Route21

pipo1000, on 2012-04-06 20:42:44, said:

My god, that's so thin you can see right through it.

(just like election promises)

bigbamboo, on 2012-04-06 20:34:14, said:

Found him already  

pipo1000, on 2012-04-06 20:27:29, said:

They also said they were just 'election promises'. They may have meant (literally) one child...one laptop. Just have to find that child.

thaibeachlovers, on 2012-02-22 18:02:25, said:

Different BP on each side?

Oops!  http://www.bbc.co.uk/news/health-17442996

thaibeachlovers, on 2012-02-22 15:10:04, said:

Yes, the neurobion is almost certainly the usual over-prescribing...normal in Thailand and they do it with Thai patients just as much. In fact many Thai patients consider themselves to have been poorly treated if given "only one" drug. It is common to add on a vitamin in order to give what is considered to be the minimum "acceptable" number of medications (at least 2, preferrably 3!).

You can safely skip it unless you overindulge in alcohol and/or have an inadequate diet..in which cases better to address those issues directly. In either case nothing to do with your BP.

Enalapril seems a more normal approach than the original slew of meds you were given. Hopefully it is a local brand, if not, there are plenty of them and dirt cheap.

Don't wait any longer to start on it though. The meds do not act instantly. It takes time to build up to a therapeutic blood level and given how high your BP ran before starting meds, you shouldn't take chances.

I very, very much doubt the doctor you saw was a cardiologist and I do not recommend seeing anyone in Lampun, Nor should you put up with no information about a doctor's credentials and no info on why meds are prescribed. Come on into CM and go to Sripat and get under the care of a proper specialist. While you are at it, since the hypertension is new you should have a complete check up inclusive of basic labs (inc. full lipid profile) and a stress test.

Yes, all drugs have side effects.

That said, the OP is on rather a lot of meds, and also expensive ones and ones of a very specific class not usually the first drugs of choice, but there may be reasons for that relating to other medical conditions or his past medical history, or other risk factors we don't know about.

Specifically he is on a calcium antagonist and also a combined diuretic but he also apparently started with extremely high BP. Without knowing why these particular drugs were chosen for him I would be hesitant to suggest a change.



Given that he was put on the most expensive imported brands of  these drugs, one wonders if the profit motive was at work as well as the entrenched belief in Thailand that patients prefer to get many different drugs and equate that with good care. In particular I question the heavy hand in terms of prescribing the norgesic and cinnarizine. Neither are going to treat the hypertension and with the BP better controlled should not be necessary to treat headache and dizizness (which is what they are for, though IMO simple paracetemol would be better).

There are severral locally made generic equivalents to Moduretic and also to the Adalat.

Again, not knowing why a calcium antagonist was chosen I don't dare suggest a change, What I do suggest, especially given the lavish prescribing of so many different things together,  is

(1) ditch the norgesic and cinnarizine NOW, if you are having headaches that paracetemol doesn't relieve, then something is wrong, ditto if suffering dizziness not related to suddenly sitting or standing up (that is common in people on BP meds and best dealt with by just being sure to get up slowly, sit up a bot before standing up etc - not by medication)

(2)  get a second opinion from a well qualified doctor re the BP meds and  specifically ask whether there is any reason why a calcium antaginist is indicated in your case and if not, whether  an ACE or angiotensin inhibitor would be suitable . I'd also indicate to the doctor a preference for fewer drugs and for local generics.

You just have to get this grid into your head.

http://blog.joshsage...teToneRules.jpg

Bit of memorization and it's done.

Solid sodium hypochlorite is used for adding chlorine to a pool.  As it acts, sodium hypochlorite breaks down into chlorine which kills bacteria, and into sodium hydroxide.  Hydrochloric acid is used to counteract the alkaline sodium hydroxide and keep the water of the the pool neutral - neither acidic or alkaline.  Keeping the water neutral is important since the water will irritate the eyes if it is either acidic or alkaline.

Sodium hypochloride for pools usually comes as a granular solid in plastic 5 gallon containers.  It sounds like the pool cleaner poured some hydrochloric acid into one of these sodium hypochlorite containers.  The result would be a lot of heat and the release of a lot of free chlorine gas.

For those that don't know it, chlorine gas was one of the worst poison gasses used during World War II.  The gas will burn the eyes, resulting in temporary or even perminant blindness.  Inhaling it results in chemical burns to the lungs and burn induced phnumonia.  Frequently this is what lead to death -  the soldiers drowned in their own body fluids as they filled their chemically burned lungs.

Let us hope that nobody, including the pool cleaner, received a large exposure to the gas.

Petchabun - perfect place. Plus the value of our 27 rai will rocket.

My main reason for wanting a cc is the online purchases of air-tickets and hotel-bookings and having some amount of money as a back-up while travelling.

For the online purchases you could use for example the KBank Webcard......a debet card specially for cyber-use.
I used my regular KBank debet card in a parking-meter in Amsterdam (AmEx cc wouldn't work) and see...........it worked. THB 430 or Euro 10 deducted from my account

I tried to get a KBank or SCB cc, but I ended up with an AmEx corporate credit card.

4shared.com (files are in in MP3 format)

Alternatively, go to youtube.com, type "thai music" as a search string and then when you find one that you like, click the "Share" button underneath the video. This will give you the link to it. Copy/paste that into http://www.video2mp3.net/ which will extract the audio for you and provide a link to the MP3 file which you can then download.

siamsmile.org
thailandtorrent.com

Suan Rotfai (train park) is just brilliant and free.  BTS to Jatujak then short taxi ride.  Hire bikes, big natural park to go around, boating lake, childrens swimming pool in there too and a good Thai cafe on the edge.

Lumpini park is always good with a childrens play area.

Funarium will take up about 4 or more hours of their day...brilliant place, but you have to stay in there.  Could get boring, although they have a parents TV room which is used for sleeping.  Not cheap though...400 baht ish if you go repeatedly.  Don't eat there, it's way overpriced and underportioned.

Central Bangna waterpark is good for a day and very cheap.

Everywhere (Centrals, Carrefours, Emporium) have childrens "bahn balls".  At Emporium they can stay in as long as they want, in the others I think it's 30 mins.

Lastly, sukhumvit 49....on the corner there is an old Thai house/restaurant set amongst huge old trees.  It's a paradise for children to explore with a giant 100 year old Burmese turtle that comes up for bread at dusk and plenty of millipedes etc. around to poke.  Wish I could remember the name of it, but several Bangkok websites will have it.

Isn't there some sort of Lego Land here?  

Also, some of the malls have play areas, I believe.  

There's usually at least 1 kids' movie playing in the movie theaters.  

How about just going to a bookstore, letting your daughter pick out a book or two, then going to a park to read them together?

Ice skating is available at one or more malls.

There are some craft studios for kids/families.

If you have a car, you could take some day trips, such as to Chokchai Farms....I bet kids would enjoy seeing the cows & farm animals.

Someone already mentioned the Funarium which i wld reccomend.

The is also a place called something like 'Railway Park', a short walk from Mor Chit BTS station. There you can hire bikes, ride around a large park, swim and have picnics