Colonoscopy

Author: **jingjai** » February 15, 2009, 2:24 pm

laphanphon wrote:
The message I'm giving to everyone, is if you have never had a colonoscopy and are over 50, get one. It is recommended that people over 50 get one every five years.

excellent advise, i'm due for one myself. udon hosp does them, 3000 baht range, been doing them for years, dr nippon or something like that, there internal surgery doc, fills in at paolo when there's is off duty.

jingjai....what was BH charge for scoping, as i need to be there for skin cancer screening, which if anyone curious, used to be 1000 baht, for full body examine. also a reassuring, non invasive check up, basically just look over you with magnifying specs for any abnormalties.

all these screenings are too cheap here, so, get over the invasive ones, better than a diagnosis.

The cost of the colonoscopy at Bumrungrad was 24,500, BUPA paid 23,250, I paid 1250. Bumrungrad has a BUPA office at the hospital, it closes at 3:00 pm. So try and get a morning consultation appointment so the clinic can get a "pre-arrangement" form to them before they close for the day. The doctors/staff are quite knowledgeable in the correct wording on these "pre-arrangement" forms to get them approved. I think if you present/tell the doctor you have symptoms (hint-hint

) it makes it much easier to get BUPA approval' .
The initial consultation/meds at Bumrungrad, I had to pay for.
Also, BUPA paid for 75% of my gastroscopy and barium enema procedures at AEK.
The name of my doctor at Bumrungrad is Satien Techapaitboon. I think he is a very good/caring doctor. He even returned my telephone call the day before I went to see him.
The direct telephone number to the Digestive Disease Clinic: 02-667-1415.

Author: **laphanphon** » February 15, 2009, 2:33 pm

tell the doctor you have symptoms (hint-hint )

yes, if routine check ups aren't on policy, or not sure, a simple 'blood in stool' comment, along with, colon cancer in family, should get you an examination with no problem. if not, you definitely have the wrong coverage. :lol:

Author: **BKKSTAN** » February 15, 2009, 2:40 pm

jingjai,what was your cost for the treatment at BUM?

Author: **jingjai** » February 15, 2009, 2:44 pm

BKKSTAN wrote:jingjai,what was your cost for the treatment at BUM?

You must've missed it. I explained the costs two posts above yours. Don't worry Stan, we understand, must've been a rough night. :lol:

Author: **papaguido** » February 15, 2009, 3:48 pm

laphanphon wrote:
The message I'm giving to everyone, is if you have never had a colonoscopy and are over 50, get one. It is recommended that people over 50 get one every five years.

excellent advise, i'm due for one myself. udon hosp does them, 3000 baht range, been doing them for years, dr nippon or something like that, there internal surgery doc, fills in at paolo when there's is off duty.

jingjai....what was BH charge for scoping, as i need to be there for skin cancer screening, which if anyone curious, used to be 1000 baht, for full body examine. also a reassuring, non invasive check up, basically just look over you with magnifying specs for any abnormalties.

all these screenings are too cheap here, so, get over the invasive ones, better than a diagnosis.

LA,

That's on my check list of things to do, can you follow up with cost and contact details after your appointment.

Thanks pal...

Author: **BKKSTAN** » February 15, 2009, 3:55 pm

jingjai wrote:
BKKSTAN wrote:jingjai,what was your cost for the treatment at BUM?

You must've missed it. I explained the costs two posts above yours. Don't worry Stan, we understand, must've been a rough night.

Thanks ,I definitely missed it!Today is my 70th birthday,so maybe age set in quicker than I noticed! :lol:

Author: **laphanphon** » February 15, 2009, 4:13 pm

follow up with cost and contact details

that's easy, just go to BH, ask info where dermatology/skin cancer screening done, no appointment necessary, staff on hand, a couple, so may not get the same one unless asked for. easy visual exam, give you the once over. only differential may be the price, 1000 two years ago. i'll be there at end of march or beginning of may. will check out camillion hosp also, as that's where we do our yearly full med check ups, if available there, will do there. guessing cheaper there. they have excellent check up program there, 3500 baht, on sale from 6500, though always on sale, so marketing. but includes all that i need. ladies 2000 extra for the added fem stuff. includes more for the baht than udon hospitals offer, and do a better job than AEK or Paola, IMHO. in bkk, if in the area, again, if early, no appointment necessary here either, don't eat or drink coffee before going, and no morning piss, as you'll need a full bladder for bladder ultrasound. or you'll be drinking a small liter and wait a bit. but they have detected things udon has missed. think i do the deluxe program, will investigate and report, and update any changes from last year.

Today is my 70th birthday

now that's special, you and Val, right next to each other, you could of double dated. hope i make it that long :yikes:

, even longer to reach Val :lol:

surprised i made it this far :yikes:

on topic as always....................yearly check ups people, too cheap here, couple hundred bucks/less than 10 k baht for you more senior gents for few more test, and you can prolong hanging around, if that's your desire. too much out there, if caught early, usually easily solved. colon, prostate, couple big ones that take too many, easily caught with simple, though bit invasive spot check :oops:

'don't be shy..........and you won't die'

that of course doesn't mean backup into he doc and yelling deeper - deeper, unless you prefer. my doc had to spank me back to submission :yikes:

Author: **LoongLee** » February 15, 2009, 9:21 pm

Greetings all. This topic has energized me to join for a comment. Please excuse the intrusion. Have been enjoying the forum from afar for quite awhile,,, that is except for the times when one of you catches me unaware and I end up on the floor laughing, belching, with beer coming out of my nose, trying to catch my breath. I wanted to add a small comment about colonoscopy. I had one about a month ago here in tidewater Virginia (Hampton) and the worst part was definitely the massive amount of laxitives to drink the day prior. Now for the verdict,,, it was absolutely painless and I slept through it, but the doctor and nurse swear they did one,, heh, heh. Now for the shocker,, it cost $2300 US, about 79350 Baht. So the bottom line from here is, if you're over 50, get it done and be thankful that the cost "over there" is much cheaper, but still effective. Cheers, Lee.

Author: **Aardvark** » February 16, 2009, 11:12 am

Us poor buggers here in the lucky coutry get it for free on medi care. Never mind, one day the World will catch up.

Author: **polehawk** » February 16, 2009, 11:22 am

Nice one, General Lee. Wondered about the cost in the US. Had 3 or 4 done in the states but work health insurance covered most of it.

I wasn't going to share this one but on one of my procedures the gastro doc required me to buy a enema kit at local Walgreen's and do a self-enema along with drinking the vile laxative stuff. Impossible! I tried but No Way, Jose. Told the doctor to stuff it! And, sadly, he did.

Seems that they always find polyps but, thankfully, always negative. Good advice to get the colonoscopy and prostate (PSA) done regularly after you turn 50.

Author: **Juan Kosoff** » February 16, 2009, 3:51 pm

I have had it done a couple of times, first time private in harley street in and out in 40mins seven polyps removed that was 8yrs ago watched it on the screen in front of me, the only thing scary about it was my worrying about tuning a corner and finding a richard with sweetcorn eyes

Second time nhs they had to put me out as it was very painful (and I'm a renal colic sufferer) I put it down to the medical teams inexperience.
The good thing that came out of it was that my diet in thailand had reduced the amount polyps this time.

Just want to add I had my first one after 42 as my family has a history of cancer so it was recommended, the sooner the better.

Author: **LoongLee** » February 16, 2009, 9:37 pm

Polehawk,,
Thankfully, I didn't have to "eat" the total cost since the vast majority was paid by my Med insurance (retired military) and I picked up the rest. And yes, seems like they usually find a polyp but thank God, it was negative. What sweet words,,,,, "your results were negative"!
And your reminder about getting a PSA test is extremely important,,, great advice for us gentlemen as we age. Ol' mister prostate can certainly put a damper on life and get our attention in a second.

Author: **jingjai** » February 17, 2009, 4:11 pm

jingjai wrote:I've had a hell of a scary week. After my appendectomy last month, my guts still didn't feel right. So I went to AEK on Tuesday for a gastroscopy (camera tube down my esophagus) and a barium enema (a tube up your you know where).

The gastroscopy showed I had Helicobacter pylori (quite common in Third World Countries) and is fairly easily treated with medication. http://en.wikipedia.org/wiki/H._pylori
...At least half the world's population are infected by the bacterium, making it the most widespread infection in the world.[56] Actual infection rates vary from nation to nation; the Third World has much higher infection rates than the West (Western Europe, North America, Australasia), where rates are estimated to be around 25%...

The barium enema showed a narrowing in my colon. The radiology diagnosis/report said: "Malignancy highly suspicious. Biopsy recommended." The guy I saw at AEK said he could do a colonoscopy. He also started talking about the worse case scenario if it was malignant, that he could cut out the bad parts and try to splice the good parts of my colon together. If he couldn't, he started talking about a colostomy bag, not a pleasant thought to think about spending the rest of my life sh1tting in a bag attached to my mid-section. Naturally I freaked out and started thinking the worst.

I went home and called a friend and got the name of his gastro guy at Bunrungrad and made an appointment to see him on Thursday. I showed him the reports and he scheduled a colonoscopy for Friday morning. The preparation for it was far worse than the actual procedure.

After I woke up, they took me to his office for the results. When I walked in he was reading the report with a serious look on his face. Then he looked up, smiled, and said: "It's not cancer." Whew! What a load off my back. He said he removed a few polyps that he said were causing the narrowing, and he sent them to pathology. So, it's still not a 100% until he gets the pathology report back on Monday, but I think since he has done so many of these, that he wouldn't say: "It's not cancer", if there were any serious doubts or questions in his mind.

The message I'm giving to everyone, is if you have never had a colonoscopy and are over 50, get one. It is recommended that people over 50 get one every five years.

UPDATE:
I received my pathology/biopsy test by e-mail. The diagnosis: ascending colon polyp.
Biopsies: Tubular Adenoma.

http://medical-dictionary.thefreedictio ... ar+adenoma

adenoma /ad·e·no·ma/ (ad″ĕ-no´mah) a benign epithelial tumor in which the cells form recognizable glandular structures or in which the cells are derived from glandular epithelium.

Which is a lot of medical mumbo-jumbo for: It's not cancer! $\:D/$ $\:D/$ $\:D/$

A friend sent me an e-mail, in which he made this observation:

We are older [our bodies at least] than we act. Our parents' generation rarely had young spouses, nights out, etc. So, for us living as we do, we don't feel as old as they did, and, it is easy to forget the things one is supposed to worry [have concern] about at our age.

So, even though we may all feel young at heart and in spirit. Remember, our bodies have been working for x-amount of years. :-k

Author: **BKKSTAN** » February 17, 2009, 4:19 pm

Congrats Marc on the good report.Thanks for the info and have a good evening!

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