Phosphorous 12C Quickie Case Note -- Tremors Fix

5 JAN 09 -- Patient doing dandy and happy.   Symptoms gone, mostly.  Very infrequent use of the remedy.  Plussing when doing so.    Backing off on dosing.

Hi Wequar,

Glad you enjoyed that.  He's an interesting case.   It's 06 JAN and we just met again this morning.  I took a deeper case intake, but it was distracted due to more among a group conversation interrupted by our visit with another.   Not the full or proper privacy and conversation of a good office visit, and so you lose the ability to extract information like that. At the same time, I have known the man as a family friend for about 2 years and have had many other times to observe, know, and feel changes in his condition.  Not some stranger off the street.  

What I see so far with the Constitutional treatment issue is most interesting, and I'm not sure how to go about it.  I want to read and research that more;  Maybe talk with or read more from a trusted professor, read more from Hahnemann, and discuss the case with another homeopath who swears by constitutional prescribing.  Other perspectives I have take a flexible approach. 

A quick summary of the man's case:

About as close to a "perfect" constitution as I'm able to see among conversation.  Had I been around to examine him as an infant or child -- looking at the tongue, teeth, eyes, feeling the pulses, drawing from all clinical observations.....then, I'd probably be able to see an imperfect streak pointing to that constitutional remedy he could have used decades ago.   But, all I have is understanding that this was a very constitutionally tough man from a strong family constitutional streak that lived into old age without any remedies, drugs, or health problems.

Mother and father both died at age 75.  No reported health problems.  Died in their sleep.  No complaints he recalls.  No chronic ailments fought.   Same for his brother who is smaller in stature.   Some mental streaks among family noted.   Nothing too serious, but another factor to consider.   Brother is an interesting figure.  A former good special forces soldier gone "plain crazy".   Most people love him.  Good guy.   Just sort of a wild, mountain man and hermit with few friends.   Armed to the teeth.   Cops don't mess with him.  Awhile back, his brother was pissed off about something and went over to his neighbor's place with an AK-47.  Then, the cops were called.  A couple twit, youngster cops --- local hicks -- were loading up their shotguns (like two idiots) and were going to storm his place.  Not a good idea!     Their dispatcher later saved the day.   Told them to back off; That they knew the guy and he's okay.  Defused the situation.   He'd likely have killed them both and made a bad situation there all around.  Temperamental dude.   I don't find him that crazy, though.  Just a high strung kind.   And his brother here is much more sane, gentle, and even-tempered.

With this man, there's a history of zero visible or seriously noted illness.   Just one incident of childhood pneumonia (likely treated with Allopathy and giving a new push away from constitutional into greater confusion).  Ample vaccines of who knows what from the military. Pretty much excellent health, an athlete, and under a robust constitution until the Vietnam War. Exposure to Agent Orange, White, Blue, etc.   By age 21, the anomalies arise!  Arthritis of strong proportion at just age 21.   A family history of Trigger Finger a couple generations back, but that's it.  Various joint disintegration, bone, and arthritic problems to present.   Nervous trembling each time after replacement hip surgery (which slices through all those major acupuncture channels).  Just an arthritis drug and pain killer in his system. 

Other interesting factors: 

Strong, blue-eyed, Caucasian constitution.   I don't mean to sound like some Nazi racist here talking of blue-eyed Master Race superiority (and I'm brown-eyed, Caucasian/ Spanish/ Islander mix myself; Totally impure.).  This gets into old Iridology thought and observation; Overlaps even with reasons why Hitler's scientists and physicians did believe in some blue-eyed, blondie Master Race.   But, there is something to the perfect blue-eyed constitution that I have observed multiple times before in family, friends, old aviators, old soldiers.  It's a very robust body type closer to something older -- old Viking blood.  Northern, winter climate, Scottish, Scandanavian blood.  The kind of blood that made for ancient barbarians and Uber women named "Helga".     You ever see a monster German woman pick up a 50 gallon drum of oil and just fling it into a truck?   Hah!!   A wife like that could fling you across the room when pissy.   And the ones I've seen like that often dominate their husbands like Alpha woman Rottweilers!   It's funny to see.

Anyhow, in my father's line, I know that Caucasian streak very well.  It's a temperamental blood that you can almost feel.  It's a bloodline and streak among Caucasians that has mixed with many other races over the centuries.   It's more volatile.   It's absolutely a  winter climate constitution.   It's more robust against the various abuses of the First World -- since having evolved under First World abuses and decadence for centuries.  Far more able to tolerate sugars, preservatives, and all these toxic things than my Spanish/ Asian/ Islander half.   You put that Tropical/ Mediterranean/ Spanish-Jew-Arab/ Asian half of me on pork, rice, hot dogs, preservatives, etc....and we swell up!  Always the big three:   Cancer, Diabetes, Cardiac problems.   Always of an inflammatory / sensitive/ immune response.  My white anglo half tolerates those abuses well and likes winter.   My other half doesn't and prefers warm climate.  I am more comfortable in the typical Mediterranean, coastal climate of the Californian.   I don't like harsh winters or summers, though I did in my youth.  Now that I'm banged up and always fighting to keep the vitality up, I prefer the mild climate.  And yet, I live in a mountain valley where the winters and summers are more extreme than I prefer.   The Springs are more intense as are the winters, and my body feels it but adapts.

Anyhow, this patient is more of that robust, Caucasian, mountain man, blue-eyed constitution.   Very strong against abuse.  Very stable.  Also oddly sensitive to weak remedies and drugs....which is a major clue to remedy identification.  Sensitive, caring, good-hearted man.   A family streak (and bloodline streak) of being prone to bending in temper with the "winds".  Other symptoms that sort of point to Pulsatilla closer to the constitutional core.  Other satellite symptoms and case layers of pathology and symptoms which point to other remedies like Phos.   I don't know yet.  I need to think about the case more and research some things.   Outline it better.   Look over remedies. I do this mostly by hand rather than depending upon software.   I don't trust computers to think for me and there are a lot of other facets which emerge when working a case by hand.  Takes longer, but you can move at whatever speed you like and there's no hurry now.  I can let it sit awhile and come back to it.

What I'm seeing so far as I run through the Materia Medica is what I have seen before with some cases:    the chronic constitutional remedy they needed decades ago tends to interlace with satellite remedies they needed in previous years or need now.  You could give the constitutional remedy, attack at that core, break up the "bonds" of those satellite issues, and then attack the satellite conditions.  Or, you can attack at the satellite conditions first -- such as I did with Phos -- and then work backwards toward the constitutional core among a more complete Boenighaussen style.   At the same time, I tend to lean on Hahnemann's focus on the here and now.  So, I hit with Phos, stop, wait, watch, and see.  

So far, the Phos is working nicely.   Excellent relief.   The urge to twitch is still felt a bit at times, but he's much more happy now that it is gone.   It is not cured; Just relieved.  Though succussing differently each time as a wet dose, the remedy is now starting to lose power.  I'm keeping an eye on that curve -- allowing him another dose or two -- to keep him out of entering into a level off or proving.   Haven't decided yet.  Probably I'll go with a step up of potency to 14C with one or two dilution glasses and ample succussions to extend the remedy trajectory several days at a time.  See what other satellite conditions arise to the surface then.  For now, I am looking for a remedy closer to the constitutional and will probably tickle him with that instead....especially if it's in complimentary/ antidotal rotation to the Phos.  If it is, I'll work out more power to the Phos and let the remedy taper out before adding in the antidotal/ complimentary remedy closer to the chronic constitutional.   We'll see.  I need to lay the case out more properly before making such a decision.

Stan

24 JAN 09 -- Patient has been doing nicely and is much more active; Complains of the problem less and less.  Interviewed more fully.  Opted to stay with the remedy.  Stepped up the dose to 14C, wet.   Equipped with a vial to raise the potency by Korsakov method if need be while I'm away.  Instructed in succussion jar and dilution glass methods;  Taught to stop dosing during improvement or level off trends.  To wait.  As the remedy appeared to fade out, I feared entering into proving, and so changed potency and form.  He generally succusses each dose by about 60-100 times and takes a teaspoon dose.   Each dose in the new potency is presently lasting about a week.   Tremors not cured, but greatly faded in frequency and severity to the point that he doesn't dose much and only when really felt needed.   No changes noted.  Feeling fine.  Keeping an eye on the remedy's action and any changes in case direction.   No ability to prescribe closer to his constitutional core at this point due to a need to sit down more with him when he has time. The case is also made more difficult due to some of the allopathic drugs he's on, but none are required to upkeep his life (pain killer, etc.).  So there is no danger of homeopathically disturbing those much.   Can't touch those rubrics yet and the constitution due to patient desire, so can only assist as best as is possible.

UPDATE -- Bah, remedy wore off again.  Still better, but situation returning.  No aggravation.  Going to go make a housecall to get him set up on wet doses instead of this repeated, unchanged dry dose stuff.