PAH2011

Rosen: Thank you for being such a pain

"Thank you for being such a pain" - Mark Rosen

Notes written in summary after reading.
- The world is full of difficult people. You may be one of them.
- Look at the reasons behind the behavior, you may find commonality, understanding, sympathy. Often guessing or knowing the reasons behind behavior changes your feelings towards the person.
- Look at your response to people. Perhaps it is your reaction that may be changed by some introspection and work. Your response is a key to your own persona, and it is under your control (unlike others). Sometimes your response is what is out of whack to the situation.
- How we respond to people is one of the biggest choices we have. T
-There are any number of choices, whether we choose to interact more civilly, or to leave- the right choice depends on the people involved and the circumstances. Sometimes doing nothing is the best choice.  Or leaving.Trying to gain some perspective and not escalating the situation is ideal.
- Having difficult people in our lives is an opportunity to expand our understanding and compassion for others.
- Getting even or fighting back is an emotional and spiritual pitfall which rarely does you any good.
- Getting a difficult person to change is very unlikely, however it still may be worth a try.
- Understand that difficult people may be in these states: emotional Kindergarten, emotional wounds, low self-esteem, have many troubles at home/in the past
- Some people want too much, are substance abusers, are mentally ill, or are physically sick
- Few people are filled with true malice or evil
- Goal is to separate the person from the difficulties in your dealings with them
- Perceiving these situations as a gift. Anyone can be a teacher: these situations may enable you to progress as a person learning new skills and behaviors. Life is a school and difficult people are the faculty. These people can help us develop latent qualities and impel us to action while serving as reminders of where we might be - to avoid the same behaviors.
- Difficult people teach us how our actions affect others
- Difficult people do unto us as we have done unto others
- Difficult people teach us what not to do
- Difficult people teach us to be cautious
- Difficult people give us an opportunity to teach others
- Difficult people help us to avoid stagnation
- Difficult people serve as mirrors
- Difficult people help us to work on our character
- Difficult people help us to rectify the distant past and prepare us for future challenges
- A lot of the real work to be done is on ourselves. Greater understanding of our own situation allows us to change it. This helps us present a face to the world that is better capable of understanding and dealing with all types of people.
- Look to work on yourself via therapy, prayer, meditation, teachers
- Knowing what you want from the other person helps the situation. Treating all people with respect and honesty improves any situation. Don't let the other person's behavior dictate yours.
- Goal is to avoid judgment, accept the situation, see good in others, speak with sensitivity, master your own anger, respond with kindness forgiveness and gratitude.

Genius of Homeopathy - Close ch.16: The Logic of Homeopathy

Close Chapter 16: The Logic of Homeopathy

The logical principles which underlie homœopathic prescribing are commonly overlooked. Apparently there are almost as many methods of prescribing as there are prescribers.

Remarkable results by homeopathic practitioners have been regarded as the result of some mysterious power the individuals had, when in face similar results are attainable by any that master the method.
As a rule, only personal opinions and fragmentary statements by individuals of how they did or thought they did their prescribing will be found, and these are scattered through a voluminous literature, much of which is out of print and difficult of access. They indicate, however, that there is a basic method somewhere, if only it can be found and identified.

Homeopathy is founded and constructed upon logical principles, and it's processes must be conducted under principles and methods of good logic.

This realization shined light upon why so many of my prescriptions were bad, and also the reasons behind those that were successful. Therefor studying logic could only improve my practice of prescriptions.

The science of logic exists in two parts-the logic of form and the logic of reality or truth; or, technically, Pure or Formal Logic and Inductive Logic.

Homeopathy relies on Inductive logic as it does concern itself with facts, with reality. It's primary purpose is the discovery of and use of Truth- as opposed to Formal logic which exists and is used largely for the purpose of argumentation.

 Inductive Logic Defined - "The Inductive Method in Logic is the scientific method that proceeds by induction. It requires (1) exact observation; (2) correct interpretation of the observed facts with a view to understanding -them in relation to each other and to their causes; (3) rational explanation of the facts by referring them to their real cause or law; and (4) scientific construction; putting the facts in such co-ordination that the system reached shall agree with the reality."

 "The search for the cause of anything may proceed according to any one of four methods: (1) the method of agreement, in which a condition uniformly present is assumed to be probably a cause; (2) the method of difference, in which the happening of an event when a condition is present, and its failure when a condition is absent, lead to the assumption of that condition as a cause; (3) the method of concomitant variations, in which the simultaneous variation in similar degree of condition and event establishes a casual relation; and (4) the method of residues or of residual variations, where after subtracting from a phenomenon the part due to causes already established the remainder is held to be due to some other unascertained cause or to the known remaining causes." (F. & W. Standard Dictionary.)

All reasoning is inference, and in the last analysis all reasoning is deductive. By inductive reasoning we ascertain what is true of many different, things. Our senses tell us what happens around us and by proper reasoning we may discover the laws of nature, in consequence of which they happen.

Every case of induction proper proceeds upon the same grounds and in the same way. It is, therefore, evident that induction is no exception to the rule that inference is always from generals to particulars, and not from particulars to generals.

 "The process of reasoning, when completed, is found to be simply this: Something is predicated, that is, affirmed or denied of a class; an individual is affirmed to belong to this class, and then, of course the same thing can be affirmed or denied of that individual."

  Its basic principle, the law of similars, dimly perceived and tentatively stated in various forms or referred to as, a possible therapeutic law by Hippocrates, Nicander, Xenocrates, of the Greek schools; Varro, Quintus Serenus, Celsus and Galen of the Roman schools; Basil Valentine, a Benedictine Monk of Erfurt, 1410; Paracelsus, in the sixteenth century and others, was conceived by Hahnemann to be the general law of medical action.

Characteristic Symptoms - Characteristic symptoms are general symptoms, or generalizations, inferred or deduced from particular symptoms by the logical process of generalizing.

Pathological Unity of Symptoms - The inductive method brings into view the pathological unity of the symptoms of which diseases consist, enabling us to identify and name the various forms they take.

Totality of the Symptoms - Logic facilitates the comprehension of the related, totality or picture of the symptoms of the case as a whole.

Individualization - The practical work of the 'prescriber in constructing the totality or "case" and selecting the remedy is governed throughout by the logical principle of individualization. It applies equally in the three departments of his work
1) The examination of the patient.
2) The examination of the symptom-record of the patient, the 'study of the case'.
3) The examination of the materia medica.

The Art of Generalizing - Analysis, comparison, classification, and generalization are the logical processes, by means of which the homœopathic artist accomplishes his purpose, which is the individualization of his case and the selection of the similar remedy therefor. Of these processes, generalization, being the synthesis or summing up of the results of the preceding work, is perhaps the most important.

The value of a generalization depends primarily upon the data from which it is drawn.

General Symptoms - The patient sometimes correctly generalizes parts of his own case. This he may do quite unconsciously, as when he refers certain symptoms or conditions of symptoms to his inner consciousness by saying, "I feel" thus and so; "I am worse in rainy weather;" "I am sad, or depressed, or easily angered" as the case may be.

Nearly all mental symptoms are generals because mental states can only be expressed in general terms.

Negative General Symptoms - Absence of certain striking or customary features of a disease may be a general symptom of a case.

Grading and Grouping - Upon correct generalizing depends all successful work as a homœopathic prescriber. Mere mechanical comparison of one particular symptom with another is but little better than "pathological prescribing." In like manner must the symptoms. of a proving, or of a case of sickness, be graded and grouped and studied, until the individuality of the remedy or the case appears distinct and clear before the mind.

Memorizing Symptoms - The attempt to obtain a practical grasp or working knowledge of the materia medica, or even of a single remedy by merely memorizing details or single symptoms will always fail. The provings must be so studied as to impress upon the mind and memory an image, or concept of the individuality of the drug as a whole, so that it may be recognized as we recognize any other individual or person.

Dramatizing the Materia Medica - "Personification" of remedies by artistic character delineation is an interesting form of materia medica study for those who have a highly developed imagination. This attempts to bring before the mind's eye, the imagination, a picture of the drug in human form, as an individual, whose features we may recognize as we do those of a friend whom we meet on the street.

Generalizing for Repertory Work - In using repertories, notably "Bœnninghausen," which all Hahnemannian prescribers use, we constantly generalize. We bring together and correlate the partial, disconnected statements of the patient into complete and rounded wholes which may, perhaps, be characterized by a single word corresponding to a rubric in the repertory.

Generalizing the mental states is the most difficult of all and requires the exercise of the highest powers of the physician. In difficult cases of nervous and mental disease the physician must be a trained psychologist and a logician, as well as a most alert and accurate observer.

 The principles which govern the art of generalization may be summarized as follows:

     1. The mind must be freed from the bias of pre-conceived opinions and theories.

     2., The subject must be clearly defined, or restricted within definite limits.

     3. The phenomena must be determined by actual observation or experimentation, with a single end in view; viz., the truth.

     4. All the phenomena must be gathered, if possible. No fact must be omitted, however trifling it may seem.

     5. No phenomena are to be admitted to the induction of a study but those elicited by its own process in its own province.

     6. The facts must be clearly expressed and recorded with exactness and precision.

     7. The phenomena must be expressed and recorded in terms of simple fact, free from speculation about their causes.

     8. The facts having been ascertained and clearly stated, they are to be arranged in their natural relation to each other and to the subject of. the inquiry by comparison and generalization

     9. Generalization proceeds by bringing together similar and related phenomena into groups, considering these in their relation to each other and to other groups, deducing their general characteristics and stating them in simple, comprehensive, form.

     10. Particulars appropriately grouped lead to minor generalizations, which in turn lead to greater generalizations, but always as required by Lord Bacon's formula, "ascending continually and by degrees." "The most rigorous conditions of gradual and successive generalizations must be adopted."

     11. Nothing should be deduced from the facts of observation except what they inevitably include.

     12. At every stage of the investigation the analysis of the phenomena must be carried to its utmost limits before the process of synthesis is begun.

The Law of Causation - The science of logic has an important relation to medicine in the matter of assigning the causes of disease, upon which, as far as possible, treatment is based. If treatment is to be governed to any extent by the idea of removing or counteracting the effects of the cause of the disease, it follows that success will depend upon correct conclusions as to what constitutes the cause or causes.

   Everyone is quite ready to agree that "every effect must have a cause." But investigation shows that very few seem to know, or, if they know, make use of their knowledge of the fact, that every effect has a number of causes, all of which must be taken into consideration if correct conclusions are to be formed.

Lipton: Biology of Belief

Bruce Lipton - The Biology of Belief

Community/Co-operation  vs. survival of the fittest
Science shows us more and more that co-operation is the keystone for survival- the processes for doing complex functions in the body rely on groups which have specific purposes- and only together can they create/do a complex process

Darwin admitted at the end that he didn't pay enough attention to the environment as a factor in determining the health/success of an organism
...
Each cell has a function but it does not perform without added energy- and therefore you cannot ignore the environment that the cell is in. With no energy it cannot function, with energy it can- this is not a matter of survival of the fittest.
...
genes are not the brain of a cell
they hold the key to replication, but a cell may live on and function for months w/o genes
...
membranes are the key
protein sheathes form over genes
they determine how the gene will be implemented
they are turned on/off and moved/changed by outside influences
there is no one pre-determined outcome for a gene product

...
every atom, every group of atoms (molecule), every person has an unique energy signature
-> think of radioactive elements, all things emit energy but hard to detect
-> ? homeopathy inputs the energy of the remedy into the solution without the material element?
...
old:  Newtonian physical universe, visible atom
new: Einstein, E=Mc2  - Matter=Energy!
allopathy sees every process as a series of steps and a disease lies within a malfunctioning step which is then given medicine

Newton= linear
Einstein = holistic

however, you cannot target one part of the process, the drug impacts all steps, all of the body

there are no side-effects, only effects
...
multi cellular organisms can survive with far fewer genes than originally thought because they re-use the gene products (proteins) for multiple tasks
-> so when you take medicine which targets one protein it may have multiple areas and behaviors which it effects because the protein is multi-purposed

ex: histamine
local histamine rxn signals things like poison ivy rash
brain histamine rxn during stress ramps body up for an emergency

1 is protection response
2 is a growth response- totally opposite

-> taking an anti-histamine distributes the drug synthectically to all histamine receptors in the body so that you will have less itching locally but brain also receives signals which is why it may cause drowsiness

...
DEF: iatrogenic illness- illness caused by medical treatment
Each year the number of deaths and incidents of iatrogenic illness increase
..
Quantum physics deals well at a molecular and atomic level
Newtonian physics deals well with larger organizations of molecules such as organs or planets
Since all illness except for trauma is initiated at the level of a cell's molecules and ions it makes sense that quantum physics should be applied to the study of disease
-> there is a need for it
..
hundreds of scientific studies over the past 50 yrs have verified that "invisible forces" of the electromagnetic spectrum profoundly impact every facet of biological regulation: microwaves, radio frequencies, visible light spectrum, acoustic frequencies, etc. The biological features impacted include DNA, RNA, and protein synthesis, alter protein shape and function, and control gene regulation, cell division, cell differentiation, morpho-genesis, hormone secretion, nerve growth and function.
These studies have been veriifed, but the info has not been incorporated into med school curriculum
...
study compared the efficiency and info transfer between energy signals and chemical signals
energy travels 100 x more efficiently as chemical signals are carried slowly, and require a lot of energy to create and break chemical bonds to transfer the signal
..
taking pharmaceutical drugs to suppress a physical symptom is like forcing the service engine light on your car to turn off- you no longer see the problem, but it hasn't been fixed

...
Mammograms, CAT scans, MRIs, etc. are able to detect disease non-invasively by differentiating the spectral energy character of healthy and diseased tissue in the scanned images.

...
energy waves are sent out
constructive interference (also called harmonic resonance)  is when two actions of same size/type coordinate and the energy combines in double the energy wave pattern

destructive interference is when two actions of same size/type have energy waves that are out of sync and the two waves cancel each other out

scientists can stop an atom by exploiting it's energy waves
..
EX 's of unexplained phenomena:
why do some ppl have HIV for decades w/o it progressing to AIDS?
why do some cancer patients experience a spontaneous remission of their symptoms?
......
subconscious functions are much stronger as body relies on them
mental energy is less strong and cannot automatically fix/change the body- it won't always win against the pre-programmed subconscious!
-> mental energy helps change, but cannot do all and all alone, have reasonable expectations

emotions are giving us a state-of-the-nation of our cells- chemical signals
we can generate emotions which will /can override the current state with opposing chemical signals
..
we are made up of reflex responses (mallet to the knee) and conditioned responses (determining what is an emergency)

we can make efforts to change/control our conditioned responses

...
science should not disregard the placebo effect as it is a testament to the power of the mind- it should be used to best effect for the patient

Greenberg 2003: a study shows that pharmaceutical companies eliminate ppl in clinical trials who respond positively to the sugar pills in their early rounds of testing. This not only guarantees that hte end result will contain all people who responded to the drug, but disregards many instances where the sugar pill worked as effectively as the pharmaceutical.

Moseley 2002 : knee surgery study where patients who got "fake" surgery recovered equally well or better than those who had full surgery.

many studies have shown that people suffering from depression respond really well to placebos, enough that [Brown 1998] Brown Univ School of Medicine suggested that placebos be used for the first round of treatment of every case of depression- by telling the person that there is no 'active' ingredients in their medicine.

..
"Nocebo" effect is when negative suggestions by the mind damage health
..
we have the fight or flight mechanism which can be triggered by external stimuli which triggers the adrenal system
this shuts down growth systems during this time, as the energy is needed by the adrenal system
it also impairs the immune system- lion attack vs. diarrhea- your body will choose to enable you to run/fight the lion first
stress can impair the immune system, keep it from functioning at it's peak

it also keeps up from thinking clearly as the forebrain is slower and more rational, whereas the hindbrain (which deals with emergencies) is based on reflex

fear has the same numbing effect on our intelligence

Stress keeps our body pumped on adrenaline for an emergency that never comes, daily stressors are constantly activating the HPA axis, priming our bodies for action.

[Segerstrom and Miller 2004, Kopp and Rethelyi 2004, McEwen and Lasky 2002, and more] Studies show that almost every major illness that people acquire has been linked to chronic stress

State of Growth vs. State of Protection
we have nothing to fear except fear itself

[skipped section on pre-birth and child raising theories]

...
we are all in the image of god
god is the environment, and we reflect a piece of that
our 'selves' are an immortal broadcast from the environment into our bodies
our organs would not become us without identity receptors that allow "us" to come through
ex: heart transplants where personality traits are transferred to new person- the organ didn't retain memory but still had the identity receptors tuned to the immortal broadcast of the dead person

we are all unique because of the experience of our identity with the identity receptors in our body- once the receptors are gone, our identity is gone as they allow the presence of self to inhabit the body

every person has 100% unique identity receptors

cells themselves have no memory beyond 'this is a liver cell', etc.

fractal geometry contains patterns which are internal/external microcosm/macrocosm- also represent patterns over time, such as evolution
gives faith that humankind is working towards a higher state of awareness

like single cells which evolved into muti-cell communities, the earth's growing population will encourage a global community where all people are equal and valued and work together in the way that the parts of a healthy body work together

Genius of Homeopathy - Close ch.1: The Psychological Principles

Close Chapter 1 - The Psychological point of view

• All great forward movements in religion, science or art originate from a great personality- whether they are a teacher, healer, philosopher, politician, etc.
• Homœopathy a System.- The fundamental principles of homœopathy are embodied in a system of doctrines, laws and rules of practice which were first formulated, named and systematically set, forth by Hahnemann in his Organon of the' Rational Art of Healing.
• The practical demonstration of homœopathy is committed to its personal representatives, whose success will be proportionate to their efficiency.
• Nothing conflicting with its established principles can be added to it, nothing taken away, if it is to stand in its integrity.. Once it is determined what these essential elements and principles, are, homœopathy must stand or fall as a whole.
• The dominant school of medicine has not only denied that the so called "homœopathic law" is a law of nature, but denied that there is any general law which governs the relation between drugs and disease and have ceased searching for one.
• Principles and Organizations - A common mistake, and one of the greatest that can be made, is that of rendering to organizations the spiritual submission that belongs in the highest degree to principles only.
  • Organizations are formed for the purpose of maintaining and advancing principles, but it often happens that in the stress of building and maintaining the organization the principles are pushed into the background, neglected or forgotten. The man too often becomes the slave of the machine instead of its master.
  • The individual truth-seeker must, therefore, keep his eyes open and walk circumspectly if he would keep in the path of progress, maintain his mental integrity and preserve liberty of thought, speech and action.
• Nature puts man first. Truth is not revealed to institutions, but to men. Let us have done with fictions and deal with realities. An organization is a machine; an inanimate, soulless thing; a figment of the imagination; a creature of the law, deriving its existence and seeming vitality only from the individual men who compose it; ceasing to be when their relations are dissolved. Man is a real living, thinking human being, "made in the image and likeness of God," an individual embodiment and personification of a portion of the Infinite and Universal Mind, endowed with the ability to exercise creative power within his appointed sphere and destined for immortality. Let him exercise it in liberty, using organizations judiciously but not becoming enslaved by them.

Saturday 01.17.09 class video : Richard

Case: Richard

Richard video - major complaint history of foliculitis on legs, a lot of scarring on skin that's uncomfortable
52yr old
grad school @40, 3 jobs
5yrs to go 2yr course because of $
[overworking]
extremely healthy
sacrificing for school, no sleep, sleep sitting up
........
{stagnation of the blood is his complaint - KA}
{context of the case is what we need to find}

sleeping in car, in this position blood doesn't circulate

fat, but healthy
one day got SICK
emerg. rm dr put him on an IV for 3 months

freezing to death and boiling to death same time
shiver and sweating
104 temp
drs don't listen to him in many ways, called him lazy said it's his fault he's sick

find out life at the bottom
friends and fam too busy to see you
awful bandages rip off skin
parents died, no siblings

deep deep oozing sores for 5 years
constantly drained sores
legs look like tree trunks
had to wrap legs
odor- infection

every month to every 3mo's with a high temperature and oozing sores

too stubborn to quit

no one listens 4X at the hosp- nurse, dr, social worker
don't call me lazy 6X

like a lighter under both legs that won't go away- burning, smelling, draining

determined not to let this destroy me

** Trust that the client will tell you what you need to know

*many hand gestures, brushing hair from face, both hands swing around
*nasal back of throat noise repetitive

want to die feeling in hosp.

** making your assessment of the story, you must find the plot- what is the person's story? this guy is in pain, his family won't come see him, no one listens to him, he's stubborn as hell, hates when people tell him he's lazy
** People's story should change after remedies, if it doesn't change, remedy isn't working

is willing to give time and to listen to anyone
I wouldn't tell anyone they are lazy
it's easy to say someone is lazy, it's better to say I don't know
if you don't take time to hear me, I wk 3/4 jobs to get a master degree, while helping your diabetic father
taught to obey authority, I gave up emotionally and agreed with them, now I'd say kick them OUT

and now I can rationalize until I see my legs
and it all happened because i was det. to get a master's degree, I'd do it again
evthng has a price
I almost lost one of my legs

I will do ANYthing I can to get a master's degree
a) sedentary b) fat c) you're 40
it didn't occur to me to make time to lie down

one day I was sick went to hospital
huge pustule on leg, L side
dr said it's not a boil I don't know what it is
pimple X1000 at bottom of leg, size of golf ball, infection pus yellow

** Streptococchal infections = white exudate
** Staphococchal infections = yellow exudate/pus

sudden onset, it just happened
dr hooked on IV
no burning, just SICK, wanted to die
bills from father's death, had to work

legs swelling, gradually
cellulitis
I cannot fxn
father died, was very traumatic 10yrs ago- felt like happened an hour ago

pple wasted my time and added to my pain by not listening to me
I started screaming because I couldn't take the pain
in SD we're taught to take the pain
when my ma died I went to work the next day and said everything was peachy

**Mind, Industrious, mania for work

I was too afraid of appearing rude, of defending someone
I was taught to be nice
makes me angry that i allowed ppl to do this to me
change me for better and for worse

listening is so cathartic
working class mentality tells me to obey authority
I'll be nice to you at my expense
I lose my dignity when I'm nice to you at my expense
I don't believe you put #1 first
I came from verbally abusive family , father didn't know how to be kind
I'm vry self-confident but I had to work at it
it's made me like who I am, I'm vry sensitive motherly and gay and I like who I am
there is strength in gentleness

I couldn't smell it when my legs were draining
I had to rely on friends
I 've learned to not wait until I'm angry to talk to you
so I don't lash out

** in chronic care, context of the symptom is impt.

Concepts of uncompensated/compensated/decompensated
- his uncompensated initiative is to get angry , it comes out as an event
- anger mgmt issues is common in inflammation cases
- his compensation for this is to slow himself down, call the next day when he's calm- it's a slowness
- an ex. of decompensation might be if the slowness doesn't work he internalizes it

** when you look at a symptom in the repertory it may be any of these three types uncomp/comp/decomp
it helps you identify the motivations of the client

uncomp: raw expression of disease
comp: socialized version, some level of adaptation
depcom: when comp/adaptation doesn't work they break down

- this is all mixed in together in the repertory

** this is taught primarily by Italian homeopath, Massimo Mangialavore
- he's gifted in this area
- he identified clusters of remedies with similar uncomp/comp/decomp areas

verbally abusive family
could't do math in high school / college- my mother told me 'You can do this, you're lazy!'
FA said he's fat since childhood

you won't make it if you don't change- after FA died
it's your choice to survive or not- God shows himself in natural phenomena
I'm very nervous but I've learned to pretend I'm not  {Compensated and Uncompensated}

I had to wk very hard to not be bitter, angry
I am making it to honor my parents
we are so grateful because rick never gave us any problmes
/adopted only child
partly resp. for parent's happiness
I wouldn't smoke b/c it'd shame parents
my parents worked themsleves to death for me
they lived for me
what saved me was my parent's love
what got me through that's what saved me

** another part of context is to determine What is the evolutionary age? Someone who is all about their parent's love is somewhat stuck at a younger age.
** in a therapeutic state client's often regress, but they regress to the age their stuck at
** how they are in their session is indicative of who they are as a whole- microcosm/macrocosm

mormons came to see me so I joined, my family didn't come to see me but they did (comp/uncomp-- joining church was uncomp action)
mormons were there every day when I was in the hosp, they sat and listened to me

no one was at my dad's funeral
CAN"T TALK ABOUT it 3X
he's organizing a funeral this summer
/tearing
too painful

**client allowed us to get close to his pain here, and then backs off to repeating about the bandages

I can see why ppl don't change because it's awkward
it's still awkward to hear myself with self-confidence, it's new

taught you can do anything, obey yr parent's in evrythg
to doctor:
comp: Get out! you ride the shortbus!
uncomp: Please don't hate me but you're doing it wrong , I'm really sorry I've got to leave

**raw expressions of anger, of cowering

it wasn't working
I had to ask myself Am I doing something wrong?
I'm a survivor so I had to change
it didn't happen overnight
it happened in increments
What am I goign to do to get better?
I'm vry competitive with myself
you've got to get one good job instead of 4 jobs to pay my bills
I'd be in the bathroom nervous I'm not Good Enough  (uncompensated) during job interview

** Provings tend to be Uncompensated symptoms, symptoms are new and ppl don't have time to adapt to them.

when my dad got sick I moved in w/him because he needed me
my life= working, being with my dad
when he died I was rusty at how to do a lot of things, my dad did everything for me

what killed my mother was her job
she was a meat wrapper for 25yrs
**(plus his parents wked themselves to death for him, and he is suffering due to overwork)

how pathetic if no one is at your funeral
it makes me so angry
I'm going to waste what my parents worked for, for me

what sells me is my personality
I've learned to make ppl laugh
'I'm fat- you can see that!'
'what was the hardest thing about your father's death? A: Figuring out how to run the lawnmower'
(comp: I can't talk about it (FA death) uncomp: joke above)

I have days when I say 'what a loser'
I get jealous of snot nosed kids with MDs at 26
I feel disadvantaged and it's all part of the disease

** When someone says "I'm sick of X" pay attention! There's importance in that connection

it was never god's fault or my parent's fault, what I believed when I was discouraged
I wish I had gotten it together sooner, but I didn't
SO sue me, today my best is Zero - some days you just have to say that

oxen in Tibet- huddle tog. to keep the world out, you didn't show ppl your laundry in SD
I can't tell ppl when I'm having a bad day, it's personal and private

** his miasm=sycosis
** has to do with over-doing and hiding (privacy), jealousy
** Physical predisposition to corpulence, formation of tumors/cysts/overproduction of discharges (urinary, lymphatic, etc.)
** Staph infections are a subset of this miasm, psychological state which matches his physical state

when I was 18 I thought I was the only gay person on planet
couldn't talk to parents, lonely, not good at sports

now is the sum total of my whole life
I was used to being the outsider, my relatives didn't love me (b/c adopted- other than parents)
I'm used to biting the bullet saying I'm going to get through this

I think about stuff like this rarely because it was too sad
I don't like to think about how I was never chosen for sports

** Develop an interest in humanity, in listening to every detail
** The Greatest prayer is patience
** when it's boring, repetitive, annoying, intensely emotional- you need to learn how to sit with the person

school was diff for me
when in hosp I told msyelf I"ve done it before, this is one more

I have a very supportive church
I can't say I'm gay because I'd get excommunicated
but I'm very honest with them
I tell them this is who I am, love me or don't
with all my strengths and many many failures
I say my male partner is my wife, b/c I'd be excommunicated
to mine own self be true

18: my mom was beautiful
60: she was old, tired, wasted
I don't want to waste this

** At this point the interviewer asked another question: a shame as this was the first time he mentioned his mother. However, the interviewer's mother had died and this was a sensitive subject for her.
** We will find ourselves re-directing clients away from OUR tender places

no I'm not in a relationship, it's been 10 yrs
I need a husband
at the same time my partner chose to leave this world to go to Jesus (suicide)
and I lost the best job in the world due to budget cuts
and my dad died
and I had a mortgage / keep the house going

if none of this happened to me Id be very shy, couldn't do this, live in my father's house, be clinically shy, work and go home and nothing else, I'd be Happy but I wouldn't know what I was missing

I've learned to be less judgmental
I try to remember that
I'm very judgmental, I make snap decisions
if I don't like you I won't give you a chance
(Uncomp, comp)

my knees are starting to bother me a little bit
now when I get up I have to stand a min and then go
the longer I sit the more my muscles tighten up
aching when climbing the stairs
after I move a few steps it's easier to move
I don't have diabetes but I have all the symptoms
always thirsty weight problem I pee like a fountain 3X
constant thirst

** This is part of Hydrogenoid psychosis; water imbalance, profuse urination, constant thirst

no pain with urination
just urgent urgent peeing
I have to lose wt to stay healthy
I'm 57 I don't have forever to accomplish things
I don't want to be slowed down in any way
panting with stairs (I'm not in tip top shape) but that's part of the weight and the aging and I don't exercise

I don't know about family because I'm adopted
blood pressure great for my age and weight
reading glasses

cellulitis: those sores so horrible and so deep
I could see layers of skin
for 5yrs one leg was always draining- alternating btw legs
L is worse
but they took turns
was worse than the scars, puddles under legs of infection
clear sticky liquid discharge

ankles to mid-thigh so swollen
lighter under the leg- all this area
hot to the touch
always a level of hot, but when I had to go to hosp
hot sweating and also cold freezing
I had to make myself eat, I couldn't think or eat, no appetite

deep sores or Huge boils all same time
dripping, wet, red, hot
IVs and oral antibiotics
after healing looked like bark on a tree, rough skin and scabbing, ridges on tree

** Clients do not react well to the word "Crave" - look to phrase it differently when asking about food preferences. At a banquet, describe your favorite foods.

I have a sweet tooth
bad habit
junk food if I don't have time
pop and candy

I never remember any dreams

with the depression I could pretend it wasn't there
I couldn't pretend away oozing sores
the depression was harder to beat than the cell.
no one can help you with that

denial is a good form of therapy

not sure why cell stopped
I made some changes, I made myself lie down, change personality traits, stop running from work to job, sleeping in car sitting up, change how I lived my life
didn't change overnight

hothouse flower: very safe and comfortable as long as nothing changes
what it was like to live in dad's house
my dad would take care of everything
very safe very easy- I knew what would make him mad, call me names
if I could go back I would do it

I'm so grateful I was adopted because my father's anger was so bad I would have killed him
he doesn't do it on purpose, he can't help it- he didn't mean it
you goddamn fat lazy slob!
being adopted means you can see it more objectively, I'm diff I dont have your anger or your temper
I can stand back and say he doesn't mean this, it isn't on purpose, you don't know any other way

Generals
freezing/chills
fevers
fever with chill
wanted to die
couldn't think
couldn't function
pretending
pathological tenacity
angry
suppressed anger
bitter
jealous
sensitive
doesn't feel listened to
working himself to death
lacks confidence
stubborn

Particulars
cellulitis
deep sores
swollen legs
swollen ankles
legs tree trunks
scabs , ridges like tree bark on legs
scarring on legs
profuse clear sticky liquid discharge with an odor
pustules size of golf balls
burning like a lighter under legs
HUGE yellow pustules, worse on the L, size of golf balls
alternation of draining of legs
legs: hot, red
throat/nose sound (nasal pharynx)
pees like a fountain

** Hot / Cold concomitants are often indicative of Carbon based remedies
** Baptisia - low septicemic state

F/U with Richard video
what has changed: my legs were thick and pitted and now its just a (smooth) scar on both legs w/in 10wks
not tough any more
my L leg was the weaker leg, was always worse
if I think of somehting intense the nerve endings were prickly, something sad in mind nerve endings would fire- tingly feeling
feeling is gone

my mom had dad and my dad was crying when hearing mother's favorite hymn
** much more accessible emotion
before if I'd said that to you my leg would tingle and now it doesn't
thinking caused nerve firign
I couldn't walk for long

my roommate left a message
my leg wasn't reacting
thinking of old BF and dad, leg wasn't firing

energy level: More
life is worth living and body feels life is more wroth living
I've had to do a lot of soul searching, forgive myself and my father
I'm ready to get on with my life again

I was feeling beginnings of arthritis now the edge is off, can walk more freely

depression has left that I couldn't talk about

the funeral is so important to me
it was first time I was w/someone close to me die
painfully moaning

scarring is down below knees (was above kneees)

I've been doing exercises to get blood flowing, circulating, massaging it

accident- I went to massage therapy with clothes on
I was so conservative
if you're uncomfortable you'll say NO!

one time wished that I had bro or sis or Kyle hadn't died
painful to watch someone slowly die
esp your father, to see him SO vulnerable

I was so angry at letting this happen to my dad I punished myself
I let people push him around
for the nurse it was just a job- this person is dying
**I didn't do enough, punished myself by letting legs get so so sick

** His ability to be present has increased dramatically
** Graphites case: stagnation of blood

Sunday 01.18.09 class notes

Sunday Karen Allen

Repertory: intro to repertorization
Acute Therapeutics: Dental complaints
Acute Exercise: Morning On-call from karen's practice

CHC Exam content: 500 hrs formal education
pt1
philosophy
MM
repertory

pt2
take example cases- come up with 7 themes, 5 rubrics ,3 remedy choices with justifications

after passing exam, you're a candidate
250 observation and clinic
10 cases of your own - new case plus f/u
5 cases of your own work not under supervision  w/6mo. f/u with clear explanation and marked improvement
then an oral interview 1-2 hrs, sometimes mult interviews

PAH Adv training
1) mentoring  - 1 day a month, bring in your cases, discuss topics and do analysis
2) advanced clinic - taking cases you wouldn't normal take (like HIV+ who also uses heroin, or actively schizophrenic or suicidal)
3) continuing education

* the most common remedy for people heading into dialysis or is on dialysis:
serum anguilla  - venom of a freshwater eel, 6C dose daily
or tincture of berbaris vulgaris - organ remedy that helps the kidney (seat of fear in TCM)

* most remedies are not good in the evening because of negative effects (like sulphur speeding up the mind)

* kidney stones: renalis calculae

Test Review
Generals: mental, emotional, anything non-physical or anything physical for the whole body

* Certainty is a feeling that is not connected to the rational mind ['On Being Certain' - Richard Burton]. Be sure to track it because many times you can be entirely certain and yet not accurate, especially when you think you know the correct remedy.

* Test question: 'All perceptible symptoms and signs of disease represent the disease in its entirety: TRUE
In H's time it was common to still be prescribed bleeding, etc. even after symptoms of the disease were gone, leading to the conclusion that if there are symptoms there is disease and no symptoms = no disease.
* Q: asymptomatic carriers of disease? they would have that as part of their miasm, and do expose others to it but to H they do not have a disease
* 1800's there was a trend of 'Arsenic eaters'  to develop mental clarity and women took it for translucent skin
* perceptible includes all perceivable events, including lab tests like high cholesterol, etc.
* not all symptoms are perceptible to the practitioner, and many are hidden by the client but the ones that DO show are indicative of the whole

*16: when a client is taking allopathic medication you should include symptoms that were eliminated by teh medication
* you cannot prescribe successfully on symptoms generated by allopathic medicines- what was the original complaint the user had before the new symptoms

* Never say 'get off these meds', you might suggest that there are alternatives or things they can discuss with their physician
...............

concept: diff btw acute and chronic
acute= episodic, anything happens and you get a response

illnesses tend to have phases
beg: inflammatory phase, inflamm has to do w/belladonna, aconite, ferum phos, red/heat/painful/swollen
 then your body mounts a response to the inflammation
middle: suppuration: creates pus/nasal discharges hepar sulph/rhus tox/puls/mercurius/silica - some remedies cover multiple discharges some are specific- once you reach this phase the remedies for the initial stage won't be helpful anymore so you need to update
end: consolidation and repair:  often mineral remedies, diff from supp. stage

Chronic complaints have a diff trajectory: comp/uncomp/decomp
Tracking in chronic care: what is the level of limitation for this person and how much compensation is going on?
ex case: lady w/small kidneys uncomp= raw terror / comp= lifestyle avoiding fear/never alone / decomp= kidney failure
as you see ppl get better their decompensations get better, they don' t need the compensations so much

SX= symptoms
DX= diagnosis
RX= prescriptions
DX= remedy prescriptions

........
Referring to Richard's case from video yesterday
Analysis doc online
diabetic diathesis - he doesn't have it but has all the symptoms, so he's in the terrain of diabetes

shingles in older clients - c/b indicative of cancer, should go get cancer screening

MM differential (DDX)- comparing remedies from the Materia Medica, showing how each remedy matches the case, also call out anything that does not match the case in the remedy
impt to keep reference notes and to include why you think it does or does not apply, include authors/book/page numbers

case analysis: factual, well-referenced, not opinionated
perspective: keep a pathology point of you vs. a wellness point of view
Does the rubric set match the summary of the case?
Be wary of creating causation between mental & physical symptoms which may or may not be directly linked
What limits the person? What is their chief complaint, and do you agree that is what most needs attention?
Basing case primarily on mental symptoms work well for some, but not suggested by KA
Why? Physical symptoms don't lie. Mentals can be omitted or lied about. Cases grounded in physical symptoms are solid and specific.

..........
Repertorization

Generalities- if a person has a similar sensation in more than one part of body (sharp pain in chest, sharp pain on foot)- very good opportunity to use rubric for GENERALITIES, Pain, sharp.

....
LISA
dental on call
pain in tooth
eyetooth, shooting into face into sinuses
cold
started yest
snot yellow
pain tooth
ears pain: shooting towards that tooth down the jaw
feel irritated
mouth lots of spit
taste like metal in mouth
bad breath

#1 Mercurius offensive odor, saliva increased bad tasting, offensive, metallic taste - 30C
#2 Plantago - tincture 5 drops in water

....
Joyce
ran front end of car into another car
not hurt badly
bump mouth steering wheel
swelling
teeth feel loose
not feel good- it's probably ok

#1 Arnica

............
MATT- Jason?
abscess tooth L side
dentist said take a long time
hurts
pain like knife going through/ splinter driving in
feel thru whole body
slow onset
hypersensitive: bright lights, sharp sounds
sharp pain
hard brush teeth- use warm water
can't tolerate cold water, cold air

TEETH, Abscess of roots
MIND, Sensitive, pain to

1) hepar sulph: oversensitive to cold, draught of air, pains are sore, sticking like sharp splinters, abscess, WORSE cold, better heat/warm
2) silicea: abscess

.................
PAULA
many cavities
cav on upper R side, filled 3X- now they put a crown on a few wks ago
feel all the time
dull pain
<cold, pain Excruciating, pain shoots up face, nerve shock
<cold, cold water, cold air
shooting pain up into cheeks towards ear
> rubbing
> warm up area in mouth via eating hot warm mash potatoes

** Best= Magnesium Phosphoricum > heat, < cold air, shooting pains, > pressure
1) Hypericum: shooting pains, > rubbing, toothache
2) Staphysagria: sensitive pain, > warmth, > hard pressure and heat

Saturday 01.17.09 class notes

Saturday Jan 17 Karen Allen
morning: mid-term

Introduction to Chronic Care

Inimical remedies
Rhus Tox and Apis are inimical
Causticum and Phosphorus are inimical

Video: Richard's case

*Notes pulled from full transcript

** Trust that the client will tell you what you need to know

*many hand gestures, brushing hair from face, both hands swing around
*nasal back of throat noise repetitive

** making your assessment of the story, you must find the plot- what is the person's story? this guy is in pain, his family won't come see him, no one listens to him, he's stubborn as hell, hates when people tell him he's lazy
** People's story should change after remedies, if it doesn't change, remedy isn't working

...

dr said it's not a boil I don't know what it is
pimple X1000 at bottom of leg, size of golf ball, infection pus yellow

** Streptococchal infections = white exudate
** Staphococchal infections = yellow exudate/pus

..

when my ma died I went to work the next day and said everything was peachy

**Mind, Industrious, mania for work

...

** in chronic care, context of the symptom is impt.

Concepts of uncompensated/compensated/decompensated
- his uncompensated initiative is to get angry , it comes out as an event
- anger mgmt issues is common in inflammation cases
- his compensation for this is to slow himself down, call the next day when he's calm- it's a slowness
- an ex. of decompensation might be if the slowness doesn't work he internalizes it

** when you look at a symptom in the repertory it may be any of these three types uncomp/comp/decomp
it helps you identify the motivations of the client

...

** this is taught primarily by Italian homeopath, Massimo Mangialavore
- he's gifted in this area
- he identified clusters of remedies with similar uncomp/comp/decomp areas

...

** another part of context is to determine What is the evolutionary age? Someone who is all about their parent's love is somewhat stuck at a younger age.
** in a therapeutic state client's often regress, but they regress to the age their stuck at
** how they are in their session is indicative of who they are as a whole- microcosm/macrocosm

...

no one was at my dad's funeral
CAN"T TALK ABOUT it 3X
he's organizing a funeral this summer
/tearing
too painful

**client allowed us to get close to his pain here, and then backs off to repeating about the bandages

...

taught you can do anything, obey yr parent's in evrythg
to doctor:
comp: Get out! you ride the shortbus!
uncomp: Please don't hate me but you're doing it wrong , I'm really sorry I've got to leave

**raw expressions of anger, of cowering

...

I'd be in the bathroom nervous I'm not Good Enough  (uncompensated) during job interview

** Provings tend to be Uncompensated symptoms, symptoms are new and ppl don't have time to adapt to them.

...

what killed my mother was her job
she was a meat wrapper for 25yrs
**(plus his parents wked themselves to death for him, and he is suffering due to overwork)

...

** When someone says "I'm sick of X" pay attention! There's importance in that connection

...

I've learned to make ppl laugh
'I'm fat- you can see that!'
'what was the hardest thing about your father's death? A: Figuring out how to run the lawnmower'
(comp: I can't talk about it (FA death) uncomp: joke above)

...

oxen in Tibet- huddle tog. to keep the world out, you didn't show ppl your laundry in SD
I can't tell ppl when I'm having a bad day, it's personal and private

** his miasm=sycosis
** has to do with over-doing and hiding (privacy), jealousy
** Physical predisposition to corpulence, formation of tumors/cysts/overproduction of discharges (urinary, lymphatic, etc.)
** Staph infections are a subset of this miasm, psychological state which matches his physical state

...

I don't like to think about how I was never chosen for sports

** Develop an interest in humanity, in listening to every detail
** The Greatest prayer is patience
** when it's boring, repetitive, annoying, intensely emotional- you need to learn how to sit with the person

...

18: my mom was beautiful
60: she was old, tired, wasted
I don't want to waste this

** At this point the interviewer asked another question: a shame as this was the first time he mentioned his mother. However, the interviewer's mother had died and this was a sensitive subject for her.
** We will find ourselves re-directing clients away from OUR tender places

...

I've learned to be less judgmental
I try to remember that
I'm very judgmental, I make snap decisions
if I don't like you I won't give you a chance
(Uncomp, comp)

...

always thirsty weight problem I pee like a fountain 3X
constant thirst

** This is part of Hydrogenoid psychosis; water imbalance, profuse urination, constant thirst

...

** Clients do not react well to the word "Crave" - look to phrase it differently when asking about food preferences. At a banquet, describe your favorite foods.

I have a sweet tooth
bad habit
...

Generals
freezing/chills
fevers
fever with chill
wanted to die
couldn't think
couldn't function
pretending
pathological tenacity
angry
suppressed anger
bitter
jealous
sensitive
doesn't feel listened to
working himself to death
lacks confidence
stubborn

Particulars
cellulitis
deep sores
swollen legs
swollen ankles
legs tree trunks
scabs , ridges like tree bark on legs
scarring on legs
profuse clear sticky liquid discharge with an odor
pustules size of golf balls
burning like a lighter under legs
HUGE yellow pustules, worse on the L, size of golf balls
alternation of draining of legs
legs: hot, red
throat/nose sound (nasal pharynx)
pees like a fountain

** Hot / Cold concomitants are often indicative of Carbon based remedies
** Baptisia - low septicemic state

F/U with Richard video
what has changed: my legs were thick and pitted and now its just a (smooth) scar on both legs w/in 10wks
not tough any more
my L leg was the weaker leg, was always worse
if I think of somehting intense the nerve endings were prickly, something sad in mind nerve endings would fire- tingly feeling
feeling is gone

my mom had dad and my dad was crying when hearing mother's favorite hymn
** much more accessible emotion
before if I'd said that to you my leg would tingle and now it doesn't
thinking caused nerve firign
I couldn't walk for long

my roommate left a message
my leg wasn't reacting
thinking of old BF and dad, leg wasn't firing

energy level: More
life is worth living and body feels life is more wroth living
I've had to do a lot of soul searching, forgive myself and my father
I'm ready to get on with my life again

I was feeling beginnings of arthritis now the edge is off, can walk more freely

depression has left that I couldn't talk about

the funeral is so important to me
it was first time I was w/someone close to me die
painfully moaning

scarring is down below knees (was above kneees)

I've been doing exercises to get blood flowing, circulating, massaging it

accident- I went to massage therapy with clothes on
I was so conservative
if you're uncomfortable you'll say NO!

one time wished that I had bro or sis or Kyle hadn't died
painful to watch someone slowly die
esp your father, to see him SO vulnerable

I was so angry at letting this happen to my dad I punished myself
I let people push him around
for the nurse it was just a job- this person is dying
**I didn't do enough, punished myself by letting legs get so so sick

** His ability to be present has increased dramatically
** Graphites case: stagnation of blood

Genius of Homeopathy - Close ch.9 : Cure and Recovery

H truly defined the term 'cure' for the medical practice, and based his work from that vantage point.

"The highest ideal of a cure is rapid, gentle and permanent restoration of health, or removal and annihilation of the disease in its whole extent, in the shortest, most reliable and most harmless way, on easily comprehensible principles."

Cure is dependent not on precedent, but on principles.

Throughout time medicine has been called "The Art of Healing". Art is practice guided by correct principles in the use of means for the attainment of a desired end.

" Imitation of nature is a paltry substitute for art. Whatever may be the outcome in the long run and final accounting, nature, temporarily at least, works irrationally, blindly, painfully and waste fully; as when she creates a million spawn to secure a dozen fish; or suppurates an eye away in the effort to remove a, splinter from the cornea."

Definition of Expectant treatment - treatment directed toward relief of untoward symptoms, leaving cure of the disease to natural forces.
Definition of Recovery. - Recovery is the spontaneous return of the patient to health after the removal, disappearance or cessation of the exciting causes and occasion of disease, or as a result of treatment which is not directly and specifically curative in its nature. Recovery takes place without homeopathic remedies, but from changing the environment or by nature.

Definition of disease as "any departure from, failure in, or perversion of normal physiological action in the material constitution of functional integrity of the living organism"

 Disease is manifested perceptibly by signs and symptoms. Cure, is manifested by the removal of the symptoms.

Cure is not affected by the removal surgically nor by any local means, of the external, secondary, pathological "end-products" of disease, such as tumors, effusions, collections of pus, useless organs or dead tissues; for the morbid functioning which produced those effects often remains unchanged, after such removal.

Requirements of Cure
1) must be result of direct application of principle of therapeutic medication
2) cure by medication is individual

Every individual develops according to a certain morphological tendency or predisposition, inherent in his constitution.  It is necessary, therefore, to study each case of disease from the morphological as well as the semeiological standpoint in order to be able to determine its individual form and characteristics. The new morphology includes all the facts and phenomena, anatomical, physiological and psychological, functional and organic, normal or abnormal, which represent the individuality of the subject.

3) complete and impartial collection and record of the facts which constitute the natural and medical history of the individual