IMHC I have it that Tom used all those replicator rations he swindled from the crew all at once and got a bunch of pizza, soda, candy, and ice cream, went to sleep with a tummy ache and had candy nightmares. Threshold is just missing the scene at the end where Tom wakes up screaming in a cold sweat.
It makes the perfect dream sequence- his love of flying, he feelings of inadequacy about his dad, his secret lust for Janeway, ...and his phobia about his tongue suddenly falling out
It makes the perfect dream sequence- his love of flying, he feelings of inadequacy about his dad, his secret lust for Janeway, ...and his phobia about his tongue suddenly falling out