How are skincare clinics allowed to operate with potentially irresponsible recommendations in Thailand?

Feb 4, 2024
10 months ago
Jake *******
ORIGINAL POSTER
A couple weeks ago I went to a well-known skincare clinic (which I won't name) to talk with a dermatologist about treatment options for folliculitis in my neck beard hairs which I've been dealing with for the past 4 months. To my shock, she recommended to (1) REMOVE all the hair on my neck, (2) use lasers to reduce the redness caused by the folliculitis (which is temporary), and (3) take oral antibiotics. I couldn't believe my ears! When I questioned the logic behind her approach, she got very defensive and dismissive. My assessment is that she is either very incompetent and arrogant, or she was acting irresponsibly and selfishly trying to scam me. I went to another dermotologist who actually listened to me and answered all my questions. He recommended an acne cleansing gel and nothing else. I used it twice a day in the shower for the past two weeks and now the folliculitis is completely gone. My question is, how is this skincare clinic allowed to operate??Aren't there any regulatory agencies for clinics like this one? Is it possible that my intuition is wrong and what she suggested is a sensible approach?? And lastly, what should I have said to her or what would you say to get her to think twice about what she's doing? I kept my mouth shut but many thoughts were stirring in my head...
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TLDR : Answer Summary
The post discusses an individual's unsettling experience at a skincare clinic in Thailand where the dermatologist recommended an aggressive treatment for folliculitis, including hair removal and oral antibiotics, which the patient found alarming. The individual sought a second opinion from another dermatologist who offered a more conservative and effective treatment. The discussion explores the perceived lack of regulation in Thailand's healthcare system, the motivations behind such clinic recommendations, and the challenges patients face in voicing concerns. Various comments reflect on the quality of care in private clinics and shared similar experiences, highlighting a potential need for greater scrutiny of medical practices in the country.
Jack ****************
I am mostly deaf. Went to a hearing aid doc got tested, recommended a device, I spent over 100k. After I asked for help adjusting the device because I couldn't follow conversation in a bar. They said "oh no, your ears are fucked and a hearing aid won't fix it!"
Andreas *********
@Jack ***************
I am partially deaf, too. I hear only on the left ear and only with a very strong hearing aid. However in Germany, when I obtain a hearing aid, the specialist in the shop sets it perfectly, according to the Audiogram. The Shop owner first completes a four year apprenticeship and needs to graduate with a master technician class, before he is allowed to provide people with hearing aids . . . obviously not so strict in Thailand, but I have been to INTIMEX Hearing Aids in Bangkok and must say, very skilled people
Jack ****************
@Andreas ********
honestly I think he did the best job he could minus the part where he should've told me not to waste my money. 100% an ethical failure not a technical one.
Andreas *********
Jack ****************
@Andreas ********
btw I love your profile pic is that real or Photoshop?
Andreas *********
@Jack ***************
check my other profile, this is the real me "Nongnuch Kamdee"
Jack ****************
@Andreas ********
it's okay I was just curious if you saw 6 people stuffed on a scooter. I haven't seen more than 5.
Andreas *********
@Jack ***************
actually you can pack nine people onto one scooter - if you are British Police 😃😎
Daniel *****
Pretty harmless treatments thats why, bit of lazering and some antibiotics hardly gonna kill you.
Andy *********
Private clinics/hospitals here will pretty much always try to sell the most expensive thing possible, whether you need it or not. Even individual doctors are incentivized to do so. Question everything and DYOR.
Amy *******
I have an esthetician license and the treatment that she gave you would be for permanent results. If you want a hairy neck then that wouldn't be an option for you. Most likely this will come back. I'm glad you found a solution.♥️
Bob **********
TIT
Wayne *****
Maybe tuffen up a little
Matt *********
Yes, recently a friend had to emergently transfer funds into his account to pay…before they would treat him for the myocardial infarction he was having!
Kim *********
@Matt ********
considering immediate treatment is crucial this is appaling 😐 they don't care much about the Hippocratic oath (or what it is called in English) here - cash before treatment in public hospitals always I hear 😐
Selena ********
May I ask what you used as I believe I have the same issue on my scalp as I always get white heads followed by itchy soreness 🤔
Jake *******
ORIGINAL POSTER
@Selena *******
This one. It cost 1100 baht I think. Red liquid.
Amy *******
@Jake ******
thats an antifungal product. you can buy similar at the pharmacy for 100 baht (brand name is nizoral but there is cheaper)

it was probably malassezia overgrowth which is normal out here (if you have bumps on your forehead or itchy scalp its the same).
Greg *********
@Jake ******
Was the name of the clinic that prescribed that for you by any chance the Medi Alinda Clinic?
Jake *******
ORIGINAL POSTER
@Greg ********
Yes it was that clinic.
Greg *********
@Jake ******
I'm glad it worked for you but I dare say they probably had a vested interest in prescribing that under their brand since as Amy Baron stated it, or a similar product, can likely be easily found at a fraction of the price. Buy hey, business exist to make a profit, right.

I can personally recommend this clinic if you have further need for dermatology services. Dr. Vachiraporn works at Chiang Mai Ram during the day. Going to the clinic eliminates hospital related charges, which at CM Ram add up quickly.
Viola ********
@Selena *******
it mostly like fungi what you describe. you can try a shampoo with clotrimasol. It won’t give you anything bad but probably will treat your scalp problem.
Bonnie *******
Sounds like it would work
Andrew *******
Lol did you just post this on Reddit too? You just doxxed your Reddit account u/foxicoot!
Mike *********
If I had been in your situation I would have asked if their clinic offered an alternative treatment plan. If they did not then thank them and leave.
William **************
There were some recent Thai news reports where the the diploma and certification of medical training were bogus at a skin care clinic
Shaine ************
It is not only at skincare, dental, private hospitals and even pet clinics thrive for money. Recently I admitted with a severe abdominal pain in a private hospital. At emergency unit, I was unconscious due to extreme pain. Hospital admin and nurses were busy with expenses list, keep asking me whether I was able to pay the fee, asking me to sign many papers, asked me to call my friends/relatives. I had no sense that time, who care? When these clinics /hospitals asking about price and package, I suggest you just walk out. Tourist spots like Pattaya, Sukhumvit and Phuket are common full with such bloodsuckers.
Fra *****
@Shaine ***********
stay away from tourist areas and prices will drop rapid ,

and check for a 2nd opinion ,

And be aware that some might have no licence
Shaine ************
@Mike ********
@Steve ******
Of course I have insurance. It is neither price check nor insurance coverage matter. A patient when admitted to emergency unit and has no consciousness, rather that person needs a life saving support first. You guys might not face such emergency situation unless you understand what is “state of unconsciousness” mean? Their attitudes liked they need all consents from me before I die. FYI severe abdominal pain cause high blood pressure (mine was
*******
that time) lead to heart attack or stroke. Majority of private hospitals/clinics in Thailand are careless to the patients. Later took a proper treatment at Queen Savang Vadhana (Govt hospital) That completely reversed experience. Sympathy and services from doctors, nurses and staffs were outstanding. In fact previous hospital did wrong lab tests and prescribe unnecessary medicines.
Mike *********
@Shaine ***********
you still have to approve any medicines or procedures no matter your insurance status. Taking your experience from some other country and applying it here is part of your experience. As I stated unless you are unconscious then all procedures and medications have to get your approval. If unconscious then they will stabilize first. You feel like that was a bad experience because you compare it to what YOU expected and not what the hospital procedures are here.
Steve *******
@Shaine ***********
my experience was seamless with Cigna. No questions asked, everything 100% covered. Very smooth
Mike *********
@Shaine ***********
the hospitals get your ok on the price of procedures and medicines for your own benefit so you can approve up front. They don’t provide those items to scam you. There is no surprise billing with the clinics and hospitals because you see everything and approve everything before it happens. Unless you are unconscious then they provide care to stabilize.
Paul ********
let it go dude .....
Steve *******
Also note - you don’t like something In Thailand? Politely smile, say thank you and walk away. Confrontation will get you absolutely nowhere
Steve *******
Welcome to Thailand
Andy **********
Acne treatment creams ok for superficial pore infection. Laser treatment and prescription (oral) antibiotics typical for a chronic infection, which you have. Unless you are a dirty person, having a persistent infection for 4 months puts you in the chronic category.
Tim *********
@Kool ******
is right, in that it's a permanent solution. Coincidentally it also happens to be a big earner for the clinic. Win/win?
Colin *********
@Tim ********
I'm not sure about it being permanent. Besides what is stated about using a laser, it's probably not going to be permanent unless it removes the hair roots and closes the follicles forever. We all know that antibiotics will, kill and bacteria, but they can't prevent a future infection.
Kool *******
It sounds like she gave you a treatment solution that would take care of the problem permanently, instead of this specific time.
Michael ********
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