Why are medical scans in Thailand only available with a doctor's prescription, and are unnecessary surgeries common?

Jan 22, 2022
3 years ago
Jake *******
ORIGINAL POSTER
I have a few questions about the medical system in Thailand... I recently discovered that I have a fractured bone spur in my neck which (likely) was and still is causing some serious health problems, but I had to fight with my doctors at Bangkok Hospital to get the scans I wanted which led to that discovery. An orthopedic surgeon at Bangkok Hospital told me he didn't agree with my rationale for wanting to do additional scans (an MRI using a different technique & a CT scan). Eventually, I ended up going to Bumrungrad Hospital to get a prescription from a spine surgeon for the CT scan which detected the bone spur. My question is, why can't the patient get whatever scans they want at a hospital or imaging center? Why is a doctor's prescription required? Is it like this in other countries too?

My other question is, why did multiple Thai doctors propose dangerous, invasive treatments and surgeries when asking how to diagnose the problem? They straight up said we could do the procedure, and if it works then we would know so and so was the problem... I couldn't believe what I was hearing 😳 It made me wonder how many unnecessary surgeries are performed in Thailand. Has anyone else ever experienced something similar?
1,733
views
7
likes
34
all likes
19
replies
0
images
18
users
TLDR : Answer Summary
The post discusses challenges faced in the Thai medical system regarding the requirement of a doctor's prescription for medical scans, such as CT and MRI. The user shares their experience of difficulty in obtaining scans at Bangkok Hospital, which led to receiving proper treatment only after consulting another hospital. Several comments offer insights into the randomness of doctors' willingness to provide certain treatments, the necessity of referrals for specific procedures in various countries, and concerns about the prevalence of unnecessary surgeries in Thailand and elsewhere. The conversation highlights the importance of patient advocacy and seeking second opinions in medical care.
Paulie *********
Whether or not you get a referral, I think your insurance company will kick back hard if you start having CT/MRI scans without their approval, and for that they are going to require an objective examination report.
Richard *****
Thought you could just have to pay up !
Antonino *******
About the other Countries, in Italy too a request by a doctor is required to have an X Ray, or a CAT, and so on, because they aren't healthy for our body.
Sonny **********
1. No prescription needed. I done it at Sripat Chiangmai, and after that they sent me to a doctor for evaluation.

2. Yes, a lot.

Stay safe !
Andrew ********
To make money. You have to fish around.

I've been fleeced badly before.
Sam ******
In terms of medical procedures, I think it's is best to get second opinion wherever.
Peter ******
Questions like did you expect insurance to cover it?

The radiation from certain procedures means that such use is often discouraged unless considered most appropriate.

I can remember visiting hospital in London with potential cracked ribs to be told that there was no way I would be x-rayed as chance of cancer did not justify it.
Terary **********
"It made me wonder how many unnecessary surgeries are performed in [United State]".

Really no surgery is necessary.
Randy *********
@Terary *********
“no surgery is necessary”? Are you a rational, thinking person capable of logic and reason? đŸ€Ș
Randy *********
I see your point now. Although, life expectancy has doubled in many countries in the past couple hundred years due to medical advances. I hope you never get appendicitis as I did, without surgery you would most certainly die. Don’t know about you, but I enjoy my life and would kinda like to stick around for awhile.
Terary **********
@Randy ********
Death is all natural. Humans are the only ones that perform surgery.. Humans are the one ones destroying the Earth.
Paul *****************
Same same around the World.
Luciano ***********
In Australia to get a scan, x-ray, any type of procedure, blood test you need a referral
Josh ***********
Just an FYI here , bone Spurs can require surgery depending on the size and location , if pain meds and physical therapy don’t help. Look up any USA guide on bone spur treatment and surgery. The Thai orthopedic surgeon likely thought it’s better to just remove the excess bone now then rather than suffer with it. But it’s incorrect to call the surgery not necessary. You refusing a suggested treatment doesn’t mean it’s not necessary.
Tony *********
I think you got the correct advice from the Bangkok hospital surgeon. A CT scan is more appropriate than MRI for bone and hard tissue imaging. And after all it was the CT scan that detected the bone spur.
Ken ******
i only know that there is huge price difference for medicines tablet you get from bamrumgrad and pharmacies outside, can be as great as 20-70% more expensive!
Daniel **********
@Ken *****
LOL the price of medicines fluctuate as much as 400% so 20-70% is nothing!
Ernesto ********
Most non medical professionals have no clue in the differences between imaging modalities. CT’s may be better than Mri in certain instances. CT’s have radiation and need a prescription just like certain medications. Anybody that makes a request/demand for a certain test usually gets laughed at. You don’t seem to understand the differences and are not a medical professional and will usually get treated as such.
Amy *******
unfortunately it is totally and utterly random... what some doctors may refuse others are totally willing to do, and more than a few like to do dangerous procedures when conservative treatment will suffice

sometimes you can actually get an insurance company to help you get the right treatments instead of something outlandish ... yes, you are well down the rabbit hole now

just keep doctor shopping until you luck into the ones that will work with you - they do exist

i totally bumbled into a physiatrist at samitivej srinakarin who has basically saved my life, the orthopedic surgeon who sent me to him is a ding dong ... so this was truly and utterly dumb luck

also: there are imaging centers here where you can get full body imaging without a prescription.

and you can try the lesser known private hospitals ... praram 9, ramkamhaeng, etc ... they are often willing to do imaging with no argument. their doctors love to do any possible diagnostic they can but tend to favor conservative treatments (and nutraceutical polypharmacy but thats another issue).
Thai Visa Advice and Everything Else
... members · 60% approval rate
The Thai Visa Advice And Everything Else group allows for a broad range of discussions on life in Thailand, beyond just visa inquiries.
Join the Group
Thai Visa Advice and Everything Else
View the Conversation
Thai Visa Advice and Everything Else