Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

This is where our community discusses almost anything! While we're mainly a Cambodia expat discussion forum and talk about expat life here, we debate about almost everything. Even if you're a tourist passing through Southeast Asia and want to connect with expatriates living and working in Cambodia, this is the first section of our site that you should check out. Our members start their own discussions or post links to other blogs and/or news articles they find interesting and want to chat about. So join in the fun and start new topics, or feel free to comment on anything our community members have already started! We also have some Khmer members here as well, but English is the main language used on CEO. You're welcome to have a look around, and if you decide you want to participate, you can become a part our international expat community by signing up for a free account.
epidemiks
Expatriate
Posts: 1594
Joined: Fri Mar 20, 2015 6:56 pm
Reputation: 514
Australia

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by epidemiks »

Anchor Moy wrote:
epidemiks wrote: Sat Mar 03, 2018 1:08 pm
Anchor Moy wrote:
Gardiguy wrote: Sat Mar 03, 2018 12:44 pm
that genius wrote: What would you advise them to do if they need money for big medical expenses?
Doesn't Australia have universal healthcare? Serious question.
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.
We 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.

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.
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.
Anchor Moy wrote:
epidemiks wrote: Sat Mar 03, 2018 1:08 pm
Anchor Moy wrote:
Gardiguy wrote: Sat Mar 03, 2018 12:44 pm
that genius wrote: What would you advise them to do if they need money for big medical expenses?
Doesn't Australia have universal healthcare? Serious question.
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.
We 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.

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.
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.
The US litigation mindset has been creeping in the Australia for a while.

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.
User avatar
timmydownawell
Expatriate
Posts: 3626
Joined: Tue Mar 22, 2016 12:50 pm
Reputation: 1454
Cambodia

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by timmydownawell »

Gardiguy wrote: Sat Mar 03, 2018 12:44 pm
that genius wrote:
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
What would you advise them to do if they need money for big medical expenses?
Doesn't Australia have universal healthcare? Serious question.
The key, I think, lies in the wording of the Gofundme page:
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.
So it appears it's not to cover her hospital costs so much as her future.
You must walk in traffic to cross the road - Cambodian proverb
Gardiguy
Expatriate
Posts: 364
Joined: Sun May 07, 2017 5:50 pm
Reputation: 74
Canada

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by Gardiguy »

timmydownawell wrote:
Gardiguy wrote: Sat Mar 03, 2018 12:44 pm
that genius wrote:
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
What would you advise them to do if they need money for big medical expenses?
Doesn't Australia have universal healthcare? Serious question.
The key, I think, lies in the wording of the Gofundme page:
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.
So it appears it's not to cover her hospital costs so much as her future.
Ahh, thank you. Never did bother to visit the page. My bad
User avatar
Kammekor
Expatriate
Posts: 6443
Joined: Fri Sep 01, 2017 12:50 pm
Reputation: 2943
Cambodia

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by Kammekor »

Cam Nivag wrote: Sat Mar 03, 2018 12:03 pm
Kammekor wrote: Sat Mar 03, 2018 10:05 am after sun set only outside if it's windy
That seems extreme to me.
Yes, outside Candy bar it is. In the boonies, between fields and forests it isn't. Unless you use a fan of course.
User avatar
Kammekor
Expatriate
Posts: 6443
Joined: Fri Sep 01, 2017 12:50 pm
Reputation: 2943
Cambodia

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by Kammekor »

Jerry Atrick wrote: Sat Mar 03, 2018 11:48 am
Kammekor wrote: Sat Mar 03, 2018 10:05 am
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?
I 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:

- 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.....
I've had malaria. It's overrated.
I guess she has less luck than you?
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.
Doesn't sound overrated to me.
User avatar
John Bingham
Expatriate
Posts: 13777
Joined: Sun Dec 07, 2014 11:26 pm
Reputation: 8975
Cambodia

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by John Bingham »

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.
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.
Silence, exile, and cunning.
User avatar
cptrelentless
Expatriate
Posts: 3033
Joined: Wed Jul 01, 2015 11:49 am
Reputation: 565
Location: Sihanoukville
Korea North

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by cptrelentless »

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?
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.
Gardiguy
Expatriate
Posts: 364
Joined: Sun May 07, 2017 5:50 pm
Reputation: 74
Canada

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by Gardiguy »

cptrelentless wrote:
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?
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.
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.
User avatar
Kuroneko
Expatriate
Posts: 3809
Joined: Thu May 15, 2014 11:18 am
Reputation: 879

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by Kuroneko »

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/

Image
willyhilly
Expatriate
Posts: 1759
Joined: Sun Jan 17, 2016 7:11 am
Reputation: 357
Location: Australia
Albania

Re: Australian SHELLEY HILL on Life Support with Malaria After Doctor Advised Against Medicine for Cambodia

Post by willyhilly »

Are the elephants OK?
Post Reply Previous topicNext topic
  • Similar Topics
    Replies
    Views
    Last post