Minutus

I need some help/insight into a modality issue.

A patient comes into our clinic, she works nights. She has been on the night shift for years. She says my ___X____ symptom (s) is (are) always worse at nights.

Upon questioning - the symptom is always worse when she is at 'HER' night from 7 am until 12 pm. This issue of being worse during the times she sleeps came up a few times. She always said, I am worse at night, -

There is a hx of the syphiletic miasm in her family.

Can anyone let me know if < nights would apply to this person as it is her sleep time?

A rhetorical question perhaps, but an interesting one.

Would love a good discussion on this.

Warmly, Maria

Are her symptoms syphilitic?

Her night is being affirmed as her point of view since she chooses to call 7 am - noon night. The Px's perspective takes priority over norms.

How does she feel about her sleep. Do her sleep symptoms bother her? Are they elaborate? Is the issue night or sleep. How would you differentiate?

Ellen Madono

She appears happy with her schedule.
Was just wondering if it could be repped out worse night since it is not night.

Could always use worse sleep.

Am splitting hairs here.
Sx not totally Syphiletic, prob more tubercular but have not worked out case yet.

I agree that her perception is very important. AND in use of rubrics, I would read “night” rubrics w/o thinking them to be definitive. I would instead lean toward worse sleep, and even worse lying. Safer.

I remember hearing that when considering agg from northeast wind or some specific direction that one needs to consider the author and what country they were in when creating the rubrics.
In a similar consideration it is interesting to think about a person who wakes at 2 am. Does that mean we have to limit our consideration to 2 am or is it more about 2 hours after sleep for the person who goes to bed at midnight every night..?

Yes, Marie. Good question.
Sherill
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com]
Sent: Friday, July 31, 2015 4:31 PM
To: minutus@yahoogroups.com
Subject: Re: [Minutus] Modalities - < night
She appears happy with her schedule.

Was just wondering if it could be repped out worse night since it is not night.
Could always use worse sleep.
Am splitting hairs here.

Sx not totally Syphiletic, prob more tubercular but have not worked out case yet.

Robin Murphy used to say that the Kali's aggravate around 3:00 am. Is this an astronomical time ( I tend to adjust for daylight savings time).
And people who do the bodily symptoms discuss the times of the day each organ is supposed to be stronger at different times

Is that adjustable?
Lycopodium is < morning and sags between 4-8 pm. Is this dependent on the bedtime of the patient or is this pretty characteristic?

Anyone trained in other modalities who can shed light on this?

I don't understand: she works night shifts....is that when she is worse, or is it when she tries to sleep at night when she is NOT working?

Dr. J. Rozencwajg, NMD.

"The greatest enemy of any science is a closed mind"

www.naturamedica.co.nz

She kept telling me she was worse at night. She has injuries from a traumatic accident. When I kept questioning her it seems to be aggravation during the time she is trying to go to sleep - during what she called 'her night' at 7;00 am. She takes a two hour nap before going to work and said nothing about aggravation a at that time.

In my understanding, night is related to the disappearance of sunlight, the darkness, the change in melatonin secretion...night shifts do perturb that seriously and sometimes permanently (my wife and I are living examples....), so maybe the sleep rubrics are more adequate as already suggested.

Joe.

Dr. J. Rozencwajg, NMD.

"The greatest enemy of any science is a closed mind"

www.naturamedica.co.nz

HI Maria,
Seems to me that this is a case of failing to have melatonin when she has "her night" as melationin is triggered by darklness.
This is different from a case of being UNABLE to sleep at night for some other reason than working at night.

To illustrate a different situation for contrasting with your case:
I also sleep in the morning but need more hrs than just 7 to noon, more like 7am to 2.30pm.
I can not sleep at night and have given up trying becasue I have a high cortisol level and cortisol and melatonin fight a lot, making it HARDER to sleep when melatonin is produced. I can fall asleep in a minute at 7am when the melatonin goes down. (I make the house dark however.)

SO then to go back to your case, it seems to me this is not to do with melatonin preventing sleep.
The work prevents night sleep.
So the aggravation during/after sleep, I woudl rep using "during sleep" ir "after sleep".
I would like to include circadian disruption at work - suppressing night sleep - but am not so sure you will find related rubrics.
You may need to research the effects of being awake at night in general, (somewhere like PubMed) and check if she has any of those symptoms to include.
I do not think you can use these kind of rubrics here - nor the Lyc afternoon one.
I always skip rubrics that are iffy in favor of those that are KNOWN for sure, to apply.

In a way she CHOOSES to sleep in the day, in that she could choose a job that has no night shifts.
SHe had no gun to her heaf to do night shift, maybe she enjoys it, (another rubric.)
You might explore why she chose that, and how she feels about it, in case it has relevance.
So in other words, explore the CAUSE of her sleeping in the day more in depth.
(I also call it "my night" - but that is not a good rubric determinant.... "during sleep" is accurate as a rubruc.)
My cause of day sleep (maintaining cause of that abnormal activity) would be different from hers for example, and would matter to the case.

I would stick to rubrics you are sure of, either way.
Just look for enough of those to define the case uniquely.

Namaste,
Irene
--
Irene de Villiers, B.Sc AASCA MCSSA D.I.Hom/D.Vet.Hom.
P.O. Box 4703 Spokane WA 99220.
www.Furryboots.info
(Info on Feline health, genetics, nutrition & homeopathy)
"Man who say it cannot be done should not interrupt one doing it."

Thanks Irene,
Had not known about the melatoin/cortisol connection, makes a lot of sense, we do have a rubric that is sleeps better towards morning, might be one to look at.

My husband was a disabled veteran (Korean conflct), he was a night person, and my youngest child is like that also, from the time she was an infant, could always sleep better late at night and their preference would not be out of bed until at least 11:00am.

My husband was an artist and worked in the Theater field, great for him, he wouldn't even get home unitl after the theater ended, then cleaned up, drove home around 3:00 am. I could never get used to that time, I would go to bed at 9:00 pm and wake when he got home, spend some time with him, go back to sleep and I was up @ 6:00 am - never could sleep past 8:00 am.

Perhaps we should be the ones to start looking at those night time sleep patterns. In my area there are a lot of 'night shift' people, and many with rotating schedules which is probably much worse and harder on the body.

As for that patient, she is a cocktail waitress - don't know if she could find other work, but she has been doing it for 6 years or more.

What do you see for possible remedies for 'night people', and yes, I will stick to the rubrics that I am comfortable that will fit for the patient's case.

There is the syph miasm, pretty strongly in this case, so that drove me to consider the 'nightime aggravations' which do not indicate who's 'night' we are discussing.

If syphilitic miasm is < at night is it because nothing is going on and they are bored or not distracted (a big yes for tuberculer miasm as that fit my husband 100%, however upon his passing I came to realize he would have been a Thuja, couldn't see it as I was too close, but he was most certainly grossly over vaccinated during his life.

Gee we picked an interesting, but most complicated, line of work.

But I love it.

Warmly, Maria