RayOday

Back in the 1990s I exploded 2 lumbar discs doing excessive deadlifts. I no longer used medicine as most negatively affect the liver. If needed, which is rarely, my go to drug is the generic Celecoxib, brand name Celebrex. It helps and doesn't upset the stomach as much as other NSAIDs as it is a COX-2 (enzyme) inhibitor which spares COX-1, which helps spare the stomach and kidneys. It, like other NSAIDs, comes with a host of warnings especially cardiovascular so do your homework if you have ASCVD. I have learned to manage the pain through exercise and knowing how to move. Occasionally I take a strong Indica before bed and it's light out. To avoid taking drugs internally I can recommend starting with a topical like Voltaren gel (Diclofenac) or Elmetacin spray. They may be all you need for short term relief.

You could be allergic to wheat or gluten which manifests as skin inflammation. The Thai Public Health Administration has recently urged vigilance regarding contamination in instant noodles, particularly concerning ethylene oxide residue. A number of years ago contaminated noodles in India, Maggi, produced by Nestle, was found to contain ~7 times the allowable amount of lead. Lead is a known factor in skin allergies among other maladies. Anyhow, ultra processed noodles are a very poor source of nutrition. Fresh noodles are sold in most supermarkets.

What does this government do for the people? I frequently visit my wife's grandmother in a small moo baan in Surin province. There are at least 8-10 vicious dogs in the street at any given time. I walk with a weapon to protect my 3 year old grandson. I have a number of photos of these beasts. The attached was taken in the street just outside a neighbors house. If you go to the Amphoe hospital invariably there are people in the ER with dog bites. I guess public safety isn't a priority.

I couldn't access the site either. It worked today July 5th. I ordered and shipped today.

The government should be ashamed. Selling lizards for 500 baht? What's next? Flea markets to gin up revenue. They should just copy/troll Trump's corrupt schemes. Last year I was in Koh Rong and there were lizards the size of Komodo Dragons. They were just walking about.

Same same

Maybe you should change your Avatar.

Escorting VIPs ✓ Farang no helmet fine ✓ Occasional sobriety test ✓ Checkpoints (revenue generation) ✓ Global Top 10 position in road deaths per Capita ✓ Not fulfilling public safety mission ✓ No enforcement of driving laws ✓ No leadership in improving the numbers of all accidents and specifically accidents resulting in injury or death ✓ Misleading public safety by painting zebras ✓ No road safety programs through cross ministry leadership (land transport, health, civil engineering, Ministry of Interior) ✓ No leadership accountability at the Ministerial, Provincial, or Amphoe level ✓ No statistical improvements ✓ No one in government gives a <deleted> ✓

The idea is clear, but the writing is excessively wordy—an example of poor journalism. Feral behavior.

My conspiracy theory of the week. The PM is a weak puppet that is failing on many fronts. The puppet master sees Anutin as a threat even if he is compliant. He is pushed out to a lesser role. Now the issue of legalizing cannabis, which he championed and brought to fruition, is now a health hazard and an export concern. I call it more BS from the puppet master.

"His expected promotion follows Thaksin Shinawatra's remarks on the lack of reach of populist policies under Anutin’s leadership." Need I say more about this rats nest?

This could be a "collar" given to Thai police by dark Public Security Bureau offices in Thailand the PSB has illegal offices in many countries extending the king arm if the black hand. When the triads turn their crime to the PRC and enough people are affected they have acted in the past.

Another stumbling forward of this inept government. I have 2 step kids in high school in BKK. The school requires the parents administer COVID-19 tests prior to the kids leaving for school. Everywhere we look tests are sold out. None to be found. Parents must be sending the kids without testing as the students are falling victim at an alarming rate. No air purifiers. Deer in lights when Corsi-Rosenthal boxes are mentioned. Pathetic suffering due to lax to zero leadership. Corrupt regimes always cause the everyday people to suffer. I would be disappointed if this wasn't the norm and I wasn't a Farang.

I once read some really helpful advice on this forum regarding BPH. I didn't save the link so I regret that I can't credit the author.I did copy the text so here you go... Early 60's and retired, having worked in healthcare my entire career. I have been living with BPH for about 15 years. When considering prostate treatment options it is important to know your prostate size. This is generally obtained and calculated from a lower abdominal ultrasound. Another benefit of this procedure is that they may ascertain if you are retaining any urine in your bladder after you urinate (a post-void residual volume). Smaller prostates are generally more easy to treat than larger prostates. The ultrasound will not reveal detailed information about the condition of the lobes and zones of the prostate. Instead, a more invasive procedure called a cystoscopy is needed for this information. The prostate has four lobes- a left and right lateral lobe, an anterior lobe, and a median lobe. A large median lobe can complicate some surgical techniques. Medications are the first line of therapy and are usually quite effective. Alpha-blockers such as terazosin, doxasosin, tamsulosin, alfuzosin, and silodosin typically provide substantial relief of lower urinary tract symptoms. I find it easiest to think of alpha-blockers as muscle relaxers for the prostate that result in less impingement upon the urethra, thereby improving flow. I have tried all of these alpha-blockers and I can tell you from my experience I have 2 clear favorites: alfuzosin and silodosin. In Thailand these are available as Xatral XL 10mg and Urief 4mg. There are some less expensive versions of alfuzosin but I have found them to be inferior to brand name Xatral. Side effects with alpha-blockers can be high at first, but they tend to rapidly fade away over the first two weeks of treatment as your body adjusts to the therapy. Alfuzosin is idealy taken about a half hour after finishing dinner. Many patients including myself consider alfuzosin to be the superior alpha-blocker because it achieves clinically significant improvement in symptoms without dizziness or ejaculatory dysfunction. Silodosin is a newer alpha-blocker and it is unique in that it has a high degree of specificity for the alpha-1a receptor subtype. The specificity profile of silodosin makes it quite powerful and thus it will have more side effects such as ejaculatory dysfunction also known as retrograde ejaculation. The bladder neck muscle is a sphincter type muscle that sits at the junction between the bladder and the prostate. During normal ejaculation the body will tighten this muscle so that fluids flow out the distal end of the urethra. With a super potent alpha-blocker such as silodosin, the bladder neck muscle will be unable to close fully and ejaculatory fluids will typically take the shorter path and flow up into the bladder. For me and living with BPH for 15 years my regimen has become alfuzosin 10mg daily, half hour after dinner and silodosin 4mg once a week (taken together with the alfuzosin). I find the silodosin 4mg (Urief) to be so powerful that its effects last for days and for my particular symptoms and sleep interruption I don't need more at this time. I would recommend silodosin to any patients who were previously on other alpha-blockers but found them to be ineffective. I'd also recommend silodosin to any patients trying to pass a kidney stone. The other main class of prostate medications are the 5-alpha reductase inhibitors and these include finasteride and dutasteride. These medications work by shrinking the prostate slowly over time through their interference with the conversion of testosterone to DHT. This class of medication is much less effective in patients with smaller prostate sizes. The 5-alpha reductase inhibitors are also high side-effect drugs and can cause loss of libido, impotence, ejaculatory disorder, gynecomastia, depression, anxiety, and increase the risks of a more serious type of prostate cancer. Sometimes these drugs are marketed as combination therapies with alpha-blockers. The medication Duodart is a good example. I'd strongly advise against self-prescribing any 5-alpha reductase inhibitors and I think you can achieve superior therapy avoiding the marketed combination capsules such as Duodart. When the medications are not enough or not tolerated then it is time to evaluate surgical options to reduce the prostate. Surgical options include minimally invasive surgical therapies (MIST) that can generally be performed in a doctors office and all the traditional surgeries such as TURP which generally require some time at the hospital. The list of options for MIST continues to grow and now includes Rezum, UroLift, iTind, Optilume, and various injection types and histotripsy are currently undergoing studies. Though most of the literature describes aquablation as a minimally invasive technique I sure tend to disagree with that. This is generally performed in a hospital setting and In talking to my urologist this technique can result in a lot of bleeding which then needs cauterization. Perhaps it's more advanced, planned and guided than TURP, but in no way would I consider this minimally invasive. Most men, myself included, care quite strongly about preserving normal ejaculatory function. If this is the case you should extensively discuss this with your urologist and ask him in detail about what he intends to do when near your bladder neck muscle. Sometimes I feel like these urologists don't give a <deleted> about your ejaculatory function and just want you to urinate properly for the rest of your life so that you don't damage your kidneys. During a TURP or TUIP these guys will slice and dice your bladder neck muscle making a nice channel up to your ureters to give you a fantastically great flow, but you will never ejaculate normally again. If you don't care about ejaculatory function then don't early 60's and retired, having worked in healthcare my entire career. I have been living with BPH for about 15 years. When considering prostate treatment options it is important to know your prostate size. This is generally obtained and calculated from a lower abdominal ultrasound. Another benefit of this procedure is that they may ascertain if you are retaining any urine in your bladder after you urinate (a post-void residual volume). Smaller prostates are generally more easy to treat than larger prostates. The ultrasound will not reveal detailed information about the condition of the lobes and zones of the prostate. Instead, a more invasive procedure called a cystoscopy is needed for this information. The prostate has four lobes- a left and right lateral lobe, an anterior lobe, and a median lobe. A large median lobe can complicate some surgical techniques. Medications are the first line of therapy and are usually quite effective. Alpha-blockers such as terazosin, doxasosin, tamsulosin, alfuzosin, and silodosin typically provide substantial relief of lower urinary tract symptoms. I find it easiest to think of alpha-blockers as muscle relaxers for the prostate that result in less impingement upon the urethra, thereby improving flow. I have tried all of these alpha-blockers and I can tell you from my experience I have 2 clear favorites: alfuzosin and silodosin. In Thailand these are available as Xatral XL 10mg and Urief 4mg. There are some less expensive versions of alfuzosin but I have found them to be inferior to brand name Xatral. Side effects with alpha-blockers can be high at first, but they tend to rapidly fade away over the first two weeks of treatment as your body adjusts to the therapy. Alfuzosin is idealy taken about a half hour after finishing dinner. Many patients including myself consider alfuzosin to be the superior alpha-blocker because it achieves clinically significant improvement in symptoms without dizziness or ejaculatory dysfunction. Silodosin is a newer alpha-blocker and it is unique in that it has a high degree of specificity for the alpha-1a receptor subtype. The specificity profile of silodosin makes it quite powerful and thus it will have more side effects such as ejaculatory dysfunction also known as retrograde ejaculation. The bladder neck muscle is a sphincter type muscle that sits at the junction between the bladder and the prostate. During normal ejaculation the body will tighten this muscle so that fluids flow out the distal end of the urethra. With a super potent alpha-blocker such as silodosin, the bladder neck muscle will be unable to close fully and ejaculatory fluids will typically take the shorter path and flow up into the bladder. For me and living with BPH for 15 years my regimen has become alfuzosin 10mg daily, half hour after dinner and silodosin 4mg once a week (taken together with the alfuzosin). I find the silodosin 4mg (Urief) to be so powerful that its effects last for days and for my particular symptoms and sleep interruption I don't need more at this time. I would recommend silodosin to any patients who were previously on other alpha-blockers but found them to be ineffective. I'd also recommend silodosin to any patients trying to pass a kidney stone. The other main class of prostate medications are the 5-alpha reductase inhibitors and these include finasteride and dutasteride. These medications work by shrinking the prostate slowly over time through their interference with the conversion of testosterone to DHT. This class of medication is much less effective in patients with smaller prostate sizes. The 5-alpha reductase inhibitors are also high side-effect drugs and can cause loss of libido, impotence, ejaculatory disorder, gynecomastia, depression, anxiety, and increase the risks of a more serious type of prostate cancer. Sometimes these drugs are marketed as combination therapies with alpha-blockers. The medication Duodart is a good example. I'd strongly advise against self-prescribing any 5-alpha reductase inhibitors and I think you can achieve superior therapy avoiding the marketed combination capsules such as Duodart. When the medications are not enough or not tolerated then it is time to evaluate surgical options to reduce the prostate. Surgical options include minimally invasive surgical therapies (MIST) that can generally be performed in a doctors office and all the traditional surgeries such as TURP which generally require some time at the hospital. The list of options for MIST continues to grow and now includes Rezum, UroLift, iTind, Optilume, and various injection types and histotripsy are currently undergoing studies. Though most of the literature describes aquablation as a minimally invasive technique I sure tend to disagree with that. This is generally performed in a hospital setting and In talking to my urologist this technique can result in a lot of bleeding which then needs cauterization. Perhaps it's more advanced, planned and guided than TURP, but in no way would I consider this minimally invasive. Most men, myself included, care quite strongly about preserving normal ejaculatory function. If this is the case you should extensively discuss this with your urologist and ask him in detail about what he intends to do when near your bladder neck muscle. Sometimes I feel like these urologists don't give a <deleted> about your ejaculatory function and just want you to urinate properly for the rest of your life so that you don't damage your kidneys. During a TURP or TUIP these guys will slice and dice your bladder neck muscle making a nice channel up to your ureters to give you a fantastically great flow, but you will never ejaculate normally again. If you don't care about ejaculatory function then don't waste time with the minimally invasive surgical techniques, just get a TURP and urinate like a teenager the rest of your life. I'm not going to discuss techniques for complete removal of the prostate as I really only see that as time with the minimally invasive surgical techniques, just get a TURP and urinate like a teenager the rest of your life.