Urgent case consultation (also posted on Lou Klein's grad forum)
Posted: Fri Apr 25, 2003 5:23 pm
Member
posted April 24, 2003 03:53 PM
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This 51 y.o. female presents with chronic urticaria since Dec. 2002 after taking a Testosterone precursor to enhance her enjoyment of sex (she already had a healthy sex drive). Since then she has had to take Prednisone off and on and antihistamines to stop the hives, which begin as little bumps with white center; they grow to the size of a saucer with welts in the center and streaking red. Start on her neck and spread over her entire body with burning, itching worse heat and worse at night in bed. Not affected by baths or weather systems. Worse from getting nervous.
She is oversensitive to drugs and these drugs are making her speedy, wired, disoriented and spacy. DESPAIRING OF RECOVERY. SUICIDAL THOUGHTS today (after taking 3 doses of Apis 30C 5 days apart, no reaction from the first 2 doses, but within 24 hours of the 3rd dose,, her lips and both eyes swelled shut and her body ached all over. She is now curled up in a fetal postion and will not talk on the phone; her husband reports she has given up. Drank coffee to antidote the remedy, but only slight improvement within the past 24 hours when the reaction began. Averse consolation; needs long time alone (can be happy alone on her place in the woods for a month at a time). States she is "monkish" by nature and "my life is a meditation." Has to keep busy with projects (built their son's cabin; their own house out of recycled materials; is a Fiber Artists and weaves sculptures from aluminum, other metals. Fears SUFFERING, "a worrier about safety and happiness of her kids and husband"; worries when he's flying to his oil rig off the coast where he works 2 weeks at a time. IMPENDING DISEASE (that this won't end); FLYING (nervous); OK with severe weather and loves storms.
Gentle, angelic and loving, according to her husband. Was an angel before this happened. A Capricorn; is overanalyzing her illness and has rationalized that her disease has returned and she's incurable.
A vegetarian for 20 years; ethical and health conscious.
Skin: Had a melanoma removed a few weeks ago; no warts; lots of moles. A birthmark over her entire left leg.
Likes to be alone with creative artistic friends. I need large chunks of time alone. Strong Buddhist tendencies; A Bahai. Doesn't care for Jesus because of his suffering and pain. Prefers to be happy. I like beautiful sunset and simple things.
Dreams: World War II with women in beautiful hats; deceased father telling me someone was going to be murdered. My sister called the next day to report a murder in my dad's old house, Shared a dream with her hubby: a little girl with blue eyes in trouble; I wanted to comfort her.
A little clairvoyant: Any old place like Arlington Cemetery, Monticello, Vicksburg Cemetery brings up real bad feelings. I think I'm going to pass out; I'm not psychic, but I pick up on something. Once had a kundalini experience when she was sick, going slightly out of body.
Food desires: sweets, chocolate, pasta, breads with olive oils,
I really think the spiritual world is around me; a very spiritual person. My whole life and environment is spiritual: waterfall hanging on wall, Buddha -peaceful, dance of life; Zen garden with large rocks in front of house in woods.
Feels spacy a lot - disoriented "because this is not my tribe." I don't fit in. Was popular in high school because a good listener, but more bookish and didn't care for high school.
Low blood sugar on waking in AM - Shaky < stressful situations. Has to eat every 3 hours or gets light-headed.
Bad dreams as a child of a burnt body falling out of a container.
wonderful childhood with family. Grief of losing father and mother. Averse consolation. Wants to be left alone.
FMH: Cancer, diabetes, TB.
PMH Dental implant with steel post last year.
Breast implant 18 yrs ago.
Works out in garden and built son's cabin. Makes lists, keeps busy, "Capricorn - projects."
Meds: Antihistamines (make her psychotic and disoriented) Oversensitive to all drugs.
P: Chloralum - No change. No change in anxiety after Arsenicum,Carcinosin or Urticaria. Then this reaction to Apis.
What to do? Emergency! Please post suggestions.
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Joan Scott Lowe
Member
Member # 26
posted April 24, 2003 04:04 PM
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P.S. on Urticaria Case: Has always had problems sleeping, eratic; < perimenopause; welts < when periods start (which are irregular now). Can handle small amounts of alcohol but not large amounts (this is the reason I gave Chloralum with no change). Is despairing and considering suicide; refuses remedies or consolation. Is thirsty for large amounts of cold and warm tea. No problems with digestion.
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Joan Scott Lowe
Member
Member # 26
posted April 24, 2003 07:27 PM
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P.S.2: I'm thinking Hydrogen on this case for the delusion separate from the world, bliss alternating with suicidal thoughts and despair, desire to be alone in the woods (lives alone in the woods when her husband is off at work for 2 weeks at a time); spiritual/Buddhist; analytical/makes lists; dreams of dead people; out of body; not grounded; her life a living meditation; but too despairing to meditate now; interested in esoteric subjects, etc. Her husband states her urticaria and severe facial swelling is a return of an old symptom which happened once, so the Apis could have either produced a severe aggravation (she is hypersensitive to meds and remedies?) or she is proving it. Does anyone else see Hydrogen in this case?
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Kellie Kirkpatrick
Member
Member # 103
posted April 25, 2003 06:10 AM
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Hi Joan, is she chilly or hot? Is she irritable at all?
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Joan Scott Lowe
Member
Member # 26
posted April 25, 2003 08:16 AM
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She is hot and worse from heat. She's not irritable at all; husband describes her as "angelic" (Angelica? for being "monkish" and spiritual and ungrounded). She doesn't want to bother me, so she won't return my calls. (Not out of irritability, but not wanting to bother me). Her husband says she has given up and thinks this will never end and is considering suicide. She has always been happy until she got sick. The antihistamines and steroids make her "psychotic" as she is hypersensitive to drugs. She asked to take the Apis and I agreed because hives are worse heat and are burning and itching and stinging, with the extreme facial swelling. Do you think this is an aggravation or a proving? She also relates to Nat mur and asked for that; but now her husband says she won't take anything, and has given up, thinking the disease has returned in full force. She is extremely obliging and considerate of my schedule and does like salty and starchy and chocolate/sweets. But she does not hold grudges. Welts are better if she's cooler but cool hurts her skin. Worse overheated and they burn with a sweat shirt on. She's in perimenopause with irregular periods. After Chloralum her period was heavier, but they vary anyway. No relief from it. She wrote on 3/26: "I have taken a small piece of valium to help with the anxiety which seems at times to be constant...Can you reassure me that I will be able to get better? I feel rather alone in all of this even though I am surrounded by such a loving and supportive family who wants to do so much and yet can't seem to know what to do...." She is now curled up in a fetal position and won't take anything or let her husband touch her. She told him to leave her alone, because "It will make this easier to do" (suicide). Thanks for your help!
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[Non-text portions of this message have been removed]
posted April 24, 2003 03:53 PM
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This 51 y.o. female presents with chronic urticaria since Dec. 2002 after taking a Testosterone precursor to enhance her enjoyment of sex (she already had a healthy sex drive). Since then she has had to take Prednisone off and on and antihistamines to stop the hives, which begin as little bumps with white center; they grow to the size of a saucer with welts in the center and streaking red. Start on her neck and spread over her entire body with burning, itching worse heat and worse at night in bed. Not affected by baths or weather systems. Worse from getting nervous.
She is oversensitive to drugs and these drugs are making her speedy, wired, disoriented and spacy. DESPAIRING OF RECOVERY. SUICIDAL THOUGHTS today (after taking 3 doses of Apis 30C 5 days apart, no reaction from the first 2 doses, but within 24 hours of the 3rd dose,, her lips and both eyes swelled shut and her body ached all over. She is now curled up in a fetal postion and will not talk on the phone; her husband reports she has given up. Drank coffee to antidote the remedy, but only slight improvement within the past 24 hours when the reaction began. Averse consolation; needs long time alone (can be happy alone on her place in the woods for a month at a time). States she is "monkish" by nature and "my life is a meditation." Has to keep busy with projects (built their son's cabin; their own house out of recycled materials; is a Fiber Artists and weaves sculptures from aluminum, other metals. Fears SUFFERING, "a worrier about safety and happiness of her kids and husband"; worries when he's flying to his oil rig off the coast where he works 2 weeks at a time. IMPENDING DISEASE (that this won't end); FLYING (nervous); OK with severe weather and loves storms.
Gentle, angelic and loving, according to her husband. Was an angel before this happened. A Capricorn; is overanalyzing her illness and has rationalized that her disease has returned and she's incurable.
A vegetarian for 20 years; ethical and health conscious.
Skin: Had a melanoma removed a few weeks ago; no warts; lots of moles. A birthmark over her entire left leg.
Likes to be alone with creative artistic friends. I need large chunks of time alone. Strong Buddhist tendencies; A Bahai. Doesn't care for Jesus because of his suffering and pain. Prefers to be happy. I like beautiful sunset and simple things.
Dreams: World War II with women in beautiful hats; deceased father telling me someone was going to be murdered. My sister called the next day to report a murder in my dad's old house, Shared a dream with her hubby: a little girl with blue eyes in trouble; I wanted to comfort her.
A little clairvoyant: Any old place like Arlington Cemetery, Monticello, Vicksburg Cemetery brings up real bad feelings. I think I'm going to pass out; I'm not psychic, but I pick up on something. Once had a kundalini experience when she was sick, going slightly out of body.
Food desires: sweets, chocolate, pasta, breads with olive oils,
I really think the spiritual world is around me; a very spiritual person. My whole life and environment is spiritual: waterfall hanging on wall, Buddha -peaceful, dance of life; Zen garden with large rocks in front of house in woods.
Feels spacy a lot - disoriented "because this is not my tribe." I don't fit in. Was popular in high school because a good listener, but more bookish and didn't care for high school.
Low blood sugar on waking in AM - Shaky < stressful situations. Has to eat every 3 hours or gets light-headed.
Bad dreams as a child of a burnt body falling out of a container.
wonderful childhood with family. Grief of losing father and mother. Averse consolation. Wants to be left alone.
FMH: Cancer, diabetes, TB.
PMH Dental implant with steel post last year.
Breast implant 18 yrs ago.
Works out in garden and built son's cabin. Makes lists, keeps busy, "Capricorn - projects."
Meds: Antihistamines (make her psychotic and disoriented) Oversensitive to all drugs.
P: Chloralum - No change. No change in anxiety after Arsenicum,Carcinosin or Urticaria. Then this reaction to Apis.
What to do? Emergency! Please post suggestions.
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| IP: Logged
Joan Scott Lowe
Member
Member # 26
posted April 24, 2003 04:04 PM
--------------------------------------------------------------------------
P.S. on Urticaria Case: Has always had problems sleeping, eratic; < perimenopause; welts < when periods start (which are irregular now). Can handle small amounts of alcohol but not large amounts (this is the reason I gave Chloralum with no change). Is despairing and considering suicide; refuses remedies or consolation. Is thirsty for large amounts of cold and warm tea. No problems with digestion.
--------------------------------------------------------------------------
| IP: Logged
Joan Scott Lowe
Member
Member # 26
posted April 24, 2003 07:27 PM
--------------------------------------------------------------------------
P.S.2: I'm thinking Hydrogen on this case for the delusion separate from the world, bliss alternating with suicidal thoughts and despair, desire to be alone in the woods (lives alone in the woods when her husband is off at work for 2 weeks at a time); spiritual/Buddhist; analytical/makes lists; dreams of dead people; out of body; not grounded; her life a living meditation; but too despairing to meditate now; interested in esoteric subjects, etc. Her husband states her urticaria and severe facial swelling is a return of an old symptom which happened once, so the Apis could have either produced a severe aggravation (she is hypersensitive to meds and remedies?) or she is proving it. Does anyone else see Hydrogen in this case?
--------------------------------------------------------------------------
| IP: Logged
Kellie Kirkpatrick
Member
Member # 103
posted April 25, 2003 06:10 AM
--------------------------------------------------------------------------
Hi Joan, is she chilly or hot? Is she irritable at all?
--------------------------------------------------------------------------
| IP: Logged
Joan Scott Lowe
Member
Member # 26
posted April 25, 2003 08:16 AM
--------------------------------------------------------------------------
She is hot and worse from heat. She's not irritable at all; husband describes her as "angelic" (Angelica? for being "monkish" and spiritual and ungrounded). She doesn't want to bother me, so she won't return my calls. (Not out of irritability, but not wanting to bother me). Her husband says she has given up and thinks this will never end and is considering suicide. She has always been happy until she got sick. The antihistamines and steroids make her "psychotic" as she is hypersensitive to drugs. She asked to take the Apis and I agreed because hives are worse heat and are burning and itching and stinging, with the extreme facial swelling. Do you think this is an aggravation or a proving? She also relates to Nat mur and asked for that; but now her husband says she won't take anything, and has given up, thinking the disease has returned in full force. She is extremely obliging and considerate of my schedule and does like salty and starchy and chocolate/sweets. But she does not hold grudges. Welts are better if she's cooler but cool hurts her skin. Worse overheated and they burn with a sweat shirt on. She's in perimenopause with irregular periods. After Chloralum her period was heavier, but they vary anyway. No relief from it. She wrote on 3/26: "I have taken a small piece of valium to help with the anxiety which seems at times to be constant...Can you reassure me that I will be able to get better? I feel rather alone in all of this even though I am surrounded by such a loving and supportive family who wants to do so much and yet can't seem to know what to do...." She is now curled up in a fetal position and won't take anything or let her husband touch her. She told him to leave her alone, because "It will make this easier to do" (suicide). Thanks for your help!
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| IP: Logged
[Non-text portions of this message have been removed]