you go on a Soi 6 crawl!  (which might be "crawl" just because you are too old to walk on your own...)
Many services are also on pay per use: doctor, dentist, optometrist, pharmacy... So I am not sure how all this plays out when you get more and more dependent...

  • Like 4
  • 4 months later...
Posted

Queen Sirikit Hospital near U-Tapao airport. 

Went into for some problems with my sewage department. Waited in the queue for about an hour with a general surgeon. He directed me over to another area to change into some pants with a liftable flap covering the sewer drain. Waited about another 30 mins. Laid front side down on a table that bends you over so he can get in to the back end. Advised me of my problem (not interested in discussing the diagnosis). 

 

Cost 555 baht. 

If it floats, flies or fucks, RENT IT!!!!! "He who hesitates, masturbates"

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