just had a warning

[meatboy]

Hi Meatboy - can you post some details etc of the hospital - can't find it on google maps. Thanks

hi DT.the details are as follows.

when i registered for the ins,scheme back some 2yrs.ago,besides the foreigners registration,i had a med.card.then the scheme was abandoned,but i kept the card and have been to theparat hospital twice since,it is known as maharat 2,it is on the off the main korat to bkk.rd.about 5kilo's past save one night market and not far from kuk-krut garden center.its easy to find.

from the time you go into the entrance you will be shown to admin.fill in some forms and you should be ok.as long as they are still admitting farangs.

went back to theperat for my follow up appiontment this morning,arrived at 7.20am,bp.taken and a full blood test all done in 10minutes.

the only problem you have to wait for the blood test results,pt/inr,sugar,colestral and another one,the doctors dont come till 9am.so all in all a 2hr.15minutes wait.

a check up with the doctor and a discusion on what was what.well satisfied with the results,you a given a slip to take to the pay counter well meatboy 450bht.

[tutsiwarrior]

I had a TIA 5 years ago that was the result of poorly controlled diabetes and untreated hypertension per the vietnamese medic that I saw in Hanoi a week after the event...I didn't require any hospital time and was able to shuffle about...but I had to quit work and rest at home for 6 months as I couldn't use my right side very well...after which I was able to re-enter the fray...

I now control both conditions closely with medication and now both BP and BG are close to normal (when working with a good routine, diet and no smoking or drinking)...but I still need to lose about 15kgs...

[LannaGuy]

I had a TIA 5 years ago that was the result of poorly controlled diabetes and untreated hypertension per the vietnamese medic that I saw in Hanoi a week after the event...I didn't require any hospital time and was able to shuffle about...but I had to quit work and rest at home for 6 months as I couldn't use my right side very well...after which I was able to re-enter the fray...

I now control both conditions closely with medication and now both BP and BG are close to normal (when working with a good routine, diet and no smoking or drinking)...but I still need to lose about 15kgs...

good morning very glad you pulled through... what was your BP then and now? could you share a little more detail are you now on Diovan? what Mg?

[tutsiwarrior]

I had a TIA 5 years ago that was the result of poorly controlled diabetes and untreated hypertension per the vietnamese medic that I saw in Hanoi a week after the event...I didn't require any hospital time and was able to shuffle about...but I had to quit work and rest at home for 6 months as I couldn't use my right side very well...after which I was able to re-enter the fray...

I now control both conditions closely with medication and now both BP and BG are close to normal (when working with a good routine, diet and no smoking or drinking)...but I still need to lose about 15kgs...

good morning very glad you pulled through... what was your BP then and now? could you share a little more detail are you now on Diovan? what Mg?

I use 1 x Exforge 10/180 and Esidrex 1x 25mg per day...the VN doc initially prescribed the Exforge and BP still too high, then started with the Esidrex and all OK...below 140/80...before 190/something...

Edited June 3, 2016 by tutsiwarrior

[tutsiwarrior]

btw, my symptoms were as folllows:

in a stressful meeting one afternoon and found that my right hand wouldn't work too good when taking notes,

not being able to walk to the toilet very well afterwards,

needing assistance to get to my room after returning to accommodation,

crashing to the floor 3 times in my room when trying to move about (tile floor, ouch)...

but no speech impairment and I was alert...

when laying on the floor the third time I fell I then said: 'something is seriously wrong' and stayed off work for a week...later to make the 8 hr drive to Hanoi to see a medic (health care in provincial VN is very basic and I reckoned that a local medic would cause more problems than he would solve)

[LannaGuy]

btw, my symptoms were as folllows:

in a stressful meeting one afternoon and found that my right hand wouldn't work too good when taking notes,

not being able to walk to the toilet very well afterwards,

needing assistance to get to my room after returning to accommodation,

crashing to the floor 3 times in my room when trying to move about (tile floor, ouch)...

but no speech impairment and I was alert...

when laying on the floor the third time I fell I then said: 'something is seriously wrong' and stayed off work for a week...later to make the 8 hr drive to Hanoi to see a medic (health care in provincial VN is very basic and I reckoned that a local medic would cause more problems than he would solve)

very frightening and thank God you are ok now - so your BP is now fairly stable at 140? (over 90 i guess?) 190 is horrific

[tutsiwarrior]

the scariest bit was laying on the floor after the third fall...that hurt and I was trying to think of a way to get meself up an onto the bed...my neighbor and colleague heard the crashing about and knocked the door to investigate...not wanting to alarm I said I was OK...I didn't need any help at the moment and didn't want things to get out of my control...

yeah...the BP is good now, not perfect but OK...I even went off the medication for a few days to see what would happen and there was no change!...but, best not to press one's luck...would need to talk to a good medic and discuss the trade off between going off the medication and a bit higher BP that would result and the load on the liver with unnecessary medication...

[Shiver]

A doctor will never tell you this (they can't take the risk because of their job security), but there is a fair amount of research out there that says if you administer DMSO (transdermal or oral) within about the first 90 mins of the event, it helps minimize any long term damage (I don't know why, but as a guess I'd say it may help relieve/normalise osmotic pressure gradient). I always have a bottle on hand for any number of use cases - even a stubbed toe!).

I'm no doctor, but just thought I'd mention it in case you're interested in doing your own research. None of us know if/when something like this might happen. Sometimes there is no permanent damage anyhow, but if there is something that can be done whilst heading to hospital asap then it might make all the difference. This is *not* advice, just a topic you may be interested in looking into.

Speaking of doctors and what they will/won't do, you may well find that you want to take a herb or supplement for one reason or another but the doctor hasn't suggested even if they know of its benefits very well. If you ask them about it then they can answer you, but they can't instigate it if it's not in the accepted standards of practise to which they've sworn to adhere to.

Edited June 6, 2016 by Shiver

[LannaGuy]

A doctor will never tell you this (they can't take the risk because of their job security), but there is a fair amount of research out there that says if you administer DMSO (transdermal or oral) within about the first 90 mins of the event, it helps minimize any long term damage (I don't know why, but as a guess I'd say it may help relieve/normalise osmotic pressure gradient). I always have a bottle on hand for any number of use cases - even a stubbed toe!).

I'm no doctor, but just thought I'd mention it in case you're interested in doing your own research. None of us know if/when something like this might happen. Sometimes there is no permanent damage anyhow, but if there is something that can be done whilst heading to hospital asap then it might make all the difference. This is *not* advice, just a topic you may be interested in looking into.

Speaking of doctors and what they will/won't do, you may well find that you want to take a herb or supplement for one reason or another but the doctor hasn't suggested even if they know of its benefits very well. If you ask them about it then they can answer you, but they can't instigate it if it's not in the accepted standards of practise to which they've sworn to adhere to.

oh wow... can you get dimethyl sulfoxide here? at pharmacies? done some reading after your wonderful post and it 'seems' to make sense to reduce the inflammation but unless you carry a bottle around how would you get it in time?

[Shiver]

A doctor will never tell you this (they can't take the risk because of their job security), but there is a fair amount of research out there that says if you administer DMSO (transdermal or oral) within about the first 90 mins of the event, it helps minimize any long term damage (I don't know why, but as a guess I'd say it may help relieve/normalise osmotic pressure gradient). I always have a bottle on hand for any number of use cases - even a stubbed toe!).

I'm no doctor, but just thought I'd mention it in case you're interested in doing your own research. None of us know if/when something like this might happen. Sometimes there is no permanent damage anyhow, but if there is something that can be done whilst heading to hospital asap then it might make all the difference. This is *not* advice, just a topic you may be interested in looking into.

Speaking of doctors and what they will/won't do, you may well find that you want to take a herb or supplement for one reason or another but the doctor hasn't suggested even if they know of its benefits very well. If you ask them about it then they can answer you, but they can't instigate it if it's not in the accepted standards of practise to which they've sworn to adhere to.

oh wow... can you get dimethyl sulfoxide here? at pharmacies? done some reading after your wonderful post and it 'seems' to make sense to reduce the inflammation but unless you carry a bottle around how would you get it in time?

I've never seen it in Thailand. Usually it is used by vets for horses (for their joints). You can buy it in UK/USA. A couple are pharmaceutical grade, but most are industrial. Interestingly the Pharma grade is 99.8% whilst industrial claims vary, up to 99.99% (though I don't personally believe that). What I can tell you is that the 0.2% remainder in Pharma grade is pure water (it is very hygroscopic), whereas the industrial, even if it were true that it's a higher percentage they don't say what it is (is it moisture? arsenic, acetone or what?). In practice I've used both without issue, but some prefer to be extra careful, and also get it in a glass bottle rather than plastic, since it is an extremely potent carrier as a transdermal and will pull anything though the skin up to about 1000 daltons, which is a decent sized molecular weight. Whichever you use, consider whether the skin is clean, or if it has soaps or other cosmetics that you'd prefer don't go into the body. You will feel the area heat up for a few seconds almost instantly, and will get to work much quicker than you'd read this paragraph (which is certainly useful if using it's anti inflammatory properties.

When I say my guess is osmotic pressure, what it does is makes cells much more porous, so if you have (as an example), some salt water and some plain water, and the tissues of the body are a very fine screen to stop them mixing (leaking into blood), but need to allow water to balance out on both sides so that you don't have pressure, then you can get a rough idea. I think this is likely also why people say salt causes high blood pressure (that's not the whole story with salt, as sodium salts have potassium salts to balance them, and balance is key to both sides of that mesh/filter that is the skin or other tissues, and not just amount (look at any pack of Electrolytes in 7Eleven or a pharmacy and you will see both included, not just one of them).

DMSO does this because it binds to water molecules stronger than water binds to itself, by a factor of about 1.3, so in some instances can be used to reduce things like Edema or other liquid imbalances.

I spend most of my time at home so I have it within a few metres of me, but you could keep it in the glove box, or in a small dropper bottle for on the bike or something. If you have any stiff or painful joints then it can dull that quite nicely without having to pop Tylenol/Acetaminophen/Paracetamol etc. If you think of instances where you use something like CounterPain, but goes around the entire body (including through the blood-brain barrier), then you get a rough idea. There are many other instances where it can be used (eg. as part of a cancer protocol), but I'm getting off topic. It is classed as a solvent, but don't let that word put you off (water is a solvent too, but you don't hear it called that).

eBay will have it, as well as a few companies I could point you to (mostly in USA though). I would start with eBay to get a feel for the prices and what's out there, then if you PM me I'll make a list of a handful of suppliers I know of that retail it to see how prices compare (particularly shipping to Thailand as that will be a large part of the cost).

If the above confuses more than helps, then write again and I'll try to explain it better for the topic at hand, or PM me if you have off topic questions about it.