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  1. #1
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    dengue fever in Rawai

    people are getting dengue fever regularly in Rawai, our son is now in Bangkok hospital and very ill, he went to the new Dibuk hospital on Chaofa west rd 7 days ago and they said it was the flue ( only found out today the did not test him for dengue) and he kept getting sicker
    Today he went tho the Bangkok hospital, he tested positive for dengue fever and was admitted to the hospital straight away and will be there for a few days
    Make sure if in the Rawai area to use personal insect repellent every few hours, dengue fever can be fatal , here today gone tommoowr

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    ^ hoping it all goes well for your son.

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    Good luck mate, bloody mosquitoes

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    Been the worst year I can remember for Dengue fever out my way, local hospital ran out of beds and sent the healthiest home to be treated by visiting nurses.

    Village has been gassed 4 times this wet season, one kid dead, same story with all the villages around here, never heard of it when I first came, Malaria, yes. but no dengue.

    Read up on the subject [ have kids here ] in theory we don't have a population density to support dengue spread, but with new roads and more people working in towns and cities, coming and going, they bring the virus with them.

    Can't remember the stat, but think it was around 50% of infected people show no signs, or have cold like symptoms, so not diagnosed.

    My kids go to school in the town, towns have population densities that support dengue, people exposed to the virus can transport the virus back to their villages.

    Problem here and most rural areas is no one gives a fuk.

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    Thailand Expat Pragmatic's Avatar
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    Quote Originally Posted by jamescollister View Post
    Can't remember the stat, but think it was around 50% of infected people show no signs, or have cold like symptoms, so not diagnosed.
    I had 'hemorrhagic' Dengue and it isn't detectable until after 4 days of onset of fever. Nothing could be done other that to sweat it out and get saline drips. Once you recover from one of the 4 variants of 'Dengue' you become immune fro catching that variant again. I could be wrong. It was about 10 years ago I got infected.

  6. #6
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    Quote Originally Posted by Pragmatic View Post
    I had 'hemorrhagic' Dengue and it isn't detectable until after 4 days of onset of fever. Nothing could be done other that to sweat it out and get saline drips. Once you recover from one of the 4 variants of 'Dengue' you become immune fro catching that variant again. I could be wrong. It was about 10 years ago I got infected.
    I had haemorrhagic dengue last year. It's the 3rd time I've had dengue but the first time for it to go haemorrhagic. I did quite a bit of reading on it at the time and I read there a 5 varieties and you're right, you don't get the same variety twice, however each new variety you get, the illness affects you worse, and that certainly seemed the case with the 3 times I've had it.
    The last bout, I was sick and feverish, and I thought it might be dengue and so just ignored it and tried to sleep it off. My fever rose rapidly and I was a mess, so my wife forced me to go to the hospital where I was admitted and within a few hours was told it was dengue, whereupon I discharged myself as there is no cure and all you can do is wait it out.
    The next day I was in and out of delerium so the Mrs got the neighbours who bundled me into a car and off to hospital again. This time they said haemorrhagic fever and I was in no state to go home. Spent a few days there and my platelette count kept dropping. Internal bleeding (black bowel motions) and redspotted skin, bruising at the drop of a hat. Dr said if my platelette count dropped below 10,000, they'd have to do a transfusion. It dropped to 8000 whereupon the doctor said they have nothing to tranfuse me with and discharged me to go to the government hospital. With my notes and my wife I was being checked in by the new doctor who laughed when my wife told him what we'd been told at the private hospital. "They always do that. If they think the patient is going to die, for whatever reason, they make an excuse and send them to us because as a private hospital they don't want bad statistics. We use the same bloodbank. Too much risk for them to have a patient die and spoil their record." I guess the doctor was away the day they taught bedside manner. My wife was sick with worry, and I didn't feel too good about my chances either! Anyway, I got a new doctor once in my room. Platelette count down to 6000 the next day and I was scheduled for a transfusion. This new doctor came in with her tablet and told me she had been researching the night before and she said there is no evidence that a transfusion will help at this late stage as I am probably not going to get worse and the complications of anti-rejection drugs etc...She recommended no transfusion and gave me her tablet to read the research notes. It was up to me. Well, I thought about it for about 2 seconds before agreeing to do it her way. Any doctor that goes home to research a patient's condition, and also doesn't hide the fact that she finds the need to look deeper is an alright doctor in my eyes.
    Days passed and I slowly got better. I was in there for a week.
    The point of the story is twofold.
    1. The humorous anecdote of the private hospital kicking me out, and
    2. More importantly, Dad, Callan Jr will be fine if this is his first time with dengue. Just keep up the fluids and let him sleep. He will get well soon.

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    Fingers crossed your boy makes a full recovery Peter.

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    they say he is improving slowly and the may transfer him to a ward tomorrow from the ICU if he keeps improving
    He is a single parent with 2 young children who love him very much as his mother and i do as well
    If the Dibuk hospital had tested him for Dengue fever as they should have done he would not have became so ill and his treat could have been started 7 days earlier
    Its owned by the Bangkok hospital group who now own the International hospital as well but Dibut only has junior doctors with little or no experience from my dealings with them and now our sons ( my SIL)

  9. #9
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    Quote Originally Posted by petercallen View Post
    If the Dibuk hospital had tested him for Dengue fever as they should have done he would not have became so ill and his treat could have been started 7 days earlier
    For what it is worth, this is not correct. There is no treatment for dengue. There is only management of the symptoms. There was nothing that could have been done earlier.

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    I know there is no vaccine for dengue fever but if it had been diagnosed and treated earlier it may not have been so bad for him, the doctor now says his kidneys are failing and he is only 30 years old and he has 2 children only 4 and 6 years old
    The doctor is now talking about giving him a blood transfusion which is fine with us, we want him around for a very long time
    Last edited by petercallen; 21-07-2018 at 03:52 PM.

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    Quote Originally Posted by petercallen View Post
    I know there is no vaccine for dengue fever but if it had been diagnosed and treated earlier it may not have been so bad for him, the doctor now says his kidneys are failing and he is only 30 years old and he has 2 children only 4 and 6 years old
    That sounds rather bleak. I would be asking for second opinions and further testing to be sure that it is dengue and not something else, or not something else on top of dengue.
    In a dengue infested area, I would expect a patient to be tested on first arrival at hospital. Something a bit odd here.

  12. #12
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    Quote Originally Posted by petercallen View Post
    I know there is no vaccine for dengue fever but if it had been diagnosed and treated earlier it may not have been so bad for him, the doctor now says his kidneys are failing and he is only 30 years old and he has 2 children only 4 and 6 years old
    The doctor is now talking about giving him a blood transfusion which is fine with us, we want him around for a very long time
    I was not talking about a vaccine (actually, there is a commercial vaccine for dengue but there are some problems with it).

    I say again, there is no treatment for dengue. Nothing. The only thing they can do is treat the symptoms of dengue. And you cannot treat the symptoms until they appear.

    Let me put it another way. If the first hospital had done a dengue test, and it had shown positive - they would have done - nothing. There is nothing to do. They would have said - go home and rest, and if you get much worse - come back again.

    By one way - one of the definitions of mild dengue is a "flu-like syndrome".

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    Quote Originally Posted by Maanaam View Post
    Something a bit odd here.
    No. There is nothing odd here. Most dengue in Thailand is diagnosed symptomatically. One of the reasons for this as I have been trying to point out, is that there is no treatment for dengue. Doing a test and knowing it is dengue does not help you- because there is no specific treatment!

    Go home and rest, and if you get worse -come back again is the standard method. 90% of all dengue self resolves - the only time a hospital can actually do anything is with the more severe cases to manage the major symptom - haemorrhage.

  14. #14
    Thailand Expat Pragmatic's Avatar
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    Quote Originally Posted by Maanaam View Post
    I would expect a patient to be tested on first arrival at hospital.
    They'll just tell you to come back 4 days after onset of the fever. And then if your blood test show positive, as Nidhog says, there's not alot that can be done to counteract the infection.

    Treatment for Dengue Fever

    There is no specific medicine to treat dengue infection. If you think you may have dengue fever, you should use pain relievers with acetaminophen and avoid medicines with aspirin, which could worsen bleeding. You should also rest, drink plenty of fluids, and see your doctor. If you start to feel worse in the first 24 hours after your fever goes down, you should get to a hospital immediately to be checked for complications.

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    Quote Originally Posted by Pragmatic View Post
    as Nidhog says, there's not alot that can be done to counteract the infection.
    Agree. Not a lot to be done, and that's why I discharged myself on the first admission to hospital. I must have been sick for a while then as I had my diagnosis within hours of arrival. For first time dengue, go home and sleep. But as I've learnt, it can get bad the 2nd or 3rd time around. Heamorrhagic is debilitating.
    More pertinant right now is Callan Jr. Kydney failure? This is why I said get 2nd opinions and test for other things. Perhaps it's his 2nd or third bout?

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    Quote Originally Posted by nidhogg View Post
    Most dengue in Thailand is diagnosed symptomatically.
    Are you sure of that? I had bloods taken and a diagnosis within hours. I'll need to google it, but I think if dengue is suspected and that's what the lab is told to look for, it's easy to find in the bloods.
    And that takes me back again to Callan Jr. If the lab was told to look for dengue, they wouldn't have looked for other things and assumed the fever was straight out dengue.

  17. #17
    Thailand Expat Pragmatic's Avatar
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    When I had 'Hemorrhagic' Dengue my local government hospital had no spare beds and recommended I go St Mary's Hospital in Korat. They phoned first to see if they had a bed. Thay had. So I drove 100+km somehow and went to the hospital. On arrival they said they had no blood for transfusions. They then phoned Bangkok Hospital Korat and I was told to go there. On arrival there they too admitted they had no blood. As I said before I ended up laying in a bed for 4-5 days with a saline drip in my arm. I could have done the same at home without the pissing about and the cost.

  18. #18
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    Quote Originally Posted by Pragmatic View Post
    When I had 'Hemorrhagic' Dengue my local government hospital had no spare beds and recommended I go St Mary's Hospital in Korat. They phoned first to see if they had a bed. Thay had. So I drove 100+km somehow and went to the hospital. On arrival they said they had no blood for transfusions. They then phoned Bangkok Hospital Korat and I was told to go there. On arrival there they too admitted they had no blood. As I said before I ended up laying in a bed for 4-5 days with a saline drip in my arm. I could have done the same at home without the pissing about and the cost.
    I was not scheduled for a blood transfusion, but a platelette transfusion, although I did think when I was first told about a transfusion I thought blood.
    Quite a story, Prag...They phone the other hospital to enquire about a spare bed without actually confirming what the main reason for going there is for? And people wonder why a few Westrners in Thailand get cynical of Thai systems.

  19. #19
    Thailand Expat Pragmatic's Avatar
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    Quote Originally Posted by Maanaam View Post
    And people wonder why a few Westrners in Thailand get cynical of Thai systems.
    I would have complained but all I wanted to do at the time was to curl up and die.
    Sorry I just remembered that Bangkok Hospital actually admitted me before they told me about there being no transfusions available.

  20. #20
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    ^^here we go again...

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    ความรู้ลึกลับ HuangLao's Avatar
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    Quote Originally Posted by cyrille View Post
    ^^here we go again...

    ....and have to wonder why he [et al] insist on living here among the savages and their savage ways.
    Always perplexing as to the reasoning.

  22. #22
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    Quote Originally Posted by nidhogg View Post
    I was not talking about a vaccine (actually, there is a commercial vaccine for dengue but there are some problems with it).
    Quote Originally Posted by nidhogg View Post
    I say again, there is no treatment for dengue. Nothing.
    Ho Hum!

  23. #23
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    ^stick to pies tosspot.

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    ^ Have a bacon sandwich you fucking old wanker.

  25. #25
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    Alarming stories of the illness here, is there no alternative treatment, Chinese herbal stuff? I remember about three years ago a famous lakorn actor died in Bkk of it. They had him in ICU for weeks and for some reason took his leg off! The bill was enormous but the TV station paid.

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