ignis
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Posts posted by ignis
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8 minutes ago, Bangkok Barry said:Another member who consults AN readers instead of a doctor. Weird. I know some people are afraid of doctors, but I'd be more afraid of asking non-qualified people for medical advice.
Sometimes even often there are other people who have the same type of problem, so you can get a good idea how they over came it...
Problem everywhere not just Thailand, many Drs have there own ideas some not of the problem but there idea as to what meds you need to take....
eg: Many years ago went to see my Dr many times, his idea was maybe was my Diabetic Meds after about 5 visits, phone for another appointment but asked to see his wife also a Dr.. 1few days later had an operation .. [before PC's or Forums]
Here a few years ago had a problem after many visits to the Dr by then in a wheelchair, asked on here, one reply stood out and did a web search = my problem was the prescribed Med's which the Dr changed, so was a big thank you to a readers posted reply
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In resent weeks getting a lot of balance, lightheaded, feeling going to pass out... have a BP meter at home so is 1st thing to check, normal is between 11:30 to 13:00 time get the problem, stopped taking BP meds, in the morning a month ago but still the same...
get up between 6 - 7am BP is around 135/75 + yet around 11 am feel strange lightheaded is down to 95/58..
If BP is OK then 2nd check is Blood Sugar. appears to have the same effect if to low, appears to go to low sometimes [On Insulin Diabetic many many years]
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what I understand from Bangkok Bank, it stopped working on my Android 9 and Android 10 smartphones = had to go into a Branch = still will not work.
REASON they say.. For security, Bangkok Bank Banking can be used with a mobile phone or tablet with supported operating system version 11. or above ..
I do not need a newer Android phone !! ?? .
So far NO problem with my SCB app. just a pain have to go to ATM and transfer money into SCB to pay water + electric and Internet every month
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1 hour ago, Lantern said:
^ Wow that's $500AUD
I'm sure I saw a group of them last time I went to the tip shop over here.
Will have to have a look next time I'm there.
Old Lady in the Village has one bought, from local Pharmacy under 2,000 baht
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1 hour ago, superal said:
So true and many shops have high steps to their entrance without handrails . I have lost a lot of balance since a stroke and descending stairs is a nightmare . I have to walk down backwards whilst holding the handrail . No handrail ? then no way am I going up stairs . Lets face it Thailand has little consideration for pedestrians with disabilities . Uneven and sloping pavements are a big problem for me , also high kerbs . Wheelchairs in Thailand maybe OK within a hospital or airport but in Thai towns forget it . To Poppysdad , have you considered an electric carriage that can be used on the road , thus avoiding the hazardous pavements ?
'have you considered an electric carriage'
how do they go up/down steps and stairs ? as that is the main problem
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Not sure these days is cheaper to build your own ?
How about something like this
https://www.jib.co.th/web/product/readProduct/64460/1400/COMPUTERSET-JIB-MARU-2401008 11.800 baht
or
Shops everywhere so no problems..
The Intel i5 is classed as a gaming rig why would you need ?
Myself am a AMD man, Never had Intel ever.. many Desktops + Laptop over the years.
https://www.advice.co.th/product/computer-set-amd/set-amd/คอมประกอบ-advice-computer-set-amd-a140-ryzen-5-5600g-no-vga 10.750 baht more than meets your needs ?
or even this one https://www.jib.co.th/web/product/readProduct/64451/1400/COMPUTERSET-JIB-MARU-2401001 8,990 baht
on AMD 'G' after the CPU number = onboard graphics NO VGA needed
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Because of disability problems been using a walking stick for over 24 years..
If you need one remember if you have a normal stick/cane = you have only 1 hand as the other is holding the stick/cane = nothing but a pain forever falling on the floor
About 6 years ago bought this one https://www.lazada.co.th/products/3-hospro-walking-stick-4-h-ws9321-i2275909994.html?spm=a2o4m.searchlist.list.55.4b0027e1d0MTVW
it is perfect for my needs, can let go and it stands there
I do have a older one with has 3 feet but far to wide so never use other than on bad days in the garden, have a very old walking frame came from the Hospital, never use, as the above 4 feet smaller type suits my needs fine.
There are many different types look to see what is best for you... normal folding stick with wrist belt ? normal folding stick with large base ?
just some ideas there are so many
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Likewise I buy what I am legally required to have.
Insurance is a business to make money not pay it out.. I found out the hard way many years ago
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23 minutes ago, giddyup said:
Bought a new Samsung Galaxy A7 Lite from Lazada for around 4500 baht. Had it for 3 or 4 years and it performs faultlessly.
I have a Samsung Galaxy A7 Lite, mine is nothing like a iPad !! ?
Samsung Galaxy A7 I hate it, as the months go by keep saying to myself stick the sim back into my VIVO, I keep my VIVO [Android 10] charged, maybe one day with change back or get a Newer Vivo
For the OP maybe search 'refurbished iPad Thailand' remember seeing a few years ago Apple stores here selling refurbished items
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On 12/20/2023 at 1:23 PM, JimTripper said:
Learn to do things yourself. Don't use an agent for anything here. It's just blokes off the street doing things you could do on your own.
Agreed but for some it has become impossible to do yourself, sick. disabled just old age...
Heard from a guy yesterday he is in his 90's and has no option but use a Agent as he is living at his home and cannot get out.
anyway he said the 'New' item the Agent needs is extra photo's 1 x showing in bed another sitting
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1 hour ago, ignis said:
As Crossy says - Different requirements mean different animals.
UPS EATON 9E3000i looks good but is 24,900 baht with 3 years onsite warranty [there are far more expensive ones]
APC Back Up Pro UPS BR1500GI @ 15,950 baht
down to 1,000 baht.
you must 1st work out what you need + found on cheaper ones the battery life is poor [4 - 500 baht every 6 months could work out expensive, where a 3,000 baht UPS maybe will last 2 -3 years before replacing the battery]
if home use have you though about something like this [also more expensive + cheaper models]
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As Crossy says - Different requirements mean different animals.
UPS EATON 9E3000i looks good but is 24,900 baht with 3 years onsite warranty [there are far more expensive ones]
APC Back Up Pro UPS BR1500GI @ 15,950 baht
down to 1,000 baht.
you must 1st work out what you need + found on cheaper ones the battery life is poor [4 - 500 baht every 6 months could work out expensive, where a 3,000 baht UPS maybe will last 2 -3 years before replacing the battery]
if home use have you though about something like this [also more expensive + cheaper models]
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1 hour ago, Sheryl said:
Atenolol is no longer used just for BP but is indicated for heart failure, atrial fibrillation etc.
As for adding Manidipine to 25mg Losartan, 25 mg Losartan is sub-therapeutic dose, would be more usual to just increase the losartan does and maybe add clorthiazide. Unless -- and this is possible -- it was because of your decreased renal function. Sounds like the change in lab values and the decrease in losartan happened at same visit? If so, this could be why. However the preferred drug for managing hypertension in people with kidney disease is an ACE inhibitor like enalapril.
I very definitely do not recommend going to Sai Noi Hospital, it is a tiny community level facility. Suitable only for things like simple wound care.
In Nonthaburi I would suggest Panyananthaphikkhu Chonprathan Medical Center, which is university affiliated. And if possible the "after hours clinic", that way you will see senior doctor and can also ensure same doctor each time. Ask for an acharn in Internal Medicine. It will cost you a frw huindred baht more per visit but be well worth it in the long run.
Regarding CKD, staging is based on the estimated GFR which in turn is based on serum creatnine, so presumably your creatnine level significantly increased. Is it possible you were dehydrated when the sample was taken? As if so, would be worth repeating it.
If you are making additioanl visits solely for med refills might want to rethink that as =drugs like enalapril are dirt cheap at pharmacies.
drugs like enalapril are dirt cheap at pharmacies.
YES as are most Med's problem is asked many Pharmacies around here No one sells Insulin, to go to say Rama 4 cheaper Pharmacies is 3 + hour trip + a lot more expensive than a Government Hospital Pharmacy price
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enalapril 20 mg took for over 20 years years
Gliclazide 80 mg took for over 20 years years - Dr back in the 90's said it was better for the kidneys [diabetic drug]
Atenolol 50 mg took for over 20 years years
Diabetic Metformin took for over 20 years years
is just in resent years that the Med's have been changed so much
is it possible you were dehydrated when the sample was taken YES could be Blood work days is NO Food or Drink from 8 pm, tests done about 13 hours later.
on a light note Sai Noi Hospital has changed a lot over the years, now has walls and Dr rooms + Computers + have beds for In care, as of last month now have ticket machine and a display to look out for your number.. and are still building another new block... back in the day it was like a large barn with a tin roof and all open sided
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1 hour ago, Sheryl said:
I am not clear...are you still taking Losartan 25mg (a sub-therapeutic dose) plus they have added Manidipine?
By Zosin do you mean Tamsulosin or Doxazosin? In either case this is given for enlarged prostate but will also have a slight BP lowering effect.
It really does not sound like you are being at all well managed. What hospital do you attend?
Thank you for your help
Not sure but appears all Hospitals are the same both Government + Private, you see a Dr can be different Dr every visit..
2015 very bad - local Hospital said had to be taken to a Big Hospital. [as Next door works at Red Cross was taken there] 1st few visits after coming out of Hospital = different Dr every visit [in my mind] all had diffident ideas to Med's and so they changed almost every visit... asking for just 1 Dr the next years always had the same Dr more or less the same Med's prescribed every 3 months
Then came Covid = 90 mins each way on public transport + many hours in a crowded Hospital not safe, so went to the local Government Hospital at Sai Noi mostly see the same Dr every visit
[in my mind] small Village Hospital do not carry the same Med's as a big Hospital, + only have 1 x size of mg = I am forever cutting tablet to about the correct mg dosage..... sometimes they have run out of a Pill and get given something different - Hospital Pharmacy say is the same thing ?
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Yes still taking Losartan 25mg reduced from 100mg last month plus Yes they have added Manidipine 20mg
On the Prescription says Zosin on the blister packs says Doxa-zosin 2mg
Another Pill was suddenly stopped Atenolol 50 mg per day - I have had a mild Stroke years ago + a minor Hart Attack [had in my mine that this was the pill to help + lower BP] ?
Alarming last month was the blood work - have been fine with Stage 5 CKD in 2015 down to stage 2 until last month where it was again Stage 4..
I do Not have Salt or Soda and very little Red Meat, so no idea why it has gone up.
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16 minutes ago, Sheryl said:
Manidipine is for high blood pressure, not diabetes. Swollen legs & feet is a common side effect if this class of drug (calcium channel blockers). Common, and inexpensive, alternatives are ACE inhibitors (e.g enalapril) and ARBs (eg losartan)
Hydrochlorothiazide is a diuretic that also reduces blood pressure, though for most people this alone will not suffice and it rather needs to be taken along with abother drugs such as those mentioned above.
How high is your BP?
How high is your BP?
up and down, this morning 135/70..... Monday 154/77 - Tuesday was 99/54
the constant changing of Med's is confusing
Used to take Prescribed enalapril for years then over passed 5 years no end of different ones, then losartan 100 mg, this has been reduced last month to 25 mg day [Hospital only have 100 mg so must cut in 4] New Manidipine 20 mg, + Zosin 2 mg also reduced from 2x to 1 x a day end last month.. Atenolol 50mg has been stopped by Dr
NHS Website shows losartan + hydrochlorothiazide is good + I have had them before
So no idea if replacing the Manidipine with hydrochlorothiazide is good or bad... I do know that the Hospital do not have hydrochlorothiazide. next appointment is end of Jan 2024
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8 hours ago, Sheryl said:
Went low was after significantly increasing dose and then using new vial. Pretty clear to me that it was the old vials - based on which he upped his dose - that were the problem. Decreased efficacy, likely due to heart exposure which could happen in transit to the hospital or through a on-off staff error in the pharmacy. For that matter might even have happened at home, for example if power went out at night while asleep, or during day while not at home, you might now realize it,
Moral of the story is if you have been stable on an insulin dosage for some time and then start getting high BS readings, tray a different vial batch before changing dosage.,
I find all Dr here are the same, your doing well but they have to change insulin dosage + a pill or 2 every year
So 100% not sure it the reduced Insulin units + 2 new pills [2 old ones stopped] + 2 others mg per day reduced is the reason
one of the new pills Manidipine 20mg after 10 days = Bad feet + ankle very swollen + pain, so stopped them,, have bought from local pharmacy [had before with no problems] hydrochlorothiazide .. no idea if these do the same as Manidipine was prescribed for ?
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3 hours ago, Kwaibill said:
Been playing “ the game” since 1996 diagnosis. Seventy y.o. now. Recently ( 6 months) my doc at provincial hospital took me off insulin and put me on two new oral meds which work great for me. Sorry, don’t have the names available just now, but they are relatively new on the market. Fairly expensive as still patented and imported, but typical AM readings of about 98. Might be worth inquiring next trip to your doc.
Have to say I had lost about twenty kilos, and my readings were getting erratic with R and N Novolin combo. Just maybe worth asking if a couple hundred baht don’t stand in the way.
Good luck, brother.
Difficult without the names of Med's
Did find approved in Thailand earlier this year 'Bexagliflozin' = Diabetes + Kidney + weight loss
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44 minutes ago, Luuk Chaai said:
ever try changing your diet ?
T/2 is reversable
Not everyone has T2 Diabetes - odd how so many believe Diabetes is type 2 with a few odd cases or type 1
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49 minutes ago, lopburi3 said:
Not clear if this happened at start of new batch or not but appears he buys from his hospital (which may be reason doctor ruled out bad insulin). Although should not happen I have had returned medication from hospital in the past (likely an employee issue) - and no guarantee how it was stored when out of hospital control.
Good point could have been returned medication
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2 hours ago, Sheryl said:
Insulin becomes less effective if exposed to heat.
I suspect the first batch of vials had been improperly stored, perhaps at the shop you got it or in transit
In future before upping insulin dosage dramatically try a different batch of vials
You might also consider changing supplier
Always get from Hospital Pharmacy , they get out of Fridge and always fussy I have not ice and want to give me a block, always take a insulin cooler box I have had for years, anyway home within 15 mins.
Never thought about the problem could be the Insulin, I asked the Dr on the 26 Nov. until I opened the new box and got lows then wondered if it was Possible
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Been on Insulin for years, always the same 30/70 mix bought from the Hospital Pharmacy
Age 73 Diabetic 34 years, diagnosed Feb 2015 with type Lada 1.5 so been on Insulin since then
Last month Blood Sugar reading got higher every day, I increased the dosage [normal is 32 units morning + 24 evenings] increased to 40 + 40 and still kept going up was high as 298 !!
asked the Dr it could be a Insulin Problem ? answer no. but no other reason given
Opened a new box of Vials this month, back to 32 units morning + 24 evenings, but keep going low, I mean low, get the shakes and sweats is down to 50 something don't take any insulin , normal day been reducing to 14 + 14 yet still going to low... yesterday morning was 78 this morning 72
November Vials were use before March 2025, the new box of vials use before May 2025..
Anyone any idea or advice ? had the same problem ? maybe is nothing to do with the Insulin, just odd appear to change so much with using a new box of Insulin Vials.
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1 hour ago, NoshowJones said:
I don't get any notice anymore the way I always used to, sometimes my order would come the next day or two, three or four days later. I can't be staying in the house all that time not knowing when my order is coming.
Login then > track my order > clearly shows each step + time and date > then says last mile [normally = is close and will arrive that afternoon or next day] > out for delivery is on it way may or may not get a phone call...
Problem with the phone call is what firm is delivering, some will phone early [maybe to put on Van or not ?} and not deliver for hours later, many will phone when they leave the last delivery, and one always phones when he is outside the gate.
Dizzy in the morning
in Health and Medicine
Posted
Maybe check Ménière Disease or Ménière Medication you will get what your looking for.
when I search on Google nothing comes up about Fish ??