Tazmo

From my experience as a retired psychiatric nurse, you will need a combination of drugs. It will be finding the right combination that works for you. Therefore I expect you will need monthly follow up appointments with the psychiatrist to monitor what’s effective. Usually there is a mood stabiliser ( lithium carbonate has been used for decades and is the only drug that has been designed especially for bipolar); the others will be antipsychotic; anticonvulsants and a benzodiazepine which can be addictive so you will be advised on how often to use. Also ask for an emergency drug, one that you can take when you feel at your worst ; unable to get out of bed ; anxiety or other abnormal thoughts or feelings. It would also help to see someone on a regular basis for support. A professional, eg psychologist.

My Thai Partner completes a form for me every year and I get a refund of nearly 2K baht (1,577.44 THB) from my 800K fixed savings account, for my Renewal/ Extension Visa. It probably isn’t the same form as declaring Income, but that’s my only communication with my local tax Office. My pension is small and used for living expenses, subsidised by my partner’s income!

Waiver Visa fees annually, for Retirees, until the safe standard of 37.5 is reached

Stay away from Drugs!! Should be the lesson instead of “ Go Fund me”, misuse. Do not go to Thailand for a “ Drug Holiday “ or else bear the consequences! Your own karma! There could be permanent damage to your health from drug misuse or mixing in that community. Although I see many using cannabis shops and making purchases, so maybe it’s where you use it!

Bangkok RIA Lab Co Ltd is worth a try. I use their Chiang Mai Branch. They will send your results by email after lunch on the same day. Sorry but I can’t remember the fees, about 4K Baht.

I also use the cacao nibs ( gift from my sister in law), I have a lot. I use dates for my sugar. Soak them in some warm water to soften them, after re the seeds. Then blend it together with te nibs and peanut butter. I vary the texture, sometimes to get brownies, or chocolate or thinner for chocolate spread. But, hey, each to their own.

The air quality last year March and April was extremely poor in CM. I went to Krabi for the duration, and doing the same this year. The weather was apparently very hot too! Records indicated an increase in hospital admissions for those with respiratory problems and deaths as well. Mostly premature deaths! The effects are not always evident on those who don’t have a history of respiratory disorders, but it is said to reduce one’s life span by up to 5 years. Steps have been taken to reduce the pollution this year and so far it seems better at this present time. A recent research indicated that aircraft fuel pollution is also a contributing factor. I do not advise friends or relatives to visit at this time of the year.

If someone has stopped alcohol abuse ( or any addictive behavior eg gambling; internet; food; sex; cannabis etc), the purists in Rehabilitation will view medication as a “ crutch “, replacing one with another. However, as with a broken leg, a crutch can be helpful, Once you have done the rehabilitation ( physio etc ). And with addiction you need to change your lifestyle; your environment; friends; places you go etc as these will trigger your addiction back to the start. Also get to know yourself; no point making derogatory remarks about others who choose to live different lifestyles, eg bar life. It might make you feel better in the short term, but the real test is how stronger have you become to stay “ clean “, without the necessary changes to your lifestyle. Some attend Support Groups, making new friends, short term medication if necessary; meditation works for some. Do you own research, have some counselling from a Specialist Addiction Counsellor to help you find your way to remaining sober. Doctors and medication is not often the best for someone who has indulged for many years, if that’s been your situation. It like putting a bandaid plaster on a deep open wound! But I would refrain from boasting on a website like this and attacking others. You need to stay clean mentally as well. You will never convince others who do not see a need for them to change! The Rehab Service I worked for had a motto, “ Change for Change “ !

Of course I don’t condone such behavior and I totally agree with you that it’s gross and unacceptable etc. But I believe one has to understand that if you’re inviting tourists, you will get a cross section of races, cultures etc and there fore the authorities have to understand that some will not comply with local decency. It therefore requires, education , monitoring and enforcing laws that require people to act responsibly. In extreme cases people have had their visas revoked, but it should apply across the board.

You’re right, it’s just racists having a rant. I have seen Westerners not suitably dressed entering bars ; they get turned away from Temples; some kissing and cuddling in Temple grounds. Not always a regular thing but it attracts attention, same here. Brown and black people do not sunbathe but may often lie in a hot place, beach ; swimming pool , fully clothed, sometimes after a few drinks. But Many here never try to understand different races nor cultures, colonial mentality. We all inherited genes that affects our views and behaviors, the education systems have failed in some countries.

It’s a very useful, valuable and helpful forum, for advice; support ; guidance; sometimes educational : It’s nice to be able to consult others who may have had previous experience in an area that you are about to encounter. Especially in a Country like Thailand where things change overnight and regulations and laws are not enforced; or there may be different practices in different regions/ districts. Some people are helpful and positive, others can be funny, while some can be rude, offensive. Many whinge a lot, which is why I tend to avoid Ex Pats forums. I found the same in the Middle East. People choose to migrate then spend the rest of their life whingeing about the locals. They all seem to believe that the West is superior, a Colonial mentality, since the accurate history is not taught in the the West. Interesting however to have just read from Medical research that Social Media (and Forums) is the major source of “ Irritability “ in Older People. So best to keep tuned and try to be helpful when you can is my motto, but take some stuff with a pinch of salt! But full credit to the hard- working and thoughtful people who have set this up and operate it. Regularly monitoring and improving such a free and valuable service, IMHO.

Yes, you’re correct. Apologies, mine was bloody because of the removal of polyps, and I didn’t make that clear.

I had one done at the Sriphat Hospital in Chiang Mai. It was 25K THB, but it was a package, which includes conscious sedation ( you feel nothing); fees for Surgeon; Nursing; Admin. and if polyps ( growths) are seen during the procedure they will be removed. I had 2 removed. Procedure can take up to or less than an hour. You are likely to pass bloody motions later, once only, usually. But may have an Irritable bowel after, depending on several factors. I am sensitive to spicy food; some diary products and beer! I paid separately for a Consultation visit and the bowel preparation meds( which by the way was comfortable for me ). It’s essential that your bowels which are very long is entirely clean, some foods eg meat, can remain in the bowel for several days. This can block the sighting of the surgeon and procedure has to be repeated. I also had to pay separately for a follow up appointment and the results of the pathology specimen. A sample is taken during the procedure and tested for cancer. Mine was negative thankfully! But it was value for money. I have been a Head Nurse for an Endoscopy and Day Surgery Unit so my judgment is based upon my professional experience. In the UK there’s a long waiting list, possibly being reduced now, unless you go privately. Good luck.

I have been going away to the seaside while I can afford it. Also has an air purifier at home in CM and in the car as well. People with chest conditions should not be exposed to the hazardous conditions. Sadly some can’t afford to move away temporarily and end up as a medical statistic, either in hospital admission or death. It’s not a question of we all have to die someday, but we can have a choice of not prolonging the agony of suffering long before death or suffering of our loved ones ( those who have). Primary prevention is getting there before the disease or illness eg with vaccines or taking other positive measures. Secondary, is having to have treatment for the condition, as an out-patient or in-patient. Teritary, is when the condition becomes chronic. Research has also proven that hereditary factors also play a part but we can still minimize the risk. My reply is not meant to be a sermon, but really just sharing my experience from 40 years in the Nursing profession, working in Sanatoriums ( In a coal- mining district), Chest Hospitals, Elderly care etc etc and watching helplessly at times as people suffer. Maybe after all it’s ‘ Karma’ ?? I somehow had to find the resilience to soldier on, because I felt we all are free to make our own choices in life, although some did not have much of a choice eg working in some conditions in the mining industry. But it’s irresponsible and selfish to label this topic as “ paranoia”, even if it’s prevalent in other countries, as some have indicated.

Spot on! Prevention better than cure, the old adage! But not many people subscribe to health education, primary prevention. They wait until they’re sick then go into hospital!