Oops, I hope I didn't say that her cramps subsided when she took Vitamin D
-- that had no effect whatever on them, tho she has been taking Vitamin D
for many years and her blood levels of that are normal. But when she takes
2,000 mg daily of *calcium* she has no cramps, altho small amounts aggravate
the cramps. I am trying to understand that part...
Another question -- do I need to be familiar with anything about
hyperparathyroidism in order to choose my characterizing symptoms? I
realize there are sort of "two schools of thought" re casetaking, with some
folks saying you can forget diagnosis, just go with the symptom picture; and
others saying that symptoms which are common to the disease are not so
useful for prescribing. And others saying that symptoms "of the disease"
are the only ones we should prescribe on at all, sigh... I would try that
approach if I could recognize a characterizing picture within the disease
symptoms (aka basis for choosing a remedy!).
A specific example: One of her presently huge symptoms is a sort of
obsessiveness about certain things (and there are other ars-like aspects
too, but ars does not seem to have helped so far) -- she subscribes to (gag)
about 20 health newsletters, and also gets *enormous* quantities of
advertising and catalogues, such that (according to her) a huge proportion
of her time goes to dealing with it (sorting, bagging, and reading some of
the advertising and catalogs). She does not have time to actually *read*
much of it (to the point that social calls have become a harrassment,
instead of the pleasure she used to take in them), so we've begged her to
unsubscribe from most of the newsletters and request to be taken off most of
the mailing lists, but she flatly, adamantly and sometimes furiously
refuses. I'm being told (or at least it's being suggested/implied?) that
this could be part of the hyparparathyroid/ hyhpercalcemia symptom picture,
tho I haven't read this anywhere. Do you know? Have either of your
patients had any similar symptoms?
She is also I would say full of "fixed ideas".
She has extreme scoliosis -- but since this is (at least mostly?) from the
spinal effects of the osteoporosis, maybe this isn't a prescribing symptom
either?
Thankyou!
Shannon
on 8/25/04 6:12 AM, J Lucas at
j.lucas@ntlworld.com wrote:
