The Doctor's Consultation: The Passing Wind test for acute diarrhoea
by Dr. Iain Corness
In my daily rounds of the hospital, there are always some
expat patients who have ended up being hospitalized for food poisoning, and
these patients are generally very amazed at how severe and debilitating this
condition can be. Let me also assure you that the long stay expats in Thailand
can also get this condition, just as well as the visitor who may not have met
some of our more virulent pathogens.
Chatting to one lady who was wondering where and how she
got her dose reminded me of one of my own episodes with this condition. I
could have called this week’s dissertation, “The oyster and my porcelain
friend.” The world is your oyster they say, but for me it was the reverse
– the damned oyster took over my world.
What happened was that my wife brought home a bag of fresh
oysters from the local market. It was no special champagne celebration, but
merely a bargain spotted and capitalized upon. They were lovely, eaten with
some garlic and a very small dob of chilli sauce. Without a drop of alcohol
passing my lips either (true!), I retired to bed at 11 p.m. to suddenly wake
at midnight with my mouth awash, tingling in my cheeks and the awful
realization I was going to vomit. With an agility that would have made an
Olympic Hop, Step and Jumper proud, I hurtled into the toilet and emptied my
stomach in the porcelain bowl.
I returned to bed, to repeat the Olympic performance 20
minutes later, but by now it was bright yellow acrid bile. And again 20
minutes after that, and on and on and on, with more encores than Mick Jagger
at a rock and roll concert.
By four in the morning, the Olympic athlete was dragging a
battered belly from bed to toilet and return. It was time to forget about
pride and my proud boast of being “always well”. I was put in the car and
my wife drove me to the Bangkok-Pattaya Hospital.
It did not need a brain surgeon to work out that I had a
case of acute food poisoning, and one of those oysters would have been the
culprit. Diagnosis agreed upon, the principal treatment is fluid replacement.
The intravenous drip was soon in place, and some anti-vomiting medication and
anti-spasmodic drugs sent up my IV line to quell the uneasy stomach.
In a daze I was transferred to a room where the angels in
white were waiting to tuck me in. There was also the usual bed in the room for
relatives of the patient, a concept that is not universal all over the world,
but one that I do strongly believe in. There is nothing more comforting than
to know one’s partner is there, caring and watching over you. Anything to
allay anxiety is good for the speedy recovery of any patient. Other countries
should take note.
By the next morning, Mr. Oyster’s toxins had reached my
lower bowel, and their departure from my gastro-intestinal tract was aided by
rapid peristalsis. This is medical jargon for “the runs” and other
euphemisms for diarrhoea (“diarrhea” if you come from the left hand side
of the Atlantic).
There are a couple of schools of thought here. The one I
adhere to does not include something to immediately stopper you up, like
Imodium. The body (in this case the bowel) knows what is best and is rapidly
excreting the problem. What is important now is electrolyte replacement
therapy (the crystals you dissolve in water) to stop the body becoming
unbalanced in its electrolytic make up.
And as I said at the start of this article – you know
you’re better when you can pass wind! I’m better!
Every year you get inquiries about Thai girls sitting sidesaddle on
motorcycle pillions without falling off. Your annual replies seem
well-considered enough, but you never get to the bottom of the matter. I
noticed the first time I set foot on a Thai street back in 1970 that Thai
girl bottoms have a powerful attraction. It is quite strong enough to keep
male eyes locked on them, and them locked on their pillion seats. As I
have aged along with some of these girls, I have also noticed their
attractiveness scarcely diminishes.
You are quite right that a girl can lose her lock if the motorcycle loses
it, too. Despite the fact that my #1 fan Lek has a most attractive bottom,
she does not trust the contraptions and sits a-straddle. But then she
always does her own thing without much regard for convention (as do I, I
wear sarongs and sit a-straddle - male bottoms have much less attraction.)
Paw Yigh Lee
Meuang Yote Nakorn
Dear Paw Yigh Lee,
So I take it that you are a “bottom” man, and one for many years it
seems. Hillary is happy for you, and is quite willing to accept the fact
that you prefer to wrap yours in a sarong before venturing outside on a
motorcycle. Just don’t ask me to adjudicate. I agree that male bottoms
tend to go flat with the years, or perhaps it is the attraction that goes
flat! Thank you for letting us know that Thai ladies bottoms endure
Not that I’m complaining all that much, but Thai girls certainly seem to
enjoy showing off their pins in mini-skirts. The leggy look with
super-high heels and super short skirts certainly raises the interest of
the lads in the office, and probably raises some other things as well. My
problem is our office girl who’s skirts seem to be going higher every
day, so much so that we have to pretend we’re playing Bingo “Eyes down
and looking!” Since she reports to me, should I say anything to her, or
will it be too embarrassing? I would really like to know, and to do the
right thing here.
Too embarrassing for whom, my Petal? Sounds to me that the embarrassment
is yours, rather than hers. If her dress standard does not fit in with the
office protocol, then you must say something, but do it gently, and
privately, not in front of the entire office. The other way around the
dress code problem is to supply a company uniform, which has trousers,
rather than skirts, and your problem (if it really was a problem) is
I know you have written about lending money many times, but let me tell
you the other side of the coin. You say we should never lend money to the
girls in the bar, but after a great night, it is difficult to say no. OK,
so we probably know deep down inside that it is not going to be repaid,
but sometimes you just do it to be generous. Is there anything really
wrong with this?
Fool and his money
Dear Fool and his money,
After reading your letter a couple of times, I think you are making
excuses for yourself by saying that you just feel like being generous. You
have just spent a night in a commercial transaction, and I think you are
trying hard to make it seem less ‘pay for pleasure’ and more of a
western relationship with the girl, which does not involve payment for
services rendered. Commerce is commerce, no matter how you want to dress
it up, my Petal. Lending money to a bargirl is giving it away. The chances
of the ‘loan’ being repaid are very small. Where are they going to get
the money to repay the loan to you? By taking the money as a ‘loan’
from someone else, my Petal. What you do with your money is up to you, but
don’t try and make out that you are a knight in shining armour. The
knight is paying for his night, no more, no less.
I’m bored. Please don’t tell me to go and do charity work, as I’m
not the kind of person who enjoys feeding little babies and the like. I
was just so pleased when my children learned to feed themselves, why would
I want to go back 20 years. This is supposed to be such a wonderful
country, but there’s really nothing for expat women to do. There’s
plenty for the local women, but since I can’t speak Thai, I cannot join
in there either. So what do I do?
Dear Bored Babs,
Just what did you do in your own country? Or were you bored there as well,
Petal? As an adult, with grown up children, you must surely know what your
interests are by now. Reading? Movies? Writing (complaining) letters?
Cooking? Entertaining? Exploring? If you feel that not being able to speak
Thai is the main handicap, then go and take lessons every day. Babs,
there’s nothing that Hillary can tell you to do. You have to look at
your own situation, work out your own likes and dislikes and concentrate
on something from there. Stop feeling so sorry for yourself and do
something positive. Today!
Camera Class: Is secondhand a viable option?
by Harry Flashman
Two friends told me the other day that they were thinking of buying cameras,
but although they were enthusiasts and wanted good SLR equipment, they did not
wish to purchase expensive new cameras. What should they be looking at to buy?
There are plenty of good reasons for this interest in
secondhand items. With digital SLR’s coming down in price and going up in
quality, I too would not recommend large capital outlay for equipment that will
be superceded and eventually worthless.
about all SLR’s these days have creative control over aperture and shutter
speed, so in my book, the manual control over both these variables is totally
necessary. Aperture priority and Shutter priority do make life easier at times,
but you do need a fully metered manual mode as well. Note that – fully metered
manual mode. Without this feature, you do not have complete control of the final
Take a “high key” photo for example. Unless you can
over-ride the magic electronic eye, you will not get a high key shot, because
you have to flood the film with light to get that ‘blown out’ result.
Likewise, to get those dark and moody images, you have to
again over-ride so that you are relatively underexposing the film. Auto
anything, or shutter or aperture priority will not do this for you. This is the
creative control that you must do.
That creative control also allows you to shoot against the
light, and balance your flash power against the ambient light to produce some
wonderful images again. It does take some working out, but that is half the fun
of creative photography. And if you don’t get it right first time, you can go
back and try again, till you know exactly what you have to do. Film is the
cheapest item in photography.
So what should you look for when evaluating a second hand
camera? Like any second hand equipment, be that cars or cameras, you want to
find ones that have not been abused in their lifetime. And with cameras the big
problems are being dropped or getting wet. I generally recommend that you look
at the swivels where the neck strap attaches to the camera body. If these are
well worn, then this is a camera that has seen its fair share of film going
through it. It has been used in its life, not carefully left in a cupboard,
waiting for you to come along and give it a good home.
Open the back of the camera too and see if there are wear
marks across the pressure plate which holds the film flat. Again this will
indicate a camera that has been heavily used.
I also recommend that you open all battery compartments and
look for corrosion in there. The fumes from degenerating batteries can render
any camera an invalid, especially the sensitive electronic circuit boards.
A general look at the camera body will show if there are any
knocks or flattened areas to indicate that it has been dropped onto something
solid, like the floor. Whilst it may be fine, I would not buy a camera that has
been dropped. It is too much of a risk.
Only after all the physical inspections should you consider
looking at the functioning of the camera. Try the individual shutter speeds, and
you will hear the differences in the sounds as the speed increases. Any
‘catching’ and this is not the camera for you.
You should also look through the lens while altering the
aperture and you should see the opening close off as you go from fully open to
almost fully closed.
If the camera is still looking hopeful, now is the time to
run a roll of film through it. If the seller will not allow this, walk away from
the deal. It will only take a few minutes to check and 40 minutes wait at the
auto-processors. Set the camera on shutter priority and take shots of the same
subject. Then set it on aperture priority and repeat the shots. Each photograph
should have the same density, to show that the electronics are working
Lots of luck, and stick with ‘name’ brands!
Dogs - Man’s best friend:
Care – Commercial pet food, the answer to good health?
Our dogs and cats’ ancestors foraged for food,
selecting nutritionally complete and balanced diets containing solely whole
fresh ingredients. Their wild relatives of nowadays are still doing so.
Since domestication, however, our companion animals depend on us to supply
their nutritional needs. And with the introduction of the commercial pet
food generally a single food is presented.
Many people believe that all their animal’s nutritional
requirements will be met by giving it commercial pet-food, and that
preparing the food for them is not only a lot of work, but it also can lead
to all sorts of deficiencies in their pet. As long as the label says that
every single meal of this food is complete and balanced, that the protein
and fat content are OK, that the ratio between calcium and phosphorus in the
puppy food is correct, and the food has been tested by veterinarians: a long
and healthy life of the beloved pet is guaranteed.
But why is it then that in the last 10 years there has
been a noticeable increase in degenerative diseases in our pets? How come
that an American historian has found that dogs routinely lived until an age
of 15 to 20 years, prior to introduction of processed dog foods (references
were found on gravestones and in estate records). Plus that he found
American Kennel Club records showing a marked ‘reduction’ in longevity
in most breeds since this kind of food became the norm. Also veterinarians,
such as in Australia and New Zealand, note that 50 or more years ago, before
the introduction of commercial pet food, pets were healthier and lived
Diseases at early age such as cancers, renal failures,
hepatic diseases, several kinds of skin and coat and bone problems, have
become quite regular. These are all sorts of diseases and illnesses which
are not necessary, when fed a nutritionally adequate diet. Of course, food
is not the only determinant of health, but it certainly stands at the basis
of good health and it is the only health-related factor pet owners can
As illness and poor nutrition are standing in close
relationship with each other, and with the degenerative diseases increasing
within our pets, we should take a serious look at what we are providing for
them. By feeding a single food such as commercial pet food, practically any
dietary choice that pet owners can make for their pets is eliminated. Plus,
that they have no control on what actually is in the pet food.
For more information your pet’s diet, and on dog and
cat boarding, dog training and behavior please visit www.luckydogs.info or
contact LuckyDogs: 09 99 78 146.
Money Matters: Robert Shiller on the property bubble (part 2)
MBMG International Ltd.
After skipping a week, we’re now back to
covering the work of Yale economist Robert Shiller. To recap where we left
off, Shiller has identified that property has become so overheated in so
many areas of the U.S. that once a decline starts it could continue to
spiral for two to three years, bridging the economic downturn and placing
speculative buyers with scant equity but hefty debt into a real bind.
Lending has been effervescent of late with high multiples
and low down payments - this inflates the bubble on the way up but creates
disaster on the way back down. This is why Shiller sees the possibility of a
real price decline of as much as 50% in American residential property values
over the next decade. In fairness this isn’t as severe as our forecasts of
outright unadjusted falls of up to 40% in the UK and Australian markets over
the next 3-4 years. Shiller’s numbers are, on the other hand, adjusted for
inflation - meaning that he only foresees a 20% to 25% cumulative decline in
nominal prices (around -2% CAR over the decade).
However, equity withdrawals from real estate price
increases have helped to grease the wheels of the global economy over the
last few years so that would still be pretty devastating news for the world
Whenever we publish a piece about US real estate we hear
baying voices telling us that there has never been a major, sustained
nationwide property price collapse - while we’re not sure whether there is
really sufficient data to show whether there has or hasn’t, and while
we’d argue that the current bubble doesn’t have too many precedents that
didn’t end badly, there’s no doubt that localised problems of this
intensity have been witnessed before. Barrons reminds us that “Los
Angeles-area home prices fell over 40% in real terms between 1989 and 1997
before beginning a sharp ascent.” (Following a little way after a 60% jump
over a 5 year period in the same area.)
Interestingly that bubble is ascribed mainly to job
losses in California at that time. While any bubble can inflate until it
bursts, Shiller believes that the current bubble is so over-inflated that
external shocks aren’t necessary to prick it and that eventually prices
could just crash under their own weight. This is true - but we reckon it’s
going to be a close run thing whether the bubble becomes so large that
happens, or whether the global recession cavalry comes riding over the hills
Three months ago, when Shiller released a heavily revised
edition of Irrational Exuberance we picked up on the sections on the
real-estate bubble and the consequent problems for residential property. One
of these sections picks up on the residential property index that Shiller
and Karl Case established in 1988, using “repeat sales” data. The best,
although still imperfect way to measure property price movements is to value
exactly the same asset in sale transactions that take place some time apart.
This led to the formation of a company called Case Shiller Weiss that became
part of Fiserv and publishes the CSW survey.
This data reveals some frightening insights about this
bubble - “The rise in real prices since 1997 has already dwarfed the surge
after World War II, when long-pent-up demand for homes overwhelmed supply
for a time. And it only seems to be gathering velocity, with each year’s
increase topping the previous one’s. Though in 1997 real U.S. home prices
went up 2.1%, by 2000 the rate of increase had accelerated to 5.8%.”
Last year it was 11.2%, and Shiller believes it may have
exceeded 15% in this year’s first quarter, against a backdrop of higher
inflation, downwards pressure on personal incomes/GDP and increasing
Shiller believes that the property bubble grew out of the
same irrational exuberance that gave rise to the 90’s stock bubble - most
of the housing bubbles around the globe occurred in countries that also had
stock bubbles. Owners of London property that crashed in 1989 (almost
exactly 24 months after the 1987 stock market crash) will be far from
surprised to read that a recent study by the Bank of International
Settlements showed that peak residential property prices in 13
industrialized countries studied tended to lag stock-market peaks by around
“Once stocks fell, real estate became the primary outlet for the
speculative frenzy that the stock market had unleashed. Where else could
plungers apply their newly acquired trading talents? The materialistic
display of the big house also has become a salve to bruised egos of
disappointed stock investors. These days, the only thing that comes close to
real estate as a national obsession is poker.”
The above data and research was compiled from sources
believed to be reliable. However, neither MBMG International Ltd nor its
officers can accept any liability for any errors or omissions in the above
article nor bear any responsibility for any losses achieved as a result of
any actions taken or not taken as a consequence of reading the above
article. For more information please contact Alan Hall on
Life in the Laugh Lane: The SOS TLC Calculator
by Scott Jones
America was easier before I had the SOS TLC (School Orphan Scholarship Thai
Living Cost) Calculator built into my brain. Now all I can see is what the
dollars spent there could cover here in Thailand. During my recent fund-raising
tour for less-fortunate kids, my hotel and car rental during two days in
Hollywood was $600 = 24,000 baht, one third of my rent for a year in Thailand
or six weeks of school, food, lodging and medical expenses for the 30 orphans
at Children’s Garden. Just the daily hotel parking charge of $25 = 1,000 baht
could pay for a year of school fees for a kid at a rural Thai school near
Lamphun. The personal wealth of Bill Gates ($55,000,000,000 = all the baht in
the known universe) could take care of Children’s Garden for eleven million
years, but he’d be forced to subsist on yearly interest income of three
Paging through Sky Mall, a catalogue for people who have
everything but still need more, I could buy the “Life-size WWI Propeller”
for $150 = 6,000 baht, more than the yearly living and school expenses for an
orphan at a Thai government school. “Some of the most exciting battles of The
Great War were duels fought in the air…” (Is any war really great?)
“Modeled after WWI varieties…?” (It’s not even real?) “Lean it in a
corner…” (A faux prop gathering dust in the corner with the mop and the
golf clubs while I relive the great war until little Johnny knocks it over and
cuts his sister head off?) Let’s at least get creative! I’d mount it on the
front door, rotating menacingly, preventing Jehovah’s Witnesses and folks
collecting charitable donations from pushing the doorbell. I could take it on
an elevator, stand facing the other passengers and challenge people to a duel.
Or use it as a kayak paddle while wearing a leather helmet and making airplane
sounds with my lips.
For the cost of sending two and a half orphans to school for
a year, I could purchase the Digital Cash Counter: “The quick, no-hassle way
to transform unruly currency into tidy batches…it uses a commercial-grade
roller-friction feeding system to count up to 1,000 bills in 60 seconds.”
Bill could use it to count his $1000 namesakes but it would take 104.6 years,
For the cost of building an entire school for $3,000 = 120,000 baht, I could
order the Asian Bamboo Gazebo, undoubtedly made in Asia, and ship it back to
Asia: “Let people know you take the outside of your home as seriously as the
inside…this garden focal point and sculptural icon is not only a statement
piece for your garden, but a personal tropical oasis for reading,
relaxing…” and trying to figure out how to impress my neighbors with the
seriousness of the inside of my home. Just wait ‘til they see my fake
propeller and I show them how fast I can count all my money!