Dermatologist

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Scott
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Dermatologist

Post by Scott » Tue May 25, 2010 1:33 pm

This is just to let everyone know that today, for a small rash, I consulted Dr. Rifaat Gatas, off Youssef Hassan Street.

I saw him for no more than 10 minutes, had a simple visual observation, discussed in length the fact that we were permanent residents of Luxor, NOT tourists.

The final charge was 120 le. I know, I should have asked up front! Reach your own conclusions.

Best to all,
Scott


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Post by Kevininabydos » Tue May 25, 2010 1:44 pm

oops! ouch! :!:
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Scott
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Post by Scott » Tue May 25, 2010 1:47 pm

Kevin, you have an elegant way with words!!!!!!
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Post by Goddess » Tue May 25, 2010 2:09 pm

I'll second Kevin!

:x
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Post by Jane Akshar » Tue May 25, 2010 2:38 pm

You should have queried it, I don't think you should condemn him for trying it on. That is part of being a resident knowing the right price and saying something when you are charged too much. I recently had an x-ray and was quoted a price and immediately said I paid half that last so got half price.
Jane Akshar - mad about egyptology -sane otherwise ....... I think

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Post by Kevininabydos » Tue May 25, 2010 2:54 pm

Scott wrote:Kevin, you have an elegant way with words!!!!!!
Don't let GD hear you say that! :lol:
“The object of life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane.”

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Post by Scott » Tue May 25, 2010 4:25 pm

As I said, Jane, my own stupid fault! WE agreed first thing I ask was price - when I got there - seemed to forget and go right into problem!

Sharon says it is early Alzheimer's - I say it can't be - I'm not happy!!!!

Oh, well, lesson learned - I think the expensive ones are the best ones!!!
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Post by Glyphdoctor » Wed May 26, 2010 5:55 pm

Most dermatologists in Cairo will only see you after a 4 month wait for an appointment as they are all booked up far in advance.

I recently saw one for 180LE, because he offered same day appointments for that price, otherwise I would have not been able to see one at all. I believe he was 120LE if you waited.

My husband had been to see the same doctor some years ago and he treated him for free as a professional courtesy.

We now have the medical syndicate insurance so that wouldn't be an issue again but I'm not sure that 120LE is actually a lot for a dermatologist, as it is a matter of supply and demand and obviously the demand outstrips the supply.

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Post by Scott » Wed May 26, 2010 6:12 pm

I wish I could get some sort of Egyptian insurance plan but they all cut off enrollment at 55! I'd give 10 years to be 55 again! The prices here are not for me to complain about - I had just been counseled to expect to pay a lot less. ON a subject I know - for an angioplasty here vs. my home Cleveland Clinic - ADD ZEROS to the price for Cleveland!!!

As always,
Best to all,
Scott
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Post by Grandad » Wed May 26, 2010 7:23 pm

Scott, you introduced the subject but did not tell us that you were reassured that it is nothing to worry about. I hope that is the case. :)

As an aside, a couple of years ago I had a nasty patch on the back of my right hand. Got an appointment by our 'Choose and Book' NHS procedure to see a consultant dermatologist in 2 weeks. She booked me in within 3 weeks for removal and grafting on an outpatients day surgery appointment. I have mentioned this because we are told that President Obamas new healthcare measures were opposed in some quarters by claims that a similar scheme in the UK had waiting lists of 2 years and more.....not true!
Grandad :gg:

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Post by crazycat » Wed May 26, 2010 9:27 pm

thats not quite accurate grandad, perhaps in some specialities but not in many, thats why the government pays the, both dayq NHS to run waiting list initiatives to keep on top of the waiting lists otherwise the government targets would never be met. Before any one shoots my comments down I'm speaking from first hand experience, I work for the NHS and my trust has ran orthopaedic waiting lists every weekend, both days, in 3 hospitals for the last 3 years to try and hit the government targets and we still can't. We also have plastics and some general surgery WLI's. It all depends on what you need doing and where you live.
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Post by Kevininabydos » Wed May 26, 2010 10:10 pm

When my heart condition was finally diagnosed after waiting 9 months to see the consultant, I was put on the "Emergency surgery" list but it still took nearly 12 months to have the operation though and then only because the person in front of me in the queue died before their turn came up, as nearly did I :!:
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Post by Horus » Thu May 27, 2010 12:53 am

I took an old friend of mine the other day to see his doctor as he had developed a rash on his back. I had noticed he had become a little deaf lately so asked him to check on that at the same time. His doctor proceeded to put on a rubber glove and stuck his forefinger up his bum, he let out a small yelp then pee’d on the consulting table. For that we paid £70 for the consultation and two weeks antibiotics, bloody vet bills are skyrocketing in the UK.
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Post by PRchick » Thu May 27, 2010 4:21 am

Wow Scott, you have been away for a long time. I'm not sure $20 even covers a co-pay for a ten minute consult now. My Singular costs $150 for a 30 day supply.
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Post by Glyphdoctor » Thu May 27, 2010 5:11 am

Scott wrote:I wish I could get some sort of Egyptian insurance plan but they all cut off enrollment at 55! I'd give 10 years to be 55 again! The prices here are not for me to complain about - I had just been counseled to expect to pay a lot less. ON a subject I know - for an angioplasty here vs. my home Cleveland Clinic - ADD ZEROS to the price for Cleveland!!!

As always,
Best to all,
Scott
As PRChick said, with a health insurance plan back in the states you would still pay far more than you pay out of pocket here in Egypt without one. And I can also tell you with a US health insurance plan the doctors can't even tell you how much you are going to pay for a surgery until you get the bill afterward, which is not the case here. Here it is standard practice to pay the doctor's fee the moment you walk in the office to the receptionist.

And whatever you were counseled to believe beforehand, why do you feel your Egyptian colleagues should earn less than your American ones?

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Post by Scott » Thu May 27, 2010 8:49 am

Therank you all for the kind replies.

First, Mary, it has been 10 years since I was i the States and at that time my plan was zero deductible and funded by my facility because of my position, including deductibles. However, a while ago, I Googled US health care plans and found that you could get deductibles from zero per visit to $5000 per year - depending on what you could afford for premiums!!!

Nicole, I know health care is different here - in many ways - that is a part of why we are here. An understandable part of that is quality - a limitation not by choice but rather by practicality.

Fro example, and I had not planned to get into details here but maybe it will help.

I asked an Egyptian, with healthcare experience, for advice which led to Dr. Gatas. My friend said that office visit should be 20 -30 -40 le. I trusted his judgment - that is why I asked him in the first place.

I presented with a systemic itch and rash starting a few months ago. He looked at my skin, listened to my story, and gave me a prescription (!) for Claritin and Johnson & Johnson baby oil!!!!! AFTER I explained to him that only cortisone, systemic and topical, worked. Forgive me but I found that to be a rather superficial response, given what I had told him. This took less than 10 minutes.

After coming home, I emailed photos to my friend, Chairman of Dermatology at John Hopkins. He endorsed my plan for extremely low dose cortisone - which has, in 12 hours, suppressed the symptoms. Should it recur, he will refer me to a dermatologist in Cairo, probably DAF.

So, I guess my problem, albeit minor, was paying (apparently) too high, for care, to me, somewhat sub-par.

I think all will be fine - just have to fit into the system and accept it for what it is. IT will be interesting, when push comes to shove, and I face my 4th heart attack!

Again, thanks to all for the great input!!!!!

My Best,
Scott
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Post by warda » Thu May 27, 2010 8:51 am

Horus wrote:I took an old friend of mine the other day to see his doctor as he had developed a rash on his back. I had noticed he had become a little deaf lately so asked him to check on that at the same time. His doctor proceeded to put on a rubber glove and stuck his forefinger up his bum, he let out a small yelp then pee’d on the consulting table. For that we paid £70 for the consultation and two weeks antibiotics, bloody vet bills are skyrocketing in the UK.
:lol: Good you mentioned the vet at the end.

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Post by Scott » Thu May 27, 2010 9:05 am

I guess I should consider myself LUCKY!!!!! No fingers involved!!!!!
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Post by Robbo70 » Thu May 27, 2010 10:01 am

Horus wrote:I took an old friend of mine the other day to see his doctor as he had developed a rash on his back. I had noticed he had become a little deaf lately so asked him to check on that at the same time. His doctor proceeded to put on a rubber glove and stuck his forefinger up his bum, he let out a small yelp then pee’d on the consulting table. For that we paid £70 for the consultation and two weeks antibiotics, bloody vet bills are skyrocketing in the UK.
ouch... where in the UK are you to pay that much? Here the consultation is around £23 quid and the anti biotics would have been around £12.
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Post by Grandad » Thu May 27, 2010 11:12 am

CC said
thats not quite accurate grandad
It was in my case CC, and here is another, I've got loads but don't want to bore you :)

Late June 2006, saw GP about general fatigue, he arranged full blood count and other tests.
Saw GP again, minor irregularities in blood tests, arranged anaemia/iron test.
Results show iron deficient anaemia. Arranges Foecal blood occult test.
Results show blood in foeces, arranges appointment with specialist.
10/07/06 Saw Consultant at KCH, he arranged for Colonoscopy.
19/07/06 Had Colonoscopy examination at KCH.
28/07/06 Saw Consultant at KCH outpatients clinic. Confirmed cancerous polyp in colon.
08/08/06 Booked for CT scan at KCH.
23/08/06 Admission to QEQMH Margate for surgery.
25/08/06 Surgery for removal of malignant tumour in colon (Right Hemi Colectomy)

About 8 weeks in all, so you will understand why I am a firm supporter of the NHS..... :)
Grandad :gg: