baby case, does my case analysis make sense?

[Ellen Madono]

Hi,

Today, I had a baby case of a homeopathy student/patient of mine. I have never treated the baby before. Her 2 year old, was producing the stool symptoms, behavior and other symptoms that accompanied his perforated ear drum incident 6 months before. Today the mother took her baby to the doctor and was calling me as she drove home. Obviously very distraught. The doctor swabbed the baby's throat producing 20 minutes of wailing. He said he found strep.

I told the mom, that strep is everywhere in our mucus membranes. The baby is not a candidate for organ failure or massive infection just because in general he is relatively healthy. He has had a cold for the past 3-4 days so his immunity is down thus step had increased. IMO we want to prevent his cold from progressing into an ear infection. 6 months ago when the ear was perforated last time, a dry bright yellow crust was left from the discharge. You can assume that his ear was inflamed before the discharge was released. The doctor said there was no ear infection but I wonder how would the doctor know? The external ear is not necessarily red for a middle ear infection. Especially at the beginning. The infection before was in the middle ear. I think there is still reason to worry about the cold progressing to an ear infection just because the symptoms are all similar. Ear infections with other siblings have been a major problem. There are no clear throat inflammation symptoms other than a gurgle on the out breath when he is sleeping or wailing.

So, I repertorized based on the ear infection discharge, and all the other current symptoms that are similar to the past ear infection. Does it make sense to include the ear infection even though we have no current evidence of an ear infection? My thought was, the worst thing that can happen to the child is another ear infection and the consequent antibiotics.

After a dose of Merc 30c he cried for 20 minutes and then went into a deep sleep. I have not heard from the mom since, but I suspect he will be fine. The remedy choice is not the issue. I am just wondering what others think of my justification for including the ear infection discharge symptoms when they were not present in the current case.

I don't think this question was address in Dr. Shahrdar's course, but he talks about problems like this as well as many problem that I had never considered before. See http://shahrdarcases.wikispaces.com/ for more information.

I would also like to read the opinion of others concerning the analysis of this case.

Best,
Ellen Madono

[Rochelle Marsden]

If the ear discharge is chronic I would include it. I would also want to know the mental and emotional symptoms in this child at this present time before searching for a remedy.
Rochelle Marsden Msc, RSHom, MNWCH, AAMET

Registered with the Society of Homeopaths

EFT(Advanced) Practitioner

www.southporthomeopathy.co.uk
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com] On Behalf Of Ellen Madono
Hi,
Today, I had a baby case of a homeopathy student/patient of mine. I have never treated the baby before. Her 2 year old, was producing the stool symptoms, behavior and other symptoms that accompanied his perforated ear drum incident 6 months before. Today the mother took her baby to the doctor and was calling me as she drove home. Obviously very distraught. The doctor swabbed the baby's throat producing 20 minutes of wailing. He said he found strep.
I told the mom, that strep is everywhere in our mucus membranes. The baby is not a candidate for organ failure or massive infection just because in general he is relatively healthy. He has had a cold for the past 3-4 days so his immunity is down thus step had increased. IMO we want to prevent his cold from progressing into an ear infection. 6 months ago when the ear was perforated last time, a dry bright yellow crust was left from the discharge. You can assume that his ear was inflamed before the discharge was released. The doctor said there was no ear infection but I wonder how would the doctor know? The external ear is not necessarily red for a middle ear infection. Especially at the beginning. The infection before was in the middle ear. I think there is still reason to worry about the cold progressing to an ear infection just because the symptoms are all similar. Ear infections with other siblings have been a major problem. There are no clear throat inflammation symptoms other than a gurgle on the out breath when he is sleeping or wailing.
So, I repertorized based on the ear infection discharge, and all the other current symptoms that are similar to the past ear infection. Does it make sense to include the ear infection even though we have no current evidence of an ear infection? My thought was, the worst thing that can happen to the child is another ear infection and the consequent antibiotics.
After a dose of Merc 30c he cried for 20 minutes and then went into a deep sleep. I have not heard from the mom since, but I suspect he will be fine. The remedy choice is not the issue. I am just wondering what others think of my justification for including the ear infection discharge symptoms when they were not present in the current case.
I don't think this question was address in Dr. Shahrdar's course, but he talks about problems like this as well as many problem that I had never considered before. See http://shahrdarcases.wikispaces.com/ for more information.
I would also like to read the opinion of others concerning the analysis of this case.
Best,

Ellen Madono

[Ellen Madono]

Hi Rochelle,

In in principle, I would never be asking for a remedy search on the web. I was just thinking about the acute case. I think problems are chronic with this child, but I was just trying to treat the acute symptoms. I guess it is hard to draw a solid line.

Best,
Elllen

[Hennie Duits]

*Without further info*, I would consider your approach as 'skating on
thin ice'. However, colds progressing to ear infections can very well
indicate syph. miasm-remedies, and the reaction to Merc. seems to
indicate a good remedy choice. Any other syph. tendencies in the family?

Hennie

Op 18-11-2011 15:41, Ellen Madono schreef:

[Ellen Madono]

Hi Hennie,

I realize that many people ask for a remedy on Minutus. If you are not trained in homeopathic analysis, that makes sense.

As a professional, I don't think that is a very good practice. Cases are complex and should not be discussed lightly.

In answer to your question: Yes lots of ear infections in the family. It was an acute case and the baby work up after sleeping 13 hours back to normal health except for continued dark colored sulphur stools. Discharging I suppose.

When I presented the case, I was really asking questions about case analysis. So far I have not received an answer to the question that I asked. I already thought I had the right remedy, but I am concerned about my logic. Was what I told the mother true on a medical level? And did my strategy make sense in a homeopathic sense?

1. Homeopathic logic: The baby and family have a bad history of ear infections. The baby had all the symptoms of previous ear infections that led to antibiotics. But, currently there was no evidence of an ear infection. The current case symptoms repeated every part of the previous ear infection except the yellow discharge from the middle ear. He had the ear infection before the discharge, but there were no ear symptoms as in the current case. I thought, still the symptoms suggest coming ear infection. So I should use the ear infection rubrics from the past infections. As if the perforated ear drum happened again. Do you agree?

2. Medical logic: There is no clear evidence of an ear infection. The baby is not holding his ear and the doctor cannot see any evidence of ear infection. I think, but lacking medical training, that the doctor cannot see the coming ear infection and it is not bad enough for the baby to hold his ear. The previous perforated ear drum infection was not evident until yellow pus discharge from the middle ear. The doctor cannot see into the middle ear, I am assuming, and could easily miss a coming infection. Anyway, his business strategy is not prevention of problems.

The doctor found strep in the throat culture. I think, yes the strep count could be higher because the baby has had cold for 3-4 days. But, there is no history of throat infections and no symptoms of current throat infection. So, I should ignore the lab findings for now and focus the remedy on possible ear infection. Am I making medical sense?

The free course based on the lecture notes of Dr. Ardavan Shahrdar focus on this kind of question. He does not answer this particular question in detail, but he is suggesting that we pay more attention to case analysis. My extrapolation of this suggestion is that Minutus would also improve in content if we did not immediately jump every question to repertorization. As professionals, we should also be asking ourselves about case analysis.

The free course is on this website. http://shahrdarcases.wikispaces.com/ Please take a look and see if you agree with Dr. Shahrdar's concern.

Best,
Ellen Madono

[Sheri Nakken]

At 06:41 AM 11/18/2011, you wrote:
The doctor is looking at the ear drum and looking for redness (redness can mean infection but also happens with lots of crying and other reasons)
I wouldn't include anything that isn't present now. Antibiotics do NOT have to be given. Recovery is the same amount of time with/without antibiotics. And antibiotics are so damaging to the gut, a huge part of the immune system
I wouldn't have, but sounds like
you may have fnd the right remedy anyway.
Also, if this baby is vaccinated, that may be the exciting factor that started this
I would treat this baby constitutionally to turn this around for the future and no more vaccines
Sheir
Sheri Nakken, former R.N., MA, Hahnemannian Homeopath
http://homeopathycures.wordpress.com/ & http://vaccinationdangers.wordpress.com/
ONLINE/Email classes in Homeopathy; Vaccine Dangers; Childhood Diseases
Next classes start Wednesday November 30

[Ellen Madono]

I am not as powerful as you are Sheri. The doctor would insist on giving antibiotics if the baby started a clear ear infection. Not my call. If the mom feels enough confidence in homeopathy, she will quit listening to everything the Doctor tells her. I think she refused antibiotics when she was told that the baby had strep. But she left the doctor's office feeling very shaken and unsure of herself. Again such decisions are not within my control. I am trying to teach her homeopathy though and I think it will help.

BTW is it you who was offering a first aid course. I caught my eye and now I don't know where the message is. I want to tell the mother.

Best,
Ellen

[Sheri Nakken]

Even doctors don't prescribe antibiotics as often in some cases as they know this to be true.
Yes I'm the one with online classes http://www.wellwithin1.com/homeo2.htm

Thanks Ellen
Sheri
Sheri Nakken, former R.N., MA, Hahnemannian Homeopath
http://homeopathycures.wordpress.com/ & http://vaccinationdangers.wordpress.com/
ONLINE/Email classes in Homeopathy; Vaccine Dangers; Childhood Diseases
Next classes start Wednesday November 30

[Ellen Madono]

Great. I will alert my patient of the class. Her name is Marianne.
Best,
Ellen

[Nader Moradi]

Dear Ellen,
If the present symptoms are similar to the previous one then we can assume that this is a miasmatic case and we need the details of previous and present picture. If they are similar, it seems that present picture is in the beginning of the flare up and in this situation you can consider the symptom of ear discharge but in onesided like flare up you must choose only the symptoms of flare up not ear discharge. If you give more info on previous symptoms and also stool and mind symptom we can find related miasm by Reperotirum virosum.
Kind Regards,
Nader
From: Ellen Madono
Sent: Friday, November 18, 2011 6:11 PM
To: minutus@yahoogroups.com
Subject: [Minutus] baby case, does my case analysis make sense?
Hi,
Today, I had a baby case of a homeopathy student/patient of mine. I have never treated the baby before. Her 2 year old, was producing the stool symptoms, behavior and other symptoms that accompanied his perforated ear drum incident 6 months before. Today the mother took her baby to the doctor and was calling me as she drove home. Obviously very distraught. The doctor swabbed the baby's throat producing 20 minutes of wailing. He said he found strep.
I told the mom, that strep is everywhere in our mucus membranes. The baby is not a candidate for organ failure or massive infection just because in general he is relatively healthy. He has had a cold for the past 3-4 days so his immunity is down thus step had increased. IMO we want to prevent his cold from progressing into an ear infection. 6 months ago when the ear was perforated last time, a dry bright yellow crust was left from the discharge. You can assume that his ear was inflamed before the discharge was released. The doctor said there was no ear infection but I wonder how would the doctor know? The external ear is not necessarily red for a middle ear infection. Especially at the beginning. The infection before was in the middle ear. I think there is still reason to worry about the cold progressing to an ear infection just because the symptoms are all similar. Ear infections with other siblings have been a major problem. There are no clear throat inflammation symptoms other than a gurgle on the out breath when he is sleeping or wailing.
So, I repertorized based on the ear infection discharge, and all the other current symptoms that are similar to the past ear infection. Does it make sense to include the ear infection even though we have no current evidence of an ear infection? My thought was, the worst thing that can happen to the child is another ear infection and the consequent antibiotics.
After a dose of Merc 30c he cried for 20 minutes and then went into a deep sleep. I have not heard from the mom since, but I suspect he will be fine. The remedy choice is not the issue. I am just wondering what others think of my justification for including the ear infection discharge symptoms when they were not present in the current case.
I don't think this question was address in Dr. Shahrdar's course, but he talks about problems like this as well as many problem that I had never considered before. See http://shahrdarcases.wikispaces.com/ for more information.
I would also like to read the opinion of others concerning the analysis of this case.
Best,
Ellen Madono