Posts
This week has been rather low key. We continue to go into town for Duang to see the doctor every two or three days as he directs us to. She is recovering very nicely from her surgery. New skin is growing over the grafts and her hearing has already improved noticeably. The visits to the doctor are to clean the ears and for the doctor to monitor her condition. We are not charged for the visits and they are an opportunity for Duang to keep up to date with the other patients that we see at the office - time and time again. Here in Isaan gossip and small talk is a big pastime with doctor's offices and hospital especially fertile grounds.
I have completed my second book, and am editing it prior to ordering a copy to preview here in Thailand. I was able to keep it at 200 pages so am pleased that the price will be what I had targeted.
Another big activity this past week has been connecting with people that I have not communicated with in over 38 years. What was extremely difficult just 10 years ago, is fairly easy now with the capabilities of the Internet. In reestablishing contact with people from the past, I got motivated to haul out my college yearbook - University of Rhode Island 1971.
It was a very sad and embarrassing experience. It was sad in that the yearbook was such a piece of crap. In their song "Book Ends" Simon and Garfunkel sing
"Time it was and what a time it was it was,
A time of innocence a time of confidences.
Long ago it must be, I have a photograph
Preserve your memories, they're all that's left you"
Well there isn't all that much left of us in the university yearbook. The photographs are very poor and the writing was not much better. The book was not even organized very well. To find a photograph of a classmate in the yearbook you need to know their Zodiac or you have to thumb through all the photographs until you find them. To use a current popular phrase "What were you thinking ...?" After 38 years, do people care anymore than they did back then what some one's birth sign is?
Most of the photographs lack any captions so much of their significance is lost.
All in all it was embarrassing much like watching a 1968 through 1971 movie starring Elliot Gould - Embarrassing and just as painful. It is painful to see and realize that so much of our memories of our graduating year were high jacked by political click that usurped the yearbook for their personal political agenda.
Of course I am guilty like so many others of not caring about the direction of the yearbook or the politics of the day. This apathy allowed the extremists to have their way. Unfortunately most politics is the same be it radical, liberal, conservative, or whatever. It participants are basically cut out of the same mold - egocentric arrogant megalomaniacs.
I remember at the time of the late 60s and early 70s I was as much opposed to Mark Rudd, Rennie Davis, Jerry Rubin. and Abbie Hoffman as I was to Lyndon Johnson, Spiro Agnew, John Mitchell, and Richard Nixon. I saw that they were the same people only with different clothing and hairstyles. They shared the same arrogance and intolerance for dissent. They all needed the same adulation and affection. They thirsted for the same power and control.
It is ironic how politicians and leaders all end up with the same self defining look of arrogance - a smirk to dismiss all that dare to question or oppose their intentions.
Looking back at the year book, I see the same traits and ensuing results in the yearbook. It is lamentable that the staff could not anticipate the future and allow for it in their work product. They could have better served their present and definitely served their future much better.
Karl Marx wrote "History repeats itself ... the first time as tragedy and the second time as farce". From afar it seems to me that the radical and derisive politics of the 60s and 70s are unfolding a second time. The times have changed. The issues are the same. The cast of characters are the same. Only the actors have changed.
There may or may not be a Final Judgement but there is a harsh and cruel Judge for all of us to reckon with in the interim - History.
Saturday, October 10, 2009
Monday, October 5, 2009
Bang Fai Phaya Nark - The Naga Fireballs
Yesterday, October 04, was Ok Phansa here in Thailand. Ok Phansa marks the end of Buddhist Lent and coincidentally the end of the monsoon season. During Buddhist Lent, the Monks are confined to their monasteries and Wats. There is some debate as to the origins of this requirement. One cause is attributable to the need for the Monks to avoid trampling an living creatures while walking about on the flooded lands. The other reason is said to be to prevent the Monks from trampling the newly planted rice during their excursions.
We had been told that the Naga fireballs would be most likely to appear between 6:00 P.M. and 9:00 P.M. I didn't quite understand.
We had not seen any Naga fireballs. We don't know if anyone did. But we may have come close, too close ... when we first arrived at "our" spot we went up to a booth under a large shade tree to buy some ice teas. While I was paying there was a small commotion, a small 3/4" by 18" long green snake, was slithering up the tree trunk just behind the booth. Later in the night, there was a group of young men on a saht drinking, singing and having a great time by a lit candle on the ground about 15 feet from us. All of a sudden we heard them yelling, hollering and saw them jumping around. I thought that perhaps one of them had caught on fire and then I saw it. I saw it in the dim light. On the ground slithering towards us in a fairly rapid speed was the afternoon snake. Half way to us, the snake turned and disappeared into the overgrowth where I had been tramping around taking photographs. It was pretty exciting. Perhaps when he gets older there will be more fireballs.
Here in Isaan, the full moon of the eleventh lunar month, marks the celebration of Bang Fai Phaya Nark (pronounced Bang - Fye - Paiyah - Nah). The focus of this celebration are the "Naga Fireballs". This is no small event, the most popular Thai television station, Channel 7, was broadcasting the event live throughout Thailand and Laos.
The Naga fireballs are globes of light that rise up out of the Mekong River and surrounding ponds as well as tributaries to the Mekong. The fireballs are silent, smokeless and have no odor. As the full moon rises above the horizon, the fireballs begin to rise out of the water to a height of about 100 feet. The reddish balls upon reaching their apogee, disappear into the dark sky.
The Lao Loum people believe that the fireballs are caused by Phaya Nagi, a mythical serpent who is also King of the water underworld (reference my previous blog "Go-Go Girls at the Gate ..." dated 10 May 2009.). The fireballs at the end of Buddhist Lent commemorates the fireballs that the Nagas (serphents) created as offerings and entertainment for Buddha upon one of his returns to Earth.
There are several places to observe the fireballs along the Thai side of the Mekong River. Yesterday we went to one of the more popular locations, a town named "Phon Phisai" which is located several kilometers downstream from the border crossing town of Nong Khai. Along the Thai riverbank hundreds of thousands of people sit to await the arrival of the fireballs. We decided to beat the notorious traffic jams by leaving our home in Udonthani around 11:30 A. M. and taking a roundabout route through the small villages set out amongst the rice paddies rather than than more direct route on Isaan's equivalent of the Interstate highway to Nong Khai. Our strategy to Phon Phisai worked like a charm.
We found a place to park the truck one block from the river bank and one block from the Wat over looking the Mekong. We walked the one block to the river and encountered a pedestrian walkway filled with restaurants, food vendors, souvenir booths, and drink booths. On the other side of the pedestrian walkway was the grassy river bank. At some locations there were nice elevated wood pavilions jutting out to close to the water's edge. These locations were already filled with families. Other locations of the walkway were filled with tables and plastic chairs that had reserved signs on them. We found a great place to set up our saht (woven reed mat) to await and view the fireballs.
Built into the river bank was a series of concrete stairs to form stadium seating approximately 6 levels high. Between the last concrete step and the river was a 15 foot high grassy drop off with some scattered bushes to the water. We selected a great spot across from a restaurant that had live entertainment. Our spot had a a little shade which was very welcomed because it was sunny, hot and humid. I sweated from 1:30 P.M. until the truck A/C cooled me off at 10:30 P. M.
We entertained ourselves until sunset around 5:30 P. M. With the setting sun, some of the spectators launched "Khom Fai", Lanna style paper sky lanterns. Khom Fai are tissue paper hot air balloons that rise into the sky from the hot air created by the burning wax or paraffin ring suspended inside of them. They create a very warm light and rise very high into the night. Last night was absolutely perfect for them - still with no wind.
We had been told that the Naga fireballs would be most likely to appear between 6:00 P.M. and 9:00 P.M. I didn't quite understand.Some scientific people attribute the Naga fireballs to release of methane gases caused by decaying vegetation in the river mud. These scientists also state that these gas bubbles spontaneously ignite was above the water's surface. I did not quite understand.
At 6:00 P.M. I looked up the river towards Nong Khai and saw thousands and thousands of lights coming towards us. I joked with Duang about seeing the Naga fireballs. Shortly later the lights were quickly passing by us. The lights were actually small fires floating upon the river - being swiftly swept downstream by the river current. Now it was starting to make sense. Now I was understanding.
This must be how people can predict that the ball will appear on Ok Phansa night. This must be how the gas bubbles, if that what they are, can ignite. There still remains some mystery in that the river is always swiftly moving at this time of year so the theory of releasing gas from decaying river bottom vegetation isn't full credible.
The flow of floating fires upon the river continued unabated for three hours. While the offerings were floating by, people on the riverbanks - both sides, Thailand and Laos were occupied launching fireworks and fire crackers over the river. The launching of sky lanterns and fireworks filled the night sky with a variety of lights and sounds.
After two hours, we had not seen any Naga fireballs. We were considering leaving at 8:00 P.M. when I noticed something different headed towards us - lighted boats. Earlier in the afternoon we had seen some river boats (similar to pirouges in Louisiana) lashed together with strings suspended from frameworks attached to the boats. The boats were headed upstream towards Nong Khai.
The boats were now floating downstream with the river current. Suspended from the strings were burning candles to create the effect of large floating outlined boats. It was beautiful. After an hour the boat parade was over. We had not seen any Naga fireballs. It was 9:00 P. M. so we decided to head home. Our return strategy was the same as the one that got us to Phon Phisai. It worked well ONCE WE SPENT ONE HOUR in horrendous traffic traveling the two miles to get to the split in the road to Nong Khai and our interim destination of Baan Dung.
We had not seen any Naga fireballs. We don't know if anyone did. But we may have come close, too close ... when we first arrived at "our" spot we went up to a booth under a large shade tree to buy some ice teas. While I was paying there was a small commotion, a small 3/4" by 18" long green snake, was slithering up the tree trunk just behind the booth. Later in the night, there was a group of young men on a saht drinking, singing and having a great time by a lit candle on the ground about 15 feet from us. All of a sudden we heard them yelling, hollering and saw them jumping around. I thought that perhaps one of them had caught on fire and then I saw it. I saw it in the dim light. On the ground slithering towards us in a fairly rapid speed was the afternoon snake. Half way to us, the snake turned and disappeared into the overgrowth where I had been tramping around taking photographs. It was pretty exciting. Perhaps when he gets older there will be more fireballs.
Saturday, September 26, 2009
Overcoming Adversity - An Inspiration
During my travels near and far, I have experienced many religious sights, rituals as well as events. These places and events have intrigued me greatly. I have been impressed with the faith, devotion, and myriad efforts by man to spiritually elevate himself.
At times, like many other people, I have remarked as well as lamented about how much suffering and pain has been inflicted upon people in the name of religions. It is true but it is not the only thing that religions have provided people. Religions have provided people with a sense of meaning as well as direction to their life. Religious beliefs have inspired men and women to heroic levels of compassion, charity, and sacrifice for the benefit of fellow mankind. Religious beliefs have also motivated people to overcome adversities and inspired magnificent works of art in the celebration of one's faith.
One such example, that you most likely are unaware of is "The Little Cripple" Aleijadinho.
Antonio Francisco Lisboa, the mullato son of a Portuguese carpenter turned "architect" and his African slave, was born in 1738. Approximately 4,000,000 Africans had been imported to Brasil to support the cultivation of sugar cane and mining of precious minerals. Antonio's home town at the time was known as "Vila Rica" (Rich Town) in the Brasilian State of Minas Gerais for the wealth created from mining the gold deposits in the surrounding countryside. Today the city is known as "Ouro Preto" -"Black Gold".
It is believed that the young Antonio learned about architecture from his father and stone carving from the Brasilian sculptor Francisco Xavier de Bito. Even today the region around Ouro Preto is famous for soapstone carving though today the items are much more mundane and utilitarian - pizza stones, and cookware rather than baroque style sculptures of the 1700 and 1800's.
By the time he was a young man, he had developed a unique sculpture and painting style. His sculpture style was defined by strong expressive carving while his painting style utilized great contrasts and bold colors. He designed and constructed the Chapel of the Third Order of St Francis in Ouro Preto.
When he was young man, Antonio suffered the debilitating effects of a very serious disease thought to be either leprosy or syphilis. The disease progressed over time to the point where Antonio lost his fingers, toes, much skin, and eventually became blind. He became known as "O Aleijadinho" (The Little Cripple)
At times, like many other people, I have remarked as well as lamented about how much suffering and pain has been inflicted upon people in the name of religions. It is true but it is not the only thing that religions have provided people. Religions have provided people with a sense of meaning as well as direction to their life. Religious beliefs have inspired men and women to heroic levels of compassion, charity, and sacrifice for the benefit of fellow mankind. Religious beliefs have also motivated people to overcome adversities and inspired magnificent works of art in the celebration of one's faith.
One such example, that you most likely are unaware of is "The Little Cripple" Aleijadinho.
Antonio Francisco Lisboa, the mullato son of a Portuguese carpenter turned "architect" and his African slave, was born in 1738. Approximately 4,000,000 Africans had been imported to Brasil to support the cultivation of sugar cane and mining of precious minerals. Antonio's home town at the time was known as "Vila Rica" (Rich Town) in the Brasilian State of Minas Gerais for the wealth created from mining the gold deposits in the surrounding countryside. Today the city is known as "Ouro Preto" -"Black Gold".
It is believed that the young Antonio learned about architecture from his father and stone carving from the Brasilian sculptor Francisco Xavier de Bito. Even today the region around Ouro Preto is famous for soapstone carving though today the items are much more mundane and utilitarian - pizza stones, and cookware rather than baroque style sculptures of the 1700 and 1800's.
By the time he was a young man, he had developed a unique sculpture and painting style. His sculpture style was defined by strong expressive carving while his painting style utilized great contrasts and bold colors. He designed and constructed the Chapel of the Third Order of St Francis in Ouro Preto.
When he was young man, Antonio suffered the debilitating effects of a very serious disease thought to be either leprosy or syphilis. The disease progressed over time to the point where Antonio lost his fingers, toes, much skin, and eventually became blind. He became known as "O Aleijadinho" (The Little Cripple)
As his physical condition deteriorated, Aleijadinho became more reclusive. He worked at night to avoid being ogled by the local people. Legend has it that he was carried from his home to his workplace in a covered chair carried on the shoulders of four men. He suffered so greatly from his affliction that he is said to have removed some of his mangled useless fingers with a chisel that he was using to carve stone.
Aleijadinho's greatest body of work is at the Santuario de Bom Jesus de Matosinhos in Congonhas do Campo in Minas Gerais. In 1757 a local wealthy man had construction start on a grand church in thanks as well as commemoration of his recovery from a serious disease. Today the church remains a pilgrimage site. I visited the church during pilgrimage season. The event was another awe inspiring experience of faith and devotion emanating from the past and continuing on into the present day.
From 1800 to 1805, Aleijadinho carved the "12 Prophets" that stand on the terraced courtyard in front of the church. He carved with chisels and tools tied to the stumps at the end of his wrists. These statues are considered to be his masterpieces. Since he did not have feet any more, pads were strapped to his knees to assist him in climbing the ladders to be able to sculpt the 10 foot high statues.
Below the prophets are six chapels each containing scenes with life sized carved cedar Passion figures carved by Aleijadinho and his students.
Our visit to this was memorable - the sanctity of the church, the devotion of the pilgrims, the oppressive September heat of Minas Gerais, and most of the masterpieces born of the pain, suffering and genius of Aleijadinho.
To be honest there are some people who doubt the existence of Aleijadinho and consider him to be only a legend. Some research and books have been written laying out this possibility. Like almost all things religious and sometimes political a certain amount of faith is required. I believe. I believe that there was an Aleijadinho - "The Little Cripple" celebrated as Brasil's first great artist.
Allen's World is a better place with people like Aleijadinho having been in it and with his masterpieces remaining as part of it.
Additional photographs of this special place in Brasil can be viewed at:
Thursday, September 24, 2009
Getting Caught Up
Many things have occurred since my last blog.
I have edited some more photographs. The result is a new gallery of Maehongson on my photography website
http://www.hale-worldphotography.com/Travel/Maehongson-December-2007/9739423_FNQuv/1/659455871_BxcgM
Duang has been to the doctor and had most of the cotton packing removed form her ears. We have to return on Saturday to have the stitches removed. So far it has been a good experience for everyone involved.
We have seen Peelawat, our 7 month old Grandson, twice. He has developed a couple new behaviors that make me wonder if humor is not genetically embedded rather cultural. He can now stand up on a chair leaning forward and grasping the chair back with his hand for balance. We had to take Duang's mother to the Regional Cancer Center for a checkup. Duang was busy with her mother so I got to take care of Peelawat while we waited and waited and waited some more. Peelawat and his father had taken her to the center earlier in the morning. They then drove the truck to our home so that we could drive them all back to Tahsang Village before we returned home with the truck. The son-in-law had borrowed the truck in order to take one of the 93 cousins to the hospital because "she was crazy". As is so typical here in Isaan, you don't go to the doctor or hospital alone. In the case of the cousin, two babies and four adults accompanied her on her visit. Apparently she got additional medicine for her epilepsy. She sometimes behaves weirdly which I am certain has nothing to do with her epilepsy. I might suggest that these behaviors warrant some therapy but everyone including she were happy at getting the medicine to control seizures. In Isaan, if you have a truck, you are often called upon to provide taxi and ambulance service for the extended family. Sometimes you might even get some gas money!
While I was taking care of Peelawt during our 3 hour wait for Duang's mother to be finished at the Regional Center, Peelawat put on a show. He held his bottle of water and was able to place it in and out of his mouth with one hand to drink for the first time. After drinking some water he would take the bottle out his mouth, and look at me with a big toothless grin bordering on laughing and twinkling eyes as if to say "Hey look what I can do!" This suggested to me that perhaps he had a sense of humor. His next behavior convinced me that he definitely has a sense of humor - even at 7 months. He would take his bottle and bite down on the nipple with his gums as hard as he could. He would then pull the nipple out of his mouth making a loud popping sound as the nipple snapped out like an elastic. Peelawat would keep this routine going for 4 or 5 sequences with each sequence interrupted by a huge toothless grin with drool dripping from his chin. He was grinning ear to ear as if he was taking pride in his "joke". Peelawat enjoyed the hospital, much more than me, and entertained himself looking at everyone and everything. He did not cry during the entire three hours.
Duang's mother is apparently fine. The chest rattling and all consuming cough that she has had for the past 3 years that I have known her is due to "too much sun and too much rain". I am learning something new everyday. Something new, but I am not sure that it is always true.
When we were back in Tahsang Village we sat outside socializing with the villagers and relatives. The village dogs all started to bark, more than usual, as a pick up truck roamed slowly through the village. The back of the pick up truck had a large wire enclosure built over it. Inside amongst the many baskets and debris inside the cage, I saw many dogs packed in the cage. The dogs seemed rather forlorn and not just due to their physical state. These were not some one's pets. These were village and Wat dogs. Dogs that are accustomed to fending for themselves. I had a pretty good idea what this was all about but I asked Duang anyhow.
She told me that the man went around picking up problem dogs. The Lao Loum people of Isaan villages live with dogs. The dogs are more tolerated than cared for or considered as members of the family. Small children may play with a dog some what but the term "It's a dog's life" seems to apply to Isaan. The dogs hang around and scrounge for what food they can get from their "masters". Many dogs hang around the Wats where food is more available and the Monks are certain to not persecute them. From my understanding from Duang, is that this man goes around and buys dogs that are a "problem". He then sells the dogs to be eaten by some people. I don't know of any dog markets in Udonthani but I have been told with some disdain that some markets in Sakon Nakhon Province do sell dog meat. Now I have an idea where they get it from - no ranch, farm or feed lot. Just as interstingly, I was assured that the people who ate dogs were Central Thai people or Lao Thoeng (Upland Lao) or Lao Soung (High Lao) but not Lao Loum. I often write and a theme that I try to maintain is how much people are so much alike. Here is another example. Every where that I have travelled I have encountered some type of bias against some ethnic group or certain peoples. The names of the victims changes from country to country and region to region but the sin of Pride that motivates it is constant.
We are better than them because they ...
I have edited some more photographs. The result is a new gallery of Maehongson on my photography website
http://www.hale-worldphotography.com/Travel/Maehongson-December-2007/9739423_FNQuv/1/659455871_BxcgM
Duang has been to the doctor and had most of the cotton packing removed form her ears. We have to return on Saturday to have the stitches removed. So far it has been a good experience for everyone involved.
We have seen Peelawat, our 7 month old Grandson, twice. He has developed a couple new behaviors that make me wonder if humor is not genetically embedded rather cultural. He can now stand up on a chair leaning forward and grasping the chair back with his hand for balance. We had to take Duang's mother to the Regional Cancer Center for a checkup. Duang was busy with her mother so I got to take care of Peelawat while we waited and waited and waited some more. Peelawat and his father had taken her to the center earlier in the morning. They then drove the truck to our home so that we could drive them all back to Tahsang Village before we returned home with the truck. The son-in-law had borrowed the truck in order to take one of the 93 cousins to the hospital because "she was crazy". As is so typical here in Isaan, you don't go to the doctor or hospital alone. In the case of the cousin, two babies and four adults accompanied her on her visit. Apparently she got additional medicine for her epilepsy. She sometimes behaves weirdly which I am certain has nothing to do with her epilepsy. I might suggest that these behaviors warrant some therapy but everyone including she were happy at getting the medicine to control seizures. In Isaan, if you have a truck, you are often called upon to provide taxi and ambulance service for the extended family. Sometimes you might even get some gas money!
While I was taking care of Peelawt during our 3 hour wait for Duang's mother to be finished at the Regional Center, Peelawat put on a show. He held his bottle of water and was able to place it in and out of his mouth with one hand to drink for the first time. After drinking some water he would take the bottle out his mouth, and look at me with a big toothless grin bordering on laughing and twinkling eyes as if to say "Hey look what I can do!" This suggested to me that perhaps he had a sense of humor. His next behavior convinced me that he definitely has a sense of humor - even at 7 months. He would take his bottle and bite down on the nipple with his gums as hard as he could. He would then pull the nipple out of his mouth making a loud popping sound as the nipple snapped out like an elastic. Peelawat would keep this routine going for 4 or 5 sequences with each sequence interrupted by a huge toothless grin with drool dripping from his chin. He was grinning ear to ear as if he was taking pride in his "joke". Peelawat enjoyed the hospital, much more than me, and entertained himself looking at everyone and everything. He did not cry during the entire three hours.
Duang's mother is apparently fine. The chest rattling and all consuming cough that she has had for the past 3 years that I have known her is due to "too much sun and too much rain". I am learning something new everyday. Something new, but I am not sure that it is always true.
When we were back in Tahsang Village we sat outside socializing with the villagers and relatives. The village dogs all started to bark, more than usual, as a pick up truck roamed slowly through the village. The back of the pick up truck had a large wire enclosure built over it. Inside amongst the many baskets and debris inside the cage, I saw many dogs packed in the cage. The dogs seemed rather forlorn and not just due to their physical state. These were not some one's pets. These were village and Wat dogs. Dogs that are accustomed to fending for themselves. I had a pretty good idea what this was all about but I asked Duang anyhow.
She told me that the man went around picking up problem dogs. The Lao Loum people of Isaan villages live with dogs. The dogs are more tolerated than cared for or considered as members of the family. Small children may play with a dog some what but the term "It's a dog's life" seems to apply to Isaan. The dogs hang around and scrounge for what food they can get from their "masters". Many dogs hang around the Wats where food is more available and the Monks are certain to not persecute them. From my understanding from Duang, is that this man goes around and buys dogs that are a "problem". He then sells the dogs to be eaten by some people. I don't know of any dog markets in Udonthani but I have been told with some disdain that some markets in Sakon Nakhon Province do sell dog meat. Now I have an idea where they get it from - no ranch, farm or feed lot. Just as interstingly, I was assured that the people who ate dogs were Central Thai people or Lao Thoeng (Upland Lao) or Lao Soung (High Lao) but not Lao Loum. I often write and a theme that I try to maintain is how much people are so much alike. Here is another example. Every where that I have travelled I have encountered some type of bias against some ethnic group or certain peoples. The names of the victims changes from country to country and region to region but the sin of Pride that motivates it is constant.
We are better than them because they ...
Sunday, September 20, 2009
Someone Bought the Book
Today I was checking on my first book and was surprised as well as pleased that some one has purchased a copy of "A Year In Thailand, The Beginning of a New Life".
Thank You.
I hope that the book meets your expectations.
My first book which chronicles a very important period in my life while I was working in Thailand. The book captures many of the sights as well as people that I encountered here. I wanted to share as best as I could and ended up with a 160 page 11 inch by 13 inch book that ended up costing more than I had expected. Despite it's cost, I am pleased with it and have a copy here in Thailand and I have sent copies to my parents and one of my aunts.
I am currently working on a second book which will be a compilation of photographs and narratives related to living in Isaan. It will focus on the Lao Loum people, their culture, and my experiences with both. Recognizing the perhaps prohibitive cost of the first book I am targeting the next book to be 200 pages 10 inches by 8 inches and sell for $61.95 + S&H.
The creation of the second book is going well, and I anticipate that it will be available within the next two months.
Saturday, September 19, 2009
Snake Oil Salesman - Health Care
No, this blog is not about anyone in America and it has nothing to do with any individual involved in the Health Care debate in America. This blog is definitely not racist or about racism either.
This blog is about a event that I unexpectedly witnessed this afternoon in Tahsang Village here in Isaan. Ironically, it does involve health care but health care as is related to Isaan.
Lately I have written about health care both public and private here in Isaan. This was due to family developments as well as events both on cable television and on the Internet.
Today, Duang wanted to drive out to Tahsang Village to visit her 7 month old grandson, Peelawat, AKA "Pee - A - Lot". Duang is doing very well from her surgery on both of her ears. However she is sleeping a great deal which I suspect is due to some of the medication that she was given and instructed to take. It has been my observation, that Isaan people expect to take medicine for any and all maladies no matter the seriousness. I can sneeze twice in a row due to the bright sun and Duang will suggest that I go see a doctor or take some medicine. I believe that the doctors in Isaan cater somewhat to this mind set by over prescribing medication. Every time that we see a doctor, Duang ends up with 5 to 7 different kinds of pills no matter what her diagnosis is and they have ranged from common colds, ear infections, UTI, pulled muscles, etc. I try to determine what each medication is but often I am unable to identify them over the Internet. I can usually can identify the Tylenol type medication, and the antibiotics but the others are mysteries. I suspect that they are antihistamines and relaxants.
As I always do when travelling the highways and back roads of Isaan, I brought along my backpack containing my camera gear. There always seems to be something or some one interesting, at least to me, to photograph. Today was no exception.
The fields are flooded and the rice crop is thriving. All the rice planting has been completed and the farmers are anticipating a good harvest late next month and the following month. The sugar cane is growing well and does not require any attention for the time being. Peanuts have been harvested and finding a roadside stand to buy fresh boiled hot peanuts has become difficult. With the relative lull in farming activities, the local people have focused on fishing. The lowlands have flooded and all the rickety bamboo fishing platforms on the way to Tahsang Village were manned. The people were dipping large square mono filament nets into the flood waters in hopes of catching some small fish. In consideration of Duang's condition I did not stop and pressed on to the village.
We were not at the village long when we heard Isaan music blaring from a pick up truck that was crawling through the village. This is a common occurrence. Trucks selling vegetables, fish, clothing, prepared foods, household goods, or snack foods ply the narrow village lanes. Sometimes these vehicles are soliciting people's support for a particular politician or political party. But today was different, the truck was announcing the arrival of a "Snake Show".
The truck stopped alongside of the street across from Duang's parent's house. A man, his wife, and his 7 year old son got out of the truck. The man held a microphone and made some type of announcement. Since most people are outside of their or their neighbor's house during the day and because it was Saturday, a small group of villagers assembled almost instantly.
The man carried a good sized wood box out of the back of the truck and placed it on the bare ground. There was a hinged door that cover half of the box's top. The door was secured shut with a metal hasp and a bent u-shaped wire. He carefully removed the "lock". He backed off a little from the box and used a thin bamboo rod that had a 4 centimeter branch cantilevered from the pole to open the door. It looked like Isaan's native answer to the metal snake hooks that we see on "Animal Planet" and "National Geographic Channel" shows. Skillfully he used the rod to coax a large snake out of the box. The snake was about 4 meters (12 feet) long. It was dark green and black with a yellowish under belly. It was a cobra! In all honesty it was a very well behaved snake. It did not lash out and try to strike any of the audience, the two village mongrels that were cautiously curious, or even the two scrawny chickens that were wandering around. I believe that the snake had eaten recently. The man was very good in handling the snake - not reckless and showing a definite respect for what the reptile could do. It was a treat for me to see the reaction of the children to the snake. They were not terrified of it but they too were cautious. I asked Duang if it was the same type of cobra that had crawled into the bathroom that was occupied by her daughter a couple of months ago. Duang indicated that it wasn't.
The man seemed to be telling people about the snake and answered some questions. He used the stick to keep the snake's movements away from the children and tried to a limited success to get the snake to flare its hood. The snake moved with a calm and deliberate demeanor almost like the swagger of the town bully knowing that he was the biggest and "Baddest" MF in town. After awhile the man coaxed the snake back to the vicinity of the box and using a combination of his hand and snake stick got it back into the box. He closed the top and set the hasp with the bamboo rod before placing the bent wire with his bare hand.
After putting the box back into the back of the truck, he brought out a similar sized wood box. Using the same equipment and techniques, he eventually had a 6 foot python on the ground. This snake was not so polite. It was hissing very loudly. The snake through its movements clearly demonstrated the power contained in its body. Again the man seemed to be lecturing about the snake. His wife also came forward with a woven wood basket in her hand and started working the crowd. Inside the basket were small plastic bags of stuff - it looked like wood shavings and snakeskin. There were other bags that contained large white tablets.
It turned out that this man and his family were selling medicine. Much like the snake oil salesmen of the American west in the 1880's they put on a little show, in this case showing the snakes, to attract a crowd to extol the power and benefits of their medicine which they were selling. Their pitch was not falling upon deaf ears. I saw several villagers reaching into their pockets to pay for some of the bags of "medicine" Duang told me that the medicine was from China. The wood chips with snake skin was very good to make a tea out of for women who had just had a baby. The other medicine was good for taking care of headaches. This type of medicine is traditional in Isaan especially out in the countryside.
The show ended with a third box being opened to reveal two turtles. The little villagers came closer for a better look at them. The man also placed a small plastic crocodile next to the turtles and would press the back of the toy with his bamboo rod causing it to squeak. Everyone got a good laugh when a couple of the small children jumped back in surprise at the squeaks.
After about 30 minutes the "snake oil" salesman left Tahsang Village headed to the next village with their answer to health care for the Lao Loum people.
This blog is about a event that I unexpectedly witnessed this afternoon in Tahsang Village here in Isaan. Ironically, it does involve health care but health care as is related to Isaan.
Lately I have written about health care both public and private here in Isaan. This was due to family developments as well as events both on cable television and on the Internet.
Today, Duang wanted to drive out to Tahsang Village to visit her 7 month old grandson, Peelawat, AKA "Pee - A - Lot". Duang is doing very well from her surgery on both of her ears. However she is sleeping a great deal which I suspect is due to some of the medication that she was given and instructed to take. It has been my observation, that Isaan people expect to take medicine for any and all maladies no matter the seriousness. I can sneeze twice in a row due to the bright sun and Duang will suggest that I go see a doctor or take some medicine. I believe that the doctors in Isaan cater somewhat to this mind set by over prescribing medication. Every time that we see a doctor, Duang ends up with 5 to 7 different kinds of pills no matter what her diagnosis is and they have ranged from common colds, ear infections, UTI, pulled muscles, etc. I try to determine what each medication is but often I am unable to identify them over the Internet. I can usually can identify the Tylenol type medication, and the antibiotics but the others are mysteries. I suspect that they are antihistamines and relaxants.
As I always do when travelling the highways and back roads of Isaan, I brought along my backpack containing my camera gear. There always seems to be something or some one interesting, at least to me, to photograph. Today was no exception.
The fields are flooded and the rice crop is thriving. All the rice planting has been completed and the farmers are anticipating a good harvest late next month and the following month. The sugar cane is growing well and does not require any attention for the time being. Peanuts have been harvested and finding a roadside stand to buy fresh boiled hot peanuts has become difficult. With the relative lull in farming activities, the local people have focused on fishing. The lowlands have flooded and all the rickety bamboo fishing platforms on the way to Tahsang Village were manned. The people were dipping large square mono filament nets into the flood waters in hopes of catching some small fish. In consideration of Duang's condition I did not stop and pressed on to the village.
We were not at the village long when we heard Isaan music blaring from a pick up truck that was crawling through the village. This is a common occurrence. Trucks selling vegetables, fish, clothing, prepared foods, household goods, or snack foods ply the narrow village lanes. Sometimes these vehicles are soliciting people's support for a particular politician or political party. But today was different, the truck was announcing the arrival of a "Snake Show".
The truck stopped alongside of the street across from Duang's parent's house. A man, his wife, and his 7 year old son got out of the truck. The man held a microphone and made some type of announcement. Since most people are outside of their or their neighbor's house during the day and because it was Saturday, a small group of villagers assembled almost instantly.
The man carried a good sized wood box out of the back of the truck and placed it on the bare ground. There was a hinged door that cover half of the box's top. The door was secured shut with a metal hasp and a bent u-shaped wire. He carefully removed the "lock". He backed off a little from the box and used a thin bamboo rod that had a 4 centimeter branch cantilevered from the pole to open the door. It looked like Isaan's native answer to the metal snake hooks that we see on "Animal Planet" and "National Geographic Channel" shows. Skillfully he used the rod to coax a large snake out of the box. The snake was about 4 meters (12 feet) long. It was dark green and black with a yellowish under belly. It was a cobra! In all honesty it was a very well behaved snake. It did not lash out and try to strike any of the audience, the two village mongrels that were cautiously curious, or even the two scrawny chickens that were wandering around. I believe that the snake had eaten recently. The man was very good in handling the snake - not reckless and showing a definite respect for what the reptile could do. It was a treat for me to see the reaction of the children to the snake. They were not terrified of it but they too were cautious. I asked Duang if it was the same type of cobra that had crawled into the bathroom that was occupied by her daughter a couple of months ago. Duang indicated that it wasn't.
The man seemed to be telling people about the snake and answered some questions. He used the stick to keep the snake's movements away from the children and tried to a limited success to get the snake to flare its hood. The snake moved with a calm and deliberate demeanor almost like the swagger of the town bully knowing that he was the biggest and "Baddest" MF in town. After awhile the man coaxed the snake back to the vicinity of the box and using a combination of his hand and snake stick got it back into the box. He closed the top and set the hasp with the bamboo rod before placing the bent wire with his bare hand.
After putting the box back into the back of the truck, he brought out a similar sized wood box. Using the same equipment and techniques, he eventually had a 6 foot python on the ground. This snake was not so polite. It was hissing very loudly. The snake through its movements clearly demonstrated the power contained in its body. Again the man seemed to be lecturing about the snake. His wife also came forward with a woven wood basket in her hand and started working the crowd. Inside the basket were small plastic bags of stuff - it looked like wood shavings and snakeskin. There were other bags that contained large white tablets.
It turned out that this man and his family were selling medicine. Much like the snake oil salesmen of the American west in the 1880's they put on a little show, in this case showing the snakes, to attract a crowd to extol the power and benefits of their medicine which they were selling. Their pitch was not falling upon deaf ears. I saw several villagers reaching into their pockets to pay for some of the bags of "medicine" Duang told me that the medicine was from China. The wood chips with snake skin was very good to make a tea out of for women who had just had a baby. The other medicine was good for taking care of headaches. This type of medicine is traditional in Isaan especially out in the countryside.
The show ended with a third box being opened to reveal two turtles. The little villagers came closer for a better look at them. The man also placed a small plastic crocodile next to the turtles and would press the back of the toy with his bamboo rod causing it to squeak. Everyone got a good laugh when a couple of the small children jumped back in surprise at the squeaks.
After about 30 minutes the "snake oil" salesman left Tahsang Village headed to the next village with their answer to health care for the Lao Loum people.
Friday, September 18, 2009
Private Health Care - A Thai Experience
In the interest of what Fox News Network describes to be "Fair & Balanced" reporting, I am writing about yesterday's experience at a private hospital in Udonthani, Thailand. I have written a few blogs on the public health care available to the people of Isaan - the maternity ward in Khumpahawapi, the emergency room in Udonthani, the birthing experience in Kumphawapi, Duang's brother's emergency surgery, and a couple visits to relatives. These were public facilities and as it turns out very different from the private facilities and experience.
When she was a young child, my wife, Duangchan, had both of her ear drums perforated in an incident of domestic violence. Being poor without the funds for medical care, the ear drums were never attended to. Perforated ear drums are more susceptible to ear infections and Duang was no exception to this statistic. Over the years of ear infections and lack of proper medical car, she had lost an appreciable amount of hearing acuity as well as the remnants of the perforated ear drums.
In the past year, she has had five ear infections. She has gone to the number 1 Ear, Nose, and Throat doctor in Udonthani. I have written about at least two of our visits to his clinic in previous blogs. We had been talking about how at some point in the near future he would operate and repair Duang's ears. The last ear infection did it for her. She had been afraid to be operated on but finally agreed to go forward with the operation rather than suffer from so many infections as well as loss of hearing. Yesterday was the day of her scheduled operation.
The previous day we went to the specialist for the third time regarding the last infection. On our first visit I wrote how we paid 400 baht for the visit as well a six filled prescriptions. We did not have to pay for the subsequent last two visits. The last visit was to ensure that the infection had cleared up and that there was no impediment to proceeding with the procedures.
We arrived at one of the private hospitals in Udonthani at the scheduled 8:30 A. M. time. The doorman smiled at us and directed us to the Information Desk as he opened the door for us. The interior of this part of the hospital was very nice - much like that of a three or four star hotel in the big city. I had been to the Bangkok-Pattaya Hospital in Pattaya, another private hospital, a couple of times for dental work and had a similar experience although that hospital was more like a 5 Star hotel. That hospital actually had a wing donated by the Royal Saudi family so little expense was spared.
We entered the hospital and were greeted by several prim and properly attired female personnel. They were wearing blue uniforms and small hats that reminded me of Eastern Airline stewardesses from the 1960's. One of them escorted us to the information desk and had us sit down similar to registering at a hotel. Duang submitted a paper to them that the doctor had given her the day before. They looked it over and started discussing it in Thai. In a couple of minutes a very well dressed man came up to me and introduced himself in excellent English. He was the hospital's "Manager of International Services". He explained the process to me and escorted us through the various steps up to the point where Duang was in her room to start waiting for the surgery. This was very comforting as well as very reassuring since I had no idea what was going on. Although Duang speaks Lao as well as Thai, she does not have experiences with being admitted to hospitals let alone private hospitals.
From the Information/ Admissions Desk, I went to the counter next to it, and again it was more like checking into a hotel than a hospital. The young women working in this section were just as well coiffed, dressed and made up as the greeters but did not wear hats. I was given an estimate of the costs for the surgery as well as the room.
The previous day the doctor had told me that it would be around 55,000 to 60,000 baht ($1,618 to $1,765 U S dollars). This was a good deal. I found out from Duang that he had recently done a similar procedure for the wife of a foreigner and the price was 200,000 baht. Duang had told the doctor that I am retired and that we didn't have medical insurance - all true. He told her that he knew she was Lao (Lao Loum) so he would take care of her for 55,000 to 60,000. The room was not include in his estimate. He wanted to use this hospital because they had a new microscope surgery piece of equipment in their operating room.
Part of the checking in procedure was to select the type of room we wanted. I selected the "Duluxe" room for 2,700 baht a day ($79.41 a day) which included food, and nursing care. The "Duluxe" room had a couch in it where I could and I was encouraged to spend the night. The cheapest room was a shared "Twin" for ($34.41 a day). The most expensive room was "VIP 1" for $161.76 a day.
Our "Duluxe" room was fine. It had a small color TV set with international cable channels, a small refrigerator stocked with water and soft drinks, two wood chairs, and the couch. The room had a small screened balcony over looking a school across the street. It was comparable to standard Motel 6 room in the USA.
Unlike the public hospital, the corridors and grounds of the hospital were quiet and we saw very few people. Unlike the public hospitals patients were not exposed to the open air either on their way to or from surgery.
I did read some literature on the costs for some of the hospital's procedures. The one at the top struck out like a sore thumb - "Sex Change" - $1,865 - I assumed that it was for a man to become a "woman" and I doubt if it included the room. Breast augmentation I believe was around $1,200. Prices like that are driving the Medical Tourism Industry here in Thailand, Malaysia, and India.
Perhaps a more realistic solution for the 47,000,000 Americans without health insurance would be to buy those people round trip economy air fares (about $700) to Thailand and pay for their treatment in Thailand than the outrageously expensive plans being currently argued about. I know that when I was in the USA without a job, my COBRA extension of my previous health insurance was $1,500 a month to cover myself and my wife. At that rate - $8,400 a year per person - it would have been cheaper for me to fly to Thailand and stay in a hospital every time that I needed to see a doctor in a year! Hell some one could have had two sex changes a year in Thailand for just the cost of my insurance.
Having decided on our room, and with Duang signing once on one piece of paper, I was asked to place a down payment on the estimated cost of services. I had gone to the bank the day before and withdrawn 60,000 baht for the operation so I put down 55,000baht. I was given a receipt and we were then escorted up to the room.
A nurse came in and had Duang change for the second time into hospital garments. She had changed into a more traditional hospital gown downstairs for her admission examination but for waiting in the room she had a one size fits all pair of Chinese styled cotton pajamas. We were set to go by 10:00 A.M.
We knew the doctor had clinic hours until 1:00 P.M. so we anticipated surgery would be 2:00 P.M. We were told that it would last three hours and Duang would be in the Intensive Care Unit for two hours before returning to the room. So we were prepared to do a great deal of waiting.
Around 11:00 a couple of nurses came in to take blood and hook Duang up to an IV. It was very interesting - neither nurse wore gloves or face shields for either drawing blood or setting up the IV. Drawing blood was not to easy. Duang had been told and had not eaten or drank anything since 7:00 P. M. the night before. Her blood was rather sluggish but they got enough apparently. A very small speck fell on the bed's comforter - they either didn't notice or didn't care. I washed it up when they left. They had some trouble setting up the IV but the third time and the other arm was the charm.
We bided our time watching movies and talking to Duang's son and his girlfriend. Around 1:00 P.M. the Operating Room Head Nurse stopped by to speak to Duang and inform her what to expect. She seemed to be explaining things well and in detail though it was all in Thai so I am not certain. Duang seemed to be remaining calm and was happy so it went well. Duang was then assisted into another traditional type hospital gown for surgery.
At 2:30 an orderly came by. Three nurses assisted Duang to transfer to the transport gurney. We took the elevator down to the lower floor where the operating room and ICU was. I was allowed to go up to the yellow line on the corridor floor where Duang was transferred to an operating room gurney.
I returned to the room to watch TV, stare out off of the balcony and pace the floor. At around 5:00 P.M. the Manager of International Services stopped by to see how I was doing. I told him that Duang was scheduled to be out of surgery at 5:30. He took me to the nurse's station and had then use their walkie-talkie to check on her status. Word came back that she was still in surgery. He told me that when she was out of surgery, the nurses would let me know so that I could join her in the Intensive Care Unit for her two hours of monitoring before she went back to the room.
Around 6:10 the nurse came to tell us that Duang was in the ICU. We went to the ICU and had to remove our shoes and put on slippers before entering the area. Duang was in a small room, I believe she was the only patient in the ICU. Duang was lying on the gurney bundled up as if she were sleeping outside in Northern Alberta during a winter night. She had an oxygen mask on and her vital signs were being monitored on a small HP machine on a counter next to her gurney. Outside her room, two nurses manned the desk.
After awhile the nurse took the chair from the corner of the room and had me sit down. By then Duang's son and his girlfriend had seen enough and left to get dinner.
I was fascinated. First of all I had never visited any one in an ICU before. Secondly Duang was like a zombie. Her eyes were half open but no one was home - I know because I checked her reaction (none) to my fingers crossing and headed towards her eyes. This state last for an hour and one-half interrupted only twice - once when she managed to get one finger out from under all the covers to wipe moisture from the corner of one eye, and once when she appeared to be letting me know she was OK with her finger movements and facial expression. Both times did not last long and it appeared that she had not regained full consciousness. After 1-1/2 hours almost as if she heard an alarm clock, she woke up and was fully conscious. The nurses monitored her conscious state for half an hour and we then went back to the room.
I spent the night and helped her once. After a fitful night on what had to be the hardest couch in all Udonthani, I got up a 5:00 A. M. Duang's son picked me up at 6:00 and brought me back to the house to get cleaned up. Two hours later she called to tell me her son was on his way back. The doctor had seen her and was releasing her this morning. I got back to the hospital and there was some confusion about getting released. I took a couple of trips up and down the elevator and then took the step son's girlfriend to the nurses station with me - she would tell them, get their answer in Thai and then tell Duang in Thai so that Duang could tell me in English. I didn't get to see how well this was going to work because my old friend "Manager ..." was at the door. We told him the situation. He talked to the nurses and made a couple phone calls - everything was squared away. Once the IV was removed Duang had already changed into her clothes, didn't want to shower there, didn't want to eat breakfast there, she only wanted to be back home.
An orderly came with a wheelchair and brought us all down to the second floor where they cut off her ID bracelet, I paid the balance on the bill and she got 6 prescriptions to take home.
The orderly along with one of the nurses wheeled her out the front door and we went home.
Duang was fine and has been recovering all day. The total bill was 64,696 baht ($1,902 USD)
I don't think that we could have received any better care anywhere else in the world. I know for a fact that we could not have gotten any where near that amount of care (3 hours surgery, 2 hours ICU, one night hospital room )for that amount of money in the USA.
This experience has reinforced my belief that good and adequate private medical care is available and most importantly affordable for us here in Thailand
When she was a young child, my wife, Duangchan, had both of her ear drums perforated in an incident of domestic violence. Being poor without the funds for medical care, the ear drums were never attended to. Perforated ear drums are more susceptible to ear infections and Duang was no exception to this statistic. Over the years of ear infections and lack of proper medical car, she had lost an appreciable amount of hearing acuity as well as the remnants of the perforated ear drums.
In the past year, she has had five ear infections. She has gone to the number 1 Ear, Nose, and Throat doctor in Udonthani. I have written about at least two of our visits to his clinic in previous blogs. We had been talking about how at some point in the near future he would operate and repair Duang's ears. The last ear infection did it for her. She had been afraid to be operated on but finally agreed to go forward with the operation rather than suffer from so many infections as well as loss of hearing. Yesterday was the day of her scheduled operation.
The previous day we went to the specialist for the third time regarding the last infection. On our first visit I wrote how we paid 400 baht for the visit as well a six filled prescriptions. We did not have to pay for the subsequent last two visits. The last visit was to ensure that the infection had cleared up and that there was no impediment to proceeding with the procedures.
We arrived at one of the private hospitals in Udonthani at the scheduled 8:30 A. M. time. The doorman smiled at us and directed us to the Information Desk as he opened the door for us. The interior of this part of the hospital was very nice - much like that of a three or four star hotel in the big city. I had been to the Bangkok-Pattaya Hospital in Pattaya, another private hospital, a couple of times for dental work and had a similar experience although that hospital was more like a 5 Star hotel. That hospital actually had a wing donated by the Royal Saudi family so little expense was spared.
We entered the hospital and were greeted by several prim and properly attired female personnel. They were wearing blue uniforms and small hats that reminded me of Eastern Airline stewardesses from the 1960's. One of them escorted us to the information desk and had us sit down similar to registering at a hotel. Duang submitted a paper to them that the doctor had given her the day before. They looked it over and started discussing it in Thai. In a couple of minutes a very well dressed man came up to me and introduced himself in excellent English. He was the hospital's "Manager of International Services". He explained the process to me and escorted us through the various steps up to the point where Duang was in her room to start waiting for the surgery. This was very comforting as well as very reassuring since I had no idea what was going on. Although Duang speaks Lao as well as Thai, she does not have experiences with being admitted to hospitals let alone private hospitals.From the Information/ Admissions Desk, I went to the counter next to it, and again it was more like checking into a hotel than a hospital. The young women working in this section were just as well coiffed, dressed and made up as the greeters but did not wear hats. I was given an estimate of the costs for the surgery as well as the room.
The previous day the doctor had told me that it would be around 55,000 to 60,000 baht ($1,618 to $1,765 U S dollars). This was a good deal. I found out from Duang that he had recently done a similar procedure for the wife of a foreigner and the price was 200,000 baht. Duang had told the doctor that I am retired and that we didn't have medical insurance - all true. He told her that he knew she was Lao (Lao Loum) so he would take care of her for 55,000 to 60,000. The room was not include in his estimate. He wanted to use this hospital because they had a new microscope surgery piece of equipment in their operating room.
Part of the checking in procedure was to select the type of room we wanted. I selected the "Duluxe" room for 2,700 baht a day ($79.41 a day) which included food, and nursing care. The "Duluxe" room had a couch in it where I could and I was encouraged to spend the night. The cheapest room was a shared "Twin" for ($34.41 a day). The most expensive room was "VIP 1" for $161.76 a day.
Our "Duluxe" room was fine. It had a small color TV set with international cable channels, a small refrigerator stocked with water and soft drinks, two wood chairs, and the couch. The room had a small screened balcony over looking a school across the street. It was comparable to standard Motel 6 room in the USA.
Unlike the public hospital, the corridors and grounds of the hospital were quiet and we saw very few people. Unlike the public hospitals patients were not exposed to the open air either on their way to or from surgery.
I did read some literature on the costs for some of the hospital's procedures. The one at the top struck out like a sore thumb - "Sex Change" - $1,865 - I assumed that it was for a man to become a "woman" and I doubt if it included the room. Breast augmentation I believe was around $1,200. Prices like that are driving the Medical Tourism Industry here in Thailand, Malaysia, and India.
Perhaps a more realistic solution for the 47,000,000 Americans without health insurance would be to buy those people round trip economy air fares (about $700) to Thailand and pay for their treatment in Thailand than the outrageously expensive plans being currently argued about. I know that when I was in the USA without a job, my COBRA extension of my previous health insurance was $1,500 a month to cover myself and my wife. At that rate - $8,400 a year per person - it would have been cheaper for me to fly to Thailand and stay in a hospital every time that I needed to see a doctor in a year! Hell some one could have had two sex changes a year in Thailand for just the cost of my insurance.
Having decided on our room, and with Duang signing once on one piece of paper, I was asked to place a down payment on the estimated cost of services. I had gone to the bank the day before and withdrawn 60,000 baht for the operation so I put down 55,000baht. I was given a receipt and we were then escorted up to the room.
A nurse came in and had Duang change for the second time into hospital garments. She had changed into a more traditional hospital gown downstairs for her admission examination but for waiting in the room she had a one size fits all pair of Chinese styled cotton pajamas. We were set to go by 10:00 A.M.We knew the doctor had clinic hours until 1:00 P.M. so we anticipated surgery would be 2:00 P.M. We were told that it would last three hours and Duang would be in the Intensive Care Unit for two hours before returning to the room. So we were prepared to do a great deal of waiting.
Around 11:00 a couple of nurses came in to take blood and hook Duang up to an IV. It was very interesting - neither nurse wore gloves or face shields for either drawing blood or setting up the IV. Drawing blood was not to easy. Duang had been told and had not eaten or drank anything since 7:00 P. M. the night before. Her blood was rather sluggish but they got enough apparently. A very small speck fell on the bed's comforter - they either didn't notice or didn't care. I washed it up when they left. They had some trouble setting up the IV but the third time and the other arm was the charm.We bided our time watching movies and talking to Duang's son and his girlfriend. Around 1:00 P.M. the Operating Room Head Nurse stopped by to speak to Duang and inform her what to expect. She seemed to be explaining things well and in detail though it was all in Thai so I am not certain. Duang seemed to be remaining calm and was happy so it went well. Duang was then assisted into another traditional type hospital gown for surgery.
At 2:30 an orderly came by. Three nurses assisted Duang to transfer to the transport gurney. We took the elevator down to the lower floor where the operating room and ICU was. I was allowed to go up to the yellow line on the corridor floor where Duang was transferred to an operating room gurney.I returned to the room to watch TV, stare out off of the balcony and pace the floor. At around 5:00 P.M. the Manager of International Services stopped by to see how I was doing. I told him that Duang was scheduled to be out of surgery at 5:30. He took me to the nurse's station and had then use their walkie-talkie to check on her status. Word came back that she was still in surgery. He told me that when she was out of surgery, the nurses would let me know so that I could join her in the Intensive Care Unit for her two hours of monitoring before she went back to the room.
Around 6:10 the nurse came to tell us that Duang was in the ICU. We went to the ICU and had to remove our shoes and put on slippers before entering the area. Duang was in a small room, I believe she was the only patient in the ICU. Duang was lying on the gurney bundled up as if she were sleeping outside in Northern Alberta during a winter night. She had an oxygen mask on and her vital signs were being monitored on a small HP machine on a counter next to her gurney. Outside her room, two nurses manned the desk.
After awhile the nurse took the chair from the corner of the room and had me sit down. By then Duang's son and his girlfriend had seen enough and left to get dinner.
I was fascinated. First of all I had never visited any one in an ICU before. Secondly Duang was like a zombie. Her eyes were half open but no one was home - I know because I checked her reaction (none) to my fingers crossing and headed towards her eyes. This state last for an hour and one-half interrupted only twice - once when she managed to get one finger out from under all the covers to wipe moisture from the corner of one eye, and once when she appeared to be letting me know she was OK with her finger movements and facial expression. Both times did not last long and it appeared that she had not regained full consciousness. After 1-1/2 hours almost as if she heard an alarm clock, she woke up and was fully conscious. The nurses monitored her conscious state for half an hour and we then went back to the room.
I spent the night and helped her once. After a fitful night on what had to be the hardest couch in all Udonthani, I got up a 5:00 A. M. Duang's son picked me up at 6:00 and brought me back to the house to get cleaned up. Two hours later she called to tell me her son was on his way back. The doctor had seen her and was releasing her this morning. I got back to the hospital and there was some confusion about getting released. I took a couple of trips up and down the elevator and then took the step son's girlfriend to the nurses station with me - she would tell them, get their answer in Thai and then tell Duang in Thai so that Duang could tell me in English. I didn't get to see how well this was going to work because my old friend "Manager ..." was at the door. We told him the situation. He talked to the nurses and made a couple phone calls - everything was squared away. Once the IV was removed Duang had already changed into her clothes, didn't want to shower there, didn't want to eat breakfast there, she only wanted to be back home.
An orderly came with a wheelchair and brought us all down to the second floor where they cut off her ID bracelet, I paid the balance on the bill and she got 6 prescriptions to take home.
The orderly along with one of the nurses wheeled her out the front door and we went home.
Duang was fine and has been recovering all day. The total bill was 64,696 baht ($1,902 USD)
I don't think that we could have received any better care anywhere else in the world. I know for a fact that we could not have gotten any where near that amount of care (3 hours surgery, 2 hours ICU, one night hospital room )for that amount of money in the USA.
This experience has reinforced my belief that good and adequate private medical care is available and most importantly affordable for us here in Thailand
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