case management in aggravation

[Vera Resnick]

Just a small point here:

I've noticed that when a patient aggravates in any way, the practitioner-patient relationship is much more solid where the practitioner says the aggravation is due to the remedy (if that's the case) and works with the px as the px is going through it, than when the practitioner says "it's nothing to do with the treatment" and leaves the px to suffer, or when the practitioner says "wonderful, the remedy is working so well" and leaves the px to suffer. In these CYA days it can feel counter-intuitive to some to take responsibility in cases that are aggravating but the px really appreciates understanding what's going on.

FWIW, from my experience and that of others.

Vera
------------------------------------
Vera Resnick RCHom
Classical Homeopath
054-4640736
e-mail: vera.homeopath@gmail.com

[Shannon Nelson]

I think you are *sooooooo* right!!!
That's 100% my experience as well.

[d_rona2000]

I very seldome see a true 'aggrivation' due to the remedy - but never discount the possibility. However, I try to engage the patient in the process and don't tell them what it is or what it isn't. If they are experiencing any difficulties after the remedy I suggest there are a few possibilities:
a. the remedy could be causing an aggrivation, and if so we will follow this course, . . .
b. the maintaining cause has not been addressed, and if so, we will need to look at . . .
c. has any new factor come into play since you started the remedy?

I have been amazed at how often I find they started something new - or a friend gave them a bottle of vitamins - or mother-in-law just came for an unannounced 4 month visit - or . . . well you get the picture. But if I don't ask they seldome make the connection that new stressors are affecting the old situation. Guess it's a leftover from the brainwashing of the western medical position that a condition or disease is an entity unto itself and the individual and their situation has little to do with it.
Donna

D C Rona, PhD, ND, DHM
--- In minutus@yahoogroups.com, Shannon & Bob Nelson wrote:

[Carol Orr]

When my son was around 13 or 14..he had a recurring pain in the region of his
appendix.. It came and went over a 3 month period. He had been sking before he
got it..and i just thought it was a muscle pain. He went for a visit to the
homeopathic doctor and this pain was not even mentioned...but the doctor ended
up giving him 10M tub based on among other things..that he shivered when he
got in bed at night(in the winter)before he warmed up. A few days later after
taking the remedy my son got that pain but this time it was more intense and
it wasn't going away. I called the doctor and asked him if this was an
aggravation from the remedy because i had read in clark that tub had some pain
in the region of the appendix.."pains in region of appendix vermiformia". He
got really loud on the phone. Absolutely not. You take him to the hospital
right away. Which i did..and they checked his appendix and found nothing. The
pain went away and never returned. Now whether that doctor knew about that
pain in the appendix vermiformia or not....it didn't matter...if there was
any chance that that pain was an appendicitus....he couldn't be screwing
around saying maybe or maybe not...he could stand to lose his license to
practice medicine if he were wrong and my son might have gotten a burst
appendix. I don't know if there is a lesson here or not, just thought i'd
pass it on.

[Shannon Nelson]

I think one lesson is to "tell everything!"
If I were giving a rx to someone who'd been having the pain etc., I'd have used probably 200 rather than 10M, and (I would guess) likely have avoided the agg. (Presumably LMs would have resolved it without the agg., but that's moot.)

But I too think the dr. was quite right! Not to take the chance.

[John Harvey]

Aggravations and so-called aggravations seem to have more to do with homoeopaths being unable to keep their hands off after the first dose, and possibly with ignoring dosage, than with the potency. How many 10Ms has anyone on this list seen produce significant aggravation with just one dose -- and how many after just one small dose?

Cheers --

John
2009/11/23 Shannon & Bob Nelson >

[Joy Lucas]

I also think aggravations can be avoided by proper case taking when you get to 'feel' whether the client is 'sensitive' or not and thus adjust potency and dose accordingly.

But, again, this is where LM's come into the scenario. Over the years I have lost count of the discussions I have had with students and their lack of confidence or understanding about choice of potency. LM's will suit almost every case/person/client and even sensitive people (can dilute accordingly). Not even a moot point. No need to be worrying about potency choice and then case management, whether to go up or down, repeat, etc etc. Read the organon §246 - 27. All so simple. Why do people make it difficult for themselves.

Joy

http://www.joylucashomeopathy.com
http://health.groups.yahoo.com/group/homeopathystudy/

[Shannon Nelson]

Not always the case!
I had someone aggravate significantly on a single dose of 200c (asthma), tho it didn't need anything but time (2 weeks; unusually long!) to work itself out, and he was happy as a clam in the meantime, even with the wheezing.

There are other examples too--e.g. using a high potency on severe eczema, *not* a happy result (conference case, not my own!)... So, there are exceptions. I agree, tho, that with small dose, single doses, and due care, aggravations of any consequence are not common. (At least that's from my experience plus what I've heard from others over the years.)

Shannon

[Rochelle]

My story *which some of you must have heard before) is once just before I went abroad I was given a remedy but was not told what it was - which was fine with me at that time. I got the most debilitating pain which I had never had before in my kidney region. It was so bad that me who doesn't do pain killers (but it was before my EFT days) was taking 6 ibuprofen every few hours to keep the pain manageable. I couldn't keep still. It was bad lying, walking, standing, sitting. In desperation after going to 8 ibuprofen after 3 days of this which me feel very ill I phoned my homeopath from abroad to find out what she had given me. It was Mercury 200 and luckily I had my holiday kit with me - took a Merc 30 followed by a Merc 6 and I got relief in a couple of hours. After that episode I have always been frightened to take the remedy again (not that I have ever needed it) and also I try to insist that I know what remedy is being given to me if it is just before I go abroad!!!
Did the Merc do anything good? It may have helped with a feeling of being an outsider that I had very strongly at the time. My homeopath (RIP) told me that I would find it difficult to understand why she had given me the Mercury as that was the nature of the remedy!!!
Moral of the story is on rare occasions when a patient has agg badly on a remedy a dose of a lower potency seems to sort the problem out.
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk

[Rochelle]

I am pretty sure I have never seen an agg from 1 dry dose of 10M or one dose in water. It is not something I would repeat routinely.
Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk