Dermatologist Chiang Mai
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18
Varicose Veins
Thank you for letting me know. I was treated by the other hospital I mentioned, and it seems they did a good job of correcting the inadequate flow of blood, up the two deep veins in each leg to the heart; as witnessed by an ultrasound scan done at the Bangkok Hospital. My two existing ulcers healed over immediately after the application of silicone stents to reduced their (in places) diameter from an excessive 10 mm to a normal 5 mm. However my lack of any great knowledge on the subject caused me to question the Hospital's desire to remove the many superficial veins in my legs. My understanding (such as it is) is that blood plasma is deliberately leaked from the veins to the lymphatic system through very fine capillaries, too narrow to admit the entry of particles such as red and white blood cells. When the blood in the veins is not flowing correctly back to the heart, its increased weight at the bottom of the legs can cause excessive leakage of blood-plasma into the lymphatic system thus giving rise to swelling [lymphoedema], leading potentially to extremely painful ulcers. These so-called venous ulcers weep not venous blood but lymph. I had lymphoedema for maybe ten years during the hot dry season in Thailand before the first appearance of ulcers (in mid-summer in the south of France). My thrice-repeated query "Will the continued removal of these veins [some had already been removed] impact upon the supply of blood-plasma to the lymphatic system?" met with these responses: 1. Avoidance, by speaking of an unrelated matter; 2. "We must remove many veins"; and 3. "We must remove all the veins." Since my question remained essentially unanswered, I was disconcerted, and sought advice at the Bangkok Hospital. The vein surgeon I saw there told me all the veins in my feet had already been removed, and that no further removal of veins in the legs was necessary. This enabled me to speak firmly to my doctor at the other hospital that I wished no further removal of veins. For information, the method adopted of removing the superficial veins [which I assume exist for a purpose, just as do the appendix, the tonsils, etc.] was to inject some chemical into them that causes them to gum up and die. This can only be done in stages over a prolonged period because of the formation of blood clots. Blood containing only some of the clots thus generated are subsequently sucked out using a hypodermic syringe. The lymphatic system is a vital part of the anatomy, until recently largely neglected by the medical profession. The lymph carries nutrients to the body's cells and carries away their metabolic waste products. On its way to the liver the lymph passes through a series of lymph nodes that do a partial detoxification, the better to protect the liver which effects the final detox. I suspect that many doctors, once they have acquired their professional qualifications, have neither the time nor the inclination to devote themselves to the findings of the latest medical research. I recall how back in the late '70s I took to task a doctor, a friend of the family, about his profession's lack of interest in therapies other than pharmaceuticals, surgery, and radiation. His reply was that when he studied medicine, pre-war, most of the remedies used were natural ones, but now their information came from the pharmaceutical companies. -
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How safe is the retirement visa as a strategy to live in Thailand permanently?
Well stated and very polite. If I may be a bit less polite, the past year the Thai baht is up: * 9% vs the euro * 6% vs the US$ * 9% vis the AUS$ * 11.8% vs the NZ$ 800k THB in Thailand bank, for the past year has done better than similar in foreign accounts outside of Thailand. So to think one is doing better with a foreign currency account in a foreign country, compared to a Thai bank account getting a measly 1.5% interest ?? is not always the full picture. IMHO - of course. -
263
Canada
Which is basically peanuts and could have been achieved by plain diplomatic contacts. On top of it, knowing that Canada is not a significant channel for Fentanyl trafficking and illegal immigration, t cannot have much impact. -
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Wake Up! - EVs Are Here, and Your Gas Guzzler is on Life Support
It will depend on the chemistry of the battery. Here's a comparison, old, and new chemistry (LFP), that most newer BEVs use. Supposedly a conservative estimate for LFP batteries, as some state, up to 10k cycles, so 2500 is pretty conservative, if not damn negative number. -
23
Elon Musk: Elizabeth Warren’s 18F Tech Team Has Been ‘Deleted’
And so it appears to me that you refuse to comprehend a significant difference between what you describe as a "previous cabal of spotty geeks " who were employed conditionally on passing security checks and declarations of allegiance to Federal regulations with specific reference to privacy issues versus un-vetted sycophantic disciples of Musk being given unfettered access to databases and permitted disruption ,destruction, distortion , elimination of content ?
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