Where to go for good quality STI and HIV tests ?

[Sheryl]

 

Yes and worse.

Multiple similiar examples for all the specialties.

But, numbers of specialists are pretty large. It is pretty much expected here for docs to specialize.



Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

[atyclb]

48 minutes ago, Cactus99 said:

Cheryl, hit one of the nails on the head when she said :There is no better way to end up with multidrug resistant STD than to repeatedly self medicate with antibiotics without benefit of medical diagnosis and follow up."

1) Doctors are having terrible difficulties saving peoples lives right now because of antibiotic-resistant bacterial infections. Most doctors want to preserve azithromycin because it is still good for respiratory tract infections - and we don't have many other options if that becomes resistant. So even if azithromycin can be used - it is neither the preferred choice or the best choice.

 

https://emedicine.medscape.com/article/214823-treatment#d8

 

Antibiotic Therapy
Two broad anatomical treatment categories of genital C trachomatis infection are recognized, as follows:

C trachomatis cervicitis/urethritis/epididymitis (D-K biovars): Lower genital tract or uncomplicated

C trachomatis salpingitis/endometritis (D-K biovars): Upper genital tract or complicated

Treatment of genitourinary chlamydial infection is clearly indicated when the infection is diagnosed or suspected. Chlamydiae are susceptible to antibiotics that interfere with DNA and protein synthesis, including tetracyclines, macrolides, and quinolones. [47] CDC recommends azithromycin and doxycycline as first-line drugs for the treatment of chlamydial infection. [33, 40]

 

 

 

 

 

 

Quote

 

2) You have no bloody idea what infections you have or don't have? While you seem to be a smart fellow who knows how to research subject matter on the internet, you are not a doctor. You are unfamiliar with why doctors do what they do (treatment protocols). You are unfamiliar with the testing you need. And you are unfamiliar with diagnosis. You are trying to skip accountability and put your health at risk, and maybe your life by avoiding a simple visit to a clinician for testing. C'mon mate, you are not the first person to be in your position. It is unremarkably common. So, stop the denial. Stop considering self treatment. Get it done. It's just a blood draw?

 

3) If you're concerned about and worried about your health, I have one important bit of advice - GO TO THE BEST, MOST QUALIFIED DOCTOR AVAILABLE - Whether it's STD's, a surgery, or cancer. Sure you can go to an OB-GYN, a GP or anyone else choosing to hang a shingle out on a store front to make money off someones misery, without any notable expertise - But why would you, when you can see an expert in a properly staffed and equipped hospital?? This is your health! You're not looking for the cheapest beer or least expensive rice cooker! At a minimum - see an Internist (Internal medicine doctor) or any doctor in a good hospital in their department that takes care of these things, whether it's called infectious disease or not. Treatment protocols change. Testing methods change. The guy in the store front may not have access to best or most current testing.

 

OB-GYN does not have any notable expertise in std's when they routinely, commonly, almost daily see them and treat them?  std's diagnosis and treatment part of residency training

 

 

 

Quote

 

4) There is a saying that "a little knowledge can be a dangerous thing". Stop researching. You have all the info you need. And you have read a lot of the absolute worst advice by shear, bored idiots I have ever seen on this thread. Go to a proper hospital that takes care of foreigners (If they have JCI accreditation, that would be best) and get this taken care of! Get your blood drawn, get the results, you'll get a prescription for medication if necessary, and you'll return for a follow up to make sure you are cleared of any nasties you might have. EASY PEASY! And you *WILL* start carrying and using condoms!! Time to grow up already and do right by yourself and your life! You have worth, my friend. Once again, good luck...

 

 

 

sorry i just though normal people would also be able to learn things

 

[xylophone]

1 hour ago, atyclb said:

 

thank you for your reply. a physician i have known for several decades trained and licensed in the united states had told me that azithromycin is commonly used and could even be called a first line drug of choice given no contraindications like drug allergy. are you saying you would not use azithromycin for applicable std's but reserve it for respiratory tract infections?

 

theres tons of reputable medical sites such as emedicine,  webmd, etc etc that show azithromycin is very commonly used for a slew of applicable std's.

 

 

std's as far as i know are very commonly treated by general practitioners, primary care doctors, gynecologists. from what you wrote it seems patients should see an infectious disease specialist. i always thought infectious disease specialists are consulted by other more primary care and/or surgical doctors when they need help with complex cases and/or are encountering resistance. 

 

 

 

 

 

Azithromycin in the treatment of sexually transmitted disease. 

Steingrimsson O¹, Olafsson JH, Thorarinsson H, Ryan RW, Johnson RB, Tilton RC.

Author information

 

Abstract

One hundred and eighty-two patients were enrolled in a randomized third-party blinded study to assess the efficacy and safety of azithromycin in the treatment of sexually transmitted diseases. Three regimens of azithromycin, including a single oral dose, were compared with a standard treatment with doxycycline. The patients were followed for four weeks. Efficacy was evaluated in 168 patients (113 azithromycin, 55 doxycycline). Fourteen patients had negative cultures or did not come for all follow-up visits. Of the 168, 138 were infected with Chlamydia trachomatis, 43 with Neisseria gonorrhoeae, and 45 with Ureaplasma urealyticum. Ninety-six per cent of patients with chlamydial infections and 92% of those with gonorrhoea were cured with azithromycin. Two patients infected with N. gonorrhoeae, four with C. trachomatis and six with U. urealyticum had positive cultures on follow-up visits after receiving azithromycin. Of these 11 patients with positive cultures on follow-up visits, seven (five with U. urealyticum and two with C. trachomatis) violated the protocol by having intercourse with infected individuals during the study. Azithromycin was very well tolerated; one patient complained of mild abdominal pain shortly after receiving the drug, seven patients complained of mild nausea and two patients had mild diarrhoea.

 

 

=======================================================================================

 

https://www.std-gov.org/stds/treatment.htm

 

That is 28 years old and since then things have changed with regard to the use of azithromycin...……..overuse being why.

[atyclb]

15 minutes ago, xylophone said:

 

That is 28 years old and since then things have changed with regard to the use of azithromycin...……..overuse being why.

 

 

yes also included .  https://www.std-gov.org/stds/treatment.htm .   have a look at current stuff here also.

 

https://emedicine.medscape.com/article/214823-treatment#d8

Chlamydia (Chlamydial Genitourinary Infections) Treatment & Management
Updated: Sep 25, 2018 
Author: Shahab Qureshi, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
Share
   
Feedback
Antibiotic Therapy
Two broad anatomical treatment categories of genital C trachomatis infection are recognized, as follows:

C trachomatis cervicitis/urethritis/epididymitis (D-K biovars): Lower genital tract or uncomplicated

C trachomatis salpingitis/endometritis (D-K biovars): Upper genital tract or complicated

Treatment of genitourinary chlamydial infection is clearly indicated when the infection is diagnosed or suspected. Chlamydiae are susceptible to antibiotics that interfere with DNA and protein synthesis, including tetracyclines, macrolides, and quinolones. [47] CDC recommends azithromycin and doxycycline as first-line drugs for the treatment of chlamydial infection. [

[xylophone]

A word on the skill level of urologists here...……..in my experience not good at all and I can cite many instances with one Dr here being called "Dr Death" because he is so incompetent and this was the one who prescribed one antibiotic after another to treat my UTI and after the last one, ciprofloxacin, resulted in a torn Achilles tendon, he refused to treat me because I said I didn't want to continue with that particular antibiotic...……….so he literally told me to leave his office even though I still had an infection.

 

Although I asked for a culture to be done, he never did one and the result for me was an almost untreatable infection which required 14 days IV of a rare antibiotic and cost me over 50,000 baht.

 

I changed urologists and although this one is ok I also had to ask him to culture the specimen.

 

Another one at a twin hospital gave me a two minute "once over" and prescribed antibiotics, and when I asked for a culture to be done he stated that the lab had closed so no chance.

 

A bladder which doesn't empty fully puts me at risk of a UTI so I have to be very aware of these things.

[xylophone]

16 minutes ago, atyclb said:

 

 

yes also included .  https://www.std-gov.org/stds/treatment.htm .   have a look at current stuff here also.

 

https://emedicine.medscape.com/article/214823-treatment#d8

Chlamydia (Chlamydial Genitourinary Infections) Treatment & Management
Updated: Sep 25, 2018 
Author: Shahab Qureshi, MD, FACP; Chief Editor: Michael Stuart Bronze, MD  more...
Share
   
Feedback
Antibiotic Therapy
Two broad anatomical treatment categories of genital C trachomatis infection are recognized, as follows:

C trachomatis cervicitis/urethritis/epididymitis (D-K biovars): Lower genital tract or uncomplicated

C trachomatis salpingitis/endometritis (D-K biovars): Upper genital tract or complicated

Treatment of genitourinary chlamydial infection is clearly indicated when the infection is diagnosed or suspected. Chlamydiae are susceptible to antibiotics that interfere with DNA and protein synthesis, including tetracyclines, macrolides, and quinolones. [47] CDC recommends azithromycin and doxycycline as first-line drugs for the treatment of chlamydial infection. [

 

Don't want to go round and round on this but what Sheryl and Cactus99 have said is that specific treatment, after testing, should be given, but the shotgun approach with no follow up is risky.

 

In addition there is also much info out there which throws doubt on the "once-off" treatment regime as well as some which advocates a twin antibiotic therapy...…….and so on.

 

So best let a good urologist/specialist handle it rather than self treat and of course, follow up.

[NCC1701A]

On 10/1/2018 at 9:48 AM, Bonobojt said:

ive had sex many times in the last month with many women 

and I should get checked. 

hello did you get over your IBS?

 

Another five pages of 90% incorrect information about STD's . Thank goodness for @Sheryl and one or two others.

[Sheryl]

What I said was risky was repeated self diagnosis and treatment - in reference to someone reporting taking a a course of azithromycin every single month.

[bkk6060]

17 minutes ago, xylophone said:

A word on the skill level of urologists here...……..in my experience not good at all and I can cite many instances with one Dr here being called "Dr Death" because he is so incompetent and this was the one who prescribed one antibiotic after another to treat my UTI and after the last one, ciprofloxacin, resulted in a torn Achilles tendon, he refused to treat me because I said I didn't want to continue with that particular antibiotic...……….so he literally told me to leave his office even though I still had an infection.

 

Although I asked for a culture to be done, he never did one and the result for me was an almost untreatable infection which required 14 days IV of a rare antibiotic and cost me over 50,000 baht.

 

I changed urologists and although this one is ok I also had to ask him to culture the specimen.

 

Another one at a twin hospital gave me a two minute "once over" and prescribed antibiotics, and when I asked for a culture to be done he stated that the lab had closed so no chance.

 

A bladder which doesn't empty fully puts me at risk of a UTI so I have to be very aware of these things.

Sorry to hear about your experiences but it sounds like your issue.

What do you want them to do? They were all bad Doctors?

You want thru a number of urologists and are frustrated because you did not get better?

Sounds like they treated you based on your symptoms which would probably cure 99% of the patients.

Maybe you have some sort of antibiotic resistance or your anxiety created a problem.

Sounds to me they treated you appropriately.

[Sheryl]

3 minutes ago, bkk6060 said:

Sorry to hear about your experiences but it sounds like your issue.

What do you want them to do? They were all bad Doctors?

You want thru a number of urologists and are frustrated because you did not get better?

Sounds like they treated you based on your symptoms which would probably cure 99% of the patients.

Maybe you have some sort of antibiotic resistance or your anxiety created a problem.

Sounds to me they treated you appropriately.

 

They did not.

 

1.  Standard best practice would be to get a culture. Certainly, start meds using the most likely effective drug first since culture results take time, but get a culture, especially in anyone presenting with a history of repeated infections as the index of suspicion for drug resistance is high in such cases.

 

2. Not even best practice but absolute minimal standard of safety to discontinue medications when serious adverse effect has occurred and not use same antibiotic again in same patient unless there is literally no other choice.

 

3. Refusing to continue to treat a patient because the patient refused a specific antibiotic (one very good grounds) is unethical.

 

Now, there are some excellent good urologists in Thailand, but they have to be specifically sought out.

[atyclb]

21 minutes ago, xylophone said:

 

Don't want to go round and round on this but what Sheryl and Cactus99 have said is that specific treatment, after testing, should be given, but the shotgun approach with no follow up is risky.

 

In addition there is also much info out there which throws doubt on the "once-off" treatment regime as well as some which advocates a twin antibiotic therapy...…….and so on.

 

So best let a good urologist/specialist handle it rather than self treat and of course, follow up.

 

 

maybe you can let us know the urologist you had nightmare with so others can avoid?

[xylophone]

34 minutes ago, atyclb said:

 

 

maybe you can let us know the urologist you had nightmare with so others can avoid?

 

Aha...….wouldst I could fellow poster, but Thailand being what it is, I would be sending my posts from behind bars!!

[xylophone]

49 minutes ago, bkk6060 said:

Sorry to hear about your experiences but it sounds like your issue.

What do you want them to do? They were all bad Doctors?

You want thru a number of urologists and are frustrated because you did not get better?

Sounds like they treated you based on your symptoms which would probably cure 99% of the patients.

Maybe you have some sort of antibiotic resistance or your anxiety created a problem.

Sounds to me they treated you appropriately.

 

I can say nothing more than your post is absolute nonsense...…

 

Appropriate treatment, poppycock.….see Sheryl's post on this as it sums it up perfectly.

 

And let me say that the feeling of sitting in the office of an infectious disease specialist (who was excellent I may add) and hearing that there were only 4 antibiotics that MAY BE effective in fighting this and the first one had damaged my kidneys, so it was stopped.

 

So three left and luckily one worked...…...and at 14 daily intravenous injections and over 50,000 baht (no insurance cover as attended as an outpatient) it was obviously a godsend.

 

Finally I have to pay tribute to the absolutely excellent nursing staff who treated me like family...superb.

 

Seek the good doctors/specialists out as Sheryl has said...…….they are out there but need to be found.

[bkk6060]

11 hours ago, xylophone said:

 

I can say nothing more than your post is absolute nonsense...…

 

Appropriate treatment, poppycock.….see Sheryl's post on this as it sums it up perfectly.

 

And let me say that the feeling of sitting in the office of an infectious disease specialist (who was excellent I may add) and hearing that there were only 4 antibiotics that MAY BE effective in fighting this and the first one had damaged my kidneys, so it was stopped.

 

So three left and luckily one worked...…...and at 14 daily intravenous injections and over 50,000 baht (no insurance cover as attended as an outpatient) it was obviously a godsend.

 

Finally I have to pay tribute to the absolutely excellent nursing staff who treated me like family...superb.

 

Seek the good doctors/specialists out as Sheryl has said...…….they are out there but need to be found.

Good you are better which you did not say in your original post on this.

Just on and on about the different Doctor you went to and your disappointment.

Sheryl knows much more then me of course but I have to disagree with her about the culture as being standard.  It is usually a last resort from my experience.  First they will try various antibiotics in fact I have never gone to a Doctor with any type of infection and had them take a culture.

Anyway, glad you are better it is no fun going thru that I am sure.

 

With your slow flow have you tried Flomax or some of the other options to improve that?

[Bonobojt]

So I went to the Thai Red Cross, got the blood test, got the results 1 hour later, no HIV, then saw a doctor because I was having symptoms, he offered me a urine test or a urethra swab, he said the swab would tell them if I had a infection or not, but cannot show which bacteria, get results in 1 hour, urine test will show which bacteria infection you have but have to wait 2 weeks for results. I went with the urine test. He did offer treatment but I said no. We both agreed though that because my symptoms are only mild stinging/burning in urethra and comes and goes that maybe I don’t have an STD, I don’t have discharge.

 

also the urine test only looks for Chlamydia and gonorrhoea, not the other less common ones. 

 

 

[Bonobojt]

17 hours ago, Sheryl said:

Did you specially requestt his? As it is not part ofthe routine vaccine schedule in the UK except for health care providers and other high risk professions. Otherwsie what you get in routine vaccinations is only Hep A.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

it was provided by the sexual health clinics 

[Bonobojt]

12 hours ago, NCC1701A said:

hello did you get over your IBS?

 

Another five pages of 90% incorrect information about STD's . Thank goodness for @Sheryl and one or two others.

My gut issues have improved since coming to Thailand, i still have moments of nausea or feeling sick every now and then but I’d say it’s improved. A bowl of oatmeal will knock me out and I’ll be tired as hell, but I can handle 2 slices of bread ok, I can drink a beer and feel ok so that’s good. So yeah luckily much improvement.

[RichardColeman]

On 10/1/2018 at 1:35 PM, orchis said:

 

Total BS. Life expectancy for patients under treatment is the same as average.

Actually, under 'proper' treatment it is probably better than average, since a lot of patients are giving full health checks on routine appointments that can pick up other unknown ailmets and be addressed at the time of discovery, rather than someone without HIV not being checked and living with the condition unknowingly and finding out too late. Blood tests of HIV patients are not just for testing the viral loads and immune count (cd4/7), but most test for kidney use, cholestral and other abnomalies.  

[Sheryl]

Actually the jury is still out on longterm life expectancy as it is only about 25 years since the life saving drugs became available and most infected people at that time were comparatively young. Only now are we starting to see people on HAART reach their 60's.

 

It is quite clear that with treatment people can live to see early old age but not yet clear if overall life ecpectancy (which these days in many developed countries is over 80) will be equivalent or a bit less. One of the main concerns is that side effects of the meds might cause some increase in incidence of heart disease, stroke, lier and kidney disease later in life but we do not yet know if this will be the case and won't for perhaps another 30 years. This is why insurance companies are still reluctant to insure HIV+ people.

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

 

[xylophone]

2 hours ago, bkk6060 said:

Just on and on about the different Doctor you went to and your disappointment.

What I was trying to convey was the incompetence of some doctors and the standards of treatment which are often questionable, although I did praise another doctor and the nursing staff. My disappointment was in having an infection for over 3 months which was affecting my life/wellbeing, but for which there seemed to be no cure.

 

Any good urologist would have cultured my sample early on, esp as the first course of antibiotics didn't work AND I asked him to do just that, but he didn't (perhaps losing face?).

 

2 hours ago, bkk6060 said:

Anyway, glad you are better it is no fun going thru that I am sure.

You are right it was no fun...…...the severely aching back, sweats, general feeling of malaise, feeling sick etc and I'm so glad that I changed Drs and this one did a culture!!!!

 

2 hours ago, bkk6060 said:

With your slow flow have you tried Flomax or some of the other options to improve that?

Thanks for the info but the problem doesn't lie with the prostate (not now anyway) or BPH, as a couple of operations on the bladder neck here do not seem to have been that successful, so couple that with a diagnosis of "neurogenic bladder" and it is something that I have to manage.

 

So you can hopefully see the reason why I need to identify UTIs straight away because they can get away on me/develop quickly.

 

My new urologist is a nice guy also and questions and LISTENS so I am happy with that and he treats patients with respect whereas "Dr Death" was just the opposite.

[Sheryl]

Thanks for the info but the problem doesn't lie with the prostate (not now anyway) or BPH, as a couple of operations on the bladder neck here do not seem to have been that successful, so couple that with a diagnosis of "neurogenic bladder" and it is something that I have to manage.
 
So you can hopefully see the reason why I need to identify UTIs straight away because they can get away on me/develop quickly.
 
My new urologist is a nice guy also and questions and LISTENS so I am happy with that and he treats patients with respect whereas "Dr Death" was just the opposite.

Absolutely should have done a culture when the infection did not respond to usual antibitics and you should not have needed to ask.

A frw years ago I was chatting with some Thai nurses who are friends of mine about diffetences between Thai and Western medical culture. I mentioned many Thai doctirs not being comfortable with patients askung questions or making suggestions and saud I thought it was a status/re issue. They burst out laughing and said no, they (the doctors) are just afraid of revealing their ignorance. They don't want to be asked anything because they may not know the answer and the last rhing they want to deal with is a knowledgable patient.

Indeed it has been my experience that really good Thai doctors -- those at the top of their game - welcome questions and are fine with involving the patient in the decision making process.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

[atyclb]

1 hour ago, Sheryl said:

 

 

Absolutely should have done a culture when the infection did not respond to usual antibitics and you should not have needed to ask.

A few years ago I was chatting with some Thai nurses who are friends of mine about differences between Thai and Western medical culture. I mentioned many Thai doctors not being comfortable with patients asking questions or making suggestions and said I thought it was a status/role issue. They burst out laughing and said no, they (the doctors) are just afraid of revealing their ignorance. They don't want to be asked anything because they may not know the answer and the last thing thewant to deal with is a knowledgable patient.

Indeed it has been my experience that really good Thai doctors -- those at the top of their game - welcome questions and are fine with involving the patient in the decision making process.

One of many reasons why I try to refer TV members to doctors who have trained in the west, aside from assurance of excellent English and their being familiar with Western patient expectations and behavior (asking questions, having a say in treatment plan etc) is that one has to be really, really good (and hard working) to get into and complete a residency or fellowship in a westetn country as a foreign doctor. One does not have to be so to get a medical degree in Thailand -- especially if one comes from an "influential" family. Even if not, they seldom fail or expel students from medical school here. There certainly are some bright and dedicated people in each graduating class but they don't have to be so and many aren't. So it is a useful way of identifying good prospects among specualusts.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

 

 

 

i have had quite good experience as a patient at chula hospital. they are competent, well organized, have the technology. the labs appear to also be quite ok. the only thing some might consider a downside is the waiting time for non urgent care but this is offset by the affordability of care. i have been seen in their er a couple of times and the wait was quite appropriate for my acuity level.

 

in my experience the grads of chula and mahidol are quite decent and some are my friends that did residency in the usa. what i have seen of the residents at some bkk university hospital they work their tails off with no work hours limitations(just like the good old days in america lol) and the programs use usa programs as the model.

 

nowadays the game to get a residency spot in america for img's is pretty much test preparation as it has become for students in us medical schools relying on a parallel curriculum of specific exam geared prep materials. us school classroom lecture has dropped markedy

 

Medical students are skipping class in droves — and making lectures increasingly obsolete

 

 

https://www.statnews.com/2018/08/14/medical-students-skipping-class/

[Cactus99]

Listen, I jumped on this thread because 1) It sounded like you were really looking for or in need of assistance 2) You were getting really, really bad advice that could cost you your health. I have no skin in this game. I thought you may want to get some medically sound advice from an actual M.D. But it seems you are strangely interested in a debate over either what you read or what I wrote? So in the end, you've spent several days online instead of taking an hour or so to follow simple and sound advice and get tested by the best people in the most reliable and reputable place? I don't get it? But as my friend's father always tells me "no good deed goes unpunished..." 

 

[atyclb]

1 hour ago, Sheryl said:

One does not have to be so to get a medical degree in Thailand -- especially if one comes from an "influential" family. Even if not, they seldom fail or expel students from medical school here. There certainly are some bright and dedicated people in each graduating class but they don't have to be so and many aren't. So it is a useful way of identifying good prospects among specualusts.

 

the thai system and their excruciating testing industry does usually make it very difficult to be accepted into a medical program especially university hospital programs. these filters in place just like the filters in place in america lead to a quite small attrition rate.

 

in systems that essentially give most the opportunity to choose to study medicine there is a significantly high attrition rate but arguably a more fair system. one example in the west of such an "open enrollment" system was that of italian universities (i do not know if they changed more recently) . i had friends that graduated uni of bologna that commented on this. everyone gets a chance but a smaller % actually make it to graduation.

 

many of those students from influential families are indeed very good students not infrequently being ethnic chinese.

[atyclb]

13 minutes ago, Cactus99 said:

Listen, I jumped on this thread because 1) It sounded like you were really looking for or in need of assistance 2) You were getting really, really bad advice that could cost you your health. I have no skin in this game. I thought you may want to get some medically sound advice from an actual M.D. But it seems you are strangely interested in a debate over either what you read or what I wrote? So in the end, you've spent several days online instead of taking an hour or so to follow simple and sound advice and get tested by the best people in the most reliable and reputable place? I don't get it? But as my friend's father always tells me "no good deed goes unpunished..." 

 

 

 

i appreciate your input as many here do. i never said one should not seek medical consultation for possible health problems. i am genuinely interested in learning and open to researching information related to questions raised on topics. sorry if posting my experience at chula hospital upset you.

[Cactus99]

1 hour ago, atyclb said:

 

 

i appreciate your input as many here do. i never said one should not seek medical consultation for possible health problems. i am genuinely interested in learning and open to researching information related to questions raised on topics. sorry if posting my experience at chula hospital upset you.

I just read a response to my last post and responded, I didn't read about your experience a Chula hospital? Glad you sought treatment. I hope all goes better than expected. Be well.

[atyclb]

9 minutes ago, Cactus99 said:

I just read a response to my last post and responded, I didn't read about your experience a Chula hospital? Glad you sought treatment. I hope all goes better than expected. Be well.

 

 

thats why i quote so theres no confusion  if responding to a specific post.  cheers

[Bonobojt]

Urine test came back positive for Chlamydia trachomatis, which was kind of a surprise as my symptoms come and go. But I guess I know now why my urethra burns and stuff after sex. But I assumed he symptoms would be 24/7 as it’s a bacteria infection.

 

worst possible timing as I’m in Pattaya and I came here to bang girls (with condom). Email from Thai Cross says no sex for 7days. Nice hotel and stuff wasted for nothing. Gutted.

 

just went to boots and got my Azithromycin 250 mg antibiotics. Have to take them on a empty stomach. 4 pills. 

 

Ill try and control myself and stay away from the girls but not sure I can for 7 days, I’ll wear a condom and no BJ or anything, no harm done then ? Sex won’t effect the antibiotics working right ? They just say no sex because they don’t want me to risk spreading the infection?

[scubascuba3]

Urine test came back positive for Chlamydia trachomatis, which was kind of a surprise as my symptoms come and go. But I guess I know now why my urethra burns and stuff after sex. But I assumed he symptoms would be 24/7 as it’s a bacteria infection.
 
worst possible timing as I’m in Pattaya and I came here to bang girls (with condom). Email from Thai Cross says no sex for 7days. Nice hotel and stuff wasted for nothing. Gutted.
 
just went to boots and got my Azithromycin 250 mg antibiotics. Have to take them on a empty stomach. 4 pills. 
 
Ill try and control myself and stay away from the girls but not sure I can for 7 days, I’ll wear a condom and no BJ or anything, no harm done then ? Sex won’t effect the antibiotics working right ? They just say no sex because they don’t want me to risk spreading the infection?

If you are strict with condom for both sex and BJ its probably ok, but if drunk strictness might go out the window, so its best if you don't partake

[bkk6060]

13 minutes ago, Bonobojt said:

Urine test came back positive for Chlamydia trachomatis, which was kind of a surprise as my symptoms come and go. But I guess I know now why my urethra burns and stuff after sex. But I assumed he symptoms would be 24/7 as it’s a bacteria infection.

 

worst possible timing as I’m in Pattaya and I came here to bang girls (with condom). Email from Thai Cross says no sex for 7days. Nice hotel and stuff wasted for nothing. Gutted.

 

just went to boots and got my Azithromycin 250 mg antibiotics. Have to take them on a empty stomach. 4 pills. 

 

Ill try and control myself and stay away from the girls but not sure I can for 7 days, I’ll wear a condom and no BJ or anything, no harm done then ? Sex won’t effect the antibiotics working right ? They just say no sex because they don’t want me to risk spreading the infection?

My God man what are your trying to justify?

You sound like some "victim" or excuse maker.

You already got the clap from bareback sex but oh, you had no idea according to your the symptoms that come and go??...

Worst timing as you came to bang girls in Pattaya for 7 days (with condom)?  

Sure OK, whatever..  Hope the HPV, Hepatitis or HIV do not catch up to you.

Good luck..

 

Go ahead and convince yourself you will wear a condom, but when it comes down to it will you truly??