online case RM/May02

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Joy Lucas
Posts: 3350
Joined: Wed Apr 01, 2020 10:00 pm

online case RM/May02

Post by Joy Lucas »

Dear all, here we have a second case for May - this time from Rochelle - as
always please try to respond with ideas and advice etc to the group as a
whole. Thanks to Rochelle for sending this case.

Regards, Joy Lucas
----------
From: "rochelle"

Subject: Case management/now ulcerative colitic case
Background
57 yr. old man d.o.b. 31.3.46 . He presented as a handsome, white haired
man who arrived with his case from work and was very smartly dressed in a
mustard shirt + tie. He runs a computer centre. He is on a lot of
allopathic medication and has been for many years.

30th April 2002
Presenting Complaint - Ulcerative colitis, which began in June 1981 and
flares up annually when the weather gets warmer. I was living down South at
the time and commuting for my job. The flare-ups seem to take longer to
resolve even with the medication. He takes Salazopyrin 'EN' tablets daily
since 1982 500mg. He is not sure what they do! During a flare-up he uses
Predsol enemas 20mg as required which is usually nightly for 14 nights. At
this moment he is on the last of these and problem is on the way out. It
presents as a show of blood, followed by excessive flatulence when he passes
mucous. The mucous is a pale yellow. The stool is not a problem it is the
flatus with involuntary mucous discharge that gets him down. " It lasts so
long that it gets me down. I work all day and at certain times it is so
uncomfortable as I can't keep going to the toilet. With the flatulence is a
nagging pain under the ribs. I have a solid concrete type feeling after
eating. This present acute started 5 weeks ago."

Diabetes - recent December 2000. "It is getting worse. I am now on 2 x 80g
tablets of Glycoside a day. The blood sugar should be between 5 and 7 but
it is 10 and I feel fine with it. When it did get down to 5 once I felt
terrible and asked the doctor if it is possible that what you should be is
different for some people than others. I knew I had it because I was tired
all the time and my eyes suddenly went foggy and I was drinking a lot. I cut
out sugar - I have always had a sweet tooth and lost some weight. I am now a
steady 13 stone.

Stress - " In my job it concerns me that I haven't done this or that. It
worries me. At the end of the day it will get done. I am not in fear of a
job loss. I have a lot of managerial responsibility. I want things done my
way. I don't like to leave things undone. I can't delegate easily because
other people don't do things the way I want it done. I like to think
fairly - I'm not bombastic and will tell people in the nicest possible way
what to do. I use sarcasm instead of ranting and raving. If I am critical
with them, then they deserve it. " I asked about his next in line at work.
"I'm not happy with his attitude with everything he does. No I probably
wouldn't discuss it with him. He doesn't do things as well as me. We had an
ex boss who we all disliked. He was consistently inconsistent. What was good
last week wasn't good this week."

"I am not good at accepting criticism. There are times I am wrong. I wouldn'
t blame someone else but I would argue that it was caused by this or that
happening. You see yourself as the truth but others don't see it like that.
My wife would tell you that I am miserable and that I can't see what she
means. She's accused me of things that I don't remember and I don't believe
I have a problem. I feel confused. If you are hiding behind a problem you
can be better but I don't know what the answer is. I say to her 'explain to
me where I am going wrong'. I am the 4th husband and the one that has
stayed longest! My wife says I am not capable of doing more than one thing
at a time. If I do I forget the other thing. If I do start something I will
finish it."

"I think I am honest and trustworthy. She has said to me because I am so
tired, 'why don't you go off sick for a week', but I wouldn't do that. My
first wife died and I would still be married to her if it wasn't for that. I
wanted to get on with my life. I said to my present wife once that I wish I
had met her later on and that didn't go down well. I have been married 12
years now to her. No there have been no indiscretions as I'm not that type
of person. My late wife died in Dec. '88 and I met my present wife at the
crematory as the plot of her youngest daughter is next to my late wife's. We
met in the summer of '89 and went out the following New Year's Eve. I did go
out with someone else between but it was not physical. She was a
spiritualist, a medium who told me things only my late wife and I would have
known. My sex drive was average but because of diabetes it is now reduced."

"If I am in a queue I am patient as a rule. I have always been a patient
person. I am not impatient".

Affectionate- "I am mediocre and don't require a lot."

Company - Prefers to be on his own. He has an office at home and is often in
there. He does sit with his wife and watch TV. "I am not am not an
extrovert. In a crowd of people I am usually quiet. I will chat to a person.
I am bashful and not enthusiastic about public speaking. I can do it but I
don't want to make a habit of it."

Nosebleeds - all the time. He has always had them. No modalities in that
they can happen anytime and are only mild.

Environment - Doesn't like the heat as it makes him irritable. Does like the
sun. Doesn't like the cold. Thunderstorms - loves to watch them.

Anger - from stupidity in others and he is sarcastic when angry.

Upset - falling out with people and would sulk on his own.

Tidy.

Fears - I like to be safe and secure and have fitted burglar alarms. I
always lock doors and the car door when I leave. "Anything mime and I've
worked for should remain mine. I fear being poor as I have always been self
sufficient."

Religion - not important

Dreams - strange. "They are to do with only being able to get access through
a confined space. They semi represent things in childhood. I have to get
over obstacles and through small apertures to get to where I am going."

I asked where he felt in society and he said "Fractionally above middle
class".

Food - loves fish but not shellfish, cheese, pasta, desires sweet**
Dislikes a lot of salt, thinks spicy may agg, broccoli
Drinks - tea, milk. Hates water.

Family Medical History
Father - d. 68 ruptured aorta Grandfather 80 cancer, Uncle - diabetes.
Grandmother - 78 stroke
www.rochellemarsden.co.uk


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Rochelle »

Am resending this because of a vital line that was cut out in the post that
arrived to me!!.
-----------------------------------------------------
Background
57 yr. old man d.o.b. 31.3.46 . He presented as a handsome, white haired
man who arrived with his case from work and was very smartly dressed in a
mustard shirt + tie. He runs a computer centre. He is on a lot of
allopathic medication and has been for many years.

30th April 2002
Presenting Complaint - Ulcerative colitis, which began in June 1981 and
flares up annually when the weather gets warmer. I was living down South at
the time and commuting for my job. The flare-ups seem to take longer to
resolve even with the medication. He takes Salazopyrin 'EN' tablets daily
since 1982 500mg. He is not sure what they do! During a flare-up he uses
Predsol enemas 20mg as required which is usually nightly for 14 nights. At
this moment he is on the last of these and problem is on the way out. It
presents as a show of blood, followed by excessive flatulence when he passes
mucous. The mucous is a pale yellow. The stool is not a problem it is the
flatus with involuntary mucous discharge that gets him down. " It lasts so
long that it gets me down. I work all day and at certain times it is so
uncomfortable as I can't keep going to the toilet. With the flatulence is a
nagging pain under the ribs. I have a solid concrete type feeling after
eating. This present acute started 5 weeks ago."

Diabetes - recent December 2000. "It is getting worse. I am now on 2 x 80g
tablets of Glycoside a day. The blood sugar should be between 5 and 7 but
it is 10 and I feel fine with it. When it did get down to 5 once I felt
terrible and asked the doctor if it is possible that what you should be is
different for some people than others. I knew I had it because I was tired
all the time and my eyes suddenly went foggy and I was drinking a lot. I cut
out sugar - I have always had a sweet tooth and lost some weight. I am now a
steady 13 stone.

Stress - " In my job it concerns me that I haven't done this or that. It
worries me. At the end of the day it will get done. I am not in fear of a
job loss. I have a lot of managerial responsibility. I want things done my
way. I don't like to leave things undone. I can't delegate easily because
other people don't do things the way I want it done. I like to think
fairly - I'm not bombastic and will tell people in the nicest possible way
what to do. I use sarcasm instead of ranting and raving. If I am critical
with them, then they deserve it. " I asked about his next in line at work.
"I'm not happy with his attitude with everything he does. No I probably
wouldn't discuss it with him. He doesn't do things as well as me. We had an
ex boss who we all disliked. He was consistently inconsistent. What was good
last week wasn't good this week."

"I am not good at accepting criticism. There are times I am wrong. I wouldn'
t blame someone else but I would argue that it was caused by this or that
happening. You see yourself as the truth but others don't see it like that.
My wife would tell you that I am miserable and that I can't see what she
means. She's accused me of things that I don't remember and I don't believe
I have a problem. I feel confused. If you are hiding behind a problem you
can be better but I don't know what the answer is. I say to her 'explain to
me where I am going wrong'. I am the 4th husband and the one that has
stayed longest! My wife says I am not capable of doing more than one thing
at a time. If I do I forget the other thing. If I do start something I will
finish it."

"I think I am honest and trustworthy. She has said to me because I am so
tired, 'why don't you go off sick for a week', but I wouldn't do that. My
first wife died and I would still be married to her if it wasn't for that. I
wanted to get on with my life. I said to my present wife once that I wish I
had met her later on and that didn't go down well. I have been married 12
years now to her. No there have been no indiscretions as I'm not that type
of person. My late wife died in Dec. '88 and I met my present wife at the
crematory as the plot of her youngest daughter is next to my late wife's. We
met in the summer of '89 and went out the following New Year's Eve. I did go
out with someone else between but it was not physical. She was a
spiritualist, a medium who told me things only my late wife and I would have
known. My sex drive was average but because of diabetes it is now reduced."

"If I am in a queue I am patient as a rule. I have always been a patient
person. I am not impatient".

Affectionate- "I am mediocre and don't require a lot."

Company - Prefers to be on his own. He has an office at home and is often in
there. He does sit with his wife and watch TV. "I am not am not an
extrovert. In a crowd of people I am usually quiet. I will chat to a person.
I am bashful and not enthusiastic about public speaking. I can do it but I
don't want to make a habit of it."

Nosebleeds - all the time. He has always had them. No modalities in that
they can happen anytime and are only mild.

Environment - Doesn't like the heat as it makes him irritable. Does like the
sun. Doesn't like the cold. Thunderstorms - loves to watch them.

Anger - from stupidity in others and he is sarcastic when angry.

Upset - falling out with people and would sulk on his own.

Tidy.

Fears - I like to be safe and secure and have fitted burglar alarms. I
always lock doors and the car door when I leave. "Anything mime and I've
worked for should remain mine. I fear being poor as I have always been self
sufficient."

Religion - not important

Dreams - strange. "They are to do with only being able to get access through
a confined space. They semi represent things in childhood. I have to get
over obstacles and through small apertures to get to where I am going."

I asked where he felt in society and he said "Fractionally above middle
class".

Food - loves fish but not shellfish, cheese, pasta, desires sweet**
Dislikes a lot of salt, thinks spicy may agg, broccoli
Drinks - tea, milk. Hates water.

Family Medical History
Father - d. 68 ruptured aorta Grandfather 80 cancer, Uncle - diabetes.
Grandmother - 78 stroke

www.rochellemarsden.co.uk


Dr. R. Swift
Posts: 107
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Dr. R. Swift »

Rochelle,

On first glance - foppish clothes, tidy, controlling, fear of robbers,
conscientiousness, digestive problems - sounds like ars. I find it
interesting that Ars-s-f came up pretty high. It covers the sensitivity to
criticism which Ars. does not. Then there's the yellow shirt?

be well

russell swift, dvm


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Rochelle »

Thanks - that's an interesting one for me to research. Ars. came up for me
as the 4th Rx but nit Ars s.f, anywhere. I will go and look it up!!
Regards, Rochelle
www.rochellemarsden.co.uk


Dr. R. Swift
Posts: 107
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Dr. R. Swift »

Rochelle,

these are the ars-s-f rubrics.

STOMACH - HEAVINESS - eating - after
MIND - SENSITIVE - criticism; to
MIND - TIMIDITY

These two have ars but not ars-s-f

GENERALS - FOOD and DRINKS - water - aversion
MIND - MOCKING - sarcasm

be well

russell swift, dvm


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Rochelle »

Dear Russell,

What rep are you using? As this is all my computer came up with!!

Phatak - Phatak
STOMACH, HEAVY WEIGHT, EATING AFTER (2)
1 hep, 1 kali-bi

I have read the MM of Ars. s.f. and I can't say that I can find much that
sound like my patient. What have you found?

Arsenicum does come up high in my rep but this is someone who appeares to be
quite independent and likes to be on their own. It is a big possibility but
I am not 100% convinced.

What do others think please?

Regards,
Rochelle

www.rochellemarsden.co.uk


Joy Lucas
Posts: 3350
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Joy Lucas »

Dear Rochelle, thanks for the peanut remedies. Here is my contribution to
your case.

I originally started thinking about NATRUM PHOS =

Involuntary stool when passing flatus
yellow mucous
fullness/heaviness in stomach after eating
gastro duodenal catarrh
diabetes
the phosphoric element being shown in....
fearful at night
fear of misfortune - losing everything he has worked for
liking of storms
haemorrhagic - nosebleeds
the natrum element coming in as periodicity

in fact I am still quite keen on this Rx

but I was also thinking along the lines of...

selfish - wouldn't give job up

but also servile to comments of wife, also he tells people off "in the
nicest possible way" (not sure where the sarcasm comes into this) and he
calls himself mediocre

yellow mucous (and shirt!!)
heaviness in stomach
involuntary stool on passing flatus
< hot weather
sweets
<<< water
fear of misfortune
"I can't delegate easily because other people don't do things the way I want
them doing"

and I started thinking about CALC SULPH

Calc sulph cannot tolerate others who do not agree with them - this is a big
keynote of this remedy
They also feel they are not appreciated (wife puts him down)
Fear of misfortune
Diarrhoea with pus and blood
yellow secretions
haemorrhages
ulcers
anxiety in evenings
<< heat

lots of things arising from combination of the two - calc and sulph = fears,
aversion to water, haughty (sulphur is bold type) etc

Anyway this would be my choice.

Hope this is useful

best wishes, Joy Lucas


Dr. R. Swift
Posts: 107
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Dr. R. Swift »

Rochelle,

I am using synthesis rep. I know on reading the mm it doesn't grab you as
fitting the case. I think this is a syco/syphilitic patient whereas many of
the mm mind symptoms are psoric. I wonder if there isn't more anxiety, etc.
beneath the surface. The timidity and sens. to criticism get to the deeper
nature. He seems independent yet he got remarried fairly quickly.

good luck

russell swift, dvm


Dave Hartley
Posts: 992
Joined: Wed Apr 08, 2020 3:47 pm

Re: online case RM/May02

Post by Dave Hartley »

Synthesis 8 Repertory, seached via RADAR 8

STOMACH - HEAVINESS (169 remedies)
SUBRUBRICS:
STOMACH - HEAVINESS - alternating sides
STOMACH - HEAVINESS - morning
STOMACH - HEAVINESS - morning - waking, on
STOMACH - HEAVINESS - forenoon
STOMACH - HEAVINESS - noon
STOMACH - HEAVINESS - noon - eating, after
STOMACH - HEAVINESS - afternoon
STOMACH - HEAVINESS - afternoon - eating, after
STOMACH - HEAVINESS - evening
STOMACH - HEAVINESS - night
STOMACH - HEAVINESS - night - waking, on
STOMACH - HEAVINESS - ascending stairs
STOMACH - HEAVINESS - beer, after
STOMACH - HEAVINESS - bread, after
STOMACH - HEAVINESS - breakfast, after
STOMACH - HEAVINESS - breakfast, after - amel.
STOMACH - HEAVINESS - breathing deeply amel.
STOMACH - HEAVINESS - carrying agg.
STOMACH - HEAVINESS - chill, during
STOMACH - HEAVINESS - digestion, during
STOMACH - HEAVINESS - dinner, after
STOMACH - HEAVINESS - drinks
STOMACH - HEAVINESS - drinks - cold
STOMACH - HEAVINESS - drinks - cold - after
STOMACH - HEAVINESS - eating

STOMACH - HEAVINESS - eating - after
abies-n.;2;k absin.;1;a1 absin.;1;k agar.;1;k agath-a.;2;nl2 aids.;1;nl2
allox.;1;sp1 alum.;1;hr1 alum.;1;k alum-p.;1;k2 alum-sil.;1;k2 alumn.;1;a1
alumn.;1;k am-c.;2;k ant-c.;2;k apis;1;k arg-n.;1;hr1 arg-n.;1;k ars.;2;a1
ars.;2;k ars-i.;1;k ars-s-f.;1;k2 bar-c.;1;k bar-i.;2;k bar-m.;1;k
bar-s.;1;k2 bry.;2;hr1 bry.;2;k cact.;2;a1 cact.;2;k calc-ar.;1;k
carb-ac.;1;a1 carb-ac.;1;k cent.;1;a1 cham.;1;a1 cham.;1;k chin.;3;k
chin-b.;1;c1 chin-b.;1;hr1 chinin-ar.;1;k chinin-s.;2;k cimic.;1;k cycl.;1;k
elaps;2;k falco-pe.;1;nl2 ferr.;1;k ferr-i.;1;k fl-ac.;1;a1 fl-ac.;1;k
germ-met.;1;srj5 ham.;1;fd3 hep.;2;hr1 hep.;2;k hydr.;2;hr1 hydr.;2;k
ign.;1;k ignis-alc.;1;es2 iod.;2;hr1 iod.;2;k kali-ar.;1;a1 kali-ar.;1;k
kali-bi.;3;hr1 kali-bi.;3;k kali-c.;2;k kali-p.;2;k lach.;2;hr1 lach.;2;k
lob.;1;a1 lob.;1;k lyc.;3;a1 lyc.;3;hr1 lyc.;3;k merc.;1;k nat-ar.;1;k
nit-ac.;2;hr1 nit-ac.;2;k nux-v.;3;k osm.;1;k ph-ac.;2;a1 ph-ac.;2;k
phos.;2;k phys.;1;a1 phys.;1;k plan.;1;hr1 plan.;1;k plb.;1;a1 plb.;1;k
podo.;1;fd3 psor.;2;k ptel.;2;hr1 ptel.;2;k puls.;2;hr1 puls.;2;k
rhus-t.;1;hr1 rhus-t.;1;k rumx.;2;k sang.;1;k sil.;2;k sul-i.;1;k2
sulph.;3;hr1 sulph.;3;k tarent.;2;a1 tarent.;2;k vib.;1;hr1 zinc-p.;1;k2

STOMACH - HEAVINESS - eating - while
STOMACH - HEAVINESS - empty, while
STOMACH - HEAVINESS - eructations amel.
STOMACH - HEAVINESS - leaning backward, when
STOMACH - HEAVINESS - meat, after
STOMACH - HEAVINESS - menses
STOMACH - HEAVINESS - menses - before
STOMACH - HEAVINESS - menses - during
STOMACH - HEAVINESS - nausea, during
STOMACH - HEAVINESS - nuts; after
STOMACH - HEAVINESS - nuts; after - amel.
STOMACH - HEAVINESS - potatoes, after
STOMACH - HEAVINESS - pressure
STOMACH - HEAVINESS - pressure - agg.
STOMACH - HEAVINESS - sleep, after
STOMACH - HEAVINESS - standing long, from
STOMACH - HEAVINESS - stooping, after
STOMACH - HEAVINESS - supper, after
STOMACH - HEAVINESS - trembling, with
STOMACH - HEAVINESS - waking, on
STOMACH - HEAVINESS - walking
STOMACH - HEAVINESS - walking - air amel.; in open
STOMACH - HEAVINESS - water; after drinking
STOMACH - HEAVINESS - water; after drinking - amel.
STOMACH - HEAVINESS - weather
STOMACH - HEAVINESS - weather - wet
See also:
STOMACH - INDIGESTION - heavy food
STOMACH - OVERLOADED; sensation as if
Stomach, fullness
Abdomen, heaviness
Abdomen fullness
Dave Hartley
www.localcomputermart.com/dave
Santa Cruz, CA (831)423-4284


Rochelle
Posts: 4167
Joined: Wed Apr 01, 2020 10:00 pm

Re: online case RM/May02

Post by Rochelle »

Dear Russell,
And wished he
hadn't!!
Regards,
Rochelle
www.rochellemarsden.co.uk


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