headache/sinus case
Posted: Thu Oct 07, 2004 4:43 pm
I've been treating a now 45 year old woman since November/02. I have
not yet found the similimum. Please help! Here is the complete case.
Any thoughts will be appreciated. Thanks!
Tamara
Patient's Medical History:
Anemia, Influenza, Measles, Mononucleosis, Osteopina, Strep throat,
Sinusitis
Family Medical history:
Anemia, Arthritis, Asthma, Epilepsy, Heard disease, Osteoporosis, Thyroid
Injuries/Surgery
Water on knee - age 8
Back Injury - age 17
Physical appearance and my observations
- very slim, medium height with dark hair
- intellectual - cannot express emotions
- seems to speak through clenched teeth
- has a Nat-m-ish quality to her
Main concern: Headaches - started 13 years ago
- had beer in a restaurant and suddenly a sharp pain like an ax
across head
- lasted for days
- took "feverfew" and tried acupuncture - nothing helped
Since March/02 the headaches are different
- starts as R sinus pain - approximately once a month
- monthly headaches, starts on R eye and moves upwards settling on top R
- can be on left as well
- headaches last 3 days, they can start 4- 10 days before start of period
- dull pain with heaviness
- usually wake up in a.m. with a headache "it can wake me up if severe"
rest
Weakness and achyness in knee
No pregnancies, never married. Last relationship was 10 years ago. "I
am very picky".
Personality
- I used to be a teacher, but left teaching years ago. I liked
students who wanted to learn but didn't have the creativity to motivate
the ones that did not
- I like things in a neat orderly fashion
- don't like clutter or messy things
- feel calmer in neat and tidy surroundings
- enjoy routine
- I never get excited
- always planning my day - have lists
- love time alone - crave one day a week to read, cook or bike
- very rarely get angry - keep anger in
- get sad more than angry
- feel guilty after becoming angry - they won't like me any more
- if physical security is threatened can lash out - happened a few
times as a kid
- get embarrassed easily
- get bored easily
- cannot cry in front of people, it shows weakness and no control
- usually up person, but can get depressed especially in July/Aug
- get anxious when people are late or when I have to wait for
something to start
- get anxious about having things in a certain way - orderly etc.
- if I think I can't control something can get me anxious
- must move around - strong internal need to move, exercise
- don't like confrontation, will avoid it at any cost
- when people give me the cold shoulder I take it personally
- I blame myself when things don't work out
- When growing up it was important for people to like me, I would be
tortured if they didn't. It's not so important now
- I can get envious over close relationships
- biggest worry "if people like me"
Fears/phobias
- drowning in salt water - mom made me gargle with salt water when I
had strep throat
- strange sounds at night - feel as though someone got in
- fear of painful death
- fear of poverty at old age, and no one to take care of me
Childhood
- pretty happy
- we moved around a lot
- I remember: (she remembers only the physical accidents)
o falling off bicycle and chipping front tooth
o climbing a tree falling out
o brother's hand getting caught between car door
o falling and hurting knee - leg so swollen couldn't sit in the back seat
- remember waking up and thinking I was all alone in the house at age
2 - when brother was born
- difficult relationship with mother- she expects me to be married
(why, why?)
- mother is very critical of me
- difficult relationship with brother - he's always right, it's like
walking on eggshells
- I feel as though I am the central support of the family
My brother married had 3 kids and he's a deadbeat father to those children
He's always away from the family.
____________
Remedies given since initial consultation in November/02. The ones that
helped were repeated without any results.
Ars. 30 - made her agitated, impatient and nervous
Nat-ars 30
Kali-muir 1M - calmed her down - headaches were shorter but more severe
Kali-bi 1M
Nat-m 200
Kali-I 200
Sil 200
Kali-c 200
Carc 1M - stopped sleeping through the night
Nat-c 200
Merc-sol 30
Nat-s 200 - made sinuses very dry
Rhus-t 12C
Thuja 200
Kali-s 200
Sepia 200 - no headache for over a month then back to normal, Repeated
Rx with no difference
Zinc 200
Carc LM 1 - headaches less frequent and lasting shorter, but nose more
and more dry and bleeding
Mag-m
Amm-m
Kali-m
Bry
[Non-text portions of this message have been removed]
not yet found the similimum. Please help! Here is the complete case.
Any thoughts will be appreciated. Thanks!
Tamara
Patient's Medical History:
Anemia, Influenza, Measles, Mononucleosis, Osteopina, Strep throat,
Sinusitis
Family Medical history:
Anemia, Arthritis, Asthma, Epilepsy, Heard disease, Osteoporosis, Thyroid
Injuries/Surgery
Water on knee - age 8
Back Injury - age 17
Physical appearance and my observations
- very slim, medium height with dark hair
- intellectual - cannot express emotions
- seems to speak through clenched teeth
- has a Nat-m-ish quality to her
Main concern: Headaches - started 13 years ago
- had beer in a restaurant and suddenly a sharp pain like an ax
across head
- lasted for days
- took "feverfew" and tried acupuncture - nothing helped
Since March/02 the headaches are different
- starts as R sinus pain - approximately once a month
- monthly headaches, starts on R eye and moves upwards settling on top R
- can be on left as well
- headaches last 3 days, they can start 4- 10 days before start of period
- dull pain with heaviness
- usually wake up in a.m. with a headache "it can wake me up if severe"
rest
Weakness and achyness in knee
No pregnancies, never married. Last relationship was 10 years ago. "I
am very picky".
Personality
- I used to be a teacher, but left teaching years ago. I liked
students who wanted to learn but didn't have the creativity to motivate
the ones that did not
- I like things in a neat orderly fashion
- don't like clutter or messy things
- feel calmer in neat and tidy surroundings
- enjoy routine
- I never get excited
- always planning my day - have lists
- love time alone - crave one day a week to read, cook or bike
- very rarely get angry - keep anger in
- get sad more than angry
- feel guilty after becoming angry - they won't like me any more
- if physical security is threatened can lash out - happened a few
times as a kid
- get embarrassed easily
- get bored easily
- cannot cry in front of people, it shows weakness and no control
- usually up person, but can get depressed especially in July/Aug
- get anxious when people are late or when I have to wait for
something to start
- get anxious about having things in a certain way - orderly etc.
- if I think I can't control something can get me anxious
- must move around - strong internal need to move, exercise
- don't like confrontation, will avoid it at any cost
- when people give me the cold shoulder I take it personally
- I blame myself when things don't work out
- When growing up it was important for people to like me, I would be
tortured if they didn't. It's not so important now
- I can get envious over close relationships
- biggest worry "if people like me"
Fears/phobias
- drowning in salt water - mom made me gargle with salt water when I
had strep throat
- strange sounds at night - feel as though someone got in
- fear of painful death
- fear of poverty at old age, and no one to take care of me
Childhood
- pretty happy
- we moved around a lot
- I remember: (she remembers only the physical accidents)
o falling off bicycle and chipping front tooth
o climbing a tree falling out
o brother's hand getting caught between car door
o falling and hurting knee - leg so swollen couldn't sit in the back seat
- remember waking up and thinking I was all alone in the house at age
2 - when brother was born
- difficult relationship with mother- she expects me to be married
(why, why?)
- mother is very critical of me
- difficult relationship with brother - he's always right, it's like
walking on eggshells
- I feel as though I am the central support of the family
My brother married had 3 kids and he's a deadbeat father to those children
He's always away from the family.
____________
Remedies given since initial consultation in November/02. The ones that
helped were repeated without any results.
Ars. 30 - made her agitated, impatient and nervous
Nat-ars 30
Kali-muir 1M - calmed her down - headaches were shorter but more severe
Kali-bi 1M
Nat-m 200
Kali-I 200
Sil 200
Kali-c 200
Carc 1M - stopped sleeping through the night
Nat-c 200
Merc-sol 30
Nat-s 200 - made sinuses very dry
Rhus-t 12C
Thuja 200
Kali-s 200
Sepia 200 - no headache for over a month then back to normal, Repeated
Rx with no difference
Zinc 200
Carc LM 1 - headaches less frequent and lasting shorter, but nose more
and more dry and bleeding
Mag-m
Amm-m
Kali-m
Bry
[Non-text portions of this message have been removed]