richard_smith237

The 1980’s just put out an alert, they want their cash-spending boomer back !!!..... ????

No beans... You should have checked out and called the owner a big ( O ) !!!.....

Thats Thrombotic thrombocytopenia.... i.e. excessive blood thinning causing the platelets in the blood to fall out of suspension and thus cause a clot. This is a possibility with all blood thinning medication. Clexane was not discontinued at all - it very much remains a life saving drug when used correctly.

My experience with Acenacoumarol (as Warfarin) is about 11 years positive/safe if check INR as needed; example weekly. You mentioned already the postive side with Vitamin-K if need to cancel the thinning effect quickly; example for a quick operation.. My hematologist in a specialised hospital in Holland still advice me not to change to the newer medication.. Maybe the situations can be different.. ...On the topic I just reacted that you should eat less instead of more when your INR is too high.. I took Wafarin for 6 months after a DVT & PE... I bought my own INR test kit (expensive !) and tested regularly, sometimes a couple of times per-day.... With a targeted therapeutic INR reading of between 2 and 3 the swing in INR throughout the week and throughout the day is quite incredible from readings as low as 1 and up to 6 when trying to be as consistent as possible. I charted the results against diet etc... the Dr was quite amazed at the self study, the results being significantly impacted by types of food I ate and even as much water as I drank in the day time. Any booze sent the reading haywire... high, then low... (which is why booze is to be avoided). I even went skiing and carried a vial of Vitamin-K just incase I wiped out and broke a leg etc... ------- Having had a DVT and PE there is a higher probability of having another within 10 years is 30%... I had another 9 years later !! (not related to travel)... and stopped taking Clexane for flights and was prescribed Rivoxoaban (Xarelto) for life. The only reason I wasn’t prescribed Rivoroxaban after the first event was because it was too new and was only FDA approved at the time in Canada for post hip-operations recovery (to avoid clotting). I may be wrong, but suspect any ’fresh’ cases will always be prescribed something similar to Rivoroxaban rather than Warfarin as its considered dated.

Thoughts... 1) Take a followup Doppler Ultra-sound to ensure there is no remnant clotting - i.e. your therapeutic interval is complete. 2) Wear graduated compression socks (decent ones, not the flight socks from boots which are better than nothing, but not that good either) ... I’ve found Skins to be very decent, but there are others out there. The Pharmacies of Major hopitals make stock decent graduated compression socks. 3) Discuss with your Dr. / Haematologist the possibility of taking a preventative medication (i.e. Xarelto) 4) discuss with your Dr. / Haematologist the possibility of taking preventative blood thinning injection (for the flight only - of course, not at the same time as taking any other blood thinning medication).

This is why Warfarin is considered ‘old tech’.... Drugs like Rivoroxaban (Xarelto) have superseded it and are far safer to take (under medical advice of course). The only issue with Rivoroxaban is that unlike Warfarin which can be reversed with Vitamin-K (injection) the ‘thinning’ effects of Rivoroxaban cannot be reversed.

The Clexane pens are pre-loaded. It takes 20 seconds to inject, the needle self retracts. Extremely quick, extremely simple. Clexane can be purchased / ordered from many Pharmacies in Thailand.

Following a football injury I had a DVT and PE in my early 30’s... Since then, under with Doctors advice I self administered a 40mg/0.4ml Clexane injection (Heparin) before any flight longer than 4 hours. See your haematologist / cardiologist and seek their advice. Compression socks are also effective and minimise your risk of contracting a DVT - its also good to wear the compression socks / calf compression skins when sitting around not doing much (I wear them at work quite regularly or when lazing around at home). Statistically 1 in 4 people will have a ’thrombotic’ episode / event in Their life - it makes sense for anyone to wear the compression socks on any flight, long journey or whenever sitting for long periods of time.

No beans apparently !!!... Seriously though - I believe an American breakfast would include.... Pancakes or waffles and syrup, bacon, eggs, fried potatoes.... And yes... contrary to what some people strangely believe... Its also ok to come to Thailand and have an American breakfast !!! ????

... my first thought was to question if you, bob smith, are an American... ????

At my sons school they have ‘emergency drills’ once a year or so when the ‘intruder' alarm goes off the teacher locks the door and kids get under a desk and stay quiet - they do it well, in a fun way, nevertheless, from an early age kids are now learning how sick some in our society can be.

If there are any ‘hang-em-high’ posts coming.... I agree !!... These who drive with such deliberate recklessness need to start receiving penalties which are so severe the very thought of ‘racing’ or speeding through a town makes their spine tingle.... I don’t like speed-bumps... but I can’t see any other method which would be effective at controlling speed in Thailand - passive methods are simply ignored.

As this happened on October 5th.... Surely they’ve breathalysed him and worked out if he was intoxicated or not by now !!!... He was taken to the Police station and breathalysed, but the BiB did not release the information. As usual - half a story without a follow up (and its already 24 hours after the incident)... ....so all we are left with is speculation and of course the inevitable hang-him-high, deport-him, or bang-him-up posts....

Intuitive stuff of champions.... You’d save the legal system billions !!!!.....

I've noticed some cars, in disabled spots, with an official sticker on the inside of the wind screen, maybe 10 cm X 10 cm with a wheelchair on the sticker. Of course... I suppose anyone could just make the same image and put that in their windscreen whenever they want to park in a disabled spot... there’s not really anything to stop them in Thailand.... Social reaction and social responsibility is perhaps the most effective solution to any of these issues which involve a degree of morality to prevent... that goes for a lot of other things too... (such as driving itself, or littering etc).

Its this kind of poorly thought out myopic projection that really makes one wonder sometimes..... Are you [Byon] of the belief that everyone on this forum does not in fact live in Thailand, rather they simply visit it for a couple of weeks per year ??? And.... Let me understand this ‘ideology’ of yours... When you go on Holiday to Spain, you don’t eat Pizza because you only want to eat Spanish food, Paella and Tappas ? What do you think of coming to Thailand an eating Japanese food, or eating at an excellent Italian restaurant ?.... Taco’s & Salsa ???... El Mercado ??... Cocotte ? and thats just Bangkok... Thailand as somewhat of a foodie destination does all food extremely well and a Full English Breakfast is just one part of the huge spectrum of dining in Thailand and the incredible choice it offers.

Quite... because other people eating what they want for breakfast clogs YOUR arteries when staying at a hotel, right ?.... .... Do you also avoid restaurants that serve sugar with coffee ??...

Any skid marks ???? ????????????

Trying to understand this.... You checked out of a nice little resort because the British owner didn’t give you beans with your breakfast... you think he did this because you are not British and figured the owner somehow assumed you were not deserving of beans and is thus an ( o ) trying to save 5 baht ??? Is that about right ?

.... Just like a Continental Breakfast, a Sunday Roast, or a Plowmans lunch.... the English Breakfast is the name of a ‘type’ of food rather than specifically being synonymous with England. Its like having a ‘Sunday Roast’ on a Saturday, its still a Sunday Roast !!

Does Thailand have such a thing as a ‘disabled badge’ for motorists to show in such situations... and to display in their car etc ?

Only stupid people would make such remarks based on the car alone - disabled people can drive any car....

They saw him on CCTV... it is what it seems... An ayhole taking up a disabled space. But, I do get your point.... there are plenty of documented issues in the UK with people accusing those who who are not ‘visibly impaired’ of taking up parking spots for the disabled, yet the hold the Disabled badge used for parking... they have some respiratory or heart issue etc... That said: I very much doubt this is the issue here. Kudos to those publicising this issue...

Stupid comment.... How many broke people do you know who can spend US$120,000 on a car ???????

Hilarious, don't tell the other yellow bookers they won't take it kindly Or go to a different branch where the manager isn’t being deliberately difficult. A Yellow Tabien Baan and Passport will open the door to an account in the vast majority of Banks.