cases
Posted: Mon Jan 21, 2002 2:06 pm
Dear All, for those of you interested in doing some case work here is a
cured case (with the Rx omitted) which you may feel free to comment on and
guess the remedy (supported by rubrics, repertorisation and Materia Medica
work if you can). Hope you find this interesting. Best wishes, Joy Lucas
RSHom.
Male, 49, presented with typical symptoms of M.E. + a host of other physical
symptoms
Appearance and observations = tall, thin, slightly greying hair, extremely
quietly spoken, smart casual dressed.
Everything started 6 months previous
Spoke first about his sinus problems - dull ache, not eating meat, bowels generally normal.
Also prostatitis which began in 1989, some burning, sharp pain sometimes,
had UTI in 1975 with a lot of itching around genitals, no discharge, H/O
a/b, DX with enlarged prostate.
Memory is bad all the time, feels confused and numb, so tired
NBWS shingles after death of father 5 years earlier, there was a lot of
grief (he wept at this point), then his mother died, he caught everything
going - minor things but a slow decline.
On careful questioning the problems actually started much earlier. As a
child he was always "thumped", became frightened of people, very timid and
had no confidence, felt physically weak even then.
Tried to hide all his Sx, frightened about what people might think "they
mustn't find out".
Hasn't worked for a long time, got too tired to cope with it all, <<< stress
of any kind, weak on all levels, he was in a no win situation and told he
was no good at his job, "I was kicked from behind and squashed from above",
realised he just couldn't do the job, felt lonely, can't make decisions
"assume I will be wrong", can't take responsibility, feels lost, drinks to
keep going (could be addictive)
Calls himself a perfectionist, fussy over things "things have to be right,
look right". "I don't allow myself to make mistakes"
Gets tired with too much information, can't process - short span, never
coped well with pressure. "I have no social graces, I am shy and really
introverted", behaves to suit others.
Has no temper??? fears it could get out of hand, father had a violent
temper.
At this point I let the conversation rest and while I was writing some notes
I looked to find he had his head in his hands and was looking at me from
behind his fingers - this happened twice more throughout the case taking.
Appetite not good, no real desires or aversions, + coffee, cheese, salt.
Used to be a heavy smoker, has now given up.
Sleeps a lot because he is always tired but it is not quality sleep, can't
remember dreams.
H/O warts, many years ago mainly on fingers
gets cysts on ear lobes which sometimes get infected with yellow discharge.
Rx.....................
One week later he phones to tell me about a skin eruption, left armpit, he
has had this before, it appears to be travelling down his arm. After taking
the Rx he slept for 2 days, "felt dreadful, wasn't sure if I was ever going
to wake up" His wife told him he had been talking a lot in his sleep.
Another week and he phones to say the eruption is now round his ankles,
prickly and very itchy but he can tolerate it. Still very tired but has
taken to reading a lot while he is resting. Since the remedy he wakes early
in the morning 5 am. Feels on edge and nervy because the numbness has gone.
"I feel as if I have been taken apart and not quite put back properly."
Action?.................
He had promised to phone me in 2 weeks (or before if necessary) but it was 2
months later when he phoned for an appointment. He had been on holiday and
had a good time but had a badly infected throat, lived on liquids for 3
days. There was no holding on head in hands and he was speaking with much
more confidence and louder. The skin eruption had disappeared without
trouble. The only current Sx was a discharge from the nose in the morning,
thick and yellow. He had also applied for a job and was awaiting interview
date.
Action?..................
He now phones occasionally to let me know how he is getting on.
Hope you find this useful and I look forward to your thoughts.
Best wishes, Joy Lucas RSHom
cured case (with the Rx omitted) which you may feel free to comment on and
guess the remedy (supported by rubrics, repertorisation and Materia Medica
work if you can). Hope you find this interesting. Best wishes, Joy Lucas
RSHom.
Male, 49, presented with typical symptoms of M.E. + a host of other physical
symptoms
Appearance and observations = tall, thin, slightly greying hair, extremely
quietly spoken, smart casual dressed.
Everything started 6 months previous
Spoke first about his sinus problems - dull ache, not eating meat, bowels generally normal.
Also prostatitis which began in 1989, some burning, sharp pain sometimes,
had UTI in 1975 with a lot of itching around genitals, no discharge, H/O
a/b, DX with enlarged prostate.
Memory is bad all the time, feels confused and numb, so tired
NBWS shingles after death of father 5 years earlier, there was a lot of
grief (he wept at this point), then his mother died, he caught everything
going - minor things but a slow decline.
On careful questioning the problems actually started much earlier. As a
child he was always "thumped", became frightened of people, very timid and
had no confidence, felt physically weak even then.
Tried to hide all his Sx, frightened about what people might think "they
mustn't find out".
Hasn't worked for a long time, got too tired to cope with it all, <<< stress
of any kind, weak on all levels, he was in a no win situation and told he
was no good at his job, "I was kicked from behind and squashed from above",
realised he just couldn't do the job, felt lonely, can't make decisions
"assume I will be wrong", can't take responsibility, feels lost, drinks to
keep going (could be addictive)
Calls himself a perfectionist, fussy over things "things have to be right,
look right". "I don't allow myself to make mistakes"
Gets tired with too much information, can't process - short span, never
coped well with pressure. "I have no social graces, I am shy and really
introverted", behaves to suit others.
Has no temper??? fears it could get out of hand, father had a violent
temper.
At this point I let the conversation rest and while I was writing some notes
I looked to find he had his head in his hands and was looking at me from
behind his fingers - this happened twice more throughout the case taking.
Appetite not good, no real desires or aversions, + coffee, cheese, salt.
Used to be a heavy smoker, has now given up.
Sleeps a lot because he is always tired but it is not quality sleep, can't
remember dreams.
H/O warts, many years ago mainly on fingers
gets cysts on ear lobes which sometimes get infected with yellow discharge.
Rx.....................
One week later he phones to tell me about a skin eruption, left armpit, he
has had this before, it appears to be travelling down his arm. After taking
the Rx he slept for 2 days, "felt dreadful, wasn't sure if I was ever going
to wake up" His wife told him he had been talking a lot in his sleep.
Another week and he phones to say the eruption is now round his ankles,
prickly and very itchy but he can tolerate it. Still very tired but has
taken to reading a lot while he is resting. Since the remedy he wakes early
in the morning 5 am. Feels on edge and nervy because the numbness has gone.
"I feel as if I have been taken apart and not quite put back properly."
Action?.................
He had promised to phone me in 2 weeks (or before if necessary) but it was 2
months later when he phoned for an appointment. He had been on holiday and
had a good time but had a badly infected throat, lived on liquids for 3
days. There was no holding on head in hands and he was speaking with much
more confidence and louder. The skin eruption had disappeared without
trouble. The only current Sx was a discharge from the nose in the morning,
thick and yellow. He had also applied for a job and was awaiting interview
date.
Action?..................
He now phones occasionally to let me know how he is getting on.
Hope you find this useful and I look forward to your thoughts.
Best wishes, Joy Lucas RSHom