5Year DL renewal and blood pressure

Thairakrot · May 31, 2021

I went to a local clinic today for med cert for drivers license renewal. I had various licenses here for the last 20 years. My blood pressure was really on the high side. (It usually is but after several 24 hour measurements its deemed acceptable without medication). I had a serious party last Saturday and also last Thursday with solid amounts of booze. This was for sure adding up to the readings. After 3 attempts I gave up and they didnt issue the new medical.

1. Does anybody know the acceptable values with the new regulations? They quoted 140/90 which I find really strict.

2. Does anybody know any clinic that does this the old way..... West of Bangkok: Nakhon Chaisi, Nakhon Pathom etc.

EricTh · May 31, 2021

If you are above 50 years, 140/90 is considered normal for me because blood pressure goes up when one goes older.

It isn't considered high just borderline for younger people.

How much is your bp anyway?

Edited May 31, 2021 by EricTh

Susco · May 31, 2021

17 minutes ago, Thairakrot said:

I went to a local clinic today for med cert for drivers license renewal.

You don't need a med certificate for license renewal

Edited May 31, 2021 by Susco

Thairakrot · May 31, 2021

Today it was app 165 / 100. Its usually 140-150 over 95. I don't think its usually critically high and definitely no danger to my driving....

Thairakrot · May 31, 2021

1 minute ago, Susco said:

You don't need a med certificate for license renewal

I had 4-5 licenses here. Always had medical. All previous ones in Chatuchak. This time in Nakhon Pathom. I wish you were right, but Im afraid not

Ralf001 · May 31, 2021

3 minutes ago, Susco said:

You don't need a med certificate for license renewal

Was required last week at Banglamung LTD when my friend renewed his 5 yr licence.

KhunBENQ · May 31, 2021

3 minutes ago, Susco said:

You don't need a med certificate for license renewal

Unfortunately rules have changed. Always needed since a couple of months.

Also the form has changed and some self-declaration.

I wasn't aware there is high blood pressure tested.

My last certificates were written after I could stand on my feet at the reception desk.

Not seen a doctor at all.

Thairakrot · May 31, 2021

Yeah. Im afraid so. Will be awkward if I cannot renew my license.... Fully car dependent here...

Susco · May 31, 2021

1 minute ago, Thairakrot said:

I had 4-5 licenses here. Always had medical. All previous ones in Chatuchak. This time in Nakhon Pathom. I wish you were right, but Im afraid not

I'm having Thai driver license for the past 23 years, only time I needed a certificate was when I got my first license.

Look for another DLT if they ask for in Chatuchak

Thairakrot · May 31, 2021

1 minute ago, Susco said:

I'm having Thai driver license for the past 23 years, only time I needed a certificate was when I got my first license.

Look for another DLT if they ask for in Chatuchak

Will do it in the Nakhon Pathom DLT. So I guess I need to hunt for a new local clininc and beta blockers....

Previously I sometimes did the medical at Payathai / Bumrungrad but also a dodgy one in Soi 11/ something....

Susco · May 31, 2021

6 minutes ago, KhunBENQ said:

Unfortunately rules have changed. Always needed since a couple of months.

Also the form has changed and some self-declaration.

I wasn't aware there is high blood pressure tested.

My last certificates were written after I could stand on my feet at the reception desk.

Not seen a doctor at all.

Wasn't aware of the change of rules. My last renewal was end of December at Banglamung, and no question about medical cerificate.

I'm safe for the next 6 years

KhunBENQ · May 31, 2021

February 2021.

https://forum.thaivisa.com/topic/1205848-medical-certificates-now-mandatory-for-driving-licenses-and-new-car-purchases-in-thailand/

Also when purchasing a new vehicle!!!???

Grandma can't buy a car in her name for the grandchildren?

Edited May 31, 2021 by KhunBENQ

Thairakrot · May 31, 2021

12 minutes ago, Susco said:

Wasn't aware of the change of rules. My last renewal was end of December at Banglamung, and no question about medical cerificate.

I'm safe for the next 6 years

Seems a change for the 5 years ones last couple of months....

richard_smith237 · May 31, 2021

21 minutes ago, Thairakrot said:

Today it was app 165 / 100. Its usually 140-150 over 95. I don't think its usually critically high and definitely no danger to my driving....

You’re right, its not a danger to your driving unless you have a stroke or a heart attack while driving.

IF your blood pressure is consistently 165/140 its worth getting looked at.

IF your blood pressure is > 180/110 one time per week (while at rest) get looked at.

But, as you said, your blood pressure is 140-150 / 95 which is high, but not critically high.

Perhaps there was something not right with the machine.

My blood pressure is reliably 125 / 83 (or close to that figure) - I had a medical in Nov and my blood pressure reach 150 / 100... I refused to accept it was correct, the nurse told me it didn’t matter. I insisted they retake my blood pressure, the tested the other arm with similar results.

I figured I may have a new issue I didn’t know about, so I pushed for a ‘re-check’ using a different machine, my blood pressure was 128 / 86 (or a something such value).

The calibration of the Auto Machines drift....

Also, my blood pressure is higher when I’m lying down or when I’m holding my breath. I can make it go really high by tensing my core muscles and diaphragm.

So, body position, breathing and relaxation play a roll in the value - sit upright, but relax and breathe deeply.

If you are not happy with your blood pressure, ask them to use a different machine.

If its still relatively high it make be time to respond and adjust some habits, diet etc.

Susco · May 31, 2021

2 minutes ago, Thairakrot said:

Seems a change for the 5 years ones last couple of months....

You know in Thailand, he who has the most convincing force sets the rules ????

Proven many times over when dealing with government departments

impulse · May 31, 2021

One of the things I liked about Thailand was that my blood pressure meds were over the counter and needed no prescription. If I needed to drop my blood pressure a few hours for a ridiculous certificate, I know what I'd do.

That's not advice, BTW. Ask your health care professional.

Thairakrot · May 31, 2021

6 minutes ago, Susco said:

You know in Thailand, he who has the most convincing force sets the rules ????

Proven many times over when dealing with government departments

Many rules, even sometimes worse than Europe. The good things is that your seldom need to follow them....

Thairakrot · May 31, 2021

7 minutes ago, impulse said:

One of the things I liked about Thailand was that my blood pressure meds were over the counter and needed no prescription. If I needed to drop my blood pressure a few hours for a ridiculous certificate, I know what I'd do.

That's not advice, BTW. Ask your health care professional.

Yeah. What is the recommended pill?

Thairakrot · May 31, 2021

10 minutes ago, richard_smith237 said:

You’re right, its not a danger to your driving unless you have a stroke or a heart attack while driving.

IF your blood pressure is consistently 165/140 its worth getting looked at.

IF your blood pressure is > 180/110 one time per week (while at rest) get looked at.

But, as you said, your blood pressure is 140-150 / 95 which is high, but not critically high.

Perhaps there was something not right with the machine.

My blood pressure is reliably 125 / 83 (or close to that figure) - I had a medical in Nov and my blood pressure reach 150 / 100... I refused to accept it was correct, the nurse told me it didn’t matter. I insisted they retake my blood pressure, the tested the other arm with similar results.

I figured I may have a new issue I didn’t know about, so I pushed for a ‘re-check’ using a different machine, my blood pressure was 128 / 86 (or a something such value).

The calibration of the Auto Machines drift....

Also, my blood pressure is higher when I’m lying down or when I’m holding my breath. I can make it go really high by tensing my core muscles and diaphragm.

So, body position, breathing and relaxation play a roll in the value - sit upright, but relax and breathe deeply.

If you are not happy with your blood pressure, ask them to use a different machine.

If its still relatively high it make be time to respond and adjust some habits, diet etc.

Will change the doctor I guess..... High blood pressure is normal in my family. But few died of strokes and theslikes. Most reaches 80 up as well. So I guess thai traffic authorities should have bigger worries than my blood pressure....

KannikaP · May 31, 2021

41 minutes ago, Thairakrot said:

Today it was app 165 / 100. Its usually 140-150 over 95. I don't think its usually critically high and definitely no danger to my driving....

No, but a definite danger to YOUR health.

Thairakrot · May 31, 2021

2 minutes ago, KannikaP said:

No, but a definite danger to YOUR health.

Can be. But I'm hardly ever ill. I exercise (almost) every day. I feel fine. And previous 24 hours tests were acceptable for my age according to the MD.

KannikaP · May 31, 2021

6 minutes ago, Thairakrot said:

Can be. But I'm hardly ever ill. I exercise (almost) every day. I feel fine. And previous 24 hours tests were acceptable for my age according to the MD.

65/100 is hardly healthy. I would change your MD to someone who knows.

What your BP is at any instant in time is immaterial. It is the average/trend which matters.

Drive to the hospital and take it immediately will be far higher than taking it 10 minutes after waking up.

I NEVER exercise, drink lot of abeer and eat <deleted>, I feel fine, and at 73 my average morning is 124/73.,weight 74 kg. Guess I am lucky after a lifetime of self abuse.

Edited May 31, 2021 by KannikaP

impulse · May 31, 2021

9 minutes ago, Thairakrot said:

Yeah. What is the recommended pill?

All kidding aside, I'd ask the on-duty pharmacist at any major chain like Boots or Watson. I'm sure there's horror stories out there. But after my bypass surgery when I was taking gobs of prescribed meds, I struck up a relationship with the Boots pharmacists in my office building and found them to be extremely helpful and well trained. That was in Asoke.

Of course, it's best to get a doctor's advice...

Thairakrot · May 31, 2021

2 minutes ago, KannikaP said:

65/100 is hardly healthy. I would change your MD to someone who knows.

What your BP is at any instant in time is immaterial. It is the average/trend which matters.

Drive to the hospital and take it immediately will be far higher than taking it 10 minutes after waking up.

Correct. That's why I have taken several 24 hours readings before. The MD, on the average, has deemed those measurement sets acceptable.

worgeordie · May 31, 2021

18 minutes ago, Thairakrot said:

Can be. But I'm hardly ever ill. I exercise (almost) every day. I feel fine. And previous 24 hours tests were acceptable for my age according to the MD.

White coat syndrome , when i was at the hospital last week , checked

blood pressure very high, don't like hospitals + driving there , checked

it again in about an hour , down to normal..

regards worgeordie

Thairakrot · May 31, 2021

1 minute ago, impulse said:

All kidding aside, I'd ask the on-duty pharmacist at any major chain like Boots or Watson. I'm sure there's horror stories out there. But after my bypass surgery when I was taking gobs of prescribed meds, I struck up a relationship with the Boots pharmacists in my office building and found them to be extremely helpful and well trained. That was in Asoke.

Of course, it's best to get a doctor's advice...

Yes sure is. In general I unfortunately don't have too much faith in doctors here, due to the incredible medication for small things. (30% kick back counts...).. Particulalry antibiotics.

impulse · May 31, 2021

1 minute ago, worgeordie said:

White coat syndrome , when i was at the hospital last week , checked

blood pressure very high, don't like hospitals + driving there , checked

it again in about an hour , down to normal..

regards worgeordie

I have the same issue. Plus, the machines often read quite differently than the cardiologist that comes in 2 minutes later, checks with the old timey kit and tells me I'm fine.

WhiteBuffaloATM · May 31, 2021

DLT website & (Phuket) DLT require the form Med Cert.

Some ( local) Clinics will examine you, others ( larger touristy places) give it without......

find one of those.... trial & error

Thairakrot · May 31, 2021

30 minutes ago, impulse said:

I have the same issue. Plus, the machines often read quite differently than the cardiologist that comes in 2 minutes later, checks with the old timey kit and tells me I'm fine.

Yeah. It will go from abnormal high to normal high.... The main thing now is to get the b...y new driver license without loosing more time on it.

canthai55 · May 31, 2021

2 hours ago, Susco said:

You don't need a med certificate for license renewal

You do in CNX as of last year when I did mine

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5Year DL renewal and blood pressure

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