Been having some computer trouble...so finally have this case to present for feedback/thoughts please. I'm unable to use Radar at the moment so Rx considerations are only those that have first come to mind off the cuff BEFORE any repertorising or analysis
I am leaning towards Phos, or Phos family, but it is now after midnight and I am just not able to think anymore and my eyes are too tired to read my repertories. I've been quite ill the past few dys so must retire to bed and hope to be able to think a little more clearly in the morning!Look forward to your comments,
Tan.
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Pt = Joe______ V1..5/1/11
DOB: 14/09/2001…9yoa
Wgt: 27-27.5 kilos as at 14/09/2010
Hgt: 134cms
Mother (M) & Father (F) …both Aust. Mother attended consult with son.
P/C: Snake bite 10 mths ago. M believes immune function still lacking and needs boosting. Been fatigued since snakebite! However, did also get a bad start as a baby and has had certain troubles since such as h’aches and sensitive GIT.
[M has nursing background, astute and observant]
Prior Txs: Had some Chiro Tx....no real result. Has never been on medications, herbs or vitamin supplements.
Joe born Lismore Base Hospital.
Birthing: No troubles prior or during conception, or life trauma during pregnancy.
M had Pregnancy Induced Hypertension (PIH) so given antihypertensive meds, also with her other pregnancies.
Sxs: really swollen, fluid legs, ankles…nothing else apparent.
After 3rd child (last), no further conventional meds for PIH.
Issues for Joe…day was born, norm delivery whereas Tom and Max had to be induced BUT within 11 hrs of birthing…Joe was acting like he had drug withdrawal Sxs…screaming cerebrally, agitated and restless moving wildly on sheep skin on floor.
Joe did not sleep a lot, cried a lot, vomited a lot, diffic to get on the breast…then would vomit…seemed in pain all the time. 3 boys within 2.5 yrs, all very close together. All reflux babies. They said Joe reflux too but he was much worse than the other 2 boys.
7mths old & pregnant w 3rd child -> Joe bottle fed, wgt gain was ok.
As toddler would scream and behave AI had migraines… photophobic avoiding light and put head in pillow.
Dr suggested drug Periactin…didn’t take it…we limped along and got by.
Milestones all being met…walked early etc, so appeared pretty normal.
3 yrs ago one pupil dilated (L), freaked out a bit and talked to vet friend… fear of tumour...get onto it and did next day.
GP: suggested iron deficient but M didn’t believe that as only one eye involved. Always the left eye and still happens occas… complains of migraines, dizziness, tingling fingers, double vision.
Another GP: Did full work up but bloods etc fine, suggested to see opthamologist…no result.
-> Paedeatric neurologist who gave Dx of ‘Complex Migraine Process’. Again suggested Periactin but we resisted and did not use it. 6yo when saw neuro guy…neuro stuff may get worse or better as teenager.
H’ache: frontal, will hold/indicate to forehead at hairline. Wants to lie down and stays there till starts vomiting which then makes feel >. Then has a sleep which further makes >>.
Not aware of anything else that makes > or > SLEEP.
If looks a bit pale and greenish in AM keeps Joe at home.
Often a Monday after the weekend!
With h’ach...dizziness, tingling fingers, double vision, and photophobia.
Vomit just fluidy bile as mostly in the AM long after dinner at night and before had breaky. Feels > after vomiting.
M FEELS FATIGUE THE REAL CULPRIT!!! Though Joe keeps up with a lot can look tired…most often happens on Mon after a weekend, espec after lots of activities, too much stimulation, more often in summer coz of sun/longer dys. got worse during ambo ride…emerg overnight…swabbed for the black snake…coags monitoring going off…then coags improving so still no AV. Very sensitive to touch, v painfull. Dr Chris Ingal looked after him. Renal function showing decline mid Mon morning…M convinced that Joe not improving so talked Dr into AV and was given it Mon approx 36 hrs after bite.
Bite on L big toe, some blood showing after bite, swollen half way up leg, site looked festering/necrotic more than bruised, no other haemorrhaging.
Was back at home on the Tue...back at school on Fri…went to swim carnival on Sun…Mon foot looked like cellulitis -> prednisone and AH (antihist.) and ABs, had rest of week off…then back to school.
Has to to tap with feet or tap w hands if has to sit for any time…ALWAYS MOVING & DOING THINGS.
[restless but not ratty, still remains quite sweet]
V restless in bed, and sweaty upper body and head, wets pillow. [Joe shows the restless moving, tossing about action.] Says will put feet out from covers if hot. Otherwise brings sheet up to level of collar bone. M walks in on him and finds him covered and sweaty w a million stuffed animals. Has to sleep w Jeffery, teddy bear, who goes everywhere with Joe, even on holiday.
Cant sleep on tummy, prefers on sides, foetal position.
Sleeps with fan on all the time. Likes airflow. Prefs windows on car down too.
Habits: twists fringe and L sideburn…Joe says helps me concentrate.
Checking habits: NTN.
Sexuality: Doesn’t play w self or show any odd behaviour etc.
Impulsive: NTN.
Moods, Joe: Older Br makes me angry.
M says understandable as oldest the difficult one. Doesn’t get v angry…can be a little drama queen if gets hurt…over the top but over it quickly too, otherwise v happy, tries v hard to please, laughs a lot…great sense of humour.
Music, Joe: Like music, don’t know how to dance…don’t like to dance.
What upsets, Joe: Upset by being teased.
Company, Joe: Like company, s’times like being on my own. Only like nice company, don’t like angry.
M: None of the kids clingy, no trouble to go to pre school no crying. Go w anybody v comfortable w other pp, talk to random strangers, no fear of them! Has to teach them to be mindful of strangers. Affection good, not shy as baby either but not needy. No sibling rivalry or jealousy.
Reprimand: might get teary, remorseful...feels hurt.
Consolation: Loves it, and loves to be fussed over.
Personality, Joe: SPORTY, FIT, nice, funny, smart, blonde hair, blue eyes, friendly. Likes friends with similar interests and in activities but not to be obese.
Teachers say well behaved, well mannered.
F: Gets on well with Joe, good relationship. Farming soy beans, CRT...grain storage facility… grows trees for harvest.
ALWAYS HUNGRY, worm them every school holidays. On townwater.
Fave colours, Joe: red, black, s’times purple.
Fave clothes, Joe: In summer just light, just undies, even when not hot just undies, don’t like tight clothes, avers neck wear, hats…M prompts but Joe doesn’t hate. Not tight jeans, avers scratchy…like soft fabric, like satin pillow case, likes satin ribbon on face.
Showers/bathing, beach etc all good. Water family.
Best enviro, Joe: City too noisy no space. Mountains enough space and not too much noise. Beach don’t want to live there.
Best/worst time of day: Best mornings unless h’ache. Worst afternoon when just come home from school, bit tired.
EENT: small face, tubes, arteries confined but fine. Some exercises for eye to help keep eyes straight, in partic the L.
Teeth likely to need braces, crooked fronts, mild bite prob. XR revealed 3 adult teeth missing.
Skin: NTN, no birthmarks. Has had a plantar wart on his L foot.
Perhaps bites nails?
N/S: NTN
M/Skel: NTN
CircN: NTN
FH:
F: NTN
M: NTN
M F: 3 heart attacks…last 4yrs ago
M GF…heart attack
M side all cardiac!
F side some cardiac, one melanoma, some depression, one uncle took life.
Br Tom: allergic Penicillin
Tan’s obs:
Fair complexion with clear, good skin, blonde fine hair, blue eyes. Fine, delicate features...silicea-like but without the shyness or chilliness. Norm hgt for age, though not underweight is of lean build. Wearing simple black shorts and a white cotton T-shirt. Friendly, open demeanour, not at all shy, very sweet natured, cheeky smile at times in a charming way...Phos-like. Easy to talk to and engaged well. Comfortable with M and her discussion...not rebellious, defiant, sullen or stubborn etc...listening well and understanding what was said, agreeable, not suscpicious, didn’t interupt, able to add things when prompted. Can’t sit still and keeps busy in a gently exploring way around the office and verandah. Not destructive or cross. Needed to have a run down my long driveway for something to do, play with toys and books from kitbag I offered etc. Able to answer questions without any awkwardness. Wasn’t impatient to leave till right at the end of the consult when he said he was getting hungry. Seems basically a well adjusted, kind natured, happy boy who enjoys life. On the day, though of slight build, didn't appear tired or weakly.
Consider: Phos, Calc-p & Phos family, Calc-f, Iod, Ferr, Sil, Zinc..........
{Supplements – Mag & B6, Zinc/Selen}
NB: No work up has been done yet!
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Disclaimer: Advice/suggestions given are not a substitute for medical or veterinary treatment!
~Tanya Nolte~
Reg'd Classical Homoeopath & Holistic Animal Practitioner
http://www.naturaltherapypages.com.au/therapist/1971