Minutus

Cannot seem to find information for px with infection (culture shows
pseudomonas) trapped in right ear. Strictly right-sided. No additional pathology.
Infection is draining very slowly as ear canal is swollen, red, very painful,
and inflamed. Fluid can be heard when ear is manipulated. Worse in open
air and worse with cold. Deep seated infection of very long duration. Very
gentle person. Tired and weak from constant pain. Dry mouth. Allopathic
treatment consisted of antibiotics without results. Have used Puls to no avail.
Sil didn't help either. Any suggestions would be very welcome.
Dr. Carol Bernat
[Non-text portions of this message have been removed]

Hi
The symptoms you have given are no fully descriptive, but based on:

EAR - INFLAMMATION - Meatus
EAR - WATER; sensation of - in ear
MOUTH - DRYNESS
MIND - MILDNESS

SULPHUR is indicated.

Please check MM and if suitable for your pt prescribe it.

I would recommend 30 c in 200 ml water. Success 10 time before every dose
and repeat every 15 minutes until a change is achieved. Stop after 5th dose
and review.

Good luck

Soroush

Could be any one of many rx and you don't say what type of pain and
where it extends to but the fact that she bears her pain without
complaining makes me think of the Belladonna and Calcarea carbonica
connection. Now that it has become a long standing acute/chronic state
and she is worn out by it suggests Calcarea to me.

Best wishes, Joy
http://www.homeopathicmateriamedica.com
http://www.homeopathicmateriamedica.blogspot.com
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How about Hepar sulph - ? Any other recurrent infections? Other chronic complaints? Had
it before? Any symptoms from then? Lying on the painful side < or any
change? What are the exact words patient uses to describe the pain and
fluid in ear?

In future you might need Tuberculinum and probably Syphilinum.
--- In minutus@yahoogroups.com, CLBernat@a... wrote:
additional pathology.
painful,
open
duration. Very
Allopathic
to no avail.

What is it that brings syphilinum to mind?
Shannon

Or even tuberculinum - how is this kind of guess work supposed to help?
Joy
http://www.homeopathicmateriamedica.com
http://www.homeopathicmateriamedica.blogspot.com
[Non-text portions of this message have been removed]

well it just struck my vital sensation that it might be the
medicine -

you know like one of the delusions that afflict viruses...

I get this wooly feeling due to my chakras spinning like crazy and I
feel like Edgar Cayce and I drop to sleep.

if you do not like my "guess work" well- throw it in the garbage -
it is as good as Bell or Calc for all I know...
--- In minutus@yahoogroups.com, Joy Lucas wrote:
help?

Shannon-
Thanks for reading my response and enquiring in a civilized manner as
against other responses. First of all - all the remedies I suggested
were only "suggestions". I did not see the case and all of us who
respond are only taking shots in the dark, If someone thinks the
remedy that they suggested is not a guess but an air-tight
prescription - esp. since the symptoms are so few and very undefined
or pathological - they need a psychiatrist for they are suffering from
some manic disorder.

If I were to give a nosode for this case ( a chronic infection with
discharge with or without corrosiveness involved) what will it be?
Whenever there is something involving liquids, fluid collection I will
think about Tuberculinum.

My Professor of Medicine used to say that whenever there is any
chronic presentation( infections, pains etc) the first thing we should
think of is Tuberculosis, the second tuberculosis and the third also
tuberculosis. Only then other Differential diagnosis should be
considered.

The homeopath who had treated the case has come up with Pulsatilla and
Silicea for treatment. Both are tubercular in my perspective. though
Puls has sycosis in it - I have found so much tubercular running in
it. Other responses for the case were Calc and (I had ) Ars.iod and
what would I think to follow this up with if I needed an intercurrent.
The first thing would be Tuberculinum/ Here the patient is tired, has
a chronic infection, fluid collections ( and Tuberculinum has
persistent otorrhea) and so I would lean towards Tuberculinum.
Syphilinum is kind of deep acting Tuberculinum.

I also have Hepar sulph as one of the suggestions, Merc. comes up
freq, Merc.dulcis as well, I might think about Syphilinum as
well.Tellurium is also anti-syphilitic if you consider its
symptomatology.

Of course you can also consider my suggestion - " guess work"...
( can you imagine any prescription in homeopathy where some guess work
is not involved. The doctor who prescribed Puls or Silicea to this
case- was that not guess work in hind sight. How many of us have 100%
cure rate in 100% cases? If we are not capable of curing 100% of our
cases we have guessed in the remaining cases. Homeopathy - by
definition - can only be a guessing medicine. That is the beauty of
it... otherwise we would be "scientific" and meet Randy in all his
rants)This is because we are trying to match remedies whose
symptomatology mostly never developed actual pathologies , to
pathological conditions, our matching of such a generally non-
pathological materia medica to diverse pathology - must be a guessing
game for most of the people - except for some highly intelligent and
evolved souls like the Joys of the world

In future you might need Tuberculinum and probably Syphilinum.
It was not my intension to arouse such a vigorous discussion. My search was
for rubics that described actual fluid/pus trapped in the ear canal, which I
couldn't find. I could find "sensation of fluid" but this is beyond
sensation. The trapped pseudomonas infection is the pathologogy.
This px has suffered with this pseudomonas infection for 4 years now. Lots
and lots of cultures and select antibiotics. The pseudomonas did yield to
antibiotics but returned when the course was finished. I thought of sul, calc,
hep, lyc, ars, and bell too. The SRP is that she has no other pathological
symptoms except for the right ear. Plus she has a minimal amount of tartar
on her teeth only on the right side. On the left side of her mouth her teeth
are clean. She is/has been of cheerful disposition except for the pain of
the right ear. She sleeps on the right side. Worse for cool and open air,
makes the ear itch and burn. Cold weather/cold wind sends her into agony with
the ear aching. The discharge is greenish yellow and thick. The smell is that
of an abcessed tooth, sweet/salty/fetid. Other times the discharge it is
almost clear when the ear canal is swollen closed and only serum can leak out.
The meatus is red, hot, and moist. The discharge excoriates. I've studied
this for hours and hours. Very frustrating after the well selected remedies
failed. She is more Puls/Sil than anything else. Definately tubercular. Dry
mouth, sips water or soda every 15 to 20 minutes. Never has had an elevated
temp. It is as if her immune system just can't make the jump to extract the
pseudomonas from her system. Plus the multitude of antibiotics she has taken.
She is in such pain my heart goes out to her. Perhaps a nosode is the
answer. Thank all of you for your help.
Dr. Carol Bernat
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Chris -
Thanks for your input. I understand the methodology also. But when
you say pure observation, there is no such thing as pure observation.
We observe with whatever baggage we bring in and that is it... I
might be pathologically oriented and you might be pure hahnemannian,
there are people with delusion outlook, Key noters etc. etc. Some
people work with the periodic table and might come up with remedies I
would not even know exist. Which means for a given case all of us are
guessing because who says that which method is right or wrong? If you
say Organon is the final word 75% of current practitioners will be
losing out including some of the big names in the "industry".

As I have been saying always Homeopathy is a systems based medicine.
Here we CANNOT ALWAYS demonstrate CAUSE- EFFECT. In systems, what
operates is a Circular causation - and the effects we see are what we
get not what we would anticipate.

Can we prove Nux vomica on 30 people and predict what symptoms we are
going from Nux vomica picture in each? No, because we depend on
subtle interactions - not massive doses to produce macro results.

Those guidelines you have given are good to follow and would be well
defined in an ideal world. We are not using Proven remedies, not all
of us are using the "minimum dose" ( if in a case 500c is the minimum
I calculate where would I get the potency?). What I am talking about
is how homeopathy is being PRACTISED now- even otherwise - even if
you look at all the writings in Homoeopathy tell me in how many cases
even the masters found the right medicine right away?
makes our
homoeopathic
precision
the single
apply the
guessing,
event
then one