Minutus

The patient is a 4 yr old boy who has just been diagnosed with
Juvenile Arthritis.

The child has presented with a `mystery fever' since the age of 6
weeks with no other accompanying symptoms. The fever appears and
disappears quickly – possibly an early indication of the arthritic
condition.

The child is happy, healthy [otherwise] has no food or medication
related allergies and is not a sickly child. The only ongoing
complaint he has is that of the `mystery fever' which I have already
mentioned and believe is synergetic with the inflammatory condition.

Which remedy has proven most effective in the case of J.A.
specifically; and should any preference be given to dosage and
repetition of the medications?

Any input would be greatly appreciated. I've not treated a child
before.
Karen DeNoble
kdenoble@sympatico.ca

Would think this mystery fever must have been a virus and the modalities present then important. I wonder if there was any rash ?/German Measles
Ardavan's new work in this area would be relevant.
http://www.minutus.org .
I am looking forward to others input, Best Wishes jean

Treating a child of 4 is no different than treating an adult in so far as
you have to find the constitutional Rx. Ask the Mum to describe him/her and
if you don't get a lot from that ask the name of his/her best friend and ask
how the best friend would describe him/her. Watch the child at play and how
he/her communicates with you and the parents. Ask about the pregnancy and
the feelings surrounding it. Ask about the birth. Ask about milestones etc
etc. When did these fevers start? From a vaccination?
I have a patient with JA - started age 16. I gave 1 dose of the remedy and
it staved it off again until she was 18. She then decided to go on
methratraxate and when her hair started falling out came off it and back to
me when I repeated the remedy again and at the moment she is back in
remission. In this case the Rx was Carc but there were good reasons for
giving that Rx from her case history.

Rochelle
Registered Homeopath
EFT(Advanced) Practitioner
www.southporthomeopathy.co.uk

Hi-
I do not think that any one or group of remedies need be identified as
applicable to JA- follow the same general principles - in the past
nobody would have known that this is JA as there would not have been
the tests to run to make an early diagnosis. So it would have been a
recurrent fever that comes and goes suddenly. I think you need to find
medicines that would cover this picture. Since there are no other
symptoms you need to get the fever picture more thoroughly. Once you
get that whatever remedy that covers it must also cover the patient as
a whole. When there are no other symptoms, symptoms of the acute will
also point to the chronic medicine.

In general treating children is easier. You get to the core symptoms
easy without ego defenses put up by adults. Get both verbal and
non-verbal cues. Watch out for any information that the parents or
siblings voulnteer. Keep your analysis simple.

In this case that the fever started at infancy itself is relevant and
a symptom. Fever comes suddenly and goes suddenly is another, You
might know of this rubric in Boericke ( in Generalities) that says
"complaints appear suddenly and cease suddenly"-

Bell, Cact, Carb.Ac, Eup.perf, Eup.pur, Ign, K Bich, Lyc, Mag.p,
Nit.ac, Oxytrop, Petrol, Poth, Strych, Tub

You can cross reference this to Rheumatism or Fever in Children etc.
Better still get some more characteristics about the fever itself,
more in day time ,evening, night time,
any mental or other changes during the fever,
does the parent remember the first time the fever came,
any relation to vaccination (important) ,
other concomitants during fever-
nausea, appetite and thirst changes,
constipation etc.

This would be a good starter.

Definitely consider Tuberc now or at some point.
-- In minutus@yahoogroups.com, "harridan37" wrote:

Also, if I remember right, carc has the keynote of unexplained fevers
in childhood?? So should maybe be among the group to consider?
Shannon

If this child was vaccinated, very possibly hep b vaccine reaction -
typical auto immune disturbances after hep b vax at 12 hours of age.

The remedy depends on all the symptom picture, not just the JA.
Emotional, mental, generals and physicals - all of them need to be looked
at and most unique for him repertorized.
The name of the disease isn't as important as the above, other than knowing
what are common symptoms for JA. Find his unique symptoms.
Also what makes better or worse - hot or cold; weather effects: time of day
better/worse and so much more.
Everything about him - how he relates to others, does he prefer to play
alone, and on and on, same as for an adult

Also find out what went on in pregnancy and around birth - many clues there
of emotional state

Also, as always I recommend using remedies in water potency so can test and
go gently. See Dr. Luc de Scheppers books explaining Hahnemann's way of
practicing in his later years

Achieving and Maintaining the Simillimum
pracititioner working with chronic cases
From http://www.wholehealthnow.com

ALWAYS individualize dose and potency - if he is very sensitive, then needs
8 oz dilution bottle and 1 tsp or less from that bottle into 4 oz dilution
cup and 1 tsp from that and wait and see results in the first few days.
Really need to become familiar with how to do this before trying.

If he was vaccinated with hep b at birth, he probably got other vaccines
which have added to the disturbance. I would encourage no more vaccines.
If mom says had no vaccines, he may have gotten hep b vax in hospital
without her knowing or against her wishes - happens all the time.

Where do you practice?
Sheri
--------------------------------------------------------------------
Sheri Nakken, R.N., MA, Hahnemannian Homeopath
Well Within & Earth Mysteries & Sacred Site Tours (worldwide)
Vaccination Information & Choice Network
http://www.nccn.net/~wwithin/vaccine.htm
http://www.nccn.net/~wwithin/homeo.htm
homeopathycures@tesco.net
ONLINE Introduction to Homeopathy Classes - next ones March 2007
ONLINE Introduction to Vaccine Dangers Classes - next ones March 2007
ONLINE Intro to Diseases - Risk, Reality & Alternative Treatment next ones
March 2007
Voicemail US 530-740-0561 UK phone from US 011-44-1874-624-936

Thank you for the input. I was able to fully interview mother and child last evening and have more detailed information for the group regarding this case.
The child is male; slight of build, blond haired, blue eyed, fair complexion and 'slight of stature' but has well defined muscle tone and structure. He stands a little over three feet and weighs not quite 40 lbs.
As for the fever - again; since this child was 6 weeks old on the odd occasion he will suddenly spike a fever with :
NO - swelling
NO - rash
NO - irritability
NO - edema
NO - vomiting
NO - coughing
NO - headache
YES - joint pain - esp. the knees and hips but more so in the knees.
YES - to radiant heat emanating from the entire body. You can hold your hand an inch away from him and feel the heat.
YES - eyes glossy during fever. The eyes clear once the fever is abated.
The fever comes - lasts for 2- 12 hours sometimes longer and is not accompanied by any other complaint or diagnosable illness.
The child has had all of his vaccines - including meningitis; as is required by the school board. He did not show any adverse side effects from the vaccines at the time nor since. Again - the fever's began when the child was 6 weeks of age.
I found it curious that the fever brings no other symptom and is easily abated with rest and aspire. This was my first indication that it could very well be an arthritic associated fever or rheumatoid associated fever. [Interior inflammation] I have known the child since birth and can attest to the fact that he is healthy; happy; follows a strict well balanced diet - his mother is extremely diligent about what he is fed; he is happy, intelligent, jovial and does not complain of much of anything even when he is feeling low. The only other aspect that is going on is his legs became incredibly sore this past weekend to the point where he could not stand up. There was no exterior swelling of the muscle tissue or joints. The joints were cool to the touch. He was not lethargic - but rather irritated that he couldn't go outside and ride his bike .."because my legs won't work for me"...is exactly how he described this latest episode that took place over the past weekend.
These episodes are intermittent throughout the year and do not seem to be affected by seasonal changes or allergens.
His mother has requested that he not be medicated by anyone until his blood work comes back and she has a firm diagnosis from the rheumatologist on the condition. She has expressed to all physicians that steroidal treatment is out of the question and she is prepared to administer Motrin and or Advil when necessary only. She has already made an appointment with a Yoga instructor to teach them both proper stretching techniques and he will begin his first yoga class this weekend! [this I think is fantastic!! - good for Mom!]; and the mother would like for all physicians to work together on this case - allopathic and homeopathic. I will have access to his appointment with the rheumatologist as she has asked me to accompany them to the appointment so that I can speak directly to the other physician - again - something I think is fantastic and having spoken to the rheumatologist already I am understanding that this will be a very good working relationship. The interest in homeopathic and their affects on rheumatoid conditions is of particular interest to this physician and so I am considering us all very lucky to have this opportunity to blend modalities. This also gives me access to all diagnostics run on the child - the most invasive being the blood samples that will be taken the day of the appointment. I believe an X-ray has been ordered and post that possibly a CT of the lower body to determine growth patterns of the bone etc.
Query --> is there a preference for dosages for children?? What are the best dosages for children as a general rule?? In my readings I see more often than not the 6C potency being the most common for children. I thank all for their input.
Karen DeNoble.

>
last evening and have more detailed information for the group regarding
this case.
complexion and 'slight of stature' but has well defined muscle tone and
structure. He stands a little over three feet and weighs not quite 40 lbs.
occasion he will suddenly spike a fever with :
hand an inch away from him and feel the heat.
accompanied by any other complaint or diagnosable illness.
required by the school board. He did not show any adverse side effects
from the vaccines at the time nor since. Again - the fever's began when
the child was 6 weeks of age.
abated with rest and aspire. This was my first indication that it could
very well be an arthritic associated fever or rheumatoid associated fever.
[Interior inflammation] I have known the child since birth and can attest
to the fact that he is healthy; happy; follows a strict well balanced diet
- his mother is extremely diligent about what he is fed; he is happy,
intelligent, jovial and does not complain of much of anything even when he
is feeling low. The only other aspect that is going on is his legs became
incredibly sore this past weekend to the point where he could not stand up.
There was no exterior swelling of the muscle tissue or joints. The joints
were cool to the touch. He was not lethargic - but rather irritated that
he couldn't go outside and ride his bike .."because my legs won't work for
me"...is exactly how he described this latest episode that took place over
the past weekend.
affected by seasonal changes or allergens.
blood work comes back and she has a firm diagnosis from the rheumatologist
on the condition. She has expressed to all physicians that steroidal
treatment is out of the question and she is prepared to administer Motrin
and or Advil when necessary only. She has already made an appointment with
a Yoga instructor to teach them both proper stretching techniques and he
will begin his first yoga class this weekend! [this I think is fantastic!!
- good for Mom!]; and the mother would like for all physicians to work
together on this case - allopathic and homeopathic. I will have access to
his appointment with the rheumatologist as she has asked me to accompany
them to the appointment so that I can speak directly to the other physician
- again - something I think is fantastic and having spoken to the
rheumatologist already I am understanding that this will be a very good
working relationship. The interest in homeopathic and their affects on
rheumatoid conditions is of particular interest to this physician and so I
am considering us all very lucky to have this opportunity to blend
modalities. This also gives me access to all diagnostics run on the child
- the most invasive being the blood samples that will be taken the day of
the appointment. I believe an X-ray has been ordered and post that
possibly a CT of the lower body to determine growth patterns of the bone etc.
best dosages for children as a general rule?? In my readings I see more
often than not the 6C potency being the most common for children. I thank
all for their input.

This is very likely vaccine related as I have said - the hep b vax and
birth and adding all the others on top of it. When so very chronically ill
from the first vax, will not have further other type of reactions from the
vaccines. It will look like he has no reaction to the vaccines, but he is
too ill to react. I will share a recent email from Dr. Luc.

This is his HUGE reaction to the vaccine with insult added to injury with
every subsequent one.

There are vaccine exemptions in every state. To continue to vaccinate him
will only hurt him further.

Please read what I wrote about dosages. There is no standard dosage for a
child
Depends on chronic or acute. Sensitivity of the child

To be safe can always start with 6C in water potency as I have described,
but you really need to become familiar with how Hahnemann used water
potencies as explained by Luc de Schepper.

Where are you practicing?
Sheri
--------------------------------------------------------------------
Sheri Nakken, R.N., MA, Hahnemannian Homeopath
Well Within & Earth Mysteries & Sacred Site Tours (worldwide)
Vaccination Information & Choice Network
http://www.nccn.net/~wwithin/vaccine.htm
http://www.nccn.net/~wwithin/homeo.htm
homeopathycures@tesco.net
ONLINE Introduction to Homeopathy Classes - next ones March 2007
ONLINE Introduction to Vaccine Dangers Classes - next ones March 2007
ONLINE Intro to Diseases - Risk, Reality & Alternative Treatment next ones
March 2007
Voicemail US 530-740-0561 UK phone from US 011-44-1874-624-936

Karen-

This is one instance I would probably agree with Sheri that there is
probably a relationship to his shots. Especially so since there are so
few guiding symptoms. Looks one sided and like vaccinosis as Burnett
would have it is blanketing the system.
your hand an inch away from him and feel the heat.
abated.

Have you ever tried just Bell for him? - and then see if any of the
follow-up medicines come up ?
accompanied by any other complaint or diagnosable illness.
What are the best dosages for children as a general rule??

In general - no; I have mostly used 30 and went up from there.
Sometimes I have used 6 also and of course I have used 200 and 1M as well.
Generally in water but I have given dry too without any problem.
In my readings I see more often than not the 6C potency being the
most common for children. I thank all for their input.