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Guidance on case management of ongoing cases

Posted: Mon Aug 10, 2015 8:11 pm
by Sharon Hamel
Dear All,
I am having some trouble with a couple of ongoing cases and would love some input.
Both of these cats have ongoing chronic issues, mainly upper respiratory issues. I have repped them and I use the Fibonacci series of potencies. At the lower potencies the cats respond making progress then progress stops so we move to the next potency. Then finally that next potency does not help at all.
Client #1 may be dosing too frequently but without the daily dose, symptoms worsen slightly. The cats symptoms have changed in that the eyes are watery more frequently and is a bit grumpy. My only thought is this is a case where the remedy has done all it can and another needs to be determined. ??? Any other thoughts, suggestions? Client #2 after graduating in potency a few times, progress just halts. Sometimes symptoms change on client #2 but they are always within a certain set of symptoms. Have been through this same situation previously with other remedies on both cats. I am very frustrated. I do have some successes but with cases like this, I question if I’m in the wrong field. :-/
Thank you in advance.
Blessings,

Sharon Hamel, D.Vet.Hom.

Re: Guidance on case management of ongoing cases

Posted: Mon Aug 10, 2015 8:49 pm
by healthinfo6
Please read up on using intercurrent remedies. Sometimes a remedy stops working and needs a break. Using another remedy for one or more doses, then going back to the prior remedy shows it now works again. If you're treating chronic miasm based illnesses, then the intercurrent could be the antimiasmatic nosode. Otherwise it could be the constitutional or another related remedy. I think Nux Vomica is used to clear a case from other remedies so possibly used as an intercurrent if you have no other clear choice.
Since you're working with cats, it might be clearer to figure out their constitutional remedy and I'm sure Irene can suggest her method for determining a cat's ICT based on their temperament and/or breed and other factors.
Susan

Re: Guidance on case management of ongoing cases

Posted: Mon Aug 10, 2015 11:52 pm
by Dr. Joe Rozencwajg, NMD
Have you finished the whole series? patient do not necessarily react to each step in potency, so if there is no reaction to the "next" potency after 2 test doses, move on to the next one and so on.

Joe.

Dr. J. Rozencwajg, NMD.

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

www.naturamedica.co.nz

Re: Guidance on case management of ongoing cases

Posted: Tue Aug 11, 2015 2:49 am
by Leilanae
Hi Sharon,

What is the underlying miasm?

Were any of the remedies given related to this miasm?

Atb,

Leilanae

Re: Guidance on case management of ongoing cases

Posted: Tue Aug 11, 2015 9:22 am
by Sharon Hamel
Thank you for your response, Susan. Any suggestions on reading material for intercurrent remedies? I have not done a lot with miasmic remedies.
I have worked with Irene on repertorizing constitutionals. I know the steps to take but, don’t always seem to determine the remedy. At times I have been able to determine with confidence a cats constitutional, however, I with these two cases so far, I have not been able to do so. In both cases, I went for the simillimum.
From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com]
Sent: Monday, August 10, 2015 2:49 PM
To: minutus@yahoogroups.com
Subject: Re: [Minutus] Guidance on case management of ongoing cases
Please read up on using intercurrent remedies. Sometimes a remedy stops working and needs a break. Using another remedy for one or more doses, then going back to the prior remedy shows it now works again. If you're treating chronic miasm based illnesses, then the intercurrent could be the antimiasmatic nosode. Otherwise it could be the constitutional or another related remedy. I think Nux Vomica is used to clear a case from other remedies so possibly used as an intercurrent if you have no other clear choice.
Since you're working with cats, it might be clearer to figure out their constitutional remedy and I'm sure Irene can suggest her method for determining a cat's ICT based on their temperament and/or breed and other factors.
Susan

Re: Guidance on case management of ongoing cases

Posted: Tue Aug 11, 2015 9:22 am
by catlovr
Hi Leilanae, i don't know the underlying miasma and no miasmic remedies (nosodes) have been given.
Blessings,
Sharon Hamel, D.Vet.Hom

Sent from my U.S. Cellular® Smartphone

Re: Guidance on case management of ongoing cases

Posted: Tue Aug 11, 2015 9:23 am
by Sharon Hamel
Thank you, Dr. Joe. No we have not finished the series. One client is at 55c and the other at only 13c. This is the point, I question myself as to whether or not I’ve chosen the best remedy. :-/
Blessings,

Sharon Hamel, D.Vet.Hom.

From: minutus@yahoogroups.com [mailto:minutus@yahoogroups.com]
Sent: Monday, August 10, 2015 5:52 PM
To: minutus@yahoogroups.com
Subject: Re: [Minutus] Guidance on case management of ongoing cases
Have you finished the whole series? patient do not necessarily react to each step in potency, so if there is no reaction to the "next" potency after 2 test doses, move on to the next one and so on.

Joe.

Dr. J. Rozencwajg, NMD.
"The greatest enemy of any science is a closed mind"
www.naturamedica.co.nz

Re: Guidance on case management of ongoing cases

Posted: Tue Aug 11, 2015 11:38 am
by Irene de Villiers
Dear Sharon,
Toss the cases my way to take a look at ICT if you like.
Also look for maintaining causes when a case seems unresponsive to a well selected remedy.

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."

Re: Guidance on case management of ongoing cases

Posted: Tue Aug 11, 2015 3:43 pm
by Shannon Nelson
Hi Sharon,
Sounds like he is worsening, even as the treatment continues? This together with your suspicion that dosing may be *too* frequent (rather than not frequent enough), sounds to me like the remedy has been only palliative, and its ability to palliate is wearing off. In other words yes, need to find a better remedy.

Or, if his current condition is better than when he started, but progress has stalled, then I would say the remedy has done all it can do, and find the next.
It sounds to me like you need more training to help you use miasmatic remedies! (what we call miasms) are in fact the *root* of all chronic disease. Without an understanding of miasms and miasmatic remedies, and how to use them, I think that any successes you have in treating chronic illness -- whether in animals or in humans -- would be very hit-or-miss… I think that the "constitutional" remedies, and the ones in Irene's ICT observations, are all miasmatic remedies, as are many others in common use for even acute situations -- but you need to know when and how to use them, and you need to know when and how to use nosodes as well.

Well, that's my take on it anyway, with animals as well as with people.

Do you have a place where you can deepen your study into the treatment of chronic diseases?

Shannon

Re: Guidance on case management of ongoing cases

Posted: Tue Aug 11, 2015 5:17 pm
by Irene de Villiers
:-)
Sharon is quite the expert at chronic diseases as it happens, it is most of her practice.

Every experienced homeopath has cases that seem not to follow the way we expect.

IMO, it it is not a sign of poor ability, but rather a sign of good ability -that the homeopath cares enough to stick a neck out in public for advice on those, in order to do the best they can.
F series use takes time to get really familiar with, as does ICT use, and the latter is not always easy to determine, the science is too new and not enough remedies are documented yet. (Largely my fault as I find it hard to make time for all that I want to do.) But the results are worth the learning curve.....
I would not advise a traditional miasm remedy in either of these cases at this stage.

In cats, recently, there is a new and more severe chronic issue as a result of new longterm drugs. The drugs, eg Convenia, are approved ony for dogs in specific uses, but vets can not read, and are handing them out like candy to cats. I am seeing deaths that I suspect are from interactions between convenia and other drugs, and in some illnesses convenia has a very high rate of causing fast death. Who knows what it is doing inside the poor cat. Those with cats on this list shoud beware!
Sharon - it may be worth asking about suppressive drugs in the background. Convenia has becone an absolute scourge for one, it has VERY longterm adverse effects and may be a maintaining cause. (One may have to make a remedy....?). Just a tought.
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."