THAILAND LIVE Thailand Live Thursday 5 December 2024
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14
British man’s Thai-high’ trip goes up in smoke at Manchester customs
Have they smoked it Thai weed isn't worth a dollar a gram for the <deleted> -
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Odd things happening with my account
Dear supporters, I already em@iled you about being refused access to the Medication Rules topic. And also about an apparent need to reregister(?). Now I find that all of my notifications have disappeared (other members' responses to my posts that is). What's up? Best regards BusyB -
7
Thai woman faced attempted lynching after attacking boy with knife
So were you missus... off to cell for you. -
79
Brian Thompson’s killing sparks outrage over state of US healthcare
He suffered from chronic long term pain problems. This will be part of his defence, and likely it will be manslaughter on the grounds of diminished responsibility. I found the murder heinous/ But I have experience of pain management, and know there is no such thing as pain management. Someone who is in chronic pain is put on a pretty random cocktail of drugs, typically dihydrocodeine, diazopam and oral morphine. There is little science to it. Its a suck it see approach by the physicians. Sometimes, people will resort to largely unproven alternative therapies such as various cannabis preparations (and some people will be typing now how smoking weed helps them. Yes, it helps them, it might not help someone else), or therapies such as Yoga, which this chap was dabbling with in Hawai'i. Over time, the parts of the brain, that determine how we respond to pain, undergo vascular changes. Essentially how we react to pain changes, and people can become more delusional. That happened to my mother. 25 years ago, she was diagnosed and treated for cancer, putting it into remission. But she was left immuno-compromised. She's a retired nurse who enjoyed gardening. So she used antibiotics prophylactically. That may have contributed to what happened to her next. In 2017, she developed a sore back and a slight fever. After 2 weeks of trying to manage it herself (she has a high pain threshold), she finally saw a GP, a locum. The locum didn't bother to check her history, and prescribed her morphine to deal with the pack pain (when in fact she should have checked histroy, noted the fever, and sent her to A&E for an emergency scan and probable emergency surgery. A fever is obviously a sign of the body trying to fight an infection. Morphine depresses the immune response. Within 48 hours, she was paralysed from T6 down, and without bowel control. What had happened is what's called a spinal cord infarction or stroke; essentially an interuption of the blood supply to the spinal cord, brought about by a build up of pus, likely staphylocccus, through an intestinal lesion. Emergency spinal decompression and plates were put in, followed by 12 months of alleged rehab, which was mostly taken up waiting for a colostomy operation. Ever since then, she has been in constant pain. She has a high pain threshold, and likely many people, would not complain. Pain comes from the plates in her spine, spasms from her legs and pain from the colostomy. Overtime, probably from being a wheelchair user, she has developed transverse neck fractures, leading to pain and loss of mobility in her fingers/ For the first few years, she kept busy in the garden, from her wheelchair. She fell out of the wheelchair a few times, and had big strapping firemen pick her up. There was a certain amount of laughing it off. But in hindsight, the gardening assumeed a more manic nature. At the same time, my father was diagnosed with Alzheimers. He was a carer for her, and she cared for him. The gardening and caring for my dad were effective distractions from the pain, but the pain was increasing, as did her medication. In 2022, things went turbo. She was admitted to A&E 17 times in 9 months, through her dialling 999, and demanding something be done about her pain. She became more bedridden, the gardening was no longer a distraction. She manipulated the carers into giving her more pain medication than she should have been having (she was maxxed on dosages for everything, and the GPs were unwilling to try alternative because, as I said, pain management does not actually exist). Then my father passed away, so that distraction went away, compounded by the subsequent depression. She was due surgery to address a long standing problem with the colostomy and a hernia, but the consultant made a major mistake of erroneously telling her there was a change in date. Her physical health further declined. Thanks to GP's acquiescence in letter her overdose of diazopam, the drug became less and less effective. Overdosing on the dihydrocodeine lead to constipation, leading to more pain. A spiral downwards. Now she was no longer fit for surgery due to weight loss. More spiralling downwards This resulted in hospitalisation, where the delusions really happened. Delusions are a manifestation of the brain trying to deal with pain, to create a destraction. In her case, she was convinced the doctors were swanning around in gold, and had killed 40,000 people, and were fleeing to Nepal. And she was repeatedly raped on the ward by security. And she was helping the police to investigate corruption in the hospital, with the reward of a big screen TV. Eventually she was put in a private room, where the delusions, paranoia deepened, and assumed a more religious nature. Yeah, a pretty distressing time. Sje is now in a nursing home, her bills paid for by the NHS. Originally it was part of Discharge to Assess, to deal with pressure sores she had developed. But now, the NHS feel they cannot deliver the medical care she needs (pain medication) in her home, and this can only be done in a Nursing Home. Her health has improved, but the pain is still there. The nurses are very disciplined in not giving in to her. When she is tired, the rapey delusions come back. Local CID have been amazing. That's what pain can do to someone. Firstly, I have utter sympathy for the family of the murdered man, Brian Thompson. Nothing justifies his murder, and people attempting to lionise Mangione are either morons, scum or both. Mangione's behaviour in court seems deranged, delusional. He's going to be judged as incompetant, and this process will be over relatively quickly. He had apparently undergone surgery in an attempt to correct his spondylolisthesis, The condition is painful, the recovery from surgery (fitting plates) is very painful. Surgery is either spinal fusion or decompression. Success rates vary, but generally about 70% after 2 years. I imagine patients continue to suffer pain for years after surgery, and success is judged as to whether pain is less, rather than gone away. There are strict clinical criteria whether a patient can receive surgery, If surgery doesn't work, there appears to be no further treatment available. Spinal surgery has a complex recent history in the US. Firstly, there is no equivalent to NICE in the US; a body that determines treatment pathways based on evidence-based academic rigour and economic analysis. There are fragmented Federal taskforces, but its a mess. Costs have spiralled out of control. Between 1993 and 2003, the cost of spinal surgery in the US had increased 10 fold, driven by surgeons increasingly using instrumentation with dubious clinical efficacy. The media had started to issue calls to Congress to do something about these surgeons. The American Association of Neurological Surgeons was accused of changing from an Education Association to a Trade Association, existing only for the monetary benefit of its members. Over 70% of neurosurgery had become spinal surgery. Spinal fusion surgeries increased 15 times over a 5 year period. In a survey, 33% of patients being offered surgery didn't need it. Compared to other industries, margins for health insurance is relatively modest. United makes about 7%. Car makers are making typically 10-15%, and they make cars that catch fire, crash, kill kids etc. Insurance companies generally get a bad reputation through not doing something; not approving a course of treatment. In effect, Insurance companies are acting like NICE, but driven by economic analysis. In general, while there are emotive stories, such as little kids having to raise monet for cancer ops in the US, NICE gets its decisions right. When spinal surgeons in the US were effectively accused of profiteering from patients' misery, the Insurance companies stepped in, forcing physicans to look at more conservative treatments, such as epidurals and stenosis, before surgery, because they need to keep costs down. For some patients, I imagine that can be seen as the insurance companies stopping them getting the treatment they need, because the surgeon is giving them so many success stories. And then when you get the treatment, like Mangione, and you find out you are in the 30% it doesn't really work for, I can imagine a line of delusional thinking that starts along the lines of it wasn't effective, because it was delayed. And hence his expected, eventual defence. No doubt more details will emerge. Of course, the case generates a great deal of emotive discussion. Opprobrium is directed to the insurance industry, but its not them that are driving up costs. Its the insurers who have really been the driving force behind companion diagnostic tests; these are the diagnostic tests, mostly for cancer, that determine whether you can be prescribed (and reimbursed) for a particular line of expensive targeted therapy. Companion diagnostics used in clinical trials means that only the patients who will most benefit from that treatment receive it, an, importantly, those who won't. or might even be harmed by these therapies (which all tend to be cytotoxic) don't receive them. The net result is improvements in cancer treatment, because the right people are receiving the right therapy for their illness. More recently, the insurance companies have been looking at readmission rates. US hospital readmission rates are appalling. You are twice as likely to be readmitted hospital in the US than the UK. When people end up being readmitted, they often leave in a box. The insurance companies are telling hospitals if you don't improve your readmission rates, we'll cut the reimbursement rates. The result is the hospitals are investing more into community nursing; nurses visiting patients in their homes, and being able to track better their recuperation. But healthcare has become politicized. It should not be. Cradle to grave is not the Welfare State, its not the State going you a favour. Its the State's obligation in honouring its social contract with the people. The origin of the National Health Service lay in the Boer War, when the Army found out that 7 out of 10 volunteers were failing the basic medical exam. The nation was in poor health, and they knew there was a looming mechanised world war, and they were afraid of not having enough soldiers. Ultimately, the citizenry, through conscription, the draft, can be expect to fight and perhaps die, not in defence of their homesteads, but for the interests of their country. The least the State can do is to offer healthcare in return for your lives. -
28
Thailand police crackdown on pornographic content production
"Operation Rabbit Slaughter" Looks like they spent more time with the name then the actual job -
15
THAILAND LIVE Thailand Live Wednesday 11 December 2024
Woman’s Bloated Body Found Floating in the Chao Phraya River Authorities in Nonthaburi are investigating the discovery of a woman’s body found floating in the Chao Phraya River near the Nonthaburi Bridge (Nuan Chawee Bridge) in Pak Kret District. Police and rescue workers from the Ruamkatanyu Foundation responded to the report, coordinating with forensic doctors to examine the scene. Full story:https://aseannow.com/topic/1345863-woman’s-bloated-body-found-floating-in-the-chao-phraya-river/ -
45
Thailand Birth Rate Nosedives: 81% Drop Surpasses Japan
Since the 1960s there has been a UN/globalist desire to reduce population growth that has been reflected in many policies -
2
Do you believe that Ivy-Leaguers will become servers of justice in this injust world?
This should be a warning to all CEOs.....of companies that put profit ahead of humans that....you must do the right thing. We are watching you. Do the right thing. Because, if you do not..... Then.... You might just become a target. IF YOU PUT Profit before people, and if by doing so you destroy the lives of people....then.... You just might become a target. After all, no CEO can ever know if just one more Ivy League student. from Columbia or Cornell, might be stalking you. You might be here today, and gone tomorrow.....shot in the back, like the dog you are. So, then, keep this in mind. Do not destroy the lives of people just to increase the profits of your corporation. We are watching you. And, Luigi did a good thing....maybe.....
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