นพ. อภิชาติ จริยาวิลาศ

Dear Dr. Apichat,

I hope this message finds you well. I wanted to update you on my current condition, as the last days have been particularly challenging for me.

Today, I was once again extremely tired and drained, as I have been on most days. My energy levels remain very low, and I have been struggling to function in a normal daily rhythm.

Unfortunately, my eating situation has not improved. I could not eat the meal provided today and had to spit out most of it, as swallowing remains extremely difficult. This continues to be both physically exhausting and emotionally discouraging.

I know we have been addressing the psychological aspects of my condition, and I deeply appreciate your understanding and support. However, I feel that my physical symptoms – especially the swallowing problems and constant fatigue – are still very present and affecting me severely every day.

Regarding the medication change, I understand that Rivotril (clonazepam) was introduced to help with my anxiety symptoms, particularly in the context of my bipolar II disorder. While I recognise its potential benefits for calming the nervous system, I am concerned that it may not be addressing my primary physical issues and could potentially contribute to my persistent fatigue.

Additionally, I have noted that I am now taking two benzodiazepines at the same time – Temesta (lorazepam) and Rivotril (clonazepam). This combination may increase sedative effects, slow my breathing, and further reduce my energy levels. I am worried that this could be contributing to my ongoing exhaustion and reduced daily functioning.

I value your guidance and would be grateful for any thoughts you may have on how we can adjust the current treatment to improve both my mental and physical resilience. My goal remains to find a balance where I can manage my symptoms and have the strength to continue my daily life without constant exhaustion.

Thank you for your continued care and for listening to my concerns.

ขอบคุณ คุณหมอที่ทำให้ผมกลับมาใช้ชีวิตดีอย่างมีความสุข และยอดเยี่ยม

–

–