Minutus

Hello Claudia,
Some exceptions for me. Like when a patient is a student of homeopathy or
has access to matmed and I know they will look up the remedy. I prefer the
patients unbiased feedback rather than a regurgitation of Sx from the texts
or a diatribe on why they don't think that is the right remedy. Once the
remedy is working I reveal the remedy on follow-up.
Sometimes easier said than done. I also find that placebo can be useful if
there is an aggravation which I feel is not sever but the patient would
otherwise want to take something. Good example is Nat mur. aggravations.
If they get a headache in the beginning, I usually find this is shortlived
and usually not so severe as usual. This I abse on the patients report. So
a few lac sac tablets are given to be taken prn and the result is the
patients always report later that the headche cleared and now they are
feeling better tahn ever. Naturally if an agg. is severe enough I would
take a different approach.
Take a patient with issues of doubt, suspicion and mistrust and expect them
to have "faith". Doesn't always work. In my early days , giving a person a
vial of Ars alb 200 and telling them to take one dose and wait, and I will
tell them when to take again, - ha!! I always found they took the whole
vial.
Can work, but doesn't usually last. If positive mind alone was fully
capable of healing we should see many more cases cured by psychologists.
Practitioner needs to decide what is in the best interests of the patient.

Regards,
Paul

Dear Paul and Claudia,
I think both your points of view are valid although personally I adhere
rather to Claudia's as I find that if people are empowered with information
and explanations about the treatment which they can understand and relate to
they are usually co-operative. I will even go so far as explaining the
symptoms I have actually prescribed upon and showing it in a book.

Providing alternative explanations for reactions or non-reactions (because
in an uncontrolled environment there are always options) also helps. In this
manner patients become empowered and I find empowered patients get better
and enjoy the practitioner relationship in a healthy way.

As far as the 'iffy' names for medicines go if they ask and it's say
Medorrhinum I tell them I'm quite happy to tell them what it's made of but I
think they'll probably not want to take it.

I know this not how others necessarily operate but there are such a thing as
ethics and these need to be viewed in the context of present day
professional health practice - not that of the 18 and early 1900's.

sue

prescribing of Placebo is not a question of ethical or unethical. It is
prescribed only to wait the desired action of the selected medicine to come.
If you ask patients to wait they may agree but it has been seen in practice
that during placebo prescription patients improves drastically and always
ask for placebo to which he believes the right medicine and not the selected
medicine.
Dr. Sahni
www.homoeopathyclinic.com

-
Dear Dr. Sahni,
You wrote:

Yes it is because it involves deceit except in trials where patients give
informed written consent and know they could be receiving placebo. If the
patient asks for it, as you have said, then it is not placebo. Placebo
involves the patient not knowing that it is not real medicine.

It is
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Miasms/aphorism
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Dear Sue,
Placebo has very important role especially when you prescribe medicine only
on the basis of mental symptoms. In this new approach only single remedy &
single is prescribed and it is always followed by Placebo. If you take
consent of the patient it won't work. Patient must have the feeling that
Doctor is listing to him properly and prescribing him the right medicine.
For more details you can go through the article "New Approach to
Homoeopathy" at www.homoeopathyclinic.com in the services section, in
articles subheading. Consent is essential where you are going for big
surgical procedures including MTP, Family planning operation or where there
is a danger to the life of patient.

regards,
dr sahni