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| Hpathy Ezine - July, 2004 | ||||
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Prescribing Online - A Perspective -- Dr. Leela D'Souza |
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Now that I have detailed the important requirements, let me talk about some of the “fun” aspects we experienced in our internet practice. Choosing an appropriate remedy (or series of remedies), ‘seeing’ the case move in the right direction according to the Law of Cure, and finally observing the patient in a balanced state of health in every aspect of his life, is what the ‘fun” is all about! One of our first cases was a young man of 28 who was prescribed Thuja based on the most relevant characteristic physical symptoms and his state of mind – which resulted in him being unable to be in a stable relationship, unable to complete his studies to qualify and so unable to find a job. He was dependant on his parents’ financial support. His physical symptoms were clearly in a sycotic expression – recurrent purulent conjunctival inflammation with chronic swelling of lower lid conjunctiva (Basically diagnosed as Allergic Follicular Conjunctivitis). Similarly his mental sate reflected this sycotic expression typical of Thuja. He had taken so much of suppressive allopathic medicines (anti-inflammatory, antibiotics, steroids in eye drops, nasal sprays, oral pills, etc), that they had given up promising him any improvement as now even steroid eye drops were not working anymore. He also had a history of eczema from childhood which had been suppressed with steroids, but recurrently flared up on his thighs, legs and arms. He had a host of other associated complaints (headaches, Marfanoid syndrome, allergic rhinitis, occasional episodes of asthma), besides being very sensitive to homeopathic remedies – which I believe was directly a result of suppressive treatment. He would aggravate even on 1 drop of Thuja in LM, second dilution, for 3-4 days before he would see improvement. IT took 6 months for him to show clear response to the remedy though it was evident that Thuja was working with old suppressed symptoms expressing themselves. This is because he continued to use antibiotics or suppressive medications during acute flare ups – as he couldn’t bear people to look at him and think he was deformed! So we just had to be patient with him till he decided to stop them. But even after that, he continued to believe that he needed at least supplementary therapy to help with his healing. He would browse the internet and buy supplements like flaxseed oil, enzymes, etc. and whenever there was clear improvement he would attribute it to these supplements and not the remedy!! It took a lot of work to educate him and convince him about capability of the homeopathic remedy to cure him. Finally he accepted that it did, and began to stop all the supplements when he realized that his symptoms showed no improvement when he took them. Instead they produced new symptoms of their own! After a year and a half on Thuja repeated very infrequently, a deeper state surfaced, which existed before but was not so clear in his initial history. His eye improved about 90% with mild inflammations and redness that disappeared in a few hours but his eczema increased during that period and the flare up would not subside. He developed different fears of the dark and being alone, more similar to his childhood and on repertorizing the present symptoms – physical as well as mental, Calc-sulph was the remedy. Here we can see that he had moved from the stuck sycotic state into a psoric state and the skin symptoms were typical of Sulphur. He had Calc-sulph over the next 6 months infrequently and the eczema completely disappeared. The eye redness only came up very occasionally when he was stressed out with work (mainly in front of a computer screen). All his other associated complaints improved as well and hardly troubled him anymore. His mental state improved so much that he was now able to complete his training, be in a stable relationship and work in a stable job, which he was unable to do for the last 5 years. He is still on very occasional doses of Calc-sulph 30C (once in 3 months or so) if the eye redness or eczema express themselves and do not subside on their own when he’s under stress. And as you can imagine he’s very grateful to homeopathy saving his life! I presented this case for a variety of reasons as it exemplifies how important it is to keep in touch with the progress of ones online patient, especially in these types of cases. There is only so much they can tell you in a follow up and a lot may be left unsaid, that one only discovers due to regular updates: 1. His excessive sensitivity to remedies would have made us give up on Thuja thinking it was the incorrect remedy earlier on. But subtle changes in symptoms in line with Hering’s ‘Natures Law of Cure’ inspite of his suppressive intervention were evident to me, and made me persist with it. 2. It helped me to realize how many suppressive treatments he continued to use with the homeopathy as well the supplements he was depending on. It allowed me an opportunity to educate him on how each of these drugs and supplements were contributing to his condition instead of helping and were also interfering with the action of the similimum remedy. 3. The updates gave him encouragement to stick with homeopathy as that was his only hope at this point – and he trusted my instinct. At the point of his life when he was very depressed and thought there was nothing going for him in his education, work and relationships – regular updates helped him to see a ray of hope that he would one day be well. I consider this all very important in the management of a chronic homeopathic case of this type. Just the remedy and manipulation of the doses alone could not do this. At the most he would have been totally frustrated and given up on this remedy as it continued to aggravate his symptoms, and he would have insisted on continuing his suppressive medications. 4. Making a choice of remedy is not necessarily difficult in chronic
cases even if suppressive medications are going on. Having the perception
and capability to analyze the mental state of the patient to decide
on remedy selection helps overcome the possibility of physical modalities
and concomitants of the chief complaint being masked. We have had any number of cases like this including those that just needed a single remedy to cure them. Some complicated cases, some simple cases, a mix of everything to make life very interesting! The case analyses and remedy choices were exciting (thanks to David Johnson’s deep perception), and the management was fun. I have met beautiful people the world over. It has been a wonderful learning process and I can say I have grown as a person and as a homeopath to feel fulfilled that I am learning and moving towards the calling God has set for me for my life. |
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