Hundreds of rivers worldwide contain worrying concentrations of antibiotics, according to research by the University of York, England. River water samples were taken at 711 locations in 72 countries. Antibiotics have been found in most of them. The permitted level was exceeded at 111 locations, in some cases by as much as 300 percent.
Thai Ministry of Health warns of dengue fever
The Thai Ministry of Health warns of dengue fever, a nasty disease that can even lead to death. The ministry expects 100.000 people to be infected this year.
'Be Well', Dutch GP on the Banyan in Hua Hin
'Be Well', that's the name of the doctor's office that will be opened next to the Banyan resort in Hua Hin at the end of this year. Initiator Haiko Emanuel and advisor Gerard Smit will talk about the possibilities and plans at the monthly meeting of the NVTHC at the Sailing Club Hua Hin on Friday evening 31 May.
A cousin of my girlfriend (37 years old) has had Meniere's disease for a long time, it was not recognized early. Nausea, vomiting, dizziness, fatigue. Goes to the hospital a few times now and then gets an infusion, but after a few days it occurs again. I don't know what drug the IV contains.
Tips for a healthy brain
Your brain is very important. Not just for thinking, learning and remembering. How do you keep your brain healthy? Brain experts Erik Scherder and Dick Swaab provide useful advice for a brain in top condition.
Who doesn't wear them in Thailand? Slippers, flip flops or flip flaps. Nice and cool and easy, but not really good for your feet and joints. Therefore, do not wear them for more than two hours a day.
Can you clarify the following: I know that you can get side effects from antibiotics, such as intestinal complaints and nausea. I have swallowed a lot, but the last treatment is already 8 months ago. Can these side effects still occur so long after use? Since I got so many strange problems in a row and it wasn't really clear what exactly I had, you immediately think of the worst.
Question to general practitioner Maarten: STD contracted, probably suffering from mycoplasma hominis for 15 months.
History: I have had 2 short-term relationships – January 2018 and later October 2018 – with 2 different Thai ladies and in both cases something went wrong with the contraceptives during intercourse (no anal). Complaint: In January 2018 I noticed a light white discharge from the urethra; only in the morning and insignificant.
Question to GP Maarten: Can I get a repeat shot for diphtheria, tetanus and polio in Thailand?
Do I need a booster shot for diphtheria, tetanus and polio? Can I have that done in Thailand?
Ask general practitioner Maarten: Advice on the use of the blood thinner Xarelto or rivaroxaban.
Due to irregular heartbeat since 2009 to Sep. 2015 acenocoumarol used. Successfully underwent an ablation treatment in November 2011. After my cerebral infarction in September 2015, on the advice of the cardiologist and neurologist, I switched to Xarelto 20 mg. No side effects for the first 3 years. Since last year very tired and dizzy, which makes walking unstable, suddenly falling over. Now April 2019 suddenly 2 days of brown colored urine, then 2 days of red and then the color slowly became clear again after a few days.
Be sensible with the sun in Thailand
It is very hot in Thailand. The sun is at its highest point during this period and that also means little shade. Although the sun has many good properties, a warning is also in order, especially if you are going on holiday to Thailand.
Mosquitoes can make you seriously ill, take measures!
Attention and prevention against mosquitoes is important when you consider which nasty diseases these critters can transmit, such as Malaria, Dengue, Zika, Yellow Fever and Chikungunya. Especially in the tropics, these diseases are associated with many illnesses and deaths. The general advice therefore applies to travelers: take the right protection measures against mosquitoes.
Ask for your answer on 07-01-2019, there you say use the calcium blocker Amlodipine instead of Losartan 50 mg. But which one should I take? You have Amlodipine 5 and 10 mg.
I had a severe Herpes Zoster outbreak about 4 months ago. It all started with pain in my right side and the feeling of having stiff shoulders. The nerves seemed to be stuck. These complaints have been brewing for about 15 years, never really knew what it was and had many doctors visits in NL as well as in Thailand, until it broke out completely 4 months ago and led to severe pain and I ended up in the hospital in Buriram came with this.
Question to general practitioner Maarten: Should I be concerned about the result of a diabetes test?
I have been following the ketogenic lifestyle with internitting fastening for 1 1,5 years. Minimum carbs, medium protein and high fat diet (no processed food) and only eating in a 6-8 hour time interval. Before that I was heavily stressed by my work, which is why I gave up 2 years ago including the alcohol. I've never smoked. Weighed 100 kg and previously had a much too high blood pressure 180/110 and was on the way to becoming diabetic. I am now 61 years old, 1.88 m, now weigh 75 kg, blood pressure is now below 120/60 and my heart rate is between 50 and 60 and I walk at least 5 km per day and swim at least 1 km per day.
My cardiologist said “you should take aspirin 81mg 2 tablets every day” which I did until last year. I stopped because I assumed jogging 7,5 km every day is enough to get my blood flowing quickly
Question to general practitioner Maarten: I feel lethargic after medication from an orthopedist
Here I am again, because I am not satisfied with myself and have been to an orthopedist, enclosed documents. He did x-rays, blood and heart tests again and the end result was 4000 baht worth of pills, which after 10 days made me feel very uncomfortable. It was difficult to urinate, dry mouth, felt tired and sex worthless. I stopped taking it, I don't feel sick but lethargic, the heat can also cause this.