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Old 30th March 2007, 11:30 PM
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Default Case for Pulsatilla?

The bitch is 9,5 years old and she has had ear problems all her life
but now she developed skin condition.
Otherwise she is a lively and energetic dog, quite spoiled .


EAR PROBLEMS

- Started when she was 1 year old ( possibly reaction to the vaccine as she has received all her vaccines when she was few months old?)
- The ears are always problematic and after they apply antibiotics and steroid ointments, they get better for a while but then back to square one.
- On the exam left ear seems to be significantly more affected then the right one and owner confirmed this is always the case
- On the exam noticed the ears are swollen, dry and almost scaly , reddish colour
- Symptoms (not shown on the examination) include persistent scratching of the ears, shaking head which releases strong odour – resembling stinky feet.
- The scratching is most intense in the morning.

SKIN
They noticed eruptions on the skin for the first time 4-5 months ago.
-On the examination these looks like dry circular patches with no hair, size of a cent coin ( owner says they shrink with the time) , scaly and flaky , underneath skin looks greyish almost silverish. These are probably remains of papules as the owner said they injured one on the back with a comb and it was oozing lymphatic liquid.
These eruptions were present on different parts of the body - one between the eyes, few on the back and one on the neck. They started on the back.
Before skin erupted the dog was itching all over, most intensely in the morning.


GENERAL CHARACTERISTICS

1. Likes the heat, always under the quilt or next to the heater.
2. Loves sun and stays in the sun for periods of time.
3. Loves swimming, cannot get enough
4. At home doesn’t mind water but prefers the sea
5. Drinking often and fair amounts
6. No reaction to the change of weather
7. No reactions to storms –normally sleeps
8. Terrified of fireworks ( which are quite common in Malta ) during the summer feasts . She hides under the bed and doesn’t want to go out until it stops. This behaviour started after they came back to Malta after 2 years of living abroad. Before that she never reacted to fireworks and wasn’t as afraid.
9. Doesn’t mind wind, actually likes it. When ridding in the car her head is always outside the window , ears flopping on the wind.
10. Doesn’t exercise much. She is energetic and lively but owners not very sporty so she spends most of the time dozing inside.
11. Likes ridding in the car.
12. Appetite great. Always hungry and ready to eat. Always begs for food ( by looking at you when you are eating or even poking you with a paw, doesn’t cry)
13. She has one meal a day , if they skip it for some reason she doesn’t react
14. Eats one cup of dry food
15. Had all the vaccines. They gave her first Rabies vaccine 5 months ago due to silly idea of the owner. (Malta is rabies free)
16. Most favourite food- Woody sausages and chocolate.
17. Will eat everything you give her – all vegetables and fruits.
18. Never had any wounds or bleeding so we dont know if she is a bleeder or not.
19. Never fainted
20. Most happy when someone gives her attention or comes into the house
21. (On scale 1-10) Energy level – 7. She explodes with burst of energy all of the sudden and starts running hyperactively everywhere around the house but she does this less as she grew older. Mostly sleeps all day but when outside very energetic and lively.
22. Likes to play a lot with her ball and this didn’t change with age.
23. Very jealous of little children and other dogs if owner gives them attention.
24. Never anxious, except when she sees the Vet
25. Sleeps on the side – normally rigt during the night, during the day on the stomach or curled.
26. Owner noticed that very often likes to sleep on elevated spot like the back of sofa or an armachair and then she sleeps in very unnatural position with her head hanging down.
27. Very often has vivid dreams. Barks and cries during the sleep Also snores.
28. Not neutered, Never had puppies
29. Regular menses, abundant in start, rosy colour.

Thanks for your comments

Last edited by KnightOfTheStorms; 27th March 2008 at 10:54 AM.
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Old 31st March 2007, 03:19 AM
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KnightoftheStorms

Have you given grains a consideration for causing the ear problems? My dog used to get the exact same ear symptoms you describe if she ate any and all types of grains including brown rice. Steroids would help her but the problem would always come back until I quit giving her any and all kinds of grains. Grains would also aggrevate her skin problem.

In my case, the rash first presented itself in July (4th of July Independance Day Celebration) after being introduced to the noise pollution of fireworks for the first time when she was a puppy. She has a history of bad reaction to fireworks.

Thought I'd share my experience in case it might be of some use to you.
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Old 31st March 2007, 07:53 AM
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Hello Knight,

This dog should be seen by an experienced homeopathic vet or vet. homeopath for proper full case taking. Case has become too complicated to do this online. Pulsatilla may not be indicated and if so, Pulsatilla only would be insufficient.

Several things mentioned in your post are/have been done very wrong and should be (partly) taken into account in the full case taking !

-- No fresh food, but only one cup of dry food

-- Fond of chocolate......Chocolate is very poisonous for dogs !!!

-- Unnecessary rabies vaccination

-- Use of suppressive steroids, etc.


Wim.
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Old 31st March 2007, 08:30 AM
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Hi Wim,

Dont forget that this I not the dog that has been my patient since puppyhood. This is the dog that has been going from one Vet to another.

- Did you really think I would advise dry food or chocholate, or rabies vaccine, or steroids !?

Those notes record the state of the dog as it was when it walked into my clinic.


Actually I am convinced this case has a lot to do with the vaccines as the problem started in the first year, and also the latest problem with the skin started only few months after the rabies vaccine.

Thats besides the point, and also counteracting the vaccine and staeroids- that was clear from the begining.

Lachesis is the remedy that came close to pulsatila and also as an option for a follow up.


In any case I am here to learn something new.

What would you do differently or how would you do the proper case taking?
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Old 31st March 2007, 08:53 AM
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Hi Knight,

I didn`t say YOU did these wrong things !

Complicated skin problem cases, such as this one, can`t be done properly online because a vet. hom have to examine, see, feel, smell etc. the animal him/herself and also speak to the owner him/herself to ask him/her many (relevant) questions in order to be able to select the correct remedy/remedies. More than 100 remedies are possible for eczema/skin problems.

Another reason for not doing this online are the several necessary follow-ups and monitoring of the case often over a very long period, even up to a year or longer.

So one must always be sure that a certain vet. professional is (and stays) present on a forum to properly finish the case, which is not always possible, because professionals on forums are not employed by forums but usually only help out there temporarily as volunteers giving free advice. Moreover, vet. homs/hom. vets doing free advising/prescribing on forums are very rare and that`s also one of the (other) reasons why the possibly one or two volunteering vet. homs can`t take (many/all) full cases all the time.

Another forum for free homeopathic advice for both people and animals can be found on : http://www.minimum.com/bb/

Wim
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Old 31st March 2007, 10:44 PM
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Thanks for the link Wim

Quote:
Originally Posted by Wim View Post
Complicated skin problem cases, such as this one, can`t be done properly online because a vet. hom have to examine, see, feel, smell etc. the animal him/herself and also speak to the owner him/herself to ask him/her many (relevant) questions in order to be able to select the correct remedy/remedies.
The thing is I never wanted to do this case online in the sense you understood.
I am already taking care of the patient, meaning I examined, I saw, I smelled and I questioned the owner. I am always weary of overlooking something therefore I wanted to discuss the case with other practitioners.

In any case I have given Puls this morning.

Quote:
Originally Posted by Wim View Post
More than 100 remedies are possible for eczema/skin problems.
It seems we are applying different approach. I never really look for the remedy based on one symptom, I usually strive to match the remedy with patient as whole. This is time consuming but it usually gives much better results.
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Old 1st April 2007, 08:15 AM
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Please let this case be taken by an experienced hom. vet. or vet. homeopath who knows about proper anti-miasmatic prescribing/nosodes as well.

Treatment of vaccinosis may be necessary with correct use of nosode or pathode to remove miasmatic influences.

The further one moves from the vaccination and the more suppressive (conventional) treatment that has been administered, the more miasmatic influences will come into play. The properly selected remedy used for vaccinosis should be a strong sycotic one.

The strong suspicion of a vaccine connection (as you mention in your post) in a case can be incorporated into the process of selecting the appropriate remedy by repertorising using other features of the case and then considering the need for a sycotic remedy in the assessment of the possible remedy choices produced by the repertorisation.

Vaccinosis predominantly increases the influence of the sycotic miasm in the animal`s body and the picture presented will thus have many prominent features of that miasm`s action, such as skin conditions involving excess production etc.

The diagnosis of vaccinosis will depend on a number of factors, but two major indicators are an aetiology of NWS (Never Well Since) and the history of a transient systemic reaction. In many cases it`s the inappropriate conventional treatment of such reactions that leads to the establishment of more chronic problems.

Example : Ointments or baths are commonly prescribed by vets for puppies being presented for the second vaccination, having developed a skin rash following the first injection. This is obstructing the natural process of coping with challenge, and it`s exactly the situation as described by Dr. Hahnemann in relation to his theory of chronic disease. The miasmatic patterns thus created will affect not only the immediate patient but may be passed down to future generations.

to be continued......Wim
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Old 1st April 2007, 08:42 AM
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Unfortunately full explanation would need several pages and can`t be done here in short posts, but I`ll give you a bit more.

Miasmatic and constitutional symptoms are not further types of symptoms, but represent a different method of classification which, when taken together, reveal a definite pattern that points towards either a particular constitutional type or a miasmatic influence.

Both may be present in the same case, as the two concepts overlap to some degree. It`s a broad-based interpretation of the sick animal`s underlying type.

Symptoms from the mental and general levels are most commonly involved in this and considerations of bodily confirmation are also relevant.

E.g. a strong liking for heat will point to certain remedies, while a strong aversion to heat will suggest others.

Similarly, a heavily built conformation will bring emphasis to remedies that would not rate so highly in a fine-boned animal (e.g. a dog).

And of course, if possible, the choice of remedy should always be made by using the full range of information that is available.

Experienced homeopathic professionals are able to recognize miasmatic symptoms which are indications of particular types of reaction on the part of the body that point to one of the miasmatic influences.

Signs and symptoms that indicate one of these processes at work are termed miasmatic symptoms.

Without this (miasmatic) knowledge one doesn`t know either that within the hierarchy of symptoms miasmatic symptoms point to a degree of dominance in the activity of one particular miasm.

The concepts of constitutional symptoms and miasmatic symptoms are always very important to bear in mind during the case-taking process.

For different ways of (non-miasmatic) vet. prescribing see topic called : Local, organic-specific, pathological and functional vet. prescribing ......on this forum.

To prevent prolonged suffering (!) as much as possible in any animal it`s still my opinion that these kind of complicated cases should always be done/taken properly by an experienced homeopathic professional.

Wim
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Old 10th April 2007, 01:18 PM
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Update:


8 days after the treatment and ears have cleared completely, the improvement started to be obvious few days after the remedy was given.

The skin also looks much better, the dog still itches but nothing like before


will keep you informed
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Old 10th April 2007, 03:16 PM
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OK.....thanks !

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