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Phuket Lifestyle: Life in the extreme – David Martin

Legacy Phuket Gazette

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Phuket Lifestyle: Life in the extreme – David Martin | The Thaiger

PHUKET: NO SMELL, no life, no sound – except the booming of ice cracking and the wind – the South Pole is one of the most hostile environments in the world, but even here in this frozen abyss dreams manage to materialize.

Few search for answers in so bleak a landscape, a place where one meter of snow is no different than another 700 kilometers away. Yet, half a world away, perched on a bar stool in a button down shirt at the Sunset Bar on Soi Bangla is a man who spends half of the year in such a desolate landscape helping people from all walks of life fulfill their goal of participating in the world’s most extreme multi-discipline endurance races. The other half of the year he’s on the island, helping manage the throbbing, wild crowds that fill his wife’s bar in Phuket’s party district of Patong.

David Martin, one of the founders of Extreme World Races (EWR), having formerly served as a warrant officer with the Royal Logistics Corps in both the Arctic regions and in the jungles of Central America, is no stranger to extremes.

The most recent high-profile race established by David and his team is their annual South Pole race in honor of those explorers who first raced to the South Pole in 1911. The EWR’s “Scott vs Amundsen Centenary 2011 Race to the Pole” ran 745km through the high altitude, white washed desert of the southern Polar Plateau to the
Geographic South Pole.

Every year people around the world sign up to fight the elements and endure the mentally grueling battle to achieve this extraordinary goal. These individuals burn over 8,000 calories a day and desperately try to pack back on the necessary 6,000 to 7,000 calories a day to prevent the loss of essential body mass needed to ski across the frozen wasteland dragging all their necessary gear behind them.

“The physical element of the race is not a massive problem,” David surprisingly explains. “Physically, most people have the ability to do it.”

But the vast majority of individuals stuck in one of life’s ruts are never able to break free of the set track and escape their nine to five, escape a life that they are no longer satisfied with.

At the Sunset Bar, David hears these stories from middle aged men spending their two-week holidays complaining about a life that they are unable to untie the apron strings from.

“There is always an excuse why you can’t do it – always an excuse. That’s the easiest bit. There are so many excuses. The only obstacle in this is you,” says David.

David isn’t suggesting that everyone in the world should start purchasing crampons, cross country skis and arctic coats.

“Achieve the extraordinary,” David encourages. “But what is extraordinary is relevant to what’s out there.”

Recognizing achievable goals and gearing expectations to hit those is part of the EWR program, but David steps in from the cold to a New York City example of an extraordinary achievement.

“Imagine a housewife who has never left the UK, who goes to New York City on a shopping spree to buy the same pair of shoes that Sarah Jessica Parker was wearing in an episode of Sex and the City – for her that is incredible. All of this is relative,” he says.

Those that are running from something, fighting boredom or are professional extreme racers come to EWR from diverse backgrounds. When provided with the support structure – logistically, physically and mentally – these individuals are able to take themselves beyond the limits of what they believed could be achieved.

EWR has, for over twenty years, striven to break the mold. There are no boundaries to the experiences that a person can achieve. Physical handicaps, like many other factors are not excuses explains David, who has already seen a paraplegic compete in one of the South Pole races, as well as a partially blind man.

“I’ve always struggled with the distinction between able-bodied and disabled people because, at the end of the day, there are some very powerful individuals out there, despite them having a disability. These individuals are very intelligent in some cases, and extreme racers in some other cases,” he says.

Years ago David ran mixed ability weekends that brought unique and “expanding” experiences to kids with cerebral palsy, down syndrome and other disabilities.

“We had a guy named Ruben with [congenital] rubella [syndrome]. When his caregiver called to say they had a little bit of a challenge, I was naive at the time, and asked what the symptoms were,” explains David.

The symptoms can include: deafness, blindness, growth defects, as well as a host of other physical and mental issues.

“So we put Ruben in a speed boat and the feeling of bouncing up and down in the boat was fantastic for him. The motion was the same as an able bodied person gets sitting on a jet-ski. Then we put him in a wetsuit and life jacket and threw him into the water and drove around him creating waves. We couldn’t get him out – he loved it”.

Not only did Ruben throw a fit when they tried to take him out of the water, he also refused to leave the hot tub where he had a chance to feel the bubbling warm water.

Everyone has a weakness. By establishing those individual handicaps during the EWR training program in Norway, David and his team are able to push competitors in the right direction to help ensure that they can surmount these individual obstacles in order to succeed. This is also the time when he is able to accurately assess why they are participating in one of the harshest races in the world.

“We establish what they are actually there for, and in doing so we can build upon those reasons and motivate them towards achieving those personal goals.

“For example if we have a middle-aged, divorced housewife with a couple of kids that have just left home, who now has a new lease on life and wants to go out there to do something for herself, that’s fantastic.

“She’s not going to go out there and win the race against some of the extreme athletes we’ve got. But we can preposition goals for her, so that, at the end, she can still feel good about achieving the goals she set out to achieve,” he explains.

In 2011, a self-employed electrician in London was sitting on his sofa munching on chips with a six-pack of beer watching BBC’s On Thin Ice, which documents one of EWR’s South Pole races, and said to himself, “I can do that.”

“He signed up and came to the training. In fairness he did it. He bought the kit, he jogged around his local park – he did it. Was this guy a fine specimen of an athlete? No,” says David. “However, he was an individual who poured his heart and soul into achieving something he wanted and was given the support to do it.”

The man, who had never even played football as schoolboy, had signed up for the 379 mile ultra marathon (on EWR’s ‘Black Ice Race’ in Irkutsk Siberia on Lake Baikal). He made it to the halfway point of the race, and in doing so inspired himself to come back next year and complete the entire race, David explains.

“These are the people we really care about,” he adds.

No one from Phuket has yet to step away from their tropical beachfront paradise to race with EWR, David confirms with a laugh.

“I actually joke with my wife that my three boys will be the first Thai nationals to race to the South Pole – they just don’t know it yet. I’ll groom them over time, they are interested in penguins at the moment, so they are kind of getting into it,” David confesses.

But really it is not about leaving Phuket for the desolate frozen world of the Southern Polar Plateau; it’s about stepping away from the computer, the television – putting down your iphone5.

It’s about signing up for the next Laguna triathlon or the next 5k charity event.

“Just go do it.”

— Isaac Stone Simonelli

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Archiving articles from the Phuket Gazette circa 1998 - 2017. View the Phuket Gazette online archive and Digital Gazette PDF Prints.

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Thai Life

Sex Reassignment Surgery in Thailand (male to female) – a quick guide

The Thaiger

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Sex Reassignment Surgery in Thailand (male to female) – a quick guide | The Thaiger

MONTAGE: People Magazine

Thailand has a well-deserved reputation for excellence in sex reassignment surgery and the before and after care of patients. The country has a long relationship with Kathoeys, affectionately referred to in Thailand as ‘ladyboys’, and consequently, a well-developed approach to quality surgery in this area. The following article has been prepared by My Medi Travel.

Kathoey or katoey is a male-to-female transgender person or person of a third gender, or could be an effeminate homosexual male. Transgender women in Thailand mostly use terms other than kathoey when referring to themselves, such as phuying (Thai: ผู้หญิง ‘woman’). A significant number of Thais perceive kathoey as belonging to a third sex, including some transgender women themselves.

For people who want to match their born gender with what they feel is their ‘true’ gender, Thailand has an excellent reputation for Sex Reassignment Surgery (SRS) – also known as Gender Reassignment Surgery, Sex Change Operation, and MtF Surgery, to name a few. In this article we focus on the male to female related surgeries.

So, what makes Thailand such an attractive destination for this type of procedure? In short, it’s because patients can get the most out of such surgeries in Thailand thanks to the number of highly trained surgeons, low-cost and quality health care, and decades of knowledge and experience in perfecting this procedure.

If you’re considering SRS in Thailand, or you have a family member, a partner, or a friend who is wondering what is involved in the procedure, this guide should help to paint a clearer picture.

The Procedures

To undergo SRS is a huge, life-changing decision that should not be made lightly. It is a lengthy process that requires a lot of resilience and patience. Before the actual surgery, you will first need to live as a woman for at least a year and undertake hormone treatment to help reshape your body contour and stimulate the growth of a labia majora.

Here’s a list of the required prerequisites that all surgeons will insist upon before considering your case:

  • You must be at least 20 years old or have consent from parents / legal guardians for those between 18 and 20.
  • At least 12 months of successful and continuous real-life experience living as a woman.
  • At least 12 months of continuous hormonal therapy.
  • Must consult with a psychiatrist in your country and in the country where the procedure will be performed (this can be arranged in your chosen hospital).
  • Physically fit for surgery.

The actual process usually involves a few procedures:

  • Orchiectomy (removal of testes) and Penectomy (removal of the penis)
  • Vaginoplasty (creation of a vagina)
  • Breast Augmentation
  • Facial and Voice Feminisation Surgery (FFS and VFS)

You may also choose other surgical procedures, such as a Tracheal Shave to remove your Adam’s apple, or a Buttock Augmentation to increase the volume of the buttocks. Since every patient is unique, the procedures involved in SRS can be performed based on your needs and budget.

The most important part of male-to-female surgery is the creation of the vagina. There are numerous surgical techniques to do this based on your preference. You can discuss with your surgeon which one is best for you. The other popular techniques are as follows:

1. SRS without vaginal depth

  • This procedure is suitable for who those do not need vaginal penetration of sexual intercourse and unwanted vaginal dilation.
  • Hospitalization: 4 nights
  • Duration time of surgery: 2.5 hours
  • Recovery time in Thailand: 3-4 weeks
  • Approx. cost $8,400 USD

2. SRS with Penile Skin Inversion

  • Suitable for patients who do not want a vagina for sexual intercourse, particularly popular with elderly trans people. Depth is around 2-4 cm (1-2 in) and penile hair removal is required prior to surgery.
  • Surgery: 2.5 hours
  • Hospitalization: 4 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD

3. SRS with Scrotal Skin Graft

  • Scrotal skin is used to create a vaginal depth of up to 13-15 cm (5-6 in), depending on skin quality and quantity (additional depth is possible by using groin skin). This is the most popular SRS procedure.
  • Surgery: 4 hours
  • Hospitalization: 6 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD (with the option to increase depth further for $1,400 USD)

4. SRS with Sigmoid Colon by Laparoscopic Technique

  • The Sigmoid colon is used to create the vagina, allowing for greater depth than what is possible with SRS with a scrotal skin graft. More suited to those with less scrotal skin or those who prefer to have a lubricated vagina, like that of a biological woman. By far the most expensive technique.
  • Surgery: 6 hours
  • Hospitalisation: 7 nights
  • Recovery time in the local area is 3-4 weeks
  • The open technique, with a ~8-10 cm incision scar in the bikini line; approx. 13,700 USD
  • Laparoscopic technique; 4 small incisions in the abdomen; approx. 18,850 USD

Sex Reassignment Surgery in Thailand (male to female) - a quick guide | News by The Thaiger

Caitlyn Jenner, possibly the most famous, and well-publicised, transgender person

Recovery

Recovery after surgery will be a long and painful process. It will also require several follow up procedures as well as constant monitoring so you will have to stay a little bit longer at the hospital until you are fully ready to be discharged. Generally, allow for a minimum of 3 weeks stay in Thailand or the country of your choice area after your surgery. Most people are able to return to work in about 4-6 weeks after a sex change operation. Furthermore, you can resume strenuous work and exercise in about 6-8 weeks. It is vital that you strictly follow all medication instructions during your recovery period.

Aftercare

Social support is very important before and after the surgery, especially the support that comes from your family and loved ones. You have to be socially and emotionally stable before you undergo the operation. This is why it is required that you have proper counseling to help you with your emotional wellbeing. You have to prepare yourself mentally, before, during and after transition because it can be quite overwhelming and stressful.

It is also important that you maintain regular check-ups with your local Doctor to monitor the progress of your healing and avoid such complications.

Success Rate

The success rate for a sex change is very high, given our technological advancements. Gender reassignment surgery from male to female has a higher success rate than female to male; this is why more male transgender opts for a sex change.

However, given the nature and complexities of this type of surgery, you also have to be aware of its complications:

  • Possible risk of infection
  • Severe pain
  • Bleeding
  • Blood clotting and scarring

Possible side effects may also include:

  • Decreased sexual sensation and ability to orgasm
  • Fistula (opening between rectum and vagina)
  • Narrowing of vagina and hair growth in the vagina from the grafted tissue
  • Partial death of tissue used to create the new vagina

Costs

SRS can be very expensive, especially since it is difficult to get this type of surgery in many countries. One reason why Thailand is popular with those who want to change their sexual identity is that the country offers more affordable fees. Many patients come from the United States because the US has the most expensive male-to-female SRS prices in the world.

The prices range from $25,000 to $30,000 for just the reconstruction of the genitals alone. If you want to add breast augmentation and voice feminisation surgery, you can expect to pay more than $50,000. Additionally, some clinics in the US don’t include consultation fees in their prices, so you need to pay at least $50-100 for every consultation.

In general, SRS in Thailand costs around a third to half of what it can cost in the United States. For the reconstruction of the genitals in Thailand, you can expect to pay between $8,400 to $13,700 depending on which technique you choose.

Breast augmentation costs approximately $4,100 to $6,170 and Voice Feminisation Surgery costs between $3,590 to $7,180. In total, you will need to pay around $16,090 to $27,050 in Thailand for the complete procedure. These prices can also include packages, such as hospitalization accommodation, post-operative care, consultation fee, post-operative care, medications, and transportation.

Quality

The low-cost healthcare in Thailand does not mean low-quality treatment. In fact, Thailand is extremely popular among medical tourists because the country is known to have high-quality healthcare. Numerous medical centers in Thailand are accredited by prestigious international organizations, such as the Joint Commission International (JCI). The country has come a long way since its first Sex Reassignment Surgery in 1975, with many surgeons specialising in SRS for years, some even have over 20 years of experience. With their skills and experience, the surgeons and clinics can give patients the proper care they need and guarantee the best possible result.

Since there are many medical centres in the country that offer Male to Female SRS, it is understandable that some will better than others. To avoid disappointment, do your research, read reviews, find out about the clinic’s accreditation, and ask for your surgeon’s certifications. Better still, seek out the services of a dedicated Medical Tourism Facilitator like MyMediTravel who will guide you through the whole process and find you the best possible surgeon/clinic/hospital available and within your budget.

Keep in contact with The Thaiger by following our Facebook page.
Continue Reading

Medical

Your ultimate guide to Sex Reassignment Surgery in Thailand (male to female)

Cita Catellya

Published

on

Your ultimate guide to Sex Reassignment Surgery in Thailand (male to female) | The Thaiger

For those who want to match their physical gender with what they feel is their true gender, Thailand is the place for Sex Reassignment Surgery (SRS) – also known as Gender Reassignment Surgery, Sex Change Operation, and MtF Surgery, to name a few. So, what makes Thailand such an attractive destination for this type of procedure? In short, it’s because patients can get the most out of such surgeries in Thailand thanks to the number of highly trained surgeons, low-cost and quality health care, and decades of knowledge and experience in perfecting this procedure.

If you’re considering SRS in Thailand, or you have a family member, a partner, or a friend who is wondering what is involved in the procedure, this guide should help to paint a clearer picture.

The Procedures

To undergo SRS is a huge, life-changing decision that should not be made lightly. It is a lengthy process that requires a lot of resilience and patience. Before the actual surgery, you will first need to live as a woman for at least a year and undertake hormone treatment to help reshape your body contour and stimulate the growth of a labia majora.

Here’s a list of the required prerequisites that all surgeons will insist upon before considering your case:

  • You must be at least 20 years old or have consent from parents / legal guardians for those between 18 and 20.
  • At least 12 months of successful and continuous real-life experience living as a woman.
  • At least 12 months of continuous hormonal therapy.
  • Must consult with a psychiatrist in your country and in the country where the procedure will be performed (this can be arranged in your chosen hospital).
  • Physically fit for surgery.

The actual process usually involves a few procedures:

  • Orchiectomy (removal of testes) and Penectomy (removal of the penis)
  • Vaginoplasty (creation of a vagina)
  • Breast Augmentation
  • Facial and Voice Feminisation Surgery (FFS and VFS)

You may also choose other surgical procedures, such as a Tracheal Shave to remove your Adam’s apple, or a Buttock Augmentation to increase the volume of the buttocks. Since every patient is unique, the procedures involved in SRS can be performed based on your needs and budget.

The most important part of male-to-female surgery is the creation of the vagina. There are numerous surgical techniques to do this based on your preference. You can discuss with your surgeon which one is best for you. The other popular techniques are as follows:

1. SRS without vaginal depth

  • This procedure is suitable for who those do not need vaginal penetration of sexual intercourse and unwanted vaginal dilation.
  • Hospitalization: 4 nights
  • Duration time of surgery: 2.5 hours
  • Recovery time in Thailand: 3-4 weeks
  • Approx. cost $8,400 USD

2. SRS with Penile Skin Inversion

  • Suitable for patients who do not want a vagina for sexual intercourse, particularly popular with elderly trans people. Depth is around 2-4 cm (1-2 in) and penile hair removal is required prior to surgery.
  • Surgery: 2.5 hours
  • Hospitalization: 4 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD

3. SRS with Scrotal Skin Graft

  • Scrotal skin is used to create a vaginal depth of up to 13-15 cm (5-6 in), depending on skin quality and quantity (additional depth is possible by using groin skin). This is the most popular SRS procedure.
  • Surgery: 4 hours
  • Hospitalization: 6 nights
  • Recovery time in the local area is 3-4 weeks
  • Approx. cost $9,800 USD (with the option to increase depth further for $1,400 USD)

4. SRS with Sigmoid Colon by Laparoscopic Technique

  • The Sigmoid colon is used to create the vagina, allowing for greater depth than what is possible with SRS with a scrotal skin graft. More suited to those with less scrotal skin or those who prefer to have a lubricated vagina, like that of a biological woman. By far the most expensive technique.
  • Surgery: 6 hours
  • Hospitalisation: 7 nights
  • Recovery time in the local area is 3-4 weeks
  • The open technique, with a ~8-10 cm incision scar in the bikini line; approx. 13,700 USD
  • Laparoscopic technique; 4 small incisions in the abdomen; approx. 18,850 USD
Your ultimate guide to Sex Reassignment Surgery in Thailand (male to female) | News by The Thaiger

Caitlyn Jenner, Possibly the Most Famous Transgender Person Ever

Recovery

Recovery after surgery will be a long and painful process. It will also require several follow up procedures as well as constant monitoring so you will have to stay a little bit longer at the hospital until you are fully ready to be discharged. Generally, allow for a minimum of 3 weeks stay in Thailand or the country of your choice area after your surgery. Most people are able to return to work in about 4-6 weeks after a sex change operation. Furthermore, you can resume strenuous work and exercise in about 6-8 weeks. It is vital that you strictly follow all medication instructions during your recovery period.

Aftercare

Social support is very important before and after the surgery, especially the support that comes from your family and loved ones. You have to be socially and emotionally stable before you undergo the operation. This is why it is required that you have proper counseling to help you with your emotional wellbeing. You have to prepare yourself mentally, before, during and after transition because it can be quite overwhelming and stressful.

It is also important that you maintain regular check-ups with your local Doctor to monitor the progress of your healing and avoid such complications.

Success Rate

The success rate for a sex change is very high, given our technological advancements. Gender reassignment surgery from male to female has a higher success rate than female to male; this is why more male transgender opts for a sex change.

However, given the nature and complexities of this type of surgery, you also have to be aware of its complications:

  • Possible risk of infection
  • Severe pain
  • Bleeding
  • Blood clotting and scarring

Possible side effects may also include:

  • Decreased sexual sensation and ability to orgasm
  • Fistula (opening between rectum and vagina)
  • Narrowing of vagina and hair growth in the vagina from the grafted tissue
  • Partial death of tissue used to create the new vagina

Costs

SRS can be very expensive, especially since it is difficult to get this type of surgery in many countries. One reason why Thailand is popular with those who want to change their sexual identity is that the country offers more affordable fees. Many patients come from the United States because the US has the most expensive male-to-female SRS prices in the world.

The prices range from $25,000 to $30,000 for just the reconstruction of the genitals alone. If you want to add breast augmentation and voice feminisation surgery, you can expect to pay more than $50,000. Additionally, some clinics in the US don’t include consultation fees in their prices, so you need to pay at least $50-100 for every consultation.

In general, SRS in Thailand costs around a third to half of what it can cost in the United States. For the reconstruction of the genitals in Thailand, you can expect to pay between $8,400 to $13,700 depending on which technique you choose.

Breast augmentation costs approximately $4,100 to $6,170 and Voice Feminisation Surgery costs between $3,590 to $7,180. In total, you will need to pay around $16,090 to $27,050 in Thailand for the complete procedure. These prices can also include packages, such as hospitalization accommodation, post-operative care, consultation fee, post-operative care, medications, and transportation.

Quality

The low-cost healthcare in Thailand does not mean low-quality treatment. In fact, Thailand is extremely popular among medical tourists because the country is known to have high-quality healthcare. Numerous medical centers in Thailand are accredited by prestigious international organizations, such as the Joint Commission International (JCI). The country has come a long way since its first Sex Reassignment Surgery in 1975, with many surgeons specialising in SRS for years, some even have over 20 years of experience. With their skills and experience, the surgeons and clinics can give patients the proper care they need and guarantee the best possible result.

Since there are many medical centres in the country that offer Male to Female SRS, it is understandable that some will better than others. To avoid disappointment, do your research, read reviews, find out about the clinic’s accreditation, and ask for your surgeon’s certifications. Better still, seek out the services of a dedicated Medical Tourism Facilitator like MyMediTravel who will guide you through the whole process and find you the best possible surgeon/clinic/hospital available and within your budget.

Continue Reading

Economy

Study shows most Thai people live hand to mouth

May Taylor

Published

on

Study shows most Thai people live hand to mouth | The Thaiger

PHOTO: eTamping

Nearly half of Thailand’s citizens aged 18-65 are spending everything they earn on monthly bills and living expenses, leaving them with nothing to put aside as savings. A study carried out by GoBear, an international financial comparison site, reveals that the highest percentage of people living paycheck to paycheck (53%) are those in the 36-45 age group.

51% of both the 26-35 and 56-65 age groups say they too only earn enough money to cover bills and living costs. Thai Residents reports that many Thai citizens want to retire by the age of 53, but the latest findings show that most would not have the means to do so.

Benjarong Suvarnkiri from digital banking channel ME by TMB says Thai people face a funds shortage each month, meaning they regularly have to move money back and forth in order to meet their financial commitments.

The number of people dealing with recurring money problems is higher in Thailand than almost every other country in Southeast Asia, including Indonesia, despite the fact that Thais typically earn more than those in countries like Indonesia.

The GoBear findings also reveal that 15% of Thai people have no savings to tide them over in the case of unemployment and have no retirement fund, despite most saying they want to retire at the age of 53.

This age is lower than the preferred retirement age of citizens in other Asian countries such as Hong Kong, the Philippines and Indonesia, with Thai Residents also reporting that Thai people generally start saving or investing much later than those in other countries.

SOURCE: Thai Residents

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