Initial Intake:

Case note: in this case, I list unconfirmed AIDS as one of the chief complaints. This is simply because most of my patients were supposed to have AIDS, but none would admit to it, and virtually none had been actually tested for it.

Tuesday, July 11th, 2000 [Kariobangi Clinic - Nairobi]
CC: Dyspnea, Asthma, Post TB cough, unconfirmed AIDS, & Pectoral Pain
S: I’m here for chest pain & I have difficulty breathing. When its cold, I can’t breathe – or when dusty. When the weather is cloudy I have total breathing problems. Say more about the breathing problem? When I try to breathe in or out I feel a problem – lots of pain – a burning pain – been almost 14 years now. When it is cold, dust, or heavy work – I have the difficulty. I have asthma – use a ventolin inhaler. However, the medicine I’ve been using is finished. After the problem of Asthma, also diagnosed with TB. Still coughing though.

Coughing? I cough a lot then I feel s/t is not coming out. When I use the inhaler, then s/t comes out. S/t whitish that is so thick – like a rotten smell. Pain is at the RT side [pt points to her upper RT pectoral area, just inferior to the Rt collar bone]. When I’m sleeping on the Left – feel great pain on the RT chest, when sleeping on the RT, I don’t cough so much. When I had TB – I used to cough lots of blood – most pain came from RT side. When I cough & lift my RT arm – feel pain on RT chest.

Anything happen around the time of first illness? No. Family hx? Father has asthma. Sometimes it comes by itself – the white expectoration – other times after using the ventolin.

Sometimes I feel a lot of heat, I feel all over the whole body – can feel it if you touch my skin – I’ve no appetite when I feel the heat. When I’m weak – I can’t work. Say more about the heat? It happens at different times.

Menses? Before my menses, I have back pains – slight pains. Sometimes have cramps. Blood quality? Lumps & dark, & sometimes watery – flow is 3 days. Quantity? After birth, heavy flow. Before menses I loose my appetite, but can eat oranges.

Sleep? Sometimes unable to sleep. Used to go to bed @ 11 – if go to sleep before that, can’t sleep. Dreams? I dream I’m in church, we are singing. Not bad dreams. When small, used to dream of being on a tall tree – I’d fall down from the tree – it was a repeating dream. Feeling of the dream? Afraid. When I wake up, I feel like I’m floating – only when dreaming do I feel that way – I’m frightened – I don’t hit the ground. Do you have any fears? No.

Say more about Floating? Just floating. Heights? When I climb high building – I feel lots of pain in my chest. I have fear I’ll fall down, only when looking down, it is normal, not strong.

Since TB, I feel that so many things affect me – always sick. Flavors I dislike spicy & sweet things – especially when chest problem. I don’t take my tea with sugar.
When you think of your five senses: light, sound, taste, touch, or smell, is any one hypersensitive? Smell is the strongest, bad smells, perfumes I don’t like. Perspiration? Especially when very hot – whole body perspires, feel so sick.

Thirst? Only after eating, the expectoration seems < mornings, and evenings.
O: Physical Exam deferred due to overload of pt’s in waiting room.
A: It is unfortunate we are so busy, as it would have been very interesting to see if there is some consolidation at the upper right lobe. Nonetheless, the case has some very clear symptoms. Given that the case is considerably focused on this cough of 14 years, it should be well covered by the Rx. In particular, her expectoration being white, rotten smelling, and thick, as well as her coughing modalities. Of interest are the following to me: that she had a foul smelling expectoration and she mentioned being sensitive to smells, that she has difficulty getting up this expectoration without her ventolin. This idea seems to explain how her body hasn’t been able to throw off this cough for so long. The right sided burning of the chest goes along with her feelings of heat generally. Since I’m trying to affect this patient deeply and constitutionally, I also thought it might be significant that she remembered a childhood repeating dream of falling:
P:
1. _________ 200c [single dose dry given in office]
2. __________ 22x QD [my nomenclature for placebo]

First Follow-up
Thursday, July 20th, 2000 [Kariobangi Clinic - Nairobi]

Case note: the patient was given ________ 200c on Thursday, July 13th, 2000, 7 days before this follow-up.

CC: Dyspnea, Asthma, Post TB cough, unconfirmed AIDS & Pectoral Pain
S: The coughing has stopped. How long were you coughing? 14 years, when the chest is blocked, is when I cough. Two days after the homeopathic medicine, coughing stopped. Completely stopped? It is reduced, now only some coughing during the night. It is better. I felt as if my chest was blocked. Breathing and asthma? During the day I breathe normally, during the night it feels a bit blocked. When coughing @ night, It is less blocked then it used to be. The flu has stopped - discharge from the nose. Able to work now, couldn’t work before the medicine. Any sx’s worse? No, now I can walk and work. The pain in the RT shoulder is still there – it is the same. I have regained my appetite, and I feel very active. Pain on RT chest? It has gone. How long did you have the chest pain? 5 years. Sensation of heat? I felt hot for a few minutes after the medicine, not since. Menses? Haven’t had yet. Sleep? I sleep normally now. Dreams? No. Fear falling/floating? The fear is gone. Any sx’s that haven’t responded? The pain on the shoulder, when coughing I feel as if the pain goes towards the shoulder. The bad smell when I cough has gone too. Only the shoulder is unchanged. I’m also not using the ventolin as often.
O: Physical exam deferred.
A: Patient is improving clearly even though the Rx was given only one week ago, therefore:
P:
1. Watch and wait
2. Continue _______ 22x

Tuesday, August 1st, 2000 [Kariobangi Clinic – Nairobi]
CC: Dyspnea, Asthma, Post TB cough, unconfirmed AIDS, & Pectoral Pain
S: The first medicine [the 200c], helped, but the second medicine [the 22x], isn’t working. Coughing returned when? 3 days after the 22x, the coughing returned. Any sx’s worse? The RT side – have a lot of pain [shoulder]. There is blockage in chest, makes it impossible to breathe. The medicine didn’t help much in blocking of chest. The discharge from my nose is gone. How long did you have the discharge from nose? I’d had is since the asthma began, years ago. Did the first medicine [the 200c] help the RT shoulder pain? It helped me, but when I start coughing, the pain resumes. I can still work. Pain of RT chest? When I cough I get the pain. Doctors said I’d lost a lot of blood with the TB – RT side was affected. When I sleep on the RT, I feel the pain. If no coughing – no pain. Bad smell when coughing? No bad smell anymore. Heat? No, it is gone. Periods? No, haven’t had yet. Sleep? I sleep well now, an improvement from 1st medicine [200c].
A: Here we have a clear relapse. It appears that the 200c hasn’t lasted.
P:
1. _______ 200c dry in office
2. _______ 30c Q/week
4. RTC in one month

Case Note: This patient did very well with all of her sx’s for several months after we left Kenya. The Didi who ran the clinic emailed me updates saying that she responded to the medicine well and continued to improve on the 200c.

__________________
Tim Shannon, ND<br />2610 SE Clinton St. Ste. E<br />Portland, OR 97202<br />503-236-8853<br /><a href="http://www.drtshannon.com" target="_blank">www.drtshannon.com</a><br />drt@drtshannon.com

Dr. T,
This case looks very interesting. I'll sure make a suggestion and I think we'll have a couple of cases to throw in sometime as well.

Presently I'm in the middle of moving between cities with 3 kids, so you'll excuse me if I get in a little late on the "fun". I'll be having some of my own (help).

Regards,
doctorleela

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http://www.homeopathy2health.com

thnaks t shannon for case i will work please i am intrested in this kind of discussion
one more thing please be turthful with your failures also because i found some people without cure calims cure over here some are growing hair in mpb(male pattern baldness)o sorry got emotional forget this but wirte only the truth . with regards

__________________
<P>

Hi Doctorleela,

Well, I look forward to both your suggestions as well as your cases.

Regarding your move, best of luck!

Ciao,
Dr. T

__________________
Tim Shannon, ND<br />2610 SE Clinton St. Ste. E<br />Portland, OR 97202<br />503-236-8853<br /><a href="http://www.drtshannon.com" target="_blank">www.drtshannon.com</a><br />drt@drtshannon.com

Hi MM,

Nice to hear from you. I assure you, the case is true, and not a lie. As for that baldness, hold onto that hair! it is only a passing thing, so all the more precious!

Perhaps down the road a bit, I'll post a case or two where the first or second Rx failed, then finally found the correct Rx. But for now, I'll keep them straightforward.

Ciao for now collegues!
Dr. T

__________________
Tim Shannon, ND<br />2610 SE Clinton St. Ste. E<br />Portland, OR 97202<br />503-236-8853<br /><a href="http://www.drtshannon.com" target="_blank">www.drtshannon.com</a><br />drt@drtshannon.com

Most suitable: SEPIA

__________________
Hans Weitbrecht
Consultant Homeopath

Hi Hans!

Thank you for your suggestion. I'll announce the Rx I gave and my rationale in a week or so. That should give anyone interested in participating a chance to try.

Along those lines, I have a request. Anyone who suggests a Rx, could you please give a bit of your rationale, your differential, etc. That way we can all learn how you think, how you analyze your case, etc. In other words, we can all learn from each other.

When I post the solution, I will include both my analysis, rubrics, and rationale. I wish there was some way to show my repertorization graph, but this system doesn't have that capacity unless it is posted already somewhere on the web (it needs a url, from what I understand) If someone knows of a way I CAN post my repertorization graph with this Bulletin board, please let me know. Otherwise, I'll have to submit my rubrics alone.

Thanks again,

Ciao,

Dr. T

__________________
Tim Shannon, ND<br />2610 SE Clinton St. Ste. E<br />Portland, OR 97202<br />503-236-8853<br /><a href="http://www.drtshannon.com" target="_blank">www.drtshannon.com</a><br />drt@drtshannon.com

Dear Members
Here is a bit more about the analysis:

Tim already pointed out the symptoms in his case, which are extraordinary, uncommon, peculiar, rare and strange. [153-sy]

Those I took to the TT 1846 and used the following rubrics:

Auswurf weisslich [expectoration white]
Auswurf zaehe[ expectoration sticky]
Auswurf Gestank [expectoration odorous]
Kaelte&lt; [cold in general&lt;]
Nebeliches Wetter&lt; [clowdy wheather]

Sep is the only remedy, which has entries in all rubrics [5,3,4,3,4, grade]

I confirmed the rest in the MMP--.
There were no symptoms speaking against the selection of sepia.

__________________
Hans Weitbrecht
Consultant Homeopath

Hello: Not always we have the best conditions to expire and this it is one of these cases. Only we have symptoms isolated, that is to say, have musical notes, but not have a melody. With these symptoms that already you Dr. Schannon has emphasized: expectoration thick, white, smelly Expectoration and even dreams of falling down or pain in the chest on having breathed, any policresto goes out for us as Sepia, Calcareous or Sulphur. But why not Kreosotum? Or Kali phosphoricum for example, that besides has the smell sensitive?
My opinion is that to suppress the symptoms that patient presents, any of the remedies policrestos that covers the major number of symptoms, it is valid, but to treat this woman, as you he says, with aspirations to come to the constitutional thing, it is necessary to look for the melody, because without the comprehension of the deep picture of his suffering, we are not going to treat her though they eliminate any of his symptoms.

Regards.

Sanguinaria appears to fit the physicals--expectoration viscid, white, offensive--burning pains--right sided chest pain--phthisis--sensitive to odor of flowers. And if one chooses to use it--dreams of falling--

Thanks for the exercise!