Oh Nola if you go private they can try to help you get insurance one for the surgery and hospital stay.

The calculations for whole period of stay is quite easy to count la actually.

Since thyroid surgery is quite simple which will take maybe 1-2 hours, charges most probably will vary from 1-5k. Depending on docs reputation.

Anesthesia will cost around 200-600 depending on doctor.

If you stay in a 4 person ward it will most likely cost less than 100 or maybe slightly more(depends on hospital) per night. 2 person ward will be more expensive and single ward will be the priciest.

The charges of doctor when they visit you during your stay will probably cost from 0-500. Also depends on how money minded is your doctor.

After including medications, your total cost may vary from 3-7k, depending on doctor and hospital.

My 2 cents la.

Ahhh.... Icic, it's really clear info! Love it! So u said skip glean, how abt prince medical?

Prince court should be having the same price range as Sunway gua. Maybe cheaper than SJMC? If you can afford it, try to go to see a few doctors and compare their prices. You are the patient you should know your rights.

Try to compare prices between Sunway/SJMC/Prince/maybe Tropicana...if really cannot afford there can go slightly cheaper places like KPJ group of hospitals(Tung Shin/ Damansara) or Assunta...

http://valor.com.my/downloads/hospital_admission_charges.pdf

The link above is a list of the room charges of major private hospitals in Malaysia. However only one of this hospital put the cost for total thyroidectomy around RM5000 - RM10000 under Puchong Medical Centre, non inclusive of hospital stay, nursing charges, equipment charges. The other hospitals will offer thyroid surgery also, but they didn't list down the charges...

Prince Court is in this list I linked you, but again the surgery cost not listed.

i think it's super dangerous to take advice from forumers here...
Well, since there's no establish diagnosis for your condition, there's very little information here and all these while you've been managed by a GP...

To be on the safe side, go and see an endocrinologist first before any further decision.
You need further investigation on your thyroid ds.
Yes, you're definately hyperthyroid judging from your symptoms and presentation, but the underlying cause must be investigate before further management.

to the med students here...
I think it's important to establish a sets of differential diagnosis before you give advice to your patients in future practice.
Misleading information could lead to lots of stress and anxiety to our forumers...

example :
Hi, thanks for d info, really helpful b4 I make any decision. Seem like I gt no othrr choice than go for a surgery :-(

When a pt failed medical treatment, something to ponder in our mind :

1) what cause the treatment to fail ? incorrect diagnosis? non compliance to medication? drug drug interaction? or inadequate therapy.
Bear in mind that the treatment has been started by a GP...
plus, we don't even know the TSH/T3/T4 trending on treatment over the year.
How low is low?
So, you should ask her to provide these valuable information before further decide whether or not this is truly a failed medical treatment.
we don't even know whether pt's on maximum dose of carbimazole etc.
Maybe she's just on chicken dose started by GP...who knows?


2) You should also ask for associated symptoms and well known complications which is associated her thyroid problem.
eg: thyroid eye ds, AF...
should any of above present, she should immediately seek a specialist review.

Dear Karen,

I think u seriously need a specialist review, they are available in any general hospital/university hospital.
You may want to speak to your current doctor to provide a detail medical report/referral.
Bring your medical report/blood reports along and book an appointment.

You may not need to worry about surgical review for now as judging from your progress, you responded to the previous treatment, it just tat it rebound back quite fast.

There's pt who r on medical treatment for years before opted for surgical intervention.

---

Added on September 6, 2011, 8:33 pmi think it's super dangerous to take advice from forumers here...
Well, since there's no establish diagnosis for your condition, there's very little information here and all these while you've been managed by a GP...

To be on the safe side, go and see an endocrinologist first before any further decision.
You need further investigation on your thyroid ds.
Yes, you're definately hyperthyroid judging from your symptoms and presentation, but the underlying cause must be investigate before further management.

to the med students here...
I think it's important to establish a sets of differential diagnosis before you give advice to your patients in future practice.
Misleading information could lead to lots of stress and anxiety to our forumers...

example :
Hi, thanks for d info, really helpful b4 I make any decision. Seem like I gt no othrr choice than go for a surgery :-(

When a pt failed medical treatment, something to ponder in our mind :

1) what cause the treatment to fail ? incorrect diagnosis? non compliance to medication? drug drug interaction? or inadequate therapy.
Bear in mind that the treatment has been started by a GP...
plus, we don't even know the TSH/T3/T4 trending on treatment over the year.
How low is low?
So, you should ask her to provide these valuable information before further decide whether or not this is truly a failed medical treatment.
we don't even know whether pt's on maximum dose of carbimazole etc.
Maybe she's just on chicken dose started by GP...who knows?


2) You should also ask for associated symptoms and well known complications which is associated her thyroid problem.
eg: thyroid eye ds, AF...
should any of above present, she should immediately seek a specialist review.

Dear Karen,

I think u seriously need a specialist review, they are available in any general hospital/university hospital.
You may want to speak to your current doctor to provide a detail medical report/referral.
Bring your medical report/blood reports along and book an appointment.

You may not need to worry about surgical review for now as judging from your progress, you responded to the previous treatment, it just tat it rebound back quite fast.

There's pt who r on medical treatment for years before opted for surgical intervention.

This post has been edited by klifex: Sep 6 2011, 08:33 PM

Hi, ya I plan to do so. Which definitely will seek for doc advice b4 really go for surgery, n might even more than 1 doc advice.

Arhhh... Do not blame them for giving me those advice b4 further asking my further conditions, in fact I din really provide enuf info as well, act just wanna looking for some advice or word of mouth which hospital or even which doctor is good in my case, since im nt really familiar with all these. All d info im getting here is act very helpful, at least now I know thyroid removal surgery is a common surgery, ofcoz its various depends on d patient conditions. N also some hospitals n medical center I can consider, b4 this I only knew glean, prince, n few government hospitals.

Again I really appreciate n wanna say thank you to all of u guys, as a patient its really terrified if we do not know anything abt d disease we facing, ur advice might nit 100% accurate but its definitely ease my tension ;-)

Dear klifex and everyone that posting in this thread, hope you guys can read, re-read and understand the Rules and Regulation in this Health & Fitness sub-forum as well as the first post in this thread before commenting

Even if it's a major surgery it still cost RM500? If a private hospital charges RM20,000 for a particular surgery, that same surgery can be done at government hospital for RM500?

As far as I am concerned, yes. You can stay there for months and still charged the same price.

However, I think you should know te draw backs...long waiting period...bad ward conditions(most wards do not have air cond) and you will be sharing 8 wards per cubicle with no proper partitioning..food is bad...you will be guinea pigs to the housemen on duty there at will...

Worse thing is if something goes wrong (none life threatening or become disabled)...for example housemen dunno how to take blood..need to puncture your veins a few times..you really have no where to complaint because you are already paying such cheap prices!

Dear Klifex,

Your concerns are genuine and is the main reason why I started this forum topic in the first place... I have come across many LYN health topics where layman give so called advice to forumers regarding their health condition.

I already explained in my first post that what is discussed here by no means should replace a formal consultation by a qualified physician (endocrinologist in this case). Also, I clearly stated that there are limitations: we don't have a complete history, we cannot perform a physical examination, etc.

My intention in starting this topic is so that forumers like Karen can get a basic idea of their disease, and give general advice to help them! No where in our replies have we advised her to start any specific form of therapy or recommended any one treatment over the other. We merely gave her some insight about her condition and enlightened her about her options within the Malaysian Healthcare system with advice to seek further specialist help about her condition.

From your reply, I can tell that you're probably a physician as well. Well indirectly, from your reply you are actually giving Karen advice from a 'forumer' as well aren't you? Which is exactly what I purposed this topic for in the first place: for medically trained healthcare practitioners like us to give some general advice to sick people and educate them about their disease!

I see no harm in some patient education. At least we're more 'qualified' than some of those forumers out there who are already giving their two cents worth, based on what their mother said is right or their various cultural practises. Irregardless, I welcome your contribution to this post and I hope that you will continue to post here. I can see many people benefiting from your advice, including myself.

---

Added on September 7, 2011, 5:34 pmIt's true that going to public hospitals does have its drawbacks... But the healthcare cost is heavily subsidized! Imagine, only pay RM1 in clinic and you get those medications outside will cost hundreds of dollars. Not every public hospitals will have house officers (junior doctors) though. Only the bigger hospitals like GHKL, UMCC, Klang, etc... Small places like Hospital Bukit Mertajam for example do not have house officers training there.

Otherwise, what zstan said is true... long waiting times, packed wards, etc...

But houseman training must start from somewhere right? Even the most accomplished surgeon or physician was a houseman once upon a time. Won't be so bad one lar, most house officers will develop their skills fast unless really junior junior like first day at work, then definitely got problem. Even more so now that Housemanship training is 2 years. Those senior houseman are quite proficient in things like taking blood, setting lines, etc.

As for the maximum ceiling cost of RM500; not always true though. For example, those orthopaedic surgeries where need to purchase third company implants like intramedullary nails they sometimes charge the patient more. But yeah, the cost will still be much cheaper than private hospitals.

This post has been edited by aeternalis: Sep 7 2011, 05:34 PM

Yeah.... It's act much better to seek for advice from diff source, here definitely one of it. It's even some details that I didn't get from my company panel doc. U know some time we went clinic bt we tent to forget something to ask even we had d question in our mind, n clinic normally they have a lot of patient waiting, so I can't really get a lot of info as well.

I just gt to know that I might can claim insurance on this surgery, so I'm planning to go private hospital, gleneagles maybe? I search their website gt few number of general surgery docs, I'm nt sure which one to consult, any recommendation? Cab pm me if it's nt too good to tell d name here..

Thanks again....

Ah yes, i should say maximum RM500 for surgery fees only (excluding medications AND implants).

As i know, the stents and cathether used for Angioplasty can cost up to a whooping Rm10,000!

Anyway Karen,

Choose a hospital which is close to your residence. In case you have family members who wants to take care or visit you it wouldn't trouble them too much.

hey... great thread....

Name: Dr Barb
Designation: Oral Surgeon
Area of interest: minor oral surgery

Hi to all doctors here,

I would like to know what's is the long term effect of eating raw food to our health?

No animal products, only raw organic vegetables?

Are you referring to nutritional long-term effects, or safety effects of ONLY consuming vegetables? I see no problems in eating properly-prepared (washed) raw organic vegetables. As to benefits, I've yet to see the data really ...

This post has been edited by trencher10: Sep 8 2011, 01:14 PM

Not a doctor,

But do you mean you only eat vegetables alone and nothing else?

Name: Joshua
Designation: Physiotherapist
Area of interest: Neurology and musculoskeletal

edited - can PM me if you have any queries.

This post has been edited by paqralos: Sep 8 2011, 04:37 PM

Hello to Dr. Barbarian and paqralos! Thanks for joining this little thread of ours...

I will be editing the first post to include all our participants and their designations so that its easier for people to seek advice from the right people.

Hey chief,

Ur trying to give consultation here or ur trying to pick up chicks?? If u like zstan just PM her la. No need mushy mushy here. Haha..

I think my male tag there is quite clear right?