Welcome, Guest. Please login or register.
December 15, 2019, 05:42:30 am

Login with username, password and session length


Members
Stats
  • Total Posts: 750086
  • Total Topics: 63029
  • Online Today: 302
  • Online Ever: 4912
  • (November 13, 2019, 02:56:14 am)
Users Online
Users: 2
Guests: 254
Total: 256

Welcome


Welcome to the POZ Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment  (Read 3462 times)

0 Members and 1 Guest are viewing this topic.

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Hello all,

Noticed that admins have requested an introduction from new members, so thought Iíd start with that.

I was recently diagnosed as positive and as further tests and treatment are quite expensive here (and I donít yet have insurance coverage,) plan to head to Bangkok next week. My husband is Taiwanese and we've been together about 12 yeare now.

Was not expecting the positive result and am still a bit shocked, but want to get moving on treatment right away.

The various forum posts have been so helpful and reassuring. Thanks for all the great information and support expressed in the forums.



Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #1 on: November 24, 2019, 06:19:37 am »
I plan to have lab tests done at the Bangkok Red Cross Clinic, then consult with a doctor at another hospital (likely Bumrungrad,) but per posts it appears that they now require prescriptions to be filled at the hospital itself (although also per posts this is contrary to Thai law.) I hope to fill the prescription at the Red Cross Clinic, but also per some posts the prescription will be automatically sent to the hospital pharmacy and thus required. Has anyone found work arounds to this?

Also would anyone recommend having an initial consultation with a doctor before all results are completed or just waiting until the lab results come out?

Many thanks in advance.

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 13,943
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #2 on: November 24, 2019, 06:47:55 am »
Hiya

Sorry to hear about the positive dignosis.
How have you tested so far? Was it an antibodies test only?

Best, Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #3 on: November 24, 2019, 07:53:40 am »
Thanks very much, Jim.

The first was a lab antibody test and then the follow-up was a lab antibody antigen test, which was also positive. That's it so far, but I plan to have the other tests in Bangkok next week.

Best,
Jeff




Offline lightalltheway

  • Member
  • Posts: 115
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #4 on: November 24, 2019, 09:34:15 am »
Hello,

First, I am sorry about your diagnosis. Yes, its shocking and it will take sometimes to sink in. However, you will soon feel better, just give time some time.

Where is your geographic location if you don't mind me asking? as I may can help you with logistics.

Yes indeed, this forum is a haven for positive individuals as it reflects the lived realities. We are your new family and we warmly welcome you. Please if you have any question or doubt don't hesitate to post.

Always here for you.

Prince

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #5 on: November 24, 2019, 09:45:37 am »
Very much appreciated, Prince! Thank you for your kind words-was so happy to find these forums.

I see I accidentally left out that I live in Taiwan. Have spent a fair amount of time in Thailand for work over the years and it is a relatively short flight. Itís been a few years since Iíve been back to Bangkok, just wish it was under different circumstances.

Cheers and thanks again,
Jay


Offline Jim Allen

  • Administrator
  • Member
  • Posts: 13,943
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #6 on: November 24, 2019, 10:46:34 am »
Thanks very much, Jim.

The first was a lab antibody test and then the follow-up was a lab antibody antigen test, which was also positive. That's it so far, but I plan to have the other tests in Bangkok next week.

Best,
Jeff

Hi Jeff,

Well sorry to hear about the results so far, I know it can be a lot to digest at first.
Glad to hear you have plans for follow-up labs done and to arrange treatment if confirmed.

Keep us posted on how you get on. I will ask for the time being, that you to post only in this one thread, you can ask whatever questions you have and, members will be able to reply to you here.

Tip;  You can always find this thread by going to your profile and selecting show own post and it will take you here.

Best, Jim
« Last Edit: November 24, 2019, 10:49:03 am by Jim Allen »
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline Expat1

  • Member
  • Posts: 302
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #7 on: November 24, 2019, 12:55:33 pm »
Hi.  Welcome to Thailand.  Sorry about the circumstances.  How long will you stay?  I live in Pattaya.  I use Pattaya Memorial Hospital, but the tests are much cheaper at Thai Red Cross.  Do you plan on doing the genotype testing?  If so it takes a bit longer to get results for that test.
 
Definitely get Viral Load and CD4 counts.  Also blood panel and urinalysis. 

In Thailand most people are put on generic Atripla, (teevir).  Teevir is cheap here.  About 1100 baht a month.

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #8 on: November 24, 2019, 10:39:32 pm »
Hi Jeff,

Well sorry to hear about the results so far, I know it can be a lot to digest at first.
Glad to hear you have plans for follow-up labs done and to arrange treatment if confirmed.

Keep us posted on how you get on. I will ask for the time being, that you to post only in this one thread, you can ask whatever questions you have and, members will be able to reply to you here.

Tip;  You can always find this thread by going to your profile and selecting show own post and it will take you here.

Best, Jim

Much appreciated, Jim and well noted on the single thread.

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #9 on: November 24, 2019, 10:46:56 pm »
Hi.  Welcome to Thailand.  Sorry about the circumstances.  How long will you stay?  I live in Pattaya.  I use Pattaya Memorial Hospital, but the tests are much cheaper at Thai Red Cross.  Do you plan on doing the genotype testing?  If so it takes a bit longer to get results for that test.
 
Definitely get Viral Load and CD4 counts.  Also blood panel and urinalysis. 

In Thailand most people are put on generic Atripla, (teevir).  Teevir is cheap here.  About 1100 baht a month.

Many thanks! Plan on a week to two weeks and a full battery of tests including drug resistance. Had read in a few posts about teevir and it sounds like a great option. After tests at the Red Cross, plan to consult with one of the doctors at Bumrungrad recommended in these forums, then get the prescription filled at the Red Cross.

It's been a few years since I've been back to Thailand, so am definitely looking forward to that, albeit wish it was under different circumstances.

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #10 on: November 24, 2019, 11:24:09 pm »
Much appreciated, Jim and well noted on the single thread.

Hi Jim,

I do apologise in advance for my ignorance on this, but might I kindly inquire where I will find the option of sending a private message?

Thank you!


Offline Jim Allen

  • Administrator
  • Member
  • Posts: 13,943
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #11 on: November 25, 2019, 02:26:39 am »
Hiya,

Not for the time being. Let's see what your labs bring back.

Best, Jim
HIV 101 - Everything you need to know
HIV 101
Transmission and Risks:
HIV Transmission and Risks
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #12 on: November 25, 2019, 02:41:00 am »
Hiya,

Not for the time being. Let's see what your labs bring back.

Best, Jim
Hi Jim,

Ok, don't quite understand the reasoning, but it's my first membership in forums such as this and perhaps it's just how things work.

I had found some posts asking anyone in need of a doctor recommendation and also how to work around the prescription issue (hospitals requiring prescriptions to be filled there instead of at the Red Cross) to PM them. Nonetheless, I've reached out to the Taiwanese CDC rep who I've been working with/did the follow lab test to see if he knows.

Thanks!

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #13 on: November 25, 2019, 04:45:17 am »
HI,

not sure what you exactly mean by ďverifiable updateĒ but yes, the prescriptions issue is on at Bumrungrad. Anyways, as I said, quite easy to go around it, your Dr. will tell you how. PM me if you need more details.

M.

Hi there! I'm currently not able to send PMs for details, but am I correct in assuming that making an online appointment for consultation with any of the recommended doctors at Bumrungrad will still allow for a work around regarding the prescription issue (that he or she will explain when we meet?)

Many thanks in advance!
Jeff

Offline Mindless

  • Member
  • Posts: 245
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #14 on: November 25, 2019, 09:34:01 am »
Hi there! I'm currently not able to send PMs for details, but am I correct in assuming that making an online appointment for consultation with any of the recommended doctors at Bumrungrad will still allow for a work around regarding the prescription issue (that he or she will explain when we meet?)

Many thanks in advance!
Jeff


Hi,


my dr. at Bumrungrad gives me a prescription on separate paper, so I can take that to Red Cross for refilling. I donít know about other doctors but on average here in Thailand they are sympathetic to hiv+ people, so I expect most of them do the same thing. You can explain to the dr. when you meet him/her and yes, usually you can book appointments online at least at the major hospitals like Bumrungrad and similar.

Good luck!

Offline Expat1

  • Member
  • Posts: 302
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #15 on: November 25, 2019, 11:07:57 am »
The Thai Red Cross Clinic is the cheapest place for testing and meds. 

That said, in addition to Pattaya Memorial Hospital (where I get treated), I have used this clinic before.  You might want to contact them also.  (I get my Generic descovy here.)  They can also test and prescribe a range of medicine.  It is my understanding that they will also write prescriptions for the Thai Red Cross to fill.   If possible you might want to go here to get the script for Thai Red Cross.  (Currently Genvoya is the rage here.   You might prefer that to Teevir.  but it is a little more expensive.)

https://www.pulse-clinic.com/prep/tafero-em-buy-generic-descovy-in-thailand/

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #16 on: November 26, 2019, 04:04:07 am »

Hi,


my dr. at Bumrungrad gives me a prescription on separate paper, so I can take that to Red Cross for refilling. I donít know about other doctors but on average here in Thailand they are sympathetic to hiv+ people, so I expect most of them do the same thing. You can explain to the dr. when you meet him/her and yes, usually you can book appointments online at least at the major hospitals like Bumrungrad and similar.

Good luck!

Thank you so much! I will reach out to a few doctors. Really appreciate the information.

Have a great evening!

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #17 on: November 26, 2019, 04:12:29 am »
The Thai Red Cross Clinic is the cheapest place for testing and meds. 

That said, in addition to Pattaya Memorial Hospital (where I get treated), I have used this clinic before.  You might want to contact them also.  (I get my Generic descovy here.)  They can also test and prescribe a range of medicine.  It is my understanding that they will also write prescriptions for the Thai Red Cross to fill.   If possible you might want to go here to get the script for Thai Red Cross.  (Currently Genvoya is the rage here.   You might prefer that to Teevir.  but it is a little more expensive.)

https://www.pulse-clinic.com/prep/tafero-em-buy-generic-descovy-in-thailand/

Thanks so much for all of this information. Iíll reach out to Pulse.

I just received the list of meds currently available in Taiwan and their recommendation is to have them prescribe from the list if appropriate and available. I donít see Genvoya, but it might be a generic with a different name listed. Will research and find out if it is as they have also listed the med type with each medication.

Really appreciate you taking the time to reply and provide this information.

Thanks again,
Jeff

Offline Mindless

  • Member
  • Posts: 245
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #18 on: November 26, 2019, 07:52:57 pm »
The Thai Red Cross Clinic is the cheapest place for testing and meds. 

That said, in addition to Pattaya Memorial Hospital (where I get treated), I have used this clinic before.  You might want to contact them also.  (I get my Generic descovy here.)  They can also test and prescribe a range of medicine.  It is my understanding that they will also write prescriptions for the Thai Red Cross to fill.   If possible you might want to go here to get the script for Thai Red Cross.  (Currently Genvoya is the rage here.   You might prefer that to Teevir.  but it is a little more expensive.)

https://www.pulse-clinic.com/prep/tafero-em-buy-generic-descovy-in-thailand/


Hi Expat,

is actually generic Descovy available there? At what price? Iím currently taking Edurant+Generic Truvada but Iím interested in replacing TFD with TAF, so if generic Descovy is available at a reasonable price I may consider the switch. I checked the link but didnít find a price list.

Thanks

Offline Expat1

  • Member
  • Posts: 302
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #19 on: November 26, 2019, 10:18:17 pm »
About $85 for a months supply.  TAFERO-EM.   They want a prescription or complete lab tests so their Doctor can prescribe.

Offline Expat1

  • Member
  • Posts: 302
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #20 on: November 26, 2019, 10:19:42 pm »
So I take that with my Edurant.

Offline Mindless

  • Member
  • Posts: 245
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #21 on: November 27, 2019, 05:12:05 am »
So I take that with my Edurant.

Oh good, I was thinking to do exactly the same switch. So, generic Descovy would be around 2500 bath plus the cost of Edurant (which is quite cheap actually), whereas Genvoya at Thai Red Cross is around 2600 bath/bottle, so basically cheaper... I wondering which option is the best... 🤔

Offline Mindless

  • Member
  • Posts: 245
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #22 on: November 27, 2019, 10:22:00 am »
Think Iím going out of topic... TAF vs TDF subject seems to be still quite controversial.

https://www.aidsmap.com/news/nov-2019/96-week-results-discover-prep-trial-presented-european-aids-conference

Quote
Studies comparing TAF and TDF as treatment for HIV have found statistically significant differences in kidney function and bone mineral density, though there is some evidence that these may only make a clinical difference in people taking the booster drugs ritonavir or cobicistat, or whose kidney function or bone mineral density has declined with age. In the first PrEP study to prove efficacy, iPrEx, which used TDF/FTC, no decline in kidney function was seen in participants under 40.


https://www.aidsmap.com/news/apr-2018/taf-only-superior-tdf-when-used-boosting-agent

Quote
With these findings in mind, can it be justified paying more for TAF?

ďThe only known economic analyses comparing TAF and TDF used input parameters derived from studies administering boosted TDF, which may not be appropriate,Ē comment the authors. ďEconomic analyses should instead consider TAF against unboosted TDF to inform national policies. In the UK, the cheapest TAF regimen (TAF/emtricitabine/rilpivirine) costs $8246 PPPY [per patient per year], while the TDF patent is set to expire from 2018 across Europe. In the generic-inaccessible context, money may be saved by using generic TDF-based regimens costing $107 PPPY.Ē

They conclude, ďthe purported safety benefits of TAF over TDF may be overstated.Ē
« Last Edit: November 27, 2019, 10:27:22 am by Mindless »

Offline jayfu

  • Standard
  • Member
  • Posts: 12
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #23 on: November 28, 2019, 02:13:17 am »
Wanted to post an update, which will also be helpful to anyone in Taiwan.

I received referrals to two nonprofit HIV advocacy groups here in Taiwan. Iíll post links to their websites below.

These groups can help those in Taiwan that donít yet have National Health Care coverage. You will still need to pay for tests out of pocket and at least a few weeks of meds, depending on the your situation. The doctors they refer you to will then have a few options for med prescriptions~writing a prescription for you to fill online or at the Thai Red Cross, etc. or ordering for you. (They will ensure you have everything you need to get the scripts filled.)

As I mention, these non-profits will provide referrals to two LGBTQI+ friendly, HIV specialists at major hospitals (one in the north and one in the south) that can order your meds. Prices will be just the med cost plus shipping. This takes 2-3 weeks, so you'll still need to get started on meds here. (Out of pocket for the intial meds will be around TWD 15,000 to TWD 20,000 for one month, depending.) Initial tests will run between TWD 12,000 to TWD 15,000. After that, med prices will be more or less comparable to Thai Red Cross prices, plus shipping.

I met with one of these doctors today for consultation and to have all the lab tests done. She was extremely helpful, understanding and friendly. You are also introduced to an LGBTQI+ friendly case manager who will exchange Line contact information with you and be ready to answer any questions you might have along the way as well as provide all types of support.

Also note, that most of the above can be done more or less anonymously if you choose. You will need to tell the nonprofit groups this upfront, however, so they can assist in arranging.

If either legal spouse is HIV positive (and both are on the National Health Care coverage/legal residents) PREP will be provided at no cost to the spouse who is negative. And of course if you are on the National Health Care program or when you become eligible, all HIV treatment costs are completely covered, including further tests.

Note there is a less expensive workaround for the current two year coverage delay requirement for foreigners on work/study residency. Also note this two year coverage delay does not apply to legal spouses (with legal residency) of Taiwan citizens. These non-profits can explain.

Non-profit 1
社團法人中華民國愛滋感染者權益促進會 Persons with HIV/AIDS Rights Advocacy Association
辦公室主任 葉珈語

●電話:+ 886-2-25561383、25561438    傳真:+ 886-2-25504263
●電子郵件:service@praatw.org              官網:http://praatw.org/
●Facebook: https://www.facebook.com/praatw
●地址:103 台北市大同區承德路一段48號2樓

Non-profit 2
http://www.adamslove.org/tw/

I'll post more details regarding my test results and treatment next week.

Offline Expat1

  • Member
  • Posts: 302
Re: Recently diagnosed ~ Questions as heading to Bangkok for initial treatment
« Reply #24 on: November 30, 2019, 06:27:05 pm »
 Nice glad  you got that sorted out.   Nice to also have local support.

 


Terms of Membership for these forums
 

© 2019 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.