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Don’t be Blinded by Glaucoma (A peril that should not be overlooked)

Don’t be Blinded by Glaucoma (A peril that should not be overlooked)   Glaucoma is a disease that occurs when the optic nerve fibers are damaged due to high pressure inside the eye. This pressure is caused by an increase in the production of aqueous humor (a clear fluid) and a decrease in its drainage. The normal range for intraocular pressure is between 5-21 mmHg. If the pressure is found to be higher than 21 mmHg, it is considered a risk factor for glaucoma.   At the beginning stages, peripheral vision is affected first, and the patient may start to bump into objects on the side without noticing any abnormality because central vision remains intact. However, as the disease progresses, the visual field gradually narrows, and central vision decreases. It is at this point that patients seek medical attention, which is the late stage of the disease.   What is frightening about glaucoma is that once vision is lost, it cannot be restored to its former state, resulting in permanent blindness. Therefore, treatment aims to prevent further loss of vision and to preserve the remaining visual field.   Types of Glaucoma: There are several types of glaucoma, with the two main types being open-angle glaucoma and angle-closure glaucoma.   Open-Angle Glaucoma: This refers to the angle between the cornea and iris of the patient's eye being normal, but the pathway through which aqueous humor flows out of the eye is not functioning properly, leading to a buildup of fluid inside the eye and an increase in intraocular pressure.   Angle-Closure Glaucoma: This refers to the angle between the cornea and iris of the patient's eye being abnormal, which can cause the iris to block the flow of aqueous humor, leading to an increase in intraocular pressure.   Symptoms of the Disease: • In the early stages of the disease, most patients do not experience any abnormal symptoms. • If there is dizziness or decreased vision, it indicates that the disease is in a severe stage. • Patients with vertigo often do not have eye pain, except for sudden-onset acute closed-angle glaucoma with sudden high intraocular pressure.   Diagnosis of the Disease:   An ophthalmologist is necessary to diagnose vertigo and relies on eye examination and vision testing, including: • Ophthalmologic examination by an ophthalmologist • Testing with special equipment, such as scanning of the optic nerve head • Examination of the eyes with a slit-lamp microscope • Examination of the visual field • Examination of the characteristics of the optic nerve head • Measurement of intraocular pressure   Who is at Risk? If you have one or more of the following risk factors, you should consult an ophthalmologist: • Over 40 years of age • African Americans are up to 6-8 times more likely to have vertigo than Caucasians, while Asians are more at risk for closed-angle vertigo. • Family history of vertigo • Long or short-sightedness, thin cornea • A history of eye trauma • Continuous use of steroid medications • History of abnormal blood circulation, such as migraines, diabetes, high blood pressure, anemia, or shock • High eye pressure detected during an eye exam • Use of steroid medications   Individuals at risk should receive regular eye exams and avoid purchasing medication with steroid ingredients to use on their own. When experiencing abnormal eye symptoms, seek medical attention promptly.   The Treatment and Prevention of Blindness Due to Glaucoma   Since glaucoma can cause permanent damage to the optic nerve, treatment is necessary to prevent further damage and maintain vision for as long as possible. The type and duration of treatment will depend on the severity and type of glaucoma.   If you have glaucoma, it is important to control your eye pressure and stop the destruction of the optic nerve. Eye pressure can be controlled through:   Eye drops - this is the most basic and effective method. These drops work by reducing the production of fluid in the eye or by improving the drainage of fluid from the eye. This lowers eye pressure to a safe level and prevents damage to the optic nerve. It is important to use the drops regularly as prescribed by your doctor and to have regular follow-up appointments to assess the effectiveness of the treatment and any side effects.   Laser treatment - this may be used in certain cases, often in combination with eye drops. The type of laser used will depend on the type and severity of the glaucoma.   • Selective laser trabeculoplasty (SLT) is used to treat open-angle glaucoma when eye drops are not effective or cannot be used, such as in pregnant patients or those allergic to eye drops. It is often used in conjunction with other treatments. • Laser peripheral iridotomy (LPI) is used to treat angle-closure glaucoma. • Laser cyclophotocoagulation is used when other treatments have not been effective. It destroys cells responsible for fluid production in the eye, reducing the amount of fluid in the eye.   Surgery is used to treat patients whose eye pressure cannot be controlled by medication or laser treatment. • Trabeculectomy is a surgical procedure that creates a drainage pathway for the eye to allow excess fluid to flow out, resulting in decreased eye pressure. • Aqueous shunt surgery is performed if the first surgical method is not successful, and involves inserting a device to drain fluid and reduce eye pressure.   Important things to know:   The use of eye drops does not improve vision or the feeling of treatment, but helps prevent vision from deteriorating. Consistent and regular use of eye drops is important. Follow-up appointments with a doctor to evaluate the treatment results are necessary. Emergency case!! Sudden dizziness can occur. If you experience the following symptoms, go to the hospital immediately.   • Sudden loss of vision in one eye • Blurred vision or seeing spots • Seeing flashes of light or rainbow-colored circles around lights • Eye pain or headache on one side • Nausea or vomiting.   The initial signs of glaucoma typically does not cause noticeable symptoms in most patients, especially those with chronic open-angle glaucoma, which accounts for 70-80% of cases. Patients in this group experience gradually increasing eye pressure, which can lead to a gradual tolerance of the rising pressure and a lack of severe pain. However, patients may gradually experience blurred vision starting from the sides of their visual field, causing a narrowing of their field of vision until the central area is affected, at which point they may become aware of a decrease in their visual acuity. Seeking medical attention at this stage is considered the late stage of the disease.   Therefore, chronic open-angle glaucoma does not typically present symptoms in the early stages of the disease, unless it is acute angle-closure glaucoma, which may cause severe eye pain. Therefore, regular screening should be conducted every year, particularly for high-risk patients or those over 40 years of age, to prevent vision loss. Patients should not self-medicate and instead receive medication under the supervision of a physician to maintain existing vision and prevent further deterioration. Therefore, detecting glaucoma in its early stages is crucial for effective treatment and the prevention of blindness.

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Transcranial Magnetic Stimulation (TMS)

Transcranial Magnetic Stimulation (TMS) is a device that uses the principle of changing electric currents through a coiled wire to create magnetic waves that can penetrate through tissues and bones in the head. It is used for both diagnosis and treatment of brain-related conditions such as Parkinson's disease, Alzheimer's disease, peripheral neuropathy, migraines, and depression.   There are two ways to stimulate the brain with magnetic waves:   High-frequency stimulation, which involves using strong pulses at a rate of one per second or more to treat conditions such as Parkinson's disease, Alzheimer's disease, and depression. Low-frequency stimulation, which involves using weaker pulses at a rate of less than one per second to inhibit overactive brain functions, such as in the case of migraines. TMS is beneficial for a variety of brain-related conditions, including depression, mood disorders following brain injury, sudden and chronic pain, and various brain diseases such as Parkinson's disease, Alzheimer's disease, and peripheral neuropathy.   The treatment involves stimulating the brain with magnetic waves once a day for 5-10 days to achieve maximum benefit. Each session lasts approximately 20-30 minutes, and the physician will monitor the patient's progress throughout the treatment period.   Treatment Results:   Magnetic waves have a positive effect on the brain circuitry, affecting various types of neurotransmitters, such as serotonin, which is associated with migraines, pain, and anxiety. The treatment reduces muscle stiffness and depression symptoms.   Restrictions: Patients with pacemakers, metal in their head, such as from brain aneurysm surgery and those with seizure disorders should not receive the treatment.   Possible Side Effects: The treatment may cause localized warmth due to the increase in temperature inside the brain, but this is minimal. Patients may experience headaches, nausea, dizziness, seizures, mood swings, and other psychiatric symptoms.   Before the Procedure:   The doctor will advise on the indications, restrictions, and precautions for using the magnetic stimulation device. Prior to the brain stimulation, the doctor will stimulate peripheral nerves to allow the body to become accustomed to the strength and frequency of the stimulation. Once the patient is acclimatized, the doctor will target the brain region associated with the specific disease, such as Parkinson's or Alzheimer's, or the opposite side of the brain for weakness, and perform a series of stimulations.   For further details, please contact the Neurology Department Tel. 0-2561-1111, extension 1214.     Word count: 387

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Kidney Day 2018, A Short Story

Kidney Day 2018, A Short Story   Dr. Usana Luwirat, a nephrologist, wrote this short story about chronic kidney disease in 2018. The purpose of the story is to encourage end-stage renal patients to find the strength to keep living.   The story follows a 10-year-old girl named Somjai who had been suffering from edema all over her body for a week. Her parents took her to see a doctor who diagnosed her with chronic kidney disease, indicating that her kidneys were functioning at only 10%. Her parents were devastated and cried in despair, but the doctor reassured them that there was still hope for treatment.   The doctor prescribed medication to help with her swollen body, and although the medication worked for a short while, her condition worsened, and she even experienced difficulty breathing. Somjai's appearance became pale and frail, causing her friends to compare her to a boiled chicken.   Her mother took her back to the doctor, who informed her that she needed to be admitted to the provincial hospital for further treatment. After waiting for some time, she finally got to see a doctor who examined her blood, took an X-ray, gave her oxygen, and prescribed medication to help with her condition. The doctor also performed a soft catheterization, which involved placing a small tube in her bladder to help with urine flow. The treatment seemed to help as Somjai's swelling decreased.   The doctor sent Somjai home with two bags of blood and medication to last two weeks. The doctor also instructed Somjai's mother on how to change the medication at home, which involved releasing the medication from the bag into the soft catheterization tube in her stomach, leaving it there for four hours, and then repeating the process. Over time, Somjai's condition improved, and her swelling subsided.   She was discharged from the hospital after two weeks and was required to take medication strictly as prescribed and see a doctor every two months. Despite her condition, Somjai managed to finish her degree and found work at a nearby company.   At the age of 25, Somjai was told by her doctor that her kidneys were not functioning well, and she had to take various medications. Eventually, she experienced swelling, fatigue, nausea, and vomiting, and her doctor informed her that she had entered end-stage kidney disease again and needed to undergo blood purification. Since Somjai had social security, she chose to undergo hemodialysis using a dialysis machine, which was funded by the social security program. She had her first blood purification at a hospital in her province and later moved to a dialysis center near her workplace, where she underwent three sessions a week for four hours each time. Although she was feeling better, she had to spend much of her time lying in bed for blood purification, leaving little time for leisure. She had to work harder to compensate for the lost time, and her doctor recommended that she undergo a kidney transplant. However, her father was too old to be a donor, and she had to wait for a suitable donor. Eventually, she received a kidney from a deceased donor, and had a successful surgery. She came to her doctor’s appointment every 2 months. 2 years later, she got married and then had a child 1 year after that. Somjai then enjoyed her life with her beautiful family.   The story shows the struggles of a patient with end-stage kidney disease and the importance of regular medical treatment and medication adherence. Despite the difficulties, Somjai managed to find the courage to live and work hard.  

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หน้าที่ของไต และ 10นิสัยร้ายทำลาย

ไต           ไต เป็นอวัยวะที่มีรูปร่างคล้ายเม็ดถั่วเหลือง มี 2 ข้าง อยู่ด้านหลังใต้กระดูกชายโครงบั้นเอว ซ้ายขวาข้างละ 1 อัน   หน้าที่ของไต 1.       ขับของเสียที่เกิดจากการเผาผลาญอาหาร  2.       รักษาความสมดุลของน้ำและเกลือแร่ในร่างกาย 3.       สร้างสารควบคุมความดันโลหิต 4.       กระตุ้นการสร้างเม็ดเลือด 5.       กำจัดสารพิษ สารเคมี รวมทั้งขับถ่ายยาออกจากร่างกาย   10  นิสัยร้ายทำลาย “ไต” 1.       กลั้นปัสสาวะ Holding Urine 2.       ดื่มน้ำไม่เพียงพอ Do not Drinking Enoungh Water 3.       รับประทานอาหารรสเค็มมากเกินไป Excessive Salt Intake  4.       ไม่รักษาอการติดเชื้อทั่วไปอย่างถูกต้องในทันที Do Not Treat The Intection Immediately 5.       รับประทานเนื้อสัตว์มากเกินไป Excessive Animal Protein Intake 6.       ใช้ยาฉีดอินซูลิน ติดต่อกันเป็นระยะเวลานาน To Long Use Of Insulin 7.       ดื่มแอลกอฮอล์มากเกินไป Excessive Alcohl Use 8.       พักผ่อนไม่เพียงพอ Sleep Deprivation 9.       ใช้ยาระงับความเจ็บปวดบ่อย ๆ Painkillers Abuse 10.      รับประทานอาหารไม่เพียงพอ Vitamin and Mineral Deficiency         ด้วยความปรารถนาดี รพ.วิภาวดี

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What is MRI?

What is MRI?   Magnetic Resonance Imaging (MRI) is a medical diagnostic tool that generates lifelike images of various parts of the body by using a strong magnetic field and radio frequency waves to send and receive signals from the body. These signals are then processed by a computer to create detailed and sharp images, resembling sliced sections of the body. This allows doctors to examine abnormal areas in the body with precision, without posing any risks to the patient.   MRI has several advantages and indications:   MRI can accurately differentiate between different types of soft tissues, providing more accurate diagnoses, and can be used in all planes of the body, unlike computed tomography (CT) scans, which are mainly in the transverse plane. It is particularly useful for non-bony parts of the body, such as the brain, spinal cord, and nerves (although CT scans are better for bones). It is excellent for examining muscles, tendons, ligaments, and other soft tissues. It can also visualize blood vessels without the need for contrast agents or radiation exposure, making it a safe and cost-effective option for current medical practice. Furthermore, it is more convenient for patients as it requires no preparation before or after the procedure, and patients can return home immediately after the scan. Unlike CT scans, MRI does not expose the body to harmful radiation.   Systems or organs that can be observed via MRI:   MRI of the Nervous System is effective in examining the brain, spinal cord, and nerves throughout the body, allowing clear visualization of various diseases, such as early-stage ischemic stroke and abnormalities in the brainstem (which can be better detected than with computed tomography). It can also detect brain tumors and epilepsy.   MRI of the Musculoskeletal System is effective in examining the bones, spine, muscular and joint systems, aiding in the diagnosis of various diseases such as nerve impingement or ligament injury in various joints. Currently, MRI using electromagnetic waves (Magnetic Resonance Imaging, MRI) is widely used to aid in the diagnosis of bone and joint diseases. MRI can clearly visualize abnormalities within bones and accurately determine the extent of the disease, for better treatment planning. It is the fastest way to diagnose certain bone diseases, such as ischemia at the head of the femur. MRI can detect abnormalities even when regular X-rays appear normal. The most commonly examined joints are the knee and then the shoulder when suspected of having torn ligaments or soft tissue injuries within the joint. While regular X-rays may only show shadows of water in the joint, MRI can clearly visualize the various components within the joint and accurately determine any injuries.   Magnetic Resonance Angiography (MRA) can effectively examine the blood vessels of various organs such as abnormalities in brain blood vessels or hypertension in kidney blood vessels without the need for injecting a contrast agent. This method is safe and convenient, requires no preparation before or after the examination, and allows the patient to return home immediately.   Magnetic Resonance Cholangiopancreatography (MRCP) can examine the abdomen, bile ducts, and gallbladder, providing clear and suitable images for detecting diseases such as tumors, inflammation, or blockages in the ducts, as well as identifying lesions in the abdominal cavity.   Before undergoing an MRI (Magnetic Resonance Imaging), patients should be aware of certain warnings to ensure their safety and avoid any adverse effects. The following is a list of warnings that patients should keep in mind before getting an MRI:   Metal Implants: Patients with metal implants, such as pacemakers, cochlear implants, some cardiac stent, braces, and aneurysm clips, must inform their doctor or MRI technician beforehand. Metal can interfere with the MRI machine's magnetic field, leading to serious injury or malfunction of the implant.   Pregnancy: Pregnant women should avoid undergoing MRI scans during the first trimester unless it is medically necessary. Although MRI scans are generally considered safe during pregnancy, there is still a risk of potential harm to the fetus.   Claustrophobia: MRI machines require patients to lie down in a confined space for an extended period. Patients who suffer from claustrophobia may find the experience uncomfortable and should inform their doctor or MRI technician beforehand.   Tattoos: Patients with tattoos should inform their doctor or MRI technician beforehand as some tattoo inks may contain metal that can react with the MRI machine's magnetic field, leading to skin irritation or burns.   Gadolinium Contrast: Some MRI scans require the use of a gadolinium-based contrast agent. Patients with kidney problems may be at risk of developing nephrogenic systemic fibrosis, a rare but serious condition that causes skin thickening and damage to internal organs.   Anesthesia: In some cases, patients may require anesthesia to undergo an MRI scan. Patients should inform their doctor of any previous adverse reactions to anesthesia and should avoid eating or drinking for several hours before the procedure.   The MRI examination room is constantly filled with a high-powered magnetic field that affects the functioning of metal-sensitive tools. For example, it can stimulate the heart to beat rhythmically, attract all kinds of metal objects that are led by the magnetic field, delete data from magnetic tapes and cards such as ATM cards, credit cards, watches, thumb drives, or pocket PCs that contain iron components.   Here are the steps for getting an MRI:   After changing into appropriate clothing for the examination, the patient is escorted into the examination room. The patient lies down on the examination table and a magnetic signal detector is placed on the body. The detector weighs about 1 kilogram. The patient lies still and follows instructions, such as breathing in and holding their breath or refraining from swallowing saliva. The body is moved to the center of the magnetic field for imaging, which may cause slight vibrations and movements.

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Pristine Diamond-peel Microdermabrasion

Pristine Diamond-peel Microdermabrasion   Introducing Pristine Diamond, a skincare treatment like no other. This innovative device uses advanced cell turnover technology called Diamond-peel Microdermabrasion, utilizing a laser-cut Diamond-tip. With the addition of a vacuum suction system, it efficiently exfoliates the deeper layers of the skin, removing congestion and promoting collagen and elastin production while improving blood circulation. After just one treatment, you'll feel refreshed, revitalized, and glowing.   This treatment effectively targets a variety of skin concerns, including exfoliation, fine lines, acne scars, sunspots, and uneven skin texture. The Pristine Diamond's unique technology is safe and gentle, leaving your skin soft, supple, and renewed. With ten different Diamond-tip options and adjustable vacuum suction levels, the treatment can be customized to suit your specific skin needs. Try Pristine Diamond today and experience the ultimate skincare transformation.   • Suitable Candidates for Treatment The Pristine machine can safely provide treatment for all skin types, except for those with dry, peeling, or inflamed skin.   • Treatment Areas The Pristine machine has a variety of diamond tips of different sizes to provide comprehensive treatment. It can also treat individuals with thin, sensitive, or uneven skin, or hard-to-reach areas such as around the eyes.   • Frequency of Treatment Results of the treatment can be seen immediately after the first session. We recommend a total of 6-8 sessions, with each session spaced two weeks apart.   • Sensations During Treatment with the Pristine Machine During treatment, you will feel a gentle suction that moves softly over the skin without causing any discomfort. The duration of the treatment depends on the area being treated. If treating the entire face, the treatment time is approximately 10-15 minutes.   • Safety of Pristine Treatment The Pristine machine is efficient and safe, without any pain or downtime. You will be able to see noticeable changes after your first treatment.   • Post-Treatment Care with the Pristine Machine After treatment, the treated area may appear pink or the facial skin may be dry for 1-2 days. We recommend using moisturizers and sunscreen to keep the skin hydrated and protected.   Vibhavadi Skin & Laser Center

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Cardiac Catheterization Laboratory

  Cardiac Catheterization Laboratory   The Cardiac Catheterization Laboratory is a medical procedure offered by the Heart Center, which involves examining the heart in a special laboratory setting. Typically, there is no need for anesthesia, and the tools inserted into the patient's body, such as small tubes, balloons, or wires, are similar in size to a soil or ink pen tip. The procedure does not require surgery and involves the use of catheters to diagnose and treat conditions without causing significant injury or scarring. This is a common procedure in the Cardiac Catheterization Laboratory and does not require a lengthy recovery period. However, if the patient is seeking a diagnosis for a heart condition, they may need to spend one night in the hospital. Patients who are undergoing repairs or receiving devices for treatment may need to spend one to three nights in the hospital. Prior to each procedure, the physician will offer detailed consultation and provide opportunities for patients to ask questions, including discussing risks and alternatives.   Services offered by the Cardiac Catheterization Laboratory include:   1. Injecting dyes for diagnostic purposes, repairing blood vessels using balloons and wires, expanding blood vessels, and suctioning blood clots in the obstructed vessels. Examples of blood vessels that can be repaired using these methods include: the coronary arteries in patients with ischemic heart disease the carotid or vertebral arteries in patients with stroke or transient ischemic attack the renal arteries in patients with high blood pressure or renal artery stenosis  the arteries in the limbs of patients with peripheral arterial disease or chronic wounds due to diabetes   2. The examination and treatment of abnormalities in the cardiac electrical system include: several procedures such as creating a 3-dimensional mapping of the heart's electrical signals using an advanced 3-D mapping system correcting areas of abnormal heart rhythms with radiofrequency ablation implanting a pacemaker to regulate heartbeats implanting an implantable cardioverter defibrillator to deliver an electric shock to the heart in case of life-threatening arrhythmias performing cardiac resynchronization therapy by implanting a dual-chamber pacemaker in patients with heart failure.

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Angiography

Angiography   What is a cardiac, cerebral, and coronary angiography machine? It is a radiological diagnostic tool that is considered the gold standard for diagnosing blood vessels. It provides more accurate and precise results than computed tomography or magnetic resonance imaging. This procedure requires expertise in both cardiology and radiology to diagnose and treat heart disease, and is sometimes used as an alternative to surgery for certain patients who cannot undergo surgery or who are at high risk. Interventional radiology, which is an advanced form of angiography, offers many advantages such as improving the quality of life for patients and a shorter recovery period. Some patients can even return home on the same day after undergoing certain interventional procedures.   Symptoms and risks of heart disease:   Abnormalities that occur in different parts of the heart can cause different types of symptoms. For example, coronary artery disease may cause chest pain or discomfort that may radiate to the arms, neck, jaw, back, or stomach. It may also cause fatigue, weakness, or fainting.   Arrhythmia refers to an irregular heartbeat, which may beat too fast or too slow, or beat irregularly. This can cause feelings of fatigue, shortness of breath, dizziness, chest discomfort, or palpitations.   Cardiomyopathy is a condition in which the heart muscle becomes weakened and enlarged, making it difficult to pump blood effectively. Symptoms may include fatigue, shortness of breath, swelling in the arms, legs, or ankles, and coughing or wheezing at night.   Congenital heart disease is a condition that develops in the fetus during pregnancy. Some infants may show symptoms immediately after birth, while others may not develop symptoms until later in life. These symptoms may include easy fatigue or shortness of breath during exercise or activity, failure to thrive, or recurrent respiratory infections.   Valve disease occurs when one or more of the heart valves do not function properly. Depending on the severity of the valve disease, symptoms may range from none to easy fatigue and shortness of breath to heart failure or pulmonary edema.   Infections affecting the heart can cause chronic fever, fatigue, weakness, abnormal heartbeat, and shortness of breath.   The following symptoms are abnormal and serve as warning signs that there may be a chance of developing a cerebrovascular disease:   Weakness on one side of the body (hemiparesis) Numbness on one side of the body (hemianesthesia) Difficulty speaking or slurred speech (dysarthria) Inability to speak or understand language (aphasia) Abnormal visual field on one side (homonymous hemianopsia) Double vision (binocular diplopia) Lack of coordination or unsteady gait (ataxia) Altered level of consciousness (impaired consciousness) Dizziness or spinning sensation (vertigo)   For further information, please contact the Heart Center at Vibhavadi Hospital at 02-561-1111, extension 1322 or 1323.

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Mindlessly eating risks your health

Nowadays, the food trend offers a variety of choices that people prefer to buy because of their delicious taste and appealing colors. But who knows what ingredients these foods contain? They may taste good, but are filled with toxins. Therefore, before we choose to eat something, we should pause for a moment and think about our physical health. Are we unknowingly consuming toxins in each meal?   Accelerating agents for red meat: beware of meat with low-fat content. The accelerating agent for red meat is beta-agonist, which is mixed with animal feed to accelerate growth. This is used continuously, causing those who consume it to experience trembling, muscle twitching, abnormal heartbeat, restlessness, dizziness, headache, nausea, flatulence, or even death. Therefore, when choosing meat, it is recommended to choose meat with low-fat content or buy from trusted sources.   Baking soda, a well-known name for "borax", but did you know that baking soda has a chemical name called "sodium tetraborate"? Many manufacturers add it to food to make it look fresh and crispy. When consumers eat it, they may experience nausea, weight loss, itchy rashes, swollen eyes, eye tissue inflammation, vomiting, abdominal pain, diarrhea, liver and kidney inflammation, seizures, and death. It is best to avoid pickled vegetables, meatballs, pork jowl, pickled fruits, and some fresh vegetables, such as long beans that are abnormally crispy.   Whitening agents are a group of chemicals called sulfites, which are substances that inhibit food from turning brown, such as sprouts and coconut shoots, to make them more appetizing. The symptoms of people who consume this type of substance are inflamed mouth and throat, nausea, vomiting, dizziness, low blood pressure, bloody stools, convulsions, respiratory failure, kidney failure, or contact with the substance may cause skin irritation or redness. It is important to seek medical attention and avoid foods that have been exposed to sunlight for a long time and have not lost their color. Before purchasing sprouts, grated ginger, young coconut shoots, bamboo shoots, crispy durian, pickled garlic, or Pepsi cola, one should observe carefully.   Formalin is a dangerous chemical and is prohibited for use in all types of food. However, some food producers still use it to keep their food fresh and prevent spoilage. Therefore, it is important to choose carefully. -Choose fresh vegetables that are not too crisp or have a pungent odor. -Choose fresh seafood that is not too soft and has ice to keep it fresh.   Antifungal agents, also known as antifungal or antimould agents, are usually made of salicylic acid and are used in shampoo and added to food to prevent mold growth. People who consume them may experience itching, frequent and abnormal breathing, vomiting, green skin from lack of oxygen, or toxic blood. It is important to choose fresh food and avoid pickled or fermented food.   Food coloring: Beautifully colored desserts are popular and often use food coloring to make them look even more appetizing. If used in moderation, it is within the body's acceptable limits. However, synthetic food colors may be dangerous and can cause tumors in the urinary bladder and digestive system. The more inferior the quality of the color, the more harmful it is, as it contains lead and arsenic, accumulates in the body and is toxic to the nervous system. Therefore, it should be avoided to consume overly bright colors, strange-looking colors, colors that stain your fingers, or colors that stick to paper.   Pesticides: Pesticides are used to protect plants from pests while they are growing. If farmers use too much, it can cause more toxins to remain in fruits and vegetables. We should be careful when selecting and washing produce thoroughly using the following simple steps:   Preparing the produce before washing: For vegetables with a head, remove the outer layers and cut off the inedible parts. For root vegetables, peel off the inedible parts. For leafy vegetables, separate the leaves and rinse off any dirt. For fruits, wash the entire fruit.   Washing steps: 1. Soak the produce in water. 2. Place them in a strainer and run water over them without using excessive force. 3. Use your hands to rub the leaves gently for about 2 minutes.   For fruits with thin skin, like grapes, soak the entire bunch, while for fruits with thick skin, like oranges and guavas, soak them in water and rub the skin with your hands. By following these steps, we can ensure that we eat clean and safe produce.   Monosodium glutamate (MSG) is a flavor enhancer made up of the amino acid glutamate. The belief that food is not tasty without MSG is a misconception because glutamate naturally exists in living things and in protein-rich foods such as meat, milk, and mushrooms. Adding MSG can stimulate the taste buds to perceive a meaty flavor, making the food taste better. However, it should not be added in excess, and counterfeit MSG should be avoided as it can cause severe symptoms such as severe diarrhea, a burning sensation in the throat, facial flushing, and weakness.   Aflatoxin is a toxic substance produced by mold and commonly found in dry foods such as peanuts, chili powder, onions, garlic, and dried shrimp. Consuming this substance can lead to liver damage, inflammation, bleeding, or even liver cancer. Therefore, it is important to choose dry foods that are clean, tightly sealed, and thoroughly dried.   Choosing the right foods to eat and knowing how to choose good quality food is beneficial for our health. Manufacturers should also choose clean and safe food sources that are free from harmful substances, with clear production sources for the safety of consumers. This can help our bodies receive safe and healthy nutrition. Organizations like the Thai Health Promotion Foundation have advocated for this throughout the entire process, from production to distribution, through initiatives such as the Green Market Project and Lemon Farm to promote the long-term health of Thai people.   Resource : www.thaihealth.or.th  

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The Benefits of Thai Massage

The Benefits of Thai Massage   The benefits of different types of Thai massage and teaching techniques for massaging the neck, back, and head are numerous. Massage is considered a long-standing tradition of caring for the health and treating illnesses in Thai culture. In order to alleviate symptoms of illnesses through massage, one must take into account the side effects of the condition and safety precautions. The Hatha Vipassana Center places great importance on maintaining health through massage by taking a patient's medical history, performing a physical examination, and diagnosing before beginning any massage treatments to ensure safety and provide proper advice on how to proceed.   There are various programs for maintaining and caring for one's health through massage, such as massage therapy for treating ailments, including muscle pain from heavy lifting, improper posture, weakness from paralysis or stroke, which can be alleviated through muscle relaxation massages, acupressure massages, oil massages, and herbal compress massages.   Massage for health is used to promote muscle relaxation, decrease tension, and increase blood flow, such as full body massages and foot massages.   Massage for beauty is used for skin exfoliation with herbal scrubs and is taken care of by the traditional Thai medical team, ensuring cleanliness, convenience, and safety.   Massage for stress relief is used to relieve tension in the lower back, neck, and head to promote relaxation and reduce muscle tension.   Aroma massage involves the use of aromatic oils in combination with massage techniques to promote relaxation and reduce tension in both the body and mind. This alternative form of treatment is widely recognized in the medical field as a therapeutic option.   Herbal steaming for health involves the use of fresh herbs that have properties to alleviate muscle aches and pains, increase blood circulation, and reduce respiratory issues such as colds.   Body massage using oils can help refresh the body and alleviate tension through the use of specific aromas that aid in treatment. For instance, insomnia, stress, and anxiety can be relieved. Additionally, oil massage can help nourish the skin, firm up the body, and help dissolve fat and other toxins in various parts of the body. The warmth generated from the massage oil seeps deep into the skin and muscles, providing a sense of relief and comfort.   Foot massage can help restore balance to the body, as the feet have pressure points that are reflective of the internal organs in the body. By massaging the feet, the circulation to various organs in the body can be improved, which helps eliminate waste from the cells, promoting overall health and well-being. The benefits of Thai massage are vast and far-reaching.     The practice of self-care through neck and head massage involves using the index, middle, and ring fingers to squeeze the back of the neck, and pressing on the side of the neck with these fingers. Then, the palms are brought together behind the head and the thumbs are used to press along the sides of the neck. Next, both hands are used to apply pressure to two points beneath the hairline.   To stretch the shoulders, sit in a meditative posture and hold one elbow with the opposite hand while breathing in and out. Push the elbow towards the body as far as possible while inhaling and exhaling normally for three to five breaths. Then, release and repeat on the other side. This is known as the "shoulder stretch," which is said to alleviate arm tension.   To stretch the muscles at the base of the neck and alleviate neck and head pain, sit in a meditative posture with one hand placed on the forehead and the other placed beneath the ear. Inhale and exhale while pressing both hands together. Repeat this movement for three to five breaths to stretch the muscles in the neck and alleviate pain.   To alleviate headaches caused by tension in the neck, sit up straight with the hands clasped together at the chest. Inhale and exhale while stretching the arms forward and upward. Then, inhale while raising the arms above the head and pressing the palms together. Hold the stretch for three to five breaths, then release. This stretch is known as the "headache stretch" and is said to alleviate headaches caused by tension.     The Elements: (It is important to approach the following information with caution, as it is rooted in the principles of Thai traditional medicine. While this practice has a long history and has been used effectively by many, it is always wise to exercise discernment and seek professional advice before embarking on any new health regimen.)   The Element of Earth (October, November, December) In appearance, the Element of Earth is large with a relatively dark complexion and thick black hair. Their bones are large, and joints are sturdy with a strong backbone, with a heavy and dense voice. Those with an earth element should consume bitter, sweet, salty, and oily foods, such as mangosteen, guava, pumpkin, squash, various beans, yams, local vegetables, raw bananas, star gooseberry shoots, young jackfruit, pennywort, pumpkin flowers, and bottle gourds. Some dishes include raw banana curry, gang-leang (hot Thai vegetable soup), spicy fish soup with sweet vegetables, stir-fried pennywort with eggs, roasted jackfruit chili paste, and stir-fried shrimp with sa-tor (fragrant Southern Thai vegetable). Snacks include steamed pumpkin custard, sweet glutinous rice and black beans, taro cake, soybean jelly, fried peanuts, and boiled banana in coconut milk. Beverages are sugarcane juice, coconut water, soy milk, corn milk, pumpkin juice, sprouted brown rice water, and barley water.   The Element of Water (July, August, September) In appearance, the Element of Water is well-proportioned with clear and fresh skin, charming and firm eyes, abundant tear ducts, a sturdy gait, and shiny black hair. They can tolerate hunger, heat, and cold, and has a bright and open voice. They have good sexual feelings but tends to be lazy. They should consume food that is sour and bitter, such as lemons, oranges, pineapples, tomatoes, star gooseberry, berries, and santol. They should also eat local vegetables like ironwood leaves, tamarind shoots, and small bitter gourds. Some dishes include sour soup with fish (gang som), spicy stewed chicken with bitter gourds, stir-fried bitter gourd with eggs, and wild forest soup with fish. Snacks include candied star gooseberries, pineapple jam, and santol in syrup. Beverages are lemon juice, tomato juice, tamarind juice, pineapple juice, roselle tea, and star fruit juice.   Fire element (January, February, March) The shape and form of this element is often hot-tempered, intolerant of heat, frequently hungry and eats well. Hair grows quickly and tends to be frizzy, skin is not very durable and often irritable. This element tends to have a hot temperament and strong body odor, with moderate sexual desires. The recommended food for this element includes cold and bland foods, fruits such as watermelon, pumpkin, jicama, and local vegetables such as morning glory, Chinese cabbage, water mimosa, etc. Some popular dishes include stir-fried morning glory, boiled soup with water mimosa, stir-fried lotus stems with chili, and sour and spicy soup (gang som). Snacks such as ice cream and chilled drinks are also preferred, including watermelon smoothies, pennywort tea, and pandan juice.   Wind element (April, May, June) This element has a rough and dry skin, a thin and bony structure that often crackles when moved. They tend to be envious and jealous, easily falling in love but also easily unfaithful. They are not very tolerant of cold weather and have difficulty sleeping. This element tends to speak unclearly and have average sexual desires. Recommended food for this element includes spicy foods and vegetables such as ginger, galangal, lemongrass, black pepper, coriander, turmeric, and chameleon plant. Popular dishes include fish soup with turmeric, spicy chicken soup with galangal, shrimp tom yum, and sea snail soup with chameleon plant leaves. Popular snacks include ginger soup with glutinous rice balls, tofu pudding, boiled ginger water with green beans, and sesame dumplings. Popular drinks include ginger tea and lemongrass tea.

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