Bill Poster

31 minutes ago, Sheryl said:

I think they mean acquired from childhood, chronic

 

His immediate cause of death was sepsis and fulminant cirrhosis secondary to chronic Hep B infection.

 

I am glad to note that the family & doctor agreed not to intubate or do CPR but rather give palliative care, and that he received morphine.

 

Hepatitis B is very common in Asia and most cases these days are acquired at birth from a mother with chronic HBV.

 

Thailand now tests all pregnant women for chronic HBV and puts them on antiviral medication if they have a high viral load, so mother-to-child transmission of HBV will become a thing of the past, b ut there are plenty of people already born who have it.

 

 

Thanks again Sheryl

 

As far as I understand the hospital doctor treating the now deceased wife's relative ,  did not ask the wife or his daughter to take any form of test at all  , so I was wondering if it was now wise for the daughter and wife to undergo some sort of testing relating to HBV , which I would gladly pay for. 

 

Is there a standard HBV test that the both of them could now take. 

 

Thanks .

On 1/24/2022 at 11:42 AM, Sheryl said:

 

Sorry to hear this, but to be expected given the test findings.

 

I hope his passing was peaceful.

Thanks Sheryl 

 

I have just been given a copy of some type of hospital medical report on the wife's relative who passed away . I'm trying to use google to understand a bit more about the report . The part where it says ( Child C ) seems a bit strange . The relative leaves behind a wife and daughter .

 

 

its a long thread , so may be this has all ready been posted. 

 

I contacted eBay about my PayPal account and this is what eBay sent me ...

 

 This interesting comment from eBay   ......'' I have checked and I would like to share that eBay has already separated from PayPal '' 

 

 

 

--

 

 

 

Just an update .

 

The wife's relative passed away in hospital at 4 am this morning , he was 48 years old

 

Last night around 7 pm my wife received a telephone call from her relatives family who were pancaking . The relative who had just been discharged from hospital was now having difficulty in breathing ( described as constant hiccuping ) so my wife contacted the emergency services and an ambulance then took the relative back to the original hospital (  Nang Rong Hospital Buri Ram )  who had been treating him.

My wife telephoned me around 11 pm to say that her relative had been admitted to the hospitals ICU room and that she was going to sleep at the hospital that night . 

 

I’m now waiting for an update , but it does not sound to good.

15 minutes ago, bbko said:

OP, sorry to hear about your relative's condition. My wife's uncle passed away a few months ago from long term alcohol abuse and he was in his early 60's, the relatives and I say "he drank himself to death", he'd wake up and hit the bottle everyday all day, but they did nothing to stop him, saying his immediate family tried many years ago but he refused to listen.  Maybe the question you could ask are to the family and the man himself, "Is he able to stop drinking?" Because the next step after cirrhosis is liver failure/death unless he get's a liver transplant.  Ask the doc, what's his outlook if does vs doesn't stop drinking or is it too late?

Good luck.

Thanks 

In the past the wife's relative was a daily drinker of Lao khao and Chang beer , but when he first started getting his symptoms about 2 years ago he stopped drinking alcohol altogether ( or so he says ) . When he first started getting the symptoms he did not want to go and see a doctor , thinking that the symptoms would just disappear . The question I’m wondering is did he stop drinking soon enough and whats the level of damage done to his liver . I’m still not sure why the doctor sent the relative home so soon .

First a big thank you to every one for your comments .

 

As far as I understand the relative has always been a long time big drinker , but stopped when he started to experience the symptoms. 

 

Now I'm wondering several things .

 

As I'm accompany the relative back to hospital on the 1^st of next month for his appointment to see the doctor , I want to ask the doctor questions about the relatives medical condition , but I'm not sure exactly what to ask . So any recommendations on that subject would be most welcome.

 

The other area I'm wondering about is this.

 

Would it be of any real benefit to seek a second opinion at another hospital , the relative is not financially able to afford access to a private hospital.

 

As far as I understand the doctor made no direct comment relating to past alcohol use , and the relative has also not commented on his past alcohol life style.

 

 

Thanks.

 

 

 

 

 

 

 

One of my Thai wife's relatives , a male age 48 had been suffering from the following symptoms........

 

1. Loss of weight

2. Loss of appetite

3. Constant coughing and throat clearing.

4. Difficulty in sleeping .

 

Those above symptoms the relative had for around 2 years , but never went to see a doctor.

 

Towards the end of that 2 year period , in the last few months 2 more symptoms appeared .

 

A. Blood being coughed up.

B. Blood in feces ( stools )

 

Once the blood symptoms started to appear, he went to see a doctor at a local Thai government hospital .

 

He was admitted to an open ward for observation , but his symptoms became worse and he was transferred to the hospital ICU room. He remained in the ICU room for a week while undergoing a range of tests .

 

He was moved from the ICU room and onto an open ward , where he remained for another week,

 

The doctor has today allowed the relative to leave the hospital and return home.

 

The drugs the doctor prescribed to take at home are….

 

1. Propranolol

2. Omeprazole

3. Augmentin 625

4. Folic acid

5. Spironolactone

6. Simethicone

7.Furosemide

8. Lactulose

9. Vitamin B

 

I have looked at the 2 medical reports the doctor gave the relative, which are both in English and included 2 DVD disks.

 

Ive tried to research the information shown on the 2 medical reports , but I’m still not sure what those 2 medical reports really mean. I am planning to accompany the relative back to hospital on the 1^st of next month for his appointment to see the doctor , and I hope to ask the doctor a few questions . In the meantime I’m wondering if any one could shed some light on the 2 medical reports .

 

 

Thanks

 

 

 

 

 

 

6 minutes ago, Sheryl said:

I can't imagine that they will not have a cardiologist.  Every hospital does.

 

What you describe re the ECG has nothing to do with the result.

 

Cardiomyopathy, and valve problems, will be asymptomatic in early stages.

 

Hopefully it is nto myopathy but just strain on the heart from a leaky or stenosed valve, which is treatable

Sherly 

 

As always thanks for the sound advice , its really appreciated . ????

 

 

 

Thanks 

 

 

5 hours ago, Sheryl said:

Changes to diet, however otherwise beneficial,  are not going to fix a valve defect nor reverse cardiomyopathy, both  possible causes of what the ECG is showing. He needs an echo and evaluation by a good cardiologist.

Thanks Sheryl

 

I am shortly returning to the Suranaree University of Technology Hospital in Korat to discuss the ECG findings . 

 

A few things spring to mind relating to the recent ECG .

 

When I underwent the ECG the person carrying out the procedure had a problem placing the ECG suction cup sensors on my chest area and the sensors kept falling off . This falling off situation was due to the fact that I have a hairy chest . The person carrying out the procedure had to call a second person to come and physically hold down the sensors while the ECG test was being performed and even then the sensors kept moving. 

 

Just researching the symptoms for cardiomyopathy the list includes ...

 

Shortness of breath or trouble breathing, especially with physical exertion.
Fatigue.
Swelling in the ankles, feet, legs, abdomen and veins in the neck.
Dizziness.
Lightheadedness.
Fainting during physical activity.
Arrhythmias (irregular heartbeats)

 

 

The only symptom I have or ever had on that above list is that I feel a bit tired .

 

The other area talked about relating to cardiomyopathy is having high blood pressure.

 

For the past few years I have taken my blood pressure at home and its always been in the ‘’ Ideal ‘’ range.

 

I have looked at the Suranaree University of Technology Hospital in Korat web site and cannot see a cardiologist listed , so would you happen to know a cardiologist in the Korat area.

 

 

 

 

Thanks .

 

8 hours ago, BigStar said:

  

The thought had occurred to the OP, but he soundly rejected it here:

 

Throwing caution to the wind and b u g g e r the diet – How about you

 

on the grounds that the stress of dieting might shorten his life. Much less stressful, if accompanied by, say, a bowl of Birds custard--and therefore life extending--is worrying about an enlarged heart, nausea, regular watery soft feces, high cholesterol, carrying around extra fat, and chasing after docs and meds. Not an uncommon choice, with roughly predictable results.

I had forgotten about that post ????

 

I recently attended hospital and saw a gastroenterologist about a problem I am having with regular watery soft feces ( stool ) . That problem is currently still under investigation .

 

The gastroenterologist had me go through several tests and one of those tests was to have an ECG.

 

I had forgotten all about having that ECG test until today when I checked the hospital paperwork.

 

When I started to look at the ECG test paper I instantly became very worried that my ECG test results don’t look that good and could mean possible future life threatening issues. 

 

Before having the hospital ECG my blood pressure was taken and showed .

 

SYS = 112

DIA = 52

Pulse = 71

 

Just wondering if any one else has had an ECG test and may be able to shed some light on what my ECG results could possibly mean. 

 

 

Any comments , advice or thoughts most welcome. 

 

 

I’m 72 years old , slightly overweight , no other symptoms apart from the current regular watery soft feces issue. 

 

 

Thanks .

44 minutes ago, Sheryl said:

What blood tests were done?

 

Nausea can have a wide range of causes. Not usually colon cancer, though.

The blood test results will be part of the final assessment on the same day after the Colonoscopy and Endoscopy have been carried out . So currently I have not been told the results of the blood test.

 

Last night I had a meal ( I still have have a good apatite ) . after that meal there were no signs of any thing being wrong. This morning soon after getting out of bed I had to dash to the toilet and had a bout of watery soup like diarrhoea ( no signs of blood ) or other symptoms .

 

That bout of watery soup like diarrhoea, reminds me of long past stomach problems I had relating to a parasite / bacteria issue .

 

 

Thanks .

 

 

Just read this ......

 

What is the test for stomach worms?

 

 

Endoscopy is used to find parasites that cause diarrhea, loose or watery stools, cramping, flatulence (gas) and other abdominal illness. This test is used when stool exams do not reveal the cause of your diarrhea.

 

May be thats the reason the gastroenterologist has recommended a Endoscopy test for me. 

 

 

Thanks .

1 hour ago, BritManToo said:

Classic sign of worms ............ did they give you worm pills?

(antibiotics don't cure worms)

I had originally thought of some sort of worm problem , but after seeing both stool tests show negative I dismissed worms , but the symptoms of having ‘’ worms ‘’ do indeed look similar to my symptoms.  The drugs I was given as far as I know did not include any specific thing for worms. 

 

Thanks .

 

I thought I would post an update on my ongoing situation .

 

After taking the prescribed antibiotic drugs for a possible stomach parasite / bacteria,  my symptoms remained the same and did not improve. I then had another second stool test which like the first one came up all negative. 

 

My symptoms then changed so the doctor sent me to see a gastroenterologist . The gastroenterologist listened to my new symptoms and the fact that the prescribed antibiotic had no effect on my stomach problem . Then the gastroenterologist made a comment that my medical issue may be due to colon cancer and recommended I have the flowing two tests shown below in 9 days time.

 

 1. Colonoscopy.

 2.  Endoscopy. ( flexible tube camera down your throat and into your esophagus ).

 

I have now also had the following tests done .
 
A. Chest X-ray.

B. Blood test .

C. Heart rate monitor. ( heart rate graph ).

My current symptoms are now ……….

 

Regular watery soft feces ( stool ) small round lumps .

Feces a light brown colour , no signs of any blood.

Some times I feel a bit nauseous but never vomit .

Occasional slight itching sensation around my rectum area.

No weight loss.

No loss of apatite.

Feel a bit more tired .

No family history of colon issues.

Some times I have stomach ache.

Regular daily flatulence.

I have to stay in hospital for one night and undergo a Covid test ( hospital policy ) then the next day 

the two tests ( Colonoscopy and Endoscopy ) will be carried out .

 

As soon as the gastroenterologist said the words , you may have colon cancer , my mind went crazy. The more I google ‘’ colon cancer ‘’ the more I’m becoming convinced that the gastroenterologist may be correct in his assumption that I do have colon cancer .

 

So now I have to wait until I get the new tests done , but I’m now very stressed out . ????

 

 

.

 

4 hours ago, mtls2005 said:

It is pretty impressive these days.

 

My GP orients the screen and walks through everything for me.

 

Full tabulated test results, with green, yellow and red designations. 

 

MRI, Cat scan, ultrasound, all available on the screen.

 

 

Still, I imagine billing, purchasing/inventory, payroll get quite a bit of attention.

 

 

I had forgotten about the financial side of the hospitals computer system , now theres an area that must be ‘’ guarded ‘’and locked down tight .

 

The thing that surprises me is just the numbers of people employed on a daily basis to keep the hospitals computer system safe and fully functioning.

 

 

Thanks.

6 hours ago, frantick said:

I don't know about Thailand, but if you're interested here's how it's done in the States, using an example from my previous employer having 2 500 bed hospitals, about 10 clinics, and multiple specialty outpatient services all using the same system. Skip to next post if you're looking for Thailand specific methods.

 

1. Transactions are backed up continuously and entire databases every night, usually to multiple locations to be used for backup, reporting, training systems, and testing systems. Recovery is down to within a minute or two of a failure. Databases and online systems are mirrored or shared to a 2nd off site location and always available for HA; high availability.

 

2. Both datacenters run battery backup systems. However, the 20 or so minutes of power in these systems running big diesel generators is not to provide continued service, but to allow a failover to the 2nd datacenter, or clean shutdown of all systems if both locations have lost power.

 

3. Viruses are a big threat. Healthcare IT departments spend a bunch on security consultants, email anti-virus filters, multiple firewalls, PC anti-virus. Additionally, much is spent to automate server and workstation bug fixes, software, and OS updates.

 

4. Equipment and software aging is an ongoing maintenance, planning, and budgeting issue. IT staff work internally with vendors, and sometimes specialized consultants, ie storage systems architecture, to define long term goals and needs. Due to budget constraints, there is usually some compromising going on, but generally minimal compromising on important 24/7 systems.

There are downtimes. For example when testing failover or installing new raid array systems, etc. But these are planned with the medical staff during low patient volume times, and few and far between. Our Electronic Medical Record system, Epic, provided some apps and utilities to minimize downtime recovery time; ie patient data capture on specific PC's synced later to the primary system.

 

5. "Disgruntled employees" is a weak point at most IT shops I'm sure. You try to minimize the impact any one person could have by limiting their access to only what they need. Also monitoring that access and other activities; websites, etc. Also, good IT shops will have staff trained to cover equivalent jobs so the loss of one does not negatively affect (too much) the business. In real life, some employees have too much access and some employees know more than others.

 

6. The system I worked for listed above, had about 150 full time IT employees (maybe 3500 - 4000 regular employees, medical staff, HR, education, etc.). This 150 included those involved in training the software used by the medical staff, designers of each piece of the software; ie Admitting, Orders, Pharmacy, Lab, etc. And then the technical side, PC techs, HELPDESK, network, storage, server, interfaces, etc. We would occasionally hire outside consultants to provide additional help for large projects or for projects requiring unavailable skillsets.

 

7. Yes, our systems did not have physical bodies on site during off hours unless we were performing a hardware or software upgrade. All support is done remotely via OnCall SMS messaging and remote access software. And now with covid there are very few bodies on site during daytime hours either. This I'm told because I retired right before we knew Corona wasn't just a beer. My coworkers are now working from home 90% of the time. Some happy about that and some not.

Our 2 datacenters were not located at the hospitals. The primary datacenter was close to one of the hospitals, 2 city blocks, but the secondary was 10km away. Not real important, but relevant.

 

Sorry if I rambled on, but what else do ya do when the bars and restaurants are shut?!

 

Edit: At 150 IT employees, we were considered lean for our size compared to the industry average.

Thanks for taking the time to reply , its really appreciated. ????

 

Just a few more questions if you don't mind 

 

 

Thanks .

 

I have recently attended a large University hospital , and it struck me that nearly every thing is carried out via a computer screen.

 

The Doctor looks at my medical history.

 

My next appointment information was done via a computer screen and one of the few things that were actually printed out on paper.

 

The doctor consulted with another doctor in the same hospital via his computer screen .

 

The doctor prescribed a range of drugs and sent that information to the drugs pharmacy department in the hospital .

 

It seems that may be 90% of information and records are stored on the hospital computer.

 

I know it may be a bit simplistic ( I’m not very computer literate ) but whats going on in the hospitals computer department .

 

1. what about backing up all the daily changes to the hospitals computer records.

 

2. what about the well known Thai electric power interruptions to the hospital building that may
 affect the computer system.

 

3. what about the ever present computer virus / ransom possibility's.

 

4. what about when the computer fails through miss management / age and physically needs upgrading .

 

5. what about a malicious action by a hospital computer technician ( disgruntled employee ) .

 

6. whats would be the approximate number of hospital staff involved on a daily basis keeping the hospitals computers up and running.

 

7. Is it possible that the people involved in maintaining the hospitals computers , may not actually be physically be at the hospital.

 

8. Etc .

 

I’m just wondering from a non computer person , just what is in involved in the day to day running of a large hospitals computer system. 

 

 

 

 

Thanks .
 

Any one else who has been successful , but like me only showed the main photo page of their passport and not the page showing their visa information ?

 

Thanks ????

 

I managed to register successfully and provided a jpeg image of my passport main page ( the photo page only )

 

I do not have any medical issues so did not provide any medical paperwork.

 

I have just read on another Thailand related internet forum that you have to provide a jpeg photo showing the visa you have in your passport.

 

If you look at the screen shot B

 

It shows what documents you have to provide ( No mention of visa details )

 

If you look at the screen shot A

 

It shows its shows part of the online form , and you have to show the type of visa you have there.

 

Am I correct in thinking that you don’t have to scan your passport page showing the visa details you have ?

 

 

Thanks.

Ive been buying imported Ambrosia Rice Pudding in tins ( 96 Baht ) , but I was wondering if its possible to actually make some home made rice pudding that tastes similar or better to the imported type.

Has any one managed to make home made rice pudding , and if so what’s the best recipe and ingredients that can be purchased here in Thailand .

Thanks 

 

 

????

A big thanks to every one for your comments and suggestions , its really appreciated  ????

2 hours ago, sanuk711 said:

Has anyone mentioned the date of birth---(cant be bothered to read 13 pages)..... its current and to get your DOB you click it back..1 month at a time..... (unless someone is going to point out what an idiot I am) over 900 clicks to get back to the 1940s...........

I just put in my date of birth using the Thai date format ( 2492/08/06 ) and that was accepted OK . 

2 minutes ago, RAZZELL said:

All 3 of my original email attempts just got a reply with a link.

 

one at a .mac address one a .gmail one at yahoo.

 

All arrived about 3 hours after I tried - 2pm and just after.

 

So, be patient guys something might turn up.

 

 

RAZZ

 

 

I think i saw some others here who have been successful when they like me used a protonmail email account , just a thought ????