Well I may finally have my answer to what is needed. I met with Dr. Nathawut ( Cardiologist, Instructor at the University) at Siriraj Hospital, BKK.
I left home at 12:30 to get to the bus station by 1:00 â€“ ticket to Ekkamai â€“ 2:10 â€“ then we were hit by a massive thunder storm and that among other things delayed the bus till 3:10 â€“ arrived at Ekkamai at 5PM and got into a taxi to go to Siriraj â€“ driver took a route through town â€“ hitting massive gridlock (should have gone around) â€“ arrived at Siriraj at 7:00, actual appointment was for 8PM – safe so far, but no time for dinner. And didnâ€™t get back home till 11:30 PM â€“ one hell of a long day.
When I got to the hospital â€“ I was taken directly to see the doctor â€“ He went over the supporting documents I had from the CAT scan done in Sriphat, Chiang Mai, which showed that I had 5 semi blocked arteries, 4 of which had no symptoms. The ones going to my head and stomach werenâ€™t causing problems now and the one to my left side (arm) had developed new arteries for getting blood â€“ so for now – donâ€™t do anything. Trying to open them may cause more problems. However, the blocked artery to the kidney could be the culprit raising my blood pressure.
His prognosis is to preform a angioplasty on the kidney artery and see if correcting it will bring my blood pressure back to a normal range. If this helps lower my BP then the medicines to control cholesterol and BP should be enough. Estimated costs is now about 80,000 Baht + costs of extra stents if needed or if there are any complications â€“ (US $ 2,500+) within my budget. He only preforms these operations on Sundayâ€™ afternoons so they will call me and let me know a scheduled date and time â€“hopefully within the next 3 months. Siriraj is a teaching university and general Govâ€™t hospital and therefore has a very large patient load.
So oatmeal in the morning, 30 minute walk around the condo every morning and try to get another 30 min walk during the day â€“ watch the diet and take my medicine and get on with life.
Excellent, what he wants to do is the least expensive, least invasive – just get the job done â€“ saving me from the private hospitals, who always want to protect their bottom line. Theyâ€™d be happy to work on all 5 potential stents areas â€“ and then handle complications if they arise. Starting at 500,000 Baht (US $ 15,600)
So if you need medical assistance â€“ head straight to the Govâ€™t Teaching hospitals â€“ Siriraj, BKK or Sriphat, CM —- these are the main and largest ones and get a diagnosis, estimated cost and time frame â€“ unless of course you have Insurance â€“ then by all means go to a facility like Bangkok Hospital or Bumrungrad International â€“ ambience is better, service is excellent, technical quality is equal â€“ errr maybe - What the hell â€“ You can afford it.