I goofed
Posted: Thu Jun 02, 2005 3:27 am
Dear Group,
It is with a very humble hanging head that I come with one of those
homeopathic errors that we all dread. I'm actually hoping to get some
feedback about what may have been my mistake, and where to go.
Briefly, I saw a patient last Thursday who is 7 months pregnant with her
second child. She had just finished her third consecutive course of
antibiotics for UTI. She was only 2 days off the ab's and was having
symptoms again -- no surprise. She has also been having serious premature
contractions and has been in and out of hospital with these. She was
complaining of stitching back pain which radiated to the pelvis, worse for
lying on the back. She had burning pains in the urethra on urination --
worse midstream. There was a cycle of pain which would start in the back,
radiate to the pelvis, and end up in full blown contractions. Additional
urinary symptoms include burning around the genitals after urination, better
for cold water washing. She also had urinary incontinence which she
associated with the pregnancy, also constipation -- only since advanced
pregnancy. Passing stool relieved the back pain. The urinary pains are
severe enough, especially at night, that she often shrieks in pain with
them. Her mental/emotional picture was unremarkable aside from considerable
anxiety about her husband's missing the birth as he works overseas.
I hope that gives a good enough general picture. I gave her cantharis 30 to
start -- I was concerned about a UTI and wanted to nip it in the bud (so to
speak), although I usually am inclined to more classical prescribing. She
called the next day and said that she had slept through the night without
pain for the first time. I moved her on to sepia 200 which was the remedy I
thought most indicated at this time. I received a message on Monday that she
had been hospitalized on Sunday night with a raging fever, shakes,
hallucinating. She has been diagnosed with advanced kidney infection, is on
intravenous ab's and will be on ab's until she delivers. My guess is that
the urinary infection was there all along, but I am concerned about why the
fever and general aggravation of condition would come up so dramatically
after the remedy. I feel as though I have mismanaged this case badly, and
would like some feed-back about how other people would have handled it.
Also, I wonder where I can go from here. Is there anything I can do if she
remains on ab's -- I'm thinking LMs perhaps. And, she is concerned about the
effect of all these ab's on her baby. Anything that could be done now?
I really appreciate any feed-back. These are the days when being a homeopath
isn't too much fun.
Beth
[Non-text portions of this message have been removed]
It is with a very humble hanging head that I come with one of those
homeopathic errors that we all dread. I'm actually hoping to get some
feedback about what may have been my mistake, and where to go.
Briefly, I saw a patient last Thursday who is 7 months pregnant with her
second child. She had just finished her third consecutive course of
antibiotics for UTI. She was only 2 days off the ab's and was having
symptoms again -- no surprise. She has also been having serious premature
contractions and has been in and out of hospital with these. She was
complaining of stitching back pain which radiated to the pelvis, worse for
lying on the back. She had burning pains in the urethra on urination --
worse midstream. There was a cycle of pain which would start in the back,
radiate to the pelvis, and end up in full blown contractions. Additional
urinary symptoms include burning around the genitals after urination, better
for cold water washing. She also had urinary incontinence which she
associated with the pregnancy, also constipation -- only since advanced
pregnancy. Passing stool relieved the back pain. The urinary pains are
severe enough, especially at night, that she often shrieks in pain with
them. Her mental/emotional picture was unremarkable aside from considerable
anxiety about her husband's missing the birth as he works overseas.
I hope that gives a good enough general picture. I gave her cantharis 30 to
start -- I was concerned about a UTI and wanted to nip it in the bud (so to
speak), although I usually am inclined to more classical prescribing. She
called the next day and said that she had slept through the night without
pain for the first time. I moved her on to sepia 200 which was the remedy I
thought most indicated at this time. I received a message on Monday that she
had been hospitalized on Sunday night with a raging fever, shakes,
hallucinating. She has been diagnosed with advanced kidney infection, is on
intravenous ab's and will be on ab's until she delivers. My guess is that
the urinary infection was there all along, but I am concerned about why the
fever and general aggravation of condition would come up so dramatically
after the remedy. I feel as though I have mismanaged this case badly, and
would like some feed-back about how other people would have handled it.
Also, I wonder where I can go from here. Is there anything I can do if she
remains on ab's -- I'm thinking LMs perhaps. And, she is concerned about the
effect of all these ab's on her baby. Anything that could be done now?
I really appreciate any feed-back. These are the days when being a homeopath
isn't too much fun.
Beth
[Non-text portions of this message have been removed]