Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
Anchor Moy wrote:Thanks for the reply. Would the friends be thinking of suing the doctor to get his insurance to pay hospital costs then ? It sounds awfully like the US health system.epidemiks wrote: ↑Sat Mar 03, 2018 1:08 pmWe do. That doesn't mean everything is free. It just means that stuff like breaking your arm or giving birth doesn't have to cost $90,000 like it might in the US if you don't have private health insurance.Anchor Moy wrote:Good question. I thought they did too. AFAIK the woman is Australian, residing in Australia, and she came to Cambodia for a week. It's not like she's an expat seeking medical care in Australia.
It doesn't cover everything, either. Dental isn't covered by Medicare at all, for example.
There's usually a base amount covered by Medicare and then a contribution that the patient need to pay. Plus, many drugs that might be used in the treatment and rehabilitation that aren't covered by the pharmaceutical benefits scheme.
They talk about amputation and rehabilitation in the GoFundMe, which can be fundamentally life changing so I'd guess the donations would largely cover her recovery over quite a long period of time.
The US litigation mindset has been creeping in the Australia for a while.Anchor Moy wrote:Thanks for the reply. Would the friends be thinking of suing the doctor to get his insurance to pay hospital costs then ? It sounds awfully like the US health system.epidemiks wrote: ↑Sat Mar 03, 2018 1:08 pmWe do. That doesn't mean everything is free. It just means that stuff like breaking your arm or giving birth doesn't have to cost $90,000 like it might in the US if you don't have private health insurance.Anchor Moy wrote:Good question. I thought they did too. AFAIK the woman is Australian, residing in Australia, and she came to Cambodia for a week. It's not like she's an expat seeking medical care in Australia.
It doesn't cover everything, either. Dental isn't covered by Medicare at all, for example.
There's usually a base amount covered by Medicare and then a contribution that the patient need to pay. Plus, many drugs that might be used in the treatment and rehabilitation that aren't covered by the pharmaceutical benefits scheme.
They talk about amputation and rehabilitation in the GoFundMe, which can be fundamentally life changing so I'd guess the donations would largely cover her recovery over quite a long period of time.
If she went to a travel clinic specialising in travel health, then I'd assume they'd be referring to standard guidelines about risks. It would be odd that it wasn't recommended for an extended trip in the north east, it's listed as high risk on most government travel health websites.
Of course it's possible she had existing conditions which might have made lariam or prolonged course of doxy unwise.
I met a girl in India who had a total psychiatric episode after a just few days in the country on lariam. Friends we travelled with had to help her out of the mountains to Delhi to fly home for medical care.
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Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
The key, I think, lies in the wording of the Gofundme page:Gardiguy wrote: ↑Sat Mar 03, 2018 12:44 pmDoesn't Australia have universal healthcare? Serious question.that genius wrote:What would you advise them to do if they need money for big medical expenses?jaynewcastle wrote: ↑Sat Mar 03, 2018 11:26 am Seems the first thing many people do now when they get sick, is launch a crowd-begging fund
So it appears it's not to cover her hospital costs so much as her future.We ask for your help to support Shelley with the expense of her medical costs and living expenses. The smallest donation will greatly appreciated in relieving Shelley’s current and future financial burden.
You must walk in traffic to cross the road - Cambodian proverb
Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
Ahh, thank you. Never did bother to visit the page. My badtimmydownawell wrote:The key, I think, lies in the wording of the Gofundme page:Gardiguy wrote: ↑Sat Mar 03, 2018 12:44 pmDoesn't Australia have universal healthcare? Serious question.that genius wrote:What would you advise them to do if they need money for big medical expenses?jaynewcastle wrote: ↑Sat Mar 03, 2018 11:26 am Seems the first thing many people do now when they get sick, is launch a crowd-begging fund
So it appears it's not to cover her hospital costs so much as her future.We ask for your help to support Shelley with the expense of her medical costs and living expenses. The smallest donation will greatly appreciated in relieving Shelley’s current and future financial burden.
Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
I guess she has less luck than you?Jerry Atrick wrote: ↑Sat Mar 03, 2018 11:48 amI've had malaria. It's overrated.Kammekor wrote: ↑Sat Mar 03, 2018 10:05 amI came to Cambodia with 3 months of anti malarial medication in my bag, advised to take it all the time by doc's back home. I spoke to several doc's while staying here, local doc's, often Western trained, and they strongly advised me NOT to take the anti malarial drugs. They gave me several reasons for it:timmydownawell wrote: ↑Sat Mar 03, 2018 8:50 am Gofundme link https://www.gofundme.com/shelley-hill-recovery-fund
Even if she had travel insurance they probably wouldn't cover her because she was back in Australia by the time she got diagnosed.
Does anyone get anti malarials for Cambodia?
And why do you need $50k for an Australian in an Australian hospital?
- the (false) feeling of 'being protected' might lead to dangerous behavior and getting exposed to the malaria mozzies after sunset. People not taking the drugs are far more aware and more cautious.
- the anti malarials offer far from 100% protection. If you still get it, there's hardly anything left to treat you.
- taking anti malarials for years and years ain't that healthy.
I followed the local doc's advice. I've been around for over 8 years now, and so far I've been lucky - but I take some precautions: mosquito net, after sun set only outside if it's windy (or use a fan), long clothes, stuff like that. No water lingering around the house (breeding ground), cut the grass.....
Doesn't sound overrated to me.Shelley was rushed to hospital where she rapidly deteriorated to the point of being admitted to intensive care, progressing to multi organ failure, being commenced on life support and dialysis with no circulation to her extremities causing irreversible necrosis to her hands and feet.
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Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
I think you mean the defensive wall built in the mid 80s, but that was along the Thai border, Preah Vihear > Oddar Meanchey > Banteay Meanchey and the rest all the way to the gulf. Rattanakiri and Mondulkiri don't border Thailand so they didn't need such strong defense. Anyway you're right in that a lot of people caught malaria along the border and brought it home to areas where it had been relatively malaria free for decades.willyhilly wrote: ↑Sat Mar 03, 2018 10:37 am I think thousands died working on the fortifications in the bush up there somewhere in the nineties. Most were from provinces with no malaria and were therefore susceptible. I heard a story years ago of Australian drillers working in Rattanakiri and most got malaria. Two had to be medivacced with cerebral malaria.
Silence, exile, and cunning.
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Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
When I went to donate blood they insisted on six months unless I had just been to Phnom Penh or Angkor Wat. I said, surely you mean Siem Reap, Angkor Wat is out in the jungle. Nope. "Do I look like I have malaria?" didn't wash, either.that genius wrote: ↑Sat Mar 03, 2018 12:05 pm If she only started feeling unwell after her return from Cambodia, it's possible she was infected in Australia, no?
Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
In Canada I had to wait 1 year because I had been in Bangkok, no problem with Phnom Penh. All of Thailand was on the nope list except Pattaya, I just burst out loud laughing when she told me that and said they probably had other things that would knock them off the list.cptrelentless wrote:When I went to donate blood they insisted on six months unless I had just been to Phnom Penh or Angkor Wat. I said, surely you mean Siem Reap, Angkor Wat is out in the jungle. Nope. "Do I look like I have malaria?" didn't wash, either.that genius wrote: ↑Sat Mar 03, 2018 12:05 pm If she only started feeling unwell after her return from Cambodia, it's possible she was infected in Australia, no?
Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia
The eastern Mondulkiri region of Cambodia, where Ms Hill visited, is at significant risk of malaria. http://www.news.com.au/travel/travel-ad ... 73780bb315
She was going to a high risk Malaria area in Cambodia where "antimalarials are usually advised" and she was only there for a week, so for taking something like Malarone or Primaquine she would only be on medication for 18 days, and "Her doctor told her that as she was travelling to Cambodia during the dry season, antimalarial medication wasn’t necessary." http://www.news.com.au/travel/travel-ad ... 73780bb315
From the NHS
Malaria risk is present throughout the year in all areas except Phnom Penh, other main cities, Angkor Wat, Siem Reap and close to Tonle Sap. Risk is highest in the north east regions of Preah Vihear, Stung Treng, Ratanakiri and Mondolkiri.
Malaria precautions are essential. Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin, and, when necessary, sleeping under a mosquito net.http://www.fitfortravel.nhs.uk/destinat ... bodia.aspx
Most tourists to Cambodia only visit Siem Reap, the temples of Angkor, and Phnom Penh. In all these areas malaria is NOT a significant problem for the visitor. So, if you only travel to these destinations, taking antimalarial drugs is really not necessary. You should however take precautionary measures against mosquito bites (see Dengue Fever).
It’s a different story in all other regions of Cambodia. If e.g. you are travelling to the southern coast – including the islands, or to the eastern provinces, like Mondulkiri, Ratannakiri and Kratie, please do take precautionary measures to reduce the risk of mosquito bites and contracting malaria.https://www.camboguide.com/practical/he ... gue-fever/
She was going to a high risk Malaria area in Cambodia where "antimalarials are usually advised" and she was only there for a week, so for taking something like Malarone or Primaquine she would only be on medication for 18 days, and "Her doctor told her that as she was travelling to Cambodia during the dry season, antimalarial medication wasn’t necessary." http://www.news.com.au/travel/travel-ad ... 73780bb315
From the NHS
Malaria risk is present throughout the year in all areas except Phnom Penh, other main cities, Angkor Wat, Siem Reap and close to Tonle Sap. Risk is highest in the north east regions of Preah Vihear, Stung Treng, Ratanakiri and Mondolkiri.
Malaria precautions are essential. Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin, and, when necessary, sleeping under a mosquito net.http://www.fitfortravel.nhs.uk/destinat ... bodia.aspx
Most tourists to Cambodia only visit Siem Reap, the temples of Angkor, and Phnom Penh. In all these areas malaria is NOT a significant problem for the visitor. So, if you only travel to these destinations, taking antimalarial drugs is really not necessary. You should however take precautionary measures against mosquito bites (see Dengue Fever).
It’s a different story in all other regions of Cambodia. If e.g. you are travelling to the southern coast – including the islands, or to the eastern provinces, like Mondulkiri, Ratannakiri and Kratie, please do take precautionary measures to reduce the risk of mosquito bites and contracting malaria.https://www.camboguide.com/practical/he ... gue-fever/
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