| Does anybody here remember last month's
riveting quiz? Somebody? Anybody? OK, here it is again:
Mom, why on earth did you name the quiz "Beef and Kidney Pie"?
I don't know, Shana, I don't know! I need
help! Where are the writers?
Didn't you know? There's a writer's strike!
A writer's strike? Don't I pay them enough?
Mom, you don't pay them anything!
Of course I don't pay them anything, this
is hpathy.com, for God's sake, home of George Vithoulkas! It's an
honor to go broke here!
Mom, you just got another memo from Dr. B....
I know, I know... "Start the case!"
OK, Shana, this case actually took place five years ago this month!
It was an hpathy.com Discussion Board case that I took.
You've been here that long?
Shana, I've been here so long, I'm calcifying--much
like this quiz case:
July 7, 2003
Male, 42 years old. Banker. Sonography shows renal calculi
5 mm in the left kidney. The left kidney is slightly swollen.
Uneasiness and puffed feeling in lower abdomen. He has to walk
in bent position and hold the abdomen while walking. He's better
lying on his back in the knee-bent position. Lying on left side
is better too. Worse lying on right side. Chill and feverish.
Mouth feeling of dryness and desire to sip water at room temperature
frequently. Last night he was very restless, kept tossing about.
No position seemed comfortable. No appetite. Doctor has advised
him to drink lots of water. He is better for a hot shower, after
which he can stand erect for a short while.
I recommended the patient take _______________30C. After
just one dose, the following post appeared:
When I met the patient this morning, he said that immediately
after the dose of ____________ he felt the pain vanish and he
could turn on which ever side he desired. He is of the opinion
the kidney stone is gone! Soreness/swelling in the left kidney
region was gone by the time I visited him at 11 a.m. today. I
have advised him not to take any remedy now and only if the pain
or discomfort comes up again to repeat ________ after succussing
in water. This discussion board is a very friendly neighborhood.
-----------------------------------------------------------
Here's how the voting went:
- Colocynthis--8
- Arsenicum--5
- Rhus tox--3
- Berberis--2
- Nux vomica--2
- Lycopodium--1
- Colchicum--1
- Medorrhinum--1
Total: 23
And the winner is (drum roll, please.......) Colocynthis!!!!!!!
Yaaaaayyyyy!!!!!!!
Why isn't it Arsenicum? Wasn't the patient restless and better
for warmth and chilly and thirsty for sips? So, why not?!
Is the Arsenicum patient typically better for bending over double?
No. That's why it can't be Arsenicum. This is the most striking
symptom in the case--he has to pull his knee up to his chest in
bed, he walks bent over and puts pressure on his abdomen; bye-bye
Arsenicum!
Let's see what some of our winners had to say:
Dear Elaine,
Did you give Colocynth?
Here I went for the bending double, pressure on abdomen, he lies
on the affected side. Restless.
Greetings and thanks,
Liek Versloot-Koolen
----------------------------------
Hi Elaine,
Abdomen--uneasy and puffed feeling
Better-- bent over double, pressure and
warmth
Better lying knee-bent
worse right side
Chill, feverish
Mouth dry, thirsty for frequent, small
quantities of room temperature water
Restless
No appetite
I would suggest Colocynthis
Regards,
Padmakumar Rao
----------------------------------
The remedy is Colocynthis
kidney stones, restless especially during
pains, better bending double (walking bent, bent knees in bed),
better heat, better lying on painful side, thirst for small quantities.
Best,
Pat
----------------------------------
Hi Elaine!
Colocynthis
The main clue was being doubled up in pain
(both walking and in bed) but it is also consistent with better
for warmth and pressure including lying on painful side, holding
abdomen while walking, restlessness, distended abdomen, dry mouth,
and thirsty for small amounts often. A remedy for kidney stones.
Hope your summer is going swimmingly!
Katie
----------------------------------
Hi Elaine! You make me feel so CLEVER!
(I am actually singing this to you.)
If this is not a Colocynthis
case I will go and become a tax inspector.
Bending over, better from pressure (when
he lies on the left side) better from warmth--in the shower.
Even the dry mouth and thirst for small
quantities often is there in Kent.
So, please tell me I don't have to start
a new career!
Eva the picklet
----------------------------------
Eva, were you singing that whole time? Because, none of what you
wrote even rhymes and I'm having trouble picking up the meter; or,
were you just singing, "You Make Me Feel So Clever"? FYI,
that's actually....
You make me feel so young!
You make me feel there are songs to be sung
Bells to be rung
and a wonderful fling to be flung!
And when I'm old and gray
I'm gonna feel the way I feel today
Cuz, you make me feel so young!
Hit it, "Old Blue Eyes":
http://www.youtube.com/watch?v=xp_HR6F2EWM&feature=related
Keep the music playing while we announce our winners:
- Agneta Forsman
- Liek Versloot-Koolen
- Katie
- Eva the picklet
- Padmakumar Rao
- Pat
- Dr. Hemal
- Nadia
Dr. B, what's a picklet?
---------------------------------------------------
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