mokwit

Wasn't that just it in the UK. Patients were regarded as a nuisance.

Yes I crashed again after stopping Losartan and recovering. There was a 3 week period when I was motivated and active again - the third week coinciding with Losartan. Maybe I just overdid it for how well recovered I was['nt] from chemo and triggered a crash independent of Losartan. I tend to think this is Chemo related. Same thing but 2 or 3 times worse than when on chemo - but on chemo I exerted less and rested more.

Yes, but not the extreme stay in bed all day that I had while I was taking it. Seemed to recover from needing to stay in bed a few days after I stopped it. Have had some day almost like that. 2-Feb 133 80 132 72 losartan 1 Feb evening 3-Feb 127 76 129 71 NORMAL 2 WEEKS 4-Feb 122 81 121 67 WEAKENING 5-Feb 122 74 122 63 WEAKENING 6-Feb 125 82 118 70 WEAKENING 7-Feb 130 84 121 68 WEAKENING 8-Feb 139 84 122 73 WEAKENING 9-Feb 129 83 113 75 WEAKENING 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK 12-Feb 123 72 118 69 EXTREME FATIGUE 13-Feb 120 70 113 73 EXTREME FATIGUE 14-Feb 127 74 120 72 EXTREME FATIGUE 15-Feb 123 68 113 67 EXTREME FATIGUE 16-Feb 131 75 110 65 EXTREME FATIGUE 17-Feb 136 81 129 71 EXTREME FATIGUE 18-Feb 132 79 121 68 EXTREME FATIGUE 19-Feb 134 84 121 67 NO Lotarsan pm 20-Feb 133 81 120 70 Stop Lotarsan T-1 21-Feb 124 77 118 67 EXTREME FATIGUE 22-Feb 124 85 120 69 EXTREME FATIGUE 23-Feb 123 76 119 66 Start recover (1/2 day) 24-Feb 135 79 117 69 HALF DAY 25-Feb 132 81 122 69 Full Day 26-Feb 137 75 125 71 HALF DAY 27-Feb 140 86 129 72 HALF DAY 28-Feb 134 83 HALF DAY 1-Mar 124 83 123 70 HALF DAY 2-Mar 129 83 115 71 HALF DAY 3-Mar 131 75 114 72 HALF DAY 4-Mar 137 86 125 76 HALF DAY 5-Mar 128 81 HALF DAY 6-Mar 135 83 129 72 HALF DAY 7-Mar 134 83 114 76 HALF DAY 8-Mar 129 84 121 71 HALF DAY 9-Mar 134 77 124 71 HALF DAY 10-Mar 139 82 123 72 HALF DAY 11-Mar 133 78 117 70 HALF DAY 12-Mar 139 80 HALF DAY 13-Mar 121 81 117 68 HALF DAY 14-Mar 128 73 126 73 HALF DAY 15-Mar 136 81 123 69 HALF DAY 16-Mar 126 83 118 68 NEAR NORMAL 17-Mar 128 76 126 71 NEAR NORMAL 18-Mar 116 63 NEAR NORMAL 19-Mar 133 76 121 71 NEAR NORMAL 20-Mar 118 72 122 71 NEAR NORMAL 21-Mar 136 81 118 72 NEAR NORMAL 22-Mar 132 78 125 71 NEAR NORMAL 23-Mar 120 77 NEAR NORMAL 24-Mar 125 80 121 71 NEAR NORMAL 25-Mar 128 71 119 65 NEAR NORMAL 26-Mar 130 77 127 71 WEAK 27-Mar 127 77 120 70 WEAK 28-Mar 119 75 120 65 EXTREME FATIGUE 29-Mar 126 72 HALF DAY 30-Mar 117 78 122 70 EXTREME FATIGUE 31-Mar 130 79 120 73 HALF DAY 1-Apr 116 78 126 71 EXTREME FATIGUE Note this: 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK AND 26-Mar 130 77 127 71 WEAK 27-Mar 127 77 120 70 WEAK Got 2 day warning (with hindsight) as started feeling unwell fatigued when doing normal things. Note I have added some things to post.

First noticed stiffness and lack of stamina in the legs - worsening of what started after chemo session 5. Generally not so much weak bodily in terms of strength but just feel extremely fatigued and ill to the point of staying in bed. This from wiki pretty much describes it: Greatly lowered ability to do activities that were usual before the illness. This drop in activity level occurs along with fatigue and must last six months or longer. Worsening of symptoms after physical or mental activity that would not have caused a problem before the illness. The amount of activity that might aggravate the illness is difficult for a person to predict, and the decline often presents 12 to 48 hours after the activity.[28] The 'relapse', or 'crash', may last days, weeks or longer. This is known as post-exertional malaise (PEM). Sleep problems; people may still feel weary after full nights of sleep, or may struggle to stay awake, fall asleep or stay asleep. Additionally, one of the following symptoms must be present:[15] Problems with thinking and memory (cognitive dysfunction, sometimes described as "brain fog") https://en.wikipedia.org/wiki/Chronic_fatigue_syndrome Also: Post-exertional malaise PEM is triggered by "minimal"[3] physical or mental activities that were previously tolerated, and that healthy people tolerate, like attending a social event, grocery shopping, or even taking a shower.[2] Emotional distress, injury, sleep deprivation, infections, and spending too long standing or sitting up are other as potential triggers.[4] The resulting symptoms are disproportionate to the triggering activity and are often debilitating, potentially rendering someone housebound or bedbound until they recover.[5][4][6][2] Had this during chemo after walking back from Chula. Nice walk then next 2 days in bed. https://en.wikipedia.org/wiki/Post-exertional_malaise Last chemo was Oct 26th - 8 sessions over 6 months Xelox. RBC/WBC have always been normal/above threshold throughout. Last was in March when I was already had been feeling the extreme fatigue. Oncologist pointed to RBC/WBC being normal as indication it was not chemo caused. Well hydrated and not sweating as in aircon nearly 24/7 Dose was 50mg starting 1 Feb and stopped 19 Feb.. Blood pressure values were similar: 3-Jan 150 82 134 75 4-Jan 137 79 120 75 5-Jan 134 78 109 64 6-Jan 134 79 127 91 7-Jan 140 78 129 73 8-Jan 137 79 123 70 9-Jan 132 78 110 70 10-Jan 125 82 128 77 11-Jan 125 73 121 69 12-Jan 138 74 128 73 13-Jan 139 81 137 77 14-Jan 131 76 122 70 15-Jan 122 80 126 70 16-Jan 120 76 128 72 17-Jan 138 83 121 76 18-Jan 136 81 110 67 19-Jan 143 78 128 69 20-Jan 133 82 136 77 21-Jan 119 85 137 78 22-Jan 145 81 116 76 23-Jan 131 84 125 72 24-Jan 137 82 127 70 25-Jan 146 80 126 71 26-Jan 137 77 Motivation Go out, eat healthy 27-Jan Taste for food amS amD pmS pmD 2-Feb 133 80 132 72 losartan 1 Feb evening 3-Feb 127 76 129 71 NORMAL 2 WEEKS 4-Feb 122 81 121 67 WEAKENING 5-Feb 122 74 122 63 WEAKENING 6-Feb 125 82 118 70 WEAKENING 7-Feb 130 84 121 68 WEAKENING 8-Feb 139 84 122 73 WEAKENING 9-Feb 129 83 113 75 WEAKENING 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK 12-Feb 123 72 118 69 EXTREME FATIGUE 13-Feb 120 70 113 73 EXTREME FATIGUE 14-Feb 127 74 120 72 EXTREME FATIGUE 15-Feb 123 68 113 67 EXTREME FATIGUE 16-Feb 131 75 110 65 EXTREME FATIGUE 17-Feb 136 81 129 71 EXTREME FATIGUE 18-Feb 132 79 121 68 EXTREME FATIGUE 19-Feb 134 84 121 67 NO Lotarsan pm 20-Feb 133 81 120 70 Stop Lotarsan T-1 21-Feb 124 77 118 67 EXTREME FATIGUE

Are you Vinnie the V of old?

Sheryl, what follows is quite involved and maybe off topic, so if you don't want to go there that is understood. Noticed "stiffness" in my legs over a number of days following starting the drug that caused me to reduce the length of my usual morning walk. Started a few days after starting Losartan Had pre admission checks for surgery in Nov. Currently having most blood things monitored. Here's the difficult part - stage 4 colon cancer that has spread to the lungs but not the liver as of 1 year ago MRI scan and Alkaline Phosphatase is normal. 6 months of XELOX chemo ending Oct 26th - 2 weeks before Losartan started I seemed to be finally getting my energy and motivation back then after about a week after starting Losartan I just crashed and spent days in bed.If you just looked at the starting Losartan and the result it might seem to be Losartan, but I got more busy than normal and maybe triggered chemo related Chronic Fatigue Syndrome. Oncologist asked me the name of the drug and when I said "Losartan", replied "it's the drug" with such seeming conviction that I did not ask for supporting factors. She didn't believe it was the chemo coz all blood counts e.g RBC were back to normal. The internet says different. this was the pattern (figures are blood pressure): 2-Feb 133 80 132 72 losartan 1 Feb evening 3-Feb 127 76 129 71 NORMAL 2 WEEKS PRIOR 4-Feb 122 81 121 67 WEAKENING 5-Feb 122 74 122 63 WEAKENING 6-Feb 125 82 118 70 WEAKENING 7-Feb 130 84 121 68 WEAKENING 8-Feb 139 84 122 73 WEAKENING 9-Feb 129 83 113 75 WEAKENING 10-Feb 139 77 126 74 WEAK 11-Feb 130 86 115 70 WEAK 12-Feb 123 72 118 69 EXTREME FATIGUE 13-Feb 120 70 113 73 EXTREME FATIGUE 14-Feb 127 74 120 72 EXTREME FATIGUE 15-Feb 123 68 113 67 EXTREME FATIGUE 16-Feb 131 75 110 65 EXTREME FATIGUE 17-Feb 136 81 129 71 EXTREME FATIGUE 18-Feb 132 79 121 68 EXTREME FATIGUE 19-Feb 134 84 121 67 NO Lotarsan pm 20-Feb 133 81 120 70 Stop Lotarsan T-1 21-Feb 124 77 118 67 EXTREME FATIGUE 22-Feb 124 85 120 69 EXTREME FATIGUE 23-Feb 123 76 119 66 Start recover (1/2 day) 24-Feb 135 79 117 69 HALF DAY 25-Feb 132 81 122 69 Full Day 26-Feb 137 75 125 71 HALF DAY 27-Feb 140 86 129 72 HALF DAY 28-Feb 134 83 HALF DAY 1-Mar 124 83 123 70 HALF DAY 2-Mar 129 83 115 71 HALF DAY 3-Mar 131 75 114 72 HALF DAY 4-Mar 137 86 125 76 HALF DAY 5-Mar 128 81 HALF DAY 6-Mar 135 83 129 72 HALF DAY 7-Mar 134 83 114 76 HALF DAY 8-Mar 129 84 121 71 HALF DAY 9-Mar 134 77 124 71 HALF DAY 10-Mar 139 82 123 72 HALF DAY 11-Mar 133 78 117 70 HALF DAY 12-Mar 139 80 HALF DAY 13-Mar 121 81 117 68 HALF DAY 14-Mar 128 73 126 73 HALF DAY 15-Mar 136 81 123 69 HALF DAY 16-Mar 126 83 118 68 NEAR NORMAL 17-Mar 128 76 126 71 NEAR NORMAL 18-Mar 116 63 NEAR NORMAL 19-Mar 133 76 121 71 NEAR NORMAL 20-Mar 118 72 122 71 NEAR NORMAL 21-Mar 136 81 118 72 NEAR NORMAL 22-Mar 132 78 125 71 NEAR NORMAL 23-Mar 120 77 NEAR NORMAL 24-Mar 125 80 121 71 NEAR NORMAL 25-Mar 128 71 119 65 NEAR NORMAL 26-Mar 130 77 127 71 WEAK 27-Mar 127 77 120 70 WEAK 28-Mar 119 75 120 65 EXTREME FATIGUE 29-Mar 126 72 HALF DAY 30-Mar 117 78 122 70 EXTREME FATIGUE 31-Mar 130 79 120 73 HALF DAY 1-Apr 116 78 126 71 EXTREME FATIGUE While cancer may be the obvious cause - there seem no other symptoms yet that would indicate that stage. From a medically qualified friend: fatigue due to cancer usually presents with other findings such as,focal pain, abnormal lab values, abnormal imaging findings, symptoms in the organ system (heart, lungs GI tract etc.) where the primary or mets may have occurred, worsening pain without pain meds, the fatigue does not lessen with time and not receiving a cycle of chemo, specific signs such as jaundice, cough, skin lesions , weight loss, loss of appetite etc.etc However, it may be hard to discern chemo vs cancer related fatigue, if there are only very early and/or subtle findings......often time will tell after early overlapping possibilities. In other words the cause usually declares its etiology in time. I hope this helps considering that there is no absolute definitive interpretation of the cause fatigue early on inits course after numerous cycles of chemo.

Anyone heard of Losartan causing extreme fatigue (can't do normal routines)?

Near identical experience - 15 minutes paperwork and 15 minutes passport back. I had to write my 'phone number under the photo on TM7 and at the bottom despite having written it at the end. Likewise the usually ignored 4 forms - had to sign additionally there. Seems one was new - a new extended version of the one telling you you need to keep money in the bank. Held this up for photo. New standards but the attitude was to help you meet the new standards.

I did similar. It won't be an easy decision, even though,. either way it ends the same way.

I have been hit with extreme fatigue which i suspect is chemo related, even though I finished my 8 sessions months ago. Spent days in bed unable to do anything. Wiki: Chronic Fatigue Syndrome, Post Exertion Malaise.

Got told needed a TM30 for CW retirement extension this time. Not asked for at initial document check, but when I came back from the doc check after being sent there the IO who sent me there, she told me I needed TM30 and very nicely offered to show me where to do it (the assumption of course that i had the required docs). Told her I had one and she left it at that. IO who did the actual extension accepted my photocopy without asking to see original - checked both this and TM47 against what was in the system. The starting point seems to be having proof that you reside at an address via TM30.

You are not wrong, but it seems @simon43 just rocked up, explained the situation and got treated. as I said, 'pot luck'.

As far as I can tell, if you intend to "settle" in the UK then treatment is free immediately. From NHS guidelines: "Do they intend to remain in the UK for 6 months? If a person intends to remain in the UK for a significant period, then it is likely they are here for a settled purpose. Evidence the patient may have (this list is not exhaustive): contract of employment tenancy agreement evidence of mortgage repayments or of being in the process of purchasing a property evidence of utility/and or council tax bill payment evidence a child is enrolled in a school" However it may be pot luck as to how much proof is required by individual NHS locations/overseas visitors officer/GP's WRT to "settle". https://www.gov.uk/government/publications/help-for-nhs-to-recover-costs-of-care-from-visitors-and-migrants/settled-purpose-tool

SCB not even have one of those combined ATM/Passbook/deposit machines at CW? Is SCB opening up their ATM network before 8.30 now? last year it was down before that time for some scheduled stuff.

Only sorta, as many peoples insurance is going back to the UK.

Self insurance may be fine for a single operation, but extended stays in hospital are going to be very expensive. I am not sure to what extent you can buy reliable coverage for that. I was mulling this before events overtook me. I am also looking at going back to the UK as I may be very ill for a long time and that will deplete funds even in a Thai Govt hospital - assuming you can get a bed.

As far as I can tell, if you intend to "settle" in the UK then treatment is free immediately. From NHS guidelines: "Do they intend to remain in the UK for 6 months? If a person intends to remain in the UK for a significant period, then it is likely they are here for a settled purpose. Evidence the patient may have (this list is not exhaustive): contract of employment tenancy agreement evidence of mortgage repayments or of being in the process of purchasing a property evidence of utility/and or council tax bill payment evidence a child is enrolled in a school" However it may be pot luck as to how much proof is required by individual NHS locations/overseas visitors officer/GP's WRT to "settle". https://www.gov.uk/government/publications/help-for-nhs-to-recover-costs-of-care-from-visitors-and-migrants/settled-purpose-tool

I don't think they care/will miss us. The retirement extension seems to be an unwanted legacy of the 1979 act. At the time rental properties were empty with the departure of the US forces support staff here (US had 50,000 people here). I think there was the assumption that retirees would employ a cook, a maid. a housekeeper, a driver and maybe a gardener.

I thought this was during the Thaksin Dictatorship? Maybe 200k to 400k was 1998?

Fair comment. 800k to 3m in one big jump would be extreme and have fallout. What if they renewed existing 800k extensions but required any new applicants to apply for the new rich retiree visa?

They have set the precedent of changing the financial requirements without grandfathering - specifically 400k year 'round. We may find that they put the amount up to THB 3m without grandfathering. I actually expect it. THB 3m seems to be the new hurdle judging by the requirements for a couple of newer visa types. I just don't think Thailand sees enough value in retirees who can't afford to live in their own country coming here. Changing the terms of an already issued Elite is a much more serious thing - a de facto breach of contract.

Somebody answered a thread on the subject of TM30 filed as possessor by saying he had been able to do this on more than one occasion. They prefer Lease, Owner ID and housebook.

Looks like that is what is happening to my original Non O visa - extended based on retirement. NON "B" for work also when I worked here and extended every year. It seems they are focusing on TM30 now for annual extensions - if not asked that is because a TM47 which you must provide requires a TM30 to have been filed. There are always those who say they never get asked for one or the other or both - I was not asked for Tm30 but I provided a TM47. I had to provide TM30 docs for transfer stamps to new passport and 90 day report.

Immigration made extension of visa dependent on the TM30 - basically making it our problem not the property owners if a TM30 was not filed as it should have been.* That is just so warped. I would hardly call it "International Standard". Why don't they go after the non filing landlords - TM30 was brought back because the Iranian bombers stayed somewhere that did not report - how does penalising the law abiding visa holder protect against that? *yes, I know CW will let you file as "Possessor" with lease and utility bill, but not all offices do.

CW seems to have tightened up on a lot of things.