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Everything posted by Sheryl
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We do not know all the details. Quite likely at least some of the passengers pulled the emergency cord which would have stopped the train between stations. What is sure is that there were many eyewitnesses as well as video footage though the latter likely started somewhere midway through the event. Unless the accused plea bargains, there will be a jury trial. Many of the witnesses will testify. Video footage will be shown. Other evidence we know nothing about may be introduced. The accused may or may not testify in his own defense. These jurors will be New Yorkers and certainly have experienced subway travel including scenes of people acting out due to mental illness or drugs - everyone has, it is very prevalent. They will also have access to far more information than anyone posting here has. The prosecution and defense attorneys between them will try to weed out those with strong prejudices or pre-concieved verdicts in mind (in either direction). I suggest everyone take a deep breathe and step back and just let this legal process unfold.
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Besides dairy, seafood and nuts are common culprits. Needs an elimination diet to tell. Eliminate only one type of food for at least one month then see. Might also try antihistamines.
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From the sounds of it he has been thoroughly checked for every possible lung disease both in UK and in Thailand and all results were negative. Pulmonary function tests normal.. So certainly not COPD. Simon have you investigated possible allergies? Tried an elimination diet (starting with no dairy)?
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If she has BPD she needs a great deal more tban a supplement. But nothing you have said in any way suggests BPD, a complex diagnosis the only a pyschiatrust can make. From what you say the issue is uncontrolled rage after significant alcohol intake in a post-menopausal woman. Problem more likely alcoholism and/or hormone imbalance related to menopause. I know you said it can't be menopsuse because that "has come and gone" but it does not work that way. The hormonal changes are permanent and symptoms can last decades. As this is off top8c I am closing the thread. Feel free to start a new one about your issue if you like.
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There are some in Bangkok but again,they have subspecialties so I need to know type of problem. If not comfortable posting it send me a PM.
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Either no autopsy or just realky cursory one (as in, seeing if any obvious signs of bullet or stab wound or strangulation). And herein lies a huge problem. All sudden unexplained deaths should have complete autopsy inclusive of toxicology but this is not currently done much of the time. Not only does this literally enable people to get away with murder, it aldo reduces the accuracy of mortality statistics.
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Are there therapists for depression here?
Sheryl replied to sotonfarang's topic in Health and Medicine
In Thonburi area of Bangkok https://somdet.go.th/ It is the nearest government psych facility (though as above, the regional hospital will also have at least one or two psyhciatrists). It too will be more apt to prescribe medicine than to provide talk therapy. -
Are there therapists for depression here?
Sheryl replied to sotonfarang's topic in Health and Medicine
BNH is a private hospital in Bangkok but there are better and less costly alternatives in Bangkok for talk therapy. In the Pattaya area all you will find for a Thai are psychiatrists, who will prescribe drugs after a (usually very brief) consultation. (There are some Western therapists as well but geared entirely to farangs) Psychiatrists can be found in all large private hospitals (BPH, Memorial, Phyathai Sri Racha etc) and also at Chonburi regional hospital (government). I am not sure re Bang Lamung. Psychiatrists in government hospitals will be young, often still in training, and overworked....and definitely will not proivde talk therapy. In Bangkok, if she is willing to travel, the following have Thai therapists who can provide counselling: https://ncsbkk.com/ncs/index.php/counseling/about/ https://www.psiadmin.com/psis-professionals -
Are there therapists for depression here?
Sheryl replied to sotonfarang's topic in Health and Medicine
@sotonfarang Where in Thailand are you located? -
As above and assuming you mean pyschiatrist please specify type of problem as they have sub specialties. Thailand has a severe shortage of mental health professionals but there are a few good ones in Bangkok. Expensive though. There are a small number of government pysch hospitals which cost much less but are crowded.
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Lithium is a very serious drug with a very narrow therapeutic range (toxicity can easily occur, needs close monitoring) so should never be self prescribed. The person described in OP does not seem to have depression. Probably (but not sure) a hormonal issue. Lithium is not used for that.
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Kerry seems to vary by location. Where I an they are good -- for parcels. I would definitely not entrust a passport to them or any other such service. DHL, FedEx or Thai Post EMS.
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Some tips here https://www.healthline.com/health/menopause/can-a-woman-have-an-orgasm-after-menopause#:~:text=During the menopausal transition%2C blood,difficult doesn't mean impossible!
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Jury finds Donald Trump sexually abused E. Jean Carroll in civil case
Sheryl replied to Scott's topic in World News
No as this was not a criminal conviction. It was a civil lawsuit. -
An off topic post and my reply to it has been moved to a new thread as follows https://aseannow.com/topic/1294506-sexual-response-after-menopause/#comment-18073377
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It is not available here. And does not intensify orgasms. Rather it (when effective( increases libido. Is your wife experiencing vaginal dryness/disconforg during sex? That is common after menopsuse. I am splitting this to a new thread since it is off topic.
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It can make it worse for some women, others seem to think it helps. Personally I am of the school of thought that all synthetic progestins and extra estrogen are best avoided. In addition to conflicting study results, the synthetic progestins they contain compete with natural progesterone at body receptor sites. And, mixing BC pills with natural progesterone supplements is somewhat uncharted territory - and natural/bioidentical progesterone definitely helps PMDD. But that does assume ability and willingness to use alternative forms of contraception. Again, at her age and presumably not wanting more children, IUD or sterilization (preferrably male) would be good options. If for some reason these options are impossible then she could try switching to Yaz but be forewarned it might make things worse. This is a good read, from one of the few doctors in Thailand really familiar with the issue: https://www.bangkokpost.com/thailand/pr/1953160/women-…-hormones-…-and-moods-asst-prof-dr-nilarat-narula Besides utrogestan, there is a natural progesterone gel available in Cambodia, imported from France. It is also apparently available at Bumrungrad Hospital (at marked up price) but nowhere else in Thailand that I know of. Creams/gels have an advantage over the oral form in that they provide a steadier blood level, but beware of the ones on iherb and the like as those are actually made from wild yams and do not contain reliable amounts of progesterone. Better avoided unless one can get pharmaeceutical grade gel like Progestogel. Otherwise, the micronized oral form (Utrogestan) works well enough, main limitation compared to cream or gel is less even aborption (a spike then a drop). On the plus side this means some drowsiness after taking which can be helpful at night, and it is also quicker acting. What I actually did, pre-meniopause, was use the gel regularly (second half of cycle) and then take the Utrogestan on top of that if and as needed, usually a few times per month. Besides Bangkokdrugstore. com can also get Utrogestan it from medtide (have to create account first, then it will come up when searched for). https://medtide.com
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Actually unless she gets IUD (recomended unless some medical contraindication) he should do the opposite of bare it..... (pun intended. ????). Or consider vasectomy.
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The other thing that often helps is bioidentical progesterone taken only during the second half of her cycle. Needs to start 14-16 days before next menstruation is due and continue until period is due then stop, so have to first know her cycle. Starting too late or too early will not work and failing to stop in time may prevent menstruation. You will find conflicting information online about progesterone supplementation. Largely this comes from the incorrect use of synthetic progestins instead of natural or bioidentical progesterone . It must be bioidentical progesterone and not a synthetic progestin which would make it much worse. Outside of a few anti-aging specialists, Thai doctors are unfamiliar with bioidentical progesterone. There is only one preparation available in Thailand, a micronized oral form called Utrogestan imported from France. Can be hard to source but I have gotten it from https://bangkokdrugstore.com It will not show in search function, have to email them. IF this is PMDD the combination of a low dose SSRI plus bioidentical progesterone (and going off the pill) will usually improve matters by at least 75%. She may still feel a bit uneasy/irritable in the 7-14 days before her period but at much lower intensity so more controllable. Also just knowing it will improve when her period comes helps. Although worst during the perimenopause PMDD resolves completely after menopause. BTW all I have said is based on firect personal experience. I suffered badly from PMDD for over a decade.
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Sorry forgot to respond re the birth control pills. Yes they can make this much worse...or even cause it. While some women seem to do better on one type vs another this is not uniformly true and the best approach is to switch to a nonhormonal form of birth control such as the IUD. Otherwise may just go from bad to worse. But careful she doesn't get pregnant.
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Best solution for enlarged prostate that blocks urinating
Sheryl replied to Steven55's topic in Health and Medicine
Majority do not.