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Everything posted by richard_smith237
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Indeed - anyone even spouting playground idiocies like ‘plandemic’ or ‘Covidiot’ immediately disqualifies themselves from serious discourse. The idea that the global pandemic was some grand, perfectly orchestrated scheme by the world’s elites is not only laughably paranoid - it’s intellectually bankrupt.... .... and as for tacking ‘-iot’ onto “Covid” like it’s some stroke of satirical brilliance? It’s less Shakespearean wit and more the stuff of five-year-olds in a playground... To even entertain debate with that level of cognitive collapse is to degrade one’s own thinking to a level not just below the bell curve - but buried somewhere beneath the x-axis.... .... and its why I'll only entertain 'certain' arguments - as arrogant as that may seem to some indulging every claim, no matter how witless is as daft as the claim itself.
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Giving birth in Thailand Public hospital
richard_smith237 replied to Emmey's topic in Health and Medicine
Please don't accept no for an answer - particularly from low level staff... Their response may come from misunderstanding through communication, or a larger misunderstanding in general. It maybe that their answer is nothing more than an assumption. If possible, ask to see someone more senior and ensure you can get a 'sit down' with a doctor - someone who can actually make an official decision rather than a dismissive cannot... ... in doing so, you may also get some good advice and recommendation as to where you can go and secure the services of a good obstetrician (OBGYN). -
Giving birth in Thailand Public hospital
richard_smith237 replied to Emmey's topic in Health and Medicine
That in itself is no justification for say it is a preferred method of delivery. My niece is an Obs & Gny surgeon and C sections are her thing. She is extremely busy and it has nothing to do with preference, problems arise for a variety of reasons with many down to lifestyle. Alongside the more common problems there is an increasing number of babies that are growing above the safe size for the Thai pelvis plus both mental health and substance abuse issues are on the increase. You cannot always take stats at face value. Very true... (cannot always take stats at face value) - I'm sure the reason for the increased percentages of C-sections here compared to the west are medically elective and more related to cephalopelvic disproportion (CPD) and generally younger maternal age (under-developed pelvic bones)... which of course distorts the stats, particularly as Thai females are generally smaller. Nevertheless - its long been known that C-Sections are more common in Thailand than they are in many or our western nations - the stats highlight exactly the same, no matter how you want to look at them. Sheryl of course has far more medical experience than I, though I'm surprised she contradicted my comment given the amount of medical professionals I know who have commented on the 'unnecessarily high number of c-sections in hospitals here'.... that said - my sources of information are only: National Stats, and anecdote from a handful of Doctors I'm friends with (dinners / socialising etc - so lots of topics arise). MalcolmB would have argued that C-Sections are more common, If I had mentioned they are less common - so anything he writes is purely fabricated to generate discourse because he's been accused by me way to many times of being a troll and he that doesn't sit well with his childish ego - anything he writes can simply be written off. -
No... its genuine 'disengagement' and 'exasperation at the idiocy'... ... I've presented 'counter-argument' after 'counter-argument' in the past in these threads to to debate against the voice of the 'ill educated laymen who suffer from authoritarian distrust and repeatedly pedaling fringe social-media half-truths and nonsense they buy into because they are are trying to encourage others to wallow in their same brain-dead anti-vax cesspit of mediocrity.... There comes a point where I realise I’m just feeding the festering cesspit of ignorance, and entertaining it feels like watching my sanity turn to ash - perhaps you'd call it arrogance, but I call it a simple refusal to engage further with the mind-numbing inanity of this conversation, at least until you present something scientifically and medically substantial enough to warrant an intellectual response. It’s the same attitude I reserve for the absurdity of ‘flat-earth’ threads - where the level of intellectual dishonesty is so staggering, it’s impossible to give the arguments any respect. At least with this subject, there’s occasionally something worth critiquing, but not in this thread. Here, the flaws are so glaring that even engaging feels like a waste of oxygen.
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You think parroting a stack of papers counts as intellectual firepower. I'll take your five and raise you ten, because this sad little game you’re playing is laughably easy. You toss out studies like confetti, convinced that sheer volume somehow substitutes for substance, as if burying people in footnotes will mask your hollow argument. Here's the reality: you don't understand what you're citing. You don’t present reasoned, concise information - you flood, you overwhelm, hoping no one notices you're just parroting whatever supports your fragile, prefab worldview. It’s not research; it’s regurgitation. Lazy, uneducated, and transparent. All you’re doing is clumsily stitching together scraps you barely comprehend in a vain attempt to prop up your agenda - one that crumbles the moment it’s exposed to real scrutiny.... I'll do exactly the same below: 1. Safety and Efficacy of the BNT162b2 mRNA COVID-19 Vaccine Journal: New England Journal of Medicine (Peer Reviewed) Summary: This pivotal Phase III trial reported 95% efficacy of the Pfizer-BioNTech vaccine in preventing COVID-19, with a favorable safety profile. https://www.nejm.org/doi/full/10.1056/nejmc2036242 2. Effectiveness and Safety of SARS-CoV-2 Vaccines in Real-World Studies: A Systematic Review and Meta-Analysis Journal: New England Journal of Medicine (Peer Reviewed) Summary: Analysing 58 studies, this meta-analysis found that two doses of COVID-19 vaccines were over 85% effective in preventing infection, with severe adverse events being very rare. https://idpjournal.biomedcentral.com/articles/10.1186/s40249-021-00915-3 3. Safety of SARS-CoV-2 Vaccines: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Journal: Infectious Diseases of Poverty (Peer Reviewed) Summary: This review of 14 randomized controlled trials involving over 73,000 participants concluded that COVID-19 vaccines have acceptable safety profiles, with most adverse events being mild and transient. https://idpjournal.biomedcentral.com/articles/10.1186/s40249-021-00878-5 4. Evaluation of the Safety Profile of COVID-19 Vaccines: A Rapid Review Journal: BMC Medicine (Peer Reviewed) Summary: This rapid review highlighted that while some adverse events occur, they are generally mild and self-limiting, supporting the overall safety of COVID-19 vaccines. https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-02059-5 5. A Comprehensive Analysis of the Efficacy and Safety of COVID-19 Vaccines Journal: PubMed Journal: PubMed (Peer Reviewed) Summary: This analysis found that all vaccines studied had efficacy exceeding 70%, with mRNA vaccines reaching up to 94.29%, and that most adverse reactions were mild and tolerable. https://pubmed.ncbi.nlm.nih.gov/34365034/ 6. Comparative Efficacy and Safety of COVID-19 Vaccines in Phase III Trials: A Network Meta-Analysis Journal: BMC Infectious Diseases (Peer Reviewed) Summary: This network meta-analysis compared various vaccine platforms, confirming that mRNA vaccines had the highest efficacy and acceptable safety profiles across different populations. https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-023-08754-3 7. Safety and Efficacy of the BNT162b2 mRNA COVID-19 Vaccine Journal: New England Journal of Medicine (Peer Reviewed) Summary: Further analysis reaffirmed the vaccine's efficacy in preventing severe COVID-19 illness and alleviated concerns about potential vaccine-enhanced disease. https://www.nejm.org/doi/full/10.1056/nejmc2036242 8. Moderna Study Shows Immune Response in Older Adults for a Combo Flu and COVID-19 Shot Journal: Journal of the American Medical Association (Not formally peer-reviewed (or unclear) Summary: A study involving 8,000 participants aged 50 and older found that a combination mRNA flu and COVID-19 vaccine induced strong immune responses, with side effects being mild and similar to those of existing vaccines. https://apnews.com/article/flu-covid-combination-shot-moderna-vaccine-c627a5db5ad784335268ee6dbcb5e600 https://www.cdc.gov/mmwr/volumes/70/wr/mm705152a1.htm https://pubmed.ncbi.nlm.nih.gov/34968370/ 9. CDC Reports on COVID-19 Vaccine Safety in Children Aged 5–11 Years Source: Centers for Disease Control and Prevention (CDC) (Not formally peer-reviewed (or unclear) Summary: The CDC's monitoring indicated that side effects in children were common but mild, supporting the vaccine's safety in this age group. https://time.com/6133317/covid-vaccine-kids-safe 10. Local Research Study Confirms COVID-19 Vaccine Safety Source: Med Center Health (Not formally peer-reviewed (or unclear) Summary: A local study involving 4,825 patients reported that most individuals experienced no or only mild side effects, reinforcing the vaccine's safety profile. https://www.wku.edu/mediarelations/2021/september/sept15/survey_dn.pdf https://medcenterhealth.org/local-research-study-confirms-covid-19-vaccine-safety All mainstream media - bleat the anti-vax prophets - because obviously, thousands of doctors and scientists spent decades studying medicine just to lie to Facebook uncles with Wi-Fi and a grudge.
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You see, @TallGuyJohninBKK, this is what I meant when I said (and I see you have wisely followed the advice): Your best option is to do what the other sophists of this forum do in such cases, which is to drop out of the discussion entirely, wait for it to get buried, and start posting your talking points in another thread in a couple of days or so. A competent sophist knows when to back off. "Not biting" here means avoiding finding oneself in the uncomfortable position of having to face very inconvenient facts… which only honest people are able to do. You've clutched at my lack of response as if it's some kind of rhetorical victory, and thats rather un-clever of you, I expect better (though not from the other clowns), that flawed grasp at relevance betrayed just how hollow and brittle your position really is. You know perfectly well that I'm more than capable of dismantling your nonsense piece by piece. That I chose not to engage this time isn't some triumph for the cesspit of mediocrity that the brain-dead anti-vax theatre wallows in... This time I simply sat out and didn't bite, choosing not to waste oxygen and participate in this mind-numbing carousel of anti-vax idiocy. Silence, in this case, wasn’t concession - it was boredom mixed in with a large dose of contempt. You've mistaken disengagement for defeat, but in reality, my disengagement is simply a testament to how utterly tedious and beneath me this whole anti-vax exchange is becoming thread after mind-numbing thread.
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Looks like you had to be a part of a discussion you as well. Does that mean you fit the narrative for your last row? Nope... even to those operating with half a functioning brain cell would identify that I was trying to bring an end to the cretinous loop of repetition... ...But no - true to form, you couldn't resist lurching into the mess, as if the world desperately needed yet another half-baked opinion from your intellectual scrapyard. ... though, here's the good news: you really don’t need to try to start arguments. With the sheer density of nonsense you spout, they’ll continue to land at your feet like gifts from the gods of imbecility.
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Why would you assume we're all overweight and unfit? All the people I interact with are extremely fit cycling 25km a day or more. Nope... and based on your response I'd also assume that 'some' have poor reading comprehension !! <<Some are ridiculing such a device because it looks stupid>> Now... if you were to open your mind and not get locked into doubling down on your opinion to save face you may understand the points being made to support such a product.... It'd even make a difference for you when cycling.
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A lot of you quoting basic physics in lieu of simple biology when it’s clear you know nothing of either !!!
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exactly this - Khun LA thinks the nostrils cannot be opened…. There sinuses are a huge void - getting air into them faster improves air intake - it’s just that simple…. That’s it.. More air intake - more O2 faster recovery (sports) Some are ridiculing such a device because it looks stupid - I bet the fat belly of those who pass judgement looks worse !!!! It’s not as if these items are being worn around shopping malls & in restaurants!
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Your basic physics is correct - your basic understanding of this product is not. The difference is astonishing. it’s definitely one of those ‘don’t knock it until you’ve tried it’ things…. Don’t judge from a position of ignorance. Try ‘opening each of your nostrils wider) (pulling open with thumb & finger on each side then breathing through your nose - you’ll immediately notice the difference)
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Can we stop calling them anti-vaxxers & call it for what it is…. ….. Ill educated laymen suckered into believing social media rubbish because they suffer from authoritarian distrust… There’s a strong overlap between flat-earthers & this anti-vax bunch which speaks volume….
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Strong & overpowering smells of any variety are anything from mildly irritating to outright offensive - weed sits somewhere on that spectrum…. … But…. There are a far bigger things to be dealing with - a ‘whiff of weed’ is hardly an issue - someone smoking a cigarette on the table next to you is as bad…. … a whiff of weed while walking down the street - hardly an issue… it’s better than a stinker in a chant vest or a whiff of rotten drains…. Hardly a major point of valid complaint… even as a family man.
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Have you ever tried one ??? I don’t use them fir sport but can clearly see why some do ??? - they allow you to breathe in so much more…. I’ve tested one before. Only idiots pass so much judgement on something they’ve never tried…
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A pickup truck not driving over him may have saved him. Arguably a combo of the both, or either… But let’s spend the next 5 pages arguing over whether a helmet would have saved him or if the pickup might not or might have been the actual cause of fatality…. Lets delve right into the pedantic details with a degree of neuroticism some example with such finesse…. 😴
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Pretty much - Yes... Because Tourists are the 'low hanging fruit'.... They get caught for vaping, smoking and dropping their butts, and smoking weed.... ... The do so blazenly, but in area's of high footfall which are highly policed in areas where the police have already paid a premium to secure their positions - they have to make their money back somehow... But.... Yes, this is double standards... but its not surprising for anyone who lives here.... Know the rules, know the area.
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Which is often true, at least when we see it so commonly reported here. Then we have the subset of foreigners, many of whom are vocal on this forum, who a highly vocal against foreigners - yet accuse anyone else of being racist and Thai bashers when they make exactly the same criticism of Thai's doing the same thing. This bunch of ridiculously hypocritical puritans are a comical... they think they are more Thai than the Thai's who's simply just laugh in their face for being idiots.
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OK... So crane carrying out work without safety protocols (watchman). Motorcyclist doing nothing wrong - just riding, no helmet though. Maybe smaking his head on the ground is what killed him, before being hit by 2 tonnes of pickup ! Pick-driver following so closely he doesn't even have time to stop. ------------- All of this is a perfect example of thailands haphazard attidues towards safety Work being carried out on electrics - rushed, without correct safety measures in place. Motorcyclists - no helmet. Pickup too close too fast behind the bike.
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It's more like they think it is cursed by bad spirits. At least that is what my relatives say. They go out of their way to avoid it. Does that mean 'we' (Thailand) needs another road, so everyone can avoid this road... a new construction which of course will be plagued by further incidents !!! There is another reality here - recently Thailand was struck by the amplification to approximately ~6.0 MW (Richter equivalent) from the 7-9 to 8.1 Richter-scale earthquake in Myanmar - The road structure in general, and new recently constructed overpass on Rama II held up remarkably well. It could be argued that this is a strong testament to the building standards in place. It seems that every failure in this this projected is not one of poor construction, but someone circumnavigating some safety regulation or doing something dumb with machinery through poor training.
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Giving birth in Thailand Public hospital
richard_smith237 replied to Emmey's topic in Health and Medicine
Rubbish. C-Section is more common in Thailand by at least 10-20% than it is in the West, i.e. UK and Europe, USA. As of 2022, the cesarean section (C-section) rate in Thailand was reported at 43.2%. Projections indicate that if current trends persist, the rate could rise to 59.1% by 2030 https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05576-8?utm_source=chatgpt.com Thailand- 43.2% United Kingdom- 34% France- 20% Germany- 30% Spain- 24% United States- 32% I know you like to argue Malcy - but you are better off researching your comments before responding or just sticking to the booze and lurking. -
More daft regulations which 'could' be kept sensible, yet they go so far as to become completely impractical. 1) How does anyone know by looking at it if a dog is chipped ??? Make it simple / stupid. 1) All Dogs & Cats by Law have to have a Collar stating Owners Name and Address. 2) Any Dog & Cat found on the street without a collar will be removed by authorities. 3) And Dog found on the Street with a collar - the dog will be impounded and the owner fined. 4) Dangerous Dogs (on established lists as the west) found on the street (with or without a collar) will be removed by authorities and owners fined. There is no need for 'chipping' - this brings in extra cost for owners, extra difficulty for authorities identifying animals (they'll need a reader). In short - This policy, like many, is meant well, but trips over itself with complexity when simplicity is so much easier. ------------------ Anyway - thats the opinion, no the reality - just like every other announcement, this is nothing other than hot air. Like every other announcement over the past 20 years or so, not one thing will change.
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I'm not so sure... I'm looking at this news from a different perspective. In many countries - particularly across Europe - a road beneath such a project would typically be closed entirely for the duration of the work. In other words, full traffic disruption would be the norm. As a result, any such 'drops' or incidents in those scenarios would have no real effect on the public and would likely go unreported. Construction, manufacturing, and the oil and gas industries all operate with rigorous safety and incident-reporting procedures. Serious events do happen - most often due to human error rather than mechanical failure - but they rarely make the headlines unless there's a fatality or severe injury. In the case of the Rama II road construction, previous incidents have led to a kind of media feeding frenzy, a pile-on. It’s a classic case of the 'contagion effect': once the media has latched on, even the slightest mishap, they're all over it like GottFrid nursing wood over a Brit-bashing thread. The truth is, while these incidents should rightly be scrutinised; particularly if patterns emerge - they wouldn’t attract media coverage in the West unless they had a tangible impact on the general public. Here, however, we’re seeing the 'Streisand effect' in action: the more one tries to carry on quietly, the more attention even the most minor issue receives. That said, Spidermike, you're absolutely right - there are clear shortcomings in this project. But I’d wager they’re no worse than those found in many other developments across Thailand. It’s just that, at this point, even someone tripping over on Rama II has become headline material.