Gaccha

4 hours ago, Lacessit said:

You have some factual data to support that statement, or is it quite an assumption of your own?

On this very long thread, I'm the only person who has cited academic work after somebody else took the risk of questioning my claims. 

It's 11pm, I'm tired, I already know it's the academic consensus position, and it's really your job now to find it out on your own. Google is your friend. This isn't an academic conference. 

42 minutes ago, Lacessit said:

EI ( emotional intelligence ) I've associated with people possessing high IQ levels that were also utterly miserable.

 

How is it Western-educated men with presumably better than average IQ either get mulcted of their life savings by a "dumb" Issan girl,

EI isn't a real thing. 

IQ increases rumination, which increases depressive tendencies. They can't ruminate their way into happiness. On the contrary, General IQ of most humans allows them to see the sheer pointlessness of existence; you'd have to have a low IQ to be happy about it all. A high IQ will however help increase the chance of a happy marriage.... which will allow them to tolerate the dark, horrific, hellish truth of being a bunch of apes clustered on a little planet, in a small solar system on the <deleted> edge of an insignificant galaxy.

Presuming Western educated men getting milked for their money possess a high IQ is quite an assumption... They are generally blue-collar, hardworking but simpy boomers who can't believe they received a teaspoon of female attention. 

5 hours ago, BritManToo said:

I know a lot of divorce Brit guys (including myself IQ140+), I only know of one that was ever violent towards his wife.

So I'd say your entire post is ridiculous.

1. My claim: divorce laws are  harsh to deter domestic violence

2. Your claim: my friends are divorced and only one was violent

I don't claim the divorce laws will stop divorces. I simply say they are designed to impose good behaviour from the male during the marriage.

I have to make assumptions because you forgot to lay out the reasoning for your argument which led you to claim the current jurisprudential position is ridiculous.

...But if your friends all divorced their wives because the wives were behaving badly, then that in no way affects my argument. 

...if your friends were divorced by their wives for some reason besides domestic violence then that in no way affects my argument. 

The law achieves its goal if men prone to violence (mostly low IQ men) remember the potential consequences of their actions. It does this. It works. 

"Domestic Violence and Divorce Law: When Divorce Threats Become Credible"

January 2016

Journal of Labor Economics 34(2):000-000

Note, "cheaper" (credible) in the research text means for the woman... 

A key point not recognised by those celebrating the frugal divorce laws in Thailand in this thread: it is where you are resident which determines what laws apply. 

If you marry in Thailand,  live in Thailand for 8 years, then move to England for 6 months... then the English Law applies to your divorce.

It follows that if your priority is maintaining financial health, marriage restricts your movement around the globe.

The benefits are trivial; the cost is extraordinary. 

2 hours ago, Sheryl said:

Do you have a link to this? It is very hard to imagine how aspirating  would gave any  cost implication. Also hard to imagine that IM injection technique by nurses would be of concern to  WHO.   Might they have been talking  solely about vaccinations and in scenarios where there aren't enough health professionals to administer   vaccinations requiring use of nonprofessionals to  do do?

 

There are a number of drugs which cause serious adverse effects -- even death -- if inadvertently injected into a blood vessel.  I cannot believe it is UK policy to never aspirate with any injection. Would cause unnecessary and completely preventable harm with no upside. The aspiration stage literally takes 1-2 seconds only.  

The WHO report is one of two reports/papers referenced in the Green Book as seen above in this thread. You can see the reference right there. They have the detailed citation later on.

Your intuition is, I believe, exactly right. The reason for the cost/time implication should not have been generalised from specific diseases/specific places/specific vaccinations to all diseases/all countries/all diseases by the NHS, and yet somehow it was. I feel amazed by it. I'll predict a reversal within 2 or 3 years of feedback from the mass vaccinations from COVID. My guess is the reasoning for the initial decision was 'forgotten' as committee members changed. 

I've spoken to 2 British GP friends, and both said for all the COVID vaccinations there was no requirement to aspirate. I forgot to ask if they did any injections themselves. I suppose not.

I'm paying so I don't care if the nurse 'wastes' 2 seconds of their time doing it.

The other people on this thread don't understand that besides the science, cost issues and time issues will also come into play. And if you go private you get to override them. 

Anyway, technical issue that I'll leave behind now.... until my 5th jab in 4 or 5 months.... The hospital turned out to be totally relaxed about my requests, suggesting I wasn't the first. 

Please note that the 7 day grace period is only for walk-ins. For the internet, it is Day 0, although interestingly even 11:59pm on Day 0 is ok, despite it being long after the end of the workday.

Ok. To clarify:

Aspirating is good. The Thai nurse aspirated. Sheryl thinks this. I think this. It simply means the nurse checks the needle did not enter a blood vessel in the muscle area.

Aspirating was regarded as such an obvious benefit that it was all but common sense. See Sheryl's comments. 

This position was altered by a WHO report from 2004. This was adopted by some countries. The UK's NHS no longer requires aspirating. See their bible on this. The report is a mere cost-benefit analysis. 

Most adverse heart responses to COVID vaccinations appear to be linked to a failure to aspirate. The victims described a metallic taste in the mouth shortly after injection as well as a cold sensation moving up their arms. This suggests the vaccine entered the bloodstream immediately.

These reactions are extremely rare but obviously if something can be avoided without a cost then avoid it. If you are paying for the vaccine yourself then the cost and time saving for the hospital of not aspirating should not be a consideration for the hospital. If you get it free, then the government may decide the time/cost saving is worth the increased risk.  

Thailand has seemingly not altered its position on aspirating, although this may be sheer inertia and may depend on the hospital's specific best practices. 

In terms of dosages: this is dependent on the hospital in Thailand. The peer reviewed literature tells us a half-dose of Moderna is as effective as a full dose but with reduced adverse reaction.

I wish everyone a safe year ahead in their vaccine experiences. Get them but make the decisions that the hospital allows you to make (dosage and type of injection). The hospital I attended, in contrast to the ferocious comments on this thread, was totally relaxed about altering these things for me. It was a non issue. Informed consent is the key to modern medicine.

4 hours ago, yang123 said:

Less contentiously, what is the appropriate time gap between 2nd and 3rd booster shots (Moderna)?

Tks

Rather oddly, the Thai position speaks of an urgent "at most" disposition while the USA's CDC position is the safety-first "at least" disposition. See the link kindly provided by @Dcheech.

The CDC states:

"CDC recommends a 2nd booster of either Pfizer-BioNTech or Moderna COVID-19 vaccine at least 4 months after the 1st booster for:

• Adults ages 50 years and older
• People who are moderately or severely immunocompromised"

Note, the CDC makes no recommendations for a second booster for people outside those categories. 

The UK position is seasonal, but we can take their Autumnal position as 2nd boosters:

39 minutes ago, Hamus Yaigh said:

Therefore why question those that are? Just get jabbed like the rest of us.

They asked me.

I deferred to Sheryl 's position on the Booster. This nurse then said their hospital did it differently. 

I am not questioning the experts. I'm deciding between two different positions of experts. Since, I know one group are correct, because I invested time to find out, I opted for that one. Your position is Russian Roulette. 

To my amazement, as if this could not get more weird...

17 hours ago, Sheryl said:

Moderna booster dose is a standard 0.25 ml.  As long as the place giving it knows it is booster, that is what they will administer.

The nurse giving the injection and an assistant nurse said today, just prior to injecting: "you want a half-dose?"

I said "I want the Booster dose"

They said "At this hospital, the booster dose is the same as the normal doses".

Shocked response. Giggles from them.

"Uhhh... then I want a half-dose".

If anyone is wondering why I am insistent on a half-dose, it is because the academic literature shows the half-dose has the same efficacy as the full dose but without as many adverse responses. 

8 hours ago, Puccini said:

Do you honestly believe that people in Thailand's health care services take their cues from "the 'Green Book', the protocol bible of the NHS"?

I was, of course, not pointing it out for that reason. Let me break it down for you. 

Sheryl made the (what turns out to be false) assertion that aspirating was so obvious that any 1st year nurse knows to do it for IM. 

Based on this (false) assertion she asserted that it would be insulting to even raise the issue with the nurse.

Had I thought that Thai nurses would rely on the Green Book, I would have mentioned it in my original topic opener, of course.

1 hour ago, Sheryl said:

It is an automatic part of IM injection technique regardless of the drug. Even a first year student nurse not only knows to do this but does it reflexively.

You are in for a shock.

UK NHS best practice now is to NOT aspirate. This is the "Green Book", the protocol bible of the NHS.

Like you, I feel it should be obvious... and yet there we are... 

I am forced, as a consequence, to politely insult the nurse. 

I would, of course, never question the nurse's technique, but I leave it to the scientists as to which technique to use.

34 minutes ago, ubonjoe said:

Since you have a account in Singapore it should be easy to open an account here.

See: https://www.uob.co.th/default-en/index.page

I'm a little surprised. The reverse is certainly not true. Even if in possession of a Thai account, they will not open a Singapore one for Thailand residents unless some exceptional circumstance. I tried.

...Although, presumably as a resident in Thailand it won't be difficult anyway. But that has nothing to do with possessing a Singapore account. 

Coincidentally, I accidentally ended up with a Singapore account of theirs through investing in a finance platform owned by them. I did not expect nor aim for one at that time. 

Banking is a funny thing. 

To update, ZIPMEX have signed two MOUs so far. If the due diligence is satisfactory these are likely to lead to binding contracts. 

They have declared a preference for investments over a buyout but given their destruction of their brand's reputation this is a rather surprising and bold move. 

If cryptos continue to rise in value, Babel Finance will be able to deleverage gradually and restart payments of the debt owed to Zipmex. Babel Finance suffered a collapse in 2020 which they recovered from by waiting it out until cryto regained in value. 

Zipmex have announced they have initiated legal action against Babel. This seems rather pointless unless they hold priority debt. 

@Sheryl,

I am getting my second Moderna Booster tomorrow.

I requested a half-dose (as I had received at the same hospital in December) and was a bit surprised when they replied, "but why?". I thought it was standard for Moderna boosters.

Secondly, I want it aspirated if necessary for depth of injection. But this raises two sub-questions:

1. Where to inject for a half-dose? Is it IM? Or SC etc.? 

2. Should it only be aspirated if IM?

Thirdly, what on earth is the Thai word for this technical sense of 'aspirate'? Even the enormous Paiboon dictionary has nothing.

Thanks Sheryl and any others. 

Once the new reporting site became available, I found the App would no longer work for me. Until then, the App was great for submissions.

28 minutes ago, topswijaya said:

I do believe that monkeypox case will grow exponentially very soon.

Beliefs are only relevant if grounded in inferences. 

Monkeypox has in past cases had an r-count of R0 (that is, each person infected, on average, spreads it to less than one person). There is little reason to expect more than some clusters, from which it will then fade away.

Of course, going from 1 infection to 10 people is, strictly speaking, "exponential", but I suspect by it you are suggesting some storm of infections, perhaps in the tens of thousand. That is highly unlikely. Relax.

Found the link. If you have any funds trapped on the Zipmex site then fill this form in and submit to the Thai SEC.

1 hour ago, nauseus said:

Anyone got a hanky?

And there it is. You want so badly for your imaginary fantasy to be true that if you can't get enjoyable benefits from Europe then at least others have suffered by your acts.

You have stabbed yourself in the face so mommy will sob for you. 

You played yourself. 

17 minutes ago, nauseus said:

Talking of concoctions.....????

And there it is. You are laughing. You are trying to extract enjoyment from the situation.  You need to feel that what you are doing has made others suffer. 

It's an Exynos. 

I have noticed no deterioration in battery capability or charging time since I bought it. Unlike iPhone, the manufacturer does not deliberately deteriorate the product to persuade you to upgrade.

Very fast to charge if its Supercharger (comes free with it) is attached (probably 40 minutes for 90% charge). If charged using normal chargers, probably twice as long. 

I can't answer the other questions with any authority.