Hospitals in Chiang Mai, Thailand – Medical Tourism

Chiang Mai Ram Hospital

This is the premium private hospital in Chiang Mai, and with the price range to match: but then again, you get what you pay for, though the Ram is not necessarily where you might want to have your check-up or physician appointment if you are a backpacker traveling on a limited budget. The Ram has comprehensive departments: Obstetrics/Gynecology, neurosurgery, pediatrician, dentistry, and all the specialists you would expect to find at any modern hospital. Indeed, Thai doctors tend to come with much better bedside manners and as a rule are friendlier than their western counterparts thanks to the emphasis on hospitality in Thai culture as well as the Ram’s direction as part of the service sector. The staff speak fairly fluent English, usually give prompt, helpful service, and the hospital as a whole is one of the most reputable in the country (overseas patients who come to Thailand for cheaper medical expenses and operations are common). The Chiang Mai Ram is located in the Old City area, near the Central Kad Suan Kaew shopping mall, and boasts a roof that has been built to accommodate emergency helicopter landing. All reputable hotels in the city often have a contract with the Ram and default to them for ambulances and emergencies.

Rajavej Hospital

Located opposite a hotel, the Rajavej Hospital includes highly specialized service clinics, including liver disease clinic, hemorrhoids clinic, digestive system disease, diabetes/thyroid and cholesterol clinic, dermatology, geriatric clinic and a menopause clinic. Their service centers range from cancer to endoscopy, and they have surgeons who specialize in orthopedic surgery, oncology, and plastic surgery. Price range is somewhat less likely to traumatize your wallet, but the Rajavej Hospital’s lobby and waiting area is also considerably less glamorous to look at then the Ram’s.

McCormick Hospital

The McCormick Hospital is one of the few institutions in Chiang Mai and Thailand in general that are run under the umbrella of the Church of Christ, and as such is a Catholic hospital. Being considerably smaller than the Chiang Mai Ram, it accordingly offers rather fewer facilities and department, but the accommodation and nursing fees are also much cheaper, catering to more budget-conscious patients. General health check-ups, cancer check-ups, prenatal and postnatal care, cardiac care unit, and intensive care units are available. The McCormick is located in Wat Ket, on Kaeonawarat Road, close to the Dara Academy.

Lanna Hospital

The Lanna Hospital has been certified with ISO 9000. It offers 180 in-patient beds, and distinguishes itself by hiring staff who not only speak English but also Mandarin and Japanese in addition to, of course, Thai. While like others it offers general care across various health categories (cardiac care, back pain, Obstetrics/Gynecology, et cetera), it specializes in handling emergency cases. It is located on Chnag Klan Road, in the city center, and is one of the hospitals closest to the Night Market area.

All the hospitals listed adhere to ISO standards and are staffed by internationally trained doctors and nurses, many of which graduated from Ivy League schools and top medical universities of England and Switzerland. Combine this with the superior hospitality, cultural disposition toward friendliness, and the relatively low costs, and Chiang Mai easily proves one of the most attractive destinations for medical tourism.

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Types of Underpads Used in Hospitals and Homes

The two primary types of underpad used in hospitals are disposable underpads and washable or reusable underpads. In this article, we will discuss the features of these two types of underpads in more detail. Here, it must be mentioned that although the biggest consumers of these products are hospitals and nursing homes, individuals with bed-ridden patients, disabled or elderly individuals or even those with babies at home can and do use these pads.

The disposable underpads as their name suggests, are meant for one time use. They are available in a range of construction types and sizes. They usually contain a waterproof plastic material for the bottom, a middle layer designed to absorb liquid and a top layer made from a soft and comfortable fabric. The middle layer usually houses multiple layers of tissue to absorb fluids. The topmost layer of these units come in contact with the patient’s body, therefore manufacturers use materials such as cotton that will make patients are comfortable while using their disposable underpads. You will also come across pieces in which the top sheets are made up of tissues or a tear-resistant spun-bond material that allows for movement without fear of ripping the pad.

There are some disposable underpads carrying top sheets attached to the plastic layer at the bottom by means of an adhesive. Then, there are others with two sides rolled and glued to ensure that the liquid comes out only from the side in case the pad overfills. Experts refer to this process as channeling. The pads adopting this process are known to be more absorbent compared to the other underpads available on the market. You can get all these disposable underpads in a range of sizes; so, purchasing pads that match your body, bed or chair size will be simple.

Now, we will be talking about the washable or reusable underpads. These pieces are classified based on factors such as absorbency, materials, and size. The term absorbency refers to the volume of urine or bodily fluid that an underpad is capable of holding. The material used for crafting the absorbent layer is a kind of absorbing polymer.

The quantity of polymer used and the material’s density are two factors that decide how much liquid the underpad is capable of absorbing; basically, the underpad’s urine holding capacity. Here, it must be noted that one should never confuse an underpad’s absorbency level with its size. A pad that’s large in length and width might not absorb the most urine.

After absorbing the urine, reusable underpads need to secure it in a liquid-proof barrier. This is essential to prevent the urine from soaking through the bedding. These liquid proof barriers are made either of urethane or of vinyl. The vinyl structures, although more cost-effective, are not breathable; additionally; they can take a lot of time to fully dry. The urethane structures are more expensive, but don’t have the issues we generally associate with vinyl underpads.

Now, let’s discuss the appropriate size of underpads. When buying an underpad, you must ensure that you have at least 6 to 10 inches around your waist i.e. the target zone. This stands true for both underpad types, disposable and reusable and allows enough coverage to adequately contain fluids. Smaller sized pads are designed for use in chairs and make excellent absorbers in baby cribs or on diaper changing tables. Many hospitals use small pads in bassinets for easy clean up.

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Hospital Inventory Management: Best Practices for Managing Inventory Levels

When dealing with supplies and inventory in hospitals, there are many different practices which management may decide to use to keep track and keep inventory levels on supplies up to date. Which methods and which practices are used in each hospital will depend on: management decisions, the size of the hospital and the amount of inventory which it usually keeps on hand, the type of inventory management which staff has been trained on and is used to dealing with, and whatever other practices which the hospital and management staff believe are in the best interest of the hospital.

Some of the best practices in hospital inventory management are similar to the kinds of methodologies which are used in the production materials management industry. These practices in hospital inventory management generate the same cost reduction and improvements in service levels which are typically seen in the manufacturing industry. In the past hospitals were only interested in managing the material; Today, however, managers and staff are also looking to manage expenses, materials, and the human capital involved to measure inventory levels.

To best manage inventory levels hospitals have to consider the dollars and cents, not just the level of materials they have on hand. Because it is a hospital, and you can never tell what patients will need, it is better to keep higher stock of material just in case it is needed. Many organizations do not analyze the right place for inventory to be kept, how much it costs to keep it, and how much is really required. To properly manage the inventory, all these considerations need to be taken.

Hospitals must also take into consideration the cost of materials, not just the actual price tag. The costs in procuring materials including, ordering and shipping costs, are critical for managers to be able to truly calculate the inventory on hand. Setting up integrated policies for staff to follow is another key. Using centralized ordering systems will help to keep the inventory levels under control. These policies on ordering limits and times, will keep all staff aware of what is on hand, and what will be needed next time ordering dates come around.

To maintain the best inventory system in hospitals, all aspects from actual amount in stock, to costs involved in storing inventory, to shipping costs need to be considered. For the best practices set policies on ordering, minimum levels to be kept, and all inventory and costs for the entire hospital staff.

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Yoga and Meditation: How It Reduces the Hospital Visits and Changes Your Mind and Body

The yoga and meditation reduces stress and risk for various diseases, improved well-being and a rewired brain. But there are a few experiments to support these claims. A study published in Biological Psychiatry shows that a mindfulness meditation can change the brains of ordinary people and potentially improve their health. The yoga and meditation can curb the need for common healthcare services by almost 50% according to researchers. A regular practice of both you can limit your healthcare costs to yoga classes, healthy food and an occasional homeopathic.

A study reveals that evoking the physiologic state of deep rest or the relaxation response can help alleviate stress and anxiety and also affect the heart rate and blood pressure (BP). This study also finds that programs that train patients to elicit the relaxation response can also dramatically reduce health care utilization. These types of programs can improve wellbeing and could ease the burden on our health delivery systems at minimal cost and at no real risk. This study is done by the Massachusetts General Hospital (MGH) the Institute for Technology Assessment and Benson-Henry Institute (BHI).

A mindfulness meditation demands '' an open and receptive, nonjudgmental awareness of your present-moment experience, '' says J. David Creswell, who is an associate professor of psychology and director at Carnegie Mellon University.
In some studies, some participants receive treatment while others get a placebo. The people are getting different treatment while they are think that they are getting the same treatment. For many years yoga and meditation have been used as an everyday way of life to improve good health and wellness. The both used for thousands of years in the East and increasingly popular in the Western world. The people want to be healthy but they are not aware or educated about how they can change their lifestyle to be healthy. Yoga, prayer and meditation make you health conscious.

In a study, first recruited Thirty Five unemployed people who were looking for work and experiencing significant stress. The brain scans were given and blood drawn was given. Half of the people were taught formal mindfulness meditation and half were taught a sham mindfulness meditation that was focused on relaxation and distracting from stress. The first group paid close attention to bodily sensations and second group was ignore their bodies and encouraged to chatter cracking jokes.

After three days the brain scans showed differences in only mindfulness meditation group. All participants told to the researchers that they feel refreshed and better able to withstand stress. After 4 months first group showed much lower levels of unhealthy inflammation of blood than the second group. The yoga and meditation offers an opportunity to connect within. It can improve our health care system and also improve the quality of our lives. Here it is unclear that how much mindfulness is needed to improve health and have no idea about the ideal time.

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How Hospital Cafeterias Are Increasing Retail Revenue

Hospitals retail areas find themselves under increasing pressure to meet revenue goals

Faced with rising costs and financially challenging times, healthcare organizations are increasingly looking to their retail areas as an additional source of revenue generation. Although hospital foodservices operations are well known for providing patient meals, most if not all are also responsible for the retail side of foodservice operations at their onsite cafeteria, snack bar and or coffee bar. Tasked with growing their revenue contribution to the hospital, many Directors of Foodservices and Cafeteria Managers are taking creative steps to increase patronage. Increasing employee participation, enticing members of the local community, and tailoring their food and beverage offerings to the needs and culinary preferences of patrons are all goals of aggressive foodservices operators.

Grab and Go

In a busy healthcare environment, speed is key! That’s why over the past few years, many hospital cafeterias have redesigned their space to accommodate new coolers stocked with appetizing pre-packaged food choices; ranging from yogurt and fruit parfaits, to sandwiches and salads. These portable food options offer a highly convenient and fast way for busy healthcare workers to quickly grab something to eat or drink while on the run. The pre-packaging also enables staff to bring these items back to their desk or another area for consumption at a place other than the cafeteria. When used with a POS system and bar coded labels, check out of these grab and go items at the point of sale takes only a few fast seconds.

Dining Experience

Many healthcare facilities have renovated their cafeterias to offer a more appealing restaurant-like dining experience to attract employees, visitors and guests. Their goal is to entice hospital workers to remain onsite for lunch instead of seeking off site alternatives, appeal to visitors, and in some cases attract the local community. To accomplish this, Foodservices Directors are not only creating a visually appealing dining area, but also are hiring highly talented and experienced restaurant chefs with a flair for engineering new and delicious menus. Using a POS system with menu item performance tracking gives the chefs a clear picture of which menu items are performing well, and which should be removed from the menu rotation.

Employee payroll deductions

Managed through a Point of Sale System as an employee payroll deduction to be deducted from a future pay check, the ability to make a retail purchase by scanning the employee badge already carried by the healthcare worker is seen to be a valuable benefit and convenience. When employees can present the badge they already carry as a form of payment, they no longer have the need to carry cash or credit cards as they move about the facility. Frequently, this convenience means the difference between having the time to enjoy a delicious meal versus a skipped lunch or breakfast. Cashless payment also translates into an increase in add on food and beverage purchases, when the employee doesn’t have enough cash on their person to cover all the choices they’d like to make.

Credit card processing

It’s not unusual for visitors to find themselves without cash on hand when visiting a patient in the hospital. We are all consumers accustom to paying for most everything with our debit or credit cards, and are therefore quite surprised to find out the hospital cafeteria does not accept credit or debit cards. Although most hospitals offer an onsite ATM, the inability to accept credit or debit card payments translates into a lost sale; and quite possibly a full tray of food left at the checkout counter because the visitor didn’t have a convenience payment option. The checkout process is a big part of the customer experience, so it is important that credit and debit card processing is fast and fully integrated with the cash register operations of the POS system.

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Two Recommended Hospitals in Frankfurt, Germany

Frankfurt, officially known as Frankfurt am Main is the second largest metropolitan area in the country of Germany. Frankfurt is a globally renowned center for commerce, transportation, finance, education, culture and tourism. It is regarded as the second most expensive city of Germany and one of the top 10 most livable cities in the world. This city is very multicultural as 30% of its residents are immigrants. It was also the former headquarter of the U.S. Army in Germany. Visitors can find many modern hospitals in Frankfurt that offer high quality health care at global standards. All the leading hospitals accept major health insurances and provide special accommodations for international patients. Here is a note on some of the better hospitals in Frankfurt.

The University Hospital of Frankfurt located at Theodor-Stern-Kai 7 is a major health care facility in Frankfurt. The hospital offers comprehensive medical service to a large number of patients. Founded in 1914, the hospital now has 25 medical clinics and 25 research institutes. It is one of the most well known centers for various types of transplant and the only designated center for liver and pancreas transplants in the area. The central laboratory performs every kind of test for hematology, immunology and coagulation analysis. Its ISO 9001:2000 certified Institute of diagnostic and interventional radiology is remarkable and offers service in many areas. This is a premier institute for medical education and research. Tel: + 49 69 630 10

Hospital of the Holy Spirit GmbH (Hospital zum heiligen Geist) is another popular hospital in Frankfurt that offers modern and effective health care at an affordable cost. This hospital is regarded as the oldest health care facility in the city with its glorious history of about 800 years. The center offers the complete range of medical services including internal medicine, gynecology, obstetrics, surgery, aesthesia, psychosomatic medicine and pain therapy. The surgical clinic employs some well known surgeons and works under and interdisciplinary consensus. The Women’s Hospital features four birth rooms with a birthing pool, a birth stool, and a waterbed. The hospital has the best emergency care unit and ICUs. The emergency section has 20 beds and features many specialized units for heart attack, renal failure, poisoning, acute abdominal problems and shock. Tel: 069/2196-0

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Importance of Communication in Hospitals

Interaction with the front desk staff generally forms the patient’s first impression of a hospital. Lack of communication is also often the root cause of a majority of incidents that occur in a hospital. In today’s customer focused healthcare scenario, communication plays a massive role in a hospital. Sadly, it is also one of the most common and overlooked problem areas in a majority of the hospitals.

Communication can be a very effective tool for improving patient satisfaction in a hospital. Hospital feedback forms often reflect issues where improper or inadequate communication is the root cause. Long discharge time is a common cause for patient dissatisfaction in most of the hospitals, however, a major cause for disconcert could be that the patient/patient relative were not explained at the onset about the discharge process and the time taken for it and hence expects a discharge the minute the doctor orders it. Similarly, if patients are informed beforehand of the expected time delay and reasons for delay in an OPD, they are less likely to complain about the waiting time and the services at the hospital. Patient Safety is another area which relies to a great extent on communication. Improving effective communication is also one of the patient safety goals. Even a minor mistake during handover between shifts can effect patient safety. Similarly, critical test values need to be communicated instantly to the concerned consultant and in case of a code blue, alerting the code blue team or the concerned personnel is indispensable. In a healthcare set up where a critical test result or a change in the patient condition can be a matter of life and death the importance of communication cannot be emphasized enough.

Some strategies for effective communication in hospitals:

• Soft skill training should be given to staff for better patient handling. Rude staff and inadequate information and attention by staff are frequent complains of patients at the registration and enquiry desk during the peak hours of patient flow.

• The hospital should plan and prepare for communication strategies in situations where enhanced communication is required and train their staff for the same, for e.g. sudden death of a patient, violent patient relatives etc.

It is also important that the patient relatives are periodically updated about the condition of the patient.

• Senior clinical and management staff should always encourage an open channel of communication with staff down the line. There have been incidences in hospitals where patient care was compromised because the nurses were apprehensive to contact the doctor. A good communication culture in the organization also improves employee satisfaction as it improves transparency and increases accountability.

• Good intra and inter departmental flow of information is essential to improve the efficiency of hospital services. Quality indicator trends, audit results and patient feedback results should be communicated down the line to the concerned staff down the line, without which the activity is useless.

External and internal communication play a major role in a hospital set up where timeliness, adequacy, accuracy, completeness of information could play a vital role in avoiding errors and saving a life. At the end of the day, however good the clinical care given it will be useless if it is not communicated appropriately to the patient.

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Hospital Discharge – How to Plan For a Safe Discharge

Be aware that all unplanned, rushed or poorly coordinated discharges from hospitals are very dangerous! A recent study in the New England Journal of Medicine concluded that one in five Medicare patients are readmitted to the hospital within 30 days. One in three are back within 90 days. The author suggests that many of these problems are related to inadequate coordination of care and poor discharge planning.

Why This Happens

Discharge planning is not always given the care and attention necessary for a smooth transition from the hospital. All patients should receive detailed care instructions in their language and at their health care literacy level. Unfortunately, this does not always happen.

Hospital staff members are under intense pressure to release you as soon as they can. Those in the health care industry have coined the term “quicker and sicker” when they describe how patients are now discharged from hospitals. As a direct result of such early hospital discharges:

· 41% of patients are discharged with test results still pending.

· 13% of these tests are of an urgent nature.

What’s worse, at the time of discharge, one half of adults have trouble understanding their prescriptions or discharge instructions. In addition, less than one-half of patients know their diagnosis, treatment plan or side effects of prescribed medication.

The results of poor care coordination at the time of a hospital discharge can jeopardize your health and safety. Here is my recommendation; don’t allow this to happen to you or a loved one.

Take Active Role in Your Discharge Plan

You must insist on a well planned and coordinated hospital discharge plan. At the very least, be sure to:

1. Receive the necessary discharge education about the condition that brought you to the hospital. Take full advantage of the expertise of the hospital staff. Ask as many questions as necessary to gain a full understanding of your condition, diagnosis, and treatment plan. Ask for written information as well.

2. Request to meet with the hospital pharmacist to review all of your discharge medications. Be sure to discuss any changes, additions or deletions of medication that you were taking before your hospitalization. This process is called “Medication Reconciliation” and is essential to a safe discharge. It has been found that between 20 and 30% of all hospital re-admissions within 30 days are the direct result of medication issues.

3. Find out when you need to follow up with your medical team such as your primary care physician, surgeon or specialist. This is critical as a well coordinated discharge plan will involve timely follow up care.

4. Be sure that your primary care physician receives copies of your discharge medication list and instructions. Take your copy with you to your follow up appointment.

These are just a few of the items that need to be contained in your official discharge plan. Remember, this may not happen unless you request it. You will increase the likelihood of a safe discharge when you are an active participant in discharge planning.

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Decorative Car Floor Mats: Get Them In Your Automobile

The beauty is something that is reflected through your eyes. It brings shine and sense of satisfaction in your eyes. It is not the external beauty that always matters. One should give the same importance to internal beauty, which is most of the times not visible. The case is similar in automobiles. Everybody appreciates the external prettiness of the car, but nobody cares or even pays attention towards its internal beauty. There are so many things that contribute to this internal beauty. These objects vary from interior lights, seats, steering wheel and floor mats. People mostly wonder how floor mats can contribute in enhancing the external splendor of any automobile. Let’s understand how the floor mats and car liners are significant for car interior.

Car Mats are designed to protect the floor of the vehicle from dirt, dust, wear and salt corrosion. Manufacturers equip them to keep the vehicles clean for long. These mats are considered as an imperative car accessory that does not always come with the car. You have to buy them from the companies dealing in car parts and accessories. These experts produce this special car accessory by properly following Original Equipment Manufacturer (OEM) guidelines and ensuring manufacturer credibility and quality. Factors that are considered vital during the manufacturing of car floor mats and liners are:

• Durability

• Odor Release

• Performance at various heat levels

• Anti-slip bottom side

• A heel pad for added safety

• Wear and tear proof

Car Mats are available in a range of materials that not only have ample strength but also increase the interior aesthetics. These consist of:

Cloth Mats: Cloth Mats are available in different colors. These are soft and have a rubber back which avoids slipping. These mats are supple, washable and highly absorbent which make them idyllic for rainy and muddy conditions.

Rubber Mats: Rubber mats are recognized for their toughness, but the drawback of these types of mats is that they cannot absorb water and mud like cloth mats.

All-Weather Mats: All-weather mats are porous, and the turned edges put a stop to the water from leaking over the sides. Therefore, these mats are better than basic rubber mats. These are most commonly used floor mat type. Designer all-weather mats contain company logos, advertisements or cartoon characters.

One will find universal and custom fit mat options where the universal mats can fit into multiple cars. On the other hand, custom fit mats are specifically designed for a car brand and model. The features and specifications of these mats remain the same.

These mats are:

• Waterproof

• Mould and mildew resistant

• Stain and fade resistant

• Long-lasting grade of carpet

• Come up non-skid rubber backing

• Easy to customize in the way you want with different custom selection options

• Available in sets of 2 front or 4 front and rear mats

• Accessible with Greek Lettering styles

• Obtainable with the monogram of your initials, name or favorite saying

Make sure that the car mats you are buying are designed to handle the scorching heat and effects of salt.

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Uses Of Automotive Equipment And Tools

Automotive equipment and tools are a very important part of the automobile industry. They can range from simple hand held devices to large structures that can even lift a heavy truck. The uses of these equipments in the world of automobiles cannot be undermined. For carrying out repairs, for changing a tire, for lubricating, for servicing, for charging up the battery, and for cleaning the vehicles, these equipments are very important.

Here Is A Brief Note On Some Of The Uses Of These Equipments.

Automobile Equipment Usage

* Automotive Lifts: Hydraulic lifts are very common in the industry and are used in showrooms, repair shops, and automobile factories. They generally come in the form of a platform fixed on a zigzag leg that can be raised or lowered as required. Heavy vehicles can be raised by the use of this equipment. These are how cars reach the first or second floor of a showroom or how the repairs to the lower part of vehicles are carried out in a mechanic’s shop. These lifts can be of different types like motorcycle lifts, runway lifts, drive on lifts, in-ground lifts, etc.

* Lubrication Equipments: As the name suggests, these are used to lubricate parts of the vehicle. There is a long list of lubrication equipments available and each is used for different lubrication purposes. Oil and grease reels, grease guns, oil drains, and oil and grease pumps are all examples of such commonly used equipment. Blacrank is a good brand when it comes to these equipments. Blacrank oil pumps are indisputable masters of the group.

* Compressors: Air compressors are used to do various works on automobiles. Generally, air compressors give additional pressure to drive in screws and give more power to tools like wrenches and nail guns. These are also used to remove dirt from the vehicle.

* Service Equipments: A vehicle needs to be serviced from time to time to ensure its proper running. This is where service equipments come in. These are battery chargers, fuel transfer device, brake fluid exchangers, coolant service equipment, tire changers, etc.

* Reels: These come in different shapes and sizes and are an important member of any automotive equipment list. Reels could be air reels, exhaust hose reels, grease reels, etc. Reels help to keep the pipes and hoses in place and also to extend its life. They can be easily reeled out to the required size and stored by reeling back.

* Jacks: Jacks are important not only in the shop but also for every vehicle owner. They enable the person to lift up the vehicle for the purpose of changing tires or doing some emergency repairs on the vehicle.

The list of automotive equipment is quite long and their uses quite large. Companies who sell such equipments also deal in car parts, thus making the store a one stop place for all things related to automobiles. Nowadays, there are thousands of online stores selling these equipments making them more accessible to all in need.

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