
Dirk Z
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Everything posted by Dirk Z
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Electricity saved in Bangkok during “Earth Hour” less than last year
Dirk Z replied to webfact's topic in Bangkok News
Turning off A/C for an hour saves a lot more energy than switching off the lights even for many hours. -
My girlfriend/wife is 35 years younger.......
Dirk Z replied to Carlotta's topic in ASEAN NOW Community Pub
It's called win-win. -
Tuk tuks and taxis: Bangkok’s solution to overcharging crisis
Dirk Z replied to snoop1130's topic in Bangkok News
Agree on all qualifications, but you forgot loud, too loud, unnecessary loud. -
Drastic fivefold rise in e-cigarette use among Thai schoolchildren
Dirk Z replied to webfact's topic in Thailand News
Anyone surprised? -
Nikki Haley Sharpens Criticism of Trump in New Hampshire Campaign Finale
Dirk Z replied to Social Media's topic in World News
I thought anything would be better than a narcissistic sociopath for president, but with the choice available I begin to doubt... -
Your opinion of eradication of dogs
Dirk Z replied to georgegeorgia's topic in ASEAN NOW Community Pub
I have never felt unsafe in Thailand when walking the streets. Excepts when I run into 10 street dogs at a crossing. They are unpredictable. A friend (older lady) was bitten without any obvious reason in the forearm. Had to spend time in hospital and can still not use the hand normally. I was bitten twice as a kid by a dog "who would never harm anyone". Do I like dogs? Yes, especially grilled or deep fried. -
TM47 - 90 days - "first time"
Dirk Z replied to glegolo18's topic in Thai Visas, Residency, and Work Permits
I returned from Europe and my online 90 days was rejected. They told me at Immigration that after returning to Thailand from outside you have to come in person. As is the case with a new passport, as pointed out above. The science behind all this eludes me. -
You may have missed the irony in my post. But even though it is often just an exchange of ideas and experiences there are certainly posts that strongly suggest a certain course to be taken, and that was what I was referring to.
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Dizziness is one of the least specific complaints. It can mean anything or nothing. If it persists and you worry, go see a doctor and avoid the experts here.
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Neurologist recommendation at Sirrirat Hospital
Dirk Z replied to MattATX's topic in Health and Medicine
In a previous post I said: "I have a record of only 121 patients treated for hydrocephalus over a period of 30 years and this includes all forms." I omitted : patients over 65 years of age. The many other CSF operations are children or younger patients where it is unlikely that they had NPH. Even those over 65 are not allNPH patients, but my database records treatment and not diagnosis. -
Neurologist recommendation at Sirrirat Hospital
Dirk Z replied to MattATX's topic in Health and Medicine
Sorry to have to correct you. NPH is not common at all, ventriculomegaly is, but it is not the same and not treatable as opposed to NPH that can have good results after shunting. The triad of symptoms for NPH are cognitive deterioration, gait disturbance and incontinence. On the MRI large ventricles with hyperdense lining. Tremor and Parkinson symptoms are not part of the NPH complex. -
Neurologist recommendation at Sirrirat Hospital
Dirk Z replied to MattATX's topic in Health and Medicine
Please allow me to clarify some issues about hydrocephalus. In the brain there are four spaces filled with cerebral spinal fluid, the brainwater. We call these the ventricles. In the course of life we all lose brain matter. In some this is more than in others. The space lost by the brain tissue is filled with the cerebral spinal fluid. So the ventricles become larger. They can also become larger when the outflow of the cerebral spinal fluid is obstructed. If this is complete, for instance by a tumour, it leads to serious symptoms that need emergency treatment. If it proceeds slowly then the symptoms will be more gradual. This can be the case in the so-called non-resorptive hydrocephalus where there circulation of the cerebral spinal fluid is disturbed because the fluid is not taken back by the circulation system. This causes the syndrome of normal pressure hydrocephalus (NPH). Unlike Sheryl says in her comment this is not a common condition. I have a record of only 121 patients treated for hydrocephalus over a period of 30 years and this includes all forms. Only a part of these were probably normal pressure hydrocephalus. The diagnosis is not always easy to make. There are symptoms that point in the direction like cognitive deterioration, problems when walking or incontinence with an enlarged ventricle system on the MRI. But even that is no proof and does not guarantee a good result of a treatment which consists of a diversion of the cerebral spinal fluid to the heart or the abdominal cavity. There are some additional tests but none of them is 100% conclusive. The MRI can show some typical signs but even then no guarantee for correct diagnosis. -
Brain calcification stones. Can you recommend a specialist?
Dirk Z replied to advancebooking's topic in Health and Medicine
A radiographer (technician) makes the images and the radiologist asseses them. -
Still a medication....
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We live in a Buddhist country, but you wouldn't believe it if you see all the Christmas items around you: shop assistants and waiters with Christmas hats, Christmas trees, decoration etc. and last but not least the endless Christmas music in restaurants, shopping malls, public transport, resorts, virtually everywhere. Thai seem to think we like it or maybe they like it themselves. My question is: who enjoys the omnipresent Christmas music, both the traditional and the Christmas hits? Or on the other hand: who is relieved or maybe even sad when it's all over again?
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Difference on retired visa Thai spouse or not ?
Dirk Z replied to jaxon's topic in Thai Visas, Residency, and Work Permits
After marrying I never bothered to change my single person visa fearing that I would need to provide more paperwork. There is indeed the requirement of less money in the bank, but I just left my 800.000 where it had already been for some years. -
It is my understanding that one of the obligations of any embassy is to take care of their citizens in places outside of the mother country. I therefore found it no more than obvious that replacement of a passport in a case where is some kind of urgency is one of the things they should handle. But if that is not "what they are there for" then enlighten me, what is?
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Putin admits heavy losses as EU to open membership talks with Kyiv
Dirk Z replied to CharlieH's topic in The War in Ukraine
There is no support for this remark.