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The Doctor's Consultation

Agony Column

Camera Class by Snapshot

Money Matters

Let's Go To The Movies

HOW DOES YOUR GARDEN GROW?

Bridge in Paradise

The Doctor's Consultation:  by Dr. Iain Corness

Grub for Gout

A few weeks ago I covered a diet for dentures. This week it is a diet for those with gout, and there are far more of you than you might imagine. If you are a sufferer, then you join with Henry VIII, Benjamin Franklin and Thomas Jefferson.
It is indicated in around five percent of all cases of arthritis and is present in around three to five percent of the population, with males outnumbering women around nine to one. Afro-Americans and many Asian races also have higher incidence than Caucasians.
Gout is in its simplest fashion, a recurrent form of arthritis, and which generally affects just one joint - most commonly the joint in the big toe. This arthritis, or inflammation, occurs in association with high uric acid levels in the blood.
It is a condition that is still being researched, and there is still no complete agreement on the preventive treatment for this condition.
The higher the concentration of serum uric acid (SUA), the more likely you are to get an acute attack. The ‘normal’ range for SUA is taken as less than 0.42 mmol/L (called ‘milli moles’ per liter), but if your concentration is 0.54 mmol/L then you are five times more likely to get gout.
Basically what happens is that with high concentrations of uric acid it crystallizes out into the joint, leaving very sharp, needle-like crystals crunching inside the articular surface of the joint. Very painful!
The typical gout sufferer is male in his 50’s, overweight, with high blood pressure, carnivorous and consumes large quantities of alcohol. Is that you?
Gout affects almost four million men in the USA. It has long been thought that purine-rich foods and a high protein intake are risk factors, and sufferers are advised to avoid meats, seafood, purine-rich vegetables, and animal protein. But this advice was based more on the theory of how excess blood uric acid can occur, rather than actual clinical studies.
One of the newer studies began on over 50,000 men from health professions in 1986. Food-frequency questionnaires were sent out at baseline, and in 1990 and 1994. Weight, medications, and medical conditions were recorded every two years.
The participants were assigned to groups according to the total intake of meat, their consumption of seafood, purine-rich vegetables, dairy products, low-fat dairy products, total protein, and animal protein.
During the study, there were 730 new cases of gout during the 12 years of follow-up. Most of them were aged 55 to 64.
When total meat consumption was analyzed, the risk of acquiring gout was 1.41 times greater in the high meat eaters; in other words, eating more meat was a risk factor for gout. Similarly, high seafood eaters were 1.51 times as likely to develop gout. (Grass should be fairly safe to eat!)
In contrast, gout was less common in those taking more dairy products. Men who drank two glasses a day of skim milk, or ate a serving of low-fat yogurt more than twice a week, halved their risk of developing gout.
In this study at least, purine-rich vegetables, and total protein had no influence on the chances of getting gout.
This large study confirmed that a diet high in meat and seafood increases the likelihood that a susceptible person will develop gout. It also showed that milk proteins increase the excretion or uric acid in the urine.
So, to avoid developing gout, try to limit your intake of meat (beef, pork, lamb, and offal) and seafood, while increasing your intake of low-fat dairy produce (skim milk, yogurt).
This is all very important, as the long term outlook is not good for the unrepentant gout sufferer. Constant high levels can lead to uric acid ‘stones’ being deposited in the kidneys (producing renal problems) and even discharging lumps (called ‘tophi’) around joints, on the forearms and even on the outer ears. Really a most bleak and depressing future, and not one I’d like to have.
Note too, that it is low-fat milk that is being proposed, as high fat milk introduces the cholesterol problems again! It really is a fine line that we must all tread!

 

Heart to Heart  with Hillary

Dear Hillary,
Did you see Dorian Farmer’s cartoon in the mail recently? He shows you to have frizzy hair and wearing a flowery dress, and kicking the place down because of spelling mistakes. I have cut it out of the paper and stuck it on my wall. Is that really you?
Wondering
 

Dear Wondering,
Wonder no more, my Petal. Despite what is portrayed in that cartoon, I was not snapped by a spy cam. It is all a figment of Dorian’s fertile imagination. However, it is correct that I am appalled by the spelling of some of my letter writers. I get annoyed because they expect Thai people to be able to be proficient in English, but they are not proficient themselves. The give-away is the fact that normally I wear a beautifully tailored outfit with Victorian collared blouse to work, and my office is not as salubrious as the one in the picture. How I wish I had a door with “Heart to Heart with Hillary” inscribed on it. In fact, how I wish I had my own office, the broom cupboard I work out of has no mod cons, but the broken chair does look accurate!

Khun Hillary,
Would you care to take a break from the usual bar girl related problems? I have a different subject for you. A Thai man a couple of blocks from our house beats his dog. Not just a smack with a rolled up newspaper or a hit now and then, but this guy severely and unmercifully beats the hell out of his dog. Last week my wife saw this guy walking his dog in front of our house, and for no apparent reason he started to beat the dog with a stick. I wasn’t home at the time and my Thai wife hearing the bloodcurdling howls ran out to see what was going on. Later I asked her if she tried to interfere and she said it’s not her business. This morning at 07:00 I was returning from a bicycle ride and heard a dog howling (I think the same dog) with such pain and fright that a cold chill went up my back. I made a U turn and went to the house where all the commotion was coming from. I got off my bike and watched this guy beat his dog senseless with a shoe and then when the dog started to revive he continued to severely beat him. I yelled and hollered at him to stop. This guy gave me a very nasty look and yelled to mind my own business and to leave. If this was in the U.S. such as California, I would make a call to the Humane Society and an officer would be out there posthaste. But in Thailand there is no such thing as a humane society. I’ve seen this exhibition of unbridled male anger several times in this “the land of smiles”. It’s like the males and females are from different cultures. Two times a saw a father hit and slap his young boy because he was afraid to ride on the family motorbike. I was walking past a kick boxing match for very young boys and a father was hitting and slapping his kid because he was afraid to fight. And, in the parking lot at Lotus a young man was beating the hell out of his girl friend. She was so terrified that she refused to get in the car, or, maybe that’s why he was beating her. I started to walk over but my wife pulled me back and said not to get involved. Thai women never try to run me off the road when I’m on my motorcycle but Thai men have actually ran me off the road more than once. Here’s how they do it. Don’t try this at home. A car or p/u truck that’s following me swings out like he’s going to pass or go around. Then when he’s abreast of me, he pulls over into my lane and there is no place for me to go. The bar girls seem to have the same story, I like farang men, Thai men are too violent. So, I have two questions; am I misinformed or maybe biased that Thai men are so full of anger, and, if I do get involved and do more that just yell but punch someone’s lights out, what kind of trouble would I be in?
Uncle Bill

Dear Uncle Bill,
You are asking my advice as to whether you should “punch someone’s lights out” because “Thai men are so full of anger”. What can I say, Uncle Bill, other than the fact you are also full of pent-up aggression. I think your wife has a better understanding of the situations than you do, so follow her advice. It will keep you out of trouble.


Camera Class:  by Harry Flashman

Children’s pix - for all the Dads

I think all parents are proud of their children - initially at least! Parents also like to keep a photographic record of their children growing up, and as such there are many milestones in a child’s development that are worth recording.
Obviously events such as birthdays must rate high, but there are also so many others, like first day at school, first day at “big school”, concerts and dances. With childhood spanning around 17 years on average, there are plenty of opportunities.

Superstar

This week I will look at how to take great children’s pictures, ones that will still bring a smile to Dad’s face many years later. Many of the tips are relevant to all photography, but there are some specific tricks you have to put into play when photographing young children in particular.
Take a look at the photo with this week’s article which is the picture of a small child during Songkran and first note the background. That’s right, there isn’t one, other than the yellow ochre color of a wall and some grass. By removing confusing backgrounds (and not photographing them in the first place), you have immediately given more importance to the subject of the picture. All very basic, but all very important for any good portrait. In this particular shot, the photographer moved his position to get the innocuous background. This is generally easier than trying to shift the subject. In addition, by using an aperture in the f2.8- f4 range it will also throw any background out of focus, even confusing ones.
The next tip to extract from that photograph is the relativity in height between the subject and the camera. By getting down to the same level when taking the portrait, this again assists in making the subject the ‘hero’ and not someone insignificant being ‘looked down’ upon. The photographer here was sitting on the ground to get this viewpoint and the camera lens was at head height.
I have written before about the problems associated with the short attention span demonstrated by animals and children. The music hall adage of never sharing the stage with kids or animals still holds good today. With this shot, where the little girl was filling the green plastic container with water, it was necessary for the photographer to sit patiently and wait for one of the famous photographer Cartier Bresson’s ‘decisive moments’. This came after a couple of minutes when the subject looked up and saw she was being observed and spontaneously broke into a grin, giving this totally natural photograph. By trying to coax the child into sitting there and then smile would be an invitation to disaster. Photographically at least!
This type of photograph can be obtained while running the camera in fully automatic mode, so even if you are hesitant to shift the mode from the A for Auto, you can still get good photographs. However, to make it even easier for the novices out there, try running the camera in the ‘Portrait’ mode, or if you can’t find that, then in the ‘Aperture priority’ mode and set the aperture to f4, and let the camera do the rest. All you have to do is compose the picture correctly in the viewfinder.
Another factor, particularly with the composition, is to get in close enough to fill the frame. You can see with the photograph here, the entire frame is taken up with child and the one prop to show what was being celebrated - the plastic container with water. Also note that the Rule of Thirds has been adhered to - with the child’s eyes one third down from the top of the frame. This ‘rule’ always produces better and more interesting photographs, especially portraits.
By the way, if you look very closely at the green plastic container it has a sticker saying “Superstar” (you may need some enlargement or a magnifying glass to see it in the newsprint). That was a serendipitous accident and not planned for in any way whatsoever! But for that Dad, the photograph is one of his ‘superstar’.
Why don’t you photograph your Superstar this weekend?


Money Matters:  Paul Gambles MBMG International Ltd.

Just Depressed or is it a Depression?

For the first time on record, all 50 states contracted at the same time, according to the state coincident indicators for February 2009, released by the Federal Reserve Bank of Philadelphia last month. The state-by-state indicators have been tracked by economists at the bank since 1979.
This is stunning enough but there is more. “The Great Depression in the United States,” wrote Milton Friedman, “...is a testament to how much harm can be done by mistakes on the part of a few men when they wield vast power over the monetary system of a country.”
What should not have been a surprise was the fact that people were shocked when they lost money. This is what capitalism is - boom and bust. Make a fortune, lose a fortune. Just when people think it is a cure-all it needs medicine itself.
Regular readers of this column will know that we have been saying that even bankers should have seen this present crisis coming from a mile off. When someone lends money, they usually want it back, preferably with interest. When money is lent to those who cannot afford to pay it back then most people know that trouble is just round the corner but not these bankers who then go running to governments crying “foul”. The powers that be then put up well over USD10 trillion to stop capitalism from correcting itself by sorting out the wheat from the chaff and allowing the weak to die off naturally thus leaving those that survive to be leaner, meaner and stronger. They are trying to stop the natural cycle of business. They will not succeed. It is like using an Elastoplast for a quadruple by-pass.
Protectionism is becoming more and more prevalent - despite what governments say. In the UK, banks have had to be saved. The best is in Europe where they are reducing the life expectancy of cars and trucks (like it is different to what it was in 2008!). In America, everything has had to be rescued. The government is now basically running the car industry, the largest insurance company, the largest mortgage lender, the largest… whatever next?
Without doubt, markets do not work as they should without regulation. Just like a game of rugby, things can get a tad rough when there is no-one there to enforce the laws. Roosevelt realized this is the 1930s. Clinton and Bush forgot the lessons of history and took the referee away. Look where we are now. Who shall we look to for help? How about the person who said, “Owners of capital will stimulate the working class to buy more and more of expensive goods, houses and technology, pushing them to take more and more expensive credits, until their debt becomes unbearable. The unpaid debt will lead to bankruptcy of banks, which will have to be nationalized…” This is good stuff as it pretty well sums up what has happened. Who said it? Obama? Buffett? Gates? Well no actually, the last line of the quotation may help, “...and the State will have to take the road which will eventually lead to communism.” No? Well it was Karl Marx in 1867.
So, who can save capitalism? The communists? After having banged on for ages about the fact that we are not ready for de-coupling yet, I could not be so hypocritical as to say we are now. This is not the case but the Chinese central bank came out with this little Marxian nugget recently: “Market forces, if left unchecked, will lead to asset bubbles and ultimately a disastrous market clearing in the form of a financial crisis like the current one.”
China is about the only country in the world that actually has money at the moment, well real money that is not being printed at a stupid rate. As they do not have free markets and do have strict regulations, is it possible that China could show us the way?
Before I go further and rush out to buy a red badge, let me take a reality check. Why should the Chinese Communists or the American Democrats be any better than anyone else? It is only the perception that they should know what they are talking about which allows us to give them the power to lead us out of this present mess. But let us look at this more closely, It took the Russians seventy years to realize that Lenin was wrong, Friedman wrote about the Great Depression thirty years after the fact and by the time the present regimes realize what has happened we could well be in another great depression.
The optimists will be stuffed when the Dow Jones falls to below 5,000. The pessimists will sulk even more when those in charge cannot stop deflation. Spenders will not spend due to too much debt and savers will not save as there will be no incentive to do so.
Is this the end of the world as we know it? No, but it will take careful management of your money to make sure that you can still afford to live. Trust no one asset class and make no long term commitment. You will still be able to make money and save for the future. It can be done, so even if there is a depression there is no reason to be depressed.

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 Paul Gambles on [email protected]


Let's Go To The Movies:  by Mark Gernpy

Alert: Major Cineplex at Airport Plaza still has their 20 baht surcharge for Wolverine, because “it’s an expensive film.”  But if you’re over 60 you can get a good senior discount at Major Cineplex.
The new website for Major Cineplex is: http://www.majorcineplex.com/showtimepage.php.  It’s basically a mixture of Thai and English, and this is how you work it: The link above gets you to the “Showtime” page.  On the right two-thirds of the screen you will see two lists: movies, and theaters.
At the top of the list of movies, click “Select All Movie” unless you’re really only interested in one movie.  On the list of theaters, click “Chiangmai.”  This is one of four cities in the “Zone UPC-North” section, which is the 6th region down, or the 4th from the bottom.
Then hit “go” either at the top or the bottom of the lists, and almost immediately you will get at the very bottom of the page a list of the movies, the cinemas they are in, and their remaining times for the day.
If you do this after midnight and in the early morning, you will get a blank.  Times are posted later in the morning.  You have no way at the moment for getting any times except for the current day, and only the remaining times.
Now playing in Chiang Mai
Star Trek (2009):
 US/ Germany, Sci-Fi/ Adventure/ Action – All new!  And I think it’s a great deal of fun, for fans of the series, and also for those who are not.  This much-anticipated film is a reboot of the series, going back to the series’ ’60s roots by depicting the formative experiences of the legendary heroes Kirk and Spock.  The young James Tiberius Kirk is played by Chris Pine as a wild Iowa boy whose father sacrificed himself at the helm of a spaceship at the very moment the child was being born.  He is convinced to attend the Starfleet Academy with an eye to joining the crew of the Enterprise.
Headed for the same destination is Spock, played by Zachary Quinto, who has had a troubled background as a half-human, half-Vulcan.  How these two very opposite figures become mutually trusted colleagues is the basic story of the film.  From director J.J. Abrams (Mission: Impossible III, Lost, and Alias).  It’s very well done, and I found it engrossing.  Early reviews: Universal acclaim.
Horsemen:
Canada/ USA, Horror/ Mystery/ Thriller – Aidan Breslin is a bitter detective emotionally distanced from his two young sons following the death of his wife.  While investigating a series of murders of rare violence, he discovers a terrifying link between himself and the suspects in a chain of murders that seem to be based on the Biblical prophecies concerning the Four Horsemen of the Apocalypse: War, Famine, Pestilence, and Death.  Rated R in the US for grisly and disturbing content, some sexual images, and language.
X-Men Origins: Wolverine:
 US/ New Zealand, Action/ Fantasy – Though early reviews are lukewarm, I think it’s simply brilliant, starting out with eight minutes of nigh perfect popular filmmaking, a sequence that is thrilling, sensible, and, wonder of wonders, deeply intriguing!  It then veers into a quiet sequence building up a love-interest, which might seem to be just padding, but no, get involved with it, because the love relationship leads to some real emotional payoffs down the line.  Really, it’s a superb action film for anyone who likes the genre, with excellent performances by Hugh Jackman, Liev Schreiber, and many others.  There are two very short additional scenes during the closing credits.  A 20 baht surcharge at Major Cineplex, none at Vista.
Mor 3 Pee 4:
 Thai, Romance/ Comedy – A nice little advertisement for MSN: Four teenagers make friends and chat online on MSN, and maybe fall in love. (Note: shown in Thai only, with no English subtitles).
Saranae Howpeng:
 Thai, Comedy – Movie version of “Saranae Show” – a popular Thai comedy TV show that has been on the air for 11 years.  With many well-known Thai comedians.
Looking ahead
May 14 - Slumdog Millionaire
: US/ UK, Crime/ Drama/ Romance – Breathless, exciting, heartbreaking but exhilarating at the same time, this film won Oscar best picture and best director – and awards for adapted screenplay, original score, film editing, original song, sound mixing, and cinematography.  Definitely to be seen!  Rated R in the US for some violence, disturbing images, and language.  Reviews: Universal acclaim.  At Vista only, and good for them!
May 14 - Angels & Demons:
 US, Crime/ Drama/ Mystery/ Thriller – Tom Hanks plays Harvard symbologist Robert Langdon once again, as he works to solve a murder and prevent a terrorist act against the Vatican.  Note that although the novel upon which the film is based is set before the events of the novel The Da Vinci Code, the film has been written as a sequel to follow after events in The Da Vinci Code.


HOW DOES YOUR GARDEN GROW?: Stuart Rodger

Regal wonders of the plant world

Two of the premier plant discoveries which took place during the great Victorian search for and classification of unknown plants can be grown easily here in Thailand.  Named after Queen Victoria herself, the first, Victoria amazonica is the largest water lily in the world, found in the Amazon River basin, with its white fading to pink flowers measuring 12 inches across.  Even more spectacularly, its floating leaves measure up to 5 feet in diameter, and are able to support the weight of a 5 year-old child!  This amazing plant was given pride of place at the Great Exhibition of 1861, held in the Crystal Palace in London, England.
The strong, air-filled network of ribs which can be clearly seen on the underside of the leaf supporting the thin chlorophyll membrane of photosynthesising cells inspired Sir Joseph Paxton to design the exhibition hall itself, the largest glass and iron structure in the world, its cast metal struts supporting the thin glass panes.
A special greenhouse was built at the famous Kew Gardens to display Victoria amazonica to an astounded public on a permanent basis - the water lily house remains to the present day, located at the side of the newly restored Great Palm House.  So fast growing is the water lily that it is re-grown every year from seed, taking just that time to cover the entire pond!
Although the greatest architectural wonder at Kew Gardens is the Great Palm House, it does not contain the second of my choices, possibly because it is, again very large and fast growing, but possibly due to historically political reasons.  This giant palm is named after the warrior-statesman and German chancellor, Bismarck, who successfully unified the disparate petty principalities of Germany into the most powerful country in Europe during the early years of the 20th century.
Originating in Madagascar, Bismarkia nobilis is also popular here in Thailand.  Perhaps this magnificent palm, which swiftly grows into one of the strongest and most powerful trees, dominating everything in its vicinity with its massively thick trunk and huge, metallic-grey leaves, appealed to the veteran war-lord for its power and majesty.
As a young plant in your garden, its fabulous blue-grey leaves make a spectacular background for varied objects, plants and  flowers - as a colour, grey accentuates any other colour placed in association with it.  Stand in front of those radiating leaves, and your skin colour, hair and clothes will never have looked more radiant to the human eye!


Bridge in Paradise : by Neil Robinson

The Bridge Club of Chiang Mai holds an afternoon session on Fridays which combines a duplicate game with a lively discussion of the hands.  Chris Hedges provides helpful coaching for newer players or those who are a bit rusty.  Many of the hands played are ones which were previously played in a tournament.One of the many interesting hands played recently came from the finals of the prestigious Vanderbilt knockout tournament played in 1997.  The board is shown below with South the dealer and E-W vulnerable:

                        S: 92

                        H: 10765

                        D: QJ632

                        C: J2         

S: AJ10854                       S: Q63

H: A                                  H: J843

D: 9                                   D: 10754

C: K9873                          C: 104

                        S: K7

                        H: KQ92

                        D: AK8

                        C: AQ65  

When this was played at the Vanderbilt, the bidding at table one was as follows:

South   West      North     East

2N        3S            Dbl          P

4H        4S            Dbl          All pass

The lead was the jack of clubs.  This was an unfortunate lead for the defence (an initial trump lead followed by a trump as soon as the defence are in again is a more successful defence).  Declarer can take a second club lead with the king and then trump a low club on board (over ruffing North if necessary).
Declarer returns to hand with the ace of hearts and leads another low club to ruff on board.  Now, a trump lead from dummy to the jack wins and the ace of trumps then fells the king.  Declarer lost only the aces of clubs and diamonds.
The contract made a doubled vulnerable overtrick for +990 for E-W.  It is clear that North looked at his four points, added them to his partner’s blockbuster, and was too optimistic in counting his chickens.  E-W have only 15 high card points but are cold for eleven tricks after the club lead.
At the second table in the Vanderbilt, the bidding was a bit different, but the final contract was the same, 4S doubled.  Only ten tricks were made this time, but still a big score for E-W +790.
In Chiang Mai the contract was played by an international foursome: Sheila and Martin Bagnall of England were N-S and Jean-Claude Barrett of New Caledonia and Dennis Hudson of Wales were E-W.  The bidding was:

South   West      North     East

2N        3S            4D           4S

5D        P              P              Dbl

The final contract was 5 diamonds doubled by North.  The lead was the queen of spades and the defence took two spades, the ace of hearts and the king of clubs for down two and +300 for E-W.  Still a positive score for E-W, but a much better result for N-S than at either table at the Vanderbilt.  Good judgement by N-S here in finding the diamond fit and pushing on to the five level!
For information on the Bridge Club of Chiang Mai please contact Chris Hedges at: [email protected]  If you have bridge questions, or to send me your interesting hands, please contact me at: [email protected]