'Por' still in critical condition, doctors say | Bangkok Post: learning

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'Por' remains critical but stable (Updated Saturday)

Two-year-old Nong Malee visited her critically-ill father at Ramathibodi Hospital yesterday. Post Today photos.

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Critical but stable is still the description doctors are using for actor Tridsadee Sahawong's condition who remains in intensive care after being infected with the dengue virus and developing severe complications.

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Saturday morning update

Latest: Ramathibodi Hospital is still in need of Type A blood and is requesting help from donors.

The Friday afternoon hospital update on the condition actor Tridsadee 'Por' Sahawong remamed virtually unchanged. Overall his condition was stable, but still critical.

Although he would not have been aware of it, Por had visitors yesterday, his wife 'Bow' Waenda and his two-year-old daughter Nong Malee.

Friday noon update

In the latest official update from Ramathibodi Hospital, actor Tridsadee Sahawong remains in a critical but stable condition which requires intensive care and machine-assisted breathing, heart and kidney functions. On the positive side, bleeding in the right lung has stopped, but some bleeding continues in the left lung cavity.

Friday morning update

Well-wishers sign a get-well book for actor Tridsadee 'Por' Sahawong at Ramathibodi Hospital where he is being treated for dengue fever. He remains in a critical but stable condition. PANUPONG CHANGCHAI

'Por' remains critical but slightly improved

Doctors say actor Tridsadee Sahawong's condition has improved slightly, with better liver function, after being infected with the dengue virus and developing severe complications.

According to the 4th statement released from Ramathibodi Hospital yesterday afternoon, the bleeding from his liver has slowed, leading to improved liver function.

He now has a regular blood cell count but still needs dialysis, the  doctors said.

However, his overall symptoms need to be monitored carefully on a daily basis to ensure complications do not arise.

Local TV stars were among those signing the get-well book yesterday as was Democrat party leader Abhisit Vejjajiva shown here. PANUPONG CHANGCHAI

Suthee Yoksan, director of Mahidol's vaccine centre, said yesterday his centre tested a sample of the actor's blood and results showed that he has been infected with the second strain of the dengue virus.

There are four different known types and any one of them can lead to the full-blown fever, Dr Suthee said.

The results also showed that a large quantity of the dengue virus was found in his blood, he said.

Thursday Evening update

Doctors now say that a likely reason that actor Tridsadee Sahawong's condition is so severe is that this is the second time he has contracted dengue fever. It is likely a different strain, one of four found in Thailand, from the first one.

Noon update

This morning doctors at Ramathibodi Hospital treating actor Tridsadee Sahawong reported little change in his condition which was still termed "critical" and still required intensive care. He was being treated for bleeding in the lungs and was still receiving blood transfusions. He was still in need of machine assistance for his kidney, lung and heart functions. Doctors did not report any worsening of his condition, however.

Thursday morning update

Permanent secretary for public health Sophon Mekthana yesterday said actor Tridsadee Sahawong was not suffering from a new and deadly viral strain of dengue fever that could spread through the general public, but that was little comfort to the doctors treating him.

Here is the latest as of last night from reporter Apinya Wipatayotin

Critical but stable

Actor Tridsadee Sahawong, also known as Por, is in critical but stable condition after being infected with the dengue virus and developing serious complications.

Porpon Rotjanapan, an infectious disease expert, said Tridsadee was admitted to the hospital on Monday afternoon.

He said the actor suffered from laboured breathing, an irregular blood cell count, low blood pressure, high levels of acid in his blood and decreased urine output that led to kidney failure. A defibrillator had to be used on his heart for three minutes to make it beat regularly again, Dr Porpon said.

"The symptoms on the first day were the most critical. His blood pressure was very low so we needed to give drugs to raise it. Now, his blood pressure is close to normal. We have seen a positive response to our treatment," he said.

Dr Porpon hypothesised that an overactive immune system had destroyed other healthy cells in Tridsadee's body, leading to multiple organ failure.

Dr Ampaiwan Chuansumrit, a blood specialist, said the bleeding inside his cells had already stopped, but his symptoms needed to be carefully monitored on a daily basis to ensure complications do not arise.

"It is not a new strain of dengue fever. But each person's response to the disease is different," she said.

Afternoon update

The good news is that doctors this afternoon said Thrisadee "Por" Sahawong's condition had not worsened but he was still in intensive care in critical condition. Doctors had controlled his internal bleeding but he still needed blood transfusions. Likewise, his breathing was being assisted and doctors were working on removing fluid from his lungs. His kidney function was also impaired, so he was being machine-assisted in removing liquid wastes as well.

Wednesday's story

Post Today photos

'Por' still in critical condition, doctors say

The condition of TV star Thrisadee "Por" Sahawong remains critical this morning, although there are some signs of improvement, Ramathibodi Hospital doctors told a packed press conference this morning.

The 37-year-old actor is breathing through a respirator in an intensive care unit and has serious kidney problems, the after-effects of a extreme case of dengue fever.

Post Today quoted Dr Surasak Leela-udomlipi, director of Ramathibodi Hospital in Bangkok, as saying on Tuesday that the actor had been receiving treatment at another hospital last week, but his condition worsened.

Actor Thrisadee "Por" Sahawong, an ambassador of the WSPA (World Society for the Protection of Animals), is still in critical condition, according to doctors treating him at Ramathibodi Hospital.

At this morning's press conference, doctors said his condition became extremely critical yesterday when, in addition to his kidney and breathing problems, his blood pressure dropped precipitously and his blood was abnormally acidic.

Today, however, the doctors said that the patient was responding well to treatment although his condition was still critical. The hospital will continue to provide updates.

Meanwhile, doctors have also called for donations from donors with blood-type A.

Information from a televised press conference and Post Today

Learn from listening

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Vocabulary:

abnormally : not happening in a usual or typical way - ผิดปกติ ไม่ธรรมดา

acidic : containing acid, or having similar qualities to an acid - ซึ่งเป็นกรด

admitted (verb): (of a hospital) accepted for medical treatment - รับ, ให้เข้า, การรับเข้า, อนุญาตให้เข้า

after-effects (noun): (of a drug, an illness or an unpleasant event) the feelings that you experience later as a result of it - ผลสะท้อน

ambassador : someone who is considered to represent an activity, organization, company etc - ตัวแทน, ผู้แทน

aware (adj): knowing that something exists, or to have knowledge or experience of a particular thing - ทราบ, รับรู้

bleeding : losing blood, especially from a wound or an injury - เลือดออก

blood pressure : the pressure at which blood flows from your heart around your body - ความดันโลหิต,ความดันของเลือดที่มีต่อผนังภายในเส้นเลือด

blood transfusion (noun): the process of putting new blood into the body of a person or an animal - การถ่ายเลือด

cavity : a hole or empty space inside something solid - หลุม, ช่อง

complications : additional medical problems which make it more difficult to treat an existing illness - อาการแทรกซ้อน

concern : a worry - ความกังวล

condition : the physical state of a person or animal, especially how healthy they are - อาการ, สุขภาพ

contract  : to become infected with a disease - ติดเชื้อ

critical condition : very seriously ill or injured and might die - อาการหนัก

decrease : to become less - ลดลง, น้อยลง

defibrillator (noun): an electronic device which gives an electric shock to the heart, helping to restore a normal heartbeat -

dengue fever : a very serious illness that you get if a mosquito infected with a particular virus bites you. Dengue fever causes fever, headaches, and pain in the joints - ไข้เลือดออก

dialysis (noun): a process for separating substances from a liquid, especially for taking waste substances out of the blood of people with damaged kidneys - การบวนการกรองของเสียจากเลือดของคนไข้

director : one of a group of senior managers who run a company - กรรมการบริษัท

donation : the process of giving blood or a part of your body to help someone who needs it -

donor (noun): a person who gives blood or a part of his or her body to be used by doctors in medical treatment - ผู้บริจาค, ผู้ให้, ผู้บริจาคเลือด

emerge : to appear - ปรากฏออกมา

extreme : much more severe or serious than usual - ที่รุนแรงที่สุด

fever : an abnormally high body temperature - ไข้

fluid : a liquid; a substance that can flow - ของเหลว, ของไหล

full-blown : the complete and full version of something bad -

general public : people in general - ประชาชน, สาธารณชน, มหาชน

hypothesise (verb): to suggest a way of explaining something when you do not definitely know about it; to form a hypothesis - สร้างสมมุติฐาน

immune system : the system in your body that produces substances to help it fight against infection and disease - ระบบภูมิคุ้มกันโรค

impaired : not fully able to do something - ซึ่งไมสมบูรณ์

improvement : when something gets better or when you make it better - การปรับปรุง, การทำให้ดีขึ้น

infected : having a disease transmitted from someone else - ซึ่งติดเชื้อ

infectious : able to cause an infection - ติดต่อกันได้

intensive care : the department of a hospital for people who are so ill or badly injured that they need to have special medical care and be watched very closely - ห้องดูแลผู้ป่วยหนักในโรงพยาบาล

internal : existing or happening inside a person, object, organisation, place or country - ภายใน

irregular : not according to what is expected - ผิดปกติ

kidney : one of the two organs in your body that clean your blood and remove waste - ไต

laboured (adj): (of breathing) slow and taking a lot of effort - ไม่ง่าย,ยาก,ลำบาก

likewise : in a similar way; in the same way - ในทำนองเดียวกัน, เช่นเดียวกัน, อย่างเดียวกัน

liver : a large organ in the body that cleans the blood and produces bile - ตับ

lungs : the organs in your chest that fill with air when you breathe - ปอด

meanwhile : at the same time - ในเวลาเดียวกัน

monitor : keep track of - ตรวจ, ติดตาม, เฝ้าสังเกต

multiple : many - มากมาย

organ : a part of the body that has a particular purpose, such as the heart or the brain - อวัยวะ

output : the amount of something produced - ปริมาณที่ผลิตขึ้น

overall (adj): total; including all the things or people that are involved in a particular situation; general - ทั้งหมด, โดยทั่วไป

packed : crowded; full of people or things - แน่น

permanent secretary : a government official, not a political appointee, in charge of a ministry - ปลัดกระทรวง

positive : good - ที่ดี

precipitously : steep; too much; unreasonable - สูงเกินไป

press conference : an official meeting where someone makes a formal statement about a particular issue or event to journalists and answers their questions about it - การแถลงข่าว

protection : the act of protecting somebody/something; the state of being protected - การอารักขา, การปกป้อง

public health (noun): the health of all the people in a country, city or community and their health issues; also the name of a government department - การสาธารณสุข

quantity : a particular amount of something - ปริมาณ, จำนวน

quote : to repeat the words that someone else has said or written - ยกคำพูดมา

respirator : a piece of equipment used to help someone breathe - เครื่องช่วยหายใจ

respond : to say or do something as a reaction to something that has been said or done - ตอบสนอง, ตอบรับ

sample : a small amount of a substance that is used for scientific or medical tests - ตัวอย่างทดลอง

slightly : small in size or amount - เล็กน้อย

spark : to make something happen, especially something bad - ก่อให้เกิด

specialist : a doctor who has specialised in a particular area of medicine - แพทย์เฉพาะทาง

spread : to (cause to) cover, reach or have an effect on a wider or increasing area or number of people - แพร่กระจาย, แพร่กระจายไปทั่ว

strain : a particular type of virus, animal, insect, or plant  - สายพันธุ์

symptom : a sign that someone has an illness - อาการ

treatment : the process of providing medical care - การรักษา

update : the most recent information or news about something - ข้อมูลใหม่ๆ

urine : liquid waste passed from your body - น้ำปัสสาวะ

vaccine : a substance which contains a form that is not harmful of a virus and which is given to a person or animal to prevent them from getting the disease which the virus causes - วัคซีน

virtually : almost - เกือบจะ

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