dry dose

[Maria Hristova-Kazmierski]

Hi ALL,
I have a question. My son is the picture of the typical SILICEA child, his homeopath two days ego gave him 1M SILICEA to take 6-8 pel. once and she need to see him after 6 weeks. This was his first visit to U.S. homeopath. In Italy his homeopath always give him remedies in water solution. What can I do? Is it OK to give him this dose. THANKS. Maria

-----
[Non-text portions of this message have been removed]

[Dave Hartley]

Hi Maria,

I recommend that you DO NOT follow the instruction to give multiple dry
pellets !

If you are not familiar with preparation of "water solution" you can find
much good information on what we call "liquid posology" here
http://www.simillimum.com/Thelittlelibr ... tions.html

http://www.simillimum.com
=========

regards,

Dave Hartley
www.localcomputermart.com/dave
www.Mr-Notebook.com
Santa Cruz, CA (831)423-4284

[Paul Booyse]

Maria,

If you have doubts, discuss it with your prescriber. I assume your
follow-up will take place with the prescriber. How can he/she manage the
case if you change the dosing.

Dave, its unethical to interfere as you have done. What will happen here is
the patient will end up taking ongoing repeat doses of liquid Sil 1M instead
of ONE dose (albeit the 6-8 pills), whereas, as you know, someone following
this method may have used a lower potency such as 200C or even LM. To expect
the patient to absorb all the details of liquid posology stat. is not
practical. Will you guide her through if there are aggravations?

Regards,
Paul Booyse

[Dave Hartley]

Hi Paul,

You're welcome to your opinion, and I'll stand by mine.

My personal ethics require me to share the observation that this suggested
posology is on the far-radical side even for dry dose; if the child has
susceptibility for Sil (as the mother suggests) the potential for such a
dose to cause aggravation overrides concern for the feelings of the other
homeopath.

The entire reason for using the liquid posology is to avoid aggravation, it
is pretty simple to use as intended, to do just that.

I agree with you that - ideally, the prescriber could be brought to consider
all of this, but practically many seem to be rather obtuse concerning the
phenomenon and potential for aggravation of such a dose, let alone the
overall desireability of the liquid posology in practice and in 5th / 6th
Organon, etc.
regards,
Dave Hartley
www.localcomputermart.com/dave
www.Mr-Notebook.com
Santa Cruz, CA (831)423-4284

[Shannon Nelson]

Hi Maria,

For some reason most prescribers in the US seem to give their doses dry. I
would not worry at all about the dose you describe.
Shannon
on 7/31/02 8:31 PM, Maria Hristova-Kazmierski at MariaSweets@msn.com wrote:

[Paul Booyse]

Hi Dave,

it

This has nothing to do with the other homeopaths feelings. It has to do
with case management. If the patient takes the 1M potency and applies
liquid posology, they will take repeated 1M doses.and maybe even daily. In
an acute case with an appropriate remedy, say a belladonna fever, this may
be suitable, but in a chronic case, it is more prudent to do so with a lower
potency such as 200C or 30C or even better an LM. And then the dose is not
necessarily daily. Now especially in the case of a Silica constitution,
which can be considered a more fragile constitution, repeat doses are in
need of good management. Unless you are taking over the case and will guide
the patient better than simply referring them to a website, that means the
patient either stays with their prescriber who may or may not be informed
whats happening, or they will have to fend for themselves.

Yes it is important to look at dose, but my famous comparison is always the
Sankarans. Rajan prescribing single dose, and then his dad prescribing dry
dose tds for 2 weeks etc. I think both gave excellent service to their
patients. Yes you can get aggravations , but repeating a 1M liquid has imo
more chance of doing that.

A better alternative is for Maria to discuss this with the homeopath and if
he/she is unsure of how to liquid dose, then HE/SHE can go to the website
and find out more.

Regards,
Paul

[Shannon Nelson]

Ithink Paul's point is well taken, that if someone is uncomfortable with the
instructions given them by their homeopath, they should discuss it *with the
homeopath*; otherwise they should find a different practitioner who will
handle their case more to their liking. It doesn't lead to a good working
relationship if the patient (or patient's parent) is changing the
instructions as they see fit, without discussing it with the prescriber!

And although I do understand (I think) why Dave has those reservations re
the size of dose, I wonder whether he has *personal* observation or
experience in *seeing* 6 tablets of 1M cause problems; I have not. And I've
seen doses taken that were *waaaaaaay* larger than 6 tablets. (Not a huge
number of pts, but still...)

And the fact is that in my experience most prescribers in the US *do* use
doses that large and often much larger (try an entire 1/2 dram tube --
that's the standard "single dose" for a *large* group of very siccessful and
very experienced prescribers that I'm familiar with!). So I have to assume
that it works okay as a rule.

I still prefer David's approach, and no longer use those huge "single
doses", but I'd have to say that the "risk" to her son (which I consider
negligible) of taking those 6 tablets is *much* less than the *very real*
risk to her working relationship with their new homeopath, if she takes
matters into her own hands! She should talk about it with the prescriber,
and proceed as they have agreed!
Shannon
on 8/1/02 2:21 PM, Paul Booyse at pb000014@pixie.co.za wrote:

[Maria Hristova-Kazmierski]

Hi David,
Thanks a lot for valuable instruction. I am only the beginner in the Homoeopathy ( first 5 lessons in BIH) and it is very important , first like a mom (what to give to my children) and second what later to give to the patients. I think we (students need to follow the sixth addition of Hahnemann THANKS for David Little website) and learn it very well. Here ( Raleigh, North Carolina) we have only two homoeopaths and they are both a pretty expensive one charge $325 for 75 min (first visit and $80 for next), and the other charge $225 ( for the first 75 min). They both claim that are classical homoeopaths and I choose the second one, but she do not make her remedies because is afraid for the NC law and her patients are ordering the remedies on their own. I ask her two times- is it OK to use dry dose and she said : Yes.
I still did not give to my son any remedies and I am thinking to visit the other homoeopath and will be very expensive. THANKS for all of you who wrote, but I am still very confused.
THANKS. Maria

[Dave Hartley]

Hi Shannon,

This is a sort of "modern science" risk assessment.

You cannot reasonably measure the son's risk of aggravation, and the
mother's pain in that event, were she to ignore her valid concerns for the
sake of not rocking the boat with a homeopath.

YES, it is a fine idea to take the question up with the homeopath.
No, I have no interest in trying to take over a case from far away.

YES, I have seen very long lasting and very traumatic aggravation caused by
giving an individual with above-average sensitivity dry 1M.

There can be no reasonable "assume it works ok as a rule" in this regard.

We do already have EXCELLENT "rules" which cover this ground.

Minimum Dose. Above all, do no harm.
Dave Hartley
http://www.localcomputermart.com/dave
Santa Cruz, CA (831)423-4284

[Shannon Nelson]

Hi Maria,

If the homeopath you have found uses dry doses but you are otherwise happy
with her, please do not be afraid to do as she says. Remember that most of
the past 150 year history of homeopathy was achieved using dry doses (4th
ed. Organon and before), and most prescribers in US and some other places
still use exclusively dry doses, watch-and-wait, 4th ed.

While I do not mean to undercut the value of this move toward 6th ed and
water dosing (not at all!), I do think it's important to keep it in
perspective.

Repeat: if you have found a good homeopath with whom you feel comfortable,
and the only "problem" is that they use dry doses, heck, stick with 'em.
Would you refuse to drive a Ford (or whatever) because it isn't a Mercedes
(or whatever)? Some of us would, but most of us don't have the luxury, and
would be silly to take that position. Use what's available to you.

Regards,
Shannon
on 8/1/02 9:24 PM, Maria Hristova-Kazmierski at MariaSweets@msn.com wrote: