Re: baby case, does my case analysis make sense?
Posted: Sat Nov 19, 2011 5:49 pm
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
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