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Everything posted by Sheryl

  1. Simply diagnosing hypertension, you can do yourself, get a BP monitor (the kind that goes around your upper arm, not the wrist type) and take your BP everyday at rest at the same time and record it. Then going by the highest readings you got on several different days (ignore a one-off hoigh reading) Normal blood pressure. Your blood pressure is normal if it's below 120/80 mm Hg. Elevated blood pressure. Elevated blood pressure is a systolic pressure ranging from 120 to 129 mm Hg and a diastolic pressure below 80 mm Hg. Elevated blood pressure tends to get worse over time unless steps are taken to control blood pressure. Stage 1 hypertension. Stage 1 hypertension is a systolic pressure ranging from 130 to 139 mm Hg or a diastolic pressure ranging from 80 to 89 mm Hg. Stage 2 hypertension. More severe hypertension, stage 2 hypertension is a systolic pressure of 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or higher. Stage 2 needs of medication. The 2 in between stages does not but warrants some life style changes and monitoring If you prove to have Stage 2 hypertension and what you want is to have a consultation with a competent doctor to get expert advice on what meds to take and an overall assessment of cardiovascular health that will indeed cost you in the $200 range depending on tests done. There are very few doctors in Cambodia you'd want to entrust this to and the best ones aren't there now (i.e. the Thai doctors at Royal PP Hosp). Could try http://www.khemaclinic.com/medical-service/Cardiology Or call Royal and see if the Indian cardiologist is still there, I am pretty sure the Thai ones left https://royalphnompenhhospital.com/doctor/dr-sumalatha-chaparala/
  2. Nobody can say when, it will depend on the course of the pandemic not only in Thailand but in the rest of the world. Pretty certain that the ban will not be lifted 1 May though. No plausible reason for it to be, it will be extended. And pretty likely even once the total ban is lifted there will remain bans on entry from any country where the disease is still prevalent which is surely going to include most of Europe and USA for at least 2 more months.
  3. You don't have to be out in it to get the mood lifting effect. Wide open curtains/windows letting sunshine into the house should do it. Make thei nside of the house as sunny as possible and spend time i nthe best lit areas of it (won't be enough for the Vit D though, you need to take a supplement for that)
  4. Morning urine is naturally more concentrated so will have more color Neurobin can discolor urine, turning it a reddish sort of color from the 12 that is probably what you are seeing
  5. Blood type will not have anything to do with it. Genetics are a very complex, expensive and time consuming thing to study. Epidemologic studies are the first line of approach. We know that age and underlying health conditions are a big factor. it is possible that use of certain medications (for other reasons, on daily basis) may play a role, but that will take longer to determine as someone has to go through detailed patient records to find that. Also being investigated is possible role of BCG immunization in childhood. One big difficulty is that while data is available for people with serious infections, by definition it is not as much available for the mild cases - they don't get hospitalized and many do not even get identified. With any infectious disease the size of the initial innoculation affects severity i.e. people that get a large dose of the virus will be sicker than those who come into contact with a smaller amount. This is why health care workers are so especially vulnerable.
  6. Yes it is the same. It is mainly used as a childhood vaccine to protest against extrapulmonary forms of tuberculosis, but as it has a strong effect of stimulating the immune system it has found some other uses. The idea that it may have a protective effect against COVID is based on association only: countries where there is a policy of universal BCG vaccination have much lower rates than countries without it. But of course correllation alone does not prove causation. It is a strong enough association to have sparked some clinical trials.
  7. It is not only Thailand. There are a number of countries that fit this bill and they are being looked at. Cambodia, Laos, and places further afield. (Cambodia never stopped flights from China until they finally stopped all flights, Phnom Penh was literally crawling with Chinese all of January & February...and even had an outbreak of a respiratory illness then but mild). Japan also has fewer cases than it should. These disparities among countries are receiving a lot of attention from researchers. For example https://www.medrxiv.org/content/10.1101/2020.04.07.20053272v1 among others
  8. The heat, the sun, the comparatively low population density. This last part is very important and would explain why Indonesia, despite being just as hot and sunny, has more of a problem. It is also what has been NY's undoing. And just possibly the high level of BCG vaccination - this last is under investigation after epidemiologists found that countries with routine BCG vaccination appeared to have vastly lower infection rates. Still needs to be confirmed by controlling for other factors, but quite intriguing.
  9. In no country is it having that effect. And yes, it is used in Thailand. Many countries are using it. but no grossly apparent result. . This does not rule out the possibility that there will be a small statistical advantage to its use once the data is in. But it is clearly not the miracle drug some people are assuming. They use it in China early on. Still had ICUs overflowing an many deaths.
  10. Low Vit D levels Can be compensated for by supplements And yes, depression Why do you ask?
  11. Th Op has now started another thread on this topic So this one closed
  12. He needs a lot more than a dentist. Sounds like he also needs a neophrologist. But yes, Memorial is an option. OP: you have been advised since your prior thread to go to a Hospital ED. (Emergency Dept). Don't call for an appointment or ask for a particular type of doctor. Go to the ER. And be sure to mention your kidney disease and dark urine.
  13. Go to the Emergency Room of a hospital. Bangkok Pattaya, Pattaya International or Pattaya Memorial. Or Phyathai Sri Racha. Or Samitivej Sri Racha Do NOT mess around with clinics given your underlying kidney disease. I am not sure what the "black urine" meant but if your urine is really very dark in color then this needs immediate medical attention.Do not delay.
  14. No to all questions Borders closed and with very few specific exceptions foreigners cannot enter (for that matter neither can some Cambodians from abroad). Also a restriction on Cambodian national leaving to abroad. And most flights cancelled.
  15. As above IV antibiotics is an option and will work more quickly
  16. Because it was never more than a focal outbreak efforts are on containment not nationwide lockdown. People returning form abroad and contacts of known cases are put into forceable confinement. Quite extensive measures -- of a sort that would be impossible in a democracy -- were used to track down and "apprehend" everyone falling into these 2 categories.
  17. It appears that when the Lazada website says handed to logistics partner, but they have not yet sent an email about delivery, it has in fact not been passed to Kerry or equivalent. I went through this with the one order that was canceled, turned out to have been never filled by the seller who ultimately cancelled altogether. I though because it said on the Lazada site that t was with the logistics partner (and even gave a Kerry tracking number) that it was with Kerry but the tracking number roved not in Kerry system, Lazada rep told me when I contacted them that it was still with the seller, and seller confirmed. Confusing, I agree. I have learned that until I get the email saying "Your item(s) has been Shipped", it hasn't been and the status shown on the wesite is meaningless.
  18. My deliveries are still coming through OK. I had an order canceled by the seller, otherwise all else has arrived. 2 things I am really grateful for during this time: Internet and Lazada/Shopee.
  19. Khmer New years has been canceled. A ban by government on people flying in and out is in place And the border ban for entry i(as opposed to exit) s a Cambodian decision. Cambdia has not only taking strong measures, so womeuld say draconian ones.
  20. third stage syphilis is certainly treatable. But almost no one has it in this day and age. And indeed it can be detected by clinical exam without blood test. Since syphilis is just as contagious in earlier stages (which are more common) the specification of tertiary makes no public health sense.
  21. Poipet is hardly a "virus hotspot". Cambodia has far less incidence than Thailand and there is more reason for them to fear people crossing in than for Thailand to fear them crossing back. That said, casinos can get crowded and anyone who worked in one should be tested.
  22. It is not at all clear that men get COVID infection more often than women, in no place is there sufficient testing, statistically representative of the population as whole, to determine this. We will find out later when there have been representative studies of antibody levels. What is clear is that men when infected are more likely than women to develop severe case. (Most men still have mild case, of course - but among those with sever case, a disproportionate percent are male). Too soon to say why and makes no difference to measures people need to take. While women have proportionately fewer severe cases, there are still severe cases and deaths in women so hardly a reason not to worry. An while men are more prone to severe cases, most men will have mild case so hardly a reason to assume the worst is inevitable should you get it. There is a great deal yet to be learned about the pathogenesis of this disease in humans, it has been being studied less than 5 months.
  23. it is not at all clear that this is the case, in fact most doctors using this report seeing no obvious result. Which does not rule out a small benefit, needs a large scale controlled study to know that, but does strongly suggest it is nto the miracle cure some portray it as. And yes they give chloroquine in Thailand. they give it in many hospitals around the world, it just doesn't have any obvious result that can be readily seen. Which as mentioned does nto rule out a small difference, you need large numbers compare to controls and statistical analysis to determine that, Give it a rest and wait for the result of proper studies which will not take much longer as they are already well underway.
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