Re: Case management question.
Posted: Tue Dec 03, 2002 11:46 am
Protocol ? (argh.)
I detest that word, as it carries for me connotations of routinism.
Even after the demurral of allopathically trained colleagues, who describe
protocol as a 'flexible' set of constraints (theoretically fully)
circumscribing the treatment of a given case-at-hand....
Nothing suits this definition to my mind, when it comes to homeopathy.
The whole theory, art, & practice of homeopathy (as we grasp "the whole" and
continue to learn more of it) is the only thing that seems to me to suit.
It is always important to be very reluctant to change a remedy which has
been working well.
There are three errors, says Hahnemann, that we are all liable to make :
"1st the selection of the improper remedy, 2nd, the improper potency; and,
3rd, not letting the remedy act a sufficient length of time."
When using the medicinal solution (liquid posology, per 5th Organon
recommendations for all potencies and 6th Organon recommendation carried
thru to new LM potency) .. we can first try increasing the size of the dose
&/or the dynamization of the dose. If this fails to provide a healing
response after suitable interval of time (depending on pace of case
heretofore) ..
In a case with other than LM potency, I would test (using ART techniques) to
see if a different potency showed potential susceptibility sans aggravation
(people who will not consider ART may be satisfied with
G.uessing A.t S.usceptiblity, I prefer using a physical examination
technique which has been proven by others, and taught to me, and proven to
my satisfaction in my own use) -those who rely on 'protocol' might generally
give a "test dose" of another potency, than wait & watch for some suitable
interval .. it is pretty common, especially with LM's, to progress up the
potency scale during treatment of chronic case... if moving up one LM step
did not move a case which had previously been progressing satisfactorily, I
might likely test a jump to two or three steps higher.
To set the stage for your question, the preceding .. plus the knowledge that
Maria is a very astute homeopath who is well aware of these things leaves us
little need to immediately consider the "three errors" mentioned above..
Maria likely has reason to believe that she has a well-chosen "simillimum"
which seems that it "should" still be moving the case forward.
My suggestion, which I would *hate* to have thought in terms of a protocol,
would simply be to consider a well-selected remedy that is focussed less on
particular presenting pathology and more on thinking of a "stuckness" at the
level of chronic miasmic basis of case; which may in some cases mean a
nosode, in others the appropriate anti-miasmic... with Lyme, we have what
appears to be a largely suitable anti-miasmic in Ledum. Just very generally,
(and needful of adjusting to suit the particular case) I would think that a
mid-high range potency, (centessimal or LM) one dose in medicinal solution;
wait & watch for period of time reasonable considering pace of the
intercurrent remedy, and pace of the case.. see where that takes things,
decide whether to go back & try the original Rx or not.
regards,
Dave Hartley
www.Mr-Notebook.com
www.localcomputermart.com/dave
Seattle, WA 425.820.7443
Asheville, NC 828.285.0240
I detest that word, as it carries for me connotations of routinism.
Even after the demurral of allopathically trained colleagues, who describe
protocol as a 'flexible' set of constraints (theoretically fully)
circumscribing the treatment of a given case-at-hand....
Nothing suits this definition to my mind, when it comes to homeopathy.
The whole theory, art, & practice of homeopathy (as we grasp "the whole" and
continue to learn more of it) is the only thing that seems to me to suit.
It is always important to be very reluctant to change a remedy which has
been working well.
There are three errors, says Hahnemann, that we are all liable to make :
"1st the selection of the improper remedy, 2nd, the improper potency; and,
3rd, not letting the remedy act a sufficient length of time."
When using the medicinal solution (liquid posology, per 5th Organon
recommendations for all potencies and 6th Organon recommendation carried
thru to new LM potency) .. we can first try increasing the size of the dose
&/or the dynamization of the dose. If this fails to provide a healing
response after suitable interval of time (depending on pace of case
heretofore) ..
In a case with other than LM potency, I would test (using ART techniques) to
see if a different potency showed potential susceptibility sans aggravation
(people who will not consider ART may be satisfied with
G.uessing A.t S.usceptiblity, I prefer using a physical examination
technique which has been proven by others, and taught to me, and proven to
my satisfaction in my own use) -those who rely on 'protocol' might generally
give a "test dose" of another potency, than wait & watch for some suitable
interval .. it is pretty common, especially with LM's, to progress up the
potency scale during treatment of chronic case... if moving up one LM step
did not move a case which had previously been progressing satisfactorily, I
might likely test a jump to two or three steps higher.
To set the stage for your question, the preceding .. plus the knowledge that
Maria is a very astute homeopath who is well aware of these things leaves us
little need to immediately consider the "three errors" mentioned above..
Maria likely has reason to believe that she has a well-chosen "simillimum"
which seems that it "should" still be moving the case forward.
My suggestion, which I would *hate* to have thought in terms of a protocol,
would simply be to consider a well-selected remedy that is focussed less on
particular presenting pathology and more on thinking of a "stuckness" at the
level of chronic miasmic basis of case; which may in some cases mean a
nosode, in others the appropriate anti-miasmic... with Lyme, we have what
appears to be a largely suitable anti-miasmic in Ledum. Just very generally,
(and needful of adjusting to suit the particular case) I would think that a
mid-high range potency, (centessimal or LM) one dose in medicinal solution;
wait & watch for period of time reasonable considering pace of the
intercurrent remedy, and pace of the case.. see where that takes things,
decide whether to go back & try the original Rx or not.
regards,
Dave Hartley
www.Mr-Notebook.com
www.localcomputermart.com/dave
Seattle, WA 425.820.7443
Asheville, NC 828.285.0240