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Old 14th August 2004, 09:08 AM
doctorleela doctorleela is offline
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Hi CIndy,
the idea is not that something has to "change" but that a picture has to be observed and present.

For example a persons answers could be:
I"ve been concerned about a relative who is quite ill in hospital. Tried to help out with meals in the last week, and have been tired as a result. I had a slight cold (URTI) going on at that time, with rawness in my throat and my voice was hoarse that would feel better if I kept sipping cold water. I've been feeling slightely colder than usual. But it all passed off in a couple of days. I'm fine just now.
Suddenly I developed this palsy on the left side.

So I'd be happy to give her CAusticum, and I wouldn't worry about the side of the paralysis!

BUT instead if she said:
I've been feeling a little brain fogged, unable to think clearly recently, probably because i've not been sleeping well. I'm restless and fidget, especially my feet. I had a skin allergy a couple of weeks back and applied some Betnovate, it passed off.
Now I'm fine, but this Bells Palsy developed yesterday on the left side.

I'd be considering ZIncum!

So really its the picture that you see that is the first guide. And then once you are fairly sure of your choice, the clinical response can be correctly evaluated.

So, hope this helps better!
dr. leela
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