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Everything posted by Firepole
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Adam Pickles Assaulted in Pattaya.
Firepole replied to Rob's topic in General Discussion about Pattaya
It was assault until the victim died. Now, if his death is determined to be as a result of the assault, I suspect a charge of manslaughter/murder might be considered. It would surprise me that the legal authorities don't know of his whereabouts. -
Another follow-up to my topic is that you might want to consider talking with your doctor about him prescribing a higher dosage tablet because you want to cut the tablets in 1/2's or 1/3's to allow you to take the lowest dosage that "works" for you while saving money because you cut the tablets in 1/2 or 1/3. Where I'm from the price for the generic Cialis 10mg tablet and the 20mg are the exact same price. If he wants to start you on a daily dose of 2.5mg you might want to ask him for the 10mg tablet to cut into 1/3's(= 3.3mg dose) as the 20mg tablet would impossible to cut into the 6(1/6ths) pieces that would equal six 3.3mg doses. If you're only using them "as needed" as opposed to daily you can, IMO, be more flexible because the 20mg tablet can, fairly easily, be cut into 6.6mg, 10mg, or left uncut at a 20mg, dosage. Always try the lowest dosage first. As always, discuss everything with your doctor and don't just take the advice of someone on the internet.
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Just before Cialis went generic I picked some up at CVS and it worked out to be over $50 per, yes, PER 20mg tablet. Lilly Pharmaceutical was trying to gouge, um, make as much profit as possible before generic Cialis hit the shelves. Amazing. Thank God all I had was a co-pay with insurance covering the balance. I should, probably, just get the Dr. to write the Rx for 5mg tablets but I'm so used to cutting them into thirds, or quarters, I don't even think about it any longer. Right now, I'm taking small doses more for an enlarged prostate than for ED purposes. BTW, for those that don't know, Cialis(generic too), in as little as a 2.5mg dose, taken daily, works excellent for an enlarged prostate. As least for me it does. Better than Flomax(Tadalifil-generic). ALWAYS confirm with your Dr. before listening to some jackass(me) on a monger forum.
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As a follow-up to my original topic post, I just picked up my first "refill" after the initial prescription was filled three months ago. The pharmacy had made note of my original coupon from GoodRx in my account and applied it to this refill without my having to do anything at all. Another 90 pills of 20mg Tadalafil(generic Cialis) for $41.65. So, yeah, it does work out pretty well. I've still got two refills remaining on the original prescription.
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Pictures from around Pattaya
Firepole replied to forcebwithu's topic in General Discussion about Pattaya
I'm, truly, amazed at how resilient these people are. As soon as the water "goes away" it's back to business as if nothing happened. I guess that ability comes easily when you've had a lot of practice. -
Pattaya Area Construction Projects
Firepole replied to forcebwithu's topic in General Discussion about Pattaya
The same goes for bar owners w/girls who aren't happy about the availability of freelancers on Beach Rd. Notice how the plan is to eliminate the majority of places to sit on the path. I'm sure they will start to enforce a "no loitering/standing" policy once done. It'll drive business back into the bars. IMO, this is what happened with/because of the FL's on Walking St in AC. -
*****Turns out that this is more long-winded than I'd planned. I just like to present all the info I can in order to be helpful***** I haven't seen much, if any, mention of the "coupon" websites for prescription medications so I thought I'd share my experience and, maybe, save others, as I did, some money. Unfortunately, the website I'm going to mention, "GoodRx", can only be utilized in the United States. There may be similar websites available to those outside the U.S. but I didn't look into them. YMMV. And, while some will suggest using a mail order site from Canada, etc..., to order meds from, I, myself, was always hesitant because of the legality of it. If it's confiscated, I lose my money. The comfort of knowing that I am getting genuine meds, from my local pharmacy, is a plus. First, a little, boring, backstory. I went to my Dr. for another issue, explained to him that my insurance coverage only allowed for 6 ED pills maximum, per month, with a co-pay of $15 for each refill. Mentioned to him that I'd never used GoodRx.com(always skeptical) but he was very familiar with it and, highly, recommended it. I asked him if he could write a prescription for 90(yes, ninety) tablets at 20mg each with 3 refills over the course of 1 year. "Sure, no problem". Also asked him to hand write the prescription, as opposed to him electronically sending it to a pharmacy, as I wanted to shop around for the best price. Again, "Sure, no problem". Walked up to the pharmacy at my local Stop & Shop, and asked the pharmacy tech if she could verify that the price on the coupon, that I'd printed out from the GoodRx website, would be that price I would pay for the prescription. She said she'd have to "put it through" to check but that she could also "back it out" and the written prescription could be taken, and used, elsewhere with no problem if that was what I decided to do. As it turns out, I received 90(ninety) 20mg tablets of Tadalafil(generic Cialis) for the coupon price of $42.65 total, out-of-pocket. And, there are 3 refills left on the prescription. The price may fluctuate a little but the way I see it I'm going to, or could, over the course of a year, get 360 tablets for $170. Seeing as how I cut them in half(to 10mg) and they last about 36 hours per 10mg dose, I, most likely, won't get/need all of the refills. Cutting 360 tablets in half would give me 720 does at 36 hours per dose. I'd be walking around with a hard-on, every time the wind blew, for 6 years straight. The math: With my insurance: 6 tablets per month at $15(co-pay) for 12 months = $180 for 72 tablets Without my insurance the same 72 tablets would cost me $34.12 ($42.65/90 = 0.47 each X 72 = $34.12) I only use generic Cialis as Viagra isn't as good(for me) but the pricing is similar on GoodRx. Disclaimer: I have no affiliation, whatsoever, with GoodRx. No sponsorship, no gifts, etc... Nothing. I will post this on a couple of different forums just to get the word out for those that aren't familiar. If the Mods think I'm spamming, well, do what you do but, I assure you, I'm not. There are other sites that offer coupons as well. The screenshots I've included are for, both, Cialis(generic) and Viagra(generic) from Boston and Los Angeles. You can put in your zip code to get local prices for you. It's staggering what some places charge for the same product. Viagra(generic) 90 tablets 100mg each in the Boston area Viagra(generic) 90 tablets 100mg each in the Los Angeles area CIALIS(generic) 90 tablets 20mg each in the Los Angeles Cialis(generic) 90 tablets at 20mg each in the Boston area
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I, because of a chronic problem from an injury, had(have) a painful time with long flights. I would book from my local New England airport to LAX. Stay overnight in the LAX area and catch a flight, via Taipei, to BKK the next day/night. I'd do the same LAX overnight(s) for the return home. Granted, the total, overall, flight hours were more than a direct JFK-TPE-BKK but the LAX-TPE-BKK saved a few hours on the U.S.-Asia leg. It made a difference. And, the night's rest at LAX made the U.S.-Asia leg, somewhat, bearable. Try Hotwire for deals on hotels. Sometimes good, sometimes not so. Because my airline would leave LAX late at night I'd end up booking two nights, at LAX, in each direction so I didn't have to be bothered with checking out of my hotel at noon and have to hang around the airport until midnight for my flight. It, also, alleviated the concern of a flight delay, or cancellation, if I tried to fly into LAX on the same day my LAX-Asia flight was scheduled(same on return). This way, I had a whole day and a half to get to LAX if my first leg(VERY early A.M.) was cancelled. If I got into LAX on time(noon-ish) I'd end up out at Santa Monica, or a beach somewhere, and still have all afternoon, night, and next day to relax/putz around. My situation has improved a bit so, now, I just dope up a little(prescription) and fly JFK-TPE-BKK. I do miss going through L.A. but I don't miss the extra hours total or having to spend the extra money. Yes, is was a bit more expensive to do it that way but my choice was either pay up or don't go.
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I can't find any place that serves Mad Dog 20/20 Red Grape so I have to suffer with a Cab Sav or Merlot with my Porterhouse. Drink wine in a bar? Not that I wouldn't but I don't think I ever have.
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On my next trip I'm considering renting a car to take a little trip, from Pattaya to about two/three hours north of Bangkok(no driving in Bangkok city). I'm concerned about having the proper insurance coverage should anything happen. Anything from a scratch on the paint to, God forbid, something major where someone gets injured. I'd want 100% coverage where I wouldn't have to worry about a thing. Anyone have any suggestions they can make from personal experiences about insurance, good or bad, while RENTING a car in Thailand? I know an IDP is recommended(no problem). I'm only concerned about insurance coverage. Never having had an accident, or filing an insurance claim, here in the U.S. I'm a little naive on what to look for and what to watch out for.
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Dynasty Inn Pattaya Soi 13 *WARNING*
Firepole replied to Firepole's topic in Hotel and Accommodation Questions
Dynasty Group is a, relatively, medium-large hotelier in Thailand. While talking to the manager, whom I've known for 15 years, I got a true sense that she was a little worried about the mattress complaints. The owners may have left it up to this manager to buy new mattresses and she went with the cheapest, which, in turn, also ended up being the lowest quality, mattresses available so as to look good on the bottom line. This is only MY opinion and, for her sake, I hope I'm wrong. During this stay I noticed some renovations as well as new TV's in all the rooms so it's not like upper management is afraid to spend a little money. Someone just made a bad decision regarding the mattresses. The mattresses that were replaced were better quality(not by much) and had been, in place, since the hotel opening about 18 years ago. Even an extra $500 per mattress, for a better quality mattress, spread out over 18 years, works out to less than 7 cents(2Baht) per night, per mattress. Even spread over only 15 years, which is the typical longest life of a mattress, is only 9 cents per night. 7 cents(2Baht) per night equals $25(800Baht) per year, per mattress. Lose one customer, who stays 4 weeks a year(like me), and you've lost almost $1200 in revenue. That $1200 loss would have covered the EXTRA cost for ALL the better quality mattresses for 1 year. Lose two 4-week customers and the lower quality mattresses are losing you money. Lose the 30% who've complained and you've got a serious problem. What % didn't complain and won't re-book in the future? Yeah, I put a lot of thought into it because I used to feel as though I was home while at the Dynasty. I can't fathom a ridiculous move like this. Dynasty management, unlike your typical Thai, IMO, seemed to understand that they were catering to the falang because it was the falang whom was bringing in the cash. Not this time. -
For any Dynasty Inn Pattaya Soi 13 devotees, such as myself, be advised that as of December 2018 they've installed new mattresses in all the rooms. In the 15 years I've stayed there I've always found them to be quite firm to begin with but, all things considered, I was able to live with it. Now? THE NEW MATTRESSES ARE HARD AS A ROCK! I just returned from a trip to SEA that included a stay at the Dynasty Inn in early December 2018. Upon walking to my room, after check-in, I noticed new mattresses lined up in the hallways waiting for "installation" as the housekeepers cleaned the rooms. Feeling them while they were still in the hall I judged them to be very hard and asked the manager if they could wait to install mine until my last night there(so as to try it out for one night). I'm glad I did. One of the worst nights of sleep I've ever had. If you're a "side-sleeper" STAY AWAY! After only one night of sleeping on the new mattress it took me a week of massages in AC to get my back sorted out. If you sleep flat on your back you will still have issues unless you're comfortable sleeping on a sheet of plywood. While checking out I expressed my concerns to the manager and asked if anyone had complained about them. She said 30% of the guests had already complained. I was surprised she had a number(30%), and told me, but she did. I've known her all 15 years. As I'd mentioned, I'm a Dynasty Inn devotee and have been for 15 years. At least I WAS. I love(d) the place. Clean, well kept, great long-time staff, good food, perfect location. All STILL true. Now? I can't go back. The mattress is a deal breaker. It's horrible. A lot of the staff has been there for 10-15+ years and when a few wished me well on my departure and said they looked forward to my return I got a little misty because I knew I couldn't come back. Yes, the mattress was that bad.
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ZITHROMAX (azithromycin) question
Firepole replied to Firepole's topic in Doctors, Dentists, Clinics and Hospitals
Wrong. You're referring to what happened in California a few years back when a private hospital used its own ambulances to transport, and drop off, a few "frequent fliers", in non-life threatening condition, into other districts where they'd end up in, as you call them "public" hospitals. A rare, and isolated, incident. -
Mimicked Myofascial Release. Possible Iliopsoas/Psoas spasm. Core muscles weak and/or out of balance. I'd be willing to bet taking a good, hearty shit also relieved the pain a bit.
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ZITHROMAX (azithromycin) question
Firepole replied to Firepole's topic in Doctors, Dentists, Clinics and Hospitals
I can only address your first curiosity. Yes, it is absolutely true. Their reasoning for a $20 aspirin? Pay the Dr. to authorize/prescribe it. Pay the hospital pharmacist/pharmacy to open the aspirin bottle, pull out, and count the one pill. Pay the nurse who has to put it in the $10 cup, walk it to the room, pour the water, that helps the Pt. swallow it, into a cup and hand it to the Pt. They also make those who CAN pay(insured**, self-pay) make up for the losses the hospital incurs from those who don't/won't/can't afford to pay. You'd be shocked at the number of people who will call an ambulance to take them to the Emergency Department of a Trauma Center because they have a common cold. Buses/Taxi's and Walk-In Med Clinics will cost them money. Ambulances and Hospitals? Somebody ELSE pays for it. Why pay $1.50 for a bus when you can call an ambulance for a "free, sponsored by someone else" $700 ride to the hospital, right? Your post suggests you, already "get it". I'm on a rant. **"Insured" doesn't, necessarily, mean FULL(if any) coverage for many items/treatments. If they cover 50% of the $20 aspirin you end up paying $10 for it. If they don't cover it at all you pay the $20. If you don't pay they will be happy to take your home, savings, etc... and/or force you into bankruptcy. When YOU file bankruptcy they pass that loss onto the next potential bankruptcy "patient". On, and on, it goes. Then, they get funding from "the government", which gets its money from the non-deadbeat taxpayer, so they can continue to "save the lives" of the entitled deadbeats who take an ambulance to the trauma center to treat a week old common cold.. Be it NHS, or what we have in the U.S., just know that SOMEBODY will pay for it, and for the deadbeats that abuse it. That somebody is the taxpayer and double again by the tax paying patient who has money to pay for his own treatment. NO, NOT ALL PEOPLE WHO CAN'T PAY ARE DEADBEATS. IT'S A DEADBEAT THAT, KNOWINGLY, ABUSES THE SYSTEM BECAUSE THEY'RE "ENTITLED". On a side note, I've purchased meds(e.g. inhalers) in the LOS that I could've, easily, gotten from a Dr.(with an Rx) in the U.S. With my co-pay what it is the cost, to me, is the same as the price of the inhaler in the LOS. In the end, I saved the insurance company the $150+- for the Dr.s visit. I don't have the "Fuck the insurance company" attitude even though they have the "Fuck the Pt. attitude. And, yes, the Dr. INITIALLY, prescribed the inhaler. -
ZITHROMAX (azithromycin) question
Firepole replied to Firepole's topic in Doctors, Dentists, Clinics and Hospitals
That law only, truly, benefits the completely destitute(YES, it's a good law). If you have any assets, or even the slightest income, they/it can be attached through collections if you don't pay. I don't know the extent of what MedicAID covers but, through people I know, I can tell you that MediCARE does NOT cover everything. What they don't cover is "out-of-pocket" for the patient. I think it's reasonable to assume that BM Grandpollo was referring to lack of access to FREE health care and not just "lack of access to health care". Those whom are used to the socialist type heathcare systems may not, easily, differentiate the two. I think, as the old saying goes, they get what they pay for. -
ZITHROMAX (azithromycin) question
Firepole replied to Firepole's topic in Doctors, Dentists, Clinics and Hospitals
Yep, a culture is the best route but, seeing as how I'm only worried about getting sick while IN Pattaya and/or AC my U.S. health services(Dr., lab, pharmacy, etc...) would not come into play. Cultures, for the most part, only confirm a diagnosis made using signs and symptoms. My U.S. doctor recently passed away. Prior to that, knowing my background, he had no problem prescribing things to take with me "just in case". It's going to take awhile before another Dr.(once I find one) will have as much faith in me, with his Rx help, to allow me to "self-medicate". I wouldn't blame him. Inhalers will help the symptoms, of some conditions, up to a certain point. Then, depending on the condition, they can be overwhelmed and, thus, ineffective. And, they don't do anything to kill an infection. It wouldn't be until that point that a culture would be called for anyhow so, still on track. I know that your typical inhaler isn't designed for infections but some conditions, initially, present as things such as asthma, etc.... I'd use inhalers until it became obvious that there's something beyond e.g. asthma going on. The stethoscope I travel with(yes, I do) isn't just for playing doctor with the girls. I asked about only azithromycin because I figured if it was available other, same class, antibiotics, that would be relevant to the presenting condition, would also be available. IMHO, unless you're 100% positive that what you're doing won't harm you, or slow/prevent recovery, you should have someone who knows what they're doing take a look. -
Walking will help loosen the psoas and iliopsoas muscles a little while strengthening the glutes. Screwing in the missionary position uses muscles that "counter" the psoas and iliopsoas. It might be worth it to seek out a Physical Therapist who specializes in pelvic tilt issues. They should all be familiar with it but that doesn't, necessarily, mean they know what they're doing. IMO, it's, at least, another thing that should be eliminated if these "expert" doctors can't find a solution. I could be way off with my suggestions but your "I walked a lot and screwed a little and had almost no symptoms" told me quite a bit.
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If nothing comes back to indicate hernia put psoas and iliopsoas in the back of your mind. More factors involved but if hernia is ruled out look for musculoskeletal issues. It's a possibility.
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ZITHROMAX (azithromycin) question
Firepole replied to Firepole's topic in Doctors, Dentists, Clinics and Hospitals
BTW, thanks to all for your input. -
ZITHROMAX (azithromycin) question
Firepole replied to Firepole's topic in Doctors, Dentists, Clinics and Hospitals
Couldn't agree more. Self-diagnosis is stupid unless you know what you're doing. It's the reason that there are "superbugs" out there. That, and those who don't complete treatment for whatever reason. Idiots. I'm not looking to buy antibiotics for STD purposes. It(they) would be for potential respiratory issues. There, I know what I'm doing. -
Who would subject themselves to this just to win Bt1000 and a t-shirt?? Eat that and you're unable to move for, at least, 12 hours. I'd feel like shit for 24, or more, hours. The t-shirt wouldn't make up for it. I'd still feel like an idiot.
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BPH, TURP (and ED)
Firepole replied to Blackwell's topic in Doctors, Dentists, Clinics and Hospitals
I didn't address availability, or cost, because I realize everyone's location and financial/coverage situation is different. PAE is an option. Whether it's "doable" is an individual thing and up to the individual to determine. I'm confident in saying that if the FDA here in the U.S. has, finally, approved it(or anything) then it has, no doubt, been performed, successfully, for a long time elsewhere(biggest study is out of Spain). IMO, the time to start looking into invasive procedures such as this would be, at the latest, on the day you've been prescribed medication to control BPH. Even with meds your prostate could strangulate the urethra without reason or warning. THAT is NOT the time to start doing research. THAT is the time to have a decision already made just in case it comes down to having a razor sharp instrument shoved up your penis. Hopefully, it won't come down to that but...... My neighbor "locked up" and ended up in the hospital at 3am with severe abdominal pain. No history, no BPH meds. His bladder was HUGE because his prostate strangled his urethra and urine "backed up". No warning at all. A catheter solved it for the time being but then there was the scramble to find a procedure when the, subsequently, prescribed BPH meds failed to do anything at all. His urologist, someone I've known(and don't trust but didn't say anything) for a long time, only performed TURP. Guess what he, highly, recommended? A PAE doctor is 30 minutes away from us. They didn't want to wait because his wife was tired of dealing with the catheter. They're dealing with complications now. If only one person reads all of this and it causes them to prepare, which ends up helping their situation down the road, I'm happy I spent the time blathering on.
