lambshankredemption

How was this discovered? Did you have actual stomach issues or did you just ask for specific tests? I’m already taking Magnesium Glycinate (together with L-theanine and L-tryptophan) before going bed.

I’m having worsening insomnia since almost two years now. Started with waking up early morning from worries/anxiety around my job. Now I wake up after 3-4 hours and spend the rest of the night tossing and turning with a bit of fragmented sleep and there. I’m lucky if I get 5-6 hours sleep on 8 hours in bed but it’s not quality sleep. I’ve tried all the sleep hygiene hacks but it doesn’t seem to work. I’m taking supplements (magnesium, L-theanine, L-tryptophan) and it doesn’t seem to help either. I bought expensive mattress toppers, I do sports 3-4 times a week, and I only drink a decaf in the morning. I tried SRT on my own and had some success but couldn’t stay awake any longer, and I feel like it has gotten worse since then. I’m really no fan of the idea of taking any sleep meds but at this point I feel like I have to. Looking for a sleep specialist in Bangkok who doesn’t just throw benzos at me. Don’t wanna take that drug with A (Ambien?) either. I see Doxepin, Trazodone, Mirtazapine and Gabapentin recommended by ChatGPT, or maybe an antihistamine to start with. any recommendations?

I’ve been dealing with increasingly severe burnout, anxiety, depressive mood, and worsening insomnia since a year or more now. Situation at work has been turning increasingly toxic and I feel like they’re trying to make me resign—I’m not getting work anymore, am not being invited to meetings/task as usual, and responsibilities that used to be mine go to others. If I get breadcrumbs of a task, I’m being put under a microscope with someone breathing on my neck looking for mistakes or framing judgement calls as mistakes. I started waking up in the early morning hours with anxiety and worries and this has turned into severe insomnia and I barely get 5 hours of fragmented sleep. I need a break but I’m not willing to let go of the severance, which is quite substantial and something I’ve worked for and earned over the years. Are there any hospitals that would issue an extended sick leave due to burnout, stress etc.? The longer the better.

Thanks. Seems like the doctor moved to Medpark: https://www.medparkhospital.com/en-US/doctors/dr-nattakarn-hosiriluck-dds

Thanks for the additional info, but this is a must for me.

Thanks for the recommendation. Could you share your experience with them?

Ah, great. What dentist does it for that cheap? I couldn’t find any for less than 30-50k.

That’s not the same type of mouthpiece that’s used for sleep apnea. It’s probably a mouth guard for people who bite and scratch with their teeth during sleep.

I was diagnosed with sleep apnea but couldn’t get used to the CPAP machine. The doctor recommended to try a mouthpiece instead. The hospital has its own dentist on site who would charge 50,000 Baht for the mouthpiece. Apparently my company’s insurance doesn’t cover this. Can you recommend any dentists in Bangkok who specialize in this?

Is that what the field is asking for, “country of passport”?

I doubt that will be needed but let’s see. Not if I can avoid it.

As clear as “country of residence”? See above. Sure. But if I can avoid it, I will. Like I said, guess I’ll just have to try my luck. My guess is that no one will give a <deleted> when I show up with PR but no form.

Nope. Never did that since I have PR.

Yeah.

Seems also “simple” and “clear” that PR isn’t mentioned on the priority or Thai national lanes, yet PR holders can use those lanes. Likewise, the term “Country of Residence”also seems “simple” and “clear”, yet I can’t select Thailand. If what they write really was so “simple” and “clear”, a PR holder would have to fill it in because he’s not a Thai national, but he can’t fill it in because his country of residence is Thailand. I guess I’ll just go to the lanes for Thai nationals without this form and see what happens.

I never claimed I’m a Thai national or that PR makes me a Thai national. My question was whether PR holders need to fill this in. It doesn’t say whether it’s required for PR holders.

Any idea whether PR holders have to do this? It says “all non-Thai nationals” or something like that but I never had to fill in those arrival cards.

I did a confirmatory test to make sure there’s really no STI. PCR test came negative for all seven bacteria. ln addition the doctor suggested a PCR test that checks for 33 different viral infections. This one came back positive for Rhinovirus. I understand that’s basically the common cold. Is it possible to have that chronically? It’s been 6 weeks with this and it doesn’t feel like your common cold. I feel and inflammation in the right side of my neck, a dry throat (no pain at all), not much mucus, and a little bit stuffed nose (almost not noticeable).

It’s definitely possible. I just don’t understand why it doesn’t go away once the dog is gone. I have this for almost six weeks now. The dog stayed with me a week before it started and two weekends during the six weeks. Would it be expensive to test for dog allergy specifically (instead for several different allergies)? And would they need the dog (or his fur or saliva) or can they test without that?

Would you have a recommendation for a specialist who could test for allergies (including dog allergies)? It seems the STI test was a false positive: 1) Culture 1: nothing found 2) PCR 1: Gonnorhea and Trich 3) Took treatment for Gonnorhea, not for Trich 4) PCR 2: Mycoplasma Hominis (no NG and no TV) 5) Culture 2: nothing found 6) PCR 3: Nothing found No sexual activity between the tests. No other antibiotics taken. Cultures can be unreliable, especially in the throat, so I’ll ignore those. Gonnorhea is a common STI in the throat. Trich seems to be so uncommon in the throat, CDC actually says it’s impossible to get it but I found one case report in a medical journal. But if that first PCR was correct, how would Trich suddenly disappear despite no treatment, an Mycoplasma Hominis randomly show up despite not sexual activity in between? Looking at the timeline of my symptoms, they started shortly after I had my friends’ dog stay with me for a week and sleep in my bed. A dog allergy would be odd because my ex has a dog and he would always sleep in the same bed on the other hand we didn’t spend much nights together and I also heard an allergic reaction can depend on the specific dog/breed. I cleaned my bed room and turned my HEPA filter on highest setting and thought my symptoms slightly improved and got slightly worse when the dog stayed over again but this could as well be a coincidence or my imagination. Anyway I thought I should check it.

Can you recommend a doctor in Bangkok who I could talk to about antidepressants and who would be able to prescribe an antidepressant if warranted? In particular looking for someone who: 1. Can perform a psychological assessment first before prescribing anything — especially want to avoid doctors who just hand out antidepressants like candies; 2. Knows different types of antidepressants so he can help find the right one; 3. Monitors the process of starting the antidepressant so that he can potentially switch to a different one if warranted

So I ended up getting a throat PCR for STI myself since I’m sexually actively (but most unprotected oral sex) and it came back positive for two pathogens. I’ll go to a hospital now to get treated (and hope the two antibiotics I started didn’t cause resistance). It seems I really got the flu from going to the hospital on that day. Guess I should have checked for STI directly instead of going to the hospital. in fact, that was actually the reason I went to the hospital in the first place but the infectious disease docs weren’t available so they transferred me to a general practitioner who suggested I should try that antibiotic. Bad luck.

Not really much of a diagnosis. The main reason was “you have sore throat for two weeks now”. The only examination performed was to look into the throat and into the nose (throat slightly inflamed and nose stuffed).

@Sheryl so I went back to the doc because I still feel a swelling at that right side of my throat and an inflamed throat but also stomach issues. The doc said the lymph nodes are fine and referred me to the ENT. The ENT looked in my throat and prescribed one week of Levofloxacin. Now I know a bit about antibiotics and this class of antibiotics in particular. I also know a bit about how Thai doctors tend to hand out antibiotics like candy. Is this really warranted? I know it’s like a the nuke option but I’m reluctant to take such a strong antibiotic without a test confirming (1) a bacterial infection and (2) susceptibility to this (and only this) class of antibiotics. But I also know that a throat swab isn’t always reliable. After I shared my concerns the doc now changed to Augmentin but I’m still wondering whether I should just empirically take an antibiotic for a week. The first time I came to this hospital they already wanted to send me away with Levofloxacin and it doesn’t make me feel good.

What oncologist would you recommend?