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Case management question

Posted: Thu Jan 24, 2002 3:45 am
by Charlotte Gilruth
Dear Friends,
I've got a difficult situation with one of my clients. He is a
self-described drug addict, who smokes marijuana almost every day and
sometimes takes unnecessary pain killers, with codeine, for instance. I
decided to treat him because he had gone off drugs when we first started
about three months ago, and he still seems sincere about wanting to heal
although he has fallen off the wagon, I hope temporarily.

It's been hard for me to tell how often to give the remedy. I've been
working with 200c and 30c so far. I should probably switch to LM.

Have any of you had experience with giving remedies along with drug use?
Any insights anyone can offer on any aspect of such cases would be greatly
appreciated.

Thanks!

Charlotte

Re: Case management question

Posted: Thu Jan 24, 2002 5:12 am
by Holly Earley
i have given patients LM incase drugs antidote the remedy's action - but in
clinic there was alot said that if the remedy is well choosen it will not
antidote - i did a research paper on antidoting said the proper choosen
remedy will never be antidoted. BUT the patient may be drugging themself to
cover up alot of their case - these are numbing drugs. you may find the
remedy will not hold because you have not been able to get to the centre of
the case.

but i did find that a well indicated remedy, has brought a consciousness
regarding their own drug taking and some patients have decided to stop after
realising that it was hindering thier healing.

good luck - remember there is a reason they are taking these drugs and they
may not be ready to address those issues on the first, second, tenth,
consultation - but if you keep at it - the best thing is proper
consultations and treatment with a well indicated remedy.
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Re: Case management question

Posted: Thu Jan 24, 2002 6:38 pm
by Joy Lucas
Dear Charlotte, I think many Homeopaths, myself included, get clients who
have been on long term drugs (and this includes allopathic prescriptions as
well as 'leisure' drugs). This is often because they decide to see a
homeopath way down the line of their diseased state. Often we are the last
hope sort of scenario. When this happens to me I always ask to what extent
the client is prepared to cease their drugs. In very severe or long term
drug taking this cannot and should not be done too quickly because of
addiction and side effects. This is surely the same with 'leisure' drugs as
well.

You have choices though:- you can refuse to take on the client. I have
colleagues who won't take on women who are on the 'pill'. You can decide to
put them on a cleansing regime - nux vom and sulphur for example, until they
appear to be drug free. You can take the case and see if you can still see a
clear remedy picture, one that isn't harnessed by the drugs, and prescribe
this remedy in the chosen potency to suit the situation. If giving up
certain drugs is part of the healing process then the client will do that
helped by the remedy - they will decide.

However we cannot assume or judge that a client HAS to give up what they are
taking. I like to believe that Homeopathy isn't as fragile as that, and that
the true simillimum will cure regardless. If a maintaining cause presents
itself in the form of spoiling the remedy (and this can be anything not just
drug taking), then careful questioning throughout the follow up interview is
necessary. You really have to know if you have prescribed the healing remedy
in the first place. If this is the case then I don't reaaly believe there is
any need to change potency just because of the maintaining cause - you just
might need to repeat more often. The potency choice is almost as important
as the remedy choice - it should match the dynamics of the circumstances.

I have had clients who have been on horrendous cocktails of drugs and always
found a way through. You have to listen to your client and not judge as to
whether they should be taking these substances or not and don't let this
cloud and decisions about either Rx or potency.

If you have been giving high potencies and he has only had one relapse that
is really quite good - how does it fit in with other aspects of the case? Is
there really a need to change potencies? One aspect of LM's is they give the
client some chance of interactivity - it get them involved with remedy far
more than taking a tablet - and this might provide a valuable involvement
for your client. Get him to take the LM Rx at a time when he might use other
drugs.

Anyway these are just my thoughts - hope they help. Best wishes, Joy Lucas
Joy
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Re: Case management question

Posted: Fri Jan 25, 2002 6:50 pm
by Rosemary Hyde
I agree with Joy. Most of my patients are people who have suffered for a
long time and have taken or are taking other drugs on a long term basis. I
find that the simillimum works with them. It's more complex than with a
"naive" (drug-free) patient, because it's important to figure out and
discount symptoms that are simply the result of the drugs. It also
generally takes longer for such people to heal -- you don't get the really
strong satisfaction of finding a clear simillimum, administering it, and
seeing a rather prompt and inclusive clearing of symptoms that happens with
relatively treatment-naive patients. So it makes treatment more
frustrating. But homeopathy still works.

Rosemary C. Hyde

Re: Case management question

Posted: Fri Nov 29, 2002 10:06 pm
by Valeriana
Dear Maria,

I just read a post on a German list, saying that „if Rhus tox doesn´t do
the job, Rhus radicans will“. The plants and their provings are very
similar to each other, according to the poster. Guernsey is quoted in
saying that Rhus rad acts deeper as Rhus tox. I have no MM available,
but maybe you or someone else has it.

Best wishes,

Valeriana

Re: Case management question

Posted: Tue Jun 01, 2004 6:00 am
by Laura Peterson
Hello all,
I recently tried psorinum on my oldest son to help resolve a case of
tonsillitis and swollen glands. The tonsillitis remedies rarely have any
lasting effect and the episodes of tonsillitis have been recurring for
several years now. During this last occurence, Belladonna helped the
fever but did not cover the swollen cervical lymph nodes. As a
complement to Belladonna, I tried Calcarea carb. It did not help.
Neither did Lycopodium. I tried one dose of Psorinum 6C and got a
positive response from him. He said that he felt better. He wanted to
repeat that one, so I gave him Psor. 200C (that is what I had on hand).
He felt better but the tonsils were still swollen and had white spots on
them. It had started on the right tonsil and moved to the left. The
glands were still swollen but not as painful. I gave him Lyc 30C and the
tonsils started getting better. The next dose was Lyc 200C and the
tonsils resolved. He also discovered a swollen gland in the groin area.
The Lycopodium caused his 'acne' on his thighs to get worse and then
better. The 'acne' is a skin condition that has been there and also did
not respond to remedies. I repeated the Lycopodium 200C in water. The
glands and skin condition are both getting better.
Now for the question. If Lycopodium does not completely resolve the
glands or the skin condition, would it be better to repeat Lycopodium 200
C again or try Psorinum again? Mentally, he has been expressing a fear
of something bad happening in the future,and an inability/unwillingness
to take care of himself. This is not a new symptom either. Any
thoughts and suggestions are welcome. I can give more details if needed.
Thanks,
Laura Peterson

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Re: Case management question

Posted: Tue Jun 01, 2004 6:17 am
by Patricia Hatherly
Dear Laura

Keeping in mind the maxim that one of the "needs" for a nosode is to
progress a case that has not been responding to Rx and observing that your
case has moved along nicely since the Psor, I'd be inclined to leave
well-enough alone and go with the Lyc again & only if necessary.
You could repeat the 200C or move to the LMs which affords you a more
wide-ranging and gentle latitude.

You have not given a time-scale so for now it might be best to do
nothing....just wait and watch! The S/S have moved to he skin which is a
good sign in terms of Hering's Law; the skin can be well-supported with good
nutrition and hygiene.

kind regards
Patricia

Re: Case management question

Posted: Tue Jun 01, 2004 4:53 pm
by sacredqi888
--- In minutus@yahoogroups.com, "Charlotte Gilruth"
wrote:

use?
greatly

I have found my intention and attitude determine the outcome. When I
felt that my pts would antidote by drinking coffee and inhaling
aromatic substances many of the m did.
Dr Banerjea shared with me a story of how a woman addicted to betyl
nuts (a narcotic type substance that is red and stains the mouth and
tongue and makes it numb and is sucked a lot)

Her remedy worked even though she took it with the betyl nut in her
mouth.

That changed my attitude. I have even had really good success
treating people on steroids with great results so they are now drug
free.

I have personal experience of good results using homeopathy on top of
codeine and other opiates. Also Nux vomica can help people stop
addictions and addictive behaviors even while on the substances so
why can't other remedies overcome the same.

If I don't get the results I desire and I feel it is the drugs
interfering then I give LM's daily cos if they antidote it then they
are getting another dose soon. I recognize the body can get
overwhelmed with drugs but my attitude is my homeopathic is
morepowerful for balance.

If they are truly addictive they may also like taking something more
often as most people are amazed when I say one poppy seed size pellet
may last 6 weeks to 3 months depending on them. OK so they have a
hard time believing that and sometimes I have to sac lac them to
appease their western mind.

Our medicine is very powerful and works to rebalance from the inside
out.

The chemicals are artificially working on the organism. I feel the
inate intelligence of the body's wisdom is to find homeostasis which
would make it desire to work with homeopathy more than the drug. So
that may be why I get really good results when they are on drugs.

I hope this helps,

Sunny